Inspection on 26/06/08 for Tralee Rest Home

This inspection was carried out on 26th June 2008.

CSCI found this care home to be providing an Good service.

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

Other inspections for this house

Tralee Rest Home 26/07/07

Tralee Rest Home 29/01/07

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Tralee Rest Home 38-40 Tankerton Road Whitstable Kent CT5 2AB Lead Inspector Chris Woolf Unannounced Inspection 26 June 2008 09:20 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 Tralee Rest Home DS0000067902.V367171.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. Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tralee Rest Home Address 38-40 Tankerton Road Whitstable Kent CT5 2AB 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) 01227 276307 01227 264598 Baldev Krishan Sohal Sarah Lejarcle Care Home 25 Category(ies) of Dementia - over 65 years of age (0) registration, with number of places Tralee Rest Home DS0000067902.V367171.R01.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 the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Dementia - (DE) The maximum number of service users to be accommodated is 25. Date of last inspection Brief Description of the Service: Tralee is registered to provide accommodation and personal care for 25 older people who have dementia. The premises are two older two-storey properties, which have been joined together and extended. There are a total of 23 bedrooms, which means that if full, two of the bedrooms would have to be used for shared occupancy. In practice, all of the service users have their own bedroom. Each bedroom has a private wash hand basin and 11 of them also have a private toilet. There is a stair lift which runs up to the first floor and which means that service users have step free access to all parts of the internal accommodation. The premises are fitted with a call bell system which is designed to help service users call for assistance should it be needed. The Service is set back a little from one of the main roads into Whitstable. To the rear of the property, there is an enclosed garden. The nearest shops are about one half of one mile away. The current fees for the service at the time of the visit range from £377 to £450 per week. Information on the Home’s services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. The e-mail address of the home is traleeresthome@yahoo.com Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Key Lines of Regulatory Assessment (KLORA) have informed the judgements made based on records viewed, observations made and written and verbal responses received. KLORA are guidelines that enable The Commission for Social Care Inspection (CSCI) to make an informed decision about each outcome area. Information for this report has been gained from a variety of sources. The home completed an Annual Quality Assurance Assessment (AQAA) and submitted it to us (the Commission). Comment cards were received from 7 service users and their relatives, 6 members of staff, 2 care Managers, and 1 health care professional. We made a site visit to the home of just over 5 hours. The site visit was unannounced. This means that neither the service users nor the staff knew that we were coming. During the site visit we met and spoke with the service users and the staff on duty, a visiting training provider, and the Registered Manager. A tour of the building took place. We observed the interactions between the staff and the service users, and the lunchtime meal being served. A variety of records were examined including service users care plans, staff recruitment files, staff rotas and training records, quality assurance, safety records, residents finances, complaints records, medication records & storage, and menus. The Registered Manager is leaving the service at the beginning of July 2008. Recruitment has already started for a replacement Registered Manager. In the meantime the daughter of the Provider who holds a Registered Managers award will run the home on a day-to-day basis. She will be supported by 3 Senior Carers. What the service does well: Care plans are individualised and ensure person centred care. Staff are kind and they treat the service users with dignity and respect their privacy. Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 6 Service users receive good care. A questionnaire from the homes Quality Assurance included the comment, ‘I am extremely pleased with the care that my mother receives from all the staff at Tralee’. The home communicates well with care Registered Managers and family members and responds to recommendations from professionals. The home is proactive with staff training. A comment on homes quality assurance said, ‘The home seems spot on’. A visiting professional said, ‘The service users always come first’. A health care professional comment card stated, ‘I can not imagine how to improve such a well run organisation’. What has improved since the last inspection? What they could do better: There are no requirements or recommendations made on this report. Please contact the provider for advice of actions taken in response to this Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 7 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. Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, & 4. Standard 6 is not applicable to this home Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their representatives have the information needed to choose a home that will meet their needs. EVIDENCE: The requirement on the last report that the statement of purpose should be updated has been actioned. Prospective service users and their representatives are given a range of information about the home. They are also able to visit the home and see the room that is available prior to admission. This enables them to make an informed judgement of whether the Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 10 home will meet their needs. Answers on comment cards from service users and their families to the question ‘did you receive enough information about this home before you moved in so you could decide if it was the right place for you’ included. ‘I was looking for an EMI home Tralee fitted the bill. My first impressions were one of good care for the clients’, and ‘From the KCC Directory, the KCC representative, and by visiting. Had all other homes to compare facilities’. The Registered Manager of the home visits all prospective service users in their home or in hospital. She completes an in depth assessment of physical, mental, social, cultural and diversity needs. The views of families and health care professionals are taken into account when completing the assessment. Where a client comes under the care management scheme the Councils assessment of needs is also obtained. The information obtained enables the home to be sure that they can meet the needs of the prospective service user prior to any agreement about admission. This home does not offer the facility of intermediate care. Intermediate care services offer dedicated accommodation with specialised facilities, equipment and staff, designed to deliver short-term intensive rehabilitation and enable service users to return home. Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that service users receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice EVIDENCE: An individual person centred care plan has been produced for each service user. Care plans include details of physical, mental, social, and cultural needs, together with a variety of assessments and risk assessments. All care plans are reviewed monthly. Evidence was seen that service users and their families have signed and agreed their plan of care. Staff confirmed that they act as Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 12 key workers for named service users. One said, “I check their care plans and note changes such as changes in mobility”. Staff comment cards included, ‘we update their care plan every month and change if there are problems identified’, and ‘The Registered Manager is very good and always updates the staff about changes that need to be amended in the care plans. Very good’. Questionnaires received at the home as part of their recent Quality Assurance questionnaires included, ‘Care plan is always available for inspection and is regularly updated’, and ‘Very good care plan. Very informative. It is good to see all documentation correctly in place’. Service users health needs are met by the home supported by a multidisciplinary health care team. A service user said, “They look after me well”. Comment cards received from service users and the families stated, ‘I find that they are very attentive and quick to pick up problems early so that they can be resolved quickly’, ‘as far as I can see my father is well cared for’, ‘The doctor or nurse has been called in when needed, and the family kept informed’, ‘Health has improved since being here’, ‘Very good support from local doctor and nurses’, and ‘Very good at keeping me informed of xxx health etc.’. Evidence was seen in care plans of contact with Doctors, nurses, chiropodist, optician, CPN, and hospital appointments. Where there is a possibility of pressure areas developing the district nurses are contacted and they provide advice, treatment, and the necessary equipment to maintain good tissue viability. All service uses have a nutritional assessment and weights are monitored regularly. Service users who are nutritionally at risk have food and fluid charts in place and if necessary nutritional supplements are requested from the doctor. Staff comment cards answered the question ‘What does the Service do well’ with - ‘The service provided looks at each individuals needs in every respect and works to meeting these needs in full’, and ‘Helps service users with all of their needs’. The home has robust policies and procedures for the receipt, storage, administration, and disposal of medication. The Boots monitored dosage system is in use in the home. Regular audits of medication take place. All staff who administer medication have received training. Service users dignity is promoted and their privacy is respected. This was observed on the day of the site visit and confirmed by staff and on comment cards completed by health care professionals. A care Registered Manager comment card included ‘Door is knocked before entry’. Service users care plans include detailed information on which soap, shampoo and creams the individual prefers; whether and what type of make up they like to wear; and whether they like to have their nails manicured. A service user said, “The carer did my nails, they look nice with the pink varnish”. A member of staff said, “I check what is missing with their toiletries and clothes and arrange with their families or the owner to get it for them”. Tralee Rest Home DS0000067902.V367171.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 good. This judgement has been made using available evidence including a visit to this service. Service users are able to make choices about their life style. Social and recreational activities meet individual needs. Service users receive a balanced and nutritious diet. EVIDENCE: There was a requirement on the last report that a suitably detailed review should be completed of activities based on service users choice. The home now arranges a programme of activities based on an analysis of service users preferred choices. A daily record of activities is kept for each service user and this includes when they decline to join in and when they receive family visits. On the day of site visit a group of service users were enjoying a film on television in the afternoon supported by staff; 1:1 interactions between staff Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 14 and service users were observed; some service users were reading; and one service user was enjoying looking out of the window and commenting to staff about the people and animals that she observed. Staff said, “They do card making, go out in the garden, go out shopping, we also take some service users out swimming or bowling”, “I took two residents to the Marlow Theatre by Taxi to see Beauty and the Beast on Ice”, and “They like dancing and singing”. Comment card completed by relatives included, ‘Unable to take part in the more physical activities (e.g. swimming) but able to enjoy activities like the sing-a-longs organised at the Tralee’, and ‘Music afternoons are very popular’. One care Registered Manager comment card indicated ‘Social activities appear low’. Service users religious and cultural needs are assessed and recorded in their care plans. Currently all of the service users are from Christian backgrounds and a service is held regularly in the home. A care Registered Manager comment card included ‘Observed religious meeting in lounge’. Service users are supported to maintain contact with the family and friends. A service user said, “My brother in law comes to visit, he brings me chocolate”. Comment cards completed by family members included, ‘the family are kept informed’, ‘Relatives visit at least 4 times a week’, and ‘Very good at keeping me informed of xxx health etc.’. A care Registered Manager comment card indicated that the home communicate well with family members. The home encourages service users to make choices in all aspects of their lives as far as they are able within the confines of their illnesses. Staff said, “Residents choose their food, dress, activities, everything”, and “Carers ask what they want. Some like to sleep after dinner. Some don’t want to get up very early, it’s their choice”. The meals at the home are planned taking into account the likes and dislikes of the service users. There is always a choice at mealtimes and a service user said, “The food is always good, if you want anything else you only need to ask and you get it”. Nutritional assessments are completed for each service user and a record is kept of food and fluid input when a service user is at higher risk. Currently the only special diet catered for is diabetic. Service users said, “Its nice”, The food is pretty good, they usually come and say what they have got”, and “fruit is always available you only have to ask”. Comments on questionnaires completed by relatives included, ‘They do look nutritious, plenty of veg’, and ‘ My father loves his food and always appears to enjoy the meals’. Staff said, “The food is very nice, the residents enjoy it”, and “The food smells nice”. The kitchen has achieved the coveted ‘Scores on the doors’ award of 4* from the local Environmental Health Department. Tralee Rest Home DS0000067902.V367171.R01.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. Service users and their representatives can be confident that they can express their concerns and that they have access to an effective complaints procedure. Service users are protected from abuse. EVIDENCE: The home has a robust complaints procedure and a copy is on display in the hallway. The Registered Manager confirmed that there have been no formal complaints made to the home since the last inspection. Regular relative meetings are held which gives relatives the opportunity to raise any concerns and for them to be dealt with before they get to formal complaint stage. Comment cards from service users and their families confirmed that they all knew how to make a complaint. One stated, ‘His daughter speaks on his behalf’. Staff comment cards confirmed that they all knew what to do if someone wished to complain. Comments included, ‘I have been trained and shown how to handle this situation’, ‘We have residents meeting and relatives meeting to meet any concerns and solve problems that arise’, and ‘My Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 16 Registered Manager would investigate and would put it in writing and act upon it straight away’. A care Registered Manager comment card said that the home always responds appropriately if they have any concerns. Service users are protected from abuse. All staff receive training in the protection of vulnerable adults. No new member of staff commences work before a satisfactory check of the Protection of Vulnerable Adults register has been obtained. Tralee Rest Home DS0000067902.V367171.R01.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, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a clean, safe, and comfortable environment. EVIDENCE: Tralee has been formed from two older two-storey properties that have been joined together and extended. A care Registered Manager comment card stated, ‘The home could be improved with layout changed. Lift would provide safer transfers for clients/staff. Access to property could be a more graduated slope - winter weather slope not ideal’. Although these comments have been Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 18 taken into account it is also recognised that it is far more difficult to make such amendments to an older style property than it would be if the home were purpose built. Overall within the confines of the building the home provides a bright, comfortable and clean environment, and the atmosphere is welcoming and friendly. There is an enclosed back garden, with a patio area. The front garden is block paved. On the day of the site visit the paved area at the front of the home was in need of attention. This was discussed with the Registered Manager and she assured us the gardener would deal this with on his next visit to the home. There was a requirement on the last report that equipment used in the home for the care and support of residents must be in good order. This has since been attended to. Records of up to date maintenance checks of equipment were viewed. Rooms in the home are set out over two floors and there is a stair lift available to provide step free access when required. Currently all of the service users are accommodated in single rooms but should the home be occupied to the maximum number registered 2 of the rooms would be shared. All rooms have a wash hand basin and a good proportion also have en-suite toilet facilities. There are lockable draw facilities in all rooms and each room is fitted with a lock for service user privacy when requested. Rooms are personalised to meet the needs of individual service users. A service user said, “I have got quite a nice room”. The home is clean and odour free. Effective systems are in place to control the spread of infection. There are alcohol gel dispensers outside all entrances into the building and outside the doors of toilet facilities and some of the bedrooms. Liquid soap and paper towels are available in all areas where needed. The laundry has the appropriate equipment for infection control. Comment cards received from service users and their relatives confirmed that the home is always clean and fresh. Comments included, ‘My mothers room is always clean’, and ‘No problems seen here’. Tralee Rest Home DS0000067902.V367171.R01.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 good. This judgement has been made using available evidence including a visit to this service. Staff are appropriately trained and employed in sufficient numbers to meet the assessed needs of the service users. EVIDENCE: Sufficient staff are employed on duty to meet the assessed needs of the service users. In addition to the care staff, a domestic, a cook, and a kitchen assistant are employed daily and a laundry assistant is on duty Monday to Friday. Staff comment cards included, ‘Staffing levels are good’, and ‘Yes, and we help each other to meet their needs and work as a team’ The homes AQAA confirms that 90 of the care staff are already trained or are being training to achieve NVQ (National Vocational Qualification) at level 2 or above. Staff said, “I will finish my Level 2 this month and next month I start Level 3”, and “I have almost finished my NVQ 2”. Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 20 Recruitment procedures in the home are robust. No member of staff starts work until an Enhanced Criminal Records Bureau check has been submitted, a satisfactory check of the Protection of Vulnerable Adults register has been received, and two satisfactory references have been received. One member of staff commented, “I did a lot of training whilst I was waiting for my CRB and POVA checks to arrive”. There was a requirement on the last report about obtaining full detailed employment histories for all staff and these have now been obtained for existing staff and are requested for all new staff. The home has good training procedures in place. All new staff receive induction training to Skills for Care specifications. Staff comment cards included, ‘I was inducted before I started my job’, ‘We had a seminar and training by xxxx every month and we have been trained by a senior carer before we start anything’, and ‘I have induction when I start my work here they teach me what to do about my job’. Vulnerable Adult, Dementia, and Mandatory training are either up to date or planned. On the day of the site visit a training provider was in the home and said that she visits to make sure everyone is up to date. She confirmed that she was intending to do some infection control training that morning. Staff confirmed that they had received appropriate training for the role that they undertake. Their comment cards included, ‘Good training is provided in every aspect’’, ‘I did a lot of training before I started work, to meet the needs of the individuals I care for’, and ‘if I need any training for any sort of care it is arranged for me to do so’. The training provider confirmed that the home is very ‘hot’ on training. General comments about the staff included service users who said, “The staff are not to bad”, and “They are nice”. Comment cards from service users and their families included, ‘Any time I have any queries they are acted on promptly’, ‘We are very well looked after’, and ‘Staff are very helpful sometimes they can be rather busy’. Staff said, “I like working here”, “I think everything is alright and all are doing their best”, and “I try my best always”. Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 21 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. The home is run in the best interests of service users. The health & safety of service users and staff is protected. EVIDENCE: The Registered Manager of the home is leaving the service at the beginning of July. Recruitment has already started to ensure that a new Registered Manager is employed without undue delay. In the interim period the owner’s Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 22 daughter, who holds a Registered Managers Award, will be in day-to-day charge of the home. 3 senior care assistants will support her. Since she has been in post the Registered Manager has worked hard to ensure that all of the issues from the last report have been met. A staff comment card included, ‘Since the new Registered Manager, Sarah Le Jarde, has been here I’ve learnt much more and feel I have the right support now’. Staff spoken to on the day of the site visit all confirmed that they have good support from the management and said, “The owner is supportive to us, he is down to earth”, “The Registered Manager is very nice”, and “Since I came here the relationship between Registered Manager and staff is very good”. There was a requirement on the last report that the home should introduce a suitable internal quality assurance programme. This is now in place. Quality questionnaire were sent to service users family, visiting professionals and staff in March 08. Some of the comments received included, ‘Staff are very caring’, and ‘Very good care and attention given’. Regular audits take place of weights, care plans, personal hygiene, and service users finances. Relatives meetings are held monthly, the date being agreed by the relatives. Staff meetings are also held monthly. The home has a development plan. The last report included a requirement for the home to establish the financial arrangements for individual clients and who is responsible for personal allowance monies; and to ensure that each resident has some small some of personal allowance for their use should they need or request it. This has now been done and there is a financial agreement in place for each resident. The monies held on behalf of the service users are regularly audited. Following a discussion with the Registered Manager a new form for recording transactions is being developed to ensure that 2 signatures confirm each transaction. The health, safety and welfare of service users and staff are protected. All staff undertake mandatory training. All safety checks viewed were up to date and relevant. The home has an up to date fire risk assessment. Fire checks are carried out regularly. Accident recording is in order. The report of the last visit from Environmental Health included the comments ‘Much improved standards noted’, and ‘Training standards actual and proposed are good’. The home achieved the coveted 4* scores on the doors for kitchen and food hygiene from the Environmental Health Department in October 2007. Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 24 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 Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Tralee Rest Home DS0000067902.V367171.R01.S.doc Version 5.2 Page 26 - 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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