Care Home: Canonbury Residential Home

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Stallcombe House
• Belma
• Hunters Care Centre

What the care home does well Canonbury is a small, homely and very comfortable care home. Visitors are made welcome and staff have an obvious rapport with the residents, who confirm that the standards of care received were excellent. After concerns that the home may close, residents were very happy that it had been purchased as a `going concern` and the transition following the sale appeared seamless with little disruption to the people living there. There is a hardworking, well trained and friendly team of staff working at the home and an effective induction, training and development programme available for the staff.The routines of daily living and activities made available are flexible and varied to suit residents` preferences and capacities and they are free to exercise choice and control over their lives. What has improved since the last inspection? Both requirements from the last inspection report have been met in relation to training of staff in Adult Protection and producing a quality assurance programme. What the care home could do better: The home must work with the dispensing pharmacy to ensure that medication security is sound and must also devise effective risk assessments where risks have been identified to ensure that whatever activities residents wish to pursue are conducted as safely as possible. CARE HOMES FOR OLDER PEOPLE Canonbury Residential Home 19 Canonbury Street Berkeley Gloucester GL13 9BE Lead Inspector Mrs Janet Griffiths Key Unannounced Inspection 10:00 21st January 2008 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 Canonbury Residential Home DS0000070404.V354769.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. Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Canonbury Residential Home Address 19 Canonbury Street Berkeley Gloucester GL13 9BE 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) 01453 810292 Karenza Ltd Mrs Michaela June Hayden Care Home 13 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (3), Old age, of places not falling within any other category (13) Canonbury Residential Home DS0000070404.V354769.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 only - Code PC 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) Mental disorder, excluding learning disability or dementia, over 65 years of age (Code MD(E)) - maximum of 3 places The maximum number of service users who can be accommodated is 13. 29/08/06 2. Date of last inspection Brief Description of the Service: Canonbury is a small care home situated in the town of Berkeley and was purchased by Karenza Limited in September 2007 and registered by CSCI at that time. The company has two Directors- I and J Watt. The home provides personal care for thirteen older people and is registered to provide care for up to three service users who have identified mental health needs and provides support for people who wish to maintain as much independence as possible. The home is able to offer respite care if there is a convenient vacancy. Medical and nursing services are accessed when required from community resources and service users are able to register with a local General Practitioner of their choice. The home has three floors accessed by a stair lift, and all have single rooms, most of which offer en-suite facilities. The ground floor, in addition to some service users rooms, has a lounge, a dining room and kitchen and also an assisted communal bathroom and toilet. The first floor, accessed by the main staircase, comprises service users rooms and an assisted communal bathroom. The top floor, in addition to the manager’s office, now has one en suite bedroom and accommodation for staff who ‘sleep-in’. Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 5 Staff offer care and support throughout the day in sufficient numbers to meet individual needs, and sleeping-in cover is provided overnight. A call system is provided throughout the home. A laundry service is provided. Information about the service to include CSCI reports is made available by the provider to prospective service users through the homes’ Statement of Purpose and Service Users Guide. The weekly charges for Canonbury ranges from £395 -£405. The only items not covered by the fees are for hairdressing, chiropody, newspapers, tapes books and magazines and any other personal items. People funded through the Local Authority have a financial assessment carried out in accordance with fair access to Care Services procedures. Local Authority or Primary Care Trust charges are determined by individual need and circumstances. General information about fees and fair terms can be accessed from the Office of fair trading web site at www.oft.govuk http:/www.oft.gov.uk Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 6 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 judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. This unannounced key inspection site visit took place over six hours on one day in January 2008. During this time the inspector spoke to a number of residents, staff working in the home, the manager and the proprietor of the home. A tour of the premises was also carried out. Three residents’ files were examined in detail to include their medication records. Other records examined included staff recruitment and training records, accident, complaints and maintenance/servicing records. Survey forms were issued to the residents prior to the inspection, to complete and return to CSCI if they wished; four responses were received. Also an Annual Quality Assurance Assessment (AQAA) was completed and its contents used as part of the inspection process and report writing as was the collation of survey results from service users. What the service does well: Canonbury is a small, homely and very comfortable care home. Visitors are made welcome and staff have an obvious rapport with the residents, who confirm that the standards of care received were excellent. After concerns that the home may close, residents were very happy that it had been purchased as a ‘going concern’ and the transition following the sale appeared seamless with little disruption to the people living there. There is a hardworking, well trained and friendly team of staff working at the home and an effective induction, training and development programme available for the staff. Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 7 The routines of daily living and activities made available are flexible and varied to suit residents’ preferences and capacities and they are free to exercise choice and control over their lives. 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. Canonbury Residential Home DS0000070404.V354769.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 Canonbury Residential Home DS0000070404.V354769.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): 1,2 and 3. Standard 6 not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families have all the information they need to make an informed choice regarding placement at the home, and pre-admission visits take place to carry out an assessment and ensure that needs can be met. Residents normally move in on a long-term basis therefore Std. 6 was not assessed. EVIDENCE: Some newly admitted residents who were spoken with could not recall being given written information about the home, but felt they had been given enough Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 10 information or had visited the home prior to admission. One lady stated that relatives had stayed at the home previously and it had come ‘highly recommended’. As the home was recently purchased by new owners, the Statement of Purpose and Service Users guide has been under review and a copy of this was provided following the inspection and is to be distributed to all the residents or their families. It states that: When people move in they have one month built into their occupancy agreement to decide whether “this is the place for them”. This first month then provides an opportunity for staff to get to know the individual resident and their family, and to identify their wants and preferred ways of living, e.g. the time they like to get up in the morning and go to bed at night’. All spoken with were very happy with the care received and the facilities provided by the home. A pre admission assessment was seen completed in each of the newly admitted resident’s files. These were recorded well and provided good information on each resident, but none were signed or dated. Social services contracts were seen signed in the records examined. From surveys previously received from the residents most stated that they had received a contract and all said they felt they had been given enough information about the home. Canonbury Residential Home DS0000070404.V354769.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 Quality in this outcome area is good. These judgements have been made using available evidence including a visit to this service by the key inspector. People who live in this home have their health care needs met through individually planned care. This clearly sets out needs and how they are met, to include healthcare referrals and interventions where required. They are also protected by the medication administration procedures that the home has in place and are treated with respect; their privacy and dignity are protected. EVIDENCE: A total of three care files of those most recently admitted service users were examined and most of the residents were spoken with. All had assessments completed. The amount of information included was very informative. Included in these assessments were moving and handling risk Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 12 assessments and risks such as self-medication. The use of a motorised scooter was also identified but it was discussed that a more detailed risk assessment was necessary in this instance to explain how staff had assessed that such a risk could be taken. Care plans were in place in two of the files seen and these were detailed, reflected the current needs and were reviewed regularly and signed by the resident. The third has not yet had care plans completed, having recently been admitted but has a full assessment in place. The home has a good relationship with the local doctors and district nurses, one of whom was visiting during the inspection. Records seen also confirmed visits from doctors, district nurses and the chiropodist among others, and reference to hospital appointments was also seen. Surveys received and residents spoken with confirmed that they always receive the medical support they need. All of the medication records were examined during the inspection and were well maintained, with just one two gaps noted and being followed up and one hand written entry had been made for one medication with no date, dose, signature or record of who had prescribed this. This is to be followed up with the member of staff responsible. Pre-printed medication records are provided with the medication supplied by the local pharmacist. It was noted that one Schedule 3 medication is currently dispensed into the NOMAD- monitored dosage system, rather than separately so that it can be stored as a Controlled Medication in accordance with The Misuse of Drugs (Safe Custody) Regulations 1973. The home is to follow this up with the dispensing pharmacist. They may also need to purchase another medication cupboard, to comply with regulations. In brief, the requirements for CD storage are: • Metal cupboard of specified gauge • Specified double locking mechanism • Fixed to a solid wall or a wall that has a steel plate mounted behind it • Fixed with either Rawl or Rag bolts Suppliers of CD cabinets can confirm that a cupboard meets the legal requirements. We recommend that care homes request formal confirmation when purchasing a CD cabinet. Two residents currently self- administer their medication and have signed selfmedication agreements and lockable facilities are available in each resident’s room. Procedures are to be put in place to complete an assessment and review to ensure residents remain safe to self-medicate. Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 13 All staff administering medicines have completed medication training which was confirmed by the training records and certification seen. Examples of the work completed during this training, were also seen. Of the surveys received and residents spoken with, the majority felt that they always receive the care and support they need and that staff listen and act on what they say with one stating: ‘I have found all the staff extremely kind and helpful’. Residents spoken with confirmed that their privacy and dignity is respected and staff were observed knocking on doors and addressing residents by their preferred name. Everyone has a single room with the majority having en suite facilities. Canonbury Residential Home DS0000070404.V354769.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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home are supported to realise their own preferences and expectations, both in the home and in the community and are able to maintain contact with friends and family. They also receive a wholesome, appealing and balanced diet in pleasant and comfortable surroundings. EVIDENCE: No written programme of activities was seen but many of the residents spoken with confirmed that they enjoyed regular games of bingo, took part in quizzes and three ladies regularly play scrabble ‘to keep the brain working’. In the surveys received most stated that they always take part in the activities provided. Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 15 One Regulation 26 report received from the proprietor in December states that ‘The Home has had several trips to local garden centres for Xmas shopping and an Open Day was also held for families and friends to meet new owners’. Another report stated that they had had ‘ a flurry of Christmas activities to include the Berkeley School choir, Christmas bingo with many prizes and a Christmas service at the home with the vicar and members of the local church joining them on Christmas Day’. Residents spoken with confirmed this and they were all very happy that the transition was very smooth with no major changes noted. One reported that the proprietor had taken her out on several occasions to get Christmas shopping, which she enjoyed. A number of residents are still able to go out either alone or with their families and several recounted going out with their families over Christmas. One gentleman enjoys going out to the local pub with a friend and another has recently purchased a motorised scooter to go into town. There had unfortunately been an accident with this on the day of inspection- the cause reported as uneven pavements, and the local Council was contacted (see reference to risk assessments in standard 7 above). Visitors are made welcome at any time of the day or evening and residents have access to privacy when having visitors. No visitors were seen on this occasion. Links with the community are maintained. Lunch is generally taken in the dining room but residents often have breakfast and supper in their rooms. There is just one main course choice each day but individual preferences are well known, alternatives are always available and special dietary needs are catered for. The home currently provides meals for two diabetics. Residents confirmed that they were happy with the quality and quantity of food and surveys received confirmed that generally they are satisfied with the meals provided. Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People in the home are protected by the systems in place. EVIDENCE: The complaints procedure for the home has been reviewed together with the Statement of Purpose and a copy provided at inspection. It was reported that each service user or their family had previously been given a copy of the complaints procedure but the reviewed version will now replace this. Surveys received confirmed that they knew who to speak with if they were not happy and also knew how to make a complaint. A record would be kept of any complaints received but the home has received no formal complaints since the last inspection. One resident was not too happy about the guard fitted to the radiator stating that it reduced the heat in the room. It was very warm when visited at inspection (confirmed by the resident) but it was agreed that adjustments could be made to the radiator guard, which may help the heat circulate more effectively. Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 17 The home has policies on adult protection and disclosure of abuse and bad practice (whistle blowing). All the policies are currently being reviewed. Staff have received training on Protection of Vulnerable Adults, the manager and deputy attending enhanced training. This was confirmed by training records and certification seen. Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained, clean and hygienic throughout. Equipment is provided to aid mobility and promote independence. Individual bedrooms are decorated and equipped to meet the needs of their occupants. EVIDENCE: During a walk around the building the inspector visited at least eight of the residents in their own bedrooms. All of the rooms seen were clean and mostly in good decorative order, with evidence that each person had had the opportunity to personalise their rooms with photographs, small items of their own furniture and other treasured possessions. Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 19 It was noted in one or two bedrooms and also in the first floor bathroom some attention to décor, such as peeling wall paper, needs to be addressed. The AQAA states that one improvement they could make would be to upgrade the bathrooms. However, one resident had moved from a ground floor room to the top floor where she has a quite spacious room and en suite bathroom with plenty of storage space, which she is very happy about. This was newly decorated prior to her move and she is also very happy with the standard of décor. It was also reported that a new bookcase was purchased to display her many books. From the Regulation 26 reports received it has been reported that ‘essential maintenance carried out-security to windows and doors. Fire officer visited and new fire door fitted to top bedroom. A new dining chair with arms has been purchased for one resident and a nest of tables purchased for the lounge’. A further report states that following the arrival of a new resident, the dining room layout was altered to incorporate a new table and chairs purchased for this purpose and a new bed was purchased for another resident. Other changes made listening to the views of the residents have been new tiling in one room, a new mirror in another and a new ramp in the lounge. Some of the future plans are reported to be alterations to the garden and parking areas, for residents and their visitors to enjoy those areas. Surveys received, residents spoken with and observations made confirmed that the home is generally fresh and clean. Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29, & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home have their needs met by sufficient skilled staff who are able to meet the needs of the current number of people living at the home. They are also protected by the homes recruitment system. Staff are supported to undertake regular and relevant training. EVIDENCE: There were thirteen residents accommodated during the site visit with no empty rooms. There were three care staff on during the morning to include the manager, three during the afternoon and two from 5 pm to 9 pm. There is on member of staff who sleeps-in during the night and one on call. The home employs a cleaner five days a week, but catering is carried out by one of the care staff. Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 21 Staff observed during the inspection appeared to be carrying on with their work in a professional and organised manner and all of the residents spoken with were very happy with the care provided. No one gave any indication that they felt the home was short-staffed, or that they had been kept waiting for attention at any time. No call bells were heard constantly ringing. All those who completed surveys stated that the staff are always available when needed and get the care and support they need, and that staff always listen and act on what they say. Only one resident felt that she was having to go to bed too early now, because of day staff finishing at 9 pm, but she did say that she was independent and able to go to bed unaided and when discussed with the manager, her concerns had already been addressed. Several new staff had been appointed since the last inspection and their files were examined fully. All had completed applications giving a full career history, a health declaration was completed and two references with one from the last employer were given. All had identification documentation to include a photograph in place and an interview record was seen. Criminal Record Bureau (CRB) and Protection of Vulnerable Adult (POVA) checks had also been made prior to appointment. Each file also contained details of induction and copies of relevant policies signed and dated when read. These include whistle blowing, confidentiality, dementia, moving and handling, health and safety, Code of Conduct, supervision and medications. Seven staff have NVQ 2, two are currently completing NVQ 3 and the manager has NVQ 4. All staff receive mandatory training at induction and regular updates as confirmed by the training records and copies of certification seen in staff files. Also confirmed by the staff spoken with. Recent training completed includes Protection of Vulnerable Adults, First Aid and Food Hygiene, all of which the staff said they found very good. The proprietor has also attended some of the training provided to include the food hygiene course and has worked alongside the care staff in the home, which she intends to do regularly once she has completed other mandatory courses such as moving and handling. Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32, 33,35, 36, & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home have their best interests met by the manager and staff who are committed to their responsibilities. They and the staff are generally protected by the health and safety systems in place in the home. EVIDENCE: The manager of the home has good experience in the care of elderly people. She has completed the Registered Manager’s Award and has been awarded a National Vocational Qualification, Level 4 in care. She also attends regular Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 23 training workshops to assist her to undertake her duties and to keep up to date. The deputy manager, staff and providers support her in her role. The management approach of the home does create an open, positive and inclusive atmosphere, which was clearly observed during the inspection. The home has a quality assurance programme in place and the views of the residents are actively sought and acted upon wherever possible as confirmed by the residents spoken with and indicated in statements in the AQAA. A yearly satisfaction survey is also handed out to residents/their families, staff and also professional visitors to the home and the results seen at the inspection. Further surveys will be due to go out this year. The proprietor has also been completing monthly Regulation 26 audits as required and sending a report to the Commission. Any complaints, accidents or adverse incidents are monitored closely. Regular staff meetings are held, the last being held in October and January and minutes of these meetings were seen. Staff unable to attend are sent copies of the minutes but the attendance at the last meeting was very high. The home provides a safe place for residents to store their valuables and money and a record is kept of them. The home does not act as appointee for any resident but does hold small amounts of money for a few on request and a record of any financial transaction undertaken on their behalf is kept and was seen. There is a supervision and appraisal programme in place and evidence was seen of regular supervision and annual appraisals taking place. Records were provided to show that statutory maintenance/servicing of equipment is arranged in a timely fashion. Fire prevention processes are in place confirmed by training records and records of fire alarm and emergency lighting checks. The provider has completed a fire risk assessment as required by the Fire Safety service and this was seen. Certain risk assessments such as moving and handling assessments were completed on every resident but assessments need to be completed for specifics such as self-medication etc. as detailed in Standard 7 above. Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 2 Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 5(2) Requirement Timescale for action 29/02/08 2. OP9 13(2) 3 OP38 13 (4)(b) & (c) Each service user must receive a copy of the Service Users Guide. This is to ensure that prospective service users have the information they need to make an informed choice about where to live. Make arrangements for the safe 31/03/08 keeping of controlled medications received into the home. This is to ensure that controlled drugs are not misused. Risk assessments must be 29/02/08 completed for any activities in which the service users participate to ensure that so far as is reasonably practicable they are kept free from hazards to their safety. Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Canonbury Residential Home DS0000070404.V354769.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Bristol Office Colston 33 33 Colston Avenue Bristol B51 4UA 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 Canonbury Residential Home DS0000070404.V354769.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!