Inspection on 17/05/07 for The Quinta Nursing Home

This inspection was carried out on 17th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Quinta Nursing Home 30/05/08

The Quinta Nursing Home 30/05/06

The Quinta Nursing Home 16/08/05

The Quinta Nursing Home 11/04/05

The Quinta Nursing Home 03/11/04

The Quinta Nursing Home 29/06/04

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 The Quinta Nursing Home Bentley Nr Farnham Hampshire GU10 5LW Lead Inspector Gina Pickering Unannounced Inspection 10:00 17th May 2007 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 Quinta Nursing Home DS0000011656.V336240.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 Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Quinta Nursing Home Address Bentley Nr Farnham Hampshire GU10 5LW 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) 01420 23687 Dr Muhammad Ashraf Chohan Post vacant Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41), Terminally ill over 65 years of age (10) of places The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2006 Brief Description of the Service: The Quinta nursing Home is a registered to provide nursing and personal care to 41 service users in the older people category. The home is situated in the village of Bentley with some local amenities close by. Accommodation is provided on two floors with a passenger lift that allows access to both floors. All the bedrooms are single with en suite facilities. There are a variety of aids and 5 assisted baths to meet the needs of the residents. The service also benefits from gardens that are enclosed and accessible to service users where seating is available. The provider makes information available about the service, including the commission’s inspection report to prospective residents on request. Copies of this information are available at the home and may be sent out by post on request. The home states in the pre-visit information questionnaire completed by the manager that the fees range from £450 to £650 per week. Additional charges are made for hairdressing, chiropody, toiletries, activities, magazines and newspapers. These charges are listed in the home’s contract or statement of residency. The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection considered information received by the Commission about the home since the last key inspection in May 2006; this includes information obtained during a random inspection in November 2006. Information was obtained from service users and relatives surveys, 7 of which were received by the Commission. No surveys were returned from staff members, but several staff were spoken with during the visit to the home. The service is required to complete an Annual Quality Audit Assessment (AQAA) which was due to be returned to the Commission on 11th May 2007 which would be used to inform the inspection process. Despite written and telephone reminders to the provider it was not returned in time to inform the inspection. The new manager contacted the Commission on 25th May 2005 to confirm that she had completed it and was going to submit it to the Commission that day. An unannounced visit was undertaken on the 17th May 2007 and the inspector spoke with five service users, two visitors, eight members of staff and the responsible individual and the new manager. Information gained from the AQAA was unable to be included on this report; at the time f submitting this report the Commission had yet to receive the document. What the service does well: Good preadmission assessment processes ensure that service users are confident that the home will be able to meet their needs and that they have an understanding about the running of the home. Effective care planning ensures that service users personal and health care needs are met. The service supports those living at the home to continue practicing their chosen religion. Service users benefit from the provision of healthy and nutritious meals. Visitors are welcome at all times. Service users live in a home that is homely and maintained in a safe manner. The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Complaints received by the home and the actions taken to resolve complaints must be documented to evidence that complaints are handled in an effective manner promoting the welfare of those living the home. Medication administration records must document the exact amount of medications administered to a service who is prescribed a variable dose of medication in a consistent manner. This will ensure all staff are aware of how much medication a service user has been receiving and identify changing health care needs of service users. A system for documentation of staff training should be put in place so that the training needs of staff can clearly be identified. This will ensure staff members receive the training needed to meet the needs of those living at the home. Fire safety checks must be documented to evidence the welfare of those at the home is protected. Formal staff supervision needs to be performed six times a year to ensure service users are protected by a staff team that receives the appropriate support and supervision. . The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 7 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 Quinta Nursing Home DS0000011656.V336240.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 Quinta Nursing Home DS0000011656.V336240.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 good. This judgement has been made using available evidence including a visit to this service. Service users move into the home assured that their needs can be met and with an understanding of the service provided by the home. The home does not provide intermediate care. EVIDENCE: A comprehensive assessment of the persons needs is made before moving into the home. As part of the case tracking process four service users files were looked at, all of which had a copy of the pre admission assessment. For service users admitted under a care management process the most recent care management assessment of their needs had been used to enhance the home’s assessment process. Relatives of service users told the inspector that a member of staff from the home had visited their relative to assess their needs prior to a place being offered at the home. Relatives could remember receiving information about the home and signing contracts about the services offered The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 10 by the home. Due to memory problems many of the service users were unable to remember the admission process to the home clearly, but all spoke of their relatives having visited several homes before deciding that The Quinta was the best home for them. A service user guide detailing the service provided by the home is available in each service users bedroom. A statement of purpose is available in the entrance hall along with the most recent inspection report for all to view. The statement of purpose had recently been updated, but will need to be updated again once the new manager is in permanent post. The service does not offer intermediate care. The Quinta Nursing Home DS0000011656.V336240.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 good. This judgement has been made using available evidence including a visit to this service. Service users changing personal and health care needs are met in a flexible and respectful manner. Good medication practices promote the health and welfare of those living at the home. EVIDENCE: As part of the case tracking process five service users care plans were looked at. Each contained comprehensive details of the actions to be taken to meet the individuals’ needs whether physical, health or social needs. All plans are reviewed on a monthly basis and amended as needed. Risk assessments are performed for nutrition, moving and handling, falls, the use of bedsides, and the likelihood of developing pressure ulcers. Care plans detail the action needed to reduce the effects of any of these risks. Care plans are kept in the The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 12 service users own bedrooms and discussion with service users revealed that some of them are aware of their care plans, in some cases the service user had signed to say that they agreed with the assessments of their needs and the care plan put in place. However several of the service users did not express any interest in their care plans but stated that care staff cared for them well and knew how to care for them. Care staff told the inspector that they refer to the care plans daily to inform them about how to care and support service users and that care plans are promptly amended by the trained nurses if there are any changes in an individual’s care needs. All service users are registered with a local GP service and have access to the multidisciplinary health care team through their GP. Service users spoken to stated that they believe the home looks after their health care needs well, and told the inspector that GPs are called promptly if they are unwell. One relative told the inspector that she believes her mother’s health care needs are well met by the home and that the care given by staff at the home had promoted the good healing of her mother’s wounds. It was noted that risk assessments indicate the type of pressure relieving equipment that a person needs and that this equipment is provided to those service users that need it. One service user spoke of her appreciation that care staff always accompany her when she has medical appointments. Daily records document the contact service users have with health care professionals and any instructions about the delivery of care are transferred to the care planning documents. Service users told the inspector that they always received their medications when they need them. No one indicated that they had to wait long periods before receiving their medications that had been a concern raised at the previous random inspection in November 2007. As part of case tracking four service users medication administration record charts were looked at. These detailed accurately the medications given to the service user and the reasons why any medications had not been given. Service users daily records indicated that medical staff are requested to review medications especially if a person has frequently been refusing their medications. There is some lack of consistency in the method of recording of the amount of medication given if the dose is a variable dose. It was discussed with the nurses in charge at the time of the visit to the home that the manner in which this is recorded should be consistent; this will ensure that all staff are aware of how much medication a service user has been receiving and it can be clearly identified if a service users is requiring more medication that normal which could suggest a health care problem that needs attention. A record is kept of all medications ordered and received into the home. The service has now implemented the correct manner in which to dispose of medications meeting present legislation that had not been happening at the last key inspection in May 2007. The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 13 All service users receive their personal and health care within their own bedrooms or one of the bathrooms. No concerns were raised during the inspection process about maintaining the privacy and dignity of service users during the delivery of personal and health care. Care plans indicated the importance of maintaining the dignity of the individual person. The Quinta Nursing Home DS0000011656.V336240.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 good. This judgement has been made using available evidence including a visit to this service. The recent employment of an activities organiser will ensure that service users are able to take part in fulfilling activities. Spiritual needs of those living at the home are met. Service users benefit from being able to receive visitor when they kike and from the provision of healthy and nutritious meals. EVIDENCE: Repeated requirements had been made about providing opportunities for stimulation for service users through leisure and recreational activities since 2004. A random inspection in November 2006 had noted little improvement regarding this requirement. Details in surveys from service users and relatives indicated that there is little entertainment and activities provided at the home. Comments received from the surveys included “I feel staff should have a little time to chat with the residents. I know that they look as they go past but that is hardly enough” and “ they could have more activities for the less mobile.” However on the day of the inspector’s visit to the home it was evident that this requirement is now being addressed. An activities organiser had commenced work that week and was in the process of visiting the service users individually The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 15 to talk with them about their interests and wishes for activities. From this information she is going to plan a programme of activities. Baking had been highlighted from her discussion with several service users as something they wanted to do, so this is being organised. It is expected that the social needs of service users will be better met when the activity organiser has her programme in place. Speaking with several of the residents most of them appeared content with activities at the home. Some wished for more musical activities, others stated that they enjoyed armchair exercises and musical activities where they join in singing. One service user spoke about the enjoyment gained from reading the many books provided by the mobile library. Another service users spoke of how greatly appreciated the support staff at the home gave him in attending religious services at his family church. Staff were observed to be chatting with service users throughout the course of the visit. One service user said that they can have a good laugh with the staff. Visitors are welcome to visit at any time; a record is kept of all visitors to the home. Several service users were receiving visitors during the inspector’s visit to the home. Visitors said that they are made to feel welcome at the home; service users confirmed that they can receive visitors when they wish. Service users told the inspector that they are able to influence their daily routines, deciding when to get up, when to go to bed and when they would like a wash, bath or shower. Staff members told the inspector that the daily routine is structured on the wishes of the service users. Service user’s preferred daily routines are detailed in their care plans. Both staff member sand service users stated that these routines can be changed dependant on the individual service users wishes. No concerns from service users or relatives were raised about the provision of meals. Relative’s surveys stated, “Food seems nice”. Each service user receives the menu plan for the week that is displayed in their bedroom, though through discussions with service user not all of them look at it. A choice is detailed at breakfast and teatime. Lunch is a set menu but several service users told the inspector that an alternative is provided if a service user does not want that meal. The Quinta Nursing Home DS0000011656.V336240.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 & 17. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Lack of documentation does not demonstrate that concerns and complaints from service users and their relatives are taken seriously and acted upon. Service users are protected by a workforce that has a good understating about the protection of vulnerable persons. EVIDENCE: Requirements had been made at the last Key Inspection in May 2006 that a record of all complaints received by the home must be kept including the outcome and actions taken as a result of the complaint. A random inspection in November 2006 evidenced that the service had not yet complied with this requirement. Information gathered from relative’s surveys indicated that relatives are aware of the complaints procedure and are confident that complaints will be handled appropriately. Service users spoken with said that they would address any complaints to a member of staff and that they believe that concerns and complaints will be managed in an effective manner. Despite relatives and service users having confidence in the complaints process, there is still no consistent process for the documentation of concerns and complaints received and the action taken to resolve these complaints. From discussions with staff members, the responsible individual and visitors it appears that The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 17 several different systems have been put in place for the documentation of received complaints, none of which have been used effectively and consistently. The last two requirements for the home to have a complaints log and record all complaints received and any action taken has not been met. The provider must ensure that action is taken to ensure that action is taken to meet this requirement within the given timescales. The inspector spoke with several staff, care, nursing and ancillary staff about the protection of vulnerable adults. All were able to demonstrate their understanding about abusive practice and were able describe the correct action to take should they suspect abusive practice happening. There has been one appropriate referral for adult protection investigation since the last key inspection. The inspector received copies of staff certificates evidencing that they had received training about the protection of vulnerable adults. The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service provides a safe, well-maintained and homely environment for service users to live in. Good infection control practices promote the health and wellbeing of those living at the home. EVIDENCE: The Commission received several positive comments about the environment from service users and relative surveys; “ the rooms are reasonably clean”, “the home is always clean and beautifully kept”, and” they try hard to make the residents rooms feel homely with their own belongings and make them comfortable”. The inspector toured the environment during the visit to the home. All areas were clean and tidy. The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 19 Service users bedrooms contained many of their own personal items including small items of furniture, pictures, photographs and ornaments. All bedrooms have an en-suite bathroom that is accessible to the service user. There are sufficient assisted bathing facilities for those living at the home; service users told the inspector that service users are able to choose their bath/shower times. The laundry area has two industrial sized washing machines and an industrial sized tumble drier, all were seen working. A member of the staff explained that new working practices had been implemented in the laundry ensuring service users receive their own clothes back in a timely manner, that woollens and delicates are washed on the correct settings, and that clean and dirty laundry are not stored in the same area. The home has an external contract for the laundering of bed linen and towels. A team of cleaning staff are responsible for the cleanliness of the home. During the visit to the home they were seen to be very attentive to the cleaning of the home. All service users spoken with expressed their satisfaction with the cleanliness of the home. Sufficient hand washing facilities are provided for staff and visitors along with alcoholic gels to enhance hand cleaning and reduce the risk of cross infection. The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff at the home are trained and employed in sufficient numbers to meet the needs of those living at the home. Good recruitment procedures protect the welfare of service users. EVIDENCE: Staffing rotas indicate that two trained nurses are on duty each morning, afternoon and night shift. Seven care staff are on duty during the day shifts with four care staff on duty during the night shifts. The duty rota accurately reflected the numbers of staff working on the day of the inspectors visit to the home. Relative and service users surveys did not express any concerns about the numbers of staff on duty at any one time. Service users spoken to on the day of the visit to the home said that they believe there are enough staff on duty at any one time, and that except in unusual circumstance call bells are answered in a timely fashion. Comments in the surveys indicated that it sometimes takes a long time for call bells to be answered, however that was not the observation during the visit to the home. Discussion with staff members and the Responsible Individual confirmed that numbers of staff had The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 21 increased and that the provider is willing to increase staffing numbers if the dependency of those living at the home increases. Many of the staff employed at the home are from overseas. Comments received by relatives surveys stated that “some have better levels of English than others”, “Poor English – no problem with care, just communication” and “I think as virtually all staff are from ethnic communities they try very hard to meet the needs of a home containing all white British residents”. Relatives spoken with during the visit to the home did not express any concerns about the communication between them selves and the care staff. Service users said that they were able to understand the care staff and were able to have a joke and laugh with them. A random inspection in November 2006 evidenced that there was a lack of checks on overseas staff relating to their eligibility to work in the UK such as work permits. A requirement was made about this. Looking at staff files during the visit o evidenced that this information is now obtained and kept on record as well as all the other checks to ensure a person is suitable for working with vulnerable persons. The random inspection in November 2006 found that there was a lack of induction for newly employed staff and that training had not been provided for them about moving and handling. Staff members spoken to during this visit to the service said that they had been given an induction programme to follow when employed at the home and that they had received training in moving and handling before commencing care duties. One member of staff showed the inspector their induction booklet that follows the Skills For Care induction framework. Staff files contained certificates evidencing that they had received training about the moving and handling of service users. Staff spoken with during the visit to the home said that they are provided with training such as food hygiene, infection control, looking after a person with dementia, first aid and fire safety. However there was not a simple way to evidence that the person had received training and to monitor what further training is required. Staff files contained certificates of training attended but it was unclear whether all staff had provided the home with copies of their certificates. The new manager said that she was going to implement a spreadsheet so that staff training could clearly be documented and monitored. Care staff told the inspector that all care staff were being encouraged and supported to undertake NVQ level 2 or 3 in care. Again the lack of a process of documenting staff training meant that the inspector was unable to accurately gain the exact numbers of staff who have achieved NVQ qualifications. But staff and the new manager expressed the services commitment to supporting all care staff to achieve NVQ qualifications in care. The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users have not had the opportunity to benefit from the leadership of a consistent and effective manager. Service users are able to influence the running of the home. Lack of documentation does not demonstrate that health and safety practices do not totally protect the welfare of those living at the home. EVIDENCE: The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 23 The service has been without a permanent manager since October 2006 but a new manager was due to commence employment on Monday May 21st 2007. This person had been visiting the home to start implementing systems to improve the running of the home. Following a brief discussion with the new manager when she visited the home, she expressed her commitment to improving the outcomes for the service users. The service had been required to complete an Annual Quality Audit Assessment by May 11th 2007. At the time of the inspector’s visit to the home, this had yet to be completed, despite written and telephone reminders. On 25th May 2007 the new manager confirmed during a telephone conversation that she had completed the AQAA and was posting it to the Commission that day. But on the day of submitting this report the commission had yet to receive the AQAA. The registered provider should have ensured that this document had been returned to the Commission within the required time scale. Staff said that the Responsible Individual had supported them well during the period when there has been no permanent manager at the home. Regular service user meetings are held at the home. Copies of the minutes from these meetings are made available for all to view. These evidenced that the home has been acting on the wishes and views of service users; one such example is that the home is in the process of organising an outing for some of the service users. Annual service users surveys had taken place I previous years seeking service users views about the home, but there was no documentary evidence to suggest that these had been used since 2005. Staff spoken with stated that they have received some formal supervision sessions from senior members of staff, but during the period when there had been no permanent manager formal supervision had not happened on a regular occurrence. Staff said that since supervision has commenced again they feel more involved with the running of the home and more aware of the needs of the service users living at the home. Resulting, they believe, in better care and support for the service users. The home does not handle or look after any service users monies. During the tour of the environment it was noted that several health and safety issues that requirements had been made about at the previous inspection had been met. The laundry door is now fitted with an automatic door release that is activated when the fire alarms go off. All COSHH substances are kept in the new COSHH cupboard that is always kept locked. Records of water temperatures indicate that hot water is maintained at a temperature that ensures the safety of service users. Requirements have been made since May 2005 that the staff must have fire safety training and drills in accordance with Hampshire Fire and Rescue guidelines. Records were not accessible during the inspector’s visit to the home to evidence that this had been happening, but all staff spoken to said that they had received fire training last week and received such training at regular occurrences. Training notices displayed at the home indicated that fire safety training had been provided during the week commencing 14/05/2007 and that The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 24 all staff were expected to attend. Further documentation was provided to the inspector on 24/05/07 evidencing that fire safety training and drills had been provided at the home on 21/01/07. Staff informed the inspector that fire safety checks are carried out at the home on a weekly basis; but the last entry in the fire log book detailing fire safety check by the home was February 2007. The Quinta Nursing Home DS0000011656.V336240.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 1 17 X 18 3 3 X X X X X X 3 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 2 x 3 x 3 2 X 2 The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? Yes 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 OP16 Regulation 17(2) Schedule 4 (11) Requirement Appropriate records must be kept of all complaints and allegations at the home including outcomes and actions taken. This is a repeated requirement from August 2006 and November 2006 that has not been met. 2 3 OP36 OP38 18(2) All care staff must receive formal staff supervision sessions six times a year. 23(4)©(v) Fire safety checks must be undertaken and records of these are maintained. 17/08/07 15/06/07 Timescale for action 15/06/07 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 OP9 Good Practice Recommendations A consistent procedure should be followed to record the DS0000011656.V336240.R01.S.doc Version 5.2 Page 27 The Quinta Nursing Home 2 OP30 amount of medication administered to a person who is prescribed a variable dose. A procedure should be put in place so that staff training is easier to monitor. The Quinta Nursing Home DS0000011656.V336240.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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