Inspection on 29/06/07 for Summerleaze Retirement Home

This inspection was carried out on 29th June 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.

Other inspections for this house

Summerleaze Retirement Home 26/10/05

Summerleaze Retirement Home 14/04/05

Summerleaze Retirement Home 17/11/04

Summerleaze Retirement Home 16/07/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Summerleaze Retirement Home 79 Salterton Road Exmouth Devon EX8 2EW Lead Inspector Michelle Oliver Unannounced Inspection 29th June 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 Summerleaze Retirement Home DS0000022042.V331370.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. Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summerleaze Retirement Home Address 79 Salterton Road Exmouth Devon EX8 2EW 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) 01395 279349 01395 224904 infor@summer-leaze.co.uk www.summer-leaze.co.uk Summerleaze Home Limited Mrs Lorraine A Covell Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. This variation is to increase numbers from 14 to 15 by making room 7 a double room Should one of the residents in Room 7 die or move on to nursing care, then the numbers will revert back to 14 26th October 2005 Date of last inspection Brief Description of the Service: Summerleaze is a residential care home providing accommodation and personal care for up to fourteen older people who enjoy their independence are in need of minimal assistance. The home is situated in a residential area within the town of Exmouth. Access to the first floor can be made by stair lift. All rooms are single and have en suite facilities. The owner/providers live in the grounds of the home and have daily contact. The home does not take emergency admissions and does not routinely provide waking night staff. Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on Friday 29th June 2007 over a period of 5 hours. The manager was present throughout the afternoon of the inspection. During the inspection plans of care for 2 people living at the home were looked at in detail. This helps us to understand the experiences of people using the service. A number of other people were met and spoken with during the course of the day. A considerable time was also spent observing the care and attention given by staff. Several staff were spoken with during the day, including care staff, cook, the manager and the provider. Prior to the inspection questionnaires were sent to all people living at the home to obtain their views of the service provided; 11 were returned. Comments were in the main very positive. Surveys were sent to 9 staff in order to hear their confidential views; 4 were returned. Eight health and social care professionals were also contacted prior to the inspection 6 of whom replied. During the inspection we toured the premises and a sample number of records were inspected including care plans, medication records, staff recruitment files, and fire safety records. What the service does well: Prospective new residents and their relatives/representatives are given good information about the home before any decision to move in is made. Trial visits are encouraged. A representative from the home will also carry out a careful assessment before anyone is admitted to the home to ensure their needs can be met. People interviewed during the inspection talked about the process of choosing and moving into Summerleaze, and they all expressed complete satisfaction with the outcome. The home has drawn up care plans covering all aspects of care needs. Risk assessments have also been drawn up on all aspects of health and personal care and clearly show how the home identifies potential health risks and puts preventative measures in place. People said staff understand their role and support them to ‘co-ordinates everything’, such as care, hospital appointments and shopping. This means that people living at the home benefit from the Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 6 involvement of health care professionals to ensure that health care needs are met. Medications are stored safely and only experienced staff carry out the administration. Records of medicines administered have been generally well maintained. Evidence was obtained in various ways through this inspection to show that people living at the home are treated in a dignified manner and their privacy is upheld at all times. People expressed complete satisfaction in the way they are treated by the staff. The staff were calm and unhurried and assisted people in a friendly, caring and respectful manner. People talked about how they are able to lead their lives just as they want, without unnecessary rules or restrictions. The home provides a good range of activities to suit people’s interests. Excellent arrangements are in place to ensure family and friends are made welcome at all times and are kept informed and involved in the daily life of the home. People praised the standard of meals provided at the home. Those who have specific likes and dislikes talked about how the cook makes sure they have exactly what they want. The menus are balanced, varied and nutritious meals and suit individual dietary needs. The home has an excellent range of policies and procedures that have been regularly updated. Staff have been given training and instruction on the policies to ensure they are followed correctly. People living at the home can feel confident that complaints and concerns will be addressed promptly and a satisfactory outcome reached. All areas of the home are clean and hygienic. The home employs sufficient staff to meet people’s needs. Good recruitment practices ensure people are safeguarded from abuse. Staff are competent and deliver high quality care in a safe manner. The home is well managed. There is an open and positive atmosphere throughout the home. Quality assurance procedures are in place. Effective systems are in place to safeguard the health and safety of those living at the home and staff. Relative comments in response to questionnaires include: “The owners treat all residents as members of a big family. Each have clean, light and airy rooms and have their privacy respected. A lovely home which excels at everything”. Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 7 “I am perfectly satisfied with my life at Summerleaze.” In response to questionnaires received before this inspection a relative responded: “This is an excellent home, you cannot possibly improve on this”. What has improved since the last inspection? 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. Summerleaze Retirement Home DS0000022042.V331370.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 Summerleaze Retirement Home DS0000022042.V331370.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): 3 & 6. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides clear, detailed information to people considering moving in. People can be confident that they will receive the care and support they need if they do move into the home EVIDENCE: During this inspection we looked at the admission records of two people. We talked to them about how they chose the home, about the information that was shared, and about the discussions and agreements that were reached on the care they need. The assessment records showed that comprehensive information had been gathered about potential residents to form the basis of a plan of care and each person receives written confirmation of this. Copies of comprehensive assessment and plans of care for people who are not privately funded and are Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 10 admitted through care management are obtained and the home follows this with an assessment of its own. All prospective residents and/or their family or representatives are encouraged to visit the home, meet other residents and have afternoon tea if they choose before taking the decision to make Summerleaze their home. All people spoken to during this visit said they had been provided with ample information about Summerleaze before they decided to make it their home and the home had more than lived up to their expectations. This means that all care staff know how people want to be looked after when they move into the home. One person when talking about arrangements made before visiting the home said: “All details dealt with by my relative ” All of the people living at the home were sent questionnaires before this inspection to help gather information about their life at the home. Eleven were returned all of which confirmed they had received enough information about the home before they moved in. The home does not provide intermediate care. Summerleaze Retirement Home DS0000022042.V331370.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 &10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care planning provides staff with an overview of people’s individual health and social care needs. The healthcare needs of people living at the home are well met with evidence of multi-disciplinary involvement. All medicines are stored securely and policies and systems provide for safe administration. EVIDENCE: Plans of care are developed with individuals or their family. They are based on an up to date assessment covering all aspects of their health, welfare and social care needs. The health and personal care that people receive is based on their individual needs, strengths, abilities and wishes. This means that staff will Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 12 have the information to encourage people to lead purposeful fulfilling lives as independently as possible. People who live at Summerleaze are generally independent needing staff support to remain so for as long as they are able and choose to live in safe comfortable surroundings. Each person living at Summerleaze has a plan of care based on a comprehensive assessment and a sound understanding of the needs and preferences of that person. Two peoples’ files were looked at in detail during this inspection. Care plans are written in detail and include appropriate information regarding moving and handling, risk assessments, tissue viability and nutritional needs. These are well organised, easy to read and understand and are updated regularly. Each care plan also contains a ‘pen picture’ of the resident for quick reference and a ‘potted history’ for use if the resident needs emergency hospital treatment. This consideration given to ensuring effective communication both within the home and between different services is excellent practice. Staff demonstrate an excellent knowledge of residents needs, likes, dislikes, personal routines and idiosyncrasies. They are familiar with the content of care plans and contribute meaningfully to these. It was observed that care plans form the basis for the handover of information between staff promoting effective communcation. Staff say that they are never asked to care for someone outside their area of expertise and that they know what to do if a person’s needs change. People spoke about their care being well planned and that their needs being well met. They spoke of how the doctor is contacted for them if and when needed and that the manager appropriately takes advice from other sources. Plans in place to meet one resident’s needs showed a real regard for their mental health and an understanding of the person they are and past experiences. People said staff understand their role and support them to ‘coordinates everything’, such as care, hospital appointments and shopping. This means that people living at the home benefit from the involvement of health care professionals to ensure that health care needs are met. A member of care staff said that they refer to the plans daily and record information to keep them up to date. There are also daily notes written by care staff that show how people’s personal and social care needs are being met and the member of care staff on duty talked of their involvement in care planning. People are involved in regular reviews of their individual plans of care and one person confirmed that theirs was up to date and accurate. This means that Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 13 they are aware of any changes in the way they are cared for and benefit from regular opportunities to make their changing needs known. People were very satisfied with the way their care needs are met, and spoke of being well supported by the owner/manager to attend appointments and maintain good health People said their privacy and dignity is maintained. For example staff always knock on their bedroom doors and wait for an answer before entering. They talked of staff kindness, respect and mutual regard. The inspector observed respectful interactions and saw staff treating people with respect and great understanding. During this inspection we were shown the current system for managing medications. There is a set policy and procedure in place. Records of medications ordered, received, administered and returned to the pharmacy are kept. One person said that they think medication is well managed and that the medicines are always available, are given on time and staff have good knowledge about the medications they are handling. All residents undergo a risk assessment to determine the degree to which they can manage and administer their own medication. This is in line with the ethos of the home which is to promote independence. Several people currently manage their own medication. All staff that handle medicines have received training in the safe handling of medication, which ensures that people living at the home are cared for by competent, well trained staff Comments received from some relatives in response to questionnaires included, “Excellent care and support”. and “ I am very extremely satisfied with Summerleaze”. Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 14 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 &15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Everyone living at the home is offered good choices in all aspects of daily living. Social activities are well managed providing variation and interest for individuals and create opportunities for increasing their independence. Meals are nutritious and balanced and provide individuals with choice and variety. EVIDENCE: During this visit we spoke to nine people who live at the home, all were very complimentary about the care and support they receive. We also spoke to the manager and staff who confirmed that the aim of the home is to make sure that people who live there are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 15 Plans of care include details of individual preferences in relation to social activities, contact with the community and interests and hobbies. People spoken to during this visit said how much they enjoy an activities session held in the main lounge each Wednesday. A mobile library visits the home on alternate weeks and people can order books they wish to read. The home provides a wide range of games, jigsaw puzzles for people’s enjoyment. In response to a questionnaire comments were made including: “To me one of the great advantages of “ Summerleaze” is that we are free to come and go as we wish and are able. Personally I do not need or want things arranged for me. I realise I am fortunate in being able to pursue my hobbies and being encouraged to do so”. A person spoke about enjoying gardening and how they had been enabled to take part in planting borders when the provider created raised flower beds A person living at the home has family overseas and expressed a wish to stay in close contact. As a result the provider has arranged for a computer to be installed and for the person to receive computer training. This has enabled the person to be in contact with their relatives by email. Several people spoke about how their relatives/ visitors are made to feel welcome at the home. Visitors are offered drinks and “are made to feel part of the family”. We looked at the visitors’ book and it was clear that many people received visitors and they came at different times of the day. Comments in questionnaires included: “ Good at respecting privacy and visitors are always made to feel welcome”. People moving into Summerleaze are encouraged to bring personal possessions and small items of furniture with them to make their rooms feel homely and this is agreed before admission. Most of the rooms seen during this inspection were personalised and people spoke about the pleasure having their own things around gave them. Meals served at the home are well balanced, nutritious and varied. The home has a menu which changes from week to week. People said that they are told what is on the menu each day and they are offered a choice. We spoke to one of the two cooks during this visit. They confirmed that they were well informed about peoples’ individual food likes and dislikes and were given information about dietary needs and preferences when they moved into the home. The cook was able to discuss different diets such as sugar free. A person who has a restricted diet due to health needs described how the cook Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 16 varies their diet to enable them to have enjoyable cakes and puddings just like others. People living at the home benefit from having a light, spacious dining room where all meals are served; they may choose to have their meals served in their rooms or one of the sittings areas if they wish. Comments received from some relatives in response to questionnaires included, “We are fortunate having two experienced cooks who provide a good variety of well cooked and presented tasty meals from top quality ingredients. Should one not like or be unable to eat, what is available an alternative is provided without any fuss”. Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 17 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 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear and simple complaints procedure that ensures complaints are responded to promptly with satisfactory outcomes. Staff have a good knowledge and understanding of the forms of abuse thereby ensuring that people living at the home are protected from harm. EVIDENCE: The home has a detailed, clear and simple complaints procedure, this is prominently displayed for all those living at the home and visitors to see. No complaints have been made to the home since the last inspection. People living at the home said that they would not hesitate to raise any matter at any time and were sure that it would be dealt with to their satisfaction. Staff said that if anyone made a complaint they would report it to a senior member of staff or the manager/provider. If it was something that they were able to sort out themselves then they would. They were confident that no issue raised would ever be ignored. Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 18 Response included in questionnaires from people living at the home included: “I have spoken to the staff or the owner and matters, generally minor, have been resolved” and “ I speak directly to the owner I am comfortable speaking to any of the staff”. We looked at policies in whistle blowing, restraint and restriction and verbal and physical aggression that had been reviewed in 2006. Staff were aware of the home’s ‘whistle-blowing’ policy and that it would support them in reporting poor practice. The whistle-blowing policy contained contact details for the CSCI (Commission) and the County Council. This means that staff are encouraged to contact agencies outside the home if they are concerned about poor practice at the home. Staff training records confirmed that all have received training in Adult Protection issues. A procedure for responding to abuse is available and staff were aware of this. They were able to describe differing types of abuse and gave good details of what they would do if they suspected abuse was occurring. They felt confident that they would be listened to if they raised concerns about bad practice. Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 19 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): 19,25 & 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is excellent providing a comfortable, clean and generally safe environment for those living in, working at and visiting the home. EVIDENCE: During this visit people said they were very comfortable living at Summerleaze. As part of this inspection we walked around the building, visiting many bedrooms, sittings rooms, dining room, bathroom, laundry and kitchen. Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 20 A number of radiators have been covered since the last inspection however, there are still some that do not have covers or have guaranteed low surface temperature. This was discussed with the providers who said the uncovered radiators have been assessed as presenting a low risk to peoples safety at the home; the uncovered radiators are generally in corridors. The providers said that risk assessments are regularly undertaken and if there were a change appropriate action would be taken. The home was clean, fresh and well maintained. Since the last inspection four ensuite facilities have been upgraded and extra call bells have been fitted. Magnetic door closures have been fitted to a lounge door,which means that it can be left open as people wish, but will close automatically in the event of fire. Rooms are redecorated when they become vacant, eight have been decorated since the last inspection and several new carpets have also been fitted. The owners have also improved the driveway and parking facilities at the home. This means that people living at the home benefit from living in a well maintained comfortable home. The lounges were especially homely and very comfortably furnished. People have the choice of communal areas both inside and outside the home, this means that people have a choice of place to sit quietly, meet with family and friends or to be actively engaged with other people living at the home. Decoration, fitting and fixtures such as furniture, curtains, carpets, pictures, lamps throughout the home are of a very high quality. People also spoke of the pleasure fresh flowers and plants placed around the home give them. The home has a loop system in place for the hard of hearing. The home’s laundry was clean and well organised. There is a commercial washing machine, tumble dryer and space to separate clean from ‘dirty’ laundry. Protective clothing is available for use in the home and staff described good infection control practice that ensures that people are protected from the risk of cross infection. People said there laundry is always well done. This means that peoples’ dignity is respected by ensuring that they have their own well cared for clothes to wear. Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 21 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 & 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at the home benefit from having trained, skilled staff in sufficient numbers to support them, and the smooth running of the home. EVIDENCE: The provision of staffing meets the needs of the fairly independent people living at the home and all felt that there were sufficient staff and talked of their kindness and commitment. At the time of this inspection the manager, senior carer, a domestic and one cook were on duty. There are no staff on duty at the home during the night. We spoke to ten people during this inspection all of which said they did not need to call for assistance at night and in the event of needing to would use their call bell and the manager or provider would attend to them. [The registered providers live within the premises and are on call throughout the night.] Several people have facilities in their rooms if they wish to have a hot drink during the night or before 7.30 am when staff come on duty and offer all people a drink. The manager said that if a persons needs indicated that a staff Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 22 member was needed then one would be allocated. The manager said the home is committed to meeting peoples’ needs to support and encourage them to retain their independence within a risk assessment framework. Newly employed staff all undertake a period of induction training. This introduces them to the home’s policies and procedures, the layout of the home, health and safety issues and conditions of employment. They also undertake an induction course covering care specifically related to health and social care needs of the people they care for. The home’s commitment to training is good. Training provided within the past 12 months include medication, protection of vulnerable adults, health and safety and infection control. One member of the 4 care staff is currently undertaking a nationally recognised qualification [NVQ] at level 3 and another at level 2. A senior member staff member has attained this qualification at level 3. The manager said that all staff are encouraged to take up this training. This means that people living at the home are supported and cared for by appropriately trained staff. The manager discussed the recruitment procedure at the home and how it has been developed so that it considers the needs of people living at the home. We looked at two recently employed staff files. All included evidence that the home had conducted a robust recruitment procedure. Files included details of past employment, application form, training, evidence of identity, police checks and references. This means that people are protected by the robust procedure that ensures that only suitable people are employed to work at their home. Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 23 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 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, run in the best interest of residents, and their health and safety are properly attended to within a risk managed framework.. EVIDENCE: Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 24 Although it is not a requirement for the Registered Manager to have a nursing qualification Mrs. Covell has qualified as a nurse and has maintained her registration by continuing to keep herself updated. Training this year has included an accredited Foundation Module in care of medicines, how to train others in the prevention of abuse and a certificate in infection control. The registered manager sets high standards in the home and is diligent is ensuring that they are met. People living at the home talked of their confidence in the home’s management. The manager said that the opinion of people living at the home is vital to ensure that it is run in their best interests. The manager speaks to everyone daily and satisfaction questionnaires, each one covering a different aspect of the service provided, are regularly distributed. One person said that the questionnaires could be completed anonymously, but felt that the comments section was more important than the tick boxes. This means that people are encouraged and supported to have a say in the running of the home and the service they receive. The results of the surveys are collated and action is taken to deal with any issues raised that could improve life at the home. Currently the result of the surveys are not made public to enable people who live at the home or those deciding whether to make it their home to be aware of the results. Records are securely stored and would be made available to people living at the home, or their representative, with their consent. Records are kept in lockable filing cabinets, and those seen were up to date. Records required by regulation for the protection of people living at the home are maintained. The owners do not handle financial affairs for people living at the home. When necessary their account is invoiced. Training records confirm that staff are up to date with manual handling, fire safety, safe handling of food, first aid and infection control. Records confirm that fire alarms and emergency lighting tests have been carried out regularly. An assessment of identified hazards and associated risks relating to the environment, including fire hazards, has been undertaken. Information received before this inspection indicated that all equipment is well maintained regularly, all of which contributes towards ensuring that Summerleaze is a safe place for people to live. Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 25 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 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X 3 3 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X 3 3 Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 26 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. 1. 2. Refer to Standard OP25 OP33 Good Practice Recommendations The registered provider should provide radiator guards or radiators with low surface temperatures to ensure that people living at the are protected from the risk of burns. Outcomes of quality assurance surveys should be made available to all interested parties and a copy should be sent to the Commission. Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Summerleaze Retirement Home DS0000022042.V331370.R01.S.doc Version 5.2 Page 28 - 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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