Care Home: Blair Park Residence For The Elderly

What the care home does well What has improved since the last inspection? There were no requirements made following the last visit. To protect residents` safety all radiators now have covers. And hot water outlets used by residents are now fitted with temperature controls, again for residents` protection. The passenger lift and stair chair lift have been renewed to assist residents in moving safely around the home. New carpets and flooring have been or about to be fitted in the lounges and dining rooms. Furniture in communal rooms has been replaced, including coffee tables, armchairs and dining furniture. The service user guide has been updated. CARE HOMES FOR OLDER PEOPLE Blair Park Residence For The Elderly Crown Road Milton Regis Sittingbourne Kent ME10 2AL Lead Inspector Elizabeth Baker Unannounced Inspection 19th May 2008 09:40 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 Blair Park Residence For The Elderly DS0000023893.V364855.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. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blair Park Residence For The Elderly Address Crown Road Milton Regis Sittingbourne Kent ME10 2AL 01795 423695 01795 474108 sarah@charinghealthcare.co.uk www.charinghealthcare.co.uk Charing Grove Ltd 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) Ms Sarah McKelvie Care Home 47 Category(ies) of Dementia (0) registration, with number of places Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Dementia (DE). The maximum number of service users to be accommodated is 47. Date of last inspection 4th July 2006 Brief Description of the Service: The home is situated on the southern edge of the village of Milton Regis. Accommodation is on two floors. The premises are part adaptation and part custom-built. There is a shaft lift between floors and corridors are wide enough for wheelchairs. There is also a stair lift. There are spacious communal areas. There are parking spaces, both on site and on the adjoining side road. Local shops and other amenities are within a short walking distance and the home is on a bus route. The main line railway station is in Sittingbourne, about a mile away. Current fees range from £421.09 to £555.00 per week depending on assessed needs and room occupied. Additional fees are charged for hairdressing, chiropody, toiletries and newspapers. The current internal activities include reminiscence (memory lane), bingo, games, quizzes, word games, newspaper discussions, flower arranging and trips to nearby shops. External entertainers provide activities such as music and singing, bell ringing, war songs and magic shows. And there are pat the dog visits. Other events such as Garden Fetes, Halloween and Christmas parties take place. A Holy Communion Service takes place every fortnight and a Roman Catholic Sister visits the home weekly. The latest inspection report is available on request. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means people who use this service experience excellent quality outcomes. Link inspector Elizabeth Baker carried out the key unannounced visit to the service on 19 May 2008. The visit lasted about 8½ hours. As well as briefly touring the home, the visit consisted of talking with some residents, a visitor and staff. Three residents, two members of staff and one visitor were interviewed in private. Verbal feedback of the visit was provided to the home manager during and at the end of the visit. At the time of compiling the report, in support of the visit, we (the Commission) received survey forms about the service from two residents, four care managers, two healthcare professionals, seven GPs and two members of staff. At our request the home completed and returned the home’s Annual Quality Assurance Assessment (AQAA). Some of the information gathered from these sources has been incorporated into the report. We have not received any complaints about the service. The AQAA records, there has been one safeguarding adult referral. This was investigated under the county’s multi agency safeguarding adult procedures. What the service does well: The home manager was receptive to advice given and demonstrated an eagerness to put right any matters needing addressing to improve the service. Staff are enthusiastic about their roles and enjoy working at the home. The atmosphere at the home is relaxed and open with communication between staff and residents open and friendly. Compliments and comments received from survey respondents included “[Staff] are there when I need support, as well as my relative. [Staff] are very caring people. Excellent responses to emergencies – doctors and medics called. The home is always fresh and clean and this was one of the reasons this home was chosen.” “This is as near perfect as you can expect. Very good”. “[Staff] are extremely good in all aspects and departments of care – excellent all round”, “Very friendly, well organised. Caring. All staff always accompany you to the patient and have knowledge about the patient. Manager and deputy always available”. “One of the best residential homes I have been involved with. Efficient management. Caring staff”. “I am pressed by the level of care provided in Blair Park”. “Very sensible approach to client care. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 6 Creates an environment as close to home as possible”. “Meals seem appetising, home appears comfortable, staff appear warm and inviting and are quick to respond to advice given by medical personnel”. “Involvement of family for completion of residents’ history in order to gain resident information”. “Very understanding and treat all service users as individuals. This home is run very well. All staff are helpful and have a good understanding of the individual service user and correct procedures to follow”. 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. Blair Park Residence For The Elderly DS0000023893.V364855.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 Blair Park Residence For The Elderly DS0000023893.V364855.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): 2, 3 and 6. Residents who use the service experience excellent outcomes. This judgement has been made using a range of evidence including a site visit to this service. Prospective residents can be sure the home can meet their assessed needs. EVIDENCE: For equality purposes, all residents no matter how funded, are provided with a contract setting our terms and conditions of staying at the home. The home manager visits prospective residents in their current place of occupation to determine whether the home is suitable to meet their individual assessed needs. Indeed a visitor was impressed by the level of detail of questions asked by the manager during the pre admission process. Some prospective residents are able to visit the home prior to any decision being made. However where this is not the case, their relatives or advocates do so on their behalf. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 9 Information is also sought from other agencies such as local authorities, where a sponsor is involved in the placement. The information gathered at the pre admission visit is used to inform the corresponding plan of care, which all residents are provided with following their admission into the home. All new residents are provided with a welcome card on their admission and where possible a vase of fresh flowers is provided in their bedroom. This is to minimise any anxieties the new resident may have. The home is not registered for intermediate care. Standard 6 is not applicable. Blair Park Residence For The Elderly DS0000023893.V364855.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): 7, 8, 9, 10 and 11. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. The health and personal care needs of residents are met with evidence of good multi-disciplinary working taking place on a regular basis. EVIDENCE: For case tracking purposes the care records of three residents were inspected. On this visit the records all referred to residents residing on the Bluebell unit. Records contained a care plan and range of supporting clinical and health and safety risk assessments. The assessments include nutrition, dependency, restraint, falls, weight charts, environment and moving and handling. A pain assessment chart is used to record details of prescribed when required medication (PRN). However, it was not so easy to monitor the effectiveness of pain treatment plans for regular prescribed analgesia because of the current method of recording the effectiveness and changes in a number of different records and places. However the manager and deputy manager are reviewing the current practice so a more coherent picture can be easily obtained. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 11 Good information was seen in the care records with regards to life histories and personal care. During the pre admission process the home tries to obtain as much information as possible about residents’ likes and dislikes. This includes details of food and drinks. Care plans are regularly reviewed and where possible the home invites the resident and or their advocate to be involved during this process. Daily records are maintained and generally give a brief picture of residents’ quality of day experiences. However, some care staff use meaningless phrases such as “all care given”. In the event of an investigation into poor care allegations, this would not provide a detailed audit of the care actually delivered to meet the individual resident’s assessed needs. On an assessed need basis residents receive input and or care from healthcare professionals such as GPs, District Nurses, Community Psychiatric Nurses and a Psycho-geriatrician. Residents receive dental treatment and eye tests when required. Medication administration record (MAR) charts were inspected. Currently there are no residents who are self-medicating. The charts had generally been completed as required to evidence medicines had been administered. However a number of handwritten additions to the printed transcription entries had been made. These had not all been signed by the person making the changes or countersigned by a witness, as is required by good practice. Medicines, medical aids and sundry equipment are stored in a designated room for safety and hygiene purposes. The room is suitably equipped. To ensure medicines are stored in accordance with the manufacturer’s instructions, the temperatures of the room and drug fridge are checked on a daily basis. This is good practice. Where an incident may occur in the administration of medicines, an incident form is completed and filed. The benefits of also keeping a drug error/incident central record was discussed for monitoring trends and practices of care staff, for quality assurance purposes. Where assistance with residents’ personal hygiene needs is needed, staff provide this in a way, which protects their privacy. Residents were seen suitably dressed for the time of day and season, with attention to detail where this is important to them, including make up. Indeed make up details were seen in a particular care plan. This is good practice for person centred care. Care records also contained some details of residents’ individual spiritual wishes in respect of death and dying. Policies and procedures have recently been updated and contain information on different religions and cultures. Blair Park Residence For The Elderly DS0000023893.V364855.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): 12, 13, 14 and 15. Residents who use the service experience excellent outcomes. This judgement has been made using a range of evidence including a site visit to this service. Meals and activities offer both choice and variety. Residents are supported in attaining their lifestyle preferences. EVIDENCE: Arrangements are available for residents to take part in structured activities, socialise with others or to be as independent as possible. The fortnightly Holy Communion service coincided with this visit. And a Roman Catholic Sister visits residents at the home on a weekly basis. During time spent on the Bluebell Unit a word “brain” quiz took place. Most of the residents were engaged in this activity and good banter was heard between staff and residents. A member of staff was seen sitting with a bedfast resident. Classical music was playing in the background promoting a tranquil and reassuring atmosphere. Birthdays are celebrated with a special cake, card and decorations. The home employs two activities coordinators and details of the structured plan for both internal and external activities were seen displayed around the home. Some residents choose to spend their time in the privacy of their rooms, and this is respected. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 13 Residents are supported in going on shopping trips to the nearby towns of Sittingbourne and Milton Regis and take the opportunity to have lunch out. Where possible residents are supported in maintaining their former hobbies. In one case this enabled the resident to going swimming. Swimming had been an important factor in their life. Residents spoken with said they go to bed and get up at the times they want to. The home encourages residents to personalise their rooms and those visited had been individualised to the residents’ own preferences. Each unit has its own dining room for residents to use if that is their wish. Residents spoken with said the meals are either good or OK. Although meals were not sampled on this visit, an appetising lunch was seen. Special diets are catered for and care records evidence residents are regularly weighed. Some residents require special supplements to increase their nutritional intake. Staff have been trained how to make the vanilla supplement into a type of ice cream making it more appetising for residents. More training is to be provided to show staff how to make other special diets more palatable for residents. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 14 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, 17 and 18. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Residents and their advocates can be satisfied their concerns and complaints are listened to and acted upon. EVIDENCE: The visitor and residents spoken with knew what to do if they had a concern or were unhappy about any aspect of their care. The training matrix supplied in support of this visit indicates care staff have received adult protection training. Staff interviewed described appropriately the action they would take if they suspected abuse had taken place. The home has its own adult protection procedures, which the provider has produced. However it could not be established on this visit whether it interlinked with those of Kent and Medway, as the home did not have a copy of the multi agency safeguarding policies and protocols. The manager will be contacting the local safeguarding coordinator to request a copy. So residents can continue with their civil duties, arrangements are made for them to vote in elections if this is their wish. We have not received any complaints about the service. The returned AQAA indicates that in the last 12 months the home has received two complaints, of which one was upheld. Both complaints were resolved within 28 days. The AQAA also indicates there has been one safeguarding referral. This was investigated under the county’s multi agency safeguarding adult procedures. The home’s complaints procedure includes our contact details. To monitor Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 15 trends, the home maintains records of all types of complaints, including niggles. This is good practice for quality assurance purposes. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 25 and 26. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Residents live in a comfortable and homely environment and the current upgrading investment will enhance this further. EVIDENCE: Areas visited and used by residents were fresh, clean, warm and odour free. The home has a rolling programme of replacement and redecoration. Since the last visit the dining room flooring and lounge carpet on Bluebell Unit have been replaced. The replacement of flooring and carpet on Primrose Unit is about to take place. The main stair carpet has been replaced and the remaining corridor carpets are being replaced later this year. Replacement communal furniture for both units has or is about to be completed. This includes dining room furniture, coffee tables and armchairs. The passenger and stair lift have both been renewed. Over half of the bedroom carpets have been replaced. A new fire panel system has been installed. And a bathroom is about to be totally refurbished to include new flooring and assisted bath. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 17 As is required by regulation, the home has produced a fire safety risk assessment. In 2006 the local fire safety authority agreed the home’s assessment. The assessment does not cover the propping open of doors deemed fire doors, including bedroom doors. A number of doors throughout the home have been fitted with magnetic closures. This is good practice as it allows doors to kept wide open because in the event of the fire alarm activating the doors close automatically. However during this visit it was noted that a bedroom door had been propped open by the use of an upholstered footrest. The door did not have a magnetic closure. Whilst acknowledging that some residents like to have their doors left open or kept ajar, and not wanting to deny residents their choice, the provider must ensure that approved devices are in place for the protection of all residents living at the home, as well as staff working there. The home has a range of moving and transferring equipment so staff can assist residents in a safe manner. Two care staff were seen transferring a resident from a chair to a wheelchair using a hoist. Staff were talking with the resident during the process in a re-assuring and non-patronising way, thereby reducing any anxieties the resident may have had. This is good practice. Handrails are fitted in corridors to assist mobile residents in moving around the home safely and independently. The home seeks specialist advice from Kent Association for the Blind, for the provision of special equipment for residents with sight impairment, if required. The home has a number of shared rooms. As is good practice, residents occupying these rooms are offered the choice to move to a single room when a vacancy arises. Residents spoken with indicated their beds are comfortable. The home does not have its own range of pressure relief or preventative equipment. However District Nurses arrange for this to be provided on an assessed needs basis. The home’s linen and residents’ personal clothing is laundered in-house. The home has a small but suitably equipped laundry. A resident said the laundry service is good. To enhance the home’s infection control practices, a sluice room is being installed, including the provision of a mechanical sterilizer, which should help in minimising potential infection control risks. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Residents who use the service experience good outcomes. This judgement has been made using a range of evidence including a site visit to this service. Residents receive care and support from an enthusiastic, caring and trained workforce. EVIDENCE: As well as care staff, staff are employed for cooking, activities, cleaning, laundry, maintenance and gardening. Staff were seen carrying out their duties in an unhurried manner and being attentive to residents. Off duties are kept and show the home is staffed 24-hours a day. Residents spoken with indicated staff respond to their buzzers quite quickly. The AQAA records that 74 of care staff are now trained to NVQ level II care or above. This is good practice. New staff are required to complete an induction programme. This generally follows the Skills for Care training programme, which should equip newly appointed staff to better understand and meet the health and personal care needs of residents. Staff interviewed said they had received training on subjects including refresher training for infection control and medicine administration, fire safety and food and health safety. The training matrix indicates staff received training during 2007/08 on other subjects including first aid, adult protection, dementia, diabetes and moving and handling. In the past, some staff have received training for Parkinson’s disease and more training is going to be arranged. However the schedule does not indicate care staff have received Mental Capacity Act awareness training. The Act came fully into force in October 2007. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 19 As the implications of the Act are relevant to everybody, including people with dementia, it is important this matter is addressed. The personnel files of two members of staff were inspected. As part of the home’s vetting practices, references are sought and obtained, POVAFirst is accessed and Criminal Record Bureau checks undertaken. To enhance the process the home manager attempts to obtain verbal confirmation of written references received, although not all former employers are happy to provide this information. One of the files inspected had an incomplete application form with regards to employment history dates. Although the applicant had also been requested to provide a full CV this had not yet been received. The application form seen in use asks for details of the last ten years employment. Regulation 19(4) Schedule 2, paragraph 6 requires full employment history, together with satisfactory written explanations of any gaps in employment, is obtained. During 2006 we published guidance to assist providers and managers in the development of their recruitment procedures and practices. The publications in question are called Safe and Sound? Checking the suitability of new care staff in regulated social care services and Better safe than sorry – Improving the system that safeguards adults living in care homes. Both publications are available from our website – www.csci.org.uk. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38. Residents who use the service experience excellent outcomes. This judgement has been made using a range of evidence including a site visit to this service. Residents benefit from a well run home. The home reviews aspects of its performance through a programme of self-review and consultations, including the views of residents, advocates and staff. EVIDENCE: The home manager has worked at the home for many years and has been the manager for over seven years. Residents, visitors, and staff spoke openly during the visit about their experiences of visiting, residents’ care, living and working at the home, and how approachable the home manager and deputy manager are. The Manager has a Diploma in Welfare Studies, as well as NVQ III in Dementia Care. Unfortunately the home manager has not yet been able to complete the Registered Managers Award course because the training provider is no longer in business. The home manager’s employer is seeking alternative arrangements so that she can successfully complete the course. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 21 Management promote an open door policy and this is appreciated. As part of the home’s quality assurance programme residents’ meetings regularly take place, to obtain views and opinions the services provided. Staff meetings also take place. The provider sends out annual surveys to all residents and/or their advocates. The findings are analysed and shared with the home. The provider’s representative carries out regulation 26 visits and provides the home a report. The home manager makes unscheduled visits to the home, providing her with the opportunity of monitoring the working practices of night and weekend staff she would normally see. Indeed a visitor was impressed by this course of action. The home is responsible for maintaining small sums of personal monies held on residents’ behalf. Records are kept. Apart from hairdressing and chiropody, individual receipts are obtained for services provided or items purchased on residents behalf. Details of hairdressing and chiropody are maintained centrally. When more funds are required the home contacts advocates. If a visitor deposits additional cash funds during a visit, they are provided with a receipt. However a review of the receipt book identified that the name of the depositor is not always stated. Details of the additional funds are also added to a separate individual account. However this record does not require the name of the depositor either. Not having full details of the depositor could present the home with problems if an investigation into the handling of personal monies had to be carried out. For residents and or their advocates requiring statements of account these are provided on request. The cash is held individually and securely on residents’ behalf. Staff supervision takes place and the findings recorded. Although staff have not received specific whistle blowing training, this important subject is discussed between the manager and staff during supervision. The provider has recently issued the home with updated policies and procedures. These include safeguarding adults and the prevention of abuse. The AQAA records the home’s equipment is serviced or tested as recommended by the manufacturer or other regulatory body. It was also identified on this visit that the sit on scales used to weigh residents are regularly calibrated to ensure their accuracy. This is good practice. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 X 3 3 X 3 3 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 4 4 4 X 3 3 X 3 Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 OP19 Good Practice Recommendations When residents require their bedroom doors to be left open or kept ajar, only approved devices should be used. Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Blair Park Residence For The Elderly DS0000023893.V364855.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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