Inspection on 29/11/06 for Tile House

This inspection was carried out on 29th November 2006.

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

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

Other inspections for this house

Tile House 12/12/05

Tile House 24/08/05

Tile House 11/02/05

Tile House 20/10/04

Tile House 05/03/04

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 Tile House Tile House 34 Victoria Avenue Shanklin Isle of Wight PO37 6LS Lead Inspector Neil Kingman Unannounced Inspection 29 November 2006 10:15 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 Tile House DS0000055596.V310973.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. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tile House Address Tile House 34 Victoria Avenue Shanklin Isle of Wight PO37 6LS 01983 862762 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) Island Healthcare Ltd Carol Ann Barker Care Home 21 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (15) of places Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12 December 2005 Brief Description of the Service: Tile House is a residential home providing care and accommodation for up to 21 older people, with capacity for six people in the dementia care category. The single room accommodation is arranged over three floors, with access to both the lower ground floor and the first floor via a series of stair-lifts. Currently 13 of the 17 rooms have en-suite facilities. The home is located in Victoria Avenue, Shanklin and is only a short distance from the amenities and facilities of the main town. A regular bus service operates along Victoria Road with the nearest stop a few metres from the premises. The building itself is a period town house, with off-road parking to the front, and level access into the home. Mrs Carol Barker manages the home on behalf of the proprietors Island Healthcare Ltd. Since the company took over the running of the home significant improvements have been made to the environment and further work is planned for the future. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the results of an evaluation of the quality of the service provided by Tile House and brings together accumulated evidence of activity in the home since the last key inspection on 12 December 2005. Part of the process has been to consult with people who use the service; including a telephone discussion with a social services care manager. There were four responses to the care homes survey received from residents in the home. Included in the inspection was an unannounced site visit to Tile House by an inspector on 29 November 2006. While the registered manager was not available due to a period of sickness Mrs Bennett the Managing Director of the Company and Responsible Individual was in day-to-day charge of the home. During the visit the inspector spoke with staff on duty, several residents as a group and others in the privacy of their rooms, and also two relatives who were visiting the home at the time. The inspector toured the building with Mrs Bennett and looked at a selection of records. The responses from the consultations were very positive. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service users guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. What the service does well: It was evident from all the responses (both verbal and written) from residents, relatives and care management that Tile House provides a high quality service for those who live there. One visiting relative of a resident said that several homes had been visited before Tile House was chosen. It was felt that it had been a good decision and both the resident and the relative were very satisfied with the service. During the inspection process the strengths in the service were identified as: Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 6 • • • • • A commitment to upgrading and improving the environment. Good ongoing training for staff. Good communication between management, staff and residents. Good quality assurance processes. Good standard of personal care for residents. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have the information they need to make an informed choice about whether to move in. Each resident or their representative has a written contract/statement of terms and conditions with the home. The manager ensures that the care needs of the people who live at Tile House will be met by undertaking a proper assessment prior them moving into the home. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 9 EVIDENCE: Information Island Healthcare Ltd has produced an up-to-date statement of purpose for Tile House, a copy of which has been sent to the Commission. The inspector noted a copy just inside the front door where people can see it, and read it if they wish. The home has a brochure (service user’s guide), written in plain English, which basically tells the service user all about the home, what it provides and what it costs to stay there. Mrs Bennett confirmed that a copy is given to all prospective residents, in most cases before they move into the home. The inspector had an opportunity to speak with two visiting relatives who represent residents in the home. They confirmed that they were given a copy of the service user’s guide on behalf of those residents. Contract – Mrs Bennett confirmed that all residents or their representatives are given a contract, or ‘agreement between Tile House and client’. A copy of the terms and conditions of residence is included in the service user’s guide. Both visiting relatives confirmed that they had been given a contract in respect of the residents they represented. Pre-admission assessment It had been noted at previous inspections of Tile House that the manager does not admit new residents without first undertaking a pre-admission assessment. The inspector looked at how the home managed the admission of the newest resident, who moved into Tile House just five days earlier. Records showed, and Mrs Bennett confirmed that while it was an emergency admission she was able to undertake a full pre-admission assessment of the individual’s needs at another care home in the locality. The home uses a basic but very clear assessment form, which covers all the necessary information needed to start a plan of care for daily living. A copy of the assessment was available on the resident’s file. The inspector spoke with the new resident. While it was not easy to obtain a clear view of the process he was able to confirm that someone from Tile House had been to see him before he moved in. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 10 Intermediate care Residents at Tile House tend to be long term. The home does not provide dedicated accommodation for short-term intermediate care or specialised facilities for rehabilitation. However, respite care is provided if there is a room available. Tile House DS0000055596.V310973.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 and 10 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a system of care planning with an individual plan for each resident. They provide a good demonstration that residents’ health and social care needs are identified and met and include risk assessments and monthly reviews. The home promotes and maintains residents’ healthcare and ensures that access to healthcare services is available at all times. Medication is securely held and appropriate records maintained. The home ensures that staff respect residents’ privacy and dignity at all times, especially with regard to the arrangements for health and personal care. EVIDENCE: Care planning – The home has a system of care planning with an individual personal plan for each resident. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 12 The inspector looked at a sample of three plans. The intention was to look at the outcomes for residents in general by assessing all areas of care for those sampled. The sample included the newest admission to the home, who moved in just five days earlier, a resident who was unwell at the time of the site visit, and a resident who had lived at Tile House for about fourteen years. The inspector noted the structure and content of the sampled plans to be clear, user friendly and of a good standard. Each resident’s plan includes: • • • • • • • • Medical and social history. Pre-admission assessment. Appropriate charts and records. Plan of care for problems and needs. Specific, falls and manual handling risk assessments. Personal and social care routine. Daily recording of information and night log. Guidance for staff on completing the plans. Staff spoken with confirmed that care plans were reviewed and updated monthly. The inspector noted that reviews were up to date. There were positive comments from a social services care manager who confirmed that staff followed and regularly reviewed residents’ personal plans. There was a mixed reaction from residents when the inspector asked them about their individual care plans. Several seemed confused about the existence of a care plan and others said they knew that staff wrote things down about them. The visiting relatives had some knowledge of the plans in place for their residents. In terms of the home’s approach to equality and diversity within the service, Mrs Bennett said that they tried hard not to be complacent, and were working on peoples’ individuality. She said that the home in general was moving towards a more individualised approach to care. The inspector saw some evidence of what Mrs Bennett meant in discussions with one resident who had been in the home for fourteen years. This resident confirmed that staff made a great deal of effort in meeting his individual needs, many of which were outside the home. Health and access to care services Mrs Bennett confirmed, and records evidenced the regular contact with GPs, optician, dentist, community mental health nurse etc. Residents spoken with Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 13 said that the home was very quick to contact a doctor if they needed one and to arrange the various checks with the dentist and optician where applicable. During the site visit the inspector had an opportunity to speak at length with two visiting relatives who were very happy with the way the home took care of the residents’ healthcare. They said the home kept them informed of all important matters affecting their relatives. In discussions with a senior carer it was clear that while a minority of residents were vulnerable to pressure sores none had them at the time of the inspector’s visit. It was due, according to this senior, to the use of equipment and good practice by staff, in close co-operation with the district nurses. All four of the responses to the care homes survey indicated residents always or usually receive the care and medical support they need. Medication Medication is dispensed by means of a monitored dosage (blister pack) system by staff who have completed medication training, and deemed competent by the manager. The home has a policy and system to ensure residents’ medication is stored, administered and recorded safely. During the site visit the inspector looked at the arrangements in place and noted all medication to be stored under secure conditions and records well maintained. Privacy, dignity and respect Mrs Bennett and staff spoken with confirmed that the importance of respect for people’s dignity and privacy is covered in the first two days of induction training for new staff. On the day of the site visit the inspector spent time with residents in the communal areas and observed the staff at work. Staff were at all times good humoured and kind towards residents, calling them by their preferred names and knocking on doors before entering rooms. All residents and relatives spoken with were full of praise for the staff and their approach to care. Residents can use the facility of the home’s portable phone to make and receives calls. A small number have their own mobile phone and several have installations in their rooms. Tile House DS0000055596.V310973.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 and 15 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Tile House offers a flexible and varied service where choices and preferences are encouraged and supported. Activities are offered to suit the needs of the residents. Friends and family are made to feel welcome and can visit at any time. Residents are encouraged and supported to manage their own financial affairs for as long as they wish and are able. Currently where difficulties arise, family members are available to assist. The promotion of choice extends to all aspects of daily living including personalisation of rooms, and meals. Residents’ nutritional needs are satisfied with a varied and balanced diet of good quality food. EVIDENCE: Routines and activities – All responses to the care homes survey returned from residents as part of the inspection process indicated there are always or usually activities arranged by the home that they can take part in. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 15 The inspector was shown a monthly programme of internal and external activities and entertainment, drawn up and made available to residents, which included: • • • • • • Gentle exercises Tai/Chi Quizzes Bingo and board games Manicures and hairdressing Trips out to places of interest In discussions with a group of residents in the lounge it was clear that most enjoyed the activities. Special mention was made of the arrangements made for Christmas. To ensure variety and consistency with activities one of the members of the care staff has responsibility for their co-ordination. Visiting arrangements – Visiting arrangements can be found in the statement of purpose. Visitors are welcome at any time. Residents can receive visitors in their own rooms or any of the communal areas. Also, there is a quiet area in the conservatory next to the dining room, which affords a certain amount of privacy. Both the care manager and the visiting relatives confirmed that they were always made welcome by staff and were able to meet with residents in private. Personal autonomy and choice – Residents were spoken with as a group in the lounge and some individually in the privacy of their rooms. Due to some cognitive impairment it was not possible to obtain informed views from everyone. However, the consensus was that they were given choices regarding routines in the home, e.g., times of rising, going to bed, activities, meals, personal care etc. Residents are encouraged to bring with them pictures, ornaments and personal items for their room. During the tour of the building it was noted that some rooms showed a high level of personalisation, which reflected the residents’ individual tastes and preferences. The management of residents’ finances is covered later in the report but in a general sense they are encouraged to handle their own affairs as long as they are able. Mrs Bennett confirmed that two residents were well able to handle their own affairs, while families took that responsibility for others. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 16 Meals and mealtimes – The inspector had an opportunity to join residents and observe them and staff at lunchtime. The atmosphere in the dining area was sociable and friendly. Staff were available to assist residents as and when required. Food served was appetising and well presented. Most residents spoken with made very complimentary remarks about the lunch. All responses to the care homes survey showed residents always or usually liked the meals. The inspector spoke with the catering team who pointed out the improvements made to the kitchen in recent years. They showed a clear commitment to providing residents with quality, varied and nutritious meals and menus supported this. The inspector noted that drinks and light snacks were offered to residents through the day between meals. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 17 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 and 18 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home treats residents’ complaints seriously and responds appropriately. The home’s policies, procedures and practices ensure that residents are safeguarded from abuse. Procedures for responding to suspicion or evidence of abuse are robust. EVIDENCE: Complaints The home has a policy and procedure for dealing with complaints, details of which can be found in the statement of purpose and the service users guide, given to all new residents or their representatives. The pre-inspection information provided by the manager indicated that two complaints had been made in the past year; this was confirmed on examination of the complaints register. The inspector noted the register gave detailed descriptions of the complaints, and what was done about them. Due to the cognitive impairments of some of the residents it was difficult to gauge their knowledge of how to make a complaint. However, two residents who were able to give informed views were very clear that they would go to the manager or Mrs Bennett with any concerns, and felt confident that they Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 18 would be able to resolve them. The visiting relatives were very clear about the complaints procedure but so far had not needed to use it. Adult protection The home holds a copy of the Isle of Wight Social Services Adult Protection Policy Guidance. There is also a written procedure for the protection of adults at risk, which follows local authority guidance and the Department of Health publication ‘No Secrets’. A summary of the guidance is included in the staff handbook, which informs staff of the location in the home of the full document. Staff spoken with were very clear about how to recognise abuse, what to do, and the importance of reporting issues of concern without delay. They confirmed that training was given. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 19 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 and 26 – Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for its stated purpose in providing a safe and comfortable environment for those who live and work there. Decoration and maintenance are ongoing. All areas of the home are kept clean, hygienic and there are no unpleasant odours. EVIDENCE: Environment – Tile House has been a residential care home for older people for many years and while not purpose built has been adapted over the years to be suitable for its stated purpose of providing a safe, manageable and comfortable environment for the people who live there. The home is located in Victoria Avenue, Shanklin and is only a short distance from the amenities and facilities of the main town. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 20 In recent years, since Island Healthcare Ltd took over the running of the home the environment has improved significantly. Stair lifts afford access to rooms on the first floor. All areas of the building are accessible to residents, including the patio at the rear where residents can sit when the weather is fine. The home is generally comfortable, well furnished and decorated. There was evidence of an ongoing programme of refurbishment with most bedrooms having now been upgraded. Thirteen of the seventeen bedrooms have an ensuite WC and one has an en-suite bathroom. A further room was in the process of being upgraded to include an en-suite facility. There is an assisted bathroom on the first floor, an assisted shower room on the ground floor, and adequate separate WCs, two of which are close to the lounge and dining area. The inspector noted ongoing progress with decorating the outside of the building. This was an issue identified at the last inspection. Some of the work has been completed and further work is planned, including a plan to relay the front driveway, which has deteriorated. Residents spoken with during the inspection made very positive comments about the environment, especially the improvements that had been made. Cleanliness The inspector toured the building with Mrs Bennett. The home was very clean, hygienic and free from unpleasant odours. Since the last inspection the laundry has been decorated and the floor retiled. Machines are of the industrial type, enabling soiled articles to be washed at appropriate temperatures. All four responses to the care homes survey indicated the home was always fresh and clean. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 21 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 and 30 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are deployed in sufficient numbers and have the necessary skills and experience to meet the needs of the people who live there. To ensure residents are in safe hands arrangements are made for staff to undertake NVQ training. At the time of the inspection the home had achieved a ratio of 54 of care staff trained at NVQ level 2 or above. The home operates a robust staff recruitment procedure, which ensures service users are protected. The staff training and development programme ensures the residents’ needs are met in line with the aims of the home. EVIDENCE: Staffing levelsThe home employs eleven care staff, with additional domestic, catering and maintenance staff. Staff rosters showed and Mrs Bennett confirmed that three care staff are deployed during the morning, two in the afternoon and evening, with one sleep-in and one waking overnight. Additionally, there is a social activities co-ordinator available. Mrs Bennett said that additional staff can be made available according to the changing needs of the residents. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 22 The manager and responsible individual (Mrs Bennett), who are often available within the home, work additional to those on roster. On the day of the site visit there were seventeen service users resident in the home with two/three care staff, activities co-ordinator and the responsible individual on duty. These staffing levels are considered sufficient for the current needs and numbers of residents in the home. The visiting relatives and the care manager consulted felt there were always sufficient numbers of staff on duty and no concerns were raised about staffing levels by anyone. NVQ training – Mrs Bennett confirmed and staff training records showed that currently 54 of care staff have achieved the NVQ at levels 2 or above. The home’s training programme continues to ensure that this standard is met. Recruitment Individual staff recruitment files were available for inspection and showed that the home’s recruitment procedure includes an application form, job description, medical and health information, proof of identification, two written references and police and Protection of Vulnerable Adults (POVA) checks on all staff. A tracking/monitoring form ensures that the procedure is consistent and robust. During the inspection the recruitment records of both new members of staff recruited since the standard was last assessed were checked and found to be in good order. Staff Training – The home operates an induction programme for new staff, which follows the Common Induction Standards recommended by Skills for Care. The inspector spoke with one of the care staff who performs a mentoring role in the home, and ensures that any gaps in staff training are identified and filled. She was very clear that the Company provides a very good training package using both in-house and external training providers. Records showed that staff training includes: Moving and handling Basic food hygiene First aid Health and safety Adult protection Fire safety Infection control Dementia care Death & dying Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 23 Both the visiting relatives and the care manager spoken with felt that staff demonstrated a clear understanding of residents’ needs. In discussions with staff it was clear that the induction programme equipped them well for work in the home. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 24 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 and 38 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager has the experience together with the relevant management qualifications to run the home and meet its stated purpose, aims and objectives. There are good quality assurance measures in place to ensure the home continues to meet its aims and objectives. The home has no involvement with service users’ financial affairs other than to provide a facility for safekeeping money or valuables on request. Policies, procedures and practices ensure so far as is reasonably practicable the health, safety and welfare of service users and staff. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 25 EVIDENCE: Management – The registered manager Ms Carol Barker has been in post for about 2½ years and has many years experience of working in a residential care setting. She is fully qualified, having achieved the Registered Managers Award and the NVQ at level 4 in care. At the time of the inspection due to a period of sick leave the manager was not available. Mrs Bennett the Managing Director of the Company and Responsible Individual was managing the home on a day-to-day basis. She has a diploma in Health and Social Welfare and is currently studying for a degree. Staff spoken with during the site visit felt the home was well managed; staff morale was high and communication was good. Quality assurance – Mrs Bennett confirmed that the Company has an annual development plan for the home, the results of which were evident in the significant improvements made to the environment, staff training and overall quality of the service. The inspector noted that there is continuous self-monitoring of all areas of the service using a monitoring tool, producing bar charts, which are used to inform management of what the home does well and what could be improved. Mrs Bennett gave examples and the inspector saw records of the home’s approach to quality assurance, which includes: • • • • • • A quality assurance policy is in place. Resident satisfaction surveys are carried out, involving relatives where appropriate. There are monthly site monitoring visits on behalf of the Company to monitor the conduct of the home. There are regular care reviews involving the social services care manager, the resident and a relative. Monthly data checks cover a range of areas from pressure areas to staff supervision. The attainment of the Investors in People Award. Residents’ monies – The home is not directly involved with the management or administration of residents finances, offering instead to support them if they wish, by purchasing Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 26 incidental items and invoicing them or their representative against receipt each month. Two residents manage their own affairs and have a lockable facility in their room. The inspector looked at the arrangements for safeguarding residents’ monies and valuables and found it to be satisfactory. Health and safety – The home’s pre-inspection information signed by Mrs Bennett confirmed that policies and procedures were in place to ensure safe working practices in the home. A sample of records was viewed including fire alarm tests, health and safety risk assessments, public liability insurance, gas and electrical certificates, all of which were in good order. Staff training records showed, and staff confirmed that statutory training is scheduled and updated in manual handling, first aid, fire training, health and safety and food hygiene. Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 27 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 x N/A 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 4 x 3 x x 3 Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 28 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight 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. Extracts may not be used or reproduced without the express permission of CSCI Tile House DS0000055596.V310973.R01.S.doc Version 5.2 Page 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!