Care Home: Antron Manor Care Home

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What the care home does well Antron Manor is well run and provides a warm, comfortable, homely environment for the people using the service. The home is very clean and there are no offensive odours. Maintenance is ongoing to ensure the premises are safe and the grounds are attractive and safe for the people who access them. Prospective residents are assessed prior to admission to the home and they are invited, along with their family, to visit the home to meet staff and other residents. The people using the service have individual care plans that they agree and sign. A brief history of their life is included to help staff understand them as individuals and appreciate their personal preferences and choices. The plans are reviewed monthly with any changes made to ensure staff are aware of changing needs. Relevant risk assessments are undertaken with one specifically for those at risk of falling. There are suitable systems in place for the receipt, administration and disposal of medicines. One carer is responsible for overseeing the use of medicines in the home and she ensures that the records are completed and kept up to date. Residents can self administer their own medicines according to their wishes and capabilities. A pharmacist reviews the medicines regularly and audits the records. The healthcare needs of people are met and health professionals have made positive comments about the home, for example "Requests for visits and advice from the GP are always well considered and appropriate", " We always see patients in a setting of their choice usually their own room", "Carers are receptive to advice and support from team members to improve clients care and they ask if they have queries" and "I have no concerns over the appropriate safeguards regarding medicines". Organised activities take place and entertainers come to the home. The owner has a minibus to take people out and would like to make more use of this facility. Residents help in the garden if they wish and grow vegetables in the greenhouse over the summer months. An art class takes place once a week and almost half of the residents attend this, they spoke with enthusiasm of their achievements and some of their work is displayed in the home. All residents said there is plenty to do in the home and it is very evident that the people using the service are encouraged to be independent and live their lives as they wish. Visitors are made welcome and residents go out according to their wishes and ability. There is a nutritious menu with fresh fruit and vegetables included. Drinks and snacks are available between mealtimes. There are suitable complaints and abuse policies in the home and there have been no issues raised to the home or the Commission. There are numerous thank you letters and cards that are all kept. The recruitment process is robust and ensures that staff are suitable to work with vulnerable people prior to them being employed. There is an induction programme for new staff that is overseen by the registered provider and other staff. There is very low staff turnover at the home. The registered provider ensures that working practices are safe and staff are encouraged to undertake training in line with the laws governing care homes. He also strives to improve the service year on year and seeks the views of residents and their families to assist with this. What has improved since the last inspection? New carpets have been provided in the dining room and upstairs landing. Some rooms have been refurbished as part of the ongoing plans and the two flat roofs above the stairlift well have been replaced erradicating the damp problem in that area. A written risk assessment is now used for all new admissions to the home and for those existing residents at risk of falling. The actions required by staff are included so they know what to do to help prevent falls in the home. Handwritten instructions on medicine charts are now kept to the bare minimum and are signed by two members of staff. Training provision for staff has improved and statutory training has been brought up to date. The registered provider said he is now working on other aspects of training such as dementia and other conditions of the elderly. Quality assurance has improved and the AQAA is being used as a monitoring tool. Record keeping has also improved and there have been no problems identified in respect of records during this inspection. CARE HOMES FOR OLDER PEOPLE Antron Manor Care Home Antron Hill Mabe Burnthouse Penryn Cornwall TR10 9HH Lead Inspector Diana Penrose Unannounced Inspection 7th August 2008 09:20 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 Antron Manor Care Home DS0000032603.V366849.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. Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Antron Manor Care Home Address Antron Hill Mabe Burnthouse Penryn Cornwall TR10 9HH 01326 376570 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) rogerswsl@aol.com Mr Kenneth Barrie Rogers Manager post vacant Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 2007 Brief Description of the Service: Antron Manor is situated on the edge of the village of Mabe. The home consists of an older two storey building with a ground floor modern extension. The home is set in extensive mature landscaped grounds. The grounds can be used by the people using the service, and are partly accessible for wheelchair users. The home is registered to provide residential accommodation and personal care to a maximum of 16 older people. All bedrooms, with two exceptions, are single with en suite toilets and hand basins. The two exceptions have a toilet and washing facilities very nearby. There are five communal rooms that are used for different purposes and activities. Information about the home is available in the form of a residents’ guide, which is available in the home and can be supplied to enquirers on request. A copy of most recent inspection report is also available in the home. Fees range from £390 to £450 per week; the registered provider supplied this information to us during this inspection. Additional charges are made in respect of private healthcare provision, hairdressing and personal items such as newspapers, confectionary and toiletries. Antron Manor Care Home DS0000032603.V366849.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. An inspector visited Antron Manor Care Home on the 07 August 2008 and spent six hours at the home. This was a key inspection and an unannounced visit. The purpose of the inspection was to ensure that residents’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus was on ensuring that residents’ placements in the home result in good outcomes for them. All of the key standards were inspected. On the day of inspection 15 residents were living in the home. The methods used to undertake the inspection were to meet with a number of residents, staff and the registered provider to gain their views on the services offered by Antron Manor Care Home. Records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of this inspection. Residents expressed great satisfaction with the care and services provided at the home. Overall the home is providing a very good quality of service for the residents placed there in a very relaxed friendly environment. The registered provider has returned his Annual Quality Assurance Assessment (AQAA) on time and has addressed the requirements from the last inspection. What the service does well: Antron Manor is well run and provides a warm, comfortable, homely environment for the people using the service. The home is very clean and there are no offensive odours. Maintenance is ongoing to ensure the premises are safe and the grounds are attractive and safe for the people who access them. Prospective residents are assessed prior to admission to the home and they are invited, along with their family, to visit the home to meet staff and other residents. The people using the service have individual care plans that they agree and sign. A brief history of their life is included to help staff understand them as individuals and appreciate their personal preferences and choices. The plans are reviewed monthly with any changes made to ensure staff are aware of changing needs. Relevant risk assessments are undertaken with one specifically for those at risk of falling. Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 6 There are suitable systems in place for the receipt, administration and disposal of medicines. One carer is responsible for overseeing the use of medicines in the home and she ensures that the records are completed and kept up to date. Residents can self administer their own medicines according to their wishes and capabilities. A pharmacist reviews the medicines regularly and audits the records. The healthcare needs of people are met and health professionals have made positive comments about the home, for example “Requests for visits and advice from the GP are always well considered and appropriate”, “ We always see patients in a setting of their choice usually their own room”, “Carers are receptive to advice and support from team members to improve clients care and they ask if they have queries” and “I have no concerns over the appropriate safeguards regarding medicines”. Organised activities take place and entertainers come to the home. The owner has a minibus to take people out and would like to make more use of this facility. Residents help in the garden if they wish and grow vegetables in the greenhouse over the summer months. An art class takes place once a week and almost half of the residents attend this, they spoke with enthusiasm of their achievements and some of their work is displayed in the home. All residents said there is plenty to do in the home and it is very evident that the people using the service are encouraged to be independent and live their lives as they wish. Visitors are made welcome and residents go out according to their wishes and ability. There is a nutritious menu with fresh fruit and vegetables included. Drinks and snacks are available between mealtimes. There are suitable complaints and abuse policies in the home and there have been no issues raised to the home or the Commission. There are numerous thank you letters and cards that are all kept. The recruitment process is robust and ensures that staff are suitable to work with vulnerable people prior to them being employed. There is an induction programme for new staff that is overseen by the registered provider and other staff. There is very low staff turnover at the home. The registered provider ensures that working practices are safe and staff are encouraged to undertake training in line with the laws governing care homes. He also strives to improve the service year on year and seeks the views of residents and their families to assist with this. What has improved since the last inspection? Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 7 New carpets have been provided in the dining room and upstairs landing. Some rooms have been refurbished as part of the ongoing plans and the two flat roofs above the stairlift well have been replaced erradicating the damp problem in that area. A written risk assessment is now used for all new admissions to the home and for those existing residents at risk of falling. The actions required by staff are included so they know what to do to help prevent falls in the home. Handwritten instructions on medicine charts are now kept to the bare minimum and are signed by two members of staff. Training provision for staff has improved and statutory training has been brought up to date. The registered provider said he is now working on other aspects of training such as dementia and other conditions of the elderly. Quality assurance has improved and the AQAA is being used as a monitoring tool. Record keeping has also improved and there have been no problems identified in respect of records during this inspection. 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. Antron Manor Care Home DS0000032603.V366849.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 Antron Manor Care Home DS0000032603.V366849.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. Residents are only admitted to the home following an assessment of their needs to ensure the home can provide appropriate care. EVIDENCE: The files of three new residents were inspected. Prospective residents complete an application form for consideration to be placed on the home’s waiting list. The registered provider said that prospective residents and their family are encouraged to visit the home to have a look around; people spoken with said they visited the home prior to moving in. The registered provider undertakes an assessment of the prospective resident’s needs during this visit or goes out to assess them; in their home or in hospital for example. Assessments inspected were satisfactory and discharge information from hospital was also seen on file. One person had very comprehensive documents from a hospital out of county. Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 10 One survey comment from a resident states “The owner came to see me to make an assessment and to ask questions. I didn’t see the home before moving in but I wanted to come here because I had heard it was excellent (my son & daughter visited on my behalf)”. Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person using the service has a detailed written care plan that enables staff to ensure that healthcare needs are met. There is an appropriate system for the use of medicines in the home so people can be assured they are in safe hands. EVIDENCE: The three resident’s files inspected held a written care plan that was signed by the individual. The format has improved since the last inspection and more detail is recorded to inform staff on the care provision. Life histories are included and are very informative. The care plans are reviewed on a monthly basis and changes are recorded on review sheets, the actual care plan is also updated. An activities sheet has been introduced to record the daily activities for each person. The people using the service are quite independent but relevant risk assessments are included where necessary. The registered provider has introduced a suitable written risk assessment for those at risk of falling and the action to be taken by staff is recorded. Day and night records Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 12 are maintained and those seen were informative. A photograph of each resident is held in his or her file for identification purposes. Survey comments include, “My mother’s needs are always catered for”, “I feel this is probably the most caring residential home in our area, with attention to individual physical and emotional well being” and “The welcome I receive at the home is such that I look forward to my visits even on busy duty days! If I have to spend my old age in a care home, I hope it will be as pleasant and well run as Antron Manor”. There are records of visits by doctors and other healthcare professionals. Residents are weighed regularly according to their individual requirements. There is suitable equipment for moving and handling. One carer is responsible for overseeing the use of medicines in the home and she showed us the system in use. A monitored dose method is in place and the storage arrangements are suitable. The registered provider said he is looking into the purchase of a controlled drugs cupboard that complies with legislation, although very few controlled drugs are held in the home. Some residents administer their own medicines and sign to agree to this. Staff administering medicines have undertaken training and basic medicines training is now included in the home’s induction programme. The pharmacist reviews resident’s medication regularly and also provides training for staff; there is a record of her visits. She has also undertaken very clear and precise reviews of each person’s medication. The receipt, administration and disposal records for medicines are up to date. There is a medicines policy and a homely remedies policy, the approved list has been signed by the GP. There are a few residents who have ‘as required’ medicines prescribed, the compilation of care plans to direct staff in the use of these was discussed with the registered provider and care staff, who agreed to implement these. One resident commented on her survey “I’m given my tablets by staff and they will call a doctor if I am unwell” Residents’ privacy was upheld during the inspection. Residents said they are treated with respect and their privacy is upheld at all times. Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A variety of activities and social events are provided, visitors are welcomed and good food is provided, residents are actively encouraged to live a life of their own preference. EVIDENCE: Activities and entertainment are on offer and posters are displayed to inform the people using the service. Residents said that activities include musical entertainment, bingo, games and armchair exercises with a physiotherapist. They said the mobile library comes to the home each month and a vicar provides Holy Communion each month. They also said that the registered provider takes them out in the minibus sometimes. He has stated in his AQAA that residents would probably enjoy more trips out in the minibus; however, these are dictated by the Registered Providers (driver) other commitments within the home and the weather conditions. Members of the art class talked about a visit to a local art gallery, which they all enjoyed. The art class is now run by a dedicated person and takes place once a week; the registered provider said that seven residents enjoy this. Several people talked enthusiastically about the art class and the things they Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 14 do, some of their work is displayed in the home and shows that a great deal of effort is put into the work. One resident was outside weeding the garden; she said the flowerbed is just the right height for her to reach. Other people talked about the garden and the greenhouse where they grow tomatoes. Staff record the activities undertaken by each resident on a sheet in their individual file and the daily records also show what people have done. There is a record of visitors to the home and residents said they could receive visitors and at any time, in private if they wish. Visitors were seen coming and going during the inspection. Some said they go out with family and friends when they wish and one lady went out with her family during the inspection. People using the service said they decide what to do each day, they choose when to get up and go to bed. They said there is always plenty to do. One person said she chose to move to another room and is very happy there. One resident has her cat with her in the home, which, she says, makes her very happy. Most residents manage their own money and they all have their own possessions around them including items of furniture. Survey comments include “There is plenty going on” and “Art, physical exercise, bingo, slide shows, salvation army, trips occasionally and when I am well I take part in all of these”. There is a nutritious menu that spans three weeks and fresh fruit and vegetables are included. It is a set menu but residents said they could have something different if they did not like what was on offer. Staff appeared to know everyone’s preferences. Records are maintained and it is evident that some people have alternatives to the menu. Residents said the food is good and they enjoyed the lunchtime meal. Resident’s comments include “The food is excellent”, “I like the meals very much, it’s the sort of food I like” and “it’s good home cooking”. Staff said that assistance is given with mealtimes if needed. There is special cutlery and a plate guard used by one resident. Refreshments were available throughout the inspection. It was one resident’s birthday on the day of the inspection and the cook had made a pretty cake for her. Everyone sang happy birthday to her and a glass of sherry or orange juice was enjoyed by those who wished to partake. The resident said she has lived in the home for many years and is very, very happy there. Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are suitable policies in place for complaints and adult protection and staff receive appropriate training to help ensure that residents are safeguarded. EVIDENCE: There is a suitable complaints policy in the home that is available to staff and people using the service. There have been no complaints to the home or the Commission. The home receives a great deal of compliments; all thank you letters and cards are kept. The home has an appropriate adult protection policy. The registered provider has attended the Adult Social Care alerters training and has a copy of the local authority procedures. He has a pack and a training DVD that he has used to train staff in house along with a question paper. He has also invested in a training system for staff and there is a pack for adult protection training. The people using the service said they feel safe in the home and could talk to the owner or any of the staff if they had a problem. Antron Manor Care Home DS0000032603.V366849.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean with no unpleasant odours and the building and grounds are well maintained making it a pleasant and safe environment to live in. EVIDENCE: The home is comfortable, warm and homely. It is well ventilated and there is domestic style lighting. There is an ongoing maintenance programme and the building is well furbished and well decorated throughout. Some bedrooms have been refurbished since the last inspection, corridors have been decorated and new carpets have been fitted on the landing and in the dining room. The two flat roofs above the stairlift well have been replaced erradicating the damp problem in that area. The grounds are tidy and there is plenty of garden seating. Several residents said they walk out in the grounds and all spoken with said they are very happy with their rooms and the facilities provided. The home is very clean and free from offensive odours. The laundry facilities are suitable with one washer and one drier. Residents said the laundry system Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 17 works well. Suitable hand washing facilities are provided for staff along with protective clothing. Infection control training is provided annually for staff. Survey comments include “It is very clean, the rooms and the bed linen/towels and the food preparation” and “My room and bathroom are cleaned every day”. Antron Manor Care Home DS0000032603.V366849.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment procedures are robust, staff receive appropriate training and there are a suitable number on duty at all times; this helps to ensure that residents are in competent hands and are well cared for. EVIDENCE: There is a set staffing rota that ensures there are two care staff on duty at all times. At night there is one awake and one sleeping. There is a cook, and some care staff also take turns to cook meals; there are separate cleaning staff employed. Staff said the system works well. Comments from the people using the service include “There are enough staff here to care for us”, “The staff are really caring” and “The staff are lovely. They are always the same, they never get cross or have an off day”. All care staff are encouraged to undertake NVQ training. Three staff are in the process of doing NVQ level 2 and one is doing NVQ level 3. At present 61.5 of care staff already have an NVQ qualification. There has been one new recruit since the last inspection and her file was examined. All of the records required by legislation were in place and all recruitment checks were done prior to her employment. Interview records show that there is a set format of questions for all people and there is an equal opportunities policy in place. Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 19 The training records were inspected and a great deal of training has taken place since the last inspection. The registered provider has invested in a training system from a reputable company and there are packs for several different subjects. Staff undertake training at their own pace and then undergo a test paper that is sent to the company for assessing. Certificates are provided for all training. An external trainer comes to the home to provide moving and handling training, which all staff have undertaken in the past year. Statutory training is up to date now only six staff are due a food hygiene update this year. Staff said they enjoy the new training packs and feel they enable them to study when they like rather than having to attend a specific session. One said she is looking forward to the pack on dementia. Mental Capacity Act training has been provided. Antron Manor Care Home DS0000032603.V366849.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider is competent and runs the home well, he strives for continual improvement and health and safety systems are in place for the safety of residents, staff and visitors. EVIDENCE: The registered provider has the skills, knowledge and experience to manage the home. He has an HNC in Health and Social Care and has achieved the Registered Managers Award. He said he attends statutory training in the home with the staff and external courses when appropriate. He also said he attends various seminars in respect of care of the elderly and keeps up to date with current medical issues by reading relevant magazines and using the Internet. Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 21 Residents and staff said the home is very well run and the registered provider is present in the home most days. Comments include “Ken has a flair for this kind of work”, “The manager is very supportive not only to staff members but also the residents and their families” and “I am happy with the way it is managed”. Quality assurance surveys are undertaken annually with the people using the service or their family, the results of the last survey were sent to the Commission and were very positive. There have been no formal staff meetings or residents meetings since the last inspection. The registered provider said that he talks to staff and residents when he is in the home and they have time to air their views. Staff and residents confirmed that the owner does talk to them and they are comfortable to air their views with him. The registered provider talked to people in the home during the inspection and did not spend all of his time in his office. No formal audits take place but the registered provider said he audits the environment and the pharmacist audits the medicines. The registered provider has returned his Annual Quality Assurance Assessment (AQAA) to the Commission on time. He said he is using this document as part of his quality assurance monitoring as it saves duplication. Most people manage their own money with the assistance of family as required. The registered provider holds money for two residents, he said the system works well and the money checked was correct. Records are maintained for all transactions, they are signed with checks taking place periodically. Receipts are kept for all purchases and services and are numbered to correspond with the records. The money is stored safely and securely. There is satisfactory evidence that health and safety precautions are in place. There is a file for fire safety procedures and checks that are all up to date. The accident records were inspected and nothing untoward found, most accidents are not witnessed and there are very few. Machinery and equipment service checks are undertaken regularly. Certificates show that these are up to date. Statutory training takes place and there is a matrix to show who has attended and when. Antron Manor Care Home DS0000032603.V366849.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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 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 Antron Manor Care Home DS0000032603.V366849.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. 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. Refer to Standard Good Practice Recommendations Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Antron Manor Care Home DS0000032603.V366849.R01.S.doc Version 5.2 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!