Care Home: Column Care Ltd

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What the care home does well We looked at the assessment process for people considering to live at the home and found the procedure is thorough and all information regarding mental health, health and social care needs are in place so that care plans are developed to ensure staff recognise the different needs of the resident`s. One resident said, "I liked it as soon as I came here". A member of staff spoken to said, "We make sure as much information as possible is obtained before people are accepted". The home has employed a new chef and people commented on the quality and choice of meals provided saying how they enjoy the food prepared. Comments included, "Since the chef as started the food has improved". Also, "Good food". We stayed for lunch and observed the choice of fresh fruit and salads available to ensure each person has a nutritious, wholesome diet with plenty of choice.We spoke to the chef who said, "I enjoy baking and there is always plenty of choice if the residents don`t like something". Staff at the home have been well trained and are competent to do their jobs. Looking at staff training records and talking to people during the visit confirmed this. One member of staff spoken to said, "Training is a high priority". One resident spoken to said, " The staff know all about us". Observation of care practices throughout the day confirmed people are treated with respect and dignity. We watched staff knocking on doors, supporting residents equally and respecting each individual`s privacy. One member of staff said, "We received training initially on respect and equality and diversity". The manager and staff continue to work closely with other professionals, such as care co-ordinators, doctors, consultants and education people, to meet the individual needs of the residents. This was confirmed by looking at the "Life Care plans" of people and talking to them, one resident spoken to said, "They try and help with outside facilities that I am interested in". The manager has developed a room for a health therapist specialising in massage and relaxation techniques who visits the home on a regular basis and provides a useful service for the residents and staff at the home. We spoke to the therapist who said, "The residents seem to like the treatment and some of the staff do as well". We spoke to a resident who was about to receive a treatment and he said, "Yes I do enjoy it and look forward to her coming". What has improved since the last inspection? We looked at the staff training records and found that nearly all the staff have completed a recognised qualification in care ensuring staff have the confidence and ability to provide the care and support for the residents. One member of the management team said, "We now have over 85% who have completed National Vocational Qualification (NVQ) to level 2". The management team and staff have made great efforts to address the requirements and recommendations made from the previous inspection to improve outcomes for residents. To address these issues a new medication procedure has been put in place to ensure the safe administering of medicines. Also care records for people living at the home have improved to make sure health treatment from professionals is properly recorded. And the quality of food has improved to ensure people receive a wholesome diet with choices. One member of staff spoken to said, "Its certainly better now we have worked hard to improve the home". This was confirmed also by resident`s responses one said, "Yes its lovely here". We spoke to the manager who informed us she now has a recognised qualification in management and care required to run and manage a care home. CARE HOME ADULTS 18-65 Column Care Ltd 40 Carlin Gate Blackpool Lancashire FY2 9QT Lead Inspector Mr Kevan Royston Unannounced Inspection 20th May 2008 09:00 Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 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 Column Care Ltd DS0000066398.V361574.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 Adults 18-65. 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. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Column Care Ltd Address 40 Carlin Gate Blackpool Lancashire FY2 9QT 01253 596369 01253 596387 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) Column Care Limited Mrs Kathleen Veronica Gorton Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The home is registered for a maximum of 7 service users in the category of MD (mental disorder, excluding learning disability or dementia). Bedroom numbers 1 and 7 may only accommodate clients who are in short term placements of six months or less. Any clients accommodated in room number 7 must be given exclusive use of the adjacent wc and provided with a key for this. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 25th June 2007 Date of last inspection Brief Description of the Service: The home is an adapted property registered to accommodate younger adults of both sexes who have a mental health disorder with the aim of rehabilitating clients in order that they can become as self sufficient as possible and live independently in the community. The home is situated in close proximity to the promenade, local shops and public transport routes. There are seven bedrooms, all of which are single and six have an en-suite facility. The seventh bedroom has a toilet adjacent to it, which is for exclusive use of the person accommodated in this bedroom. There are a number of lounge areas including a smoking a room, and a large dining room as well as a therapy room. Information received on the day of the visit showed that the fees for care at the home were based on the individual clients assessment and ranged from £900.00 per week to £1750.00 per week. Additional charges are made for hairdressing, toiletries, conti-pads and holidays. A copy of the Statement of Purpose/ Service User Guide is available for anyone making enquiries about the home. The written information explains the care service that is offered and what the residents can expect if they decide to live at the home. Column Care Ltd DS0000066398.V361574.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 stars. This means the people who use this service experience good quality outcomes. This unannounced visit was part of the key inspection and took place on the 20/05/08 and lasted 5.5 hours. In addition we spoke to four resident’s, five staff members, the deputy manager and the manager. We also spoke to a visiting health therapist. Staff, care, maintenance and financial records were looked at during the site visit and a full tour of the premises was undertaken with the manager and deputy manager. As part of the inspection process we talked to people using the service and asked staff about those peoples needs. We also looked at their rooms, care plans, records and daily notes this is called case tracking. Other residents are invited to pass their opinions to us if they wish. We had responses from surveys/questionnaires sent to residents and staff for their views on how the home is run. All comments were positive and some are included in this report. Although we sent out relative surveys none were returned. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of their service. We use this information, in part, to focus our inspection activity. What the service does well: We looked at the assessment process for people considering to live at the home and found the procedure is thorough and all information regarding mental health, health and social care needs are in place so that care plans are developed to ensure staff recognise the different needs of the resident’s. One resident said, “I liked it as soon as I came here”. A member of staff spoken to said, “We make sure as much information as possible is obtained before people are accepted”. The home has employed a new chef and people commented on the quality and choice of meals provided saying how they enjoy the food prepared. Comments included, “Since the chef as started the food has improved”. Also, “Good food”. We stayed for lunch and observed the choice of fresh fruit and salads available to ensure each person has a nutritious, wholesome diet with plenty of choice. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 6 We spoke to the chef who said, “I enjoy baking and there is always plenty of choice if the residents don’t like something”. Staff at the home have been well trained and are competent to do their jobs. Looking at staff training records and talking to people during the visit confirmed this. One member of staff spoken to said, “Training is a high priority”. One resident spoken to said, “ The staff know all about us”. Observation of care practices throughout the day confirmed people are treated with respect and dignity. We watched staff knocking on doors, supporting residents equally and respecting each individual’s privacy. One member of staff said, “We received training initially on respect and equality and diversity”. The manager and staff continue to work closely with other professionals, such as care co-ordinators, doctors, consultants and education people, to meet the individual needs of the residents. This was confirmed by looking at the “Life Care plans” of people and talking to them, one resident spoken to said, “They try and help with outside facilities that I am interested in”. The manager has developed a room for a health therapist specialising in massage and relaxation techniques who visits the home on a regular basis and provides a useful service for the residents and staff at the home. We spoke to the therapist who said, “The residents seem to like the treatment and some of the staff do as well”. We spoke to a resident who was about to receive a treatment and he said, “Yes I do enjoy it and look forward to her coming”. What has improved since the last inspection? We looked at the staff training records and found that nearly all the staff have completed a recognised qualification in care ensuring staff have the confidence and ability to provide the care and support for the residents. One member of the management team said, “We now have over 85 who have completed National Vocational Qualification (NVQ) to level 2”. The management team and staff have made great efforts to address the requirements and recommendations made from the previous inspection to improve outcomes for residents. To address these issues a new medication procedure has been put in place to ensure the safe administering of medicines. Also care records for people living at the home have improved to make sure health treatment from professionals is properly recorded. And the quality of food has improved to ensure people receive a wholesome diet with choices. One member of staff spoken to said, “Its certainly better now we have worked hard to improve the home”. This was confirmed also by resident’s responses one said, “Yes its lovely here”. We spoke to the manager who informed us she now has a recognised qualification in management and care required to run and manage a care home. Column Care Ltd DS0000066398.V361574.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. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to ensure the care needs of people are met. EVIDENCE: The assessment and “Life plans” records of two people admitted to the home had full assessment information including their religious/cultural and relationship needs. The assessment information contained a mental health profile provided by social services and also the nutritional needs of the people. This is so that the staff at the home knows that they will be able to meet individual needs and ensure they will be well cared for and able to reach there individual potential. Risk assessment information advising staff members of the action to be taken to minimize identified risks and hazards was in place. The staff members on duty confirmed they had access to this information and were fully aware of the care needs of the people living at the home. One member of staff said, “We always have in depth assessment information before admitting anyone”. Staff spoken to had a clear understanding of how the assessment procedures work and are part of the process so that they know how to meet the individual needs of the residents being admitted. “We need as much information about people to enable them to reach their potential”. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are helped to make decisions, which support them in their day-today lives, whilst taking risks into account. EVIDENCE: Two resident’s records looked at during the inspection included detailed information about their personal, social, emotional, welfare and healthcare needs. This ensures that staff know exactly what is needed to provide and promote good quality care to the individual so they can reach their potential. As of previous inspections following the initial assessment the staff work closely with the residents to develop a “Life Plan Package”, which looks at the long term needs of the individual with a view to rehabilitation into the community. This is done over a period of time and the individual goals are set out so that staff can help people to achieve this. Comments from people working at the home and resident’s included, “We support the residents to Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 11 make choices”. And one resident wrote, “I have achieved a lot since living at Column care”. Records examined confirmed risk assessments are completed, regularly reviewed and updated to ensure residents independence and living skills are developed in line with their “Life Care Plans”. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Opportunities for development and community participation are addressed in the care plans, to ensure residents have opportunities for personal development. EVIDENCE: We looked at residents records confirmed that they are enabled to undertake activities that are appropriate and have the opportunities for personal development within the local community. One person was supported to follow further education and helped to fill in the required forms to attend a college. Resident’s spoke positively in the way staff help them to find suitable activities, interests, work or education to improve their self-esteem and lifestyle. Comments included, “Staff have been good in finding me part time work”. And, “They are all helpful”. Food stocks examined in the kitchen were found to be fresh with plenty of choice and quantities so that people can have a nutritious choice of food. We Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 13 spoke to the chef and residents about food and had some lunch together. Lunchtime buffet meals were seen being prepared, and were wholesome, home made with evidence of fresh salad and fruit produce providing a nutritious meal. Menus looked at are balanced and interesting with plenty of choice. Meal times are set although flexible enough to accommodate preferences. Details of individual preferences and dietary needs were recorded on the resident’s care plan. The chef said,“ I am in charge of food supplies and make sure we have plenty”. Residents and staff comments about the quality of meals were good and included, “Since the chef has started food has improved”. Also, “Food is excellent”. There are no restrictions regarding resident’s contact with family and friends, and visitors to the home are made welcome. One member of staff spoken to said, “Relatives are made welcome anytime”. Information in relation to contact with family and friends is recorded on each individuals file. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously, people’s welfare is closely monitored and health needs were met. EVIDENCE: There is evidence the home has good access to specialist healthcare services in individual records examined, for the benefit of residents using the service, so that their healthcare needs are met. The records are well maintained and provide evidence the staff works closely with the resident and other professionals so that they know all about the specific needs of the individual. Significant events had been recorded and daily entries made setting out the support given. The care plans were structured and were being reviewed with the resident and updated to reflect any changing needs and these were being actioned as required. Staff spoken to had a good knowledge of the individual needs of residents, including their individual preferences, their specific medical needs and their personal choices and preferences. People spoken to said they liked living at the home and were well treated and supported by staff members. One person said, “Staff are good at offering support”. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 15 Medication practices have improved and all medication was kept in a secure locked metal cabinet in a locked room. A record was kept of all the medication, what it was for and any possible side affects. A record was also kept of any medication not taken and the reasons why. Medication practices observed were safe and good records had been maintained. The staff members responsible for the administration of medicines had received accredited training to ensure they had basic knowledge of how medicines are used and given out. One staff member administering medication said, “Yes I have done my medication training”. Although the medication procedures have been improved we advised the manager to identify staff signatures who give out medication on the front of the records so that staff can be easily identified and provide a safety measure for the residents. Staff training during induction covers areas of respect, equality and diversity so that staff understand the need to make sure no individual is disadvantaged due to any differences. One staff member spoken to said, “It was very useful”. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. EVIDENCE: Column Care has a detailed complaints procedure, which is made available to all residents and relatives on admission and contained in the Statement of Purpose and Service User Guide. People spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. One resident wrote, “I would complain to the manager”. There has been one complaint made to the Commission for Social care Inspection (CSCI) since the previous key inspection and this resulted in a random inspection being undertaken to the home to look into any possible breaches of the Regulatory Regulations and National Minimum Standards. As a result a number of requirements and recommendation were made. The manager has taken action to address these issues. An open approach to encourage comments through resident and staff meetings and daily discussions goes some way in ensuring that concerns are addressed prior to them becoming formal complaints. The home has a policy in relation to the protection of vulnerable adults and includes a missing persons procedure that has been developed with the local police. The home has a procedure in place for dealing with allegations of Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 17 abuse. All staff have received training in the protection of vulnerable adults and showed a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. “One member of staff spoken to said, “I have completed my abuse training”. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a comfortable, homely and safe environment. EVIDENCE: A tour of the building found the home to be clean and tidy. One resident said, “Very nice and tidy”. The home has a variety of communal spaces, which encourages independence and freedom to associate with persons of their choice or have somewhere to go to be quiet other than their bedroom. One resident spoken to said, “The building is quite big so you can have your privacy if you want”. We spoke to the manager and advised her she should continue with the homes programme for the decoration especially in the communal hallways to ensure people live in a well-maintained and comfortable environment. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 19 It was observed during the visit the home was clean and hygienic ensuring a pleasant environment in which to live. Bedrooms are individually decorated and furnished well. All rooms had good lighting and personalised by the residents themselves to make it feel homely. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are competent in their roles. Shortfalls in the recruitment procedures could potentially put residents at risk of unsuitable staff being employed. EVIDENCE: Staffing levels were sufficient for the number of people living at the home. Resident’s spoken to said they were happy with the support and guidance they are receiving and were well treated by the staff. One person said, “No problem plenty of staff around the place”. We looked at the records of two staff members who had been taken on since the last inspection, it was clear that the recruitment procedures had not been followed correctly and therefore the residents could potentially have been placed at risk. All potential staff completes an application form however the form does not request a full employment history with any gaps explained, this should be in place. In the case of the two staff member’s references had been obtained after they had started work and one reference was three years out of date. Checks must be obtained prior to staff commencing work. Clearances had been received through the Criminal Records Bureau (CRB); this included a check under Protection of Vulnerable Adults (POVA) first. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 21 Records show all staff members have access to a structured training and development programme and records were available of staff training ensuring the people in their care are being supported by a well trained and competent staff team. In addition 85 of staff members have achieved National Vocational Qualifications (NVQ) to level 2 ensuring people are in the safe hands of qualified and competent staff. Induction training records are now on staff files and are completed when new staff start work. Comments about training and access to training included, “No difficulty to get on training”. And,” We are encouraged to attend training courses”. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. Staff make efforts to support individuals reach there potential in line with their “Life Care Plan”. One staff member spoken to said, “We all get on well”. Another staff member spoken to said, “With it being a small home we get to know each of the resident’s needs and goals quickly”. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well and systems, policies and procedures are in place for the protection of staff and residents. EVIDENCE: Records looked at show the manager has good systems to gather staff, resident’s views to enable ongoing improvements to the home. Staff and resident meetings are held regularly and recorded. One staff member spoken to said, “We hold regular meetings to see if we can improve things”. The manager who is also the owner of the home has many years experience in the field of mental health and is a qualified psychotherapist. She has now gained a recognised qualification in care and management required for supporting the staff and residents which helps the home to meet its stated aims, purpose and objectives. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 23 The manager’s approach is relaxed so that there is no formality in the day-today management of the home. Residents are encouraged to follow their individual programmes supported by staff, which we observed and examined throughout the day and was seen to meet the individual needs of the residents. Comments about the way the home is run were positive and included comments such as, “The home is run smoothly” also, “We have a good manager/owner”. We looked at records of residents and found they are comprehensive, well written and up to date ensuring the correct information is available and health, social and welfare needs are continuously monitored. Looking at records we found regular tests to emergency lighting, fire procedures, electrical appliances, the lift and fire extinguishers had been carried out ensuring the safety of residents and staff is maintained. Column Care Ltd DS0000066398.V361574.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 Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 25 Yes Are there any outstanding requirements from the last inspection? 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 YA34 Regulation 19 (1(b) Requirement The home’s recruitment procedures must ensure that all documentation required by the regulations in respect of any persons working at the home has been obtained prior to appointment to ensure that only suitable people are employed. (Timescale of 31/07/07 not met) Timescale for action 30/06/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard YA34 YA24 Good Practice Recommendations The application form for employment should request a full employment history with any gaps explained. A programme for the routine decoration of the premises should continue to ensure people live in a safe and comfortable home. Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Column Care Ltd DS0000066398.V361574.R01.S.doc Version 5.2 Page 27 - 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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