Inspection on 30/07/08 for The Paddocks

This inspection was carried out on 30th July 2008.

CSCI found this care home to be providing an Adequate service.

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 Paddocks 24/07/07

The Paddocks 23/01/07

The Paddocks 20/01/06

The Paddocks 07/06/05

The Paddocks 02/12/04

The Paddocks 15/06/04

The Paddocks 16/06/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/11/2008.

CARE HOMES FOR OLDER PEOPLE The Paddocks Springfield Road Wellhead Nr Dunstable Bedfordshire LU6 2JT Lead Inspector Mrs Louise Trainor Unannounced Inspection 30th July 2008 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 The Paddocks DS0000014943.V369332.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. The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Paddocks Address Springfield Road Wellhead Nr Dunstable Bedfordshire LU6 2JT 01582 601317 01582 673287 kenjanes@supernet.com 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) Mr Kenneth Janes Mrs Lilian Janes Mrs Lilian Janes Care Home 10 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (10), of places Physical disability over 65 years of age (10) The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th July 2007 Brief Description of the Service: The Paddocks was registered to provide for ten older persons who may also have physical disabilities and/ or dementia. The registration for physical disabilities was not required because disabilities associated with old age could be met under the category for older people. Mr and Mrs Janes had operated the home since its original registration several years previously. Mrs Janes was the registered manager. The home was located in a small hamlet close enough to the town of Dunstable to take advantage of its amenities but at sufficient distance to retain the peaceful environment of this rural location and the pleasant countryside views from each window. The accommodation, which had been suitably adapted, was distributed over two floors that were accessed by a shaft lift and comprised of ten single bedrooms with washbasin and call bell facilities. Adapted toilets and bathrooms were located for convenient access on both floors. Communal sitting areas, three interlinking rooms, lounge, dining room and an all weather conservatory were located on the ground floor as was the kitchen. An office was in the basement as were the proprietors private living quarters. An extension to the building housed the laundry, storage areas, another office and training room facilities. The rear of the property overlooked an attractive garden and extensive other grounds used to grow vegetables and fruits for the home. The weekly fees presently range from £457.06 to £493.73 for this home. Exact fees are detailed in individual service users contracts. These fees did not include newspapers, hairdressers, personal telephone, toiletries, or private chiropodist; these services would incur an additional charge. The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This inspection was carried out in accordance with the Commission for Social Care Inspection’s (CSCI) policy and methodologies, which require review of the key standards for the provision of a care home for older people that takes account of service users’ views and information received about the service since the last inspection. Evidence used and judgements made within the main body of the report include information from this visit. This was the first Key Inspection for this year for this service. Regulatory Inspectors Mrs Louise Trainor carried it out on the 30th of July 2008 between the hours of 10:00 and 16:30 hours. The home Manager was present throughout the visit to assist with any required information. Verbal feedback was given periodically throughout the inspection and at the end of the visit. During the inspection the care of two people were case tracked. This included the most recent admission to the home. This involved reading their records and comparing what was documented to the care that was being provided. Documentation relating to: staff recruitment, training and supervision and medication administration, complaints, quality assurance and health and safety in the home were also examined. We also spent some time in the communal areas of the home, talking to staff and residents and observing the care practices that were carried out during this six and a half hour inspection hour inspection. We would like to thank everyone involved for their support and assistance during this visit to the home. What the service does well: The home understands the importance of having enough information when choosing a care home. The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 6 Admissions are not made until a full assessment of needs has been carried out, so that prospective residents and their representatives can be sure their needs will be met. Observations of care practices indicated that staff are competent in their roles, and relationships between staff and residents were familiar but respectful. People who live in this home are encouraged to maintain relationships with families and friends. Residents are involved in meaningful activities of their own choice, which are risk assessed where necessary. This home benefits from fresh home grown seasonal fruit and vegetables. The complaints procedure is supplied to everyone living in the home. Staff working at the home understand the procedures for safeguarding, and know when incidents need to be reported externally. This service recognizes the importance of training and delivers a programme that meets the National Minimum Standards. Personal healthcare needs are clearly recorded in individual’s care plans. Medications records are fully completed, contain required entries and are signed appropriately by staff. We viewed the supervision records for four members of staff. This is taking place on a regular basis. The manager understands and follows the reporting processes for accidents and injuries in this home. We checked three accident forms, and were able to cross reference them correctly with the regulation 37 notification forms, and daily care notes. What has improved since the last inspection? During this inspection we checked all the Medication Administration Record (MAR) sheets against the blister packs. The present sheets were at the end of week four, and all had been completed appropriately with signatures and omission codes where necessary. Where omissions had occurred, the reverse of the MAR sheet was completed to identify the reason. All reconciled correctly. The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 7 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. The Paddocks DS0000014943.V369332.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 The Paddocks DS0000014943.V369332.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, 2, 3, 4, 5, 6 People who use this service experience good quality outcomes in this area. The home understands the importance of having enough information when choosing a care home. Admissions are not made until a full assessment of needs has been carried out, so that prospective residents and their representatives can be sure their needs will be met. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: There is a combined Service User Guide and a Statement of Purpose in place for this home. This document is held electronically and reviewed at regular intervals, then issued to people as they enquire about the home. The document we were shown had been reviewed within the last year, however still required some amending to provide the correct contact details for The Commission for Social Care Inspection (CSCI). The manager was going to The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 10 make these amendments immediately. We also noticed that section 6 of this document – “Our staff” was in need of up dating. Although there was no evidence of the range of fees charged for living in this home in this document, there are clear details of what is included in the fees, and what is provided at an additional cost, such as hairdressing. The individual fee for each resident is clearly identified within their contract of terms and conditions. Several contracts were checked and were all signed and dated appropriately. We viewed the file of the two residents, both had been admitted since our last inspection in July 2007. The pre admission assessments had both been carried out in advance of the admission, and contained sufficient detail to ensure that staff would be able to meet his needs. This home does not provide intermediate care. The Paddocks DS0000014943.V369332.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, 11 People who use this service experience good quality outcomes in this area. Personal healthcare needs are clearly recorded in individual’s care plans. Medications records are fully completed, contain required entries and are signed appropriately by staff. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: During this inspection we examined three resident’s files in detail. Each file contained a pre admission assessment that had been completed prior to admission. Documents contained a diagnosis of the resident’s condition, and then went on to explain the level of assistance required for the individual tasks of daily living. The file of the most recent admission that we viewed identified that this individual had both a physical and a medical condition to consider when The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 12 providing care. It identified that although they could communicate their needs well, they had problems with mobilizing, and specific continence needs. Documentation indicated that this person had been consulted on various issues on admission, such as a door key, and had been shown how to operate the call system. Appointments had already been arranged for this person to see both the optician and the chiropodists, at their own request. The basic care plan for this person had been completed on admission, and had been added to during the first few weeks of residency, so that by the end of this period a more detailed care plan could be formulated. The second file identified that the individual had good communication skills and was able to make choices for themselves without assistance. This person had a tendency to wander but was rather unsteady. Manual dexterity was good, and they could use a knife and fork independently. This person did however become confused between day and night hours, and had a history of falls at home, hence they had been provided with a nursing bed, which was to be set at the lowest height of 10-12 inches off the floor. There was information about this person’s past hobbies and employment, indicating activities that they may like to participate in. The third file that we examined contained detail such as. “Able to get dressed unaided, but does need clean clothes put out for them each morning”. “Difficulty communicating due to deafness and confusion, sometimes refuses to wear, or hides their hearing aid, but can read, so sometimes writing things down, or using a picture board will help”. “Can be unsteady, has a Zimmer frame but forgets to use it”. This file also identified that this person had a tendency to disrobe inappropriately and enjoyed the company of one particular resident of the opposite sex, therefore was ‘very vulnerable’. This person “had a good appetite, a sweet tooth and enjoyed biscuits and cakes between meals. Was very active which caused their weight to go up and down”. This care plan addressed guidance for managing cognitive needs, and personal preferences relating to drinks and activities. Although there is scope to include more specific details in these care plans, all gave a clear overview of each individual and their preferences and needs, and the care plans and risk assessments had been reviewed regularly. Residents or a representative for them had signed a care plan agreement. Each resident also has a care plan, which sensitively addresses issues relating to death and dying. This gives both residents and their relatives the opportunity to identify their wishes and preferences. Observations of care practices indicated that staff are competent in their roles, and relationships between staff and residents were familiar but respectful. During this inspection we checked all the Medication Administration Record (MAR) sheets against the blister packs. The present sheets were at the end of The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 13 week four, and all had been completed appropriately with signatures and omission codes where necessary. Where omissions had occurred, the reverse of the MAR sheet was completed to identify the reason. All reconciled correctly. There is presently one resident on Controlled Drugs (CD) s PRN (as required). These were correctly stored. The MAR sheet was checked against the stocks remaining, and also corresponded correctly with the CD Register. We advised the manager of the CSCI guidelines surrounding CD storage and records, and recommended that a new Register, in keeping with these guidelines, be purchased. The Paddocks DS0000014943.V369332.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 People who use this service experience good quality outcomes in this area. People who live in this home are encouraged to maintain relationships with families and friends. Residents are involved in meaningful activities of their own choice, which are risk assessed where necessary. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The activities in this home are delivered by the care staff. Two staff have recently put together an ‘Activity File’. This outlines clear instructions and guidance for different activities so that all staff know what is required of them during the various sessions. This included physical activities such as baking, ball games, exercise and movement. Sing - a - long sessions with large print word sheets, quizzes with questions such as. “What was the cost of a yearly wireless licence in 1922? 10 shillings or fifteen shillings”. Discussions relating to the six o clock news and other activities such as, ‘old time musical hangman’, watering the plants and pampering were also on the The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 15 monthly programme. Staff had clearly spent a lot of time planning a wide variety of choice for these residents. On the day of this inspection it was a very hot afternoon, so although residents were being encouraged to get involved in activities, some understandably said it was too hot. One lady was having her nails done, and another went off up to the garden pond with a member of staff to feed the Koi Carp, but the majority were happiest just relaxing and watching television, or wandering around doing their own thing. This was their choice. When we asked one lady what she liked best about living in this home, she replied, “I like being left alone to do what I want”. Residents are encouraged to spend time with friends and relatives, unfortunately we did not have the opportunity to talk to any visitors to the home during this inspection. The home has just recently appointed a new cook, and the manager informed us that they are in the process of reviewing the menus together, therefore we did not see any menus. However on the day of this visit, there was a choice of shepherds pie or macaroni cheese for lunch, followed by a fruit pie or pineapple with custard and/ or ice cream for dessert. The meal looked and smelt appetising and the residents appeared to be enjoying it. This home benefits from fresh home grown seasonal fruit and vegetables. Drinks were being offered regularly throughout the day, and a selection of lighter meals was on offer for tea times. The home has addressed the dietary preferences of their Polish resident with the help of her family and friends, and although her favourite meal is pasta, the home also purchases Polish delicacies for her with the weekly shopping. The Paddocks DS0000014943.V369332.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, 18 People who use this service experience good quality outcomes in this area. The complaints procedure is supplied to everyone living in the home. Staff working at the home understand the procedures for safeguarding, and know when incidents need to be reported externally. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: This home has a complaints policy, which is easily accessible to residents and visitors to the home. It details expected timescales for responses, and guidance for any complainant that remains dissatisfied with investigatory outcomes. We viewed the complaints and compliment files. The home had not received any complaints since the previous inspection. There were however numerous cards of thanks. One read. “You are a wonderful bunch, I wish I had your patience”. Another read. “It’s one of the most friendliest and happiest places to be”. The staff in this home have received training in safeguarding and are up to date with knowledge. Staff that we spoke to during this inspection were able to demonstrate their understanding of what type of incidents should be reported and what processes they need to follow. The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 17 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, 20, 23, 24, 25, 26 People who use this service experience adequate quality outcomes in this area. The home provides a clean and comfortable environment for the people who live here, however identified areas of safety are not always addressed proactively to ensure that residents are always protected. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The home was clean and free from offensive odours, and generally well maintained. This home has ten single bedrooms, all of which are decorated individually to meet with each person’s preferences. The residents can identify their rooms The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 18 both by door numbers and by photographs and pictures, on the doors, which are significant to them. The rooms are furnished with personal assets, ornaments and photographs that reflect the lifestyle and personal history of each resident. One lady’s room boasted pictures of her 100th birthday celebrations. The rooms are all equipped with a telephone jack, so that residents can make personal phone calls in the privacy of their rooms if they wish. Communal areas were homely and comfortable, and all doors had signs on them, so that those residents who were confused could find their way round more easily. The door signage was also printed in Polish to assist the one Polish resident who lives in this home, however we did notice that the ‘Danger Hot Water’ signs were not as yet. The manager explained that this is an ongoing project to aid communication with this particular resident. Collages of photographs illustrating communal events such as Christmas cake making, a barbeque and a party, decorated the walls, and breakfast menus were displayed by each dining table. The bathrooms were clean and tidy, however the water temperature in the sink in the downstairs bathroom was very hot. When we checked the records of temperatures for this room, we found temperatures as high as 49 degrees recorded. We brought this to the manager’s attention immediately. This home is surrounded by beautiful large gardens laid mainly to lawn, with an extensive vegetable patch that is fruitful and provides the home with seasonal fresh fruit and vegetables. The gardens can be easily accessed by residents by gentle sloping ramps, allowing them the freedom to wander. We were however a little concerned that the garden gate, at the rear of the property had been left open. This opened directly onto a road, and although only a quiet cul-de-sac, could have presented a risk to a confused resident wandering. This gate also looked rather damaged and unsafe and in need of repair or replacement. We also found the patio area rather cluttered with barbeque and garden equipment, which could present trip hazards if residents wandered into this area of the garden unaccompanied. The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 19 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 People who use this service experience adequate quality outcomes in this area. This service recognizes the importance of training and delivers a programme that meets the National Minimum Standards, however the recruitment procedures are not always fully adhered to and could leave residents at risk. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: On the day of this inspection there were three care staff, a cook and the manager on duty. One of the carers was new and on a two week shadowing period of induction. The usual staffing levels during the day in this home were two care staff and the manager, supported by cleaning, maintenance and kitchen staff. During the night there is only one carer on duty, and the manager who lives on the premises remains on call at all times. It was recommended in the last inspection report, that the staffing levels at night should be reviewed. Although we appreciate these levels are sufficient for the present group of residents, this must continue to be reviewed, as the residents individual needs change. The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 20 We examined the personal files of three staff. All three had Criminal Record Bureau checks and POVA first checks in place. All had fully completed application forms that detailed employment history and personal qualifications. All three had completed, or were presently working through an induction programme. We were however a little concerned that for two members of staff, we could only locate one reference. In one file this was from a friend not a previous employer. The manager explained that the previous employer of this individual had not responded when asked for a reference. We explained that this must be pursued or another reference sought from a different source. In the second instance the manager explained that they only requested one reference as this person had worked for them previously. This is insufficient. Home Office documentation was in place where appropriate. Contracts were not yet signed for two of these staff. This home has its’ own trainer and training room, and both the manager and the area manager are NVQ assessors. Training records indicated that over 50 of staff have achieved NVQ certificates in care at varying levels, and a wide range of training course are available to staff including Dementia, Challenging Behaviour and Death and Bereavement. Most of the staff have attended mandatory training and refresher courses as required, and records showed that some staff supervision is taking place. Observations of staff and residents interactions indicated that there is a relaxed and friendly atmosphere in this home, and staff were confident and competent in their roles. The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 21 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, 34. 35, 36, 37, 38 People who use this service experience adequate quality outcomes in this area. The manager has a clear understanding of the key principles and focus of the service, however records of some health and safety checks indicates that some checks are not being carried out according to policy, and prompt action is not always taken when anomalies are found, so that residents may be at an increased risk. We have made this judgment using a range of evidence, including a visit to this service. The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager and her husband have owned this home since 1993. She is very dedicated to the home, and has many years experience in the caring profession. She has undertaken numerous courses including advanced training in Care Management, and is also trained as an NVQ assessor and a moving and handling instructor. A committed team of staff, many of which have worked in the home for several years, support her. The home provides care with a person centred approach, with the best interests of the residents being a central focus. The manager monitors the quality of care in the home by annual satisfaction surveys. We viewed the report for 2007-2008. This had been formulated following the receipt of questionnaires that had been given to the residents, and sent out to relatives and other professionals who work with the home. The report detailed an action plan and responses to all comments that had been received through these questionnaires. It included some directed at individuals, such as one person’s dietary preferences, and another regarding the use of hand towels in the bedrooms, and others that were more generalised, such as parking facilities, local road maintenance, a comment book, and a staff identity board. This home does not keep money for any of the residents who are presently living in the home, and residents have the option of a key for their bedroom if they so wish. We viewed the supervision records for four members of staff. This is taking place on a regular basis. The manager understands and follows the reporting processes for accidents and injuries in this home. We checked three accident forms, and were able to cross reference them correctly with the regulation 37 notification forms, and daily care notes. During this inspection we examined the health and safety file. This contained numerous health and safety risk assessments including one for fire and one relating to hot water temperatures. We were concerned however, that although fire equipment, hoists and the hydraulic bath chair had been safety tested and labelled, no records could be located for the testing of fire call points, and, although there were water temperatures being checked each week, two particular areas of the home regularly had recorded temperatures as high as 49 degrees, and no action had been documented to identify that this had been recognised as an issue for concern. The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 23 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 2 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 2 X 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 2 2 The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 24 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. 1. Standard OP19 Regulation 23(2)(O) Requirement The external grounds of this home must be appropriately maintained so that people who live in this home are safe when they use the garden. The manager for this home must be in receipt of all the appropriate documents specified in paragraphs 1 to 7 of schedule 2, for each employee prior to them commencing work. Timescale for action 30/09/08 2. OP29 19(1)(b) 31/08/08 3. OP38 13(4) Health and safety checks, 21/08/08 including fire call points and hot water temperatures, must be clearly recorded, and appropriate action taken where necessary to minimise the risk of hazards to people living and working in this home. The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 25 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 The Paddocks DS0000014943.V369332.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 The Paddocks DS0000014943.V369332.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!