Care Home: Avalon Court Residential Home

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What the care home does well The environment is newly refurbished and is well suited to the people who live in Avalon Court. The home was warm, clean, well lit and fresh. All comments about the care in Avalon Court were complementary. One person said she was `very happy here`. Another person said that the staff are `marvellous`. In the written surveys from relatives all gave very positive feedback about the care of their relatives. One person said that `Avalon had achieved a feeling of a large family rather than an institution`. In the surveys from Care Managers (Social Workers), all were very complementary about the care their clients received. One said it had `exceeded my expectations` and another that `I have been very impressed with the care managers and care staff at Avalon Court`.In the surveys from staff all made positive comments about what it was like to work in the home. They said they received the training they need to support people in the home. People are given good information before they move to Avalon Court. People are consulted about their care and are able to spend their time as they would like. The home is managed in a way which promotes safety for residents, staff and visitors. What has improved since the last inspection? This is the first inspection. What the care home could do better: At the time of the inspection it was not confirmed that there was a good range of activities which enable everyone to be meaningfully occupied as they would like. There is no meaningful choice of menu for each meal, which means that people may not enjoy their food at all times and have a balanced and varied diet. Hand-washing facilities for staff in residents` rooms was not well managed and may compromise infection control. Systems are in place to recruit staff who are suitable for Avalon Court. Apart from one person who did not have two written references, but one, recruitment processes were robust. Personal information is recorded in a communal book and this may breach the Data Protection Act 1998. CARE HOMES FOR OLDER PEOPLE Avalon Court Residential Home High Street Butleigh Glastonbury Somerset BA6 8SZ Lead Inspector Cathy Butterworth Unannounced Inspection 7 April 2008 09:15 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 Avalon Court Residential Home DS0000070347.V360560.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. Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Avalon Court Residential Home Address High Street Butleigh Glastonbury Somerset BA6 8SZ 01458 851572 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) john@whitehouse2.fsnet.co.uk Westcare (Somerset) Ltd Mr John Whitehouse Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Old age, not falling within any other category (Code OP) The maximum number of service users who can be accommodated is 16. 1st inspection Date of last inspection Brief Description of the Service: Avalon Court is a care home for older people, situated in the village of Butleigh, just outside the town of Glastonbury. It can accommodate up to 16 people on two floors for personal care. District nurses attend to any nursing care needed by service users. Day Care is offered to up to two people per day. There are enough car parking spaces to the rear of the building. Avalon Court offers a comfortable homely style environment. All of the bedrooms are furnished to a high standard. The accommodation is in single rooms. Some rooms have ensuite facilities. There is one main lounge with different seating areas, suitable for talking with other residents or visitors. There is a television at one end. There is a dining room in the home large enough for all residents to use if they choose. To the rear there is a garden, which is accessible for people using wheelchairs. People who live in Avalon Court receive services from the local GP’s and other health care professionals as required. The current fees are from £368.00 to £450 per week. Avalon Court Residential Home DS0000070347.V360560.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 stars. This means the people who use this service experience good quality outcomes. The inspection was unannounced and started on the morning of 7 April 2008 and was completed on 12 May, after surveys were received. The inspector spent the whole day of 7 April in the home, talking to residents, looking around the home and inspecting records. Staff and visitors were also available for discussion. The manager helped with the inspection by providing information and records. Phone calls were made to one relative who had requested contact with the inspector. Surveys were sent out, and the total received were as follows:- 12 surveys were completed by people who live in Avalon Court - 4 surveys were completed by people who work in the home - 10 surveys were completed by relatives, carers and advocates - 3 surveys by care managers This was the first inspection since the home opened to receive residents on 3 January 2008. Mr and Mrs Whitehouse purchased the home in the summer of 2007 and have spent this time in completely refurbishing the environment. This included a new conservatory, which provides a dining area. New carpet has been fitted throughout and new furniture and fittings have been provided. The home has been redecorated throughout. New equipment and facilities have been provided, including bathrooms, toilets and sluicing facilities. What the service does well: The environment is newly refurbished and is well suited to the people who live in Avalon Court. The home was warm, clean, well lit and fresh. All comments about the care in Avalon Court were complementary. One person said she was ‘very happy here’. Another person said that the staff are ‘marvellous’. In the written surveys from relatives all gave very positive feedback about the care of their relatives. One person said that ‘Avalon had achieved a feeling of a large family rather than an institution’. In the surveys from Care Managers (Social Workers), all were very complementary about the care their clients received. One said it had ‘exceeded my expectations’ and another that ‘I have been very impressed with the care managers and care staff at Avalon Court’. Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 6 In the surveys from staff all made positive comments about what it was like to work in the home. They said they received the training they need to support people in the home. People are given good information before they move to Avalon Court. People are consulted about their care and are able to spend their time as they would like. The home is managed in a way which promotes safety for residents, staff and visitors. What has improved since the last 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. Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 7 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 Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 8 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): Standards 1, 2, 3, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are given enough information about Avalon Court to be able to make informed choices and decisions. An assessment is carried out before admission to ensure the home can meet the needs of a new resident. EVIDENCE: The home has a Statement of Purpose, which is on display in the entrance hall. There is a Service User Guide in each room and this is in large print and is clear. In the surveys all residents said that they had received enough information before they moved to Avalon Court. In the surveys from relatives, advocates and carers, all but one said they had received enough information. Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 9 There is a contract, which is clear and includes all the necessary information. All except one person in the survey said they had received a contract. This person said their fees are paid by Social Services. The manager or deputy assesses each person before they are admitted to Avalon Court and samples of the assessment process were seen. These showed a good understanding of the person’s needs. At present the home was seen to be able to meet the needs of the people living there. In the surveys from relatives, advocates and carers, all but one said that the needs of their relative living there were being met. One relative said that it has been ‘excellent’. In the surveys from Care Managers all said that the healthcare needs of their clients were met. Mr Whitehouse, the Registered Manager, has contact with relevant health and social care professionals if reassessment is needed. He said that trial visits are offered if necessary and the contract states that the first 4 weeks is considered to be a trial period. Avalon Court does not offer Intermediate Care. Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. People who live in the home receive the care they need from caring staff. Medication is well managed, apart from assisting with tablets, which was not seen to be hygienic. EVIDENCE: A sample of three care plans was inspected. These had a format, which combined the assessment and the plan of care. There was a summary page, which was signed by the resident. Where appropriate the plans had been reviewed each month. The records showed that healthcare needs had been taken into account and health and social care professionals, including GPs are asked to visit and advise on care. All but one person in the surveys said they receive the medical support they need. A nutritional screening tool is used to Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 11 identify people at risk of malnutrition. It is advised that a clear plan of care is devised for all staff to follow when a risk of malnutrition is identified. Staff in their surveys said that the care plans had the information they needed. Records of medication, including Controlled Drugs, were well kept and showed a clear system for staff to follow. There was evidence of training for staff in the management of medication. It was observed that tablets were given by a carer with her fingers. This may compromise infection control measures and staff should be given clear guidance as to how to assist residents to take their medication. People living in Avalon Court were asked during the inspection about their care and all said they were well looked after. One said that staff were ‘kind and respectful and good fun!’ In the surveys from people who live in Avalon Court all said that the staff listen and act on what they say. Eight of the twelve people in the surveys said that they ‘always’ receive the care and support they need and four people said they ‘usually’ do. Their comments included that staff are ‘always kind and helpful’. In surveys from relatives all but one said that the home ‘always’ gives the support or care that their relative expected. Their comments included:- ‘looks after the people very well’, ‘takes full care of residents’ needs’ and ‘excellent all round care’. In surveys from Care Managers, all agreed that people’s privacy and dignity were respected. One said that people ‘appear well cared for and happy’. Another said that the home ‘respects and responds to different needs’ and another that people are treated as individuals. Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 12 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, 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents have a range of needs for social activities, but not everyone has opportunities for meaningful occupation as they would like. The food is of good quality, but there is no meaningful choice and this may mean people do not enjoy their food as much as they could or have a varied diet. Food stuffs were placed on the floor, which may compromise good food hygiene standards. EVIDENCE: On the day of inspection most residents were sitting in the lounge for varying periods of time. Some said they enjoyed watching particular programmes during the day and the television was on when residents chose to watch it. The radio played on different music stations for other periods of time. In the surveys from people who live in the home, four people said there were ‘always’ activities to take part in and six people said there ‘usually’ were. In discussions Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 13 with people during the inspection some said they were happy with what was offered and two people said they were ‘bored’. It was not clear from the care plans what each person would want to keep them meaningfully occupied. Some people said they would like trips out. A record of social activities was seen and this had entries for most days and these entries included hairdressing. There is a plan of activities, which allocates 2 hours each day for activities. On the day of inspection a Bingo session was held which lasted approximately 45 minutes. No other ‘activity’ or social interaction was observed. It is acknowledged that people in Avalon Court have a range of needs for meaningful occupation, with some being completely independent in occupying their day. For others a more structured approach is needed, which should include finding out their preferences and then planning a programme to suit each person. This may include one-to-one time and outings. In the inspection response Mr and Mrs Whitehouse said that they had responded to the views of residents at their meetings and that many did not want structured activities, but wanted more ‘open sessions’, where they decided at the time what they wanted to do. During the day people were seen to visit residents and they were made welcome. Visitors confirmed that they can visit when they want. In the surveys relatives said the home helps them maintain contact with their relative and contacts them when necessary. People who live in the home said they can spend their time as they would like. They said they have a lockable space in their rooms, so they can keep valuables safely. Some people had brought in their own furniture and possessions. It was not confirmed that residents could have access to all the records kept about them according to the Data Protection Act 1998. Please see Standard 37. The meal at lunchtime was observed. There is a dining area in a new conservatory and the tables were set with cloth table clothes and napkins. There was enough space for all 16 residents should they wish to eat here. Eight people sat to a dining table to have their meal and six people sat in the lounge with their meal on a bed table. The meal was served at 12.45 by two staff. It was cold pork, mashed potatoes and baked beans, followed by sponge pudding and custard. People said that the meal was hot and the pudding was ‘nice’. In the surveys six people said that they ‘always’ liked the meals and six people said they ‘usually’ did. At lunch time there is no choice of menu, but likes and dislikes are known. On the day of inspection the food was served plated from the kitchen and people were asked if they wanted baked beans or not. There is no systematic way of people knowing what meal is to be served before it is served. The four week menus are on the notice board, but these were high up and in small print. These would not be accessible to people needing support with mobility. It is Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 14 recommended that consideration is given to providing people with a meaningful choice of food for each meal, so that they may enjoy their food and have varied and nutritious diet. The kitchen was clean and records for food safety were well kept. In the food store, food stuffs, including packaged long life, vegetables, squash and dried foods, were placed on the floor, which may compromise good food hygiene standards. Avalon Court Residential Home DS0000070347.V360560.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): Standards 16, 17, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are confident that their concerns will be listened to and their rights will be protected. EVIDENCE: The complaints procedure is clear and a copy is on display in the hall. All residents have a copy in their rooms. Residents asked on the day of inspection and in the surveys knew how to make a complaint. For relatives all but one person knew how to make a complaint. All said that the service had responded appropriately to any concerns raised. There have been no complaints made to the home or to CSCI since the home opened. All comments in the surveys from residents and relatives were complementary about the care in the home. All but one said that the service ‘always’ supports people to live the life they choose. There was information on the notice board about access to an advocacy service from Age Concern. Staff are all new since the home accepted residents in January 2008 and all staff have either completed or are completing an induction programme, which Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 16 includes training in safeguarding adults. Before staff were employed they were checked by the Criminal Records Bureau (CRB). Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 17 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, 20, 21, 22, 23, 24, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Apart from minor changes the environment is well suited to the needs of the people who live there. EVIDENCE: Since Mr and Mrs Whitehouse bought Avalon Court they have overseen a complete refurbishment and decoration programme. A new conservatory has been built to create a dining room, which is light and airy. New carpets have been fitted throughout and furniture has been replaced as necessary. The lounge was well furnished with a variety of chairs. The dining room had wooden chairs and these would benefit from cushions, as some people commented that the chairs were hard. This may encourage more people to use the dining room. Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 18 The home is well maintained, safe and comfortable. All the necessary equipment is available to meet the needs of people who live there. This had been assessed by an occupational therapist. The rooms are furnished to a high standard, although in the rooms sampled there were no chairs for visitors. Provision should be made for this so that staff and visitors can sit comfortably. Some bedrooms have en-suite facilities and there are enough toilets and bathrooms with a variety of equipment to assist with bathing. On the day of the visit the home was clean, warm, well lit and tidy. All bathrooms and toilets were clean with appropriate hand cleaning materials available in each. In the surveys from people living in the home everyone said that the home is ‘always’ fresh and clean. There is a sluice with appropriate equipment. In bedrooms where people needed help with personal care it was not clear how staff wash their hands and dispose of waste, eg gloves and hand towels. This may compromise infection control. A clear system should be put in place, which all staff are familiar with, so that staff can wash their hands with liquid soap, dry their hands with paper towels and then dispose of the towels and gloves in a plastic bag before leaving the room. Mr Whitehouse said that there are plans to improve the garden and area outside the conservatory. This will make the garden more accessible. Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 19 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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough staff available to support residents with their care. Training is given to ensure staff have the necessary skills. Recruitment systems are in place to protect people, as far as possible, from unsuitable staff. EVIDENCE: Before the home was opened Mr and Mrs Whitehouse proposed the number of staff to be on duty throughout the 24 hour period. A sample for duty rotas for a 2 week period was seen and these showed that this proposal has been complied with. In the surveys of people who live in the home, eight said that there were ‘always’ staff available when they needed them and four people said they ‘usually’ were available. One person commented that ‘staff are always about when you want them and are always kind and helpful’. Staff who were asked said they had enough time to give the care people needed. In the staff surveys two said that mornings were busy and ‘another pair of hands’ would help. In the surveys of relatives eight people said that staff ‘always’ had the right skills and experience to look after people properly. One said it ‘appears to be the highest quality at all times’. Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 20 Staff in their surveys said that they have had training which is relevant to their role. They said that checks had been carried out when they were recruited and that their induction covered everything they needed to start work. More than 50 of the care staff have NVA level 2 or above. A sample of four staff files was inspected to review the recruitment process. All had completed a CRB check before starting work. Except for the lack of one written reference all other checks and gathering of information had been completed before employment started. One person had one reference rather than the two written references which are required and this was discussed. Full and satisfactory information must be received before employment starts, to help protect people who live in the home from unsuitable staff. There is a record of training for each member of staff and this shows a systematic approach to training. A training provider is used, which enables training to be provided via a workbook and then staff are assessed on their understanding of the subject. Topics included health & safety, moving & handling, food hygiene, safeguarding adults and fire safety. Mr Whitehouse said all staff have had a practical training session on safe moving & handling. Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 21 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, 32, 33, 34, 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 managed by an experienced manager. Systems are in place to find out the views of people who live in the home. The home has systems in place to help keep staff and residents as safe as possible. Personal information is recorded in a communal book and this may breach the Data Protection Act 1998. Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 22 EVIDENCE: Mr Whitehouse, the Registered Manager, has an NVQ Level 4 qualification and the Registered Managers Award. He also has significant experience in managing care homes. People who were asked felt confident in his abilities to manage the home. They said he was approachable and regularly talked with them about the service they were receiving. Since the home opened in January 2008 an audit has been completed which related to the sections in the National Minimum Standards. This was not dated or signed, but showed that the home assessed they had met all the standards. Two residents meetings have been held. The minutes showed mainly complimentary feedback and residents had requested more trips in fine weather. They also requested a sign to show what the main meal is. Questionnaires had been distributed to residents in January and March 2008 and these showed positive comments. Apart from insurance, which was in place, financial records were not inspected. Records of money held for residents were not inspected. Records of staff supervision were inspected and these showed that most staff had received one one-to-one session and/or attended a staff meeting. Records requested for inspection were made available. Records relating to staff and residents were stored securely. A ‘Day Book’ is kept by staff to help with the handover from one shift of staff to another. This contains personal information about residents, for example, about personal care, continence and visits from the GP with instructions about care. To comply with the Data Protection Act 1998 each resident must be able to see what is written about them. However in this record it would not be possible for one individual to see what is written about them without breaching the confidentiality of another. Also if this information is not written in their individual care plan and record, then it may be lost. All information about an individual must be recorded in their personal record to comply with Data Protection and maintain confidentiality. The home has systems in place to help keep staff and residents as safe as possible. Staff have had training in health & safety, moving & handling, food hygiene, safeguarding adults and fire safety. The home was opened in January 2008 and all equipment was either new or confirmed safe then. Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 23 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 2 3 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x 3 2 3 Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP15 OP26 Regulation 16(2)(g) 13(3) Requirement Suitable arrangements must be made to store food, so that it is off the floor. Suitable arrangements should be made for staff to wash their hands in people’s rooms and to dispose of waste safely. Two written references must be obtained before an employee starts work, to ensure as far as possible the worker is suitable. Residents must be consulted to find out their individual needs for recreation and a plan devised to meet these individual needs. Timescale for action 28/05/08 28/05/08 3. OP29 19 28/05/08 4. OP12 16(2)(m) & (n) 14/06/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP9 OP15 Good Practice Recommendations Staff should assist residents with their tablets in a way which does not compromise infection control. A system should be devised to enable people to know what DS0000070347.V360560.R01.S.doc Version 5.2 Page 25 Avalon Court Residential Home 3. 4. OP24 OP37 is on the menu, so that they can make a meaningful choice of food for each meal, to provide food which they enjoy and meets their needs. Suitable seating should be provided so that visitors can sit comfortably in people’s rooms. The records kept in the Day Book should be reviewed to ensure the Data Protection Act 1998 is complied with. Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 26 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 Avalon Court Residential Home DS0000070347.V360560.R01.S.doc Version 5.2 Page 27 - 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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