Inspection on 30/05/08 for The Quinta Nursing Home

This inspection was carried out on 30th May 2008.

CSCI found this care home to be providing an Good 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 Quinta Nursing Home 17/05/07

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 27/02/2009.

CARE HOMES FOR OLDER PEOPLE The Quinta Nursing Home Bentley Nr Farnham Hampshire GU10 5LW Lead Inspector Damian Griffiths Unannounced Inspection 30th May 2008 15:15p 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.V363754.R02.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.V363754.R02.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 quintacares@aol.com Dr Muhammad Ashraf Chohan Mrs Sastrani Kammayya Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (0) of places The Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with Nursing (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) The maximum number of service users to be accommodated is 41. 2. Date of last inspection 17th May 2007 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 homes fees ranged 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.V363754.R02.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 2 star. This means the people who use this service experience good quality outcomes. The inspection of The Quinta Nursing Home took four and three quarters of an hour beginning at 15:15 and ending at 20:00. The Inspector spent time with residents, their relatives, care staff and conducted a thorough tour of the premises. Mr. Damian Griffiths Regulation Inspector completed the visit. The homes registered manager Mrs Sastrani Kammayya assisted the inspector throughout the visit and represented the establishment. This key inspection report takes into account information from the Annual Quality Assurance Assessment (AQAA) provided by the registered manager, samples from a number of residents’ and staff personnel files and observation of staff practice and their implementation of equality and diversity issues. Feedback from eleven CSCI survey’s completed by service users, relatives and care staff have been included in this report as well as the homes own quality audit Quality Questionnaire for Relatives, Residents and Visiting Specialised Personnel . The inspector would like to thank residents, their friends and relatives and staff at the Quinta nursing home for their time, assistance and hospitality. Comments taken from CSCI surveys, distributed on the day of the inspection, comments received during the inspection and ‘Annual Quality Assurance Assessment’ are in italics. Some words have been changed in respect of confidentiality and are featured within (brackets) What the service does well: Residents and relatives completing the CSCI survey commented in the section titled, how do you think the care home can improve? Nothing I can think of! I feel happy with the care he receives. They do so much already. At the moment, we feel that no improvements are needed. Taking care of the needs of the residents as and when a problem arise, no complaints regarding the care of the residents and relatives. Residents and their families considering whether to move into the home were given enough information to make an informed choice. The Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 6 Residents received properly organised care support that was regularly reviewed. Prescribed medication was administered safely and helped to ensure that residents’ good health was maintained. Residents’ privacy and dignity was respected as were their choices when consulted about a variety of issues including what meals they preferred. Staff always knocked on the resident’s door before entering and residents could expect regular health care assessments. The home conducted their own quality of care assessment survey that included residents and all those concerned and involved with the home. Concerns and complaints were addressed by the home. The home environment was pleasant and residents benefited from care staff that had received a wide range of training. The home ensured that care staff recruited were of good character and experience by ensuring that all recruits had received a Criminal Records Bureau check and supplied appropriate references. The manager and care staff were working well together to ensure residents care needs were met. What has improved since the last inspection? What they could do better: Activities in and out of the home must relate to the social and care needs of the resident. The Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 7 The home must ensure they keep a record of the food served to residents, so that anyone checking the record can see if the food served was nutritious and whether it met the needs of the residents. Adequate sitting areas, recreational and dining space must be provided separately from the residents private accommodation and suitable provision made for storage, in particular the weighing chair must be not be placed in the ground floor lounge. The garden path must be maintained and made safe for use by residents. Best practice recommendations included: Improving their homes used/spoilt medication returns records and that all complaint outcomes should be properly recorded and detail timescales and written responses of the complainant. That the home review staff awareness and ability to recognise and respond to potential instances of adult abuse. Review the use of the ground floor dining area currently being used as a kitchen cold storage area for fridges and freezers. 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.V363754.R02.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.V363754.R02.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): Standards 1, 3 and 6. The quality in this outcome area was good. Residents and their families considering whether to move into the home were given enough information to make an informed choice. The home does not offer intermediate care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four new and existing service user files were inspected to establish whether residents had received a pre-admission assessment. All had received the required assessments covering details of their health and care needs. The residents receive ongoing assessments once they had moved into the home. The service user files inspected showed evidence that family members had assisted residents to complete a brief personal profile containing information about the resident’s life and background. Copies of the service users’ guide, produced by the home, could be found in the resident’s rooms and relatives confirmed that these had been provided prior to admission to the home. The Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 10 Useful information about the home, including the previous CSCI report, could be found alongside the signing-in-book in the main entrance of the home. The Quinta Nursing Home DS0000011656.V363754.R02.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): Standards 7, 8, 9 and 10. The quality in this outcome area was good. Residents received care support that had been properly organised and regularly reviewed including medication administration. Resident’s privacy and dignity was respected and supported. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four residents care plans were sampled for evidence of detailed care plans containing information about overall care needs. Care plans were informative and detailed how care staff provided care support in a way that residents preferred including risk assessments and a daily record had been kept and brief details of social activities had been reported. Six care staff completing CSCI surveys, on the day of the inspection, agreed that they had the right skills and experience to support individuals’ social and healthcare needs. The Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 12 Care plans sampled did not contain helpful information for the night care of the residents. The manager agreed to review this area and said she will introduce them to ensure residents ‘night’ care needs were being met. This would also ensure that night staff were familiar with individual sleep patterns and enable monitoring and reviewing of needs such as the potential for arranging activities for residents who may not need very much sleep. Residents’ health was ensured by the homes practice of maintaining charts to monitor the residents various health care needs, such as weight loss/gain, skin care and fluid intake. One of the residents, whose care plan was sampled, had recently needed to be admitted to hospital for dehydration. Details of the resident’s fluid intake were charted in her care plan and daily records leading up to the point of hospital admission, indicating that action had been taken to prevent dehydration occurring. A variety of healthcare practitioners visit the home on a regular basis to ensure residents receive good healthcare. Residents had regular GP visits and consultations always took place within the privacy of the residents’ own room. Residents’ medication needs were reviewed every six months and Medicine Administration Records (MAR) contained an accurate account of the days administration. The safe storage of resident’s medication and protocols/ policies were in place. Controlled (drugs) medications were separately stored and recorded including medication returned to a used medication collection service. The homes record of medication destined for disposal was not clear and it was recommended that the home review it’s ‘medication returns’ recording. Health practitioners completing the homes own quality audit had confirmed that all necessary records were in place and available to them. A Health Care Practitioner completing the CSCI survey confirmed that health care needs were properly monitored and attended to by the home. Relatives and residents completing the CSCI survey and consulted on the day of inspection had no concerns about the quality of care received; one relative commented: They (Care staff) look after my (Relatives) every need, I cannot fault the care. The Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. The quality in this outcome area was adequate. Residents benefited from good health care assessments ensuring regular healthcare checks, but social needs had not been fully assessed or developed so residents had little to do throughout the day. Residents were often consulted about a variety of issues including what meals they preferred, showing that individual choices were made. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager advised that the homes activities co-ordinator had recently left and an advert had been placed in the local paper for a replacement. The notice board in one of the two lounge/dining rooms contained information about available church services indicating that the home was aware of the religious care needs of the residents. There was also a list of social events throughout the year for example, day trips to visit sites of local interest and details of a garden party to be held in July. A notice about the residents’ daily activities was also on the board, but unfortunately the residents’ activities for the day had been cancelled and there The Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 14 was no information provided about alternative activities being offered by care staff. Comments received from relatives and residents completing the CSCI survey included; leisure activities are arranged but my relative is unable to participate. And: there are no activities. A resident’s relative advised that the home arranges events including garden parties, barbeques, trips out, a Christmas party and games evenings. Resident and relative meetings are also held every other month. A resident consulted confirmed that he enjoyed going out for walks in local area. The residents care plan included details of his daily walk and potential risks had been considered. Details of this risk were located in a different part of the residents care plan folder making it easy to overlook. The manager agreed to review this to ensure that the risk assessments be placed with the rest of the risk assessment information. There was no obvious evidence of activities specifically designed for residents with dementia care or in other residents care plans, relating to activities that would benefit their social care needs. The home was required to ensure that assessments of resident’s preferred social activities be reviewed on a regular basis. Using the resident’s own daily record/contacts list, social activities could be recorded and used as useful information when reviewing residents needs in this area. A constant stream of friends and relatives were observed visiting residents throughout the day. The home had an open door policy and relatives and friends completing the CSCI survey made the following comments; I feel happy with the care she receives, And, personal care and attention is very good. A resident’s relative completing the CSCI commented in a section entitled; Does the care service support people to live the life they choose’: my (relative) doesnt have a choice but they look after her. Residents consulted during the inspection confirmed that they were able to choose what food they ate on a daily basis and that a menu was provided, however, there were no menus in evidence. Care staff consulted residents on a daily basis from a printed menu. There was no menu displayed in the dining room area although there was a blackboard, which the manager advised would be written up with the menu, prior to the meal being served. It was difficult to establish what fresh fruit and vegetables were made available on a daily basis. There was evidence recorded in the last residents’ meeting, which took place in April 2008, that a discussion had taken place relating to the food on offer; residents reported that the food was nice and hot and that Yorkshire puddings are now being served with roast dinners, however, it went on to say; (a resident) asked if they could have more in the way of fresh fruit and vegetables instead of tinned or frozen. The chef presented a completed tick The Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 15 box food list that included breakfast and suppertime selections made by the residents, but no evidence of residents choice of main meal or fresh fruit and vegetables being made available. Feedback from a resident’s relative advised that they felt the food served was of a very high quality and that the chef would visit residents in their rooms to discuss their choices and obtain their views on the food provided. It was also advised that relatives are welcomed to stay for meals in the home, that fresh items are used in the meals and fresh fruit was provided in the lounges for residents to help themselves to. The home had indicated that it intended to make changes to the menu as the home’s AQAA stated in the section titled: ‘What can we do better’: Menu to be done with the involvement of the service users taking into consideration their conditions as well as any religious or dietary needs. The minutes from the residents meeting held in April were seen & it was noted that in these, residents had asked for more fresh fruit and vegetables. On the day of the inspection this still needed to be implemented. The home is required to ensure that wholesome and nutritious food is available and that a daily record of food served is kept. The Quinta Nursing Home DS0000011656.V363754.R02.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): Standards 16 and 18. The quality in this outcome area was good. Residents, relatives and advocates were confident that their concerns and complaints would be addressed by the home. Care staff had received safeguarding of vulnerable adults training in order to prevent the possibility of abuse occurring and promote the protection of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The homes complaints record was inspected and there had been only two complaints recorded since the last inspection. Complaints had been investigated and staff had responded well by providing written statements that contributed to the resolution of the complaints. Details of the overall outcome of the complaint had not been recorded although it was evident that the complaint had been completed. It was recommended that the registered manager ensure that complaint outcomes are fully recorded and include documentary evidence of the complainant’s response. A resident’s relative said that the manager works very quickly to resolve any issues that arise. The Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 17 Most of the relatives completing the CSCI survey were aware of the complaints procedure as featured in the home’s Statement of Purpose and Service Users’ Guide that could be found in every resident’s bedroom. Although there was evidence that care staff had received safeguarding vulnerable adults training, two of the staff on duty found it difficult to answer queries relating to this subject. This was only a small proportion of the staff working at the home at any time and some confusion may have occurred due to the fact that English was not the care workers first language. This was confirmed by the manager who also stated that one of the care staff was new to the home. Personnel files inspected showed evidence that safeguarding training had been received and new staff had safeguarding training included in their induction programme. The home held a copy of Hampshire County Councils safeguarding adults guidelines and procedures, and the home’s AQAA confirmed that a whistle blowing policy was in place. It is recommended that the home review staff awareness and ability to recognise and respond to potential instances of adult abuse. The Quinta Nursing Home DS0000011656.V363754.R02.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): Standards 19, 22, 23 and 26. The quality in this outcome area was adequate. The accommodation was comfortable, clean and homely, but required action in some of the designated communal areas to ensure that residents could live in a safe, comfortable and well-maintained home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home was carried out and areas both inside and outside of the home were seen. These were found to be clean and tidy, and there was above all, a homely environment for residents. The residents have access to a small garden area at the back of the home and a small tarmac path was available for ease of use. It was observed the path was in need of attention in some areas where root growth from the nearby trees and plants had cracked the surface area which was also slippery due to The Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 19 moss and weather conditions. The home must ensure that all areas of the home including the garden are safe for residents at all times. The home had lounge areas on both floors and at the time of the inspection both areas were initially being used to store items. The ground floor lounge contained a recent delivery of supplies and a weighing chair. The upstairs lounge was being used as an office and showed no signs of any recent resident activity. Residents were observed spending time in their own rooms, which contained their own personal belongings and preferred furniture. The ground floor lounge was later cleared of supplies and was being used by residents and their relatives, but the weighing chair remained in the lounge throughout the day. Fridges and freezers were situated in part of the dining area and it was recommended that the home consider the removal or screening of these to improve the resident’s dining experience and improve the dining-room area overall. The Environmental Health Officer had recently attended a routine inspection of the premises and it was positive that no health concerns were reported. The Quinta Nursing Home DS0000011656.V363754.R02.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): Standards 27, 28, 29 and 30. The quality in this outcome area was good. The skill mix of care staff on duty ensured that residents care needs were met. Care staff had received wide range of training to ensure they could meet residents’ health and welfare needs. Residents benefited from the robust recruitment procedures in place that promoted security and safety. Care staff provided consistent care and attention to residents that helped provide a relaxed and caring environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s AQAA showed that 27 nursing staff were employed to meet residents’ needs plus additional domestic and care staff. A sample of personnel files of staff on duty were inspected in order to compare their skills, knowledge and experience against the care needs of residents. Records showed that the care staff on duty had a wide range of skills and knowledge including nursing and safeguarding vulnerable adults training. Information supplied in the homes AQAA stated that “Care staff had received training in most areas of work, relative to meeting service users care needs”. The number of care staff who had gained the minimum National Vocational Qualification (NVQ) level 2 training award was above the recommended ratio of The Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 21 50 . Care staff completing the CSCI surveys felt that they had the right skills and experience to support the residents. One commented; my induction covered general care on individual basis, health and safety coshh/fire drill and policy, etc. Four care staff files were inspected for confirmation of thorough recruitment procedures, including criminal record bureau checks. The home’s recruitment policy ensured that the files of care staff inspected contained the correct documentation, including the appropriate notification from the Criminal Records Bureau (CRB), full employment history and two references. A staff training programme was observed in the registered manager’s office with a clear indication of training received and training planned. Relatives and carers completing the CSCI survey confirmed that they felt that the home was meeting their care needs and commented in the section of the survey titled; What the Home Does Best? Personal care and attention is very good. They (care staff) look after my (mothers) every need; I cannot fault the care she gets here. The whole team are fantastic. Six CSCI surveys were completed by staff on the day of the inspection. All staff considered that they had received satisfactory training that enabled them to perform their duties. No concerns were expressed and care staff considered that the home promoted equality and diversity. The Quinta Nursing Home DS0000011656.V363754.R02.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): Standards 31, 33, 35, 36 and 38. good. The quality in this outcome area was The management and staff team had worked well together over the last year to ensure a clean and homely environment was maintained for the residents. Residents were happy with the way their personal finances were managed. Care staff were supervised on a regular basis and appraisals had been completed to ensure the residents current care needs were met. Health and safety within the home was good and ensured the continued wellbeing of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager had been in post for approximately one year and had worked hard to bring about change at the home. The Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 23 Resident’s relatives and care staff felt they could approach the manager if there was a problem. On the day of the inspection the managers door was open all day. The issues listed below for action were discussed with the registered manager who said she would ensure that they would be addressed. There were many good outcomes for residents but more needed to be done in areas such as specific activities designed for residents with dementia care needs, regular review and recording of residents social activities, ensuring the resident’s safe access to all the communal areas inside and outside the home, and daily recording of the food provided. Relatives and residents who were met with during the inspection, all made positive comments about the good quality of care received and comments written in the CSCI surveys included; They look after my father’s every need I cannot fault the care he gets here. The whole team are fantastic. And, I feel happy with the care he receives. Residents were able to participate in residents’ meetings every two months to discuss a variety of topics of their choice, including the daily menu, outings and general concerns relating to the home. Minutes from the last meeting included details of the home’s efficiency in providing resident’s bills, Yorkshire puddings, church and a request to have crackers and cheese on the menu. A relative completing CSCI survey commented about meetings; they do have meetings quite regularly unfortunately are not always able to attend. The home has involved residents and their relatives, care staff and social/health care practitioners with the improvement and quality monitoring of the home by issuing its own’ Quality Questionnaire’. This was supplied to resident’s relatives and health and social care practitioners involved with the home. This is a very positive step to ensure that the home meets residents’ and relatives’ own care needs and wants. The home’s policy relating to resident’s finances was that they had no input, relying instead on the residents or their relatives to take full responsibility in this area. Residents consulted during the inspection confirmed this. The manager was able to show records of the supervision and appraisals of care staff, to confirm that staff are supported and monitored. As mentioned in the environmental section of this report there was a health and safety concern relating to the tarmac pathway in the garden and aspects of the dining area that need to be improved to ensure safe access by residents. Staff had received training in areas of fire safety, food hygiene and health and safety. The environmental health and fire safety officers had visited within the last 12 months and public liability and buildings insurance policies were in place and up-to-date. The Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 24 Residents and relatives completing the CSCI survey commented in the section titled, How Do You Think the Home Could Improve? Nothing I can think of! I feel happy with the care he receives They do so much already. At the moment, we feel that no improvements are needed. Taking care of the needs of the residents as and when a problem arises, no complaints regarding the care of the residents and relatives. The Quinta Nursing Home DS0000011656.V363754.R02.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 3 X 3 X X X 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 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 2 X X 3 3 X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 X The Quinta Nursing Home DS0000011656.V363754.R02.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. 1. Standard OP12 Regulation 14 (1)(d) 4 (1) (c) sched’ 1 Para (9) 16 (2) (I) Requirement The home must ensure that arrangements for residents to engage in social activities, hobbies and leisure interests, appropriate to their care needs, are in place. The home must ensure that wholesome and nutritious food is provided to residents and that a daily record of the food served is kept . The home must ensure that the external grounds provided are suitable and safe for use by residents and regularly maintained. The home must ensure that there is adequate, recreational and dining space provided separately from the residents private accommodation and communal space provided for residents is suitable for the provision of social, cultural and religious activities appropriate to the circumstances of residents. Suitable provision must also be made for storage, such as; the weighing chair that should not be DS0000011656.V363754.R02.S.doc Timescale for action 24/11/08 2. OP15 24/11/08 3. OP19 23(2)(o) 24/11/08 4. OP19 23(2)(g) (h)(i) 24/11/08 The Quinta Nursing Home Version 5.2 Page 27 left in the communal areas occupied by residents. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP9 OP17 OP18 OP19 Good Practice Recommendations The home should improve its medication returns records, to ensure that prescribed medications are fully accounted for and an audit trail can be followed. The registered manager should ensure that outcomes to complaints are fully recorded and include the response of the person making the complaint. That the home review staff awareness/knowledge and ability to recognise and respond to potential instances of adult abuse. The use of the ground floor dining room as a storage area for fridges and freezers should be reviewed. The Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Quinta Nursing Home DS0000011656.V363754.R02.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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