Care Home: Callands Care Home

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What the care home does well People who are thinking of moving into the home and those living there are given information about the services the home provides. Assessments are done before a person moves in so they can make an informed judgement on whether the home is suitable for them. Medicines are managed well so ensuring that the health of the people living in the home is maintained.The privacy and dignity of people living in the home is maintained at all times. Good relationships exist and staff were seen addressing people by their name. Staff were friendly, supportive and caring so the people who live at the home were comfortable with them. People who live in the home told us they were well cared for by staff. A good range of activities for is offered so people living in the home can keep active and stimulated. People living in the home told us they could make choices about their daily lives so they are enabled to be as independent as possible and have control over aspects of their lives. Complaints are dealt with effectively with records kept that show what has been done to deal with them so that the people who live at the home can be confident that their concerns will be listened to. The home is well maintained, clean and tidy so provides a pleasant place for people to live in. Staff are given training about how to protect adults from abuse, and there are policies and procedures for them to follow so that the people who live in the home are protected from possible harm. Staff are provided with good training opportunities ensuring they have the skills and the knowledge to carry out their role. All staff continue to be regularly supervised. There is an effective quality assurance system in place which means that the quality of care and facilities provided is monitored and maintained. What has improved since the last inspection? Care records have improved and generally plans of care are now in place which cover the identified needs/problems of each person living at the home. This means that people living in the home can be confident they will receive the care they need. Improvements to the environment have been made. All units look brighter and provide a more pleasant place for people to live in. More detailed information about the activities is now available in the main foyer. Activities are now planned one month in advance. This means that people living in the home and relatives can see at a glance which activity they wish to take part in and when that is happening.More 1:1 activities take place on the individual units, which mean that those people who do not or cannot access the main lounge are provided with activities/stimulation on their own unit. What the care home could do better: Staff recruitment procedures could be improved including obtaining a written reference from the person`s last employer to ensure they are suitable to work in care. Recruitment procedures should also ensure that staff working at the home have adequate English language skills so they can communicate effectively with the people who live in the home and others such as doctors and specialist nurses. This was also identified at the last inspection. Risk assessments for people with swallowing difficulties need to be more detailed so that all aspects of risk are covered and the action to be taken by staff to minimise those risks included in the care plan. This should also identify the need to ensure that staff receiving training in assisting people with swallowing difficulties to eat and drink. CARE HOMES FOR OLDER PEOPLE Callands Care Home Callands Road Callands Warrington Cheshire WA5 9TS Lead Inspector Helena Dennett Unannounced Inspection 22 April 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Callands Care Home DS0000042162.V362712.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. Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Callands Care Home Address Callands Road Callands Warrington Cheshire WA5 9TS 01925 244233 01925 413433 callands@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross Care Homes No 2 Limited 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) Emma Louise Ellis Care Home 120 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (60), Learning disability over 65 years of age of places (1), Old age, not falling within any other category (30), Physical disability (30) Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 120 service users to include:* Up to 30 service users in the category PD (Physical disability) who may be accommodated in Lakeside Unit * Up to 30 service users in the category OP (Old age, not falling within any other category) who may be accommodated in Coniston Unit * Up to 1 named service user in the category LD(E) (Learning disability over 65 years of age) who may be accommodated in Windermere Unit * Up to 60 service users in the category DE(E) (Dementia over 65 years of age) who may be accommodated in Grasmere, Ullswater and Windermere Units * Within the 60 DE(E) beds (Dementia over 65 years of age), 2 named service users in the category DE (Dementia under 65 years of age) may be accommodated. * 1 named service user under the age of 65 years in the category of DE who requires nursing care. * Named service user under the age of 65 years in the category of OP who requires nursing car 2. Service users who require nursing care may not be accommodated in Windermere Unit 19th April 2007 Date of last inspection Brief Description of the Service: Callands is a care home providing personal and nursing care for 90 people - 60 older people who have dementia, and 30 younger adults with physical disabilities. The home is in the Callands area of Warrington, close to shops, a post office and a pub. Gemini retail park is close by, as is the Westbrook Centre which has a large supermarket, more shops, a restaurant and cinema complex. Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 5 Callands is on a bus route and close to the M62 motorway. The home is purpose built with two storeys and is divided into five separate units. Three of the units, including the younger adults’ unit, are on the ground floor. All bedrooms are single rooms with an en-suite shower. There is a passenger lift between the two floors. The home has extensive grounds, which are easily to reach for all the residents. The weekly fee for care and accommodation at the home ranges from £307.50 to £850. Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. This key unannounced inspection visit took place over 9 hours. Three inspectors visited the home to do the inspection; one inspector stayed three hours whilst the others stayed for the full visit. We are trying to improve the way inspectors engage with people who use services to gain a real understanding of their experiences of social care services. As part of this process one of the inspectors spent approximately two hours in one of the lounges on Grassmere unit observing the care being given to a group of people who live in the home. The findings are incorporated into this report. Before the visit the manager was asked to provide information about the home as part of this inspection process. Survey forms were sent to the home and the manager was asked to give them to the people living in the home and their relatives so that inspectors could obtain their views on the services provided. Contact was also made with social workers and they provided information about the services provided. The findings are incorporated into this report. During the visit inspectors spoke with several people who live in the home, members of staff, one relative, visiting professionals and the manager, as well as walking round the building and visiting some of the bedrooms. Seven care records were looked at during the inspection visit to check on the care people who live in the home receive. Records of medication, care plans, staffing rotas and staff training records were also examined, as were policies and procedures. What the service does well: People who are thinking of moving into the home and those living there are given information about the services the home provides. Assessments are done before a person moves in so they can make an informed judgement on whether the home is suitable for them. Medicines are managed well so ensuring that the health of the people living in the home is maintained. Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 7 The privacy and dignity of people living in the home is maintained at all times. Good relationships exist and staff were seen addressing people by their name. Staff were friendly, supportive and caring so the people who live at the home were comfortable with them. People who live in the home told us they were well cared for by staff. A good range of activities for is offered so people living in the home can keep active and stimulated. People living in the home told us they could make choices about their daily lives so they are enabled to be as independent as possible and have control over aspects of their lives. Complaints are dealt with effectively with records kept that show what has been done to deal with them so that the people who live at the home can be confident that their concerns will be listened to. The home is well maintained, clean and tidy so provides a pleasant place for people to live in. Staff are given training about how to protect adults from abuse, and there are policies and procedures for them to follow so that the people who live in the home are protected from possible harm. Staff are provided with good training opportunities ensuring they have the skills and the knowledge to carry out their role. All staff continue to be regularly supervised. There is an effective quality assurance system in place which means that the quality of care and facilities provided is monitored and maintained. What has improved since the last inspection? Care records have improved and generally plans of care are now in place which cover the identified needs/problems of each person living at the home. This means that people living in the home can be confident they will receive the care they need. Improvements to the environment have been made. All units look brighter and provide a more pleasant place for people to live in. More detailed information about the activities is now available in the main foyer. Activities are now planned one month in advance. This means that people living in the home and relatives can see at a glance which activity they wish to take part in and when that is happening. Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 8 More 1:1 activities take place on the individual units, which mean that those people who do not or cannot access the main lounge are provided with activities/stimulation on their own unit. 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. Callands Care Home DS0000042162.V362712.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 Callands Care Home DS0000042162.V362712.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): 3 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People considering moving into the home are given information about the home and have a full assessment before they move in to ensure that the home has the facilities and resources to meet their needs. EVIDENCE: A statement of purpose and service user guide are available in the home. These contain information about the services and facilities on offer and are available in the reception area. All of the surveys returned to us indicated that enough information is provided to people before they move into the home so they can make an informed choice on whether the home will suit their needs. The manager or deputy manager/unit manager usually visits the person before they move in so that a full assessment of needs can be carried out. A draft care plan is then produced which is based on this assessment. This means that staff at the home can be fully prepared when the person moves in. Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The health and personal care needs of people living in the home are met. The principles of privacy and dignity are put into practice, which means that people living in the home feel valued and respected. EVIDENCE: Individual care plans are in place for all people living in the home. Seven care records were looked at. These contained most of the information needed to make sure that staff could meet the needs of the people living in the home. The care plans were reviewed regularly and updated, as people’s needs change. We spoke to one person living in the home who had problems with communication. When we looked at their file they did not have a care plan in place to address this. This would provide staff with valuable information on how to communicate effectively with this person. Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 12 Risk assessments were completed and updated as necessary. Risk assessments for people with swallowing difficulties were in place. However these need to be more detailed. We discussed with staff the need to make sure that the risk assessment for people with swallowing difficulties should include how staff monitor the person when they are eating and drinking and the need to make sure that all visitors are also aware of the associated risks. There was evidence that specialists such as the dietician and tissue viability nurse have been asked to visit when a need is identified. Records showed that staff follow the advice given by the specialists to ensure that the best treatment and care is provided for the person. People living in the home told us that they are well cared for. They said that staff are ‘wonderful’ and that they can suit themselves. We asked the opinion of social workers before we did the site visit. The following comments were made: ‘Staff have coped with ……. even though she is constantly in the office wanting to talk to staff. They have spent time discussing her dietary needs with her and making sure she only got food she likes, this was a big issue for her. They also make sure that no male carers’ support her, as this is a big ‘no no’ with her. ‘For the clients I have had in Callands I have no complaints, I think the nursing staff are very willing to listen and put systems in place to support the person, they have also appeared to accept all the demands and challenges from the clients and their families.’ We spoke to two visiting health care professionals during the visit. They were also positive about the care being delivered at Callands. Medicines are managed well. There is a policy in place and this is accessible to the staff who have the responsibility for the management and administration of medicines in the home. Audits are carried out so that senior management can identify any problems early and put them right if necessary. A sample of medicine administration records (MAR) was looked at. The records were completed correctly and were up to date. Medicines were stored correctly. The privacy and dignity of the people living in the home is maintained at all times. Personal care is carried out in people’s bedrooms or bathrooms, doors are closed and staff only enter rooms when given permission to do so. We sat and watched staff interact with the people living in the home on one of the lounges in Grasmere Unit. Staff were seen to be very attentive of people’s needs. They treated them with respect, explained everything they were doing and attended to people very quickly. ’ Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 13 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 & 15 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There is a range of recreational activities provided at the home so people who live there have stimulation and can pursue their interests. EVIDENCE: There was plenty of information provided in the reception area of the home about the activities on offer for the people who live there. A large lounge is dedicated to activities and several paintings and craftwork were on display. The activity organiser told us of plans to do some sculptures outside once the weather improves. The manager told us she has worked hard in making sure that people who cannot or do not want to go to the large lounge are involved in activities. Some people were having manicures in one unit; some were engaged in throwing a ball on another unit. Since the last inspection improvements to each unit have been made. Several pictures of ‘Old Warrington’ are on display in the units as well as several wall mounted sensory aids for people to try. Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 14 Staff spoken with said they try to engage people in activities as much as possible. The life history for some people living in the home is not gathered and recorded and so staff may not be aware of past interests of some of the people living in the home. This would provide staff with valuable information about the person and their individual needs. Entertainers are invited into the home regularly. On the afternoon of the inspection visit a violinist was seen entertaining people and everyone appeared to enjoy this activity. A licensed bar is also available for people living in the home who wish to have a drink or to entertain visitors. The chef holds the license. People living in the home were very positive about the activities that are provided. They told us: ‘There are various activities all sorts going on from disco to live bands to cards. I can join in if I want to. Staff leave you to it. I go shopping in …. with …….. who also lives here. I am very lucky food is excellent there is a choice for all meals’ ‘I go out a lot can come and go when I please.’ A social worker made the following comment: ‘Callands have worked with …… trying to accommodate his needs which were going out for walks and the risks associated with his being out alone. Callands staff overcame this by asking him to let them know when he was going out, how long for and then reporting back when he returned.’ A multi-faith calendar is displayed on the wall in the foyer giving good information on different religious festivals. Ministers from different religions visit the home regularly. Visitors can come and go within reason. People living in Lakeside Unit said they go out regularly. Most of the people we spoke with told us that the food provided by the home is very good. One person said the food was not to their taste; however an alternative is always offered. The dining rooms were clean and pleasant. The tables were nicely set with different coloured tablecloths and flowers. A luncheon club also takes place regularly in the bar area. We saw members of staff assist people to eat and drink in a discreet and dignified way. Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who live at Callands are able to express their concerns and complaints so are confident that they will be listened to. The procedures in place make sure that they are protected from abuse. EVIDENCE: The complaints procedure is explained in the service user guide. This sets out the action to take should someone wish to make a complaint about the home. The manager keeps a record of complaints she has received and the action taken to make sure that these are dealt with appropriately. People living in the home told us they knew the complaints procedure and said they would approach staff or the manager if they had any concerns. One complaint has been investigated by social services recently. As a result some recommendations have been made. The manager told us that she is currently in the process of implementing changes in line with the recommendations to make sure that people living in the home receive a good standard of care. There is a procedure on protecting people from abuse in place. Staff have had training on how to recognise and deal with abuse so people living in the home can be confident that they will be protected from abuse. Callands Care Home DS0000042162.V362712.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 & 26 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Callands care home is well maintained so people live in safe, clean, comfortable and pleasant surroundings. EVIDENCE: The environment is well maintained. There is a very spacious entrance and foyer with a notice board displaying events. Many improvements have been made to the environment since the last key inspection. Bathroom and toilet doors are painted in bright colours so people living in the home can easily identify them. Displayed on bedroom doors are items (pictures, name or place) that are personal to the person so they can easily identify their own bedroom. Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 17 Bedrooms contained personal items such as photographs and memorabilia they have brought from home. Several sensory aids were displayed on the corridor walls for people to try and use. Small seating areas have been provided along the corridors and a table and chairs set up in one of the units. The flooring in some of the toilet areas requires replacing. The manager told us she has already identified this and has put in a request to head office for replacement flooring. There is a designated smoking lounge situated off the main foyer. A recent environmental health report recommended that a mechanical door should be fitted. All parts of the home were clean and tidy. No unpleasant odours were noted. Callands Care Home DS0000042162.V362712.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 & 30 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Staff working at the home are competent and well trained so people living in the home can be confident that their needs will be met. EVIDENCE: People living in the home told us that staff were good and met their needs. The following comments were made: ‘The staff are excellent and look after us well, particularly the nurses from the Philippines’ ‘The staff are fine, I can do what I want to do’ All of the units with the exception of Windermere unit had enough staff working to make sure that the needs of the people living in the home would be met. Two staff are rostered to cover Windermere unit most of the day with one member of staff covering from 1900 hrs until 2300hrs. The manager told us that a member of staff would come from the adjoining unit if the person needed assistance. This is not acceptable as the staffing levels for the Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 19 adjoining unit are set to ensure the needs of the people living on there are met. There is currently one person accommodated on Windermere unit who requires the assistance of two staff. After the inspection the manager told us she had increased the number of staff so that two people are on duty in that unit at all times. Consideration should be given to increase the number of staff on Windermere unit in the mornings to make sure that peoples’ needs are met in a timely way. A health care professional told us there are some communication difficulties with a minority of staff. This issue was also raised as part of a complaint investigated by social services. The manager told us that she has accessed additional training for staff on writing and verbal skills at the local college and that a number of staff had already put their names forward. We looked at a sample of recruitment files. Criminal Record Bureau disclosures had been obtained for staff to make sure they are suitable to work in care. Two references had been obtained; however for one member of staff a written reference from their last employer had not been sought. The manager could not find the personnel file for one member of staff. There was evidence that a Criminal Record Bureau disclosure had been obtained for them and records of training had been kept. After the site visit the manager told us that the previous manager has confirmed all checks were done for that member of staff and that they were satisfactory. Staff continue to try and locate the file. Staff told us they are offered plenty of training to make sure they have the skills to carry out their role. A sample of training records were looked at. Although some training on clinical issues has been provided, more could be done to ensure that the knowledge and skills of the nursing staff are maintained. Staff have not received training in assisting people with swallowing difficulties to eat and drink. This should be included to ensure that all staff have the knowledge and skills to undertake this task. Records of induction are kept. Staff supervision takes place regularly. Callands Care Home DS0000042162.V362712.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, 33, 35, 37 & 38 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The management and administration of the home is based on openness and respect and there are good quality assurance systems in place so people living in the home can be confident that it is run in their best interests. EVIDENCE: There has been a new manager for the home since the last inspection who has been in post for about one month. The new manager is experienced in management but is not a qualified nurse. The deputy manager is a qualified nurse and takes the lead in decisions about clinical matters. Staff working in the home told us that they felt supported by the new manager. She meets with senior staff every day and visits each unit during Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 21 the day. Good systems are now in place to enhance communication between each unit and the manager so that she is aware of what is going on. People living in the home told us they have met the new manager and found her approachable. The company did not let us know that the management had changed within the home. This should be done in writing as soon as practicable so everyone is aware that person who is registered as the manager of the home no longer works there. There is a good quality assurance system in place. Audits are carried out regularly in each unit to make sure the standard of care and recording is maintained. The manager has introduced a new system for auditing accidents so that she can monitor any trends and put into place measures to prevent accidents. She told us that as a result of this audit a member of staff remains in the lounge area at all times on Grasmere unit so reducing the number of accidents in that area. There is a system for managing people’s money. Computerised records are kept. If someone has no relative or representative to manage their money, social services take on this role. We found that at times the person’s money is not being provided from social services quickly enough, which means their funds become depleted. Staff told us that they have to contact social services when the person’s funds are getting low. It is advisable that a more satisfactory system is set up so that people living in the home can be confident they are receiving their money regularly. The manager has agreed to address this. The manager confirmed that all essential equipment used in the home is maintained regularly. We looked at a sample of records. These were satisfactory. Regular health and safety meetings occur within the home so ensuring that the health and safety of people living there and staff are maintained at all times. Callands Care Home DS0000042162.V362712.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 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 4 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 2 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x 3 3 Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 23 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 OP29 Regulation 33 Requirement A written reference must be obtained from a person’s last employer before they are offered employment at the home so that a decision can be taken on whether the person is suitable to be employed in care. Timescale for action 22/05/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP8 OP27 Good Practice Recommendations Risk assessments for people who have swallowing difficulties should be more detailed so staff have the information on what to do to minimise that risk. Staffing levels in Windermere Unit should be reviewed, in particular the number of staff working on there in the mornings, to ensure that the needs of people living in the home are met at all times. The language skills of new employees should be assessed to ensure that they can communicate effectively with people living at the home. 3 OP27 Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 24 4 OP30 5 OP30 Consideration should be given to provide more clinical updates to qualified nurses to make sure that they have up to date knowledge on health issues so that the most effective nursing care can be given to people living in the home. Staff should be provided with training on how to assist people to eat and drink in particular people who suffer from swallowing difficulties. This should also include the risks associated with this condition. This means all staff will have the knowledge and skills to provide the most appropriate care to people living in the home. Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston, PR2 2YQ 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 Callands Care Home DS0000042162.V362712.R01.S.doc Version 5.2 Page 26 - 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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