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Inspection on 12/06/07 for Welford Court Residential Home

Also see our care home review for Welford Court Residential Home for more information

This inspection was carried out on 12th June 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.

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

There is a happy and relaxed atmosphere throughout the home and residents are supported in a respectful and dignified manner. Care workers are well aware of the individual needs of the residents and residents spoken with stated that their care and support needs are fully met. The registered manager is both supportive and approachable and families and friends are encouraged to be involved in the life of the home. The home is well maintained and the decoration and furnishings are of a good standard and are presented in a comfortable and homely way.

What has improved since the last inspection?

A number of training course have been provided since the last inspection including diabetes training and Stoma care training and further training courses are planned including moving and handling, food hygiene and first aid. Resident and staff meetings have been held as recommended at the last inspection. To enable both residents and staff to have a say about the home in which they live and work. Supervision sessions have commenced for the care workers working in the home. On speaking with the care manager and a care worker on duty at the time of the inspection, the inspector was informed that these take the form of observation of practice and a meeting with the care manager. Formal induction has been sourced and new care workers are now required to complete this training alongside the homes in house training. A number of residents rooms have been decorated, carpets replaced and a new gazebo has been purchased for the garden.

CARE HOMES FOR OLDER PEOPLE Welford Court Residential Home 458 Welford Road Knighton Leicester Leicestershire LE2 6EL Lead Inspector Diane Butler Key Unannounced Inspection 12th June 2007 09:45 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 Welford Court Residential Home DS0000006447.V338468.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. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Welford Court Residential Home Address 458 Welford Road Knighton Leicester Leicestershire LE2 6EL 0116 270 3482 SAME-RING FIRST kemp@bulldoghome.com 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) Welford Court Limited Mr Christopher Kemp Care Home 14 Category(ies) of Dementia - over 65 years of age (5), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (14), Sensory Impairment over 65 years of age (2) Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person falling within category SI(E) may be admitted to the home when 2 persons in total of this category are already accommodated within the home. Service User Numbers. No person falling within categories MD(E) or DE(E) may be admitted to the home when 5 persons in total of these categories/combined categories are already accommodated within the home. 6th June 2006 Date of last inspection Brief Description of the Service: Welford Court is a care home for older persons, providing accommodation and personal care for up to fourteen residents. The home is situated on the Welford road which is a major bus route into the city of Leicester, and is situated a short distance from the local shops. The bedrooms are on both the ground floor and the first floor of the home and a stair lift serves the rooms on the first floor. There are two lounges and a dining area on the ground floor. There is a large and pleasant secure garden and small conservatory to the rear of the building. Current charges range from £395.00 per week to £463.00 per week and additional charges are in place for hairdressing and chiropody treatment. Details of all charges can be found in the homes Statement of Purpose document (a document which provides relevant information about the home), which is available to all prospective and current residents. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit, which took place over a six and a half hour period on Tuesday 12th May 2007. When undertaking key inspections the Commission for Social Care Inspection (CSCI) focuses on the outcomes for residents living in a home. In order to do this, the inspector ‘case tracked’ three residents. This means the inspector checked their care records and met with them. Where communication was difficult, observation was used to evidence whether care needs were being met. A further three residents and five relatives were also spoken with to gather their views of the home. The inspector talked with three members of staff on duty at the time of the visit and observed them going about their daily work. Pre inspection documentation received since the last inspection and the last inspection report have also been taken into account when producing this report. Questionnaires were also sent to a selection of residents and their relatives to gain their views of the agency. Comments received included: “The food is of a very good standard, a nice variety with a lot of home made dishes”. “I am very satisfied with the care my mother receives at Welford Court”. “All the staff I see certainly seem to be skilled and experienced in looking after people properly”. “They care for my mothers physical and emotional needs”. “Would be nice if they did some trips out”. “I think this is an excellent care home, however I am sure it would benefit from further experienced staff”. “The home is always clean and tidy and they ensure my father always takes his medication, he is well looked after”. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Carry out a more thorough needs assessment, this would give staff a better picture of the initial care needs of the resident. Develop more thorough care plans, this would give care workers a better picture of the care needs of the residents, provide confirmation of the care and support the residents require and inform the care workers of the preferred manner in which the care and support should be delivered. Ensure that all identified risks are included in the risk assessment documentation and keep these under review. Staff need to be aware of all the current risks to the residents and the actions to take to minimise those risks. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 7 Ensure that recruitment procedures are robust and adhered too. Residents need to be protected by the recruitment procedures that are in place. Ensure that all copies of residents Terms and Conditions are completed fully, this will avoid any misunderstandings with regard to their residency within the home. Ensure that residents money held for safe keeping is stored individually, that two signatures are obtained for transactions carried out on behalf of the resident when possible and obtain receipts where applicable. This will protect the resident’s finances and enable the registered manager to keep check on the monies held on the resident’s behalf. Provide refresher training in abuse awareness, this will ensure that the care workers in the home are fully aware of the types of abuse, possible signs of abuse and actions to take if abuse were suspected. 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. Welford Court Residential Home DS0000006447.V338468.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 Welford Court Residential Home DS0000006447.V338468.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): 2,3,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have their needs assessed and are able to visit the home to see whether it is the right place for them before moving in. EVIDENCE: The registered manager explained that both he, and when possible the care manager, would carry out a needs assessment on all prospective residents before they move into the home. This was confirmed on checking the files belonging to the three residents case tracked, which all included a completed assessment sheet. One relative spoken with during the inspection visit stated: “Chris [the registered manager] and xxx [the care manager] came to the hospital to see my mum before she came in”. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 10 A copy of the needs assessment completed by the residents social worker had also been obtained to ensure that they were aware of all the needs of the residents prior to them moving into the home. The needs assessment sheet completed by the registered manager is a one sheet document which covers aspects of daily living including, what personal care is required, details of the residents medical history and their likes and dislikes. Although this document is rather basic in content, when looked at along side the assessment from the social worker, the reader is informed of the individual needs of the prospective resident. All the residents and/or relatives spoken with confirmed that they had been able to look around the home before deciding if it was the right place for them. One relative explained: “I rang and asked if I could come now and they said yes, a lady showed us round, showed us the room and told us about the home”. Terms and conditions of occupancy were in place. A relative spoken with confirmed that they had received a signed copy of their relative’s agreement and a blank copy is kept on file for reference. It was recommended during the inspection visit that all copies kept on file include the agreed charges and be signed by all parties to avoid any misunderstandings. At the time of the inspection visit Welford Court was not providing intermediate care. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents health care needs are currently being met, however, care plans and personal risk assessments do not reflect the actions carried out by the care workers to meet those needs. EVIDENCE: Care plans belonging to the three residents case tracked were looked at. Current practice is for the manager or care manager to complete the one page ‘individual care plan sheet’, which also doubles up as the needs assessment document. Any specific needs identified from this sheet would then be written up in more detail on an additional information sheet. The more care a resident requires, the more additional information sheets are included in the care plan. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 12 On checking the three care plans it was noted that not all care needs had been included. This included the use of special equipment to enable one resident to have a shower and the regular monitoring of another residents blood sugar levels, (though this had been identified in the residents personal risk assessment). The care manager stated that they tended to test the blood sugar levels if the resident was showing signs of being unwell, for instance if he seemed shaky or off colour. On checking both the blood sugar monitoring records and the daily records it was evident that when the blood levels were monitored, which was not on a regular basis, no mention had been included in the daily records of either the test being carried out or that the resident wasn’t so well. On checking the third care plan it was noted that it had not been updated to show a change in medication. This was immediately amended. The registered manager stated that these issues would be addressed straight the way. To ensure that all the care plans are relevant and up to date it was recommended that they be checked as a matter of priority. On speaking with two care workers and the care manager on duty at the time of the inspection visit it was noted that although the care plans weren’t fully reflective of all the actions currently being carried out, all the care workers were aware of what was required of them and all residents and relatives spoken with were most satisfied with the care and support they receive. Comments received included: “We are very satisfied with the care and the carers are excellent”. “When I first came I didn’t want to stay, but I’ve settled now and I don’t think you can better it”. Personal risk assessments were in place for all three residents case tracked though it was noted that not all were dated, up to date or included all the risks associated with daily living. This included one, which stated that the resident had a catheter, though this had been removed during a visit to hospital. (It was noted that although this had not been removed from the risk assessment it had been addressed in the residents care plan). A second, for a resident who takes warfarin medication, (a medication which helps thin the blood) did not have this included in the risk assessment documentation even though there are risks associated with taking this medication and a third for a resident with poor mobility which did not include the risk associated with taking a shower. One of the three risk assessments seen on this occasion had been reviewed. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 13 The registered manager needs to ensure that all the paperwork within the home corresponds and is up to date and accurate. The medication records and blister packs belonging to the three resident’s case tracked were checked and were found to be in order, though on checking the eye drops used by one of the residents case tracked it was noted that these were not being used in line with the pharmacists instructions which states that the eye drops should be discarded one month after opening. Two bottles of the same eye drops had been opened but on checking the records it could not be determined when the bottles had been opened. The deputy manager stated that these would be destroyed immediately. Interaction between residents and care workers was positive on the day of the inspection with staff members speaking to residents and relatives in a relaxed, friendly and supportive manner. All residents and relatives spoken with stated that they felt they were treated with dignity and respect. Comments received included: “I’m happy here, they let me help where I can”. “They [the carers] are really marvellous, they treat me well and I would soon tell them if they didn’t”. Welford Court Residential Home DS0000006447.V338468.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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Visiting is encouraged to enable the residents to maintain contact with family and friends. EVIDENCE: Choices are offered to residents on a daily basis including what time to get up, what to wear, and what time to go to bed. One resident explained, “they come and wake me up about a quarter to eight which suits me nicely”. Residents spoken with confirmed that activities are offered and they have the choice wether to join in or not. One resident stated, “You can do as much as you want or as little as you want. During the inspection visit residents were invitied to join in games such as snakes and ladders and dominoes. Residents are also encouraged to help out around the home and during the inspection one resident was seen assisting with the laundry whilst another was helping with the washing up. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 15 Family and friends are encouraged to visit. Relatives and visitors spoken with during the inspection confirmed that they were made most welcome and were able to visit at any time. One relative explained, “All the staff are pleasant and will always talk to you and they always ask you if you want a cup of tea or coffee”. All residents spoken with stated that the food served in the home was good, this statement was supported by questionaires received from relatives which all included positive comments about the food. Comments received included: “Food very good, choice excellent”. “The food is of a very good standard, a nice variety with a lot of home made dishes”. “The food is very, very good, better than home! Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are confident that their complaints and concerns will be listened to, taken seriously and acted upon. EVIDENCE: All residents and/or their relatives spoken with were aware of whom to talk to if they were concerned about anything and all were confident that any issues raised would be dealt with appropriately. Comments received included: “Id talk to Chris or xxx [the care manager] if I wasn’t happy about something”. “If one of the carers did something I didn’t like id tell one of them”. Pre inspection documentation received prior to the inspection visit stated that three complaints had been received in the last twelve months. This statement was supported on checking the complaints file. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 17 These complaints, which included a complaint regarding staff using a residents private wheelchair for other residents, and a resident complaining that they didn’t want to get up at a different time than they were used to, were looked into, upheld and actions were taken to ensure the concerns didn’t arise again. Residents and relatives spoken with all stated that they, or their relative felt safe living in the home. One relative stated, “I feel mum is definitely safe here”. One relative explained in a questionnaire received prior to the inspection visit: “Takes good care of my mother, I know she is being looked after and that gives me peace of mind to know she is safe and in good hands”. On checking the training file there was no evidence to suggest that training in abuse awareness had been provided, however, care workers spoken with during the inspection were aware of what to do should they suspect any act of abuse. On speaking with the care manager, although it was felt that they were aware of the actions to take should abuse be suspected, it was suggested that some in house training might be beneficial to ensure that they were aware of all parties to be contacted in such instances. The registered manager is aware of the procedure to follow with regard to adult protection. Welford Court Residential Home DS0000006447.V338468.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): 19,20,21,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a comfortable and homely place to live. EVIDENCE: The areas of the home seen on this occasion were well maintained and suited to the residents needs. Decoration in the home is of a good standard and furnishings in the communal areas are domestic in character and in good condition. A number of rooms have been decorated since the last inspection and one of the residents case tracked invited the inspector to look at their new carpet, which had recently been laid. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 19 The rooms belonging to two of the residents who were case tracked were seen. These were clean, appropriately furnished and included the residents personal belongings. All residents and/or their relatives spoken with were most satisfied with the accommodation provided. All of the resident’s case tracked either had a toilet in their room or one close by to their room and the bathrooms used by them had aids and adaptations to enable them to bathe safely. It was noted during the inspection that a number of doors were held open with door wedges, it is recommended that the registered manager check the suitability of the use of these in line with the homes fire policy and procedure. Residents have access to a well maintained garden to the rear of the property and seating is available for the residents and their relatives to use. A new gazebo has recently been purchased to enable the residents to continue to enjoy the garden in the very sunny weather. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of care workers are currently employed to meet the needs of the residents, however, recruitment practices within the home could potentially put service users at risk. EVIDENCE: There were sufficient numbers of staff on duty on the day of the visit to meet the current needs of the residents. Residents and relatives spoken with felt that on the whole there were enough staff on duty to meet their individual needs and both the care workers and the care manager stated that they felt that there were enough staff on each shift to care properly for the residents. All residents and/or their relatives spoken with confirmed that their current care needs were being met and on speaking with two care workers on duty during the visit it was evident that they were aware of the individual needs of the three residents case tracked. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 21 Staff files belonging to the four most recent staff members to be recruited were checked. All files included two references, (though six of the eight references obtained were addressed to ‘to whom it may concern’) and for a care worker recruited approximately eighteen months ago, the references were from 2003 and 2004. The registered manager stated that this was because the care worker had previously worked at Welford Court’s sister home, Conifer Lodge, and therefore references gained previously were transferred over with her. On speaking with the care worker concerned the inspector was informed that there was a gap of approximately six months between finishing work at Conifer Lodge and commencing work at Welford Court. On checking a second file it was noted that the references gained did not include a reference from their most recent employer. All three files included a CRB (Criminal Records Bureau) check, though it was noted that for one care worker who was employed by the registered manager in February this year, there CRB had been transferred from their previous employment and was dated 2005. The registered manager had yet to apply for a new CRB or a POVA first (Protection of Vulnerable Adults) check. The care manager explained that all new care workers complete a period of induction. This covers an introduction to the home, an introduction to the residents and their needs and information on the homes procedures including the fire procedure and general health and safety around the home. Formal induction training has been sourced since the last inspection which new care workers also work through. One of the care workers spoken with during the inspection visit confirmed that they had completed this on joining the staff team. On checking both the pre inspection questionnaire submitted before the inspection visit and the training file held in the home it was evident that a number of training sessions have been provided in the last twelve months. These include: Stoma care Warfarin training Diabetes COSHH Basic foot and nail care Fire safety awareness. On speaking with one of the care workers on duty during the inspection visit the inspector was informed that they had yet to receive training in food hygiene, though it was noted that they were required to cook the meals within the home. On checking the pre inspection questionnaire and on speaking with Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 22 the care manager it was noted that training in food hygiene was planned for the near future. It was also noted that this care worker had yet to receive appropriate moving and handling training though the inspector was informed that they would be attending the moving and handling training currently being organised. Training being planned for the future includes moving and handling, infection control, Safe handling of medicines and first aid. This was confirmed on speaking with the care manager and evidence of arranging the moving and handling and first aid training was seen. A discussion also took place with the registered manager regarding dementia training, which he intends to look into and provide in the future. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from an open and positive atmosphere, which is evident throughout the home. EVIDENCE: All residents and their relatives spoken with during the visit stated that both the registered manager and the care manager were approachable and would have no hesitation to talk with one of them should they need to. Care workers spoken with felt supported and stated that there was always someone available to talk to. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 24 One resident stated, “Id talk to Chris [the registered manager] they are all very approachable”. Evidence was seen to confirm that both residents meetings and staff meetings have been held since the last inspection. The last residents meeting was held in January this year when seven residents attended and the last staff meeting was held in November 2006. On speaking with one of the care workers on duty during the inspection visit the inspector was informed that another staff meeting was planned for the Friday following the inspection. Supervision is now provided to the care workers working in the home. This involves both observation of care practices and meeting with the care manager. The care manager explained that quality monitoring forms are completed by the residents and their relatives to gain their views of the home and a relative spoken with confirmed that they had been asked how they felt things were going and if they were satisfied with the care their relative received. On checking the training files it was evident that health and safety training, COSHH (Control of Substances Hazardous to Health) training and fire safety training have been provided since the last inspection. The registered manager provides the facility to hold small amounts of money for the residents if needed. On speaking to the relatives visiting one of the residents case tracked the inspector was informed that this was very useful as it meant that their relative didn’t have to worry about money. On checking the money kept it was noted that current practice was to keep all the money together which is locked securely away. Records are kept of money deposited and of any money spent on behalf of the resident, though this isn’t currently double signed or receipts kept for every transaction. Daily records are in place, On checking the records belonging to the three residents case tracked it was noted that one had suffered a fall over the previous weekend, on checking the accident book it was noted that this fall had been recorded appropriately in the accident book and the community nurse had been called in to attend to the injuries the fall caused. Welford Court Residential Home DS0000006447.V338468.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 X 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? 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 (1) (b) Requirement The registered provider must obtain an up to date CRB on recruitment of all new care workers The registered person must ensure that the risk assessment documentation is up to date, regularly reviewed and includes all the risks presented to the individual residents. Timescale for action 15/07/07 2 OP7 13 (4) (c) 15/07/07 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 3 Refer to Standard OP3 OP7 Good Practice Recommendations The registered provider should complete a more thorough needs assessment before a resident moves into the home to ensure all care needs are identified. The registered provider should complete a more thorough care plan for each resident and ensure that all relevant care and support needs are included. DS0000006447.V338468.R01.S.doc Version 5.2 Page 27 Welford Court Residential Home 4 5 OP18 OP35 The registered person should provide refresher training in abuse awareness. The registered provider should ensure that money kept on residents behalf is kept individually and receipts are obtained whenever possible. Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Welford Court Residential Home DS0000006447.V338468.R01.S.doc Version 5.2 Page 29 - 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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