Care Home: Corinthian House

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What the care home does well In the surveys people told us "staff are friendly and helpful" I have complete satisfaction with the home staff, food and they (the staff) go out of their way to be helpful." " I am contented in every way." "I feel the home does everything I would expect, they are a credit to their profession." My family and I are unable to find a fault." " Since my relative move into the home she has been looked after superbly and we wish to thank everyone for the care and attention we all receive." "I could not wish for better." "We are always informed of any change in mom`s care." " The care home and staff are very good no problems at all." " Very caring very friendly good atmosphere. "The Food good although my appetite is not always good, they encourage me by giving me snacks in between." "The home provide friendly supportive aid to customers. Keep information on progress made readily available and always willing to help even when working under pressure." Care professionals said, " The home presents as efficient, well staffed, caring and welcoming. Visitors are welcomed and dealt with promptly, Dedicated often long serving employees, smart and professional in appearance, and presented as very caring and knowledgeable about the residents whom they cared for. Choice and dignity were central part of the philosophy of the care at the home." Staff said, " the manager always run an open door policy and always there for support." The home care for residents gives support to family and always ready to listen. People who live at the home have their needs assessed before they come to stay. This ensures that the home can meet their needs. Staff are caring and respect people`s privacy and dignity. Routines are flexible and people can exercise choice in key areas of their lives, for example rising and retiring times, clothes and activities. Visitors are encouraged and made welcome at all times, this helps people to maintain contact with family and friends. The home has good evidence of having a wide range of policies and procedures in place that are regularly reviewedThe home continues to operate at a good level providing a good quality of care for the people who use their service. What has improved since the last inspection? The activities provision has improved with the appointment of a new activities organiser. There is an organised programme, which is displayed on the notice boards on each floor. There are systems in place to monitor People`s care. Care plans seen had details, showing how people have their assessed needs met. The home now has over 75% of staff with a (NVQ) National Vocational Qualification Level 2 or above. There is an on going programme of redecoration and replacement of furniture and fitments through out the home. What the care home could do better: Some staff told us that what the home could be better is "to ensure there is enough staff to cover shifts when there are absentees during the day and night. The registered person must make sure that when medication is not given a reason is given stating why, so that any pattern emerging can be brought to the attention of people`s GP. CARE HOMES FOR OLDER PEOPLE Corinthian House Green Hill Lane Upper Wortley Leeds Yorkshire LS12 4EZ Lead Inspector Valerie Francis Key Unannounced Inspection 09:30 1st February 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 Corinthian House DS0000001334.V359666.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. Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Corinthian House Address Green Hill Lane Upper Wortley Leeds Yorkshire LS12 4EZ 0113 2799888 0113 2799099 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) Corinthian Care Limited Mrs Jillian Shearer Care Home 70 Category(ies) of Old age, not falling within any other category registration, with number (70), Physical disability (3) of places Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The place for PD is for the service user specified in the application dated 28 March 2006 16th August 2006 Date of last inspection Brief Description of the Service: Corinthian House is a purpose built privately owned Care Home situated on Green Hill Lane, approximately 2.5 miles from Leeds City Centre. It is set in 1.5 acres of fully landscaped private gardens adjoining Western Flatts Park. Their philosophy of care is based upon the need to understand and respect persons as individuals at all times, with the benefit of care staff providing care and reassurance 24 hours a day. Corinthian House is located on three floors, with all floors being accessible by lift. They have a mixture of single and double rooms available on each floor, all with private en-suite facilities. All rooms are furnished to a good standard, with a call system, as well as television and telephone points to every room. In the park adjoining Corinthian House are two bowling greens, a cricket pitch and a delightful walled rose garden. The weekly fees for services provided in the home vary depending on whether people are funded by the local authority, have nursing needs and their fees are partly supplemented by the health authority or if they pay privately. Information provided on the day of the visit was that fees range from £499.00 to £925.00 depending on the level of care people need. Additional charges are payable for services like hairdressing, chiropody, newspapers etc Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The Commission for Social Care Inspection (CSCI) inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. All regulated services will have at least one key inspection between 1st April 2006 and 30th June 2007. This is a major evaluation of the quality of a service and any risk it might present. It focuses on the outcomes for people using it. All of the core National Minimum Standards are assessed and this forms the evidence of the outcomes experienced by residents. More information about the inspection process can be found on our website www.csci.org.uk This visit was unannounced and one inspector was at the home 29th January and 1st February 2008. Mrs Jillian Shearer the registered manager was available to assist during the inspection process. The purpose of the inspection was to make sure the home was operating and being managed for the benefit and well being of the people and in accordance with requirements. Before the inspection accumulated evidence about the home was reviewed. This included looking at any reported incidents, accidents and complaints. This information was used to plan the inspection visit. A number of documents were looked at during the visit and all areas of the home used by residents were visited. A good proportion of time was spent talking with residents as well as with the manager and her staff. AQAA (Annual Quality Assurance Assessment) had been completed by the home before the visit, to provide additional information about the home. Some survey forms were sent to the home providing the opportunity for residents and/or visitors to comment on the home, if they wish. Information provided in this way may be shared with the provider but the source will not be identified. 10 survey forms for residents and 6 relatives, 4 health care professional and five staff were returned to the CSCI area office, their comments are included in the body of the report and in the section “what the service does well”. Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 6 What the service does well: In the surveys people told us “staff are friendly and helpful” I have complete satisfaction with the home staff, food and they (the staff) go out of their way to be helpful.” “ I am contented in every way.” “I feel the home does everything I would expect, they are a credit to their profession.” My family and I are unable to find a fault.” “ Since my relative move into the home she has been looked after superbly and we wish to thank everyone for the care and attention we all receive.” “I could not wish for better.” “We are always informed of any change in mom’s care.” “ The care home and staff are very good no problems at all.” “ Very caring very friendly good atmosphere. “The Food good although my appetite is not always good, they encourage me by giving me snacks in between.” “The home provide friendly supportive aid to customers. Keep information on progress made readily available and always willing to help even when working under pressure.” Care professionals said, “ The home presents as efficient, well staffed, caring and welcoming. Visitors are welcomed and dealt with promptly, Dedicated often long serving employees, smart and professional in appearance, and presented as very caring and knowledgeable about the residents whom they cared for. Choice and dignity were central part of the philosophy of the care at the home.” Staff said, “ the manager always run an open door policy and always there for support.” The home care for residents gives support to family and always ready to listen. People who live at the home have their needs assessed before they come to stay. This ensures that the home can meet their needs. Staff are caring and respect people’s privacy and dignity. Routines are flexible and people can exercise choice in key areas of their lives, for example rising and retiring times, clothes and activities. Visitors are encouraged and made welcome at all times, this helps people to maintain contact with family and friends. The home has good evidence of having a wide range of policies and procedures in place that are regularly reviewed Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 7 The home continues to operate at a good level providing a good quality of care for the people who use their service. 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 Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 8 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6. People who use the service experience Excellent quality outcomes in this area. People who wish to use the service have good information about the home and the service it provides, to help them to decide if they want to come and live at the home. Anyone moving into the home is assessed before they come to live at the home, so that they and staff know that their care and support needs can and will be met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home told us in their AQAA (Annual Quality Assurance Assessment) self assessment that they have an “extensive Statement of Purpose and Service User Guide which is updated regularly. The information written with RNIB guidance as to type and style and print /font size/ preferred colour paper. Large print copies are available on request, pictures are also used.” Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 11 People who live at the home and people receiving short-term rehabilitation care (Intermediate care) are given information about the service they will get. This gives them information for such as catering services, bathing and nurse call system and general maintenance and fire safety in the home. Good information. We looked at the care file for one of the last people who came to live at the home on long term, and also someone who stayed there for a short time. We saw that assessments of needs are carried out, which in both case people had an Easy Care assessment, which was done by the placement agency. The home had also carried out an assessment on the care and the support for the person who needed long term care. There is also a range of assessment carried out such as moving and handling The home staff are supported by the intermediate staff who visits daily to carry out people’s rehabilitation programme, staff have also had training on how to assist this group of people. The doctors and other nurses who have responsibility for the people on short term (intermediate care) visits one/ twice a week to see people and to discuss their care with them, the manager and the named nurse in charge of the intermediate care. We were told that: • “The needs of individuals is paramount with the home each person treated as an individual and their needs are always continually being assessed.” Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8, 9 & 10. People who use the service experience good quality outcomes in this area. Care plans are in place providing information about how care needs are met. Medication practices are safe. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: During the visit to the home we looked at four files containing the care plans for people who live at the home Generally we found that files provided a good level of information for staff to follow to provide the care people need. In the file seen we found: • Personal details with such as name and next of kin. • Name of named nurse and key worker. Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 13 • • • • • • • • • • Pre assessment information. Medication profile self-medication. Admission sheet with information why people came to live at the home. People had assessment for moving and handling. Risk assessment for fall prevention. Information on any moving and handling equipment used. Body map for skin integrity at time of admission and any skin breakage. Information on visits made by health care professionals. Social care plan. Nutritional risk assessment. Not all of the people’s whose files were seen had a photograph that staff could identify them. There was good information for staff to follow to meet peoples’ care needs. During discussion with staff it was clear that they knew about the care needs of the people they were caring for, care staff are encouraged to read people’s care plans so that they are aware of any changes that affect how they should support people. Systems are in place to update people’s care plans, there is monthly evaluation meetings (key worker diary) to make sure that the care given is still appropriate for people, and to get from people any changes they would like. There are regular visits by GP and the community Matron. Any change would be reflected in a new plan of care. People said they “felt supported by staff and were content at the home, feeling that staff understood their needs.” Some good evaluation of care plans was seen. We were told in the AQAA that there is a “ robust medication policy and procedure, which included Assessment for self medication and safe practice, we aim not to disable people in this regard but to assist where prior to admission a resident has always self medicated. All our Nursing team are trained in the safe handling of medication, all controlled medication is stored appropriately, and relevant safety practices are in place.” We saw medication administration record (MAR) sheets, which showed some gaps in recording when codes had been used and no explanation about the omission. The medication room (identified to the manager) temperature appeared to be overly warm. Regular audits of the medication system are carried out and all staff involved in the administration of medication have an annual update. We saw only permanent people who use the service had photograph on their medication administration sheet, that would help staff identify them when giving out medication. Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 14 Although there is a system for returning unused medication, only the staff at the home involved in making the record sign the record book, there is no signature for the agency involved in disposing of the medication. People who self medicate have a risk assessment carried out to make sure there are not at risk when taking their medication. We were told, “staff are always open to suggestions and will act on it. They support the patient and their carers and always act in the best interest of the patient.” “Confidentially is always addressed in care plans at all times.” Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15. People who use the service experience good quality outcomes in this area. There is not always the opportunity for people to take part in meaningful recreational activities, which can leads to people becoming bored. There is a good choice of food at mealtimes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a member of staff who engages people in social recreational stimulation. Part of the home assessment is social assessment when people’s likes and dislikes are discussed, so that all their needs are identified and care plans put in places to meet people’s needs. The document “getting to know you,” is completed for each person using the service, the information gives staff the life history about the person, which is used when putting together people social care plan. We were told in the AQAA that the home has a “ structured activity program, which is displayed on all floor notice boards in the lounge.” Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 16 Despite this, we saw people not engaged in any social activities. When people were asked about how they spend their day several people replied “like this, sitting.” People who responded to the survey said: • “There are never any activities arranged they wanted to take part in.” • “ I always take part in activities arranged.” • “I have not taken part in any activities.” • “Sometimes I take part.” • “I do not need a lot of activities.” • “I don’t take part in any activities because I do not want to.” Visitors are welcomed at the home at any time and those people who are able, go out where possible. People are supported to spend their time how they wish and some choose to stay in their rooms while others spend their time in the lounges. Some of the other activities people told us about included, • Outside entertainers. • Visits by the local Brownies. • Shopping trips to town, White Rose shopping centre. • Trips out in the new mini-bus, which is really good for the residents. The AQAA information said at least twice a year we have fun days when residents invite their relatives and friends for afternoon tea various games and quizzes.” There are regular “residents meetings” so that people can discuss things that affect the whole group of people living at the home. We were told things such as, food, and redecoration in the home and trips out are discussed. People’s visitors and survey information told us that they can visit any time and are encouraged to take their relatives out. We were told that encouragement is given to relatives and friends of people to be involved in the home through the “friends of Corinthian House” meetings, where they are able to give their views about the social recreational stimulation and support of people living in the home. The lunchtime and evening meals were observed on each floor. The majority of the people ate their meal in the dining room. The food looked and smelt nice and people were seen to be enjoying their food. Meals were served in a calm atmosphere and people had the choice of another helping. They told us: • “The food is good and we can have more.” • “If we do not like the choice we can have another of our choice.” • “The food is hot when we get it.” A visitor for someone getting short term care said, “in the short time my mother has been here she has put weight on, they really care and they give Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 17 snacks to people such as chocolate, any thing that would help with weight gain.” Discussion took place with the cook, who knew if people were on any special diets and those whose nutritional assessment found them to be at risk. Extra supplements such as cream, butter was added to their meals, and milky drinks are given. Regular weight checks are done to monitor people’s weight gain or loss. We were told that the catering staff work closely with the dieticians for professional advice. Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 18 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. People who use the service experience good quality outcomes in this area. Complaints are dealt with appropriately and systems are in place to protect people from abuse. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Since the last inspection one complaint had been brought o the attention of the CSCI (commission for social care inspection.) The outcome demonstrated that an investigation and detailed response was made to the complainant. The manager has done training on handling complaints that would help her with complaints investigations. There is a clear complaints procedure, which is displayed in the home and in “Service user Guide”. The information is accessible and available in the entrance near the visitors signing book for visitors and staff. People that: • • • • • and their relatives told us in their survey and during the inspection “They always try and improve the service they give.” “I have no problem with the home.” “I would ask somebody what to do if I had any concern.” “I have no complaint whatsoever.” “If I ever have any concern I would speak to the manager or my key worker.” DS0000001334.V359666.R01.S.doc Version 5.2 Page 19 Corinthian House People indicated in their response to the survey that they knew what to do if they had any concerns or complaints. The Information in the AQAA Annual Assurance Assessment told us that there are “2 qualified staff in the home trained to deliver training on POVA Protection Of Vulnerable Adults.” We were told that most staff have had Adult Protection training so that they know how to recognise and what to do if a situation occurred. We spoke to staff during the inspection about the procedure and what they would do if this occurred. It was clear that they knew what do and if it was about staff or a senior member of staff in the home they would use the whistle blowing procedure. All staff have a POVA first check as part of the employment procedure. Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. People who use the service experience good quality outcomes in this area. People live in surroundings that are homely, clean and free from odours. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Part of the home provides care to people who need Intermediate care (short term care). The people who use this service use sixteen bedrooms and the sitting and dining room on the ground floor. All the areas of the home visited were clean without any obvious smell. Since the last inspection the hall and some bedrooms had been redecorated, the manager said that there were plans in place for further redecoration and replacement of furniture throughout the home. There are communal sitting areas situated on each floor. Although they are comfortable and spacious, the sitting room on the ground floor, the area used Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 21 by the intermediate care people, was bare unlike the other rooms on the upper floor, which had paintings on the walls. Each sitting room has a dining room attached, fitted with cupboards and a dumbwaiter for food delivery. The two upper floor sitting rooms had an atmosphere that was felt to be warm and it was obvious that people had made these areas their own. People had their favourite chairs with knee rugs draped across them. The home is none smoking for people, visitors and staff. People who wish to use the service is told this before the decided to come and live at the home. Bedrooms are furnished to different standards as some people had brought in with them their favourite chair and photo’s of families and other things that remind them of their past and their families. There is an attractive outside seating area overlooking the nearby park, these we were told is well used during the good weather and summer times. The laundry was clean, tidy and well organised with a range of equipment all of which was in working order. Systems are in place to prevent the spread of infection; staff have had training on infection control. People told us: • “The home is spotless my room get clean everyday, and I get my bed changed frequently.” • “ It is always fresh and clean.” Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, 29 & 30. People who use the service experience good quality outcomes in this area. The numbers and skill mix of staff are sufficient to meet the needs of the people using the service. There are good recruitment procedures in place to protect people. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home told us in their AQAA information that the “ratios of staff to residents are above the recommended guidance.” Staffing level for people on the ground floor is four care staff and a named nurse who are employed by the home. Two staff from the intermediate care team visits the home twice a day also supports staff with the rehabilitation of people receiving intermediate care. The community matron, and the joint care manager, also visits the home once or twice a week or more if necessary. During the day there are nine care staff and two nurses for the two floors. There are five care staff and two Registered Nurses available at nights to all the people who use the service at the home. Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 23 The duty rotas indicated that there is enough staff to meet the needs of the people living at the home. An established team of domestics, laundry and maintenance staff, as well as an administrator, provide support for the nurses and care staff. Staff and health professional in their comments in the survey information said: • What could be better that there is enough staff to cover shifts when there are absentees during the day or night. The manager said when agency staff are used, they get information about the person, result of CRB check, information if they have had moving and handling training and when, photo of the person and at the end of the shift a monitoring form is completed about the person’s ability to do the work. This is good practice. We were told in the AQAA that the home have “over 72 of the staff with an NVQ (National Vocational Qualification) level two to three.” We looked at three staff recruitment files. They all showed that the home had followed good recruitment practices with the following information seen: • Completed application form with employment history. • Equal opportunity monitoring form. • Interview questionnaire. • Reference request letters. • Two references. • Offer and acceptance letters. • Copy CRB application form, with copies of the required information such as passport photo. • Induction checklist. • Disclosure letter. • Home office work permit. One person did not have a POVA first check carried out. There were no original photographs of staff only photocopies. Despite the home having a good range of training, there was indication from One health care professional who said “the care service can improve with possible more training for new starters on the aspect of intermediate care.” Discussion. Staff said in their survey information, “we get mandatory training such as moving and handling and infection control but we would also like training on people’s diagnosis.” This was fed back to the manager, who said she would look into this. There is a training programme in place, and we were told and saw evidence that there was a plan in place for staff training. Staff personal development is discussed at their annual appraisal meeting with the manager. Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 24 The home was not registered with Skills for Care to assist them with their training for staff. Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 25 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35& 38. People who use the service experience good quality outcomes in this area. Management and administration of the home is good and ensures that policies and procedures are maintained. This ensures that the home runs smoothly, for the best interests of the people who live there. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The AQAA information told us that the “ the manager has twenty years of managing care homes and has a nursing background for twenty nine years.” This has provided her with the knowledge and experience to manage the home and provide care to the people who use the service. Quality Surveys are carried out for the people receiving short term care. The organisation has a quality audit system in place so that they ask people who Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 26 use the service and others about the care provided. The results are published in the home’s newsletter. The home has a wide range of policies and procedures in place that are regularly reviewed. Senior Managers from the organisation carry out monthly visits and complete audits of accidents that have occurred, to help identify any trends or issues that could be contributing to accidents. There is a regular system for staff meetings and notes of these are kept. Meetings are also held with relatives and Friends of Corinthian House. The manager has good communication skills and makes herself available to residents and relatives. The manager was said to be approachable, has an open door and was always ready to help. There is a policy on handling people’s finances and any additional costs such as hairdressing are invoiced. Some people are supported in handling their own finances. Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 27 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 4 X 4 X X 4 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 2 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 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 4 Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 28 Are there any outstanding requirements from the last inspection? yes 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 OP10 Regulation 14 Requirement We saw medication administration record (MAR) sheets showed some gaps in recording, when codes had been used no explanation for the omission. Timescale for action 31/03/08 2. OP10 14 The temperature in the 31/03/08 medication room identified to the manager must be monitored, to make sure medication is stored in a room that has the right temperature for storage. The manager must make sure that people who use the service have access to social and recreational activities, so that that they do not become bored. The manager must make sure that care staff have a range training on people’s needs which will help them in their delivery of people’s care. 31/03/08 3. OP12 16 4. OP30 18 30/04/08 Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 29 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations A photograph should be put on the front of people’s medication administration sheet. That would help staff identify people when administering medication. Corinthian House DS0000001334.V359666.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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. 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