Care Home: Cheaney Court Care Home

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What the care home does well The premises are homely, comfortable, and well decorated and furnished. All areas inspected were clean and fresh. One resident said, `This home always looks lovely. My relatives always comment on how nice it is when they visit.` The routine in the home is flexible and residents are encouraged to determine their own lifestyles. One resident said, `The best thing about this place is they let me be myself. They don`t tell me or anyone else what to do.` This approach helps residents to maintain their independence and exercise choice and control over how they spend their time. An Activities Organiser provides a varied programme of activities for residents including art and crafts, armchair exercise classes, trips out, and visiting entertainers. One the day of inspection residents were playing a word game in one of the lounges. One resident commented, `My memory`s better since I`ve been here because I take part in the all the activities so I`m using my mind more.`Two full-time cooks are employed. Meals are served in the dining rooms (one on each floor) where residents sit in small groups at individual tables. Some residents prefer to eat in their rooms or in the lounges, so staff bring their meals to them. Most of the food is homemade and healthy eating is encouraged. One resident said, `The cooks make a big effort to please us all.` Residents have developed good relationships with the staff and take an interest in their families (and visa versa). Residents said staff sometimes bring family members, including children, to visit them in the home and they enjoy this as it makes them feel part of an extended family. All residents interviewed praised the staff team and the following comments were made, `The staff can`t do enough for you`, `The staff always keep their eye on you to make sure you`re alright`, and `The carers are all happy and friendly and we have a good laugh with them.` The Manager is `hands-on` and is knowledgeable about the needs of all the residents in the home and has good relationships with them and their relatives. All the residents spoke highly of the Manager and said how approachable he was. Their comments included, `Alan (the Manager) comes in and talks to us every day`, `Alan comes to chat with us at mealtimes and has proper conversations with us`, and `If you want to see Alan it`s easy. You just ask.` What has improved since the last inspection? What the care home could do better: The Admission Form should be made more comprehensive so that staff have all the information they need to meet residents` needs. The safeguarding procedure needs to give clear information about the role of social services as `lead agency` during any safeguarding investigation. Staff files would benefit from re-organisation as at present the information in them is not properly indexed and some documents are difficult to find. CARE HOMES FOR OLDER PEOPLE Cheaney Court Care Home 2 Harrington Road Desborough Northamptonshire NN14 2NH Lead Inspector Kim Cowley Unannounced Inspection 9th April 2008 10:45 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 Cheaney Court Care Home DS0000068684.V362160.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. Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cheaney Court Care Home Address 2 Harrington Road Desborough Northamptonshire NN14 2NH 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) 01536 761116 01603 764700 Alpha Care Management Services Limited Mr Alan James Hood Care Home 65 Category(ies) of Dementia (65), Old age, not falling within any registration, with number other category (65) of places Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons may provide the following category of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission are within the following category: Old age, not falling within any other category - Code OP. 2. 3. Dementia - Code DE. The maximum number of service users to be admitted under the nursing registration is 33. The maximum number of service users who can be accommodated is 65. 18th May 2007 Date of last inspection Brief Description of the Service: Cheaney Court Care Home is situated in Desborough, Northamptonshire, close to a good range of local amenities, including transport links. It provides personal and nursing care for up to 65 older people, some of who suffer from dementia. Accommodation is on two floors with a passenger lift for access. There is a good range of lounges, which gives residents choice as to where they sit. At the back of the home is a large enclosed garden with walkways and seating areas. The fees range from £370 to £600 per week. Additional charges are made for chiropody, hairdressing, newspapers and toiletries. Inspection reports are available at the home, or can be accessed via the CSCI website: www.csci.org.uk. Further information about Cheaney Court can be obtained from the Registered Manager. Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit we (throughout the report the use of ‘we’ indicates the Commission for Social Care Inspection), spent half a day reviewing information relating to the home. During the course of the inspection, which lasted five and a half hours, we checked the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means we looked at the care provided to three residents living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. We also met seven other residents, one relative, the Registered Manager, Administrator, one senior carer, and two care assistants. What the service does well: The premises are homely, comfortable, and well decorated and furnished. All areas inspected were clean and fresh. One resident said, ‘This home always looks lovely. My relatives always comment on how nice it is when they visit.’ The routine in the home is flexible and residents are encouraged to determine their own lifestyles. One resident said, ‘The best thing about this place is they let me be myself. They don’t tell me or anyone else what to do.’ This approach helps residents to maintain their independence and exercise choice and control over how they spend their time. An Activities Organiser provides a varied programme of activities for residents including art and crafts, armchair exercise classes, trips out, and visiting entertainers. One the day of inspection residents were playing a word game in one of the lounges. One resident commented, ‘My memory’s better since I’ve been here because I take part in the all the activities so I’m using my mind more.’ Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 6 Two full-time cooks are employed. Meals are served in the dining rooms (one on each floor) where residents sit in small groups at individual tables. Some residents prefer to eat in their rooms or in the lounges, so staff bring their meals to them. Most of the food is homemade and healthy eating is encouraged. One resident said, ‘The cooks make a big effort to please us all.’ Residents have developed good relationships with the staff and take an interest in their families (and visa versa). Residents said staff sometimes bring family members, including children, to visit them in the home and they enjoy this as it makes them feel part of an extended family. All residents interviewed praised the staff team and the following comments were made, ‘The staff can’t do enough for you’, ‘The staff always keep their eye on you to make sure you’re alright’, and ‘The carers are all happy and friendly and we have a good laugh with them.’ The Manager is ‘hands-on’ and is knowledgeable about the needs of all the residents in the home and has good relationships with them and their relatives. All the residents spoke highly of the Manager and said how approachable he was. Their comments included, ‘Alan (the Manager) comes in and talks to us every day’, ‘Alan comes to chat with us at mealtimes and has proper conversations with us’, and ‘If you want to see Alan it’s easy. You just ask.’ What has improved since the last inspection? At the residents’ request, a religious service has been held in the home every Thursday morning. In addition a local vicar takes communion in the home once a month. The following changes and improvements have been made to the premises: • • • • The first floor has opened and the home can now accommodate up to 65 residents The main lounge on the ground floor has been re-designed and has a new 42-inch wall mounted television set A hairdressing room is in the process of being built on the first floor The garden has been extensively landscaped and now has a summer house, water feature, sundial, bird bath, level walkways, lighting, and a range of seating areas Since the last inspection a new Manager has been appointed and Registered with the CSCI. He is a qualified mental health nurse with substantial experience in management and caring for older people. Cheaney Court Care Home DS0000068684.V362160.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. Cheaney Court Care Home DS0000068684.V362160.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 Cheaney Court Care Home DS0000068684.V362160.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): Quality in this outcome area is good. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. This judgement has been made using available evidence including a visit to this service. (Standards 3 was inspected.) EVIDENCE: People who are interested in coming to Cheaney Court are invited to visit prior to making a decision. The Manager assesses all prospective residents in their own homes, in hospital, or during a visit to Cheaney Court. The assessment process helps to ensure the home is suitable for residents who are considering living there. Residents’ comments about choosing and moving into the home included: ‘I visited the home twice before I moved in.’ ‘My relatives looked round a few homes before they found this one. When I came to see it I knew right away it was a good one.’ ‘My relatives are very pleased with this home and glad that I came here.’ Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 10 ‘When I came here I said I’d stay for a fortnight to see if I liked it – well that was a few months ago and I’m still here.’ Records relating to three recent admissions were examined. All were of a good standard and the views of relatives, and assessments carried out by health and social services staff, had been taken into account. The Manager said that when they move into the home all residents are assigned a key worker who helps them to settle in. The admission process takes about two hours and includes an informal chat about the home over a cup of tea, a tour of the premises, and information about activities and visiting arrangements. The Admission Form is in need of improvement. Space should be provided to record each resident’s religion (if they have one) and ethnicity. This will help to ensure that staff have all the information they need to meet residents’ needs. It is also suggested that ‘in a partnership’ (or similar wording) is added to the options ‘married/single/divorced/widowed’ so that non-married couples are given the same recognition as those who are married. Standard 6 was not inspected, as this home does not provide intermediate care. Cheaney Court Care Home DS0000068684.V362160.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): Quality in this outcome area is excellent. Staff in the home, and in the wider community, meet residents’ health and personal care needs. This judgement has been made using available evidence including a visit to this service. (Standards 7, 8, 9, and 10 were inspected.) EVIDENCE: All residents have care plans, which set out how their health, personal and social needs are to be met. Residents and their relatives, where appropriate, are consulted when care plans are written and sign to say they are in agreement with them. Those care plans inspected were well-written and gave clear instructions to staff about how best to meet residents needs. Case tracked residents talked to us about their preferences with regard to personal care, likes/dislikes, and interests, and it was positive to note that this information was in their care plans. Residents are registered with GPs at a local practice. At present District Nurses visit the home twice a day to provide treatment. Records showed that Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 12 residents have access to a full range of health care treatment including input from CPNs, chiropodists, dentists (NHS and private), and opticians. All residents interviewed praised the nurses and carers who look after them. One commented, ‘My health has got better since I’ve been here. The nurses and carers are very knowledgeable and there’s also GPs we can see if we want.’ Medicines are properly stored and only nurses or senior staff trained by the home’s pharmacist are allowed to administer it. Where possible, residents are encouraged to take care of their own medication with staff support as necessary. In discussions staff demonstrated their awareness of the side effects of certain medications, and knew when to call if a GP if a particular medication appeared to be adversely affecting a resident. It was observed during the inspection that staff treat residents with respect and help to maintain their dignity by providing care discreetly and sensitively. One resident said, ‘The staff are always respectful to all the residents.’ Cheaney Court Care Home DS0000068684.V362160.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): Quality in this outcome area is excellent. Residents’ social and cultural needs are identified and met. This judgement has been made using available evidence including a visit to this service. (Standards 12, 13, 14, and 15 were inspected.) EVIDENCE: An Activities Organiser is employed who provides a varied programme of activities for residents. Art and craft sessions are held, and examples of the residents’ work are on display in the home. Exercise classes, trips out, and visiting entertainers are also organised. The Manager takes photos of social events in the home and these are printed out and given to relatives On the day of inspection residents were playing a word game in one of the lounges. Staff had written a word on a large board and residents had to see how many other words they could find in it. This was a popular activity with residents of all abilities taking part. Residents’ comments about the activities included: ‘We do crafts – we made cards recently and I enjoyed that.’ ‘The activities lady is a livewire. I look forward to her coming. She looks after us so well – she even makes sure we have a drink while we’re doing activities.’ ‘I like the armchair exercise classes because I want to keep fit.’ Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 14 ‘We do different activities every day.’ ‘I love it when the staff bring little children in. Two little ones came in the other day and they helped us with a beanbag game – they were collecting the beanbags for us and it was lovely to watch them.’ ‘My memory’s better since I’ve been here because I take part in the all the activities so I’m using my mind more.’ Since the last inspection, and at the residents’ request, a religious service has been held in the home every Thursday morning. This has proved to be very popular, with over 30 residents attending on a regular basis. It is run by activities organiser and includes readings and hymns. In addition a local vicar takes communion in the home once a month. Staff and residents at the home have formed links with a local primary school and the children visit and provide entertainment to the residents. A branch of the Alzheimer’s Society has meetings at the home and a percentage of the proceeds from the annual summer fete will go to this organisation. The range of activities in the home and the involvement of relatives, the local primary school, and other local organisations, help to ensure residents have plenty to do while they are in the home and are not isolated from the local community. Visitors are welcome at the home at any time and three monthly relatives meetings are held. Relatives’ suggestions are listened to and actioned. For example, at a meeting last year relatives asked if staff could wear name badges so they were easier to identify. The Manager ordered these and all staff now wear them. Photos of all staff are also displayed in the entrance hall. The routine in the home is flexible and residents are encouraged to determine their own lifestyles. One resident said, ‘The best thing about this place is they let me be myself. They don’t tell me or anyone else what to do.’ This approach helps residents to maintain their independence and exercise choice and control over how they spend their time. Two full-time cooks are employed. Meals are served in the dining rooms (one on each floor) where residents sit in small groups at individual tables. Some residents prefer to eat in their rooms or in the lounges so staff bring their meals to them. Most of the food is homemade and healthy eating is encouraged. All residents interviewed praised the food and the following comments were made: ‘The food’s so good I’ve put on a stone since I’ve been here so now I’m having to cut down a bit.’ ‘The do lovely puddings – all homemade.’ ‘There’s lots of vegetables every day.’ Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 15 ‘We have two choices for the main meals and two choices of pudding. And if you don’t like either you can have something else.’ ‘The cooks make a big effort to please us all.’ Residents are encouraged to drink lots of fluids. Hot drinks are served regularly and juice is constantly available in the lounges and in residents’ bedrooms if they spend a lot of time in them. Cheaney Court Care Home DS0000068684.V362160.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): Quality in this outcome area is good. Residents and their relatives are encouraged to talk to staff about any concerns they might have. This judgement has been made using available evidence including a visit to this service. (Standards 16 and 18 were inspected.) EVIDENCE: The home has a written complaints procedure, which is given to all residents (or their representatives) prior to admission. There is a copy on the relatives’ notice board and residents have a copy in their bedrooms. All residents interviewed said they knew what to do if they had a complaint. One said, ‘If I had a worry I’d talk to Alan or any of the staff, but I don’t really have worries here because any problems get sorted out straight away.’ There have been no complaints since the home opened. The home has a safeguarding procedure in place which explains what staff should do if they have concerns about the way a resident is being treated. This procedure should be improved, as at present it is unclear about the role of social services as ‘lead agency’ during a safeguarding investigation. The Manager agreed to re-write this procedure so his staff are clear about who to contact should a safeguarding concern arise. Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is excellent. Residents live in an environment that is safe, comfortable, and well maintained. This judgement has been made using available evidence including a visit to this service. (Standards 19 and 26 were inspected.) EVIDENCE: The premises, which were purpose built as a care home 10 years ago, are homely, comfortable, and well decorated and furnished. All areas are easily accessible to residents with limited mobilty. The interior of the home has been designed so it is easier for residents who are confused to find their way around. All toilet doors are yellow and bathroom doors are blue. Some doors have symbols on them to indicate the purpose of the room in question, for example, there is a picture of a knife, fork and plate on the dining room door. Residents’ bedrooms are personalised. The Manager said, ‘Residents and their relatives have a free rein to re-decorate bedrooms if they wish.’ Residents’ comments about the environment included: Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 18 ‘They’re re-designing the garden and I’m looking forward to going out there this summer.’ ‘I can’t wait for some nice weather because we’re going to have tea on the terrace.’ ‘This home always looks lovely. My relatives always comment on how nice it is when they visit.’ Since the last inspection the following changes and improvements have been made to the home: • • • • The first floor has opened and the can now accommodate up to 65 residents The main lounge on the ground floor has been re-designed and has a new 42-inch wall mounted television set A hairdressing room is in the process of being build on the first floor The garden has been extensively landscaped and now has a summer house, water feature, sundial, bird bath, level walkways, lighting, and a range of seating areas All areas of the home inspected were immaculately clean, tidy, and fresh. One resident said, ‘The home is always very clean’, and another commented, ‘The home is cleaned to a very good standard.’ Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is excellent. An established staff team meets residents’ needs. Relationships between staff and residents are warm and caring. This judgement has been made using available evidence including a visit to this service. (Standards 27, 28, 29, and 30 were inspected.) EVIDENCE: The home has a high staff to resident ratio (1:5). Staffing hours provided exceed the recommended minimum. This means that staff have more time to spend with residents. Residents have developed good relationships with the staff and take an interest in their families (and visa versa). Residents said staff sometimes bring family members, including children, to visit them in the home and they enjoy this as it makes them feel part of an extended family. All residents interviewed praised the staff team and the following comments were made: ‘The staff can’t do enough for you.’ ‘The staff always keep their eye on you to make sure you’re alright.’ ‘The carers are all happy and friendly and we have a good laugh with them.’ ‘I like to have a laugh and a joke with the staff.’ Recruitment procedures were discussed with the General Manager. He confirmed that all staff are subject to CRB and POVA checks, and references Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 20 are obtained. Staff files were sampled and had the appropriate documentation in place. This helps to ensure residents are safeguarded. However staff files would benefit from re-organisation as at present the information in them is not properly indexed and some documents were difficult to find. Staff receive good training opportunities. The majority are either qualified nurses or have at least an NVQ Level 2 in Care or its equivalent. Additional training courses are ongoing and records showed that staff are encouraged to develop their existing skills and learn new ones. In addition all staff have sixmonthly supervision sessions with the Manager. The training and supervision arrangements in the home help to ensure that staff are competent to do their jobs. Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is excellent. The home is well run in the best interests of residents by an experienced Manager. This judgement has been made using available evidence including a visit to this service. (Standards 31, 33, 35, and 38 were inspected.) EVIDENCE: Since the last inspection a new Manager has been appointed and Registered with the CSCI. He is a qualified mental health nurse with substantial experience in management and caring for older people. He is a ‘hands-on’ Manager who is knowledgeable about the needs of all the residents in the home and has good relationships with them and their relatives. He told us, ‘I have breakfast and lunch with the residents so I can chat to them informally and find out their views on the home. I also visit them in their rooms and in the lounges. It’s important that I know all the residents so they feel they can come to me if I have a problem.’ His office is in the reception Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 22 area and he keeps his door open so residents and relatives know where he is and can approach him when they want to. Comments about the Manager included: ‘Alan (the Manager) comes in and talks to us every day.’ ‘Alan helps us like he’s one of the carers. He’s not above pushing a wheelchair or getting someone a drink. That means we get to know him better than if he was in his office all the time.’ ‘Alan comes to chat with us at mealtimes and has proper conversations with us.’ ‘If you want to see Alan it’s easy. You just ask.’ ‘Alan’s always here if you want to talk to him. You can talk to him in his office or he’ll come to your room if you want to be private.’ The Owners visit the home every week and are in daily contact with the Manager who said he feels well supported by them. The residents we spoke to said the routine in the home was flexible to meet their individual needs and preferences. Records showed that residents get up, go to bed, and bath and shower when they want. Breakfast lasts from 7.45 10 am so residents can have a ‘lie in’ if they want. Relatives meetings are held every few months. Minutes showed that over 20 relatives attended the last one in March 2008 when they were updated on improvements to the building, and discussed residents’ activities and the deployment of staff All residents handle their own financial affairs, or their relatives manage their affairs for them. Records showed that the Owners and Manager have taken the necessary steps to promote and protect the health, safety, and welfare of residents and staff. A full-time handyman is employed to oversee this area. Since the last inspection staff have been working with their Environmental Health Officer to improve the layout of the kitchen so it provides a better working environment. Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 4 Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 24 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 OP3 Good Practice Recommendations The Admission Form should be made more comprehensive so that staff have all the information they need to meet residents’ needs. The safeguarding procedure should be amended so it gives clear information about the role of social services as ‘lead agency’ during any safeguarding investigation. Staff files should be re-organised so the information in them is properly indexed and documents are easy to find. 2 OP18 3 OP29 Cheaney Court Care Home DS0000068684.V362160.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Cheaney Court Care Home DS0000068684.V362160.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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