Care Home: Aberry House

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What the care home does well An up to date Statement of Purpose and Service User Guide are in place. These documents inform the reader of the services provided and are made available to all the people living in the home and to their relatives. Copies of the Service User Guide are placed in people`s bedrooms, unless they choose not to have a copy and further copies are placed in the lounges and reception areas of the home. The acting manager visits prospective users of the service before they move into the home and an initial assessment is completed to ensure that their individual needs can be met. Care workers are aware of the care needs of the different people living in the home and provide this in a relaxed and friendly manner. 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? An administrative assistant has been employed on a part time basis to assist the acting manager in the office enabling the acting manager to concentrate on the day to day running of the home. Care plans have been reviewed and care workers are now more involved in the reviewing process. A new four weekly menu has been developed. This is in pictorial form and is displayed in the entrance hall. Daily menu and information sheets have also been produced and these are placed on each table to inform the people living in the home of the choices available each day. Improvements within the environment have been made. The door to the downstairs toilet has been turned round to provide more privacy for the people using it and additional grab rails have been placed in ensuite toilets. Freestanding wardrobes have been fixed to the walls and work is commencing on the heating system to ensure greater response to the thermostatic heating. Polices and procedures have been reviewed and the acting manager is in the process of providing care workers with copies of policies relevant to their role within the home. All care workers have been provided with information on safeguarding adults. The registered provider is in the process of developing memory boxes for all the people living in the home to be used as a reminiscence and conversational tool. Individual assessments are currently being developed for all the people living there to identify their individual needs and choices within the home environment. What the care home could do better: Ensure that practical moving and handling training is provided at the earliest opportunity following recruitment of new staff. The registered person must ensure that the health, safety and welfare of the people living in the home are promoted and protected. Ensure that all staff are aware of the individual health needs of the people living at the home. Staff need to have an awareness of any health issues that could be affected by their actions i.e. the knowledge that someone has diabetes. Ensure that when a care or support need is identified the appropriate part of the care plan or risk assessment is completed. This will ensure that all care workers have correct and up to date information on each person living in the home. Ensure that the use of door wedges is discussed with the local fire authority. The safety of the people living in the home must be promoted and protected. CARE HOMES FOR OLDER PEOPLE Aberry House 6 Monsell Drive Leicester LE2 8PN Lead Inspector Diane Butler Unannounced Inspection 15th October 2008 09:00 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 Aberry House DS0000006356.V372796.R02.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. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aberry House Address 6 Monsell Drive Leicester LE2 8PN 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) 0116 2915602 0116 2915603 margaret@magnumcare.com Mrs Margaret Madden Vacant Care Home 38 Category(ies) of Dementia - over 65 years of age (38), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (38), Old age, not falling within any other category (38), Physical disability over 65 years of age (38), Sensory Impairment over 65 years of age (38) Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following category of service only:Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE(E) Mental Disorder, excluding learning disability or dementia - Code MD(E) Physical Disability - Code PD(E) Sensory Impairment - Code SI(E) The maximum number of service users who can be accommodated is 38. 22nd April 2008 2. Date of last inspection Brief Description of the Service: Aberry House is a care home for older persons, providing accommodation and personal care for up to thirty-eight older people some of who have mental health needs and/or dementia. The home is situated on a quiet street off the main Lutterworth road in the city of Leicester. Accommodation is on two floors with the upper floor accessed by lift or stairs. There are four lounges and two dining rooms on the ground floor. The home offers thirty six single bedrooms and one shared bedroom, all but one of these rooms offer ensuite facilities. The room without ensuite facilities has a toilet close by. A well-maintained secure garden is situated to the rear of the home. Current private charges range from £380.00 per week to £580.00 per week as stated in the revised Terms and Conditions of residency. Additional charges are in place for hairdressing, chiropody treatment and transport to appointments. Details of all charges can be found in the homes Statement of Purpose (a document which provides relevant information about the home), which is made available to all the people living in the home. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 5 A copy of the latest Inspection report is available at the home, or it can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the acting manager. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star rating. This means the people who use the service experience good outcomes. This was an unannounced visit, which took place over an eight and a half hour period in October 2008. The acting manager was on duty at the time of the inspection and the registered provider was available throughout the visit. When undertaking key inspections the Commission for Social Care Inspection (CSCI) focuses upon outcomes for people using the service and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting four people who live at the home and tracking the care they received through looking at their records, speaking with them and their relatives when possible and discussion with staff on duty at the time of the visit. Where communication was difficult observation was used to evidence whether care needs were being met. A further five people living in the home and eight relatives were also spoken with during the site visit. Comments received during the visit include: “The staff are so patient” “She always looks smart, clean and tidy and always has her pearls on, it’s the little things that are important”. “I can’t rate the home enough”. “We have had one or two issues but they get resolved, on the whole they are very good”. “They look after me very well”. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? An administrative assistant has been employed on a part time basis to assist the acting manager in the office enabling the acting manager to concentrate on the day to day running of the home. Care plans have been reviewed and care workers are now more involved in the reviewing process. A new four weekly menu has been developed. This is in pictorial form and is displayed in the entrance hall. Daily menu and information sheets have also been produced and these are placed on each table to inform the people living in the home of the choices available each day. Improvements within the environment have been made. The door to the downstairs toilet has been turned round to provide more privacy for the people using it and additional grab rails have been placed in ensuite toilets. Freestanding wardrobes have been fixed to the walls and work is commencing on the heating system to ensure greater response to the thermostatic heating. Polices and procedures have been reviewed and the acting manager is in the process of providing care workers with copies of policies relevant to their role within the home. All care workers have been provided with information on safeguarding adults. The registered provider is in the process of developing memory boxes for all the people living in the home to be used as a reminiscence and conversational tool. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 8 Individual assessments are currently being developed for all the people living there to identify their individual needs and choices within the home environment. 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. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 9 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 Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home have their needs assessed before moving in. EVIDENCE: A Statement of Purpose and a Service User Guide are in place. These documents, which have recently been reviewed, provide the reader with information about Aberry House, its aims and objectives, details of the facilities the home has to offer and what charges are made. Each person living in the home has been given a copy of the Service User Guide and copies are also displayed in the entrance hall and lounges. The acting manager has also provided relatives with a copy of this document so that they have up to date information on what is provided for the people living there. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 11 The acting manager explained that each person who wants to move into the home is visited so that an assessment of his or her needs can be carried out. On checking the records of four people it was evident that an assessment had been carried and visitors spoken with also confirmed that the acting manager had visited their relatives before they had moved into Aberry House. People are also able to visit the home to have a look around to see whether it would be the right place for them live. One relative explained, “xxx [acting manager] came and visited her at home, and we were able to come and have a look around”. Intermediate care is not currently provided at Aberry House. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 12 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. The care and support needs of the people living in the home are currently being met. EVIDENCE: The paperwork belonging to four people living in the home was checked. All had a care plan in place and the acting manager explained the all the care plans had recently been updated. Care plans which are reviewed on a monthly basis cover individual needs such as health and personal care needs, mobility, eating and drinking, activities, medication, night care and likes and dislikes in daily living. The home is part of a ‘Gold Standards Framework’ pilot project in the city; the framework aims to ensure that the care given at the end of life is based on the person’s individual needs and wishes. As a result of the involvement in this Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 13 project all care plans also include an end of life care plan, based on the Gold Standards Framework, which is developed with the person, their relatives and their GP to ensure that they are able to die with dignity in their own home. Some relatives who were seen during the inspection spoke highly of the care that their relative had received before they died; they had visited the home to convey their thanks to the staff. On checking one care plan it was noted that it did not include a plan for eating and drinking though issues had been identified in the health care plan section with instructions to the staff to encourage fluids and a waterlow assessment showing that the person had a ‘poor appetite’. The acting manager stated that this would be addressed straight the way. All files checked had a falls assessment in place and the acting manager has worked hard on monitoring and reducing the number of falls occurring in the home. Other risk assessments were in place in the files checked. These documents identified the risks relating to the individual person and the actions to be carried out by the care workers to minimise those risks. On checking daily records it was evident that health care services including GP’s, community nurses and chiropodists are accessed for the people living in the home. Accident records were in place though it was noted that for one person who had suffered a fall, this had not been recorded in the daily records with no entry at all for that day. The acting manager stated that this would be looked into and addressed. Medication records were checked and were found to be in order. Medication had been appropriately signed into the home and signed for when given, when medication had not been taken appropriate codes were being used to evidence why this was the case. Records for controlled medication were in order and the acting manager explained that a new cabinet had recently been ordered for the storage of such medication. On speaking with the care workers it was evident that on the whole they were aware of the current care and support needs of the people living in the home, however, one care worker spoken with was not aware that one of the people they support had diabetes. Interaction between the people living in the home, care workers and relatives was positive on the day of the visit with staff members speaking in a respectful, friendly and supportive manner. People spoken with during the visit showed satisfaction with the care and support received. Comments included: Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 14 “The staff are excellent and so kind”. “My relative always looks clean and cared for, I can’t fault the care”. “They look after me very well”. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 15 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 strongly encouraged. EVIDENCE: On speaking with both the people living in the home and their relatives we were informed that choices are offered on a daily basis. These include when to get up and go to bed, what to have at mealtimes and whether to spend their time in one of the lounges or in their own room. During the visit one of the care workers was seen finding out peoples preferences for lunch and tea that day. Activities are currently provided by the care workers twice a day, one session in the morning when the main bulk of the work has been completed, and one session in the afternoon. Activities provided include ball games, dominoes and one to one support, when nail care and reading books and newspapers are carried out. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 16 The registered provider explained that they had recently recruited an activities organiser who was due to commence working in the home for one and a half days per week. Visiting is strongly encouraged and all relatives spoken with stated that they were made welcome and can visit at any time. One relative explained, “You always get a cup of tea”, another relative stated” I come at all different times of the day and always unannounced, they never mind”. Specific religious and cultural needs are met. Communion is offered on a regular basis and the people living in the home are encouraged to visit local centres and places of worship. New four weekly menus have recently been produced. These are available in pictorial format and are displayed in the reception area. The acting manager also explained that daily menu and information sheets were in the process of being developed for each table to remind the people living in the home of the meals being offered each day. The menus seen showed that a balanced and varied diet was being offered. A concern had been received regarding the food served in the home and portion sizes, however, the meal seen during the visit looked hot and appetising with a choice of faggots or liver and onions with mashed potatoes, carrots and peas for lunch and rice pudding or ginger and pear sponge for pudding. On talking with the people living in the home and relatives visiting on the day of the visit we were informed that the food was good overall and the portions were right for their appetite. Comments received included: “There is always something suitable, they liquidise the meal at lunch, though I must say at tea times they find it more difficult”. “I had potatoes onion and liver, very nice, there’s more than enough for you”. “They look after me very well, I’ve had a very nice lunch” One visitor spoken with explained that their relative didn’t like to wear their dentures and therefore needed a soft diet, on checking the meal served to them it was noted that they had been served liver in quite large pieces. This was discussed with the acting manager who stated that this would be looked into to make sure a soft diet was provided. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home feel safe and are aware of whom to talk to if they are not happy. EVIDENCE: A complaints procedure is in place. A copy of this is displayed in the entrance hall and all the people spoken with were aware of who to talk to if they weren’t happy about something. One person explained “we have had one or two issues but we talked to them [the registered provider and acting manager] and they got resolved”. The acting manager stated that two written complaints and one verbal complaint had been received since the last inspection in April this year. The verbal complaint involved missing laundry items and the written complaints regarded issues with the food provided and personal effects going missing. These were looked into and adressed by the acting manager and the complainants were responded to in writing. Training in safeguarding adults was provided in June this year and care workers spoken with on this occasion were aware of the actions to take should Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 18 they suspect an act of abuse. On speaking with the people living in the home and their relatives visiting on the day of the visit, all stated that they felt safe living in the home. Comments received included: “We have visited at all times of the day and evening, unannounced and we have never seen any thing to concern us, we feel she is very safe”. “I think my mum is safe, xxx [acting manager] comes straight to us if there are any issues”. One safeguarding referral has been made since the last inspection. The registered provider and acting manager worked with the relevant professional bodies to resolve the issue and have put in place systems and provided additional training to further improve services for people living in the home. Since the visit was carried out the acting manager has also produced a ‘Protection of Vulnerable Adult’ folder, which all staff are reading and a leaflet on the subject is being developed. This will be given to all staff and will be the basis of their next meeting. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the accommodation within the home is good, providing the people who live there with a pleasant and homely place to live. EVIDENCE: The accommodation within Aberry House is well maintained with a number of lounges and dining areas being provided throughout the home. The provider has an action plan, which addresses building maintenance and replacement of fixtures and fittings. Decoration is of a good standard and furnishings in the communal areas are domestic in character and in good condition. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 20 One person spoken with stated, “ The home is very nice and the rooms are lovely, on the whole there are no smells, though I don’t think it’s as clean as it used to be”. The registered provider explained that they were in the process of recruiting another housekeeper to assist with maintaining the cleanliness in the home. There are thirty-six single bedrooms and one shared bedroom with all but one of these rooms offering ensuite facilities. The room without ensuite facilities has a toilet close by. Bedrooms are personalised, with some including an Internet connection, mini fridges, and a loop system for people with hearing impairments. The provider and the acting manager have worked with people to ensure that their room meets their needs and that they are able to manage situations such as continence needs through adaptations to the environment. A number of improvements have been made to the environment since the last visit including additional grab rails in ensuites and replacement of pull cords. All freestanding wardrobes have been fixed to the walls for safety and the door to the downstairs toilet has been moved to provide more privacy for the people using it. The flooring in one lounge and a bedroom has been replaced to make it more easily cleaned and promote a pleasant environment. Limited storage space meant that on the day of the visit a number of items were being stored at the rear of the main lounge where one person accesses their bedroom. This included two hoists, wheelchairs and walking frames. Whilst visiting one of the people spoken with it was evident that their carpet was in need of replacement. This was discussed with the acting manager who explained that this was due to be replaced in the very near future. It was also noted that a number of doors and door frames were quite badly knocked and scratched, this was again discussed and we were informed that kick boards were being purchased to place over the affected areas. One person’s bedroom door was being propped open with a door wedge; the acting manager is advised to seek advice from the local fire authority regarding this practice. Assisted bathing facilities are available and a shower room is provided on the first floor. There is a kitchenette, which can used by people living in the home or by their relatives. There is an attractive secure garden area to the rear of the home. This is accessible to all the people living at the home with ramps and handrails in place to assist those who are less mobile. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. People who live at the home are protected by current recruitment practices. EVIDENCE: The staff rota was checked to see if there were suitable numbers of staff on duty to meet the needs of the people living there. On the morning of the visit, on duty were the acting manager, one senior care worker, three care workers and one care worker working 10:00am until 6:00pm. The registered owner was also in the home. All care workers spoken with felt that there were enough staff on to meet the needs of the people living there and visitors spoken with felt that there were currently enough staff around to care appropriately for their relative. One relative explained, “There’s always someone around”. Staff are appropriately recruited with the necessary checks being obtained before the staff commence work. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 22 All new care workers complete a formal induction, which involves completing a comprehensive workbook. Once this is completed they then commence their NVQ (National Vocational Qualification) training, which provides the carers with the knowledge and experience to enable them to carry out their role effectively. New care workers spoken with confirmed that they had started their induction and had been informed that they would be completing the NVQ qualification. A number of training courses have been provided since the last key inspection in April this year, this includes safeguarding adults training, tissue viability training and medication training. The acting manager approached Leicester College regarding further training and a representative from the college visited Aberry House to develop a training plan for the next six months. Aberry House DS0000006356.V372796.R02.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): 31,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is appropriately managed. EVIDENCE: The acting manager is in the process of registering to be the registered manager at Aberry House and has completed her NVQ level 4 and Registered Managers Award. Care workers spoken with felt supported by the management team and all stated that there was always someone available to talk to if they needed to. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 24 Daily records were checked, a report is written after each shift and details of visits by GPs, community nurses etc are kept. The majority of the records checked during this visit were in order, were omissions were noted the acting manager was informed and we were told that this would be looked into and addressed. Staff meetings are held on a regular basis and for those who are unable to attend, copies of the minutes taken are displayed on the staff notice board for information. Health and safety training is provided and the acting manager has recently developed a health and safety file. A quality assurance and monitoring system is in place and the acting manager has recommenced monitoring the services provided in the home. The acting manager explained that risk assessments have been carried out for all areas of the home and individual assessments were currently being developed for all the people living there to identify their individual needs and choices within the home environment. On speaking with three new care workers we were informed that they had yet to receive practical moving and handling training, though they had been in post for approximately four weeks. This was discussed with the acting manager who acknowledged this and we were informed that this would be provided as a priority. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 3 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 3 3 2 Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP7 OP7 OP38 OP38 Good Practice Recommendations The registered person should ensure that practical moving and handling training is provided at the earliest opportunity following recruitment of new staff. The registered person should ensure that all staff are aware of the individual health needs of the people living at the home. The registered person should ensure that when a care or support need is identified the appropriate part of the care plan or risk assessment is completed. The registered person should ensure that the use of door wedges is discussed with the local fire authority. Aberry House DS0000006356.V372796.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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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