Care Home: Aston Court Nursing Home

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What the care home does well The home management and staff continue to offer high quality nursing and personal care in a high quality premises. It is staffed with professional, welltrained, competent staff. The Manager continues to accept only the highest standards of care, attention and professionalism from all her staff in all departments. The care staff were again evidenced to support the people who use the service in a compassionate way promoting their independence as far as possible and protecting their privacy and dignity. The home remains well decorated and furnished in all areas. BUPA self audit systems allow strict monitoring of most departments throughout the year maintaining high standards and monitoring people who use the service, their relatives and the staffs personal satisfaction. The service has maintained an excellent rating as we judged it to be at our previous inspection. What has improved since the last inspection? The home has continued to keep the hotel standards in the home extremely high. Staff training has been completed to include National Vocational Qualification (NVQ) training. 80% of the staff team have achieved this qualification. The staff have received challenging behaviour training recommended on the previous inspection. `Quest care` documentation continues to be developed within the home. All beds in the home are now profile beds, which assist with moving and handling and individuals comfort. What the care home could do better: No requirements were made at this inspection. Recommendations that were made related to the inclusion of the people who use the service in their approval and agreement of their care plan and signatures are to be gained on risk assessments. CARE HOMES FOR OLDER PEOPLE Aston Court Nursing Home Little Aston Drive Sutton Coldfield West Midlands B74 3BF Lead Inspector Joanna Wooller Unannounced Inspection 18th November 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 Aston Court Nursing Home DS0000022308.V372075.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. Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aston Court Nursing Home Address Little Aston Drive Sutton Coldfield West Midlands B74 3BF 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) 0121 353 1133 0121 352 0024 www.bupa.com BUPA Care Homes (BNH) Ltd Mrs Fiona Jane Melling Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (55), Physical disability (55), Physical disability of places over 65 years of age (55) Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 55 Physical Disability |(PD) - Minimum age 60 years on admission Date of last inspection 20/11/2006 Brief Description of the Service: Aston Court Nursing home can provides care for up to 55 people. It is situated in Sutton Coldfield. The home is run by BUPA Nursing Homes Ltd. The home is set in rural location with views of landscaped gardens. Aston Court is decorated to an extremely high standard with a wealth of beautiful fixtures and fittings in the form of mirrors and pictures. The home comprises of 55 bedrooms over two floors. Many of the bedrooms are single all have en-suite WC facilities. There are several spacious lounges, a summer room and a well laid out dining room on both floors. Facilities and services include hairdressing, a shop which sells cards and sweets and a full activity programme. All areas of the home have access via stairs and a passenger lift. Visitors are greeted in a spacious well-presented entrance hall. Weekly Fees Highest £1025 Lowest £895 The fee information given was written within the Statement of Purpose and applied at the time of our inspection; persons may wish to obtain more up to date information from the service. Aston Court Nursing Home DS0000022308.V372075.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 3 star. This means that that people who use this service experience excellent quality outcomes. This unannounced inspection took place on one day. The Manager and the ‘Head of Care’ participated in our inspection process. Our inspection included the following elements, A walk around the building, Observation and inspection of records relating to provision of care, Discussions with people, who use the service, ‘Case tracking’ this is a process we use whereby we select several people who use the service, chat to them and look at their care plans and lifestyle in the home to find out how good a service they are receiving and their views about their life at the home. Discussions with several of the staff members on duty, Observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing issues, training, recruitment and health & safety. We were made welcome in the home and all assistance was given to gain the evidence we required for the report. We have dealt with no complaints since our last inspection. Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: No requirements were made at this inspection. Recommendations that were made related to the inclusion of the people who use the service in their approval and agreement of their care plan and signatures are to be gained on risk assessments. Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 7 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. Aston Court Nursing Home DS0000022308.V372075.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 Aston Court Nursing Home DS0000022308.V372075.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): Standard 3 and 6 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People who use this service are individually assessed prior to admission, which ensures that their needs can be met whilst at the home. EVIDENCE: The service’s completed Annual Quality Assurance Assessment tells us “Each prospective resident is assessed prior to admission to ensure the home can meet all their identified needs and that the placement is entirely appropriate. We provide comprehensive information for prospective, new and existing residents about the home and the services we provide. CSCI inspection reports are available to read in reception. Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 10 Prospective residents are invited to join us for a meal or afternoon tea prior to making a commitment to the home. It also gives the nursing staff a further opportunity to identify an individuals needs.” The people who use the service confirmed that they were assessed prior to admission and met with the staff or visited the home. One man told us “I visited the home and had lunch before I came here permanently.” The care records evidenced that the pre admission assessment formed the beginning of the care plan, with all relevant past medical history, medication and risk assessments being considered. The service does not provide intermediate care. Aston Court Nursing Home DS0000022308.V372075.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): Standards 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service each have an individual plan care which sets out their health, personal and social needs. Peoples’ health care needs are met and they are protected by the homes medication policies and procedures. People living at the home are treated with respect and their right to privacy is upheld. EVIDENCE: The service’s completed Annual Quality Assurance Assessment tells us, “All residents have a comprehensive and personal set of care notes that reflect their individual needs.These are audited within 72 hours of admission and then 10 are audited monthly. We have a comprehensive set of Policies and Procedures to support the home. Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 12 There are company specialists both Regionally and Nationally who can be consulted for advise and support at any time. Self-care is encouraged. All residents have a nutritional screen using the MUST tool. Every resident is registered with a General Practitioner of his or her choice (within the constraints of access to GPs). Our medication policy meets NMC and CSCI standards. Internal audits are carried out monthly on our medication administration, ordering, storage etc. Residents’ privacy and dignity features highly in our customer service programme called Personal Best.” People who use the service told us that the staff and managers are very attentive and look after them all very well. One gentleman said, “they are marvellous, nothing is too much trouble.” When asked about their care records the people who use the service did not see them on a regular basis and this led to a recommendation being made with regard to the individuals reading, agreeing and signing their care documentation and risk assessments. The Head of Care is to instigate named nurses ensuring that the people who use the service or their relatives do sign care documentation to confirm that the needs are being identified and met. We saw that care records were well written, suitably updated and they reflected the individuals’ current condition. Quest care documentation is now fully introduced into the home and trained staff attend update sessions as required. We saw evidence of a safe medication administration system being in place, and that the comprehensive medicines policy documentation seen was being followed. Several people’s medication sheets were checked and found to be in correct. Storage of medicines was satisfactory. Pharmacy audits had been completed by the dispensing pharmacist. One gentleman self medicates and appropriate documentation for this is in place. The National Health Service (NHS) facilities and professionals including community nurses, medical consultants and clinical nurse specialists had all been accessed when required, and these events were seen recorded within the care documentation. People who use the service confirmed to us that their privacy and dignity were being afforded to them, and we evidenced very effective communication and good interaction by the staff. Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 13 Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. People who use the service experience the lifestyle which matches their individual expectations. They have contact with relatives and friends as they wish. People who use the service exercise choice and control over their lives and they receive a balanced and wholesome diet. EVIDENCE: The service’s completed Annual Quality Assurance Assessment told us “We have an activities programme tailored to the individual residents needs and preferences. Staff socialize with residents between care duties and residents feel they are recognised as individuals because of this. The home has an open visiting policy taking account of residents’ wishes. Residents are encouraged to go out visiting with friends and relatives health Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 15 permitting. Family pets are welcomed in the home to visit loved ones. Residents may handle their own finances should they wish to do so and provision is made for valuables and monies to be kept securely. We encourage the personalisation of residents’ individual space with their own belongings and furniture. Each room is redecorated once it has been vacated, soft furnishings are steam cleaned or replaced as necessary. Rooms can be rearranged to meet the individuals’ requirements. Communal areas are maintained to a high standard and the decoration is sympathetic to the resident group living in the home. A full and varied menu is available in the home. The BUPA Menu Master system helps us to ensure the menu meets all the nutritional needs of the residents. Hot food and beverages are available 24 hours a day. The home encourages families to celebrate birthdays and other special occasions within the home and celebration cakes are provided alongside a sip of sherry or wine. Events throughout the year are well supported by relatives, friends and the community.” People who use the service continue to experience a varied lifestyle with lots of activities available. The activities organiser is an exceptionally committed member of staff who plans a weekly diary, which is displayed around the home and delivered to each individual’s room. We saw completed personal profiles and a ‘Map of Life’ that ensure that the individuals’ expectations are documented and met. Some people who use the service go out with families for meals and other family events. One man told us that he “enjoyed the key board player and any music events, but he has always enjoyed music”. He further told us that he “also enjoys being in his room with his own possessions, his television and having his family with him.” A Christmas fair is arranged in the home, this event enables people who use the service to buy gifts and do some festive shopping with their families. A Christmas Meal and a Christmas party are being arranged. Festive entertainment is planned to ensure people who use the service enjoy the Christmas period. People who use the service told us their “religious needs are met by visiting ministers or by attending church.” and “We have access to the shop in the home that sells smaller sweet snacks, cards and toiletries.” Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 16 The home does not deal with financial affairs of individuals; relatives or solicitors deal with this. Menus are planned for four weeks; the qualified cooks were on duty throughout the day and they prepared balanced nutritional homemade food. The kitchen was awarded five stars with ‘Rate My Place’ the Environmental Health Department inspection process. We saw dining room tables attractively set with tablecloths, flowers and napkins promoting the ambiance of a restaurant. The people who use the service told us that “they enjoy their meals either in the dining room or their own room if they choose.” They told us the food is good and there is plenty of it. One gentleman said he found the meat ‘tough’ on occasions. This was discussed with the care manager who told us that she would discuss the issue with the cook. Aston Court Nursing Home DS0000022308.V372075.R01.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): Standards 16 and 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service are confident that their complaints will be listened to and acted upon. People who use the service are protected from abuse. EVIDENCE: The service’s Annual Quality Assurance Assessment tells us “We have a clearly defined complaints procedure with agreed time scales for managing complaints. The information that accompanies the procedure is clearly displayed around the home. The policy includes a three-tier framework including the Home, the Regional Management team and the Quality and Compliance team. There are well-documented procedures in the home for reporting Pova issues should they arise. We have a Whistleblowing policy within the home.” Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 18 We saw that there was a clear complaints procedure within the home and people who use the service were aware of it and how it protected them. The manager had received one complaint; this was a maintenance issue, which had been appropriately resolved within an acceptable time scale. The staff were able to tell us about prevention of abuse and how to report any such incident. Their training had been effective, giving them a clear knowledge and understanding of the subject. People who use the service told us that they would be able to talk to the manager if they had any complaints or worries and they were confident she would allay their fears. One person told us “I would speak to my relatives should I need to, we are safe and looked after here though.” Aston Court Nursing Home DS0000022308.V372075.R01.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): Standards 19 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service live in a safe, well-maintained environment that is clean, pleasant and hygienic. EVIDENCE: The service’s completed Annual Quality Assurance Assessment told us “The home is always clean, fresh smelling and welcoming. The standards of housekeeping are maintained by a dedicated team of housekeepers whom are supported by an excellent microfibre cleaning system and rigerous routines. The decoration, furnishings and furniture are kept in good condition and Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 20 replaced as necessary. The gardens are well stocked and well maintained. A patio area is accessable from the lounge and is secure. All areas of the home are maintained to the highest of standards which is open to visitors at all times. The home is supported in maintaining the environment by a central team of experts within BUPA Care Homes. These include a Property and Estates department as well as Hotel Services. Services and facilities comply with the Water Supply (water Fittings) Regulations.” We saw that the home was maintained to a very high standard of cleanliness and appearance. Several bedrooms had been recently redecorated for new admissions. The domestic staff confirmed to us that they had received relevant updates and NVQ training and they were confident that their cleaning products were sufficient to maintain the cleanliness and freshness of the home. Four domestics were on duty in the home along with one domestic supervisor who monitored the standard of cleaning and the overall appearance of the home. People who use the service told us “The home is always spotless and fresh.” They said that the manager was always checking around the home to make sure, but the all the staff are very professional and they care about how the home looks. Specialist signage is sited around the home to ensure that the people are confident about their surroundings. The people have the choice of using several lounges, which offer differing amenities such a television, music or just peace and quiet. The staff ensure that people who use the service are in the lounge area that they prefer. Specialist aids and adaptations are used discreetly within the home environment to support people in meeting their needs. Specialist seats and footstools were evidenced throughout the home to aid people’s comfort and safety. Aston Court is presented very well with artwork, ornaments, mirrors and floral arrangements situated around the home that add to the overall warm ambiance. Small seating areas are located around the home with cushions and ‘throws’ that people can use to aid their comfort. No infections had been reported and infection control was monitored by the heads of department and discussed at Health and Safety meetings. Aston Court Nursing Home DS0000022308.V372075.R01.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): Standards 27, 28, 29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service are in safe hands and have their needs met by the numbers and skill mix of staff. People who use the service are supported and protected by the recruitment policy and procedures. The staff are trained and competent to do their jobs. EVIDENCE: The service’s completed Annual Quality Assurance Assessment told us “There are comprehensive HR policies to assist in effective recruitment and staff management. We maintain the correct staff levels as agreed with the Inspecorate and taking account of the individual needs of the residents. We perform CRB and NMC PIN checks prior to employing staff and we dont employ until two satisfactory references are received. Staff are then supervised for the period of their induction where mandatory training takes place.” Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 22 We saw that the staffing numbers and skill mix in the home ensured that the individual peoples’ needs could be met. The manager and the head of care meet regularly to ensure that the staffing is suitable to meet the people who use the service needs. A robust recruitment policy and procedure is followed which assists in ensuring that the people who use the service are in safe hands at all times. Agency staff are not used at the home. There are currently no staff vacancies. We saw four staff files and found these to be in good order having all the necessary information within them. Staff had received Criminal Record Checks and two references prior to employment. There was evidence that BUPA audit their staff files and recruitment requirements to make sure those procedures are followed. We saw that training had been completed to meet with the statutory requirements and beyond. Staff on duty told us that they enjoyed the training and it helped them to meet the peoples’ needs in a professional way. Staff told us that there is a lot of training, but they realise it is very important to keep up to date. 80 of the care staff are NVQ trained in levels two and some have achieved or are presently on level three qualifications. The head of care is currently on a mentorship diploma course. People who use the service told us “The staff are very professional and kind. They always come to you quickly when called and they have a friendly smile.” One gentleman told us “ The staff are friendly and polite. They always take time to chat and be sociable. Sometimes they are really busy but they are still respectful and never rush me.” One lady told us “ The staff work very hard to keep us all happy. Its not easy work but they are very kind and respectful.” Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service live in a home, which is well managed by a responsible manager. The home is run in the best interests of the people who live in it. People who use the service have their finances safeguarded by the homes procedures. The health, safety and welfare of people who use the service and the staff are promoted and protected. EVIDENCE: The service’s completed Annual Quality Assurance Assessment told us “The Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 24 home has a competent team. The heads of departments work together and follow the guidelines set out by myself the Manager. Health and Safety meetings are held and staff have the opportunity to communicate any issues they have in each department. We have a comprehensive suite of Policy and Procedure manuals that are regularly reviewed by experts and updated as required. There is an annual customer survey distributed by the company. The homes financial affairs are audited by external agencies. Residents may handle their own finances should they wish to do so. There are Regional and National experts available within the company for advice and support if required. There is also a dedicated Health and Safety team as well as Quality and Compliance. Monthly audits by the Regional Manager highlight if procedures are being adhered to.” The manager won ‘Lifestyle Manager of the Year 2007’ and this rewards her dedication to the home, her team of staff and the care delivered within it. She had completed the Annual Quality Assurance Assessment to a very high standard. We saw that the home is run in the best interests of the people who use the service and the staff are very conscious to maintain this style of care with the guidance of the manager and the head of care. We saw the results of the BUPA Quality Assurance system, which demonstrated the high level of care attention that the people who use the service get. Comments that were noted of why they like the home and why they think it is excellent/good included the following: • Because of the personal service given • The staff and the care • Nice staff • The food and the trained nurses • Very caring staff – always kind • Good atmosphere • All my needs are met • The staff work very hard • The food is good Some comments for improvement included • Pay the staff more • More activities and outings • Access to the garden • More staff The negative comments were all assessed by the manager and head office management and monitored for ongoing satisfaction. Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 25 The home manager sent us their annual quality assurance assessment (AQAA) when we asked for it. This document was completed to a good standard and gave us all the information we asked for. We saw that finances are managed by the people who use the service themselves, some with the involvement of families. BUPA finances are audited and monitored by head office accounting. We saw that staff supervision was being recorded and is ongoing. Staff told us that they found the supervision sessions beneficial. The manager and her head of care managed the records. Some sessions were recorded as on-to-one and others were group supervision. The Health and Safety and wellbeing of the people who use the service and the staff is safeguarded by the robust maintenance programme in the home. We saw that regular and appropriate training had been undertaken and the maintenance person recorded safety checks of electrical equipment, fire and water supply. We saw that accidents and incidents were appropriately recorded and reviewed within the accident books and the care records. The people who use the service told us that all repairs are quickly seen to and never left unattended. Light bulbs are replaced as required and any spillages are removed immediately to avoid accidents. We saw warning signs in place for such events. The home continues to be extremely well managed in all departments. Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 26 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 4 4 X 4 Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 27 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 Refer to Standard OP7 OP38 Good Practice Recommendations Care plans should be agreed and signed by the individual or a representative to ensure that all needs are identified and met. All risk assessments should be signed and agreed by the individual or a representative to ensure that all parties are aware of the risks involved. Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Aston Court Nursing Home DS0000022308.V372075.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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