Care Home: Abafields Residential Home

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What the care home does well What has improved since the last inspection? A new resident assessment form is now in use. This allows staff to find out and write down lots of information about a person before they are admitted to the home. In this way they will know if they can meet a persons` needs or not. New games and a piano/keyboard have been bought for the residents so that they can continue to enjoy the activities within the home. The Manager has introduced a system where each resident has one-to-one attention from a carer and they can do whatever they want for two hours. It is called I am yours for 2 hours. Residents can go shopping, go to the pub or just sit and talk. There have been several improvements to the environment. New double glazed windows have been fitted, bedrooms continue to be redecorated and new carpets fitted.The courtyard and front gardens have been improved. The courtyard now has lots of potted plants, flowers and bird feeders and looks very pretty. The front garden now has a cascading fountain that is lit up when it gets dark. Management has achieved the Investors in People Award. What the care home could do better: More attention needs to be given to ensuring that the care plans are reviewed regularly. This will ensure that any changing needs of the residents can be identified and suitable action taken. More attention needs be given to recording in their individual care plan, how often a resident is to be weighed and what their accurate weight is. Regular weighing of residents, accurate recording of the results and acting on the information is necessary so that the possible cause of weight loss can be looked into and dealt with. Management and care staff must ensure that a safe system is always in place for the storing of medicines. This should ensure that medicines are not out of date and are given out in the date order they were prescribed. CARE HOMES FOR OLDER PEOPLE Abafields Residential Home 3-9 Bromwich Street Bolton Lancashire BL2 1JF Lead Inspector Grace Tarney Unannounced Inspection 23rd January 2008 09:30 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 Abafields Residential Home DS0000065869.V358240.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. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abafields Residential Home Address 3-9 Bromwich Street Bolton Lancashire BL2 1JF 01204 399414 01204 399415 abafieldshome@aol.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) Coulson & Collins Care Home Ltd Mrs Anne Collins Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 35 service users, to include: Up to 35 service users in the category of OP (Older People). The service should employ a suitably experienced and qualified manager who is registered with the Commission for Social Care Inspection. 25th April 2006 Date of last inspection Brief Description of the Service: Abafields is a spacious Victorian building that has been extended and modernised. It is situated near to Bolton town centre, the motorway network and public transport. The home provides personal care and support for up to 35 older people. The majority of accommodation is provided in single rooms, 12 of which have en-suite facilities, although shared rooms are available. The bedrooms on the first floor are reached either by stairs or a passenger lift. Residents have a good choice of communal areas, including a conservatory overlooking a large, well-kept enclosed patio. There is limited on-street parking outside the home. The current weekly fees range from £370 to £420. Additional charges are made for private chiropody, hairdressing, newspapers and holidays. This information was received on the 23rd January 2008. A copy of the most recent Commission for Social Care (CSCI) inspection report was displayed in the hallway. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The home was not told that this inspection was to take place although many weeks before the inspection, questionnaires (comment cards) were sent out to the residents and their relatives. The questionnaires asked what people thought about the care and quality of the service provided. . 10 were received from relatives and 5 from residents. What they felt about the care and services provided is written in different sections throughout this report. Also before the inspection we (The Commission) asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they did at present, what they felt they did well and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we do. We felt this form was filled in honestly and that a lot of time and effort had been given to filling it in. We spent 8 hours at the home and during this time looked at care records and medicine records to make sure that the health and care needs of the residents were being met. We also looked around the building at most of the bedrooms, bathrooms, toilets and sitting areas to check if they were clean, warm and well decorated. We also looked at the menus and looked at what the residents had for their breakfast, lunch and evening meal. We also checked how many staff were provided on each shift to make sure the residents needs were being met, and also looked at how management recruit and train their staff. How the home manages the residents’ spending money was also looked at. In order to get further information about the home we also spent time talking to 2 residents, 2 care assistants, the Deputy Manager and the Manager. What the service does well: The Manager makes sure that they only admit people whose needs the staff can meet. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 6 Residents feel that they are well looked after by the staff. Both residents and relatives made the following comments: • The very best of care. We are more than satisfied. They are doing a great job. The staff are very caring and always seem willing to help in any way they can. We look upon the staff as friends, who are willing, not just to do their jobs but always prepared to go the extra mile. They care for the residents to make them feel at home. The staff are always very pleasant and cheerful. • • • Activities are considered to be an important part of the residents’ day. This brings enjoyment to lots of the residents. Enough staff are on duty to meet the needs of the residents. The staff make sure that the residents are clean, comfortable and well dressed. Management make sure that they check care staff out properly and safely before offering them a job. This helps protect residents from being cared for by unsuitable people. Great importance is attached to the training of all staff and management continue to look at further training. This ensures that people are cared for properly and safely. What has improved since the last inspection? A new resident assessment form is now in use. This allows staff to find out and write down lots of information about a person before they are admitted to the home. In this way they will know if they can meet a persons’ needs or not. New games and a piano/keyboard have been bought for the residents so that they can continue to enjoy the activities within the home. The Manager has introduced a system where each resident has one-to-one attention from a carer and they can do whatever they want for two hours. It is called I am yours for 2 hours. Residents can go shopping, go to the pub or just sit and talk. There have been several improvements to the environment. New double glazed windows have been fitted, bedrooms continue to be redecorated and new carpets fitted. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 7 The courtyard and front gardens have been improved. The courtyard now has lots of potted plants, flowers and bird feeders and looks very pretty. The front garden now has a cascading fountain that is lit up when it gets dark. Management has achieved the Investors in People Award. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Abafields Residential Home DS0000065869.V358240.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 Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are properly assessed before they are admitted to the home and this gives an assurance to everybody, that a person is only admitted if the staff can meet their needs. EVIDENCE: Before any resident was admitted to the home a senior member of staff from the home undertook an assessment of their needs. The assessment looks at what help and support the prospective resident needs in all aspects of daily life. The one assessment looked at was detailed and gave a clear indication of the residents’ needs and what they could and could not do for themselves. Standard 6 does not apply. The home does not provide Intermediate Care. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 &10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care practices ensure that the residents’ needs are met in a caring and dignified way. EVIDENCE: Individual care plans were in place for each resident. The care plans of 3 of the residents were looked at. Each care file contained information about what a resident could do, and what they needed help with. They also detailed what their interests and hobbies were. The staff looked at whether or not there was any risk in relation to the residents developing pressure sores and also if they were at risk due to problems with their diet and fluid intake. They also looked at and they wrote down, how any resident was to be assisted with being moved around and by how many members of staff and what equipment, if any, was to be used to assist in safe moving and handling. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 11 The care plan of one resident did not give enough detailed information about how to look after one aspect of her care. This was discussed with a senior carer who agreed to put the information in the care plan straightaway. The manager said that the care plans were reviewed every month. She also confirmed this in the AQAA form that was sent to us. The care plans looked at had not been reviewed for the last few months. It is important that care plans are regularly reviewed so that any changing needs of the residents can be identified and then recorded, so that everybody is aware of the changes and what action, if any, is to be taken. The manager agreed to review the care plans almost immediately and we received written confirmation to state that she had done this. The care plans detailed the religious and cultural needs of the residents. At the time of the inspection there were no residents of any ethnic minority. Written daily statements were made in respect of each resident. They contained very little information about how the resident had spent their day or night. It is strongly recommended that, to give a clear picture of a resident’s well-being and condition at any one time, more information is included in the daily report The Manager said that residents were weighed at least on a monthly basis. The care plans did not show that this was happening. They did not document how often a resident was to be weighed. Staff said that they just knew it was monthly and that is how often they did it. The weight chart for one of the residents was difficult to understand. Measurements had been written down on two occasions but it was not clear what had actually been measured. The Manager said that the residents’ weights were written down in a book and that staff were supposed to transfer the information into the care plan. We received written confirmation that the weight recordings had been transferred into the individual care plans. Inspection of the care files showed that the residents had access to health care professionals, such as dentists, opticians and chiropodists. The following were some of the comments made by relatives and residents: • • • • The staff, the manager and the owners are all very nice. They do their best to keep the dignity of all those in their care, remembering they are people who have lived useful lives in the past. They look after her well. They are very good at communicating. The staff are very friendly. DS0000065869.V358240.R01.S.doc Version 5.2 Page 12 Abafields Residential Home The system for managing the medicines was looked at. Only staff that have had medication training handle the medicines. The stocks of medicines are kept in a locked cupboard in the staff office and the medicines are given out from the locked medicine trolleys. The stock cupboard was untidy and this resulted in some of medicines not being given out in correct date order. Medicines should be stored in date order and ideally separated into individual resident sections. This should make stock rotation and the ordering of medicines easier to manage and prevent out of date medicines being given to the residents. Staff were not always writing the date of opening on the eye drops that were in use. It is important to do this because the eye drops are to be used for only 4 weeks after opening. The senior carer on duty knew the importance of doing this and to make sure that the drops were not out of date she disposed of those in use and opened new ones. There was an unsigned handwritten prescription for one resident but no evidence that this had been prescribed by her GP. Neither was there any evidence of the medicine in the stock cupboard. The handwritten prescription did not state how much of the medicine should be given. To ensure the safety of residents, staff should firstly make sure that the medicine has been prescribed. They should sign the handwritten prescription and make sure that another staff member checks what they have written and then countersigns it. A new controlled drug cupboard was in use but it was not secured to the wall. We were informed by letter that the cupboard had now been secured. The recording of controlled drugs was accurate. There was a drugs fridge in use but staff had not been recording the temperatures. It is important to do this so that medicines that need to be kept in a fridge are being stored at the correct temperature. The manager said that the residents are given the choice to handle their own medicines if they wish. She also confirmed this in the AQAA form that was sent to us. On the day of the inspection none of the residents were handling their own medicines. Staff were discreet when providing assistance to the residents. Staff were seen knocking on bedroom doors before entering and speaking to residents in a quiet and respectful way. Staff confirmed that the importance of ensuring privacy, respect and dignity is part of their initial training. The residents looked clean and comfortable and were suitably dressed. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have a choice in how they spend their day and find enjoyment with the activities available and the meals provided. EVIDENCE: The residents’ routines of daily living and their social interests were recorded in their care plans. What time they liked to get up and go to bed was also written into their care plan. Throughout the day we saw that the residents were able to spend their day wherever they wished to. Two residents told us that they preferred to stay in their room for most of the day. They said that they liked their privacy. The care plans gave information about the residents’ religions and whether they practiced their faith. We were told that Holy Communion is celebrated every two weeks in the home and visiting clergy of any faith are always welcome. Management employ 2 activities people who visit the home on a Saturday morning. They make lots of things with the residents and we saw the fruits of their labour. Displayed around the room was lots of their craftwork: bird boxes, wooden toys and calendars. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 14 We were also told that a person visits every Friday to involve the residents in Movement to Music. A new piano /keyboard has been provided. One resident goes out to computer classes every week and also visits the gym. Staff told us that they do activities with the residents in the afternoon. One resident told us that she does not want to do any activities and the staff respect that. The Manager told us that she has introduced a system where each resident has one-to-one attention from a carer and they can do whatever they want for 2 hours. It is called I am yours for 2 hours. Residents can go shopping, go to the pub or just sit and talk. Staff and residents spoken to felt this was very useful and enjoyable. The Manager told us that they arrange two to three holidays per year for the residents and that they hold party days about 5 times a year. They organise an entertainer for the party and families are welcome to join in. She also confirmed this in the AQAA form that was sent to us. Comments received were • Good in-house activities. • There is plenty to do crafts, games and quizzes. Residents are encouraged to bring personal possessions into the home. Many of their bedrooms were personalised with pictures, photographs and ornaments. Residents may handle their own finances if they are able to and wish to. From talking with residents and staff we confirmed that the visiting arrangements are flexible. Residents told us that their friends and relatives are able to visit at any reasonable time. The Inspector did not eat with the residents but watched what they were having for lunch. The meal looked appetising and nutritious, and there was a choice of menu. Hot and cold drinks were being served throughout the day. Staff told us that food and drinks are available out of hours and that milky drinks are always available. The main meal is served at lunchtime and the lighter meal in the evening. The dining tables were nicely set with tablecloths, placemats, napkins and condiments. Comments made by residents were: • Good food • Very satisfied with the food. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know how to complain and staff have a good knowledge and understanding of what abuse is, thereby reducing the possible risk of harm to residents. EVIDENCE: The Service User Guide refers to a complaints procedure being available, however the complaints procedure that we saw was not detailed enough. It did not explain the time frames for when a complainant would receive a response. A discussion with the manager a few days after the inspection informed us that the complaints procedure had been rewritten to include the time frames for responding. No complaints have been made to us since the last inspection. A discussion with the senior staff showed that they were very aware of the procedure to follow in the event of any allegation of abuse. Training in the protection of vulnerable adults has been undertaken by most of the staff and is ongoing. Records of training were kept on their file. The manager also confirmed this in the AQAA form that was sent to us. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 16 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 21 24 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in suitably adapted, clean and comfortable surroundings. EVIDENCE: There are several lounge and dining areas. They were clean, warm and comfortably furnished. Two of the lounges look out over the courtyard where there are some very pretty potted plants and a decorative pond that has been securely fenced in. The corridors throughout the home were well lit, well decorated and had grab rails for residents to hold onto if they needed. There were enough toilets and bathrooms to meet the needs of the residents. Toilets were close by to bedrooms and lounge areas. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 17 Apart from one toilet, they had a lock on the door to ensure privacy. The manager agreed to fit a lock on the door as a matter of urgency and we received written confirmation that this had been done. The toilets were clean and were suitably adapted for disabled use. The bedrooms were clean, warm and nicely decorated. Most had a lockable space for the residents to keep their personal items safe. Several bedrooms were without a lock that had a key. We were told that in the newer part of the building the bedroom door locks do have a key. We discussed the issue of making sure that each resident was asked on admission if they wanted a safety lock and key for their bedroom. All the bedrooms throughout the home were centrally heated with radiators that were suitably protected. There were two unprotected radiators, one on a corridor and one in the conservatory/dining room. The manager agreed to fit radiator guards as a matter of urgency and we received written confirmation that this had been done. The home was clean and free from offensive odours. Hand washing facilities were in place in bedrooms, bathrooms and toilets. Sanitizing hand gel was also in place in the corridors. This is to reduce the spread of infection. Clinical waste was handled properly. The laundry was not inspected on this visit. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by experienced staff that are suitably trained and safely recruited. EVIDENCE: Inspection of the duty rotas and a discussion with staff and residents showed that there was enough staff on duty over a 24-hour period to meet the needs of the residents living at the home. Between the hours of 7 a.m. to 8 a.m. extra staffing is also provided to ensure that the residents needs are met in an unhurried and dignified way. The manager told us that she mainly works throughout the weekdays and is always on call for any advice or support. It was noted that the duty rotas did not document the hours that the Manager works. Neither did they document the full names of the staff. During a telephone conversation with the manager she agreed to make sure these details were on the staff rotas. The information received from the AQAA document showed that 69 of the staff had obtained their NVQ level 2 or above in care, and a further 9 staff were undertaking the NVQ level 2 course and 2 were undertaking the NVQ level 3 course. This is very good progress. The personnel files of 2 staff members were inspected. All were in order and these staff had been properly and safely employed. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 19 Induction training is provided for all newly employed staff. This is to make sure that they understand what is expected of them and that people are cared for properly and safely. The newly appointed Deputy Manager is in charge of the training within the home. A wide range of appropriate and ongoing training in moving and handling, detection of abuse, basic food hygiene, fire safety, infection control and other relevant topics is provided to staff at the home. Training provided to individual staff is recorded in detail in their file and reviewed at frequent intervals. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and practices within the home ensure the safety and wellbeing of the residents and staff. EVIDENCE: The manager is registered with the Commission for Social Care Inspection. She is a very experienced manager and has worked within the Care Home Sector for many years. She has completed the Registered Managers Award and has a diploma in Dementia Care. Staff told us that she was fair, very approachable and knew what was going on. One resident told us: • The manager and the owners are all very nice. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 21 Management send out surveys to residents and relatives asking for their views on the care and facilities provided. They have also introduced a 6 monthly review of the residents care plans and invite relatives to attend to give their views and thoughts on the care given. One of the owners does a weekly check of the building and any concerns in relation to refurbishments, the decoration or health and safety are referred to the handyman. They have also recently introduced a newsletter that is given out to residents and relatives and relatives/residents meeting are held on a regular basis. They have also achieved the Investors in People award. The system for the safekeeping of residents’ finances was good. Individual records are made of all transactions and balances. Receipts are held for any purchases made and receipts are given to relatives when they deposit any “spending money” for their relative. Regular weekly checking and testing of fire detection system, fire exits and emergency lights was undertaken and documented. Information received from the AQAA showed that the equipment and services within the home were serviced on a regular basis in accordance with the individual requirements. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 22 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 2 8 2 9 2 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 3 x x 3 2 3 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 Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 15(2)(b) Requirement So that any changing needs of the residents can be identified and acted upon, care plans must be reviewed at least on a monthly basis. To ensure the safety of residents, staff must not make a decision to prescribe a medication that is not in accordance with the homes’ Homely Remedy policy. Timescale for action 26/01/08 2 OP9 13(2) 23/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP8 Good Practice Recommendations It is strongly recommended that, to give a clear picture of a resident’s well-being and condition at any one time, more information is included in the daily report More attention needs be given to recording in their individual care plan, how often a resident is to be weighed DS0000065869.V358240.R01.S.doc Version 5.2 Page 24 Abafields Residential Home 3 OP9 4 OP9 5 OP9 and what their accurate weight is. Regular weighing of residents, accurate recording of the results and acting on the information is necessary so that the possible cause of weight loss can be looked into and dealt with. Medicines should be stored in date order and ideally separated into individual resident sections. This should make stock rotation and the ordering of medicines easier to manage and prevent out of date medicines being given to the residents. The drugs fridge temperature should be checked and recorded at least once daily. It is important to do this so that medicines that need to be kept in a fridge are being stored at the correct temperature. If staff need to handwrite a prescription they should sign the handwritten prescription and make sure that another staff member checks that what they have written is correct and then countersign. Abafields Residential Home DS0000065869.V358240.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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. 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