Care Home: Benton House Nursing Home

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What the care home does well Benton House clean and fresh smelt. Staffs were knowledgeable about people’s individual needs and personalities. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.2 We observed good interaction between the staff and people living at the home. Staff were seen and heard to take each opportunity to maintain people’s independence and enable them to exercise choice. People were helped to make use of the local amenities. Assessments and care plans were overall well written and gave staff clear instruction about how to meet people’s needs. Visitors said, “Staff was very good, kind and skilled. They helped to settle their parent into the home and supported the relative through a difficult period”. Staff interviewed was clear about their roles and responsibilities and they feel supported by the manager. Staff said training was very good and they wanted to do a good job. Staff had shown a commitment to their own learning and should be commended for their efforts to obtaining NVQ qualifications. Activities were well organised to meet the needs of people who use the service. Mealtimes were managed to ensure people received the support and assistance to eat a healthy well balanced diet. People said they enjoyed the meals, especially the main meal of the day. What has improved since the last inspection? The registered providers have made significant improvement to the environment as required at the last inspection. Carpets have been replaced bedrooms and communal areas have been decorated and soft furnishings have been renewed so the bedrooms are more comfortable for people to spend their time. People whose rooms had been redecorated and refurbished were happy with the outcome; they were pleased to have been offered a choice of colour scheme. People said they were happy with the areas of the home that had been redecorated and refurbished. What the care home could do better: Storage for medicines liable to misuse must be improved to meet legal requirements. The laundry facility risk assessment should be reviewed to ensure people are not exposed to risk of cross infection. Signage and colour schemes around the home could be further improved to enable people with limited capacity to orientate easily around the home.Benton House Nursing HomeDS0000015851.V378311.R01.S.docVersion 5.2 Key inspection report CARE HOMES FOR OLDER PEOPLE Benton House Nursing Home Gattison Lane Rossington Doncaster South Yorkshire DN11 0NQ Lead Inspector Ian Hall Key Unannounced Inspection 9th November 2009 09:00 DS0000015851.V378311.R01.S.do c Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Benton House Nursing Home Address Gattison Lane Rossington Doncaster South Yorkshire DN11 0NQ 01302 864979 01302 863435 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) Union Healthcare (North) Limited Manager post vacant Care Home 36 Category(ies) of Dementia - over 65 years of age (36), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (36) Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of three persons between the age of 60 years and 65 years may be accommodated to receive Nursing Care or Residential Care, be accommodated in the categories DE(E) and MD(E) within the total of 36 registered beds. One specific service user under the age of 60, named on variation dated 20th November 2006, may reside at the home 1st October 2008 2. Date of last inspection Brief Description of the Service: Benton House Care Home is situated in the village of Rossington near Doncaster. It is within reach of local shops, a post office, church and other local amenities. The home is registered to provide both nursing and personal care for up to 36 service users in the category of older people with dementia and mental disorder. Benton House a detached house which has been extended. It provides accommodation on two floors. There is a passenger lift to provide access between floors. The communal areas are located on the ground floor and comprise two lounges, a smoker’s room and a dining room. The kitchen and laundry facilities and office are also found on the ground floor. There is a garden at the rear of the building with limited parking available at the front of the building. Information about the home and services available is detailed within the home’s Statement of Purpose and Service User Guide. The last published inspection report is available on request and a copy is available for visitors to read. Information gained on the 9th November 2009 indicated the current fees range from £426.55 to £687.80. Additional charges are made for hairdressing and chiropody). These fee charges only applied at the time of inspection, more up to date information may be obtained from the home. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations – but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The unannounced site visit undertaken as part of the inspection started at 07:30am and concluded at 14:30pm on the 9th of November 2009. The inspection was conducted by the link inspector Mr I Hall. The site visit included a tour of the building, reading records, discussions with staff and people who use the service and observation of meals provided. We also met with the manager and other members of staff. The manager had completed an annual quality assurance assessment (AQAA), which was completed with detailed comprehensive information. The AQAA focuses on how well outcomes are being met for the people using the service. It also gives us some numerical information about the service. In addition the inspection took account of information received about the service since the last key inspection on 1st October 2008. This included records of telephone conversations with staff, events notified to the CQC and records of management visits to the home. People spoken with were happy to assist with the inspection. Comments were positive when they described the care and motivation of the staff, these included: “They are very good to me”, “Its lovely here”, the girls are so nice, they make me feel safe”, “I like the food it’s very nice”. We spoke to two relatives and received seven relatives and four staff survey replies, these views are included throughout the report. At the end of the site visit verbal feedback was given to the manager. What the service does well: Benton House clean and fresh smelt. Staffs were knowledgeable about people’s individual needs and personalities. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.2 Page 6 We observed good interaction between the staff and people living at the home. Staff were seen and heard to take each opportunity to maintain people’s independence and enable them to exercise choice. People were helped to make use of the local amenities. Assessments and care plans were overall well written and gave staff clear instruction about how to meet people’s needs. Visitors said, “Staff was very good, kind and skilled. They helped to settle their parent into the home and supported the relative through a difficult period”. Staff interviewed was clear about their roles and responsibilities and they feel supported by the manager. Staff said training was very good and they wanted to do a good job. Staff had shown a commitment to their own learning and should be commended for their efforts to obtaining NVQ qualifications. Activities were well organised to meet the needs of people who use the service. Mealtimes were managed to ensure people received the support and assistance to eat a healthy well balanced diet. People said they enjoyed the meals, especially the main meal of the day. What has improved since the last inspection? What they could do better: Storage for medicines liable to misuse must be improved to meet legal requirements. The laundry facility risk assessment should be reviewed to ensure people are not exposed to risk of cross infection. Signage and colour schemes around the home could be further improved to enable people with limited capacity to orientate easily around the home. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.2 Page 7 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 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 Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were assessed before moving into the home to ensure their needs could be met. EVIDENCE: People received a full comprehensive needs assessment before admission. The manager who had the required skills and competencies carried this out. The service was efficient in obtaining a summary of any assessment undertaken by the placing authority, and insists on receiving a copy of the care plan before admission. Staff confirmed that information contained in the assessment was essential to understand what they needed to do to ensure people’s needs were met. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 Page 10 Three assessments were examined; they focused on achieving positive outcomes for people who use the service. Before agreeing admission the manager and staff carefully consider the needs assessment for each individual prospective person and the capacity of the home to meet their needs. People said they had been able to discuss their wishes and the type of help their relatives needed before they made the decision to live at Benton House. Whenever possible people had been encouraged to visit and spend time at the home so they could meet members of staff and other people living at the home. This was confirmed by written entries in the case files. Relatives said they were fully involved in the admission of their family member into Benton House. They said staff were very supportive through a difficult time, and helped their relative move into the home. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Clear information is provided to guide staff meeting people’s needs. Staffs ensure that people are able to access health services as they need them. Staff attitude and approach to care is based upon respect for the person, this helps safeguard and promote people’s rights and dignity. Staffs works to the homes policies for the administration of medication, this promotes the wellbeing of people who live at the home. EVIDENCE: Three care plans were examined; these were overall well written and provided sufficient information to enable staff to meet the needs of the people who use the service. People’s care needs had been assessed. A range of recognised assessment documents had been used to measure people’s needs. These included mobility, mental ability, state of nutrition, and areas of risk such as falls. These provided a baseline for staff to measure people’s progress or increasing level of need. This enables staff to plan the help and support people Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 Page 12 need. There were care plans to tell staff how to meet these needs. These had been reviewed regularly. The care plans included regular evaluations, and daily records assess the individual’s progress. Relatives said they were kept informed and involved when ever possible. Care plans detailed people’s religious and cultural needs and the gender of staff they wanted to support them with their personal care. Not all people’s pen portraits were complete; these provide staff with key personal information about the person’s life story. This information is particularly relevant for people with dementia who are confused to time, place and person; they improve communication opportunities and help staff to appreciate what people may be experiencing. Comprehensive risk assessments ensure people can maintain their independence, while remaining safe. There were records of visits by the GP, community nurse, occupational therapist, dentist, opticians and chiropodist. All people were registered with a family doctor; there were good relationships with the doctors and district nurses. There were wheelchairs, aids and equipment provided to meet people’s moving and handling needs. We saw that three bathrooms used by more mobile people still required additional aids to maintain people’s mobility and safety. One member of staff interviewed was able to describe in detail the care needs of the people case tracked. Visitors said staff were very good, and they knew how to care for their relative. They said they always kept them informed about any concerns and always made them feel welcome. Records examined and discussion with the staff confirmed people’s healthcare needs were met. The senior carer said doctors provide a good service, and staff were trained to recognise health problems and report them to the nurse in charge of the shift. We examined the home’s medication policy, medication administration records (MAR charts) and storage and handling arrangements for medicines. We also observed medicines being given to people throughout breakfast time. Boots pharmacists was contracted to undertake periodic checks to ensure the stock levels were maintained and procedures followed. Medication was stored securely; there was a separate, locked room for storing medication that contained a medication fridge records to confirm that the temperature of the fridge was taken daily. The cupboard for Medicines Liable to Misuse was found to have a broken lock. There was no Medicines Liable to Misuse being stored or used. A new storage cabinet must be provided to ensure these substances are stored safely and in accordance with the legislation. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 Page 13 Observations during this inspection confirmed people were treated with respect. People were addressed and spoken to in an appropriate manner. Staff demonstrated empathy and skill when caring for people who were agitated, by speaking calmly and quietly to them to give reassurance about their surroundings. People said that staff promoted their privacy and dignity. We saw staff knocking upon bedroom doors and waiting to be invited to enter. People said that staff were caring and helpful and that nothing was ever too much trouble. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Suitable activities were provided at the home to keep people stimulated. People are able to socialise with family and friends and mealtimes are well managed. People who live at the home were encouraged to eat a healthy and varied diet. EVIDENCE: Activities were arranged to meet the needs of people who use the service. The activity co-ordinator was very motivated, and was able to describe activities organised, which included trips to the local pub, and walks to the local shop. There was a designated activity room; used for small group activity; the coordinator said she found the room better for small group work for people with limited capacity. People were actively encouraged to keep in contact with family and friends living in the community. Visitors were welcome at any time and facilities were available for them to have a drink or a meal with the people who use the service. People can choose to entertain visitors in their own rooms or perhaps Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 Page 15 a lounge or garden areas, as they prefer. Visitors to the home said they were made to feel welcome, and the atmosphere was always pleasant and homely. People were able to exercise choice, by having freedom to move around the communal areas freely. However bedrooms were not easily accessible, as they would need to ask staff to open locked doors. This was discussed with the manager who said it ensured the privacy of people who stayed in their bedroom. The meals provided were appealing and smelled appetising. People said they enjoy their meals. We saw the cook preparing and baking cakes and buns. She said these were freshly made each day. People said they enjoyed them with their cups of tea and that there was always plenty to eat. They can choose other meals if they don’t like the meal provided. People were seen and heard to make choices at breakfast time. Staffs were seen to help and encourage people with their drinks and meals. Mealtimes were unhurried with extra portions provided as required. People’s personal likes and dislikes were documented and known by staff. Special diets were available as needed. Staff said they sought the dietician’s advice when needed. Drinks and snacks were available through out both the night and day times. Adapted cutlery was available to enable people to maintain their independence. One relative said she often visited around meal times so that she could have her lunch and offer assistance to her husband. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service could access the complaints procedures and the manager ensures any concerns were recorded and investigated appropriately. Adult protection policies, procedures and training of staff promote the protection of people from abuse. EVIDENCE: There was a complaints procedure that was available to people who use the service and visitors. The procedure was also referred to in the service user guide, identifying the stages to follow; this included the time scales to respond to complaints. Visitors said they were confident that the manager would deal with any concerns they may have. The manager said one complaint had been recorded since the last inspection at the home. This had been passed to Doncaster Metropolitan Borough Council (DMBC) Adult Safeguarding whose investigation was ongoing. There was a comprehensive Safeguarding Adults and Whistle blowing policy and staffs follows the procedures to those standards. The manager would investigate fully any allegations of abuse and would follow the necessary procedures if any were substantiated. The manager holds discussions with staff to talk over issues and how to recognise different forms of abuse. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 Page 17 People who had no advocate or next of kin have been provided with access to advocacy services provided by Age Concern. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered provider continues their refurbishment of the home to ensure it is fit for purpose and is safe and suitable for people to spend their time. EVIDENCE: We saw the home was clean and smelled fresh. Soft furnishings, pictures and ornaments were used to provide a homely setting. The registered provider continues their refurbishment of the home to ensure the environment was comfortable and suitable for people to spend their time. A partial tour of the building found good standards of cleanliness and hygiene. New carpets and none slip floor coverings have been fitted in communal areas and corridors had been painted. A number of bedrooms had been decorated and new bedding and curtains made the rooms homely and welcoming. The Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 Page 19 signage around the home was being improved to orientate people who use the service. Nameplates on bedroom doors were being changed; staff said decorating was continuing in some of the areas. This was a good time to improve the signage, including considering introducing different colours to bedroom doors. All corridors were being painted the different colours, to make it easier for people to find their way to their bedroom. New radiators were being provided throughout the home to ensure an easy regulated and constant temperature was provided for people who live at the home. Bedrooms visited had been personalised reflecting the interests and personality of the person who lives there. Many people had brought treasured possessions and memorabilia from their own homes. Visitor’s comments included “It’s very clean and homely”, “I’m very happy with the cleanliness”. People can easily access a safe garden area and there was appropriate seating. One relative said her husband liked to sit in the garden when the weather was better. The laundry area has been improved by division into separate areas for clean and dirty items. The risk assessment for this area should be updated to take account of the changes introduced. We identified shelving and floor surfaces that still require easy clean surfaces to reduce the risk of cross infection. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff had the skills and knowledge to fulfil their roles within the home, and there was a stable staff group. Recruitment policies were sufficiently robust to ensure the safety and protection of people who live at the home. EVIDENCE: Staff rotas were examined and there were sufficient staff to meet the needs of people who use the service. Trained nursing levels were sufficient to meet the complex needs of people with nursing care requirements. Four staff recruitment files were examined; they contained written references, POVA 1st check and CRB (Criminal Record Bureau) checks. This means the recruitment procedures were sufficiently robust to protect people who use the service. The staff training and development plan was examined and was seen to identify staff training needs, courses completed and courses being undertaken. Staff spoken with confirmed they had undertaken statutory training and updates e.g. moving and handling, fire prevention. They were involved in National Vocational Qualification (NVQ) training and dementia care training. The numbers of staff trained to level 2 NVQ in care exceeded the minimum Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 Page 21 50 required by The National Care Standards Act 2000 and the associated Regulations. The manager said the nurses continue to develop their own knowledge, by attending relevant training courses. PIN numbers for the registered nurses were examined and were current. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was well managed and organised for the benefit and safety of people who live there. People were involved in making decisions about care and had control over decisions that affected their lives. Systems were in place to protect people’s financial interests. EVIDENCE: The manager has been in post for six months, she had submitted an application to CQC to become the registered manager. She has the RMA (Registered Managers Award) and has also attended training arranged by the organisation. She is a Registered Nurse and maintains her professional status. She is respected by staff and liked by relatives and people who use the service. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 Page 23 Relatives said, “She’s very kind and always treats people with respect”, “She’s the best manager we’ve had here”. Staff said the manager was approachable, very professional and they felt confident in her. We saw there was always a senior member of staff on duty at the home. Examination of rotas confirmed that the manager was supernumerary and was able to complete her managerial duties. A senior company manager visits the home to monitor care and standards at the home. A written report of their findings was available at the home. The manager was able to demonstrate how the organisation gains the views of people who use the service. A quality survey is sent to relatives to complete, as people living at the home had limited capacity. She also spends time speaking to people to find out what they like about living at the home. One relative said she felt that the home always asked if they were satisfied with the service. The manager said the laundry service was identified as needing some improvement. They addressed this by employing a laundry assistant. Regular meetings were held for staff and people who live at the home and their relatives. These give people living at the home a voice and chance to say how the home should be run. People felt their views and opinions were taken into account by the staff. People were unable to manage their own finances due to limited capacity; some relatives hold responsibility for this. The administrator told the inspector how bank accounts were held on behalf of people who use the service. Records examined were accurate to moneys held on behalf of people. Bank statements show money was held in individual bank accounts. This means that the organisation was acting in the best interests of people. Accident reports were analysed by the manager to ensure risk assessments were developed where required, and to protect people who use the service. Maintenance and service records examined were up to date and current to the services provided. The manager had the required Health and Safety policies and procedures and displays the relevant notices. Fire safety procedures were in place and service records were examined and were current, ensuring the safety of people who use the service. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 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 X X 3 X X n/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 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. 1. Standard OP9 Regulation 13 Requirement Safe, secure storage facilities for medicines liable to misuse must be provided Timescale for action 01/01/10 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 OP38 OP9 Good Practice Recommendations The upgraded laundry area should have a reassessment of risk to protect people from cross infection. The risk of medication errors should be reduced by using a recent photograph and the current MAR chart to identify people at the time their medicines are being given to them. Benton House Nursing Home DS0000015851.V378311.R01.S.doc Version 5.3 Page 26 Care Quality Commission Yorkshire & Humberside Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.yorkshirehumberside@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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