Inspection on 31/01/07 for Warren Drive

This inspection was carried out on 31st January 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

Warren Drive 23/01/06

Warren Drive 03/10/05

Warren Drive 21/11/04

Warren Drive 19/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Warren Drive Fielden Road Crowborough East Sussex TN6 1TP Lead Inspector Elizabeth Dudley Key Unannounced Inspection 31st January 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Warren Drive DS0000021278.V325653.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. Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Warren Drive Address Fielden Road Crowborough East Sussex TN6 1TP 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) 01892 654586 01892 611730 enquiries@warrendrive.com www.warrendrive.com Bluebell Care Homes Ltd Ms Elaine George Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is twenty-nine (29). Service users must be older people aged sixty-five (65) years or over on admission. 23rd January 2006 Date of last inspection Brief Description of the Service: Warren Drive provides care for up to 29 older people who require assistance with personal care. Service users are supported to be as independent as possible. However, assistance is available for all aspects of daily living as needed. Accommodation is provided on three levels, with access via shaft lift or stairs. The home has a modern extension that has been blended into the building and which provides the following accommodation, 4 suites and 2 bed sitting rooms with private balconies and terraces and a large well appointed garden lounge. The home is well maintained and furnished. Service users are encouraged to personalise their own rooms. The building is surrounded by a two-acre garden and has a series of paths which provide access around the garden. Fees as stated on the 31st January 2007 range from £445 to £795 per week. Extra services, which include chiropody, hairdressing, outings, newspapers and magazines, are charged for separately. These charges are available from the home. Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on 31st January 2007 and was facilitated by the manager, Ms E George. During the inspection documentation which included care plans, medication records, health and safety and personnel files were examined. Discussions were held with ten residents and four members of staff. Five of the ten questionnaires sent to residents were returned to the CSCI, and two questionnaires returned from General Practitioners, positive comments were made. The responses from these questionnaires and discussions held were used to inform the inspection and the judgements on the services offered by the home. The majority of comments made about the home were positive, residents stating that ‘There is plenty of mental and physical stimulation’, ‘I can carry on doing the things I used to enjoy’, ‘The food is very good and plenty of it - it went off a bit when we had agency cooks, but generally very good’, ‘The staff are very helpful and always cheerful’, ‘I walk around a bit and then sit down and they come up and ask if there is anything you want, I live the life of Riley here’ and ‘The home and gardens are lovely, the staff polite and the food good’. What the service does well: The home is clean and well maintained and provides personal care to the residents living there. Care plans were well documented and included a life history and the current care and social needs of the residents with clear instructions of how care is to be delivered to meet these needs. A key worker system is in place. Residents benefit from a good standard of catering which includes fresh vegetables and fruit and homemade cakes and desserts. Complimentary wines or spirits are offered to residents prior to lunch. The standard of staff training is comprehensive, and all members of staff undertake their medication training as part of the core training. The manager has prepared handbooks for carers, which act as ‘aide memoirs’ for key issues in the home. The manager has ensured that residents are able to make a complaint should they need to, and in addition to the complaint policies and information included in the service user guide and displayed on the wall, has provided complaint Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 6 forms in the lounge areas. No complaints have been received by the home in the past year. Residents are encouraged to pursue past interests and to take up new interests in the home. A newsletter is published weekly. 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. Warren Drive DS0000021278.V325653.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 Warren Drive DS0000021278.V325653.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 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to make an informed choice in deciding whether the home can meet their needs. All residents are assessed by the manager prior to admission, with information from other health or social care professionals being obtained if necessary. Staff receive sufficient training to enable them to meet the assessed needs of those admitted to the home. EVIDENCE: The home produces a statement of purpose and service user guide, which meet the National Minimum Standards and associated regulations. These documents are reviewed on a regular basis and all residents have received a copy of the service user guide. Residents confirmed that they received this on admission to the home. Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 9 A copy of both the service user guide and the statement of purpose are kept in the main lounge and are available to everyone in the home. All residents receive a copy of the terms and conditions on their admission, and signed copies of these were seen. Residents receive notification of fees, both in the terms and conditions and in writing prior to their admission. Changes of fees are notified in writing to the resident or their representative. Prospective residents are invited to visit the home and are assessed by the manager to ensure that the home can meet their needs, either when they visit, or in their current place of residence. All residents are admitted for a months’ trial period, but this can be extended if the resident or the home are not sure that their needs can be met. Residents stated that ‘I received all information about the home before I came in’, ‘My son had all the information and showed it to me, he has a copy of the contract’, ‘When I came to see the home, she (the manager) was very thorough in ensuring that the home would be able to look after me’ and ‘The manager came to see me when I was in hospital before I came in’. The home admits residents for respite care but not for intermediate care. Staff receive training in the personal care, psychological and social needs of the older person which are relevant to the needs of those people living at the home. Over 50 of the care staff have their National Vocational Qualification level 2 or 3 in care, all care staff have approved medication training. Warren Drive DS0000021278.V325653.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 and 11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans fully address the current needs of the residents and how these are to be met, with regular reviews ensuring that residents receive the care required. The systems of medication administration fully protect the resident. The privacy, dignity and confidentiality of residents is respected. Their social needs and their expectations are detailed in the care plans. EVIDENCE: Each resident has a care plan which addresses physical, psychological and social care needs and the basic care plan is formed from the preadmission assessment. All care plans include a family and life history of the resident which aids care staff to view the residents’ care in a holistic manner. The key workers review all care plans on a monthly basis with the service users and/or their representatives. Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 11 All residents spoken with were aware of their care plan and said ‘Oh yes, my key carer comes in and talks about what I need doing every few weeks’, ‘The girl who takes responsibility for me comes in very often and we discuss if I can still manage things, if I still want to wake at the same time and if my breakfast is still the same. When I was ill they were deciding different things a lot, most days, and then when I got better it went back to what it was before, except that I need more help to get out of bed and get around’. All respite care resident’s care plans addressed current needs in depth. The majority of care plans have been signed by the resident or their representative on formation and review, and this should be completed in all care-plans. Risk assessments, and moving and handling assessments were present in all care plans, these included self-medication assessments if required. These are reviewed monthly. Daily records showed evidence of care given, and current needs and were well written and detailed. Twenty care plans were examined, with six of these being linked to the care given to residents spoken with on this day. The home has a range of medication policies and procedures and a clear audit trail of drugs received, administered and disposed of was shown. A nutritional care plan is included in all residents care plans, with residents being weighed and having their blood pressure taken on a monthly basis, the relevant health care professionals being contacted if these are not within expected parameters. The home has a range of medication policies and procedures and a clear audit trail of drugs received, administered and disposed of was shown. There is a robust system of medication administration and recording, this included those for controlled drugs, although there were no controlled drugs being used in the home at present. All staff have medication training although generally only the manager, deputy, senior carer or night carers give out drugs. This is reviewed annually. All medications were stored appropriately and there was evidence of good stock control. There is no drug fridge in the home, therefore eye drops, insulin and drugs needing refrigeration have to be stored in the kitchen fridge, and these are stored in appropriate containers. Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 12 Staff were seen to be attending to residents in a courteous and caring manner and there was good interaction between residents and staff. Residents all made very positive comments about the staff stating that ‘They are so polite and kind’, ‘Nothing is too much trouble’, ‘Anything you need at any time, all delivered with a smile’ and ‘They answer my bell very quickly and seem to be happy to do what I need’. Residents who become very ill can be looked after in the home providing medical needs do not dictate otherwise. Nursing is provided by district nurses and Macmillan nurses, with the instructions given followed by the care staff. The manager can access advocates for residents. Warren Drive DS0000021278.V325653.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 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Opportunities are given to residents to maintain, and in some cases surpass the quality of life that they had prior to entering the home. Residents are encouraged to participate in a variety of activities or to pursue previous interests, whilst maintaining choices around the activities of daily living. The standard of catering is good. Meals are served in an attractive dining area and in an atmosphere conducive to encouraging residents to maintain a good standard of nutrition. EVIDENCE: A weekly newsletter detailing the activities to take place during the week and other notes of interest is produced and given to all residents. Activities are varied according to the seasons, recently these have included board games, ‘Motivation’ and music sessions, a mobile library and one to one sessions, a clothing sale is booked. During the milder weather there are pub lunches and cream teas. There is a ‘walking’ rota in place, which details care staff to accompany residents on walks in the lanes around the home. Residents are encouraged to use the Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 14 large gardens and there is a summerhouse which is used a lot within sight range of the home. The gardens are landscaped with many paved walks. Residents are encouraged to maintain their previous interests, with one resident saying that ‘I used to do a lot of painting when I first came here, and am going to take it up again when my hands are better, they are very good here and help me take my paints outside or set up in my room’. Several residents spoken with said that they are encouraged to plant seeds and bulbs and all the equipment is set out for them. Residents also spoke of the regularity of the mobile library and the good choice of books available. One comment card received by CSCI stated ‘the manager and staff are always open to suggestions over activities and they use any suggestions we make’. Another stated ‘There are many opportunities for mental and physical stimulation here’. One resident owns a cat, which is kept in the resident’s room. The home runs its own shop, with items being sold at cost price. Residents can visit the town either by communal bus or by taxi. All residents stated that the time of rising and retiring was flexible and according to their own preferences, that they can have visitors when and where they wish, and that they can have drinks or snacks at any time of day or night. Two residents stated that ‘I sit here and everyone runs around after me and you get complimentary wines and gin at lunchtime’, ‘I just walk around a bit then sit and have a rest and someone comes up and asks me if there is anything I want, I lead the life of Riley, so my friends tell me when they come and visit, I have to agree with them, it’s a good life here’. Breakfast is served from 7-9am with residents being able to have a cooked breakfast if they wish. Suppertime is from 6pm. Lunch was seen being served and it was noted that tables and trays for those preferring to eat in their rooms, were attractively set out and included cloth napkins. Complimentary wines or spirits are served before lunch, and staff were seen to be attending to residents needs in a courteous and empathetic manner. There were three choices at lunchtime including a vegetarian option, on this day it was Spanish omelette, although one resident found this a bit bland, all other residents made very positive comments about the food and the choices available. Generous portions of food were served and lunch was followed by coffee or tea. Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 15 Resident’s comments included ‘Excellent food’, ‘Food very good and plenty of it’ and ‘Always a good choice of menu, especially supper times’. One comment card received by the CSCI said that ‘the food is always good except when agency cooks come in’. The manager stated that this rarely happens, but she was made aware of the problems and has addressed them. There is a rolling monthly menu and this included fresh fruit and vegetables and showed a balanced diet. Menus for the day are displayed on each table in the dining room and residents stated that staff also come around prior to the days meals to find out what they wish to eat, but ‘We can change our minds when we see the menu’. The kitchen is very clean, with all records as required by the Environmental Health Authority in place. All staff have undertaken the ‘Food hygiene Course’. Warren Drive DS0000021278.V325653.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): 16,17 and 18. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are confident that their complaints will be taken seriously and investigated in an open and transparent manner. The manager has made sure that information, with good practice seen in the area of ensuring that the means of making a complaint are made easily available to residents. Staff receive robust on going training in the safeguarding of those in their care, with the home having made efforts above that required to ensure that staff have the necessary information to hand. EVIDENCE: There have been no complaints since the last inspection, apart from one adult protection issue relating to theft from a resident. This was dealt with appropriately by the manager alerting the relevant authorities and was proven. There were detailed records in the home relating to this and evidence that this had been dealt with immediately it was discovered. The manager said there are no complaints and few concerns mentioned to her, concerns are minor and are dealt with immediately. The home has a complaints policy, which meets the standard and the regulations and is displayed on a wall and included in the service user’s guide. Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 17 It was noticed that complaint forms are available in the lounge areas to enable residents or visitors to complain if they wish to use these. All residents spoken with were aware of how and to whom to make a complaint, and all were aware of the complaint forms in the lounges and that they could make a complaint anonymously if needed using these forms. All were confident that any complaint they made would be dealt with in an open and fair manner, and all said that they thought that these would have a satisfactory outcome. The manager was doing the medication round on the day of the inspection and she said that either she or the deputy manager will do the medications daily ‘To ensure we see each resident every day and listen to any concerns about the home or how they are feeling, this means I can deal with anything straight away without having to wait for anyone to remember to tell me’. Care staff were aware of their role in helping residents make complaints. All staff undertake training in the safeguarding of the people in their care, during their induction at the commencement of employment. The manager has formatted a pocket size handbook, which is given to all staff, which details all forms of adult abuse, and also details the reporting protocols. She is a registered adult protection trainer and updates staff knowledge on these matters regularly. Staff spoken with were aware of their responsibilities towards those in their care and aware of how to report abuse to a resident by any person. The recruitment system in the home is robust and protects the residents by obtaining relevant documentation prior to the staff commencing work and by staff working under supervision until their initial induction training is completed and any Criminal Records Bureau checks are in place. Warren Drive DS0000021278.V325653.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 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well maintained, clean and is surrounded by landscaped gardens, this provides a very pleasant environment for the residents that live in the home. EVIDENCE: The home consists of an older part and a newer extension. All rooms in the older part of the building have been brought up to the same high standard of those in the new extension. The home consists of 20 single rooms, of which three are large enough to be used as double rooms, two studio rooms and four ‘suites’ with ensuite bathrooms. Six of these single rooms have a full baths and three rooms have showers, the rest of the ensuite bathrooms consist of a wash hand basin and Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 19 wc. There are three assisted bathing facilities, which are furnished with baths designed for this purpose. The suites consist of a lounge, bedroom, bathroom and lobby area, with residents able to bring in their own furniture if they wish, although the furnishings provided in the home are of a high standard. All rooms have a view of either the gardens or the forest surrounding the home, the home providing television sets with satellite television. There are call bells in all rooms and some residents are provided with nurse call pendants, which can be used easily in any area of the home or gardens. The manager stated that all residents could be provided with these if required. The home has a shaft lift to ensure that all areas are available to residents who can also access the two acres of gardens, which are well landscaped and maintained. All areas of the home are light and airy, well maintained and clean and well furnished. There are no odours apparent. There is an ongoing maintenance programme. All rooms are of a size as recommended in the revised National Minimum Standards. There are two lounge areas, one of which also comprises a dining area. One of these lounges is a ‘quiet’ lounge and has direct patio access to the gardens. All doors are fitted with a lock, residents are able to have keys within the auspices of a risk assessment, and all rooms have a locked facility. Curtains, carpets and bed linens are attractive and fit for purpose. Windows above ground level are fitted with window restrictors and all radiators have guards on them. Water temperatures to residents outlets are monitored and records kept, these were seen and fall within the recommended parameters. The home has been assessed by a suitably qualified person, has assisted bathing, grab rails and appropriate moving and handling equipment, including full body hoists. The home is very clean and free from odours. The laundry room has an impermeable floor and red bags are used for the washing of soiled linen. All residents spoken with said that the laundry was to a high standard. Staff have received infection control training and there were sufficient disposable aprons and gloves in the building. Warren Drive DS0000021278.V325653.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 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff are employed in sufficient numbers with the appropriate training to meet the assessed needs of the residents admitted to the home. Staff training commences at the start of employment and is ongoing, therefore ensuring that staff have the knowledge to apply the standard of care necessary to maintain the well being of the residents. Robust recruitment systems ensure the safety of the residents living at the home. EVIDENCE: The staffing rota showed that there are sufficient staff on duty to meet the assessed needs of the residents in the home. All staff spoken with said that there were always sufficient staff on duty. Care staff are supported by sufficient domestic and catering staff. All staff, including domestic staff, commence the Core Standards for Care on commencing work at the home, the domestic and other ancillary staff do four modules of this course whilst the care staff do all the modules which then form a base for the National Vocational Qualification level 3 in care. Seven Members of staff have their National Vocational Qualification level 2 or 3 in care; this forms over 50 of the care staff with this qualification. Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 21 The staff receive fire training and other mandatory training and seventeen members of staff have the first aid full certificate. All staff including the maintenance person and ancillary and catering staff have moving and handling training. All care staff have recognised medication training and this is updated at intervals. A comprehensive handbook has been formatted by the manager relating to health and safety at work issues, all staff receive one of these at commencement of employment. Staff training is a priority, with training plans in place and staff being aware that they can identify their training needs relevant to the care of residents living in the home. Training undertaken by staff includes Parkinson’s disease training, dementia care, diabetes and challenging behaviour. Seven personnel files were examined, these included all documentation as required by the National Minimum Standards and associated regulations. Warren Drive DS0000021278.V325653.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): 31,32,33,34,35,36,37 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Management systems within the home ensure the safety of residents staff and visitors. The manager has ensured that staff are familiar with all aspects of health and safety and has provided staff with booklets detailing their responsibilities in this area towards the residents and each other. Formal supervision of staff has been extended to encompass supervision of ancillary workers and is undertaken with the same frequency of that of the care staff, thus ensuring the quality of the services offered to residents. The atmosphere within the home ensures that residents and staff feel comfortable to live or work at the home. Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 23 EVIDENCE: The registered manager has been in post for five years. She is a qualified Registered Nurse (level 2) and has the National Vocational Qualification level 4 in management and the Registered Managers Award. The manager is also a qualified trainer and a National Vocational Qualification assessor. The manager ensures that she sees all residents on a daily basis during the weekdays and can be contacted at weekends if necessary. There is a part time administrator and a full time deputy manager employed to assist the manager. The ethos in the home is good, residents stated ‘there is a lovely peaceful atmosphere’, ‘very nice people employed here, its very peaceful’ and ‘The manager is always available, we see her every day’. Staff said that they enjoyed working at the home, and found the management approachable and easy to talk to. Staff turnover is low. Annual questionnaires are sent out to residents and staff and the results collated and used to inform practice. Yearly residents and representative meetings are held as are yearly staff meetings and minutes are kept of these. Questionnaires are given to all residents who are admitted to the home for respite care at the end of their visits. It is recommended that stakeholders i.e. Health and social care professionals and other visitors to the home on a professional basis are asked for their views on the home. Two comment cards received by the CSCI from GPs stated that they were satisfied with the home. The manager or staff do not act as appointee for any residents, but hold money for safekeeping for some residents. This is kept in individual boxes and records are kept of all financial transactions and these were seen to be in order. The manager can access solicitors, advocates and financial advisors for residents. The provider visits the home and prepares Regulation 26 reports, which are kept at the home. All policies and procedures are reviewed on an annual basis or more regularly if policies change. All certificates and insurances are in place and a copy of the CSCI reports are made available to residents and visitors to the home. Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 24 There was evidence that all staff receive formal supervision in accordance with the timescales dictated by the National Minimum Standards, and staff confirmed this. A detailed supervision matrix is in place with ancillary staff also receiving regular supervision and appraisal. All records relating to residents and staff are kept in a secure environment and are up to date. All records and maintenance certificates relating to the servicing of utilities and equipment were seen and were up to date. There was evidence of regular risk assessments being undertaken around the home and a fire risk assessment, also reviewed at regular intervals, was in place. There were no health and safety concerns within the home. Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 4 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 3 18 4 4 4 4 3 3 4 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 3 3 4 3 3 Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. 1 2 Refer to Standard OP7 OP33 Good Practice Recommendations That the staff continue to encourage service users to sign care plans during formation and review. That the manager obtains the views of health and social care professionals about the services offered by the home. Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Warren Drive DS0000021278.V325653.R01.S.doc Version 5.2 Page 28 - 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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