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Inspection on 01/05/07 for Strathmore Nursing Home

Also see our care home review for Strathmore Nursing Home for more information

This inspection was carried out on 1st May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Strathmore is a well-managed and well run home ensuring a high standard of care for the people living there. Residents have access to everything they might need to live a comfortable life. If something is needed relevant to a person`s health and well-being arrangements are made for it to be obtained. Local resources such as taxis that can take residents in wheelchairs are used to benefit the residents to enable them to go out into the community and pursue their own interests, for example two residents attended their local church the weekend prior to the inspection. This was the first visit in some time due to ill health. The premises are clean and safe and the standard of accommodation is good. There have been few staff changes, so residents are looked after by people they know and can trust. Staff are well trained and show commitment towards giving good care to residents. Records are kept to a good standard, the office is well organised and everything is to hand. There are additional checks and procedures in place to ensure everything is properly accounted for. The home is good at seeking the views of residents, staff, and others to that the service can be improved. Satisfaction questionnaires are distributed to gather information and residents and relatives meetings are held. The owner also visits the home on a weekly basis; therefore she is always in touch of what is going on in the home. On the day of the inspection several visitors were seen. Visitors confirmed they are always made welcome. Visitors are welcome to join their relative for a meal if they wish. The new chef has introduced cooked breakfasts every day and this was proving to be to the satisfaction of residents.

What has improved since the last inspection?

The manager confirmed that since the appointment of the new activities coordinator the range of activities had improved and that residents were more involved. There has been more family involvement, for example attending relatives meetings, taking part in activities and outings. Some of the upstairs area had been decorated. The manger has successfully completed the National Vocational Qualification Award (NVQ) level 4 Registered Managers award. More staff have signed up to undertake training in NVQ in care.

What the care home could do better:

The downstairs carpets throughout are in need of replacing. These were seen to be heavily stained, and looked unsightly. The owner of the home said that they were waiting for a grant to be confirmed by Bolton Council for replacement carpets, which is imminent. The paintwork in several areas around the home is chipped and some walls scuffed due probably to wheelchairs. This needs attention and should be included in the maintenance plan of works.

CARE HOMES FOR OLDER PEOPLE Strathmore Nursing Home 51 Seymour Road Astley Bridge Bolton Lancashire BL1 8PT Lead Inspector Judith Stanley Unannounced Inspection 1st May 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Strathmore Nursing Home Address 51 Seymour Road Astley Bridge Bolton Lancashire BL1 8PT 01204 309795 01204 309796 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Whitehill Homes Limited Mrs Karen Lesley Prescott Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32), Physical disability (10), Terminally ill (3) of places Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 32 service users, to include: up to 32 service users in the category of OP (Older People). Up to 10 service users in the category of PD ( Physical Disabilities under 65 years of age) up to 3 service users in the category of TI (Terminal Illness under 65 years of age) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 23rd February 2006 2. Date of last inspection Brief Description of the Service: Strathmore care home is privately owned and offers nursing and care for 32 people. Included within those numbers the home can care for up to 10 people with a physical disability, under 65 years of age and up to 3 people also under 65 years of age with a terminal illness. The home is situated off a main road close to local amenities, including a supermarket; post office, shops, café, public houses and public transport runs close by. Strathmore is a large, purpose built home on three floors. The home is a detached property and is set in mature gardens to the front and has a roof terrace (accessed via the first floor). The home has a passenger lift to all floors. The main entrance and car park is to the rear of the home, car parking is also permitted on the road at the front of the home. There are eighteen single bedrooms and seven double bedrooms, no rooms offer en suite facilities, however bathroom and toilets are on all floors and are in close proximity to communal areas and residents bedrooms. The main lounge and dining area is situated on the ground floor, a smaller lounge is available upstairs. The current scale of fees ranges from £315.18 - £ 350.00 per week. Additional charges are made for hairdressing, chiropody and newspapers. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included a site visit and was unannounced and was conducted over a period of 6½ hours. Part of the time was spent in the office looking at information the home holds on residents (care plans) and other records the home keeps to ensure that the home is being properly run. The inspector spoke with the owner of the home, the manager, staff, residents and relatives who were visiting the home. To find out more about the home comment cards were sent to residents, relatives and other visiting professionals, such as doctors and district nurses. Two residents, eight relatives and two doctors returned comment cards. Residents indicated their satisfaction about the home, the staff, care provided, the variety of food and the range of activities offered. One relative said, “ I am delighted with the way they look after my husband”, another said, “ I would recommend Strathmore it is excellent. The staff are so cheerful at all times, I am so glad my mother is being well cared for”. Another relative said, “ I have found the staff, without exception, to be caring, friendly and their attitude towards my mother is excellent “. Other relatives comment cards indicated overall satisfaction of the care their relatives receive. One doctors said, “ Good quality individualised care is given to all my patients”. Another doctor indicated that staff communicate clearly with the him, that residents medication is appropriately managed and that any specialist advice is incorporated into the residents care plan. There has been one complaint made to the manager of the home regarding laundry; the manager promptly dealt this with and a letter of action sent to the complainant. The CSCI has received no complaints about this home. The inspector read two letters complementing the home, part of one letter said, “ Strathmore was different from other homes. You have high standards with structured controls in place. It’s a warm and comfortable environment, happy smiling staff no matter what kind of a day they are having. Residents are cared for with love, understanding and dignity”. A line from another letter read, “ Staff are very kind, have a respectful manner to residents asking them what they want”. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The manager confirmed that since the appointment of the new activities coordinator the range of activities had improved and that residents were more involved. There has been more family involvement, for example attending relatives meetings, taking part in activities and outings. Some of the upstairs area had been decorated. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 7 The manger has successfully completed the National Vocational Qualification Award (NVQ) level 4 Registered Managers award. More staff have signed up to undertake training in NVQ in care. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 were assessed. Standard 6 does not apply as the home does not provide intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides prospective residents and their supporters with up to date information about the home that helps them in making a decision about moving into the home and the services provided. A full pre admission assessment is carried out prior to admission to ensure the home can meet the needs of the individual. EVIDENCE: The home has a statement of purpose and a service user guide. This information is available to prospective residents and to residents all ready living at the home. The information, along with a copy of the last inspection report is kept in the reception area of the home. The information is clear and concise and informs people of the services and facilities, about the manager Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 10 and staff qualifications, how to make a complaint if needed, and aims and objectives of the home which states, “ To deliver a service of the highest quality that will improve and sustain the service users overall quality of life. In this respect the care service is designed to meet the requirements of a recognised accredited quality service but in a people orientated way”. Due to the recent relocation of the Commission for Social Care Inspection (CSCI) the address of how to contact the CSCI has now changed and this requires amending. Three residents files were chosen for inspection, one nursing, one residential and one younger adult with a physical disability. On examination all files contained a pre admission assessment to ensure the home and staff could meet the needs of the resident. Assessments are carried out at the most convenient place for the prospective resident, either in their own home, or whilst in hospital or at Strathmore. The assessment is detailed and covers the residents well-being, any nursing needs, all areas of risk including falls, mobility, continence, bathing, personal care, past and current medical needs, nutritional status and weight, medication, allergies, hearing and communication, sleep pattern, skin condition, any aids or appliances, such as wheelchairs, likes and dislikes and general interests and activities. The assessments provides staff with the information they need to ensure that the individuals care needs can be met and provides the base line for the drawing up of the care plan. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8, 9 and 10 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are clear and concise and provide staff with the information they need to meet the needs of the residents. Personal support is offered in such a way as to promote and protect resident’s privacy and dignity. EVIDENCE: Three care plans were chosen for inspection. The information contained in the care plans gave staff detailed information about the care each resident required. A social profile is included that informs staff of the life experiences of the resident’s. This helps staff get to know the residents better and generate topics of conversation. The profile includes, place of birth, interest and Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 12 hobbies, social groups attended, things that bring them pleasure, for example seeing grandchildren and work life experiences, and likes and dislikes. Other information in the care plan includes risk assessments, for example risk of falls and mobility, pressure care, nutrition, smoking and moving and handling. A separate observation assessment sheet is completed this monitors the residents pulse, blood pressure, temperature, monthly weights, blood sugar, and overall general condition. There was evidence to demonstrate in the care plans which outside agencies such as doctors, district nurses, the chiropodist, the epilepsy nurse, the audiologist, and the speech and language therapist had been contacted as and when required and any specialist advice given by them had been carried out. Observation throughout the inspection showed that the personal care needs of the residents were being met. Attention was shown to all residents with regard to personal grooming. Resident’s clothes were nicely washed and ironed and were coordinated. Ladies had had their hair done and gentlemen were seen to be clean -shaven. Staff were seen knocking on bedrooms and toilet doors and waiting for a response before entering. Staff were heard speaking to residents in a friendly and respectful manner and responded to residents requests in a prompt manner. It was evident that good relationships had been formed between the residents and staff. The nurse in charge gave out the mornings and lunchtime medication; this was done swiftly and efficiently. Residents were given medication in an appropriate manner and offered a drink with their tablets to help them swallow them. Medication was immediately recorded on the individual’s drug sheet. The inspector accompanied the manager to check some resident’s medication and recordings. There were no areas of discrepancies found. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are offered a wide and varied range of activities that meet their capabilities and expectations. Residents are provided with well-cooked food, which they like, in good portions and at times that suits them. EVIDENCE: The home has an activities coordinator and with the help of residents plans a wide range of indoor and outdoor activities. Activities offered include exercises, bingo, reminiscence, bead and lace threading, ball games, knitting, board games, manicure and hand massage, film shows sitting chatting with residents, visits from a local band and church services. On the day of the inspection residents were seen enjoying a game of skittles, some were knitting and one lady was having her nails painted. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 14 Trips out include shopping to the local supermarket; one-to- one trips out shopping, visits to Middlebrook Retail Park, and Bury market. The home has a small room with a selection of books and videos for residents to use as they wish. Residents are looking forward to the annual Summer Fayre to be held July. Residents were seen sitting in the garden enjoying the sunshine, ramped access to the garden allows residents to come and go as they choose and appropriate seating is available for sitting outside. Visitors are welcomed to the home at any time; there are no restrictions as to when people can visit. Residents can meet with their visitors in one of the lounges or in the privacy of the their own rooms. Five visitors to the home were spoken with. All expressed their satisfaction about the care their relative receives and the commitment of the manager and staff. One said, “ I have no complaints about anything I have seen or heard on any of my regular visits. The manager is always here and is very supportive and approachable, I have nothing but praise for this home”. The manager encourages and develops links with the local community for example one couple living at the home go out on Sunday to attend their local church. A taxi is arranged to pick up at the home and bring them back when they are ready. Visits to their church are an important part of these residents lives which the manager and staff help them to maintain. Other visitors were seen taking their relatives out in wheelchairs to go shopping or out for walks. The menus were available for inspection. These are currently under review as the home has recently appointed a new chef, who is still getting to know the resident’s likes and dislikes. The menus takes in to account the different tastes of the resident’s as there are a number of younger adults and possibly some older people living at the home who may enjoy a wider range of food for example pizza, lasagne and curries. A flexible breakfast is available to allow residents to have a lie in should they wish. The chef has introduced more cooked breakfasts, which appears to be a huge success. Staff were heard asking residents what they would like to eat and several residents went for cooked breakfast. A lighter option is available for example, cereals, toast and preserves and tea or coffee. Lunch is the main meal of the day. On the day of the inspection residents were offered steak and kidney pie, creamed potatoes and peas, followed by a milk pudding. Alternatives are available instead of the main meal with yoghurts and fresh fruit as a sweet alternative. A choice of hot or cold drinks were available during and after lunch. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 15 It was discussed with the manager that from the inspectors’ observations there appeared to be quiet a lot of wastage of food. This was not due to poor quality or taste but perhaps due to the fact that residents are now having a cooked breakfast and are not ready for a big lunch. The manager is to give this consideration and after consulting with residents see if they would prefer a lighter lunch and have the main meal late afternoon. Staff were seen sitting and assisting residents who required help in a discreet and sensitive manner. Some residents who have PEG feeds (food from a machine through a tube) were made comfortable by staff and were regularly checked. Currently a lighter afternoon tea is served, again with a good variety of alternatives ready available. Supper is served before residents retire, a choice of snacks are available with a drink of their choice. In the main, meals are served in the dining area or wherever the resident wishes to dine. The main dining room is comfortable and offers a pleasant environment for residents to dine in. Tables were appropriately set with crockery and cutlery and condiments, suitable aids were provided such as plate guards to encourage resident’s independence in feeding themselves. Any special diets can be catered for including soft diets, diabetic diets and pureed food. The pureed food was individually blended to allow residents to taste the different flavours and textures and to see the different colours of the food served. Residents spoken with after lunch expressed their satisfaction at the quality and quantity of the food served. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives can be confident that residents will be protected from abuse and have their rights, including the right to complain, protected by effective staff training and procedures. EVIDENCE: A complaints procedure exists and records of complaints are kept and properly recorded, along with the outcome. The complaints file was available for inspection. There has been one complaint made to the manager of the home since the last inspection, this was concerning laundry. The manager of the home dealt with the complaint immediately it was brought to her attention and her findings and response to the complaint was documented. There have been no complaints brought to the attention of the CSCI. There have been no adult safeguarding issues reported by the home to the CSCI within the last year at least. With the exception of two staff waiting for training, other staff confirmed that they had undertaken training in the protection of vulnerable adults. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 17 The home had policies and procedure in place to protect the residents from abuse in any of its forms. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. In the main, Strathmore is maintained to a good standard, making it a homely comfortable, clean and pleasant place to live in. EVIDENCE: From a tour of the premises, it was evident that the home is maintained to a good standard both internally and externally. It was discussed with the homes owner and manager that the carpets downstairs are in need of replacing as these were seen to be heavily stained and past cleaning. The owner of the home confirmed that the home had been appointed some funding and they were awaiting confirmation of the grant and Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 19 the carpets are to be replaced. It is recommended new carpets are fitted as soon as possible as it spoils the overall effect of the home. It was also discussed with the manager that some of the paintwork requires attention, as this is becoming chipped and scuffed. Other areas of the home are well maintained. Several bedrooms were inspected; these were seen to be clean, comfortable and warm. Residents had been encouraged to personalise their rooms with their own possessions and mementoes brought with them from home. The bathrooms were decorated in a domestic style so to offer a relaxed atmosphere for residents when bathing. There was no evidence of communal toiletries; these are brought in to the bathroom from resident’s rooms when they are ready to bathe. The outside of the home is well maintained and the grounds were neat and tidy and accessible for service users. Systems were in place to control the risk of cross infection. Most staff were seen wearing different protective clothing for different tasks. Hand sanitizer is available for staff for cleaning their hands. The laundry is in the cellar away from food preparation and food storage areas and does not intrude on the residents. The home was clean and free from any offensive odours. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, 29 and 30 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be sure that their needs can be met by good staffing levels and a competent, committed, experienced and well–trained staff team. EVIDENCE: The staff rotas showed that there were sufficient numbers of staff on duty each day and through the night. The ratio of staff to residents takes into account the needs of the residents. Neither staff or residents expressed any concerns about staffing levels within the home. Domestic and kitchen staff are employed in sufficient numbers to cater for the needs of the residents and to support care staff. Several of the staff have worked at the home for a number of years. One member of staff spoken said, “ We all get on well together and work as a team”. From discussions, staff showed they know the residents needs well and they demonstrated a strong commitment to providing a good standard of care. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 21 From the inspectors’ observations, staff morale appeared to be good and the staff seemed genuinely happy to be working at the home. Staff training is ongoing with 75 of staff having achieved a National Vocational Qualification Level 2 in care. Since the last inspection staff have completed training in palliative care, food hygiene, dementia care, protection of vulnerable adults, moving and handling, induction in skills for care and fire training. Nurses have completed training in the use of the Graseby Syringe Driver. The training matrix for 2007 was available for inspection. A full copy of each members of staff’s employment file is kept at the home in a secure location. Three files were inspected and were found to contain copies of CRB (criminal records bureau check) disclosure numbers, application forms, references, job descriptions etc. Staff undertake a full induction programme on commencement of work, this was evidenced in staff files. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 were assessed. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Strathmore is well run by a well-qualified, suitably experienced and competent manager. Residents can be sure their best interests will be the central focus, with a positive and inclusive approach to making the service better. Residents and staff can be sure that their health, safety and welfare will be promoted and protected. EVIDENCE: The home’s manager has a significant number of years experience in working with the elderly. The manager is a registered nurse and has NVQ level 4. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 23 The home’s manager is committed to her own training and that of her staff team and sees this as an essential element to delivering good quality care for residents. The way in which the home is managed and run is open and transparent. The home’s manager operates an ‘open door’ policy so that she may be approached at any time by staff or residents or their families. The residents and visitors during the inspection were seen to approach her, as necessary. The manager felt the needs of staff were just as important in delivering good quality care as those of the residents and it was evident she values her staff team. The office is well organised so that staff have access to all the paperwork and contact information they need during a shift. The manager is supported by an administrator who has good systems in place for managing the office work. There is a good system of continuous self-monitoring in the home, which includes quality surveys, residents/ relative and staff meetings. The owner of the home visits on a regular basis and completes a monthly report on her findings. These reports were kept in the home and were available for inspection. Some residents living at the home have handed over the responsibility for their financial affairs to their families but keep a small amount of money with the administrator for safekeeping. Three residents monies were checked and found to be in order and matching the written record of transactions. Records kept and required by regulation were seen to be in good order and up to date, all records are kept securely as required. Equipment and systems used in the home are serviced and maintained, and records are well kept and easily accessible. Prior to the inspection information provided by the home was sent to the CSCI indicating that regular servicing for the gas, electrics, portable appliances, water, lift, fire equipment and hoists had been carried out and were up to date. On inspection certificates were seen to verify the checks were valid and up to date. Any accidents, injuries and incidents were suitably recorded in the home accident book and the CSCI are notified as required. Good health and safety practices were observed during the inspection to ensure the welfare of residents is protected. Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x x x 3 x x 3 Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Strathmore Nursing Home DS0000005702.V301739.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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