Care Home: Bennett House

Similar services:

• Maple Lodge
• Heathlands
• Aston Court Nursing Home
• Breme
• Ravenhurst
• Bank House
• Inspirations
• Westmead

What the care home does well Bennett House is commended for the way in which it involves people in the day-to-day running of the home. People are continually consulted on how the service runs and are given opportunity to influence `key` decisions in the home. The manager provided the following comment within the AQAA "Service user needs are seen as central to our delivery of service` and the information obtained at this inspection provides confirmation that this is an accuratereflection of everyday practice. The AQAA also provides evidence that the manager has a well-developed awareness and understanding of equality and diversity issues and aims to provide a service that responds to individual needs. There is clear and consistent care planning in place, which focuses on the individual needs of people living at the home and provides staff with the information they require to meet people`s needs. All members of the staff team work together to provide care and support to achieve individual goals. The home has a committed staff group who communicate effectively with people and show kindness in their approaches. The manager is focused on positive outcomes for people living at the home and leads and supports a staff team who share the same values. What has improved since the last inspection? The home has improved the process used to administer medication to people who wish to go out from the home at short notice. Improvements have occurred with the recruitment process and observation of staff files shows that Bennett House has a robust recruitment procedure which safeguards people from the risk of employment of inappropriate staff. A range of risk assessments were present on the files seen which shows that the home looks at ways to reduce any risks to the health and welfare of people living at the home. Bennett House has implemented a specific project based on eliminating loneliness, helplessness and boredom and this inspection shows that this approach is having a positive effect on the outcomes for people living at the home and their significant others. What the care home could do better: It is considered that the service is currently performing very well, setting its own objectives for continual improvement and striving to ensure people receive a high standard of care. No requirements were made as a result of this inspection. Three recommendations to enhance practice have been made, these relate to ensuring staff are aware how to use the medication fridge thermometer, to look at ways of reducing the risk for one person who regularly opens the front door of the home and to consider the fitting of a sluice disinfector. CARE HOMES FOR OLDER PEOPLE Bennett House Park Lane Woodside Telford Shropshire TF7 5HR Lead Inspector Rosalind Dennis Key Unannounced Inspection 1 November 2007 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 Bennett House DS0000020538.V349143.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. Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bennett House Address Park Lane Woodside Telford Shropshire TF7 5HR 01952 582588 01952 582080 lynf@accordha.org.uk 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) Accord Housing Association Ltd Mrs Stephanie Matthews Care Home 45 Category(ies) of Dementia (26), Old age, not falling within any registration, with number other category (19) of places Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home may accommodate a maximum of 45 service users. The home may accommodate a maximum of 45 Elderly Persons of whom 26 may be suffering from Dementia and 1 may have physically disabilities under 65 years of age. The home may from time to time admit persons between the ages of 60 and 65 years of age, upon consultation with the Commission for Social Care Inspection. 18th December 2006 3. Date of last inspection Brief Description of the Service: Bennett House is registered as a care home for up to 45 older people requiring personal care, which may include up to 26 older people designated as having dementia. The Accord Housing Association owns Bennett House and the Registered Manager, Stephanie Matthews, transferred within the Accord Group to be in charge of Bennett House in July 2005. The home, situated in the Woodside area of Telford, is a purpose-built bungalow style building, which has been subject to financial investment, refurbishment and team effort to improve the living accommodation provided there. It is divided into four separate units, each unit comprises of single bedrooms, bathroom, separate toilets, a lounge area and a kitchen/dining area. A Day Care service, which is not inspected by CSCI, is also based at Bennett House. As the home is in the centre of the extensive regeneration project, which is ongoing within the locality, it is anticipated it will benefit from additional local community facilities. People can obtain information about this service from the Statement of Purpose and Service User Guide. Inspection reports produced by CSCI can be obtained direct from the provider or are available on CSCI’s website at www.csci.org.uk All referrals come through the Social Work Department at Telford and Wrekin Council, Darby House and the Princess Royal Hospital. The scheme is funded through a block contract with Telford and Wrekin Council. Fees charged are between £348.88 and £390.28 per week. Day centre fees are £35.78 per place. The reader may wish to obtain more up to date information from the Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 5 care service. Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was conducted by two inspectors over a period of seven hours. During the inspection, time was spent speaking with people living at the home, speaking with staff as well as looking at written records. Not all the people living at Bennett House are able to communicate their views so the inspection also focussed on observing staff in their work and their interactions with people living at the home. All ‘key’ standards were assessed during the day- that is those areas of service delivery that are considered essential to the running of a care home. Comments and views were collated from people living at the home and staff on duty and the content of these is reflected within the individual outcome groups in the report. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was sent to the home for completion. The AQAA is a selfassessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for providers to share with us areas that they believe they are doing well. It is a legal requirement that the AQAA is completed-Bennett House returned their completed AQAA to CSCI within the given timescale. Information within this document demonstrates that the manager is very much focussed on achieving good outcomes for people living at the home but also recognises where the home could improve and the steps needed to achieve those improvements to benefit people living at the home. The AQAA provided information to supplement the inspection process. The manager, Stephanie Matthews was not on duty at the time of inspection however the evidence available shows that Stephanie Matthews is fully committed to continually improving the quality of life for people living at Bennett House. What the service does well: Bennett House is commended for the way in which it involves people in the day-to-day running of the home. People are continually consulted on how the service runs and are given opportunity to influence ‘key’ decisions in the home. The manager provided the following comment within the AQAA “Service user needs are seen as central to our delivery of service’ and the information obtained at this inspection provides confirmation that this is an accurate Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 7 reflection of everyday practice. The AQAA also provides evidence that the manager has a well-developed awareness and understanding of equality and diversity issues and aims to provide a service that responds to individual needs. There is clear and consistent care planning in place, which focuses on the individual needs of people living at the home and provides staff with the information they require to meet people’s needs. All members of the staff team work together to provide care and support to achieve individual goals. The home has a committed staff group who communicate effectively with people and show kindness in their approaches. The manager is focused on positive outcomes for people living at the home and leads and supports a staff team who share the same values. What has improved since the last inspection? What they could do better: It is considered that the service is currently performing very well, setting its own objectives for continual improvement and striving to ensure people receive a high standard of care. No requirements were made as a result of this inspection. Three recommendations to enhance practice have been made, these relate to ensuring staff are aware how to use the medication fridge thermometer, to look at ways of reducing the risk for one person who regularly opens the front door of the home and to consider the fitting of a sluice disinfector. Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 8 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. Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3. Standard 6 is not applicable to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good assessment and admission procedure, which focuses on achieving positive outcomes for people and ensures that people’s needs can met at Bennett House. EVIDENCE: People who were spoken with during the inspection confirmed their satisfaction with the admission process, this included people experiencing their first admission to the home and others who had previously been at the home for a period of respite care Assessments were present on all care files seen, these incorporated assessments of individual needs in respect of cultural, spiritual needs and preferences. Admissions are not made to the home until a full needs assessment has been undertaken by a skilled and experienced member of staff as well as a social work professional. The manager has some good ideas for developing the admission process, such as producing a video, so that people Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 11 who are unable to visit Bennett house before their admission have opportunity to view the layout of the home to help in their decision-making. An excellent range of information is available about the home and services provided-the statement of purpose was reviewed in April 2007 and provides clear information on the aims and objectives of the service. The service user guide is informative, easy to read and provides clear information on the fees charged by the home. The home places great emphasis on ensuring that people have access to information about the home and will provide documents in alternative languages or formats. Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is clear and consistent care planning in place, which focuses on the individual needs of people living at the home and provides staff with the information they require to meet people’s needs. All members of the staff team work together to provide care and support to achieve individual goals. EVIDENCE: People living at the home were very eager to provide comment on their daily lives at Bennett House, all people spoke highly about the quality of care and the kindness and effort of the care staff in ensuring ‘life is good for people’. People spoke of how carers respect them as individuals, one person commented ‘they help me to keep my independence but I know they are there if I need help’, another person described all aspects of the service as ‘perfect’. Some people living at the home are unable to fully communicate their views and one inspector spent time on Bluebell unit observing people and assessing Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 13 the quality of staff interactions with them. People appeared content, well cared for and the staff group skilled in their approaches and interactions with people. Throughout the inspection staff on all units showed that they respect people as individuals and there appeared to be a good rapport between staff, people living at the home and visitors. Observation of three care records showed that these are very much ‘working documents’, with people and/or their representatives fully involved at all stages of the care planning process and during regular reviews of care. It is positive that the home assesses and plans care according to individual ‘strengths’ and preferences. Care staff complete comprehensive daily records, which refer to the care plans and recognise people’s progress in achieving goals. A range of risk assessments were present on the files seen which show that the home looks at ways to reduce any risks to the health and welfare of people living at the home. Bennett House has positive and proactive links with other professionals to ensure that health and care needs are met-people confirmed that District Nurses and GP’s visit the home on a regular basis, or they can go to the health centre if they feel able. The room used to store medication was tidy and well organised. Observation of individual medication administration records (MAR) demonstrates good recording, with all medication signed and accounted for. A senior member of care staff described the process for medication administration should a person wish to go out from the home at short notice-this appears satisfactory. The ‘self-assessment’ provided by the manager describes the training undertaken by staff to ensure they have the required skills to administer medication and training certificates on staff files confirm this training. In addition staff have regular assessments of their competency. Despite this there have been a number of errors in administration since the last inspection, information provided by the manager confirms that staff have a re-assessment of their competency in medication administration following any error, which is good practice. Staff had not been recording accurate temperatures of the medication fridge, which appeared to coincide with the introduction of a new thermometer-this was brought to the attention of the senior member of staff on duty for staff to be made aware of how to record temperature accurately. Bennett House DS0000020538.V349143.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): 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 living at Bennett House are able to enjoy a range of activities, which are based on their capabilities and preference. Meals at the home are good, offering variety and catering for different nutritional needs. EVIDENCE: The home’s Statement of Purpose’ comments that ‘consultation is key to our philosophy and residents and family are fully consulted in all areas of their care’ –information available at this inspection supports this comment. Copies of ‘satisfaction surveys’ completed in September 2007 show that 100 of people living at the home at that time felt empowered and the home respects their individual rights. Observation of minutes for ‘residents meetings’ shows that people are consulted on a regular basis, such as regarding replacement bedroom and lounge carpets and there has been consultation on the colour choice for a new minibus, with people voting on their preferred choice of colour. Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 15 People confirmed that daily routines are flexible and the atmosphere throughout the day appeared relaxed with staff providing assistance to people as needed. The home has been proactive in implementing a project called Eden Alternative, which looks at ways to eliminate loneliness, helplessness and boredom for older people and information on this project was seen throughout the home. The home actively encourages adults and children to visit the home, as well as pets and ‘pet therapy’ dogs. Many people were seen visiting during the inspection, the home has quiet areas as well as a newly developed ‘activity area’ for children. Bennett House has an activities co-ordinator and observation of documentation and photographs shows that a good range of activities are provided. Notices on the units and in the reception show the different activities that may take place. Discussions with people confirmed that they enjoy the range of activities on offer and that staff respect their wish if they choose not to take part. Children from a local nursery had attended the home on the 31st October as part of a Halloween fancy dress parade and people spoke about how much they enjoyed seeing the children. During observation on Bluebell Unit some people chose to take part in making a collage about Bonfire Night, one person collected leaves and other items and people appeared to thoroughly enjoy taking part in this activity. A ‘prompt’ notice board was seen on this unit, which provided people with information on the date, the weather, the meal choice and what the next meal would be. Staff spoke about how they ascertain people’s likes and dislikes with them, or when this is difficult liaise with family members. Information on advocacy services is available on notice boards as well as a range of leaflets about supportive and health promotion services. Each unit has a lounge, dining area and kitchenette and staff were observed offering regular snacks and drinks to people throughout the day. People spoken with described meals within the home as good and menus showed that a range of meals are offered with staff confirming that meals are produced from mainly fresh ingredients. People spoke about how they particularly enjoy the fresh fruit, which is provided on each unit. Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 16 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. The home ensures that people have access to a clear complaints procedure, which enables concerns or complaints to be dealt with promptly and professionally. Staff are provided with training to equip them with the knowledge and skills to safeguard adults from the risk of abuse or neglect. EVIDENCE: All people spoken with during the inspection confirmed they would feel comfortable in raising any concerns with either the manager or other staff at the home. Leaflets informing people of the complaints procedure are available at the reception and throughout the home. Minutes for a ‘residents meeting’ in October show that the complaints procedure was discussed to ensure people understand the procedure. Observation of the process used to record and respond to complaints shows that the home has a robust process in place and responds to any complaints promptly and sensitively. Information provided by the manager shows that staff receive training in adult protection/abuse awareness ‘in-house’ and linked into the local authorities multi-agency adult protection procedures. Senior staff have recently attended awareness training on the Mental Capacity Act. Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 17 As a result of a safeguarding issue earlier this year Bennett House has introduced a change in how goods are purchased on behalf of people living at the home-the senior member of staff on duty confirmed that the written policy is in the process of being reviewed to reflect these changes. The home also provides confirmation that social services have been contacted to review the financial arrangements of people who need assistance with managing their finances. Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 18 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 standard of the environment is good providing people with an attractive, clean and homely place to live. EVIDENCE: A random selection of bedrooms and communal areas were observed and these appeared clean and the décor satisfactory. People are encouraged to bring personal possessions to the home and this helps to create a ‘homely’ atmosphere. A ‘mini refurbishment’ of the home took place in 2006, however within the recent ‘satisfaction surveys’, 100 of people living at the home had commented that there was ‘room for improvement’ with the environment. Planned improvements to the environment are included within the manager’s self-assessment, such as replacing bedroom, lounge carpets and new furniture-which shows that there is an ongoing programme of improvement. Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 19 There are also plans to develop a sensory garden for Bluebell dementia care unit and to create an improved garden area outside the day unit so as to attract birds the garden for people to view. One person spoke about how he loves to go outside and has been able to grow an assortment of vegetables. Staff receive training in infection control and observations made at the time of inspection shows that staff put training into practice during everyday activities. Bedrooms do not have en-suite facilities, and although toilets and bathrooms are nearby most people prefer to have a commode in their bedrooms. It is recommended that the home considers the use of a sluice disinfector to ensure that commodes and urinals are kept clean, appropriately disinfected and reduce the risk of cross-infection. During the inspection one person was seen regularly opening the door for people entering and leaving the home, sometimes staff were in the immediate vicinity, on other occasions this was done with no staff present. There have been three reported occasions in the past six months where people with dementia have walked out of the home for a short while. Although it is important not to limit personal freedom, the home is advised to look at ways to increase the supervision of the main entrance door to the home or look at alternative security systems. Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 20 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. Training opportunities within the home are good which ensures that Bennett House provides a well-trained and committed staff group who work positively to improve people’s quality of life. Recruitment practices are robust and safeguard people from the risk of employment of inappropriate staff. EVIDENCE: People who were spoken with during the inspection felt that there are usually enough staff on to meet their needs, one person spoke of how it can be difficult if ‘agency’ staff are on duty because ‘they don’t know the home or residents’. Results of the home’s surveys in September shows that people are happy with the staff but feel they are under too much pressure due to lack of staff, one person had written ‘we would like more carers’. Staff spoken with during the inspection felt that staffing levels are sufficient when there is a ‘floating’ member of staff on duty, so this person can provide flexible assistance and assist where there is more need. The self-assessment provided by the manager confirms that staffing rotas and levels are regularly reviewed to ensure they are sufficient to meet the needs of service users. This document shows that the home has reduced the amount of Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 21 hours covered by agency staff and extra permanent staffing hours have been allocated. It was established that due to staff sickness the ‘floating’ member of staff has been used to replace staff on sick leave. A senior member of staff informed that new staff are to be appointed with the intention that this should alleviate the problem. At the last inspection a requirement was made for information relating to new staff to be available. At this inspection two staff files were checked, these contained all the required pre-employment checks and this confirms that the home operates a robust recruitment procedure. New employees receive induction training and evidence was available to show that staff have regular appraisals and access to formal supervision. Staff confirmed that there are good training opportunities and observation of a training matrix shows that the manager has a very organised approach to ensure staff receive the training they need. Staff have received training in safe working practice topics as well as training specific for meeting the needs of people with dementia. A senior member of staff on spoke of how staff meetings incorporate ‘best practice’ information regarding dementia care at monthly team meetings. The home has implemented dementia skills induction books for staff to complete. Since the last inspection the amount of staff who have attained NVQ Level 2 in care has increased from 50 to 71 and some staff have attained Level 3. Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 22 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, 32, 33, 35, 36 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager is focused on positive outcomes for people living at the home, leading and supporting a skilled staff team who share the same values. The home is continually monitoring and reviewing processes to ensure that people receive a good range of quality services and there is strong evidence that the ethos of the home is open and transparent. EVIDENCE: The manager, Stephanie Matthews was not on duty on the day of this inspection, however information obtained both before and at the time of inspection shows that Stephanie is fully involved and committed to improving the outcomes for the people living, visiting and working at the home. Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 23 The manager is supported by a senior staff team who provide continuity and bring skills, experience and expertise to lead the team on a daily basis. All staff appear committed to ensure people receive a high standard of care. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was sent to the home for completion. The AQAA is a selfassessment and a dataset that needs to be filled in once a year by all providers. The manager completed the AQAA and returned it the commission within the timescale given. Comprehensive information within this document demonstrates that the manager is very much focussed on achieving good outcomes for people living at the home but also recognises where the home could improve and the steps needed to achieve those improvements to benefit people living at the home. The AQAA also provides evidence that the manager has a well-developed awareness and understanding of equality and diversity issues and aims to provide a service that responds to individual needs. The manager provided the following comment within the AQAA “Service user needs are seen as central to our delivery of service’ and the information obtained at this inspection provides confirmation that this is an accurate reflection of everyday practice. The ways in which Bennett House consults with people is commended and shows that people’s views are actively sought, listened to and acted upon. The home continues to have an effective quality assurance system in place, where people are able to comment on different aspects of the service. Copies of minutes show that regular ‘resident’ and staff meetings take place and information is shared openly. Minutes for a recent staff meeting shows that the home has looked at different ‘routines’ in the home and is encouraging people to create their own routines as opposed to the needs of the home. Senior representatives from Accord Housing undertake regular unannounced visits to the home to audit processes. The staff supervisory structure is clear and supervision sessions look at staff progress, training and project development. On the day of inspection all parts of the home and equipment appeared wellmaintained. Information provided within the AQAA shows that servicing and maintenance of equipment is undertaken and policies and procedures are regularly reviewed. Observation of documents at inspection show that the temperature of the hot water is checked on a regular basis and fire safety checks are routinely undertaken. No requirements were made as a result of the local fire officer visit in March 2007. Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 24 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 4 X 3 4 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 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 4 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 4 X 3 Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 25 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 Refer to Standard OP9 Good Practice Recommendations Staff need to provided with guidance on how to use the new thermometer for recording the temperature of the medication fridge. This is to ensure that the temperature is monitored and recorded accurately so that medication is stored according to manufacturer’s instructions. The home needs to consider ways to reduce the risk of people leaving the home unnoticed. This is to reduce the risk of harm to people. It is strongly recommended that the home has an automatic sluicing disinfector available to ensure the safe disposal of bodily waste, to reduce the risk from contamination and to control the spread of infection. 2 3 OP19 OP26 Bennett House DS0000020538.V349143.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Bennett House DS0000020538.V349143.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. 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!