Inspection on 25/04/07 for Thomas Pocklington Trust

This inspection was carried out on 25th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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

CARE HOMES FOR OLDER PEOPLE Thomas Pocklington Trust Peirson House Mulgrave Street Plymouth Devon PL1 2RW Lead Inspector Kim Fowler Unannounced Inspection 25th April 2007 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 Pocklington Rise (Plymouth) DS0000069561.V339328.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. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Thomas Pocklington Trust Peirson House Address Mulgrave Street Plymouth Devon PL1 2RW 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) 01752 662394 Thomas Pocklington Trust Janis Lane Care Home 32 Category(ies) of Dementia (10), Old age, not falling within any registration, with number other category (32), Sensory impairment (32) of places Pocklington Rise (Plymouth) DS0000069561.V339328.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 only - PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Sensory Impairment (Code SI) Dementia (Code DE) - maximum of 10 places. The maximum number of service users who can be accommodated is 32. 22nd December 2005 2. Date of last inspection Brief Description of the Service: Pocklington Rise is situated near Plymouth City Centre. This is a temporary home until the original site has completed a major rebuild. The Home is owned by Plymouth City Council but currently leased and managed by the Thomas Pocklington Trust and offers accommodation with personal care for older people who have a visual impairment. The Home accommodates 32 people all in single bedrooms. The Home is suitably equipped to provide facilities for people who have visual impairment and is on three levels, it is also equipped for those who may have a physical disability. The current fee stated in the pre inspection questionnaire says £450 but will accept Local Authority without top up. The Home offers several lounge areas including a large one situated on the ground floor and several smaller ones available on each level. There is also a large dining room and several smaller ones on each level, assisted baths and shower room. There is a call bell system throughout the home. Residents are enabled to access any health or social care services they require and various social activities are arranged by the Homes activity co-ordinator. The garden is attractive, spacious and accessible to the Residents. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 1 day. The registered manager Janis Lane was available throughout the inspection. The inspector made a tour of the building and spoke to all the residents and four visitors visiting at the time of the inspection. Documentation relating to the care planning process and the management of the home were examined. Prior to the inspection, resident comment cards had been sent to the care home to allow residents to comment upon their experiences. Six cards were returned and no issues of concern were raised. Six staff comment cards were also received as well as three Health Care Professional and four relative feedback cards. Any comments are in the relevant section of the report. What the service does well: What has improved since the last inspection? What they could do better: No requirement or recommendations were made in this report. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 6 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. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1/2/3/5/6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that a full assessment will be completed before admission to ensure the home can meet their individual needs. EVIDENCE: The homes Statement of Purpose and Service Users Guide have both been updated to including the details of the present site for this home. This includes the number of bedrooms and the facilities now available. Draft copies of these documents were available and the manager was waiting for confirmation from head office for approval before final copies are printed. The manager confirmed that service users have contracts and previous inspections reports confirm that service users hold contracts. However these documents were not currently available and are in the process of being transferred from the old site. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 9 Service users files showed that each contained a completed pre admission questionnaire. These files also contained pre-admission assessments and the manager confirmed that she visits the service user to complete these. Some of the files examined also contained the placing authority care plans to support the pre admission assessments. Each service user is invited to the home for several visits before moving in. All the service users were spoken with during the visit to the home and all were asked about the recent move to the new premises. All service users who were able confirmed that they had visited the new premises before the move date. Several service users were also able to confirm that before moving into the previous site they were informed about the planned move to the new site. Several of the service users recently admitted to the home informed the inspector that they had received information about the home and had assisted in the completion of an assessment to inform staff of their needs. One relative also stated that they had received information about the home and had been invited for a visited before their relative had moved in. One service user wrote on her comment card under the question: did you receive enough information about this home before you moved in so you could decide if it was right for you said, “I came to the home for one months trial but decided to stay” and another wrote “My family had received information on the home”. These documents are important for prospective service users to assure them that not only can their health care needs be met but also their emotional, social, cultural or religious needs. Pocklington Rise does not offer Intermediate Care. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7/8/9/10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff and manager provide good personal and health care support to the service users in the home; ensuring the promotion of privacy and dignity at all times. EVIDENCE: Of the six service users files examined all had individual care plans in place and each contained information on care needs and how the home would meet these needs. This included a daily work sheet, a record of what each service users daily needs are and what tasks need to be carried out. Evidence was recorded that care plans are updated regularly. These care plans give detailed instructions to all staff to ensure intimate personal care is being provided in a manner that meets with that service users approval. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 11 The resident’s assessment, daily work sheets and care plans are easily accessible for staff on duty as are risk assessments. The manager stated that the risk assessments are reviewed regularly and updated as and when needed. Due to the layout of the new premises risk assessment had been updated and changes were needed to ensure the ongoing safety of the service user. All service users have access to all health care services and this information was recorded on designated District Nurse files held in individual bedrooms. Information was recorded on service users files that there was input from other professionals including GP’s, chiropodist and consultants based at the local hospital. The manager discussed with the inspector the new arrangement now in place since the move to continue to provide health care services. This included contact with the local GP practice and meeting both the GP and District Nurse team before moving in. It was evident from these discussions that the provision of health care needs was clearly planned and documented to meet the needs of the service users currently living at this home. The service users spoken with confirmed that their health care needs were met. The service users stated that they had a General Practitioner and dentist of their choice who would visit the home if requested. Some said that they had attended surgery appointments and also confirmed that a chiropodist and optician visit the home. One file showed that one service user had been referred to the Falls clinic and had been admitted to hospital for further assessment of health care needs. One family member interviewed during this inspection said that their relative had been unwell recently and the home had “provided excellent care and support to my relative when they had been unwell”. The Commission received three feedback surveys from Health Professionals. On one feedback card was the comment, “ Staff are very good at filling in appropriate charts and assessments. They know their residents well. Home has a nice atmosphere and appears to provide a caring environment”. Another wrote “ General all round care appears to be very good”. One service user wrote on their comment card under: do you receive the medical support you need ticked yes usually and went onto say, “Satisfactory”. Three other surveys ticked ‘always’ under this section. One service user interviewed during the inspection confirmed an eye hospital appointment and said that staff had attended the outpatient appointment with them. Of the four relative surveys returned one wrote under: do you feel that the care home or agency meets the needs of your friend/relative “My mother is Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 12 looked after and cared for extremely well” and a second wrote, “They go out of their way to meet my mothers needs and to help her be happy in spite of her relative lack of mobility”. The home uses the nomad system for medication and the pharmacist visits every 6 months and the last assessment carried out by the pharmacist was available as evidence. Two staff members confirmed that they had attended a 12-week medication training course. Both staff members were spoken with about this training course and it was evident from this discussion that these staff members were aware of the policy and procedure for handling, administrating and recording medication. These two staff members were observed giving out medication and it was evident that these staff members had taken onboard their responsibility of the administration of medication. Medication is not kept in stock, and the homes drug cupboard is suitable for the needs of the home. A discussion was held on the staff signing the medication records sheets if medication had been stopped or discontinued. Case tracking showed that this information was recorded on individual daily records and on the Medical visits sheets. All the service users living at the home were spoken with. All service users who were able to confirmed that the staff treat them with respect and protect their privacy and dignity at all times. During the inspection staff were seen knocking on service users doors. Staff also ensure service users receive treatment from the District Nurse or GP in private. One staff survey wrote under any other comments, “Personally I think this home is one of the best and provides quality care and support to all the service users in their care”. The inspector spoke to family members of one service user. The family said that the staff and the manager have been very supportive and went onto say, “I can’t praise the staff enough, they provide excellent care. The move was handled very well and the home had thought of everything”. Pocklington Rise (Plymouth) DS0000069561.V339328.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): 12/13/14/15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users at Pocklington Rise can be confident that the home offers very good wholesome meals. The home welcomes and encourages families and friends to visit. EVIDENCE: The home organises activities within the home and these are recorded into a monthly newsletter sent to all service users. Staff are responsible for organising daily activities such as bingo, however, outside activities are brought into the home and on the day of the inspection 2 volunteers were visiting and carrying out a newspaper reading session. The service users were spoken with after the session and said that volunteers had visited for before and they had enjoyed these sessions. The service users also confirmed that other activities take place with the staff. All six service users comments cards ticked always under : are there activities arranged by the home that you can take part in. One wrote, “I attend when I’m interested in the activities” and another wrote “activities are their for me if I wish to attend”. One service user interviewed said “I hope to go to the Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 14 Theatre soon”. One relative survey wrote under what do you feel the care home does well, “They provide good activities”. One member of staff informed the inspector that different activities are arranged and trips out are also arranged. During the inspection there were family or friends visiting the home. All visitors stated that they can call at any reasonable time and are encouraged to. One of the service users had gone out with family members during the inspection. Some service users manage their own finances themselves whilst others allow there family do this for them. One service user confirmed that their family manages their money and a family member said they had power of attorney for their relative. All bedrooms contained personal possessions and all rooms are single to allow visits in private. There are also several small lounge areas available if needed. During discussion with the service users about food they said it was “excellent”, “the cooks are wonderful and the food is always lovely”, “I always have a choice”, “I can choose the food I want”. All service users who were able to made positive comments about the food provided. One service users comment card wrote under the, do you like the meals at the home said, “Good food no complaints” and another wrote, “overall all right” and a third wrote, “could be cooked better”. The inspector observed the staff discussing with the service users the tea menu available and the following days lunch menu. The chef on duty during the inspection held a list of foods available for each day and this provided evidence that several choices are offered daily. The menus were sent with the pre-inspection questionnaire. And the chef was spoken with during the inspection about the menus and food on offer. It was evident from the food served at lunchtime, during the inspection, that the food was home cooked using fresh products. The meal was well presented and freshly prepared. One relative wrote under the, what do you feel the care home does well wrote, “The meals are well planned and cooked and the restaurant and kitchen is always clean with good staff”. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16/18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home. EVIDENCE: The homes complaints procedure was displayed for all to access. The visiting family members interviewed during the inspection stated that they were aware of the complaints procedure and would approach the manager if they had any concerns. All felt that any complaints would be acted upon. Many the service users were spoken with and most were aware of the homes complaints procedure and stated that they had never had any need to use it. One informed the inspector “ I know how to make a complaint but have never needed to”. All service users questionnaires ticked, Yes, when asked if they knew how to make a complaint. One service user wrote, “I would speak with my key worker” under: do you know how to make a complaint and another said “The carers would help me”. One relative questionnaire returned wrote under: do you know how to make a complaint about the care provided by the home or agency, “We were given information on procedures if we had any complaints”. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 16 The home complaints folder did not contain any complaints and all service users spoken with felt that any complaints made would be dealt with. No adult protection issues have been raised by the home. Many of the staff members on duty were interviewed during this inspection. The discussion with these staff members confirmed that they all completed the Adult Protection training. It was clear from the information given to the inspector from the staff they had a clear knowledge and understanding of the Adult Protection process. Discussion with the staff confirmed that they were aware of the procedure in dealing with any issues and that the home had an alerters guide available. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.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): 19/26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Pocklington Rise provides a clean and suitable environment for it’s stated purpose and the service users can be assured that they will live in an attractive and comfortable home that is regularly maintained. EVIDENCE: The service users have only moved into these premises one week ago. The manager confirmed that the whole home was redecorated and some alterations made where needed before they moved in. One service user confirmed that they were able to choose the room they wish to move into and was also involved in the colour scheme. Many have their own telephone sockets and extra electrical points were being installed. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 18 A full tour of the premises was undertaken. This showed that the home is safe and well maintained and suitable for its stated purpose. It is a very comfortable, warm and light home. The gardens had been redone before people moved in and was well designed and accessible for all. The home employs a maintenance person to carry out everyday repairs and general upkeep of the home. The laundry facilities are sited separately and a sluice is available. The home was very clean, hygienic and free from offensive odours and the laundry facilities were suitable for its stated purpose also the washing machine has a sluice facility. The process for the removal of clinical waste was discussed and was satisfactory dealt with. Several of the staff confirmed they had completed an infection control course and that the home provided disposable aprons and gloves for their protection. The chemical cupboard did not have a locking facility, however before the completion of the inspection a suitable lock had been fitted. Comments received on the service users comment cards were, “Kept to a high standard” and “overall satisfied”. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. EVIDENCE: The homes rotas as well as the staff confirmed that there is sufficient staff employed to care for the service users in the home. This included extra staff presently assisting due to the change of premises and assisting service user to settle in. The manager also confirmed that the home would now have 2 waking night staff and a manager on call. The service users comment cards asked, do the staff listen and act on what you say. Five ticked yes and one commented “most of the time”. Another wrote “They answer me in a sensible way” and another wrote, “Sometimes have to wait a little longer”. Many of the service users interviewed said that they are assisted promptly indicating that there is sufficient care staff on duty each day to meet the service users needs. One relative feedback cards under the, do the staff have the right skills and experience to look after people properly wrote, “All members of staff are trained to deal with all issues and guided by leaders”. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 20 The home currently employs agency staff to assist the service users to settle into their new environment. Two agency workers were interviewed and confirmed that they had completed employment checks. The home proved evidence that they obtain a document form the agency to confirm full employment checks are in place before the use of new agency staff this ensure the protection of service users. The home employs several cleaners, a laundry assistant, kitchen staff and two chefs to assist with the running of the home. Two staff made comment on their staff surveys about the lack of communication at times between staff, however one went onto say this had improved recently. The pre inspection questionnaire states that the home has 100 of staff trained at NVQ level 2 or above. The manager confirmed this was correct at the time but due to the move to larger premises extra staff have now been employed and some will start their NVQ’s soon. The manager confirmed that the Thomas Pocklington Trust makes money available for staff training. Those staff files examined contained the required pre-employment checks, including Criminal Record Bureau Disclosures, ensuring as far as possible unsuitable staff are not employed. One new staff member stated that their recruitment and selection process was fair and they had completed a CRB check and shadowed other staff members during her induction. This staff member said that they had received a 2 week induction and this was “excellent”. The home uses the Skills for Care Induction package for all new staff and a completed Induction record was available on a staff members file. One staff member informed the inspector that Thomas Pocklington Trust is laying on transport for all staff from the old site to the new site to provide continuity of staff for service users. The staff-training files provided further evidence that regular training was carried out. All staff interview confirmed that they receive regular and updated training. This included First Aid, Manual Handling and Food Hygiene. Information sent to the Commission was that external training providers are used for specialist training such as Fire Safety training. All staff had completed Adult Protection training with an internal training. Some staff were booked to attend the local authority Adult Protection training. Two staff interviewed had completed a 12-week Medication training course and all staff interviewed confirmed that regular training is offered. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 21 All the staff surveys returned under the, is there anything that the care home does really well wrote made a comment about the training the home offers. This included, “The care home looks after the staff as well as the service users and training is second to none”, “Training to improve our skills” and another said, “The level of training and the encouragement to complete the training and update skills is, as far as I am concerned, second to none. I feel privileged to be part of Thomas Pocklington Trust because of the investment in staff is excellent”. One staff member wrote on their staff survey “ Personally I think this home is one of the best and provides quality care and support to all the service users in their care”. One service user wrote on the survey returned to the Commission, “ All very kind and very good, very happy with everything staff always kind and warm”. The visitors spoken with during the inspection spoke very highly of all the staff and said, We can’t praise the staff enough” and “ The home handled the move very well including extra staff but having the same staff with mum really helped”. One relative comment card under the, what do you feel the care does well wrote, “In my mothers case she appreciates their kindness, good humour and helpfulness and for me it is like a second home”. The service users interviewed said about the staff, “Excellent”, “all the staff are very caring” and another said, “ staff are very good indeed and very helpful” and, “The chef is excellent and nothing is to much trouble for the care staff”. One staff survey returned wrote under the any other comments section, “ I have been employed at Thomas Pocklington Trust for many years and continue to learn and also thoroughly enjoy my employment, thank you Thomas Pocklington”! Pocklington Rise (Plymouth) DS0000069561.V339328.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): 31/33/35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager is competent has the respect of the staff team and is highly thought of by the service users and the visitors. EVIDENCE: The manager was available throughout the inspection process. The manager has worked for the home for many years and has gained NVQ’s in Management and Health and Social Care. The manager Janis Lane also holds the Registered Managers award. The manager confirmed that she continues to update her training when needed. A discussion was held with the manager on quality assurance. The manager confirmed that these had been completed and previous inspection reports Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 23 show these had been carried out. However they were currently held at the old home and will be transferred later this week. Service users money was checked and 2 were found to be short, both had information recorded to state this and this was completed by a temporary administration staff. The employed administration staff was due to reconcile and balance the account when they moved from the old site. The manager was aware and waiting for input form her permanent staff. Staff supervision records showed that this is carried out regularly and on a one to one bases and the manager confirmed that they hold regular staff meetings. All staff interviewed confirmed that they receive regular supervision that includes discussion on courses available. Sampling of records indicated equipment is serviced regularly and maintained in good order. Health and Safety is a priority in the home and the records that were examined showed fire safety training and fire protection is in place and up to date. The accident records were accurate and files examined showed that information is recorded onto accident forms and also written into service users daily records with appropriate action taken when needed. Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 24 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 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 3 X 3 Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Pocklington Rise (Plymouth) DS0000069561.V339328.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Pocklington Rise (Plymouth) DS0000069561.V339328.R02.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. 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