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Inspection on 24/10/06 for WCS - Attleborough Grange

Also see our care home review for WCS - Attleborough Grange for more information

This inspection was carried out on 24th October 2006.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The people living at the spoke in very positive terms about the care they receive and the staff that support them. One person said "the girls are great, this is the best place for anyone". People`s needs are recorded in their care plans along with suitable guidance for staff to follow so that they meet people`s needs properly. People`s health needs are appropriately met by the home. Appropriate use is being made of health professionals, such as physiotherapists, nutritionists, district nurses, dentists and opticians. The home provides a good range of everyday activities and outings for people. A number of people explained that hey had recently enjoyed a trip to see the lights at Walsall arboretum and three people had just returned from a holiday with staff of the home. Meetings are held, which include an opportunity for people to discuss ideas for outings and other entertainments as well as other matters. A Church of England service is routinely held at the home and a representative from the Catholic Church visits the home to provide people with communion where they want it.Overall the home is well equipped for people with disabilities and provides good access for wheelchair users. The home has attractive, well-maintained gardens and patios that have been used by people during the summer months. There have been no complaints made to the Commission for Social Care Inspection since the last inspection. The home has good procedures for managing complaints. The home`s records indicate that complaints and concerns raised by the people living at the home have been dealt with fairly and resolved promptly. Staff are trained to recognise and report any suspicions of abuse or concerns they might hold about the running of the home, so that people are properly protected from harm. The home provides enough staff to meet the needs of the current people living at the home. Staff are well trained to meet the needs of the people living at the home and to carry out their duties safely. The home has good systems in place for checking that people are happy with the service provided and for monitoring the work of the home. People are encouraged to attend meetings to contribute to decisions in the home, e.g. plan activities. They are also asked their opinions about various aspects of the home`s practices so that any dissatisfaction can be addressed.

What has improved since the last inspection?

What the care home could do better:

The files of two recently recruited staff were checked. In both cases the staff had started work with only one reference in place instead of two, as required to demonstrate that safe recruitment procedures have been followed. Recruitment practices at the home are otherwise sound.Since the housekeeper left the home has been checking the emergency lighting every 3 months instead of monthly, as required. The manager agreed to address this matter.

CARE HOMES FOR OLDER PEOPLE WCS - Attleborough Grange Attleborough Road Nuneaton Warwickshire CV11 4JN Lead Inspector Kevin Ward Key Unannounced Inspection 24th October 2006 08:00 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 WCS - Attleborough Grange DS0000004261.V313956.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. WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service WCS - Attleborough Grange Address Attleborough Road Nuneaton Warwickshire CV11 4JN 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) 02476 383543 02476 326704 admin@attleborough.f9.co.uk Warwickshire Care Services Limited Mrs Dorothy Collis Care Home 31 Category(ies) of Dementia - over 65 years of age (11), Old age, registration, with number not falling within any other category (20) of places WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 2006 Brief Description of the Service: Attleborough Grange was built in the early 1900’s and totally refurbished in 1995. A large extension was added to the rear and side of the original building providing purpose built accommodation. The home is one in a group of care homes owned by Warwickshire Care Services. The home is currently registered to provide personal care for people over 65 and has specialist registration for dementia care. The accommodation includes single bedrooms and one shared bedroom. Twenty of these rooms have en suite facilities. The home is designed for group living in four self contained units. Each unit has its own lounge/dining area and kitchenette facilities. Griff House is a specialist dementia care unit for eleven service users. In addition to long/short stay accommodation; the home also provides day care services for up to 8 clients. Day care service has its own facilities and staff. The home has mature gardens and patio areas, which are accessible to the homes service users. These have been designed to meet the needs of the service user groups catered for at Attleborough Grange. Further developments are planned for the garden areas. WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection focused on assessing the main key Standards. As part of the inspection process the inspector reviewed information about the home that is held on file at the Commission, such as notifications of accidents and incidents. A pre inspection questionnaire was also returned by the manager containing helpful information and facts about the home. The inspection involved meeting most of the people living at the home and case tracking three people. Case tracking involves looking closely at people’s care records and checking how their needs are being met in practice. The inspection also involved talking with a number of the support staff on duty, including the manager, deputy manager, (care manager) a district nurse, care support staff and assistant housekeepers. A number of records, such as care plans, staff files and fire safety records were also sampled for information as part of this inspection. The fees at the home range between 397.00 per week for a place in the main home and 475.00 per week for a place in the Dementia Care Unit. There is a £15 enhancement charged for a room with en suite facilities. The fees do not include the purchase of personal items such as newspapers, personal toiletries, clothing, chiropody and hairdressing. What the service does well: The people living at the spoke in very positive terms about the care they receive and the staff that support them. One person said “the girls are great, this is the best place for anyone”. People’s needs are recorded in their care plans along with suitable guidance for staff to follow so that they meet people’s needs properly. People’s health needs are appropriately met by the home. Appropriate use is being made of health professionals, such as physiotherapists, nutritionists, district nurses, dentists and opticians. The home provides a good range of everyday activities and outings for people. A number of people explained that hey had recently enjoyed a trip to see the lights at Walsall arboretum and three people had just returned from a holiday with staff of the home. Meetings are held, which include an opportunity for people to discuss ideas for outings and other entertainments as well as other matters. A Church of England service is routinely held at the home and a representative from the Catholic Church visits the home to provide people with communion where they want it. WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 6 Overall the home is well equipped for people with disabilities and provides good access for wheelchair users. The home has attractive, well-maintained gardens and patios that have been used by people during the summer months. There have been no complaints made to the Commission for Social Care Inspection since the last inspection. The home has good procedures for managing complaints. The home’s records indicate that complaints and concerns raised by the people living at the home have been dealt with fairly and resolved promptly. Staff are trained to recognise and report any suspicions of abuse or concerns they might hold about the running of the home, so that people are properly protected from harm. The home provides enough staff to meet the needs of the current people living at the home. Staff are well trained to meet the needs of the people living at the home and to carry out their duties safely. The home has good systems in place for checking that people are happy with the service provided and for monitoring the work of the home. People are encouraged to attend meetings to contribute to decisions in the home, e.g. plan activities. They are also asked their opinions about various aspects of the home’s practices so that any dissatisfaction can be addressed. What has improved since the last inspection? What they could do better: The files of two recently recruited staff were checked. In both cases the staff had started work with only one reference in place instead of two, as required to demonstrate that safe recruitment procedures have been followed. Recruitment practices at the home are otherwise sound. WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 7 Since the housekeeper left the home has been checking the emergency lighting every 3 months instead of monthly, as required. The manager agreed to address this matter. 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. WCS - Attleborough Grange DS0000004261.V313956.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 WCS - Attleborough Grange DS0000004261.V313956.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are properly assessed and they are provided with suitable information to help them to make an informed choice about moving to the home. EVIDENCE: Comments made by a person who has recently moved into the home confirmed that she had been given the opportunity to visit the service with relatives before she moved in and had been given written information about the home. She explained that she had also received a visit from staff at the home to assess her needs and discuss her move with her. WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 10 A “service users handbook” containing a good range of information about the home is also available in the main reception area together with other information booklets for people. People’s files contain ample evidence to demonstrate that their needs are being regularly assessed as part of the care planning process. WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgment has been made using the available evidence, including a visit to the service. The judgement for this outcome group is good. People are provided with the support they require to meet their personal care and healthcare needs in a manner that respects their privacy and dignity. EVIDENCE: Three care plans and records were sampled to assess how people’s needs are planned for and met. Good risk assessments and care plans are in place covering a wide range of care needs. The care plans were seen to be well detailed and to provide suitable levels of guidance to enable staff to carry out the correct care. Comments made by staff indicated a good awareness of people’s needs and their likes / dislikes, as recorded in their care plans. Comments by the people living at the home confirmed that they are involved on an ongoing basis in decisions about their care and further evidence of this was seen in people’s records. WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 12 People’s care plans are being routinely updated and reviewed on a monthly basis. The monthly review also includes an opportunity for people to comment on a different aspect of the service provided by the home. Discussions with the care manager highlighted work that was ongoing to support one person to make an informed choice about the implications of refusing to take an item of medication. The manager agreed to seek further GP assistance to provide this person with the necessary information by which he may arrive at a fully informed decision. Entries in people’s health records and comments by staff confirmed that they are supported to gain access to relevant health professionals where required, such as nutritionist, physiotherapist, GP, district nurse, dentist, optician, etc. Comments by a district nurse indicate that the home makes appropriate and purposeful use of the nursing service and supports the care provided by the nurses. Where people have higher support needs that confine them to bed, records are in place for monitoring their needs in more depth, e.g. nutrition, fluids and pressure area care. Everyone’s food intake is recorded in detail to ensure that they are eating well and that their nutritional needs are met and people’s weight was seen to be charted where necessary. The people living at the home were very complimentary about the care and support they receive from staff and about the friendly atmosphere in the home. All personal care tasks take place behind closed doors and comments by people at the home confirmed that their privacy is appropriately respected. Staff are required to knock before entering people’s bedrooms and this is monitored via a question in the quality assurance questionnaire that people complete, as part of their monthly reviews. WCS - Attleborough Grange DS0000004261.V313956.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 good. This judgement has been made using available evidence including a visit to this service. People are encouraged to make decisions that affect their everyday lives and are provided a good range of activities and meals they enjoy. EVIDENCE: Comments by people living at the home indicate that they are provided with a suitable range of activities and outings to meet their needs. Examples of activities and outings included, occasional shopping trips, outings to a garden centre, barge trips, recent rip to see Walsall lights and visiting musicians. Three people had also just returned from a holiday in Skegness with staff support. Some people were seen to play dominoes and several people said that they enjoyed Bingo sessions. People confirmed that they are invited to attend meetings at the home, which includes discussing ideas for activities. These meetings are well documented and demonstrate that people are being consulted about matters that affect their everyday lives. WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 14 The manager explained that plans are in place for a fancy dress Halloween party (as agreed in the meeting minutes) and that people will also be supported to go on Christmas shopping trips. A fireworks display is also planned 2nd November to celebrate Bonfire night. Several people said that they had very much enjoyed sitting in the garden during the summer. The people living at the home confirmed that they are able to receive visitors and that there are no unhelpful restrictions on visiting times. Similarly they confirmed that their relatives are kept involved in their care. A Church of England service takes place at the home and a representative from the Catholic Church visits some people so that people can take communion at home if they wish to do so. There are currently no people from other faith backgrounds that require access to other religious worship. A choice menu is provided for people and a record of their choices is kept on file. People said that their choices were respected and that they were given an alternative meal if they did not like the main menu options. A care worker in the dementia care unit demonstrated a good awareness of people’s likes and dislikes that are recorded on their care plans. Staff were seen to ask people what they wanted for breakfast and a member of staff provided sensitive, unhurried assistance for a person to eat her breakfast. People’s food intake is being well recorded and where there are concerns their weight is being monitored. Entries in a person’s file confirmed that a nutritionist had been consulted for advice to meet dietary needs. WCS - Attleborough Grange DS0000004261.V313956.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Suitable procedures are in place to help people to comment and complain and staff are appropriately trained to report any suspicions of abuse, in order that people are properly protected. EVIDENCE: There have been no complaints made to the Commission for Social Care Inspection since the last inspection. The people living at the home confirmed that they had been told how to complain. Comments with a group of people confirmed that they see the care manager (deputy manager) every day, which provides an opportunity to raise any concerns should they have them. Regular meetings are taking place at the home, which also provides another means for people to raise any concerns they might hold. The complaints log contains records of complaints that have been raised by people living at the home and the measures taken to address these issues. The log contains a record of low level complaints about everyday issues that have been properly followed up and addressed by the manager, indicating that people’s concerns and complaints are taken seriously and resolved promptly before they escalate into bigger complaints. WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 16 Comments by staff confirmed that they are being provided with “adult abuse” training and have been made familiar with the home’s procedures for reporting any suspicions of abuse. Adult abuse training is also a feature of National Vocational Qualification training courses that many staff have completed and is covered in the home’s induction programme for new staff. There have been no adult abuse investigations involving the home since the last inspection. WCS - Attleborough Grange DS0000004261.V313956.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): 9 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall the home is comfortable and homely and suitable measures are in place for maintaining the home in good condition for people to live in. EVIDENCE: Overall the home is well furnished and comfortable for the people living at the home. A sample examination of 8 bedrooms indicates that good work has taken place to support people to personalise their bedrooms with furniture and pictures. Comments by the people living at the home confirmed that they had been allowed to bring personal items of furniture to make the bedrooms to their liking. The gardens at the home are mature and well maintained and the patio areas have been made easily accessible for people to sit out and enjoy the scenery together. WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 18 The bathroom areas were seen to be well equipped with handrails and specialist equipment to meet the needs of people with disabilities. Specialist beds and mattresses were also seen in place where required. Several carpets were seen to be dirty and stained. The dementia care unit carpet was particularly dirty. A number of carpets were cleaned by a professional carpet cleaner on the day of the inspection site visit. The manager said that a number of other carpets are to be replaced soon, including some lounge carpets, as requested by people living at the home (seen in residents meeting notes). Since the last inspection good work has taken place to replace two lounge carpets and to decorate various parts of the home, including the reception area and stairs and the corridor and quiet area in the dementia care unit. The home has also purchased a lot of new lounge furniture for various living units in the home. The manager explained that plans are in hand for further improvements, including new kitchen cupboards and work surfaces (chosen by the people living at the home). An assistant housekeeper explained the measures in place for separating laundry to maintain suitable hygiene standards. Appropriate arrangements are in place for carrying continence laundry through the home and dissolvable laundry bags are used to avoid unnecessary handling of soiled laundry. Protective clothing and gloves are available in various areas of the home for staff to use where necessary. The assistant housekeeper confirmed that she (and other staff) has been provided with infection control training to underpin safe practice. WCS - Attleborough Grange DS0000004261.V313956.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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are well trained to carry out their work effectively. Recent shortfalls in the home’s vetting procedure have compromised the rating for this group of Standards. EVIDENCE: The manager explained that there is normally a member of staff on duty in each of the Residential care living units and 3 staff on duty in the dementia care unit. In addition the home employs domestic staff, cooks, and an administrator. Recent staff rotas verified this. The manager also reports that the vacant housekeepers post has just been filled and that the new person would start very shortly. The people living at the home spoke in very complimentary terms about the staff, indicating that they are friendly and responsive and do not keep people waiting when they request support and assistance, verifying that there are sufficient staff on duty at the home. The home has a scoring system for measuring people’s support needs, on an ongoing basis, to estimate the number of staff required. The home is currently well within this measure. WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 20 Comments made by staff report that they provided with a very good range of training opportunities, including induction training, health and safety related courses and care courses, e.g. skin care and dementia care training. This was verified by information contained on the home’s training records and in discussions with the manager and care manager (deputy manager). The home’s training plan that was included with the pre inspection questionnaire, demonstrates that people are provided with refresher courses to keep their knowledge and skills up to date. In the pre inspection questionnaire the manager reports that 63 of staff have now completed National Vocational Qualifications (NVQ’s), at level 2 or above. Two recent staff files were examined to assess the home’s recruitment procedures. The files contain evidence to confirm that new staff are appropriately interviewed for their jobs in the home. The records confirm that procedures are in place for seeking Criminal Record Bureau Checks before staff start work. However both files only contained one reference rather than two references, as required. The manager explained that this had been an oversight on her behalf for the two new staff concerned. WCS - Attleborough Grange DS0000004261.V313956.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The work of the home is well monitored and managed taking account of people’s views so that they live in a home that meets their needs. EVIDENCE: The manager has many years experience of working with older people and holds the Registered Managers Award. The manager also holds the Diploma in Welfare Studies and the Advanced Management in Care qualification and is well equipped to manage a care home. WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 22 Good quality assurance measures are in place at the home. People are asked a question from the home’s quality assurance questionnaire each month throughout the year as part of the monthly care reviews and the resulting answers are collated and where necessary extra measures are put in place to make improvements to practices across the organisation. This was verified in the organisations annual report that was seen on display in the main reception area of the home. As previously noted meetings are held with the people at the home and the notes of these meetings demonstrate that people are being properly consulted and involved in decisions in the home, such as new furniture and planning activities and outings. Monitoring records were seen which demonstrate that the manager regularly monitors and reports on a range of matters in the home, such as staffing, people’s dependency levels, accidents and staff training. The manager confirmed that she does not act as appointee for anyone at the home and that this role is carried out by relatives or advocates or the people themselves. The home holds personal cash in safekeeping for people where required. An expenditure record was seen that is maintained by the administrator together with receipts. The manager routinely checks the money. Signatures were seen to be in place to verify this. The manager also confirmed that a financial officer employed by the organisation carries out periodic checks of this money. In the pre inspection questionnaire returned by the home, the manager confirms that suitable arrangements are in place for the maintenance of fire equipment and other equipment in the home. The fire log was examined and confirms that fire alarms are checked on a weekly basis. The emergency lights are currently being tested every three months instead of every month. The manager explained that these checks had reduced sine the housekeeper had left and after seeking advice on acceptable testing frequency from within the organization. The manager agreed to increase these checks to a monthly frequency. A hot water temperature-monitoring log is in place at the home. Entries in the log confirm that the hot water is being maintained at a safe and comfortable temperature level for people. WCS - Attleborough Grange DS0000004261.V313956.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 3 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 2 WCS - Attleborough Grange DS0000004261.V313956.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. 1 Standard OP29 Regulation 19, Schedule 2 23 (4) (c) (v) Requirement The manager must ensure that all new staff are properly vetted to verify they are suitable to work at the home. The manager is required to ensure that the testing of emergency lights is carried out every month. Timescale for action 14/11/06 07/11/06 2 OP38 WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 25 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 WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 WCS - Attleborough Grange DS0000004261.V313956.R01.S.doc Version 5.2 Page 27 - 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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