Inspection on 09/07/07 for Warren Park

This inspection was carried out on 9th July 2007.

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

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

Other inspections for this house

Warren Park 10/07/06

Warren Park 24/02/06

Warren Park 13/10/05

Warren Park 16/03/05

Warren Park 03/11/04

Warren Park 24/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Warren Park 66 Warren Road Blundellsands Liverpool Merseyside L23 6UG Lead Inspector Mrs Margaret Van Schaick Key Unannounced Inspection 9th July 2007 08:40 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 Park DS0000017261.V346212.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 Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Warren Park Address 66 Warren Road Blundellsands Liverpool Merseyside L23 6UG 0151 932 0286 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) karl.lysaght@warrencare.co.uk Mr John Lysaght Mrs Alison Anne Gale Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include 30 OP. Maximum no. registered - 30, of which up to a maximum of 29 N (nursing) and up to a maximum of 1 PC (personal care). Date of last inspection 10th July 2006 Brief Description of the Service: Warren Park is a Care Home with nursing which provides care for 30 residents. Warren Park is a converted building in a residential area. The service has four floors with lift access to three floors and stair access to the administrative area on the top floor. There are 27 single rooms. 7 rooms have en suite facilities and 2 double rooms have en suite facilities. Bedrooms are situated on three floors with 1 lounge area, a dining room and conservatory available for use of service users on the ground floor and a lounge dining area on the 1st floor. Adaptations are fitted throughout the service and a ramp accesses the front of the service and garden grounds. Manual handling equipment is in place for residents use. A call bell system is in place. There is parking to the front of the building and well established and maintained gardens and grounds surround Warren Park. There are public transport systems within 5 minutes walk. Weekly fees range from £480-£540. Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two days and lasted 11 hours. The service accommodated 29 residents at the time of the unannounced key inspection, which included a site visit. Many areas of the home were viewed including residents’ bedrooms, public areas and bathrooms. Care records and other home records including staff and health and safety records were viewed. The registered manager was on duty and members of the management team took part at various times of the day including the registered provider Mr Lysaght. Discussion took place with five staff, (two on a one to one basis). Several residents were also spoken with, (five on a one to one basis) and three relatives on a one to one basis. Three of the residents were case tracked (care files are examined and some of their views are obtained). All of the key standards were inspected and previous requirements and recommendations from the last inspections in July 2006 and the themed inspection in January 2007 were discussed. Survey forms “Have your say about….” Were sent out by the Commission to residents, relatives and health professionals who visit the service to gain their views on how the service is run, some of which are included in this report. What the service does well: All prospective residents are assessed prior to admission therefore this ensures all healthcare needs are identified. Contracts are issued when residents are admitted therefore residents and their families are aware of the conditions of contracts and weekly costs. Relatives canvassed for their views stated, “It’s perfect, for what we have needed it for, for dad’s needs it’s perfect and all the family agree with that” and “It’s super, If I need care, this is the sort of place I’d want to be”. Residents are able to make choices about how they live their lives. The service encourages family and friends to visit; this ensures that residents are able to settle into their new home with their support. Residents interviewed stated, “you can do as you please, choose your own clothes, shoes and sit with the people you like to sit with”. One relative interviewed stated, “my aunt has choice, goes to the lounge, gets up and goes to bed when she wants to” Policies and procedures in this home ensure that residents are protected. Residents and relatives have confidence that any concerns or complaints raised would be dealt with promptly Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 6 Residents live in a clean, very comfortable and well-maintained service. The garden grounds are also maintained to a high standard. The service provides sufficient, supportive staff to ensure residents’ needs are met. The service is run for the benefit of the residents and their views are listened to, which enables them to have a say in how the service meets their needs. One resident interviewed stated, “I have a lot of friends who visit me here, they are made to feel welcome, they can visit anytime, mostly afternoons”, “they will cook you something in particular if you wish, an excellent cook”. Relatives interviewed stated, “I’ve seen it, (food served) it looks palatable, they bring sauces, teapots etc, it’s personal here, more homely, in my opinion the meals are very well presented”. What has improved since the last inspection? What they could do better: All pre admission assessments need to be signed by the Nurse carrying out the assessment. Staff files need to be updated to ensure all previous and recent training is evidenced. The registered provider visits need to be carried out and kept on file for inspection. Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 7 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 Park DS0000017261.V346212.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 Warren Park DS0000017261.V346212.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): Quality in this outcome area is good. All prospective residents are assessed prior to admission therefore this ensures all healthcare needs are identified. Contracts are issued when residents are admitted therefore residents and their families are aware of the conditions of contracts and weekly costs. This judgement has been made using available evidence including a visit to this service. OP3 was assessed. OP6 is not applicable EVIDENCE: Three assessments were viewed. Assessments are evidenced for all three residents. The assessment documentation evidences pre admission assessments were carried out. Relatives provide some of the information with regard to how prospective residents have lived their lives where residents are unable. This provides Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 10 insight into how the residents lived their lives and how friends and families impact on their lives. The assessment details in place cover areas including previous medical history, communication, diet and any assistance required, eyesight, orientation, breathing, assistance required for mobility needs, assistance required with personal care and sleep pattern and history of falls. The registered manager usually carries out all of the pre admission assessments either at the residents’ home or hospital. Relatives interviewed stated, “Dad came here to be assessed” and “matron visited my aunt at home”. Residents interviewed confirmed the manager had carried out the assessment with comments such as “matron visited me at home”. Residents interviewed stated, “I have been before from when I was in hospital, I think the Dr chose this home for me” another resident stated, “I haven’t been well in hospital and am recuperating here, my nephew chose this home for me”. Not all of the assessments viewed were signed. The manager has confirmed that she carried out the assessments. Warren Park DS0000017261.V346212.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): Quality in this outcome area is good. Residents healthcare needs are clearly identified, reviewed and managed well therefore residents are provided with optimum care. This judgement has been made using available evidence including a visit to this service. OP7,8,9,10 were assessed EVIDENCE: Three residents were case tracked. The pre admission assessment details are used to set up the care plans and during the first few weeks of residence additional information is added to care plans as staff learn more about individual residents and how their illness affects the management of their care. The care plans give full and detailed instructions on how to manage the nursing care and support necessary for the residents. Health professionals who visited the service were canvassed for their views and their comments included, “most patients are too infirm to live the life they Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 12 choose but are well supported”, “It’s a clean, comfortable and caring environment, good nursing care and they keep regular contact with the GP surgery”, “I am satisfied with the level of care provided” and “staff are welcoming and helpful, I arrange visits and so far all advice is taken on board and carried out”. There is documented evidence of all three residents being able to access additional healthcare dependent on their individual needs. This also includes opticians, chiropodists, GP and dental visits. Specialist nurse visits are documented and palliative care advice has been sought for residents who at present need their specialist input. All residents’ care is regularly reviewed and where needed updated. Residents interviewed stated, “I see the my GP if I’m unwell and I’ve seen the dentist, she comes to see you”, “It’s the first time I’ve been here, it’s quite nice”, “I know my care plan, staff help me get up, get washed and dressed, I have my two eye tests since I came in, I have had the GP but I keep well”. Relatives interviewed stated, “…We came here on recommendation, it’s fantastic, I feel quite secure in the knowledge that he is here a big weight off my mind, I think I have looked at the care plan and we have reviewed the care and had discussions re nursing needs, we are kept well informed, I could tell that night he was happy, he came for the assessment, he was very pleased, It’s perfect, for what we have needed it for, for dad’s needs it’s perfect and all the family agree with that” and “we are kept well informed of Mum’s condition e.g. change of medication/dosage and times to try and ensure Mum was more settled, and she was”. Comments received through the Commissions questionnaires include, “I am fully satisfied with the attention my wife is receiving and cannot think of any improvement”. Residents who are hoisted have a sling individual to them and hoists used are identified. Risk assessments are in place with some very detailed information. All bed rails have ‘cot bumpers’ in place. Residents are weighed regularly and girth measurements taken for those residents who may experience problems with their diets. This is good practice. A nutritional assessment tool is in place and Waterlow scores (tool for measuring risk at developing pressure sores) are recorded regularly. Residents’ medicines are administered safely with photos of residents in place in the medication folders for easier identification during medicine rounds. One resident who self medicates has and in place regarding risks and competency. Medication records are clear, and most Medicine Administration Records were viewed and all are satisfactory. A contract is in place for all sharps, clinical waste and waste medication and a suitable locked facility is in use for storage of old medication between collections. Medication returns are documented well. Two bottles of eye drops are now available for residents’ monthly regime. Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 13 The GP practice visit regularly to monitor medication for residents and flag up any blood tests that may need doing. All of the residents were observed to be well groomed and dressed in suitable clothing. Residents on bed rest looked well cared for. Relatives interviewed were complimentary about how residents were cared for. One relative stated, “we are here a lot and observe staff caring for other residents, seen to be caring and hear how they talk to residents, they are like that anyway, It’s super, If I need care, this is the sort of place I’d want to be”. Twelve of the residents have their own telephones and there is a public phone available for residents use. Residents can also use the office phone, which is portable for privacy. Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents are able to make choices about how they live their lives. The service encourages family and friends to visit; this ensures that residents are able to settle into their new home with their support. This judgement has been made using available evidence including a visit to this service. OP122, 13,14,15 were assessed EVIDENCE: An activities coordinator is responsible for planning and arranging the various activities for residents. A monthly booklet is published for residents and this contains items of interest, poems, stories, crosswords, birthday parties due and what’s happening. Activities planned are included also, which enables residents to choose which they wish to attend. One staff interviewed stated, “one person organises the activities and includes, bingo, clothes shows, walks and raffles”. Residents’ interests and social contacts are identified prior to admission to the home with residents or their relatives completing the social documentation form. It Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 15 includes residents’ previous employment, life history, hobbies, family contacts, likes and dislikes and religious beliefs. Residents interviewed confirmed that are able to spend their time as they please and if they wished to they could participate in arranged activities. Some of the residents mostly preferred their own company and that of their families and friends. One resident stated, “there are activities but I don’t join in, I have a lot of friends who visit me here, they are made to feel welcome, they can visit anytime, mostly afternoons”, I was at home on my own for 60 years and prefer my own company”. Comments received through the Commissions questionnaires include, “they do try to get people involved with activities, bingo, films etc.”. Residents confirmed that their privacy is accommodated and when friends or family visit they are able to see them in private. There are quiet lounges and a conservatory to accommodate family visits. The service has open visiting. Residents generally have family support for personal finance where needed. The service does not hold residents monies. Residents’ families are billed for any items and they then reimburse the service. One resident interviewed stated, “my husband helps with my money”. One relative interviewed stated, “there is help from the family with money”. Residents interviewed confirmed that they had choices in how they lived their lives at Warren Park. Residents interviewed stated, “I have a lady for my personal care, sometimes I go for bingo, but not other things, I don’t attend Communion, I’m not a practising catholic”, “Yes, you can choose if you don’t want to be with somebody (i.e. carer), I get up later as I’m late going to bed”, “you can go out when you like, to the shops and I go out to the garden” and “you can do as you please, choose your own clothes, shoes and sit with the people you like to sit with”. One relative interviewed stated, “my aunt has choice, goes to the lounge, gets up and goes to bed when she wants to, she doesn’t like to join in with the activities, a leaflet has been given with all the events planned”. Residents interviewed confirmed that activities are arranged regularly. One resident interviewed stated, “a dancer comes in and we have musicals for old people” Relatives interviewed confirmed that they are made to feel welcome when they visit the service. One relative stated, “you are made to feel welcome, staff are lovely, above and beyond” and “the girls are very friendly, you are made to feel welcome, they make you tea”. During the inspection visit residents bedrooms viewed showed that residents are able to bring items of their own into the home to personalise their bedrooms. The inspector was able to have a discussion with the cook during the visit. Fresh home baking was in evidence. The menus are varied and nutritious. Fresh fruit and vegetables are delivered daily. Storage areas were full of quality items for residents. When the cook was asked about how they Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 16 managed the food selection she replied, “we always get the best”. Residents have a dining room, which is nicely set out and was in use during the visit. Some residents had some of their meals in their bedrooms at their request. Residents who are on bed rest have their meals in their rooms. Residents interviewed stated, “the food is good, we get variety, they come round, I’ve got three alternatives, I usually find one I like”, “I like the home cooking, it varies a lot, very nice on the whole, you have a choice, they bring a sheet each day to ask, I think the cook comes, she is in white” and “they will cook you something in particular if you wish, an excellent cook”. Relatives interviewed stated, “I’ve seen it, (food served) it looks palatable, they bring sauces, teapots etc, it’s personal here, more homely, in my opinion the meals are very well presented, you get a choice for evening meals”. Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Policies and procedures in this home ensure that residents are protected. Residents and relatives have confidence that any concerns or complaints raised would be dealt with promptly This judgement has been made using available evidence including a visit to this service. OP16, 18 were assessed EVIDENCE: There is a complaints procedure in place and advocacy contacts are displayed in the hall. The service is at present planning to improve access to the complaints process and include an auditory format for residents with sight problems. Some of the residents interviewed were aware of the complaints procedure and knew how to complain. One resident who did not know of it stated, “I’m not sure of the complaints procedure, I speak to Alison (manager) who has sorted it out” and another resident stated, “I think there is a complaints procedure”. The complaints and investigation, outcomes record is documented separately with confidential information kept secure. The service has introduced a ‘niggles’ book but it is empty. Families interviewed were confident that any concerns they had would be listened to and addressed. Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 18 The service does not hold any of the residents’ monies. A secure facility is available for storage of valuable items. Residents have a lockable facility in their bedroom cabinet. There is no valuables book but a valuables record is available to record any items held temporarily. The service encourages relatives to take home valuables. The policies and procedures in the service ensure that any allegations or incidents of abuse are followed up and action taken is recorded. The service has a copy of the Sefton adult protect procedure. Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Residents live in a clean, comfortable and very well maintained service This judgement has been made using available evidence including a visit to this service. OP19,26 were assessed EVIDENCE: The service is well maintained with scheduled improvements being carried out throughout the year. The home has a planned maintenance and refurbishment programme and routine maintenance is carried out with records kept. Hallways are wide and adaptations are fitted to ensure residents access the facilities provided for them including bathrooms. All of the areas viewed during this visit were decorated and furnished to a high standard, including residents’ bedrooms. Residents interviewed stated, “my bed is comfortable, I prefer these pillows, staff keep it very clean, I like my bedroom”, “my bedroom is small but there is only me in it, it’s quite adequate, it’s been repainted, it’s Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 20 nice, a lady keeps it clean”. Residents have a choice of two lounges and a conservatory. The inspector was able to have a discussion with the cook regarding the hygiene of the kitchen. Up to date certificates relating to kitchen staff attendance for food hygiene were displayed on the kitchen wall. Cleaning schedules, weekly, daily and monthly are in place and records show dates carried out. The last environmental health report evidences “very high standard” form July 2006. The kitchen was viewed and was seen to be clean and well organised. Records of hot food temperatures and fridge/freezer temperatures are taken and recorded daily. Foods in the fridges are covered and dated. The food standards agency diary is in use and full records are kept. The inspector was able to have a discussion with the laundry person who confirmed they had attended a full induction and infection control training. Laundry areas are separate from the kitchen and have separate washing and drying areas. Two washing machines two dryers. The laundry has been redecorated since the last inspection and a new floor has been fitted making it easier to clean. The laundry is transferred to residents’ bedrooms on a clothing rail or baskets. None of the residents interviewed were unhappy about the laundry facility. Relatives interviewed stated, “the home is very clean, they are always cleaning the place, it’s worth commenting on how clean the place is”. Extensive gardens are well maintained and include many trees, shrubs, flowers and attractively placed seating areas for residents and their visitors use. A gardener is employed on a part time basis. Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The service provides sufficient, supportive staff to ensure residents’ needs are met. Staff files just need to be updated to include all recent training is evidenced. This judgement has been made using available evidence including a visit to this service. OP27, 28,29,30 were inspected EVIDENCE: The staff duty rota evidences all staff who work at the home including domestic and kitchen staff. Sufficient staff is employed in the home to care for the residents needs. Residents interviewed were generally complimentary about the staff employed stating, “staff are very good, I have confidence in the senior staff”, “when you ring the buzzer, the night staff come quickly”, “you have to wait sometimes, staff are very good and patient, all the staff are kind, only one not keen on, on days, she’s alright, she shouts” (resident deaf), “staff knock”, “staff are very nice and helpful with baths and personal care, patient”, “we have very pleasant staff considering the job they have to do”, “staff are very sweet, kind and helpful, no issues at all”. Relatives interviewed stated, “staff love him to bits” (dad), they are just wonderful, it’s like a real team here, all professional, everything is done to a fine art”. Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 22 Comments received through relatives questionnaires include, “working as a team, they compensate for any inexperience”, “staff are very helpful and cheery”, “very kind and caring, they welcome my father (he is 84) and look after him when he visits and staff especially Matron is very good at keeping me informed”, “they are very caring”, “the nursing and care staff are very friendly and attentive and the necessary routines seem to be rigorously carried out” Three staff files were examined. All files have an application form. HG and MC application forms do not identify all previous employment history except the most recent ones. CRB and POVA checks are evidenced with reference number and dates checked/returned. Staff files do not evidence all training attended but this is recorded on computer records with dates attended. Certificates of attendance are evidenced for some of the training attended. Induction training is evidenced and mandatory training is evidenced on the training matrix. The home has a planned training programme that is set up to ensure all staff attends mandatory training throughout the year. One of the staff has not attended the training and there is evidence in there staff file of letters going out to this person reminding them of training dates on more than one occasion. Through discussion with the provider and manager this is a problem that occurs occasionally with staff not turning up for planned mandatory training. The service is planning to discuss further the issues with any member of staff and try to work around what the problems are. Staff interviewed confirmed that they had attended an induction training over three days and also worked with another member of staff in the first few weeks of employment. One staff interviewed stated, “I find Alison and the owners supportive”. Training files and matrix evidences training attended including mandatory training over the last year including manual handling, health and safety, pova and fire training awareness. MC stated, “residents are very well looked after, the food is very nice and there are activities, we also take residents out for walks in the summer and out in the garden, some of the residents get up at 8am and some others have a lie in, residents are always asked from about 6pm onwards if they wish to go to bed, they go when they want to. Some staff have attended NVQ training and gained certificates as evidenced in staff files. Skills for care (induction) training is now planned for five days and staff files evidence that the previous three-day course has been attended by staff. The recruitment and selection process for the three staff files examined is satisfactory apart from one staff member who had only one written reference on file. The staff member (MC) has been employed for some time now and the Manager is happy with their performance. Registered Nurse identification Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 23 numbers (PIN) are checked with the Nursing and Midwifery Council and all are up to date. Nine care staff are qualified to NVQ Level 2 and three care staff are working towards the qualification. All staff has received training in infection control, most staff have received training in basic food hygiene. Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 24 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The service is run for the benefit of the residents and their views are listened to, which enables them to have a say in how the service meets their needs. The safety and welfare of the residents and staff is ongoing. This judgement has been made using available evidence including a visit to this service. OP31,33,35,38 were inspected EVIDENCE: The registered manager is a Registered Nurse and has been approved by the Commission to manage the home. The manager has gained the RMA (Registered Managers Award) and has managed the service for 17 years. The manager has also attended further training in regard to caring for the older person including prevention of falls, venepuncture, heart failure, manual Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 25 handling, fire training, supervision and palliative care. Some of the training has been provided by the PCT. The manager has also been involved in the nutritional group forum. The Commission sent questionnaires out to relatives and some of their comments are, “this is our first experience of care homes and having seen all the bad publicity surrounding the industry I would think that Warren Park is a well run home and cares and respects the people concerned”. The home has been awarded an external quality assurance award and the inspector was able to view the results of the most recent visit this year. Internal quality assurance is also carried out on a six monthly basis and the inspector viewed results. Items audited include residents care plans, risk assessments, staff files, accidents, duty rota, waterlow scores, nutritional assessments, daily diaries, meals are tasted, various equipment, medication records and gardens. Staff and residents are interviewed. Staff meetings are held and minutes are published. RN meetings are also held with minutes published also. Policies and procedures are updated annually or sooner if needed. Residents meetings are held regularly with the most recent in March 07 under discussion was the menu, preferences re meals, activities-one resident was out at the horse racing with their son and the laundry-residents would receive full value of any items that were damaged. All of the residents also confirmed that they were happy. Accident records (were viewed) they have been completed and the management team continue to audit these to ascertain any pattern or ways the home could intervene to prevent any accidents if able to. This is good practice. The manager is now aware of RIDDOR (Reporting of Injuries, Disease and Dangerous Occurrences Regulations). The home has evidence of all safety certificates and servicing checks for equipment used throughout the home. All are up to date. First aid boxes are in place. Fire training is almost up to date with the final training being carried out this weekend for weekend staff. Fire Marshall training is planned for three staff this month and further training is planned for August this year. The provider has not carried out the Regulation 26 visit reports. There is no need at present for the provider to send these into the Commission. Once the reports are completed they should be kept by the home for inspection by the Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 26 inspector at the next key inspection. This was discussed with one of the management team during the visit. Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 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 Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 28 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP3 Good Practice Recommendations It is recommended that the assessment documentation should have the signature of the person carrying out the assessment. It is recommended that all new staff fully complete the application form to include all previous employment history. It is strongly recommended that all staff training/certificates awarded should be evidenced in staff files. It is recommended that the Registered Provider visits/reports should be carried out and kept on file for inspection. 2. OP29 3. OP30 4. OP33 Warren Park DS0000017261.V346212.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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. 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