Inspection on 07/06/07 for Torr Home

This inspection was carried out on 7th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Torr Home 11/02/09

Torr Home 13/03/08

Torr Home 15/02/06

Torr Home 23/06/05

Torr Home 18/01/05

Torr Home 12/08/04

Torr Home 03/02/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Torr Home The Drive Hartley Plymouth Devon PL3 5SY Lead Inspector Megan Walker Unannounced Inspection 10:00 7th June 2007 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 Torr Home DS0000003514.V327855.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. Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Torr Home Address The Drive Hartley Plymouth Devon PL3 5SY 01752 771710 01752 782300 info@torrhome.org.uk www.torrhome.org.uk Devonport & Western Counties Association for Promoting the General Welfare of the Blind Mrs Joan Collins Care Home 40 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) Category(ies) of Old age, not falling within any other category registration, with number (40), Sensory Impairment over 65 years of age of places (40) Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age 60 yrs One named individual under 65 years Date of last inspection 15th February 2006 Brief Description of the Service: Torr Home is a care home registered for up to forty people who have care needs within the categories of Old Age, not falling within any other category (40), and Sensory Impairment over 65 years of age (40). It is not registered to provide intermediate care or nursing care. Torr Home is owned by Devonport & Western Counties Association for Promoting the General Welfare of the Blind, a registered charity, and overseen by a board of trustees. It is a large home developed in 1926 from a former large country house that has been successfully modified over the years to provide residential care. Torr Home is located in the Hartley area of Plymouth, close to Mutley Plain and Hyde Park shopping areas. There is easy access to the city centre and other parts of Plymouth by bus. Torr Home also offers respite care for older people to have a short break; convalescent care for older people recuperating from hospital admission; and day care three days per week for older people living in the local community. The current scale of residential fees is £425.00 to £600.00. These fees do not include hairdressing, chiropodist, telephone, newspapers and magazines, incontinence pads, and toiletries. Information about additional charges is available in the Service User’s Guide (brochure) provided by the home. This information was given to the Commission for Social Care Inspection (CSCI) in April 2007. Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a Key Inspection. The fieldwork part of this inspection was unannounced and took place on Thursday 7th June 2007 between 10h30 and 19h45. This visit included talking to people who use this service (people who live at the home and those who come in for day care), staff, and visitors to the home, observation of interactions between staff and people who using this service. There was also a tour of the premises, and inspection of care plans, staff files, medication and other records and documentation. The Registered Manager was not present at the time of this visit due to sick leave. However a Duty Officer and the Chief Executive of the organisation were able to provide relevant information such as the day-to-day routines as well as the management of the home. In addition other information used to inform this inspection: • The Pre-inspection Questionnaire completed by the Registered Manager. • The Annual Quality Assurance Assessment (AQAA) completed by the Chief Executive • The previous two inspection reports • All other information relating to Torr Home received by the CSCI since the last inspection. Of 66 Comments’ Cards and Surveys sent out, the CSCI received back – • 10 People who use this service “Have Your Say About Torr Home” Care Homes Surveys • 6 “Relatives/Visitors” Comment Cards • 10 Care Workers Surveys • 2 General Practitioner (G.P.) • 2 Health/Social Care Professional in contact with the home Two requirements and three “Good Practice” recommendations were made as a consequence of this inspection. What the service does well: Someone using this service stated: • “It’s a compliment to the home that people who come here for respite want to stay. Another person wrote to the CSCI: • “I am happy – pleased with the support and care I receive here” Torr Home offers a relaxed environment in which people who require twentyfour hour care are encouraged to be as independent as possible. Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 6 The values and ideas of Torr Home are instilled in all the home’s practices, and this ethos continues to be upheld regardless of the Registered Manager’s absence over the past few weeks. 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. Torr Home DS0000003514.V327855.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 Torr Home DS0000003514.V327855.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, 4, 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People choosing to use this service and their families can feel confident that their needs will be assessed before moving into the home and that they can have the information they need to make an informed choice about where to live. EVIDENCE: Torr Home has an information pack available to people looking at using this service, and their families. There is also a website that gives information about the home and useful links to other organisations such as the Royal National Institute for the Blind (RNIB). The website states that religious services are available however this is not specific about the home’s strong links with local churches or its Christian based values and culture. Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 9 All the surveys returned to the CSCI from people who use this service confirmed that they had received information about the home before they made a decision to move there. Several of the people who use this service and returned surveys to the CSCI, and others who were asked during this visit knew of Torr Home because they had stayed here for convalescence or respite. • “I stayed for a week in respite after my cataract operation so therefore I knew what Torr was like”. The Duty Officer explained that people are assessed before they move into the home to make sure that the care needs identified can be met by the staff team and within the home. When practicably possible, people are encouraged to visit the home before deciding if they wish to move in. All the care files inspected had comprehensive pre-assessment information except one. In this case the Chief Executive was able to provide legitimate reasons why this information was not on the care file. Torr Home DS0000003514.V327855.R01.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, 11 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People who use this service can feel confident that a staff team that is respectful and sensitive will ensure that all their health, personal and social care needs are met. EVIDENCE: Someone living at Torr Home wrote in the survey returned to the CSCI: “I am happy – pleased with the support and care I receive here.” Other people spoken to during this visit said that they were well looked after and they could choose how they spent their time. Inspection of a random selection of care files found that each one had a comprehensive assessment of care needs and a care plan. These had all been reviewed regularly and amended as required. Accidents were recorded Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 11 appropriately and reported to the relevant authorities as necessary. There were risk assessments for each person as well as bedroom safety checklists also seen on each file inspected. Two of the files seen had a funeral plan provided by the individual for inclusion on their care file. Each file had a page for the person and/or their relative or advocate to sign confirming that they agreed with the care plan. Comments received in surveys returned to the CSCI from General Practitioners and District Nurses included: “Good communication between staff and visiting District Nurse team. Health care needs of individuals assessed quickly.” “My patients are content at Torr” The medication was seen kept in a fixed lockable cupboard and a lockable drugs trolley that is usually kept tethered to a wall when not in use. At the time of this visit due to redecoration work, the trolley was kept in the staff office. (The staff office was locked when it was not in use.) The controlled medication cupboard was stored in a small lockable cupboard inside a fixed, lockable wall unit. These were all metals storage units. The medication administration charts each had a photograph of the resident for whom the medication was intended. There was also a list of names and initials for each of the staff members trained to administer and handle medication. The medication records seen were signed and dated appropriately. The Duty Officer was observed during the morning medication procedure. Her manner was systematic and unhurried and she was discreet in taking medication to each resident individually and ensuring that it was properly taken. All medication was signed for as it was given and then when it had been taken. One care file inspected had a signed self-medication agreement between the care home and the individual. Lockable storage was provided for this person’s medication in their room. In response to “What do you feel the care service does well?” several people who returned surveys wrote comments about the high standards of personal care, and the respect shown to people who use this service: “I feel the care shown to residents, respect for their individual need and from my perception, a lack of regimentation (residents can remain in their rooms or come down to the lounge). “My observation is that the staff treat the residents with the greatest respect” “High standard personal care” “Makes people feel at home. Safe environment.” Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 12 “Gives very good individual care to meet individual needs of each service user” People who were asked confirmed that they could choose whether they receive personal care from a staff member of the opposite gender. One female said that it would never be assumed that she should accept assistance with personal care from a male staff member. The Duty Officer confirmed this and said it applied to both women and men. Torr Home DS0000003514.V327855.R01.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. People who use this service are satisfied with their lifestyle at Torr Home and are encouraged to exercise choice and control over their lives. EVIDENCE: Someone who uses this service and returned a survey to the CSCI wrote: “There are plenty of activities if I want to take part them” A visiting professional who returned a survey to the CSCI wrote: “Provision of a good entertainments’ programme. The senior staff go ‘ the extra mile’ to make Christmas and Easter special for the residents”. Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 14 Staff who returned surveys had comments such as: “I was amazed by the effort that was taken by all staff (at Christmas) to ensure the residents had a memorable time: I strongly feel that the home excelled itself in ensuring everyone had a memorable time, staff included!” “Residents cared for well. Had plants bought for Mother’s Day, and every resident had Easter eggs” People using this service said that they could come and go as they wished. Their family and friends could visit any time and they could spend their time together either in the lounge, conservatory, or in the individual’s bedroom. Both people living at the home and people attending for day care talked about entertainment provided for them. It was their choice to take part. Every day there was something different, for example, on the day of this visit there was a local musical entertainer. Afterwards a participant cheerily reported that she’s had a really good sing. The Duty Officer said that people were at liberty to stay in or go out. The only ‘requirement’ was that they sign a book so that staff knew who was in the building in the event of a fire. Evidence was seen on care files of people continuing to pursue their interests and activities on a regular basis such as going to the theatre, maintaining continuity with a hairdresser, and going out for lunch with friends. Evidence was also seen on care files to support the information given by the Duty Officer about integrating new people moving into the home. She explained that, for example, a newcomer would be brought down to the lounge and introduced to others living at the home. Likewise a member of staff would take a newcomer into the dining room to find a suitable table and then to introduce them to the others sitting on that table. The Kitchen Manager explained the changes that have been made since the last inspection, and since she joined the staff team. [SEE MANAGEMENT AND ADMINISTRATION] She explained that she introduces herself to anyone new moving into the home and talks to them about their meals, dietary needs and preferences for food and drinks. The Kitchen Manager said that she attends the end of Residents’ Meetings for feedback and discussion about the menus and meals generally. Dietary needs are met, for example, there is always a vegetarian option on the daily menu, and as feasible, she tries to be imaginative and provide food for people who are diabetic that doesn’t draw attention to their dietary needs. For example, the Kitchen Manager said that she was experimenting with chocolate cake using products suitable for people with diabetes to eat. The feedback she received and especially about the daily afternoon tea, she reported had been encouraging! An information board with dietary needs for reference by the catering staff was seen in the kitchen. Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 15 At the time of this visit a number of daily options (e.g. soup, sandwich, boiled potatoes and cold meat) were offered at lunchtime however there was only one main meal of the day. People who were asked said that if they remembered to check the lunchtime menu (it is displayed in the dining room so was not seen until lunchtime by those people who chose to eat breakfast in their bedroom), and it wasn’t something they liked, then they could ask for an alternative meal. People who were asked confirmed that they could eat their meals either in their room or go to the main dining room. Both at lunchtime and again at teatime staff were observed taking meals on trays to individuals in their rooms as well as serving meals in the two dining rooms. The Kitchen Manager confirmed that people also had this option at breakfast time. Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People who use this service and their families and friends can feel confident that any issues of concern or complaints raised by them will be dealt with appropriately. Staff training on abuse must be extended to all staff working in the home. EVIDENCE: A resident who returned a survey responded that: • “I can always speak to the care manager or a senior staff member” People who were asked during this visit what they would do if they were concerned about anything, all replied that they would talk to a senior member of staff. They all felt they were listened to and generally action was taken promptly to resolve any matters. One person mentioned that the Residents’ Meeting was a good place to talk about anything that anyone was unhappy about in the home. Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 17 Since the last inspection the CSCI hasn’t received any complaints about Torr Home. The home’s Complaints Procedure was seen displayed visibly in the entrance hall. A copy is also included in the information pack sent out to people considering using this service. The Duty Officer said that all the staff working in the home were “expected to leave their views and opinions at the door.” She explained that if any care staff member was over heard making inappropriately comments this would be challenged in a three-way meeting between the staff member, the Registered Manager and a Duty Officer. In response to the question about Adult Protection procedures (that is, understanding how to prevent of any kind of abuse, and report anything witnessed that was abuse) surveys returned by staff showed that care staff received this training. Catering and domestic staff responded “No” and two staff wrote that it was not applicable to their jobs. During this visit the Kitchen Manager confirmed that she had not attended any Adult Protection training and to her knowledge neither had any of her staff team. The staff recruitment procedure was found to be robust except that the application form only had a question about the last job. There was no evidence on staff applications to provide sufficient information to trace any gaps in employment. Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use this service live in a safe, comfortable and attractive homely environment that is clean, pleasant and hygienic. EVIDENCE: Since the last inspection a major refurbishment programme has begun to upgrade existing facilities within the home. This includes: • The provision of en-suite facilities in bedrooms large enough to accommodate this. • Redecoration of the dining room and new furniture and fittings. • Redecoration of the lounge to include access to a newly built patio. • Shared bathrooms on each floor totally refurbished and upgraded. • Shared toilets to be upgraded with removal of the stall partitions. Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 19 • New sluice rooms with steriliser installed on each floor. • A new, upgraded facility for hairdressing. Some of this work had already been completed by the time of this visit. The completion of the remainder of the building is anticipated for the end of 2007. A tour of the premises found that bedrooms were personalised to suit its occupant, and people had brought in their own possessions including pieces of furniture and soft furnishings. Specialist equipment was available for those people who required it. The main kitchen was commercial in size with a separate preparation kitchen. There was good storage space, a chilling room also used for de-frosting food, and a number of ‘fridges’ and freezers. All food deliveries were registered and recorded. The Kitchen Manager oversees the ordering and delivery of all chemical products, and is responsible for ensuring that its use around the home complies with relevant legislation. The residual odour from cigarette smoke identified at the previous inspection visit has been addressed and resolved. The standards of cleanliness and hygiene generally were found to of a high standard throughout the home on the day of this visit. Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People using this service are cared for by trained and competent staff in sufficient numbers to meet their needs. EVIDENCE: Inspection of the staff rotas over a four-week period and during this visit found that staffing levels were high. There was a good balance of staff responsible for care, catering and domestic tasks, maintenance, and administration of the home. Staff • • • • • who returned surveys to the Commission confirmed that: All except one had received a written contract of employment All except two had received a job description All had received induction training All receive relevant training for their jobs The majority felt that they received enough support to do their job well Some of the files were incomplete however the Chief Executive considered that this was an oversight in the absence of the Registered Manager. He has Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 21 subsequently confirmed that all the staff files meet the requirements of the Care Home Regulations 2001. There was evidence from observing staff at work and speaking to them that generally they were aware of working in a way that was not discriminatory because of a person’s age or disability. At the time of this visit everyone using the service was either Christian or agnostic, and white. The home has good links with local churches. Staff who were asked confirmed that they would be willing to find out more about specific religious needs and/or cultures if someone of an ethnic origin or other faith came to live in the home. Gender was addressed in respect of choice about assistance with personal care. A senior staff member stated that gender identity and sexuality of people using the service was not information routinely requested. She said that it would only be discussed with an individual if information was provided in a preassessment, or an individual specifically told staff, and it was relevant to that person’s care needs. Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health, safety and welfare is promoted and protected by a competent and capable Registered Manager who is keen to achieve positive outcomes for people using this service and the staff who work here. EVIDENCE: Since the last inspection the management responsibilities have changed. The Registered Manager manages the care staff and has responsibility for everything relating to the people using this service. The Kitchen Manager now has responsibility for all the catering staff and the domestic staff, the menus, Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 23 environmental health, and health and safety relating to the kitchen and dining room. The Chief Executive oversees the maintenance staff and has specific responsibility for health and safety within the home and its grounds. He also deals with staff contracts, personnel matters, finance and payroll. As the Registered Provider, the Chief Executive also completes periodic inspections for the purposes of regulation and to regularly review the service. Copies of these reports are sent to the CSCI. The Chief Executive reported that the Registered Manager had complied a survey seeking views of people using or in contact with the home however as she was on sick leave it was not possible to inspect this during this visit. Feedback was received from the Residents’ Meetings and two residents expressed their appreciation of these meetings. They also commented that there hadn’t been a meeting for a several weeks because of staff sickness. The financial records of the few people who had money held in the home were inspected and found to be in order with receipts in place for items purchased on behalf of people. During this visit the logbooks of all services and maintenance, and fire safety checks were seen. The Accident Book was inspected and accidents had been recorded correctly. The CSCI had been notified of any incidents affecting the health, safety or well being of anyone using this service. Care plans inspected had risk assessments included in them that were relevant to the individual person. The Kitchen Manager confirmed that she knew about the “Safer Food, Better Business” and the kitchen routine complies with the Food Standards Agency regulations and recommendations. All the staff with access to the kitchen had received Health and Hygiene training. Torr Home DS0000003514.V327855.R01.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 4 4 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 3 4 3 4 4 3 4 STAFFING Standard No Score 27 4 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 4 Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 25 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 OP18 Regulation 13 (6) Requirement All staff who have contact with the people using this service must be trained about how to recognise abuse (financial, physical or emotional), how to prevent abuse, and how to report any incident of abuse if they suspect that it is happening within the home and is putting people at risk. This will ensure that the relevant authorities can take immediate and suitable action and that people using the service are safe. The application form must show evidence of a full employment history with a satisfactory written explanation of any gaps in employment. This will ensure that people using this service are fully protected from potential abuse and harm. Timescale for action 31/10/07 2 OP18 Sch 2 (6) 31/07/07 Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 26 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 Refer to Standard OP15 OP15 OP33 Good Practice Recommendations A notice board displaying the daily menu and situated in the main hall would prompt people to request an alternative meal should they so wish. A choice of main courses at lunchtime should be provided as well as the regular alternatives. The results of the quality assurance survey should be made available to the people who use this service and other stakeholders as soon as possible. A copy must be provided to the CSCI. Torr Home DS0000003514.V327855.R01.S.doc Version 5.2 Page 27 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 - 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. 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