Care Home: Cann House

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What the care home does well Two of the owners are very involved in the running of the home to include a daily presence from both or either one of them. They are committed to delivering a good standard of care at Cann House. The registered manager is well qualified and knowledgeable about the people in the home. Very positive feedback was given about her during the inspection especially in relation to written comments from the general practitioners who support the home. People are encouraged to be involved in their care planning and delivery of their care. Surveys and conversations with people indicate that they feel they are receiving a good standard of care. People are given very good opportunities to have a full life at the home with stimulating and interesting opportunities provided to them. A full time activities co-ordinator is employed by the home to organise events and spend one to one time with the people in the home. Regular meetings take place and a newsletter is produced monthly to involve the people in the running of the home. People are encouraged to do as little or as much as they want at Cann House. Discussions with the people in the home and comments from individual people surveys indicate that the laundry service at the home is very good with clothing returned very quickly and very little going missing. NVQ training is encouraged and valued with a good number of staff having obtained this qualification and more enrolled on training courses. What has improved since the last inspection? There were no statutory requirements or good practice recommendations from the inspection report of the 1st September 2006. What the care home could do better: Medication administration arrangements could be improved to include the purchase of a new medication trolley as the original is worn and heavy. The temperature for safe storage of the medication should be checked as the room is small and presented as very hot on the day of the inspection. In addition it is essential that the records that are being used for the recording of medication administration are fit for purpose. On the day of the inspection the records were hard to read, particularly where a large amount of medication had been given. Staff are receiving internal adult protection training and supervision in this important area. It is recommended that staff attend external training in this important area to ensure the well being of the people in the home at all times. On the day of the inspection a number of doors were propped open as in some cases people were not happy paying for door openers. It is very important that fire precautions are fully in place at all time and it is suggested that consideration be given to addressing this situation in a way that is acceptable to the people living in the home. One of the bathrooms in the home should be improved by the removal of items that are presently being stored in the room, ensuring that the window is provided with a suitable dressing for privacy and improving the overall appearance of the walls which are stark and not welcoming. CARE HOMES FOR OLDER PEOPLE Cann House Tamerton Foliot Road Tamerton Foliot Plymouth Devon PL5 4LE Lead Inspector Elaine Bruce and Antonia Reynolds Unannounced Inspection 16th January 2008 11:00 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 Cann House DS0000003577.V352871.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. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cann House Address Tamerton Foliot Road Tamerton Foliot Plymouth Devon PL5 4LE 01752 771742 01752 771742 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) Premiere Health Limited, Mrs Chantal Madeleine King Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60), Physical disability (10) of places Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing nursing or personal care- Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category- Code OP- maximum of 60 places 2. Physical disability- Code PD- maximum 10 places The maximum number of service users who can be accommodated is 60. 1st September 2006 Date of last inspection Brief Description of the Service: Cann House is a country house originally built in 1863, situated on the edge of Tamerton Foliot, approximately 4 miles from Plymouth city centre. There is access to public transport and local facilities within the village. The house has been modernised to provide a care home for a maximum of 60 persons over the age of 65 years. The home is registered to provide care for persons requiring nursing and/or personal care with physical frailty/illness or disability. The accommodation comprises of 38 single bedrooms and 11 double bedrooms, all bedrooms have en-suite WC and wash hand basin. The communal rooms consist of one large lounge with sun lounge attached, one smaller lounge on the 1st floor, one dining room and a chapel. Cann House has 9 acres of attractive grounds with lawns, woodlands and a walled garden. The home is owned and administered by Premiere Health limited. Cann House DS0000003577.V352871.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 the people who use this service experience good quality outcomes. The key unannounced inspection took place on the 16th and 17th January 2008. On day one there were two inspectors at the home between the hours of 1100 and 1700 and on day two one inspector between the hours of 1100 to 1500. On day one of the inspection one inspector spent the day talking to eleven people in the home and six of their visitors/relatives. On both days of the inspection the registered manager was on duty and two of the registered providers were present. They undertake the administration duties for the home and are very involved in the running of the home to include a daily presence from either or both of them. An inspection of care plans and all associated records took place as well as an inspection of staff files and staff training records. The arrangements for the meals and the standard of the meals were inspected as were the medication arrangements for the home. Policies and procedures were inspected as were key standards for the environment. The conclusions of the inspection are that Cann House is providing a good standard of care to people with high physical care needs. This is confirmed in the people survey forms that were received at the CSCI prior to the inspection. (eight). The following comments are included as an overall summary of the feedback from the people in the home: “Cann House feels like a real home and not an institution. Visitors are always encouraged and made to feel welcome. Just recently we have had excellent Christmas celebrations and the home was beautifully decorated. My next of kin want to say how grateful we are for all the care and personal help which the whole staff have given to me since I moved to Cann House”. Respite care is available at the home when there is a bed vacancy. The weekly cost of care is from £450 to £575. Prior to the inspection the CSCI received a well completed Annual quality assurance assessment document. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? There were no statutory requirements or good practice recommendations from the inspection report of the 1st September 2006. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 7 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. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 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 Cann House DS0000003577.V352871.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have good information about the home in order to make an informed decision about whether the service is right for them. The personalised needs assessment means that people’s diverse needs are identified and planned for before they move to the home. EVIDENCE: The home has in place a full and comprehensive statement of purpose document and service user guide. These documents have recently been updated to provide people with detailed information on the services that the home is providing. These documents are displayed in the entrance of the home for people to read and clearly state how the pre admission assessment process works. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 10 Survey forms sent from the CSCI to people in the home indicate a satisfaction with the receipt of information about the home prior to moving in. One person said: “the brochure is very informative and accurate”, another said “I had a good guided tour and had lunch before moving in”. A welcome letter is given to each person moving into the home and includes important information on how the home encourages people to be very involved in their care planning and care delivery. Cann House is a large care home providing nursing care to people who have high physical care needs. The home is regularly busy with new admissions into the home some of whom come from the nearby hospital. Prior to any admission an assessment of care needs takes place by the registered manager, deputy manager or a staff nurse. This is to ensure that the home will be able to meet the needs of the person being admitted into the home. In addition to an assessment by the home the management will access any written documentation by the funding authority who are involved with the placement. The home is able to provide a respite care service when they have a vacancy. One person who was in the home for respite care was spoken to during the course of the inspection. She said that she “felt very welcomed on arrival”. Cann House DS0000003577.V352871.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and health care needs of the people in the home are being met with respect, privacy and dignity. Medication arrangements should be improved to ensure safe practice at all times. EVIDENCE: Each person in the home has in place a plan of care which details the care needs of that individual and how their care needs are to be met. The care plans are completed by the nursing staff and reviewed monthly by the nursing staff. Each person is allocated a named nurse who has the responsibility for ensuring that all care needs are met. The representative of the person is involved in the care planning process to help gather a full and detailed picture of the individual’s needs. Daily records support the care plans and included in Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 12 care planning are risk assessment documents to include nutritional screening, pressure care screening and moving and handling. The people in the home have access to health care services that meet their assessed needs both within the home and the local community. Local people retain their own general practitioners. The home appears to have good working relationships with the local general practitioners. They visit the home routinely twice a week. Dentistry, chiropody and optician services are available to people in the home. A heart specialist professional visiting the home was spoken to during the course of the inspection, she said generally speaking staff follow instructions, but there are times when this can vary. In the quality monitoring audit that the home has carried out comments from general practitioners were very positive about the care being delivered at the home, in particular they made very positive comments about the competency of the manager. The home is administering medication to the people in the home from a medication trolley. Storage of the medication should be checked as the room for this purpose felt very warm on the day of the inspection which could affect some of the medication. Nursing staff have medication administration responsibilities to include writing up all the medication on the medication administration records. The medication administration records were found to be difficult to read in some cases where a person is receiving a large amount of medication, particularly in the morning. It was also difficult to establish clearly when medication had been refused. This is mainly due to the limited space on the sheets that are being used to record this information. It is recommended that this documentation is reviewed to ensure clarity of information in this important area at all times. It is also recommended that consideration be given to purchasing a new medication trolley as on the day of the inspection the existing one could not be used due to wear and tear. A medication policy and procedure is in place to guide staff on best practice. Records for controlled medication administration were found to be completed correctly on the day of the inspection. Staff are aware of the need to treat people with respect and to consider dignity when delivering personal care. One person spoken to during the course of the inspection said: “the staff always knock when they come in and they respect your privacy and dignity”. Completed relative and people surveys indicated that they are very satisfied with the care that they are receiving. The following comments were received: “The nursing care is very supportive”, “the staff are always available and are always willing to help you with your needs”, “very caring and helpful staff, Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 13 excellent nurses, friendly and caring owners”, “I am lucky to be a resident in Cann House”. The people who were spoken to during the course of the inspection confirmed that their health and personal care needs are being met by the staff team and visiting health care professionals. They said they can have a bath whenever they choose to and that there is always plenty of hot water. They said that their privacy is respected and dignity preserved, even when intimate personal care tasks are carried out. The people in the home confirmed that their “allocated nurse” goes through their care plan with them on a regular basis to check that the level and type of care provided matches what they need. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at Cann House have good opportunities to participate in stimulating and motivating activities and interests. Meals and mealtimes present as an enjoyable social occasion. EVIDENCE: Displayed in the entrance of the home is the weekly list of activities/events that are available to the people living in the home. An activities co-ordinator is employed by the home (Monday to Friday) to ensure that the social care needs of the people living in the home are being met. She has in place a record of activities/events that people have joined in with. The weekly activities include film matinee, news and weather update, chair exercises, reminiscence, bingo and church services for example. A monthly newsletter is provided to the people in the home detailing information of forth coming events as well as information which may be of interest to the daily life in the home. Residents’ Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 15 meetings take place every three months. Relatives and friends are welcome to these meetings. The home has involved family members with gathering information in the form of a life history on people in the home. This includes significant events, family and social life and professional life for example. This information allows for topics of conversation and appears to be generating great enthusiasm with the people in the home and their representatives. Discussions with the people in the home confirmed that various activities take place either individually or in groups. The staff are also able to do small amounts of shopping for the people in the home and ask them regularly if they need anything. One visitor to the home on the day of the inspection (relative of the person in the home) stated that “tender, loving care is provided by staff to his mother, care could not have been better”. Five other relatives also spoken to during the course of the inspection expressed very positive comments: “the personal care is very good, and the communication with the relatives is very good, staff do whatever is asked of them”. On day one of the inspection the mayor was visiting the home and this would appear to have been a very positive experience enjoyed by everyone who was present at his visit. The home is provided with it’s own hairdressing salon to the benefit of the people living there. The home has it’s own Chapel where a communion service is held twice a month and where people can go any pray at any time. Visitors are welcomed and encouraged into the home. There is a visitors’ book in the entrance of the home which all visitors are asked to sign. Discussions with the people in the home confirmed that their visitors are welcomed into the home and may visit whenever they like, but preferably between 1000 and 2200. Visitors spoken to said they may have meals with their relative/friend as long as they give the home twenty four hours notice of their request. Completed surveys indicate the following comments: “lots of activities arranged all year, talks, music, singing, fireworks, carols, fetes”, “visitors are welcomed and encouraged, they are always offered refreshments, “this home has always arranged many entertainments, weekly and each month. It is always a varied selection so everyone is catered for.” The home has two dining rooms on the ground floor of the home, one dining room is used for people who have higher care needs and often require Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 16 assistance with their eating. Both of the rooms are comfortable and spacious. People can also eat in their rooms or the lounges if that is their choice. The meals on the menu rotate over a four week period. There is always a choice of meal provided. Staff ask people what they would like to eat the day before the meal. On the first day of the inspection the main meal of the day was roast lamb, mint sauce, roast potatoes, brussel sprouts, swede and gravy. The alternative meal to this was sausage and potatoes and vegetables. The desert was to be stewed fruit and custard. For tea spaghetti or mushrooms on toast was the hot meal with alternatives of sandwiches and or soup. The main meal of the day was served at 1245. Supper is served from 1700. Snacks and fresh fruit are available at any time. Birthdays are celebrated with a cake and regular home made cakes are available. The home employs two cooks to provide cover at the home every day of the week and week end. The cooks are supported in their duties by a kitchen assistant. One survey from someone living in the home said: “this is not only a happy caring home it is a well fed home, many times visitors to this home have been really surprised by the quality of the meals given”. One person spoken to during the course of the inspection stated that meals are cold when they arrive in the home. This was discussed with the registered manager at the time of the inspection. Generally most comments were very positive, with some people saying that the quality of the food was very good and that personal preferences and special diets are catered for. People spoken to said that meal timings are flexible and that they are able to enjoy their meals in an unrushed atmosphere. An inspection of the kitchen took place by Plymouth Environmental Health Officer recently with a conclusion of good outcomes. The main cook has attended training for the “safer food, better business” course. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people in the home feel safe and listened too. Formal procedures are in place to ensure that any complaints are dealt with correctly. Staff should attend external adult protection training to ensure the well being of the people in the home at all times EVIDENCE: The complaints policy and procedure is displayed in the home as well as being provided to people in the statement or purpose/service user guide. Complaints/incident forms are available in the reception area of the home. The surveys received by the CSCI indicate that people in the home know who they should talk to if they have a concern and how if necessary they can make a complaint. Discussions with the people in the home and their relatives confirm this fact. They also said that on the odd occasion they have had to make a complaint it was always addressed and resolved immediately by the manager or the owners. The people in the home stated that they had confidence that all issues would be resolved to their satisfaction by the management team. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 18 An investigation of a complaint was undertaken during the course of the inspection. The required records were all up to date to allow the investigation to take place and evidence was in place to indicate that there had been no breaches in requirements of legislation. The home has in place satisfactory policies and procedures for the protection of vulnerable adults. Staff receive internal training in this important area and supervision evidences that adult protection is discussed to ensue a clear understanding. The home has purchased a video which the staff have watched to raise their awareness. It is recommended that staff now attend external training to ensure the safety of the people in the home at all times. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 19 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): 19,21 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Cann House is a well maintained very clean and comfortable home. Attention must be given to ensuring that fire precautions are met at all times. The laundry service is organised and run well. EVIDENCE: Cann House is an elegant building with spacious communal areas that are comfortable and welcoming. The communal areas consist of a lounge/conservatory and two dining rooms with a smaller lounge on the first floor. Although the home is large with a very spacious and grand entrance the home has a welcoming feel to it. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 20 Each person has a single bedroom, although there are double bedrooms should a person wish to share. All the bedrooms contain en suite toilet facilities with wash hand basins and some also have baths. The bedrooms are located on the ground and first floor of the building and there is a shaft lift to access the first floor rooms. Bedrooms are individually furnished and contain many personal possessions, although the type and quantity of furniture varies dependant on the wishes and needs of the person. Bedroom doors have appropriate locks fitted but some people said they did not have a key as they did not consider this necessary. Some bedroom doors were propped open with various items including wedges and waste paper bins. This was discussed in detail with the registered provider to ensure that the requirements are at all times met for fire safety precautions. At this time people are expected to pay for “hold open” devices if they want their bedroom doors to be kept open, and some people were not very happy about this. One of the ground floor bathrooms is particularly unattractive, stark and clinical with cream walls and white fittings and no other décor. The bathroom was also being used as storage space for various items. The window is not provided with appropriate dressings for privacy at night in particular. Regular maintenance internally and externally takes place and the home was found to be very clean on both days of the inspection. Two laundry assistants are employed to cover these duties over a seven day week. People spoken to during the course of the inspection expressed very positive comments about the laundry. They stated that the service is very efficient and clothing is returned very quickly. Survey comments on the environment include the following: “the home has very high standards re cleanliness”, “excellent laundry service, good room cleaning, public areas always look nice”. Two comments were made that suggested that: “sometimes the staff take a while to answer the call bells”. This was discussed with the owners as no observations on the days of the inspection were made to this effect and no concerns were expressed to the inspectors during the course of the inspection. Two maintenance people are employed by the home who can also help with hanging pictures to make a room more homely for example. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels meet the needs of the people in the home. Good recruitment procedures are in place for the safety of the people living in the home. Staff are receiving regular training to ensure that they can meet the needs of the people that they care for. EVIDENCE: The staffing duty rota evidences that the number of staff on duty is satisfactory to meet the needs of the people in the home. The rota evidences that staffing levels are increased at peak times for example additional staff are available in the morning and evening. There is always a trained nurse on duty and at night there is one qualified nurse with four care staff. Staff files were inspected for the staff on duty on day one of the inspection. Their files evidence that the correct recruitment procedures have been followed to include the completion of an application form, the taking up of two written references and a criminal records bureau check. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 22 Staff are encouraged to undertake NVQ training and over 60 of staff have achieved NVQ level 2 or 3 with a further 8 having just been enrolled. Care staff who have achieved an NVQ 3 have the opportunity to become a senior carer and be given extra responsibilities. Statutory training is taking place to include fire drill training, first aid and moving and handling for example. The nursing staff regularly attend training which has recently included palliative care, tissue viability, catheterisation, skin care and leg ulcers for example. People spoken to during the course of the day expressed the following comments: “can’t speak too highly of the staff, staff have time to talk to the residents, couldn’t be a better place”, “everything is very good, one or two staff don’t always have a good attitude but older staff tend to be better”, “staff nice, most staff very pleasant and good”. Observations of the staff confirmed that they are respectful, polite, attentive and responsive to the needs of the people in the home. CSCI staff survey forms indicate that they are given good information to care for the people in the home, they suggest that staffing levels are appropriate to meet the needs of the people in the home and if staff are sick cover is in place. All the surveys received suggest that they are doing a good job at the home to meet the needs of the people living there. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 23 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered providers are very involved in the running of the home to the benefit of the people living in the home who have high care needs. EVIDENCE: The owners are very involved in the running of the home to include a daily visit to the home by one or two of them. On both days of the inspection they were at the home and presented with a commitment to ensuring that they are delivering a good standard of care. They have owned the home for ten years and undertake the administration duties for the home. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 24 The registered manager was also on duty on day one of the inspection and came in on day two to continue the inspection. She is supported in her duties by a deputy manager who was spoken to during the course of the inspection. Both these senior staff members are qualified nurses. The deputy manager has obtained the registered managers award qualification. The manager is specialised in care for older people, palliative care and wound care. One survey from a person in the home said: “in this home the owners, the matrons, the nurses are always on hand to help all of us in any way”. The manager was described by one person as being “very approachable” and other people suggested that they were confident that she would address any concerns or worries they may have. The home is able to provide safe keeping for personal allowance money for people in the home. Records were completed appropriately for all incoming and outgoing expenses and a correct balance was found for all three of the checks carried out. The home has undertaken a full and comprehensive quality audit/monitoring of their home through the process of questionnaires. These were distributed to the people in the home, their representatives and all visitors and health and social care professionals in November 2007. The results of the surveys are very positive. Health and safety policies and procedures are in place. Infection control policies and procedures are all in place. All maintenance records inspected were found to be up to date to include for example maintenance of the hoist and lift and all fire equipment. Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 2 x 2 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 Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations To purchase a new medication trolley. To ensure that medication is being stored at the correct temperature. To ensure that records are clear when medication has been signed for. For staff to attend external adult protection training to ensure the safety and wellbeing of the people in the home at all times. To ensure that fire safety regulations are complied with at all times. Bathrooms should be decorated so that they are less stark and more homely for the people living there. Window coverings should be in place to ensure privacy is respected at all times. 2. 3. 4. OP18 OP19 OP21 Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Cann House DS0000003577.V352871.R01.S.doc Version 5.2 Page 28 - 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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