Inspection on 12/10/06 for The Adelaide

This inspection was carried out on 12th October 2006.

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

The Adelaide 10/10/08

The Adelaide 30/11/05

The Adelaide 17/06/05

The Adelaide 20/01/05

The Adelaide 15/07/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Adelaide, The Adelaide Place Ryde Isle of Wight PO33 3DQ Lead Inspector Neil Kingman Unannounced Inspection 12 October 2006 10:00 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 Adelaide, The DS0000032184.V307898.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. Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Adelaide, The Address Adelaide Place Ryde Isle of Wight PO33 3DQ 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) 01983 568621 01983 568622 Isle of Wight Council Mrs Susan Gibbs Care Home 24 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (24), of places Physical disability over 65 years of age (2) Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 persons between and including the ages of 50 to 65 years may be admitted for intermediate care. 30 November 2005 Date of last inspection Brief Description of the Service: The Adelaide is a Local Authority owned, purpose built, two storey resource centre situated in a pleasant residential area of Ryde, close to local shops and buses. The complex includes sheltered housing, day care services and residential intermediate care, with facilities for respite and rehabilitation. The Commission regulates and inspects the intermediate care unit, which is registered to provide care and accommodation for up to 24 older people. The home may also accommodate up to 3 people over the age of 50 years. The home offers single room accommodation for residents on both levels, with a large passenger lift to the first floor. There are parking spaces at the front of the building and level access into the home. Weekly fees range from £63.35 to £290.92. The manager states that a copy of the home’s service user’s guide is provided to all prospective residents, or their representatives where applicable, copies of which can be found in all bedrooms. Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the results of an evaluation of the quality of the service provided by The Adelaide and brings together accumulated evidence of activity in the home since the last key inspection on 30 November 2005. Part of the process has been to consult with people who use the service; including a telephone discussion with a social services care manager. There were eight responses to the care homes survey received from residents who have used the home and eight responses to the relatives/visitors survey. Included in the inspection was an unannounced site visit to the home by an inspector on 26 October 2006. While the home’s manager was away on this date one of the assistant managers was available to help the inspector. A further visit was made on 30 October to debrief the manager on the outcome. During the visit the inspector spoke with staff on duty, several residents as a group and others in the privacy of their rooms, and also a relative who was visiting the home at the time. The inspector toured the building with the assistant manager and looked at a selection of records. The responses from the consultations were very positive. What the service does well: It was evident from all the responses (both verbal and written) from people who use the service that The Adelaide provides a high quality service for the community. A visitor commented, “The standard of care and the facilities offered by the Adelaide could well serve as a standard by which to compare other homes’ aspirations and achievements.” Another described the Adelaide as, “extremely well run and all the staff friendly and efficient.” The outcomes from conversations with residents were positive. One commented that it was, “Excellent,” and went on to describe how helpful and patient staff are. During the inspection process the strengths in the service were identified as: • • • • • The system of pre-admission assessment. Staff training. Staff meetings and supervision. Environmental facilities and standard of cleanliness. Meals. DS0000032184.V307898.R01.S.doc Version 5.2 Page 6 Adelaide, The 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. Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 7 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 Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 - Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager ensures that the care needs of the people who reside at The Adelaide will be met by undertaking a proper assessment prior them moving into the home. The Adelaide provides a dedicated intermediate care service with accommodation, facilities and equipment to deliver short-term intensive rehabilitation, enabling residents to return home. EVIDENCE: Pre-admission assessment – The assistant manager described the home’s admissions procedure: Typically referrals come by way of a telephone call from a social services care manager who provides verbal information about the prospective resident. At this point an arrangement is made for the individual to visit The Adelaide for a full pre-admission assessment. Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 9 Additionally, and in most cases, pre-admission information is faxed to the home by social services. The pre-admission visit gives the prospective resident an opportunity to look at the home and to decide whether they like it before moving in. The assistant manager, and later the manager were very clear about admitting only those people whose needs the home can meet. The inspector was fortunate to be able to speak with a resident who was admitted to the home the previous day. She described the pre-admission process exactly as outlined by the assistant manager. Records also showed that the procedure provides the best possible assurance that the home will be able to meet the new resident’s needs. In the case of residents having several respite stays (typically of two weeks duration) the home relies on an updated assessment of need sent to them by the care manager, before each visit. This was confirmed in discussions with one of the care managers with several clients who use the service. Intermediate care The home’s dedicated rehabilitation (rehab) unit is sited on the ground floor and is serviced by appropriately trained staff. The inspector toured the unit with the assistant manager and had an opportunity to speak alone with residents. The comments made about the service were very positive. The rehabilitation unit was seen to provide high quality accommodation with a range of equipment and facilities for therapies, treatment and the promotion of daily living and mobility. Records showed that a range of support professionals visit the unit each week, and close liaison is maintained with professional staff in the hospital who are involved with rehabilitation. Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a system of care planning with an individual plan for each resident. They provide a good demonstration that residents’ health and social care needs are identified and met and include risk assessments. The home promotes and maintains residents’ healthcare and ensures that access to healthcare services is available at all times. Medication is securely held and appropriate records maintained. The home ensures that staff respect residents’ privacy and dignity at all times, especially with regard to the arrangements for health and personal care. EVIDENCE: Each resident admitted to the home has an individual file containing a care plan. The principal of case tracking was used in a sample of three plans. The intention was to look at the outcomes for residents in general by assessing all areas of care for those sampled. Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 11 The sample included a resident admitted the previous day, a resident in the rehab unit, and one who had experienced many respite stays over several years. Care planning Plans were noted to be clear, concise and relevant, reflecting the high turnover of residents admitted to The Adelaide during a typical year. Information includes: • • • • • • Resident information. Pre-admission assessment. Comprehensive admission checklist. Social services care management assessment. Basic plan of care. Specific and manual handling risk assessments. Files for residents in the rehab unit also include a NHS referral form containing significant information, which is tailored to the needs of the individual. There were positive comments from a social services care manager who confirmed that plans for regular respite clients contained updated care management assessments, and in a general sense were followed and reviewed by the home. Health and access to care services The assistant manager described the good relationships the home has with healthcare professionals. The individual care plans identify the particular healthcare needs of people using the respite and rehab facilities. All specialist services for the rehab unit are linked in with the Intermediate Care Team from the hospital, and include occupational therapists and physiotherapists. The unit is staffed by a dedicated team of care workers who undergo training specific to the needs of those residents. Since the average stay for a resident is two weeks the aim of the resource centre is to maintain/increase their independence in preparation for a return to their own homes. District nurses hold a twice-weekly clinic at The Adelaide and there is also a regular continence clinic. The home will access a resident’s GP, optician, dentist etc., as and when required. The assistant manager gave examples of cases where healthcare professionals have paid domiciliary visits to residents in the unit. During the site visit the inspector had an opportunity to speak at length with residents in the home. The level of satisfaction was high. Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 12 Seven of the eight responses to the care homes survey indicated residents always receive the care and support they need. Medication Given the short-stay nature of the service people tend to manage their own medication in the way that they do in their own homes. Staff encourage and support residents to self medicate and a risk assessment is included in each care plan. The home provides facilities to ensure residents’ medication is held safely. The inspector looked at the arrangements for those who are unable to self-medicate. All medication was held under secure conditions and records were noted to be in good order. Medication is administered only by the assistant managers, and trained staff deemed competent to do so. Privacy, dignity and respect The assistant manager and staff spoken with confirmed that the importance of respect for people’s dignity and privacy is covered in the induction programme for new staff, and periodic reminders are given as part of day-to-day staff supervision. Medical examinations are carried out either in the resident’s own room or in the home’s medical examination room. While there are two rooms large enough to provide shared accommodation in practice it is only married couples that would share. All residents spoken with were full of praise for the staff and their approach to care. During the tour of the building the assistant manager and staff were seen to knock before entering rooms and address residents by their preferred names. The home provides a pay-phone for residents’ use in the foyer, and there is a telephone in each bedroom. Adelaide, The DS0000032184.V307898.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Adelaide offers a flexible and varied service where choices and preferences are encouraged and supported. Activities are offered to suit the needs of the service users. Friends and family are made to feel welcome and can visit at any time. The home provides an intermediate care service where service users are actively encouraged to be independent and exercise choice. Autonomy and choice extends to all aspects of daily living including financial affairs. Service users’ nutritional needs are satisfied with a varied and balanced diet of good quality food. EVIDENCE: Routines and activities – In the responses to the care homes survey returned from residents as part of the inspection process there were mixed messages about the activities on offer at the home, varying from them being always, to never arranged. It was clear from the comments of those spoken with that not all residents wanted to Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 14 take part in activities, and some were very definite about preferring their own company. The home’s programme of activities includes: • • • • • • In-house games and quizzes. Reminiscence therapy. Bingo. Musical entertainment. Trips out during the summer months. Seasonal entertainment, e.g., Easter and Christmas. One member of staff is responsible for co-ordinating the activities for residents and the day care users together. During the site visit the inspector noted several service users enjoying a board game together at one of the tables. Staff are happy to facilitate residents’ religious and spiritual observances on request. Visiting arrangements – Visiting arrangements are explained at the initial pre-admission visit and details can be found in the information pack located in each resident’s room. While there are no restrictions visitors are recommended to avoid mealtimes where possible, unless they are joining a resident for a meal. Residents can receive visitors in their own rooms or any of the communal areas. There is a quiet lounge and several quiet alcoves with seating if privacy is required. The care manager confirmed that she was always made welcome by staff and was able to meet with residents in private. Personal autonomy and choice – Residents were spoken with as a group in the main lounge and some individually in the privacy of their rooms. The consensus was that they were given choices regarding routines in the home, e.g., times of rising, going to bed, activities, meals, personal care etc. While personalisation of rooms is encouraged in practice the rooms are occupied only for short periods of time. The management of residents’ finances is covered later in the report but in a general sense they are encouraged to handle their own affairs. Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 15 Meals and mealtimes – The home operates two lunchtime sittings, which seems to work very well. The consensus from all those spoken with was that it enabled services users, both residents and day care to sit together and socialise without the need to hurry over their meal. Staff said the home would oblige those who prefer to take meals in their rooms. The inspector had an opportunity to observe the service users and staff in the dining area during one of the sittings. The atmosphere was sociable and friendly. Staff were available to assist residents as and when required but in the event little help was needed. Food served looked appetising and was well presented. Residents spoken with made very complimentary remarks about the lunch. It is fair to say that meals are one of the home’s strong points. The menu for the day, which includes a choice of two main meals, is prominently displayed on the wall in the foyer. The inspector noted service users paying close attention to it and making favourable remarks. Responses to the care homes survey were unanimous in their appreciation of the meals. The inspector spoke with the home’s cook, who showed a good understanding of residents’ likes, dislikes and dietary needs. She confirmed that their preferences generally were for traditional ‘home cooked’ meals and that was what they achieved, using good quality fresh produce. The inspector noted that light refreshments were offered to residents through the day between meals. A selection of menus on a rolling eight-week rotation was available in the home, showing food to be varied, nutritious and appetising. The cook said that menus are reviewed and varied in line with the seasons. Adelaide, The DS0000032184.V307898.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home treats residents’ complaints seriously and responds appropriately. The home’s policies, procedures and practices ensure that residents are safeguarded from abuse. Procedures for responding to suspicion or evidence of abuse are robust. EVIDENCE: Complaints The home has a policy and procedure for dealing with complaints. The assistant manager said that residents are told on admission what the complaints procedure is. Additionally, the procedure is very clearly set out in the information pack located in each bedroom. The pre-inspection information provided by the manager indicated that no complaints had been made in the past year; this was confirmed on examination of the complaints register. Seven out of eight responses to the care homes survey indicated that residents knew how to make a complaint. All eight responses to the relatives/visitors survey indicated they knew the home’s complaints procedure. A question about the home’s response to any complaints is included in the satisfaction survey carried out with residents on discharge at the end of their stay. Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 17 Adult protection The home uses the Isle of Wight Social Services Adult Protection Policy Guidance and staff training covers abuse. Staff spoken with were very clear about how to recognise abuse, what to do, and the importance of reporting issues of concern without delay. They confirmed that training was given. Adelaide, The DS0000032184.V307898.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for its stated purpose in providing a safe and comfortable environment for those who live and work there. Decoration and maintenance are ongoing. On the day of the site visit the home was clean, hygienic and there were no unpleasant odours. EVIDENCE: Environment – The inspector toured the building with the assistant manager. The Adelaide is a purpose built development built in the 1980s, offering a variety of services for the community. The resource centre provides single room resident accommodation for intermediate respite care, and a separate rehab unit on the ground floor. Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 19 In terms of its location and layout the home is suitable for its stated purpose, being safe, well maintained and accessible by means of ramped and level access, and a passenger lift to the first floor. The home provides a hairdressing salon, healthcare room, craft room, shop, and several communal areas for private or social engagement. There is a bright and airy conservatory with level access to the garden, which borders the home with trees shrubs and walkways. Bedrooms are generally of an average size and only three of the total number benefit from en-suite facilities; others having hand wash basins. However, the rooms are grouped around a shared bathroom and toilet on a ratio of one to every three bedrooms. Additionally, there are numerous separate toilets, several being close to communal areas. Two bedrooms are large enough to be suitable for wheelchair users, one being equipped with an overhead hoist. The rehab unit is self-contained, with a kitchenette, dining room and lounge. All areas of the building are decorated to a good standard and attention is paid to homely touches, e.g., plants, pictures, coloured tiles, blinds at bathroom windows etc. There is an ongoing programme of routine maintenance, renewal and decoration provided by the Local Authority. The inspector noted that many of the soft furnishings had been upgraded, and a recent delivery of new chairs was ready to be introduced to residents’ bedrooms. Those who live in, and those who come in just for the day share the assisted bathing facilities and communal areas of the home. The inspector was conscious of the impact the arrangement had with peoples’ privacy. As regards bathing the home has an arrangement to ensure that staff can cope with the numbers in a way that does not compromise their dignity. In discussions with the residents it seemed they value the social interaction that comes with a variety of service users. Additional lounges, including one designated as a smoking area provide a means by which those seeking privacy can get away from the main lounge where activities take place. Cleanliness During the site visit the inspector noted the home was very clean, hygienic and free from unpleasant odours. There is a spacious laundry with industrial grade machines, and a sluice room to deal effectively with soiled articles. All eight responses to the care homes survey indicated the home was always fresh and clean. The care manger spoken with said The Adelaide is a very happy home with a warm and friendly atmosphere. Adelaide, The DS0000032184.V307898.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are deployed in sufficient numbers and have the necessary skills and experience to meet the needs of the people who live there. To ensure residents are in safe hands arrangements are made for staff to undertake NVQ training. At the time of the inspection the home had achieved a ratio of 73 of care staff trained at NVQ level 2 or above. The home operates a robust staff recruitment procedure, which ensures service users are protected. The staff training and development programme ensures the residents’ needs are met in line with the aims of the home. EVIDENCE: Staffing levelsThe home employs twenty-six care support staff and five assistant managers, with additional domestic, catering and administrative staff. Staff rosters showed and the manager/assistant managers confirmed that staffing levels are flexible according to the level of dependence. They vary between three and seven on duty through the day, with the manager and an assistant working supernumerary. Overnight there are two wakeful care support workers and the manager or an assistant on call. Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 21 These staffing levels are considered sufficient for the needs and numbers of people using the service. The care manager consulted felt there were always sufficient numbers of staff on duty. Seven out of eight responses to the care homes survey indicated there are always staff available when residents need them. All eight responses to the visitors/relatives survey indicated there were always sufficient numbers of staff on duty. NVQ training – The manager confirmed and records showed that currently 73 of care support staff have achieved the NVQ at levels 2 or 3. The home’s training programme continues to ensure that this standard is met. Recruitment Individual staff recruitment files were available for inspection and showed that the home’s recruitment procedure includes an application form, two written references and police and Protection of Vulnerable Adults (POVA) checks on all staff. During the inspection full recruitment records of four new members of staff recruited since the standard was last assessed were checked and found to be in order. Evidence of police and POVA checks was seen for two other newly recruited staff. Staff Training – The inspector noted that each care support worker has a training profile, samples of which were available for inspection. The home provides an induction/foundation training programme for new staff, which follows the TOPSS England guidance. TOPSS England became ‘Skills for Care’ in April 2005 and produced a new set of Common Induction Standards (CIS), designed to be met within a twelve-week period. The home is strongly advised to introduce the new standards for all newly appointed care staff. The assistant manager explained that all mandatory training is identified and automatically scheduled by the Authority’s Human Resources Department. Records showed that staff training includes: Moving and handling Fire safety Basic food hygiene First aid Health and safety Dementia care Adult protection Infection control Parkinson’s Stoma care Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 22 The care manager spoken with felt that staff demonstrated a clear understanding of residents’ needs. In discussions with staff it was clear that the home provides a good training package. Both confirmed that they had achieved the NVQ at level 2 and had completed all mandatory training. They said that staff are invited to attend seminars in specific care related subjects when they become available. Adelaide, The DS0000032184.V307898.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager has the experience together with the relevant management qualifications to run the home and meet its stated purpose, aims and objectives. There are adequate quality assurance measures in place to ensure the home continues to meet its aims and objectives. The home has no involvement with service users’ financial affairs other than to provide a facility for safekeeping money or valuables on request. Policies, procedures and practices ensure so far as is reasonably practicable the health, safety and welfare of service users and staff. Adelaide, The DS0000032184.V307898.R01.S.doc Version 5.2 Page 24 EVIDENCE: Management – The registered manager Mrs Gibbs has many years experience of working in residential care settings. She has been the manager of The Adelaide for the past nine years. She has achieved the NVQ at level 3, the NVQ at level 4 in care and combined Registered Managers Award (RMA). Included in the management structure are assistant managers. It is the local authority’s intention that they all achieve the RMA. Staff spoken with during the site visit felt the home was well managed; staff morale was high and communication was good. Quality assurance – The manager and assistant manager gave examples of the home’s approach to quality assurance: • • • • • Quality assurance satisfaction surveys carried out with all short stay residents on discharge from the home. Monthly visits from a Council representative to monitor the conduct of the home. Regular contact with social services care managers, when feedback is sought. Regular staff supervision, and staff meetings with minutes taken. Achievement of the Investors in People Award. Residents’ monies – The inspector looked at the arrangements for safeguarding residents’ monies and valuables and found the system to be satisfactory. Health and safety – The home’s pre-inspection information signed by the manager confirmed that policies and procedures were in place to ensure safe working practices in the home. A sample of records was viewed including accident records, fire alarm tests, risk assessments, all of which were in good order. The manager confirmed that the authority holds evidence of gas and electrical wiring checks. Staff training records showed, and staff confirmed that statutory training is scheduled and updated in manual handling, first aid, fire training, health and safety and food hygiene. Adelaide, The DS0000032184.V307898.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 3 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 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 4 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Adelaide, The DS0000032184.V307898.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 Refer to Standard OP30 Good Practice Recommendations To introduce the new Common Induction Standards for all newly appointed care staff. 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