Care Home: Cornerways Rest Home

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What the care home does well People are given accurate information about the home so they know what to expect. People living in the home say that the carers are good and give them all the assistance and support they need. One person said, "The staff are lovely", another said, "The staff are A1, wonderful, you can`t improve on the care here". People enjoy good food and consider meal times to be relaxed and social occasions. People are listened to and any complaints are promptly looked into and sorted out. Staff are well trained and competent. The majority have achieved a nationally recognised qualification in care. A carer said, "This is a lovely place, patient, no rushing, good staff morale."Some of the people who live in the home are involved in the recruitment of new carers. People are encouraged to express their views, which are taken seriously. The provider and manager make changes as a result of listening to them. What has improved since the last inspection? The manager has introduced an informal weekly meeting with people living in the home to identify any complaints and listen to their suggestions. It also provides the opportunity to let them know about what the home is doing. Staff have attended lots more training courses, including one on how to consider people`s differences and uniqueness and another on diabetes and insulin administration. They say this has increased their awareness and made them feel more confident. Communication between staff and with the community nurses has improved so that they can give better care to people. The way the home deals with people`s medication has improved. This has included staff training and also competency tests to make sure they have understood what they have learnt and that people get the right medicine at the right time. Lots of changes have been made to the building to make it better for people. A new extension is being built to enlarge the lounge and dining room space. People have been consulted about the changes and are involved in choosing colour schemes and saying what they want. Improvements have been made to lots of areas within the home, including: making a double bedroom into two singles, on-going redecoration, some new carpets and the addition of hand rails and a new stair lift, to make it easier for people to get around. Staff recruitment has improved to make sure that full security checks are completed for any new staff. This is important to be confident that carers are suitable people to be alone with the people living in the home. The method of monitoring the quality of service the home provides has been strengthened and it has achieved a nationally recognised quality assurance award. What the care home could do better: There is an annual development plan for the home, which is based upon people`s views. The provider and manager have done their own assessment of the home and have identified things that they could do better. They have made plans to achieve them, which are well under way.The way that people`s health care is managed is good. We talked to the manager about making sure that the nursing care provided by the community nurses is better referenced within the home`s care plan records. This is important so that all information is readily available at the home when the nursing input ceases. We asked people living in the home, and staff, if there is anything the home could do better. The overall consensus was everything needed is being done. One suggestion was made from a staff member and discussed with the manager. This is that a sluicing facility be provided for the cleaning of commode pans and the manager is already considering this. A number of other changes will be made to the building when the extension is completed, including improving the laundry and access for people using wheelchairs. We discussed that future development plans might include the creation of a dedicated medication room. This would free up the space where medications are currently kept and make it better for people to move around in that area. CARE HOMES FOR OLDER PEOPLE Cornerways Rest Home 1 Tanners Hill Hythe Kent CT21 5UE Lead Inspector Christine Grafton Unannounced Inspection 15th August 2008 09:45 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 Cornerways Rest Home DS0000023633.V369516.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. Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cornerways Rest Home Address 1 Tanners Hill Hythe Kent CT21 5UE 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) 01303 268737 Mr Arvind Rajendra Khanna Miss Joyce Lilian Nay Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 17. Date of last inspection 21st August 2007 Brief Description of the Service: Cornerways is a three-storey, detached building, with seventeen single bedrooms, some with en-suite facilities. Accommodation for residents is on the ground, first and second floors, and there is a shaft lift. There is a garden area to the front and side of the home. Two assisted baths are available on the ground and first floor. There is a choice of sitting areas with a lounge and dining room, which are currently being extended to provide more space for residents. There is an off-street parking area for approximately five cars. The home is located on the outskirts of a small town, with access to shops, public transport and other local facilities, some of which are within walking distance. People who might want to move in can get information from the home’s Service Users’ Guide that outlines the main things available to people living in the home. There is also a document called a Statement of Purpose that gives more detailed information. The manager makes sure that a copy of our most recent inspection report is available for people to read. The manager and senior staff are on hand to answer any questions that people might have about the service. The weekly fee is set according to a person’s needs, or the type of room to be occupied. The fee includes all accommodation, meals, personal care, heating laundry and staffing. It does do not cover things such as personal toiletries, newspapers, hairdressing and chiropody. The fee range for this service is between £400-£450 per week. Cornerways Rest Home DS0000023633.V369516.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 that people who use this service experience good quality outcomes. This was a “Key Inspection” of this service, which means that we reviewed all the information we have received since the last inspection and it included a visit to the home. We carried out an unannounced visit to the home on 15th August 2008 between 09:45 hours and 16:05 hours. We spent time talking to the manager, staff, residents, a visiting community nurse and observing the home routines and staff practices. We looked at some records and also looked round the home. The manager sent us some information prior to the visit, in the form of the home’s annual quality assurance assessment. This has been looked at and used in the planning of the visit and the overall assessment of the service. Information from the previous inspection has also been referred to. At the time of the visit there were 17 residents living at the home. There was a friendly and welcoming atmosphere. What the service does well: People are given accurate information about the home so they know what to expect. People living in the home say that the carers are good and give them all the assistance and support they need. One person said, “The staff are lovely”, another said, “The staff are A1, wonderful, you can’t improve on the care here”. People enjoy good food and consider meal times to be relaxed and social occasions. People are listened to and any complaints are promptly looked into and sorted out. Staff are well trained and competent. The majority have achieved a nationally recognised qualification in care. A carer said, “This is a lovely place, patient, no rushing, good staff morale.” Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 6 Some of the people who live in the home are involved in the recruitment of new carers. People are encouraged to express their views, which are taken seriously. The provider and manager make changes as a result of listening to them. What has improved since the last inspection? What they could do better: There is an annual development plan for the home, which is based upon people’s views. The provider and manager have done their own assessment of the home and have identified things that they could do better. They have made plans to achieve them, which are well under way. Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 7 The way that people’s health care is managed is good. We talked to the manager about making sure that the nursing care provided by the community nurses is better referenced within the home’s care plan records. This is important so that all information is readily available at the home when the nursing input ceases. We asked people living in the home, and staff, if there is anything the home could do better. The overall consensus was everything needed is being done. One suggestion was made from a staff member and discussed with the manager. This is that a sluicing facility be provided for the cleaning of commode pans and the manager is already considering this. A number of other changes will be made to the building when the extension is completed, including improving the laundry and access for people using wheelchairs. We discussed that future development plans might include the creation of a dedicated medication room. This would free up the space where medications are currently kept and make it better for people to move around in that area. 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. Cornerways Rest Home DS0000023633.V369516.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 Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People considering moving into the home are given all the information they need to decide if it is right for them. They have an assessment that tells staff about them and the support they need. This helps to make sure that their needs can be met. People who stay at Cornerways for respite or recuperation are helped to go back home. EVIDENCE: People considering moving into the home can get information from the home’s ‘Service Users’ Guide’ and ‘Statement of Purpose’, which are kept readily available in the entrance hall. Both documents have been reviewed and updated in April 2008 to make sure they are accurate. There are also copies of a smaller brochure that people can take away to read. Between them, these Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 10 three things contain detailed information, setting out what is available to people living in the home. The manager makes sure that all new residents are given their own copies to keep for themselves. We looked at a total of four care plan files for people who live in the home and of these, two had been admitted since the last inspection. We looked at the file of one person who came to the home in April and one who was staying for a short period of respite and rehabilitation and is hoping to go home soon. The manager normally carries out an assessment of people’s needs before they move into the home. She also obtains a copy of the assessment completed by the person’s care manager, if they have one. We looked at the information gathered and saw that a comprehensive care plan had been drawn up for one person. Although the second person had not yet had their care plan completed, the care management assessment was in the file and staff had recorded good daily records. These showed what sort of help the person needed and how staff give assistance to encourage independence. We spoke to two carers who described the practical ways they help residents with their everyday living needs, for example, moving about, using the toilet and bathing arrangements. We spoke to a person staying for a short period of time. They expressed, “the staff are lovely” and went on to say that the home had provided everything necessary to help them recuperate so that they can return to their own home. We talked to the manager, who described how the home has a good relationship with the ‘Residential Home Team of Community Nurses’ and other people who provide support in the community. They all work together to make sure that the person does not return home until they and their home are ready. Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People can be confident that they will have a plan of care that has the right information to provide them with the health and personal care they need. They can be assured that the home has improved its practices for managing their medication so it is done in a safe way. People know that staff understand their needs and treat them with respect. EVIDENCE: People have been involved in writing their own plan of care. This gives them the opportunity to say what assistance they want from staff and how they want it to be done. We looked at four of these plans and saw that they contained detailed information to help staff know about the person, as an individual, and what they need to do and why. They are written in the person’s own words, for example, “my life so far”, “assessment of risk in my life”, “medical services Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 12 that may help my life”, “how my care is reviewed” and “other information that you might need to know”. We saw that the plans contain information about helping with personal care, such as washing and dressing, or bathing; help with moving around, any health care needs, such as risks associated with diabetes and other health issues that require input from the community nurses. We saw in one case how the staff had involved other professionals when a risk had been identified and the records showed that this had been dealt with properly. The plans are reviewed each month and kept up to date so that they are accurate. People that we spoke to say that the carers are good and give them all the assistance they need. They have a key worker who is involved in their reviews and knows them well. We spoke to carers about the help that these people need and found that what they said confirmed the information we had gained from reading the care plans and talking to people. Carers have a good knowledge. For example they know about the risks to be aware of if someone has diabetes and has insulin injections. This was supported in a discussion with a visiting community nurse, who said that staff are very good and willing to learn, having done lots of training and had recently done a diabetic course. The nurse felt that the home has improved over the last year, saying that communication between the home and community nurses is good. One thing that we talked to the manager about is to make sure that where the community nurses are providing healthcare support to a person, such as pressure ulcer dressings, this should be clearly shown in the care plan and the progress in healing referred to in the monthly reviews. This is important as the nurses keep their own notes, which are not then available to the home should the need arise once their input ceases. We looked at the procedure for managing medications for people living in the home and found that things are in order. The Annual Quality Assurance Assessment (AQAA) showed that improvements had been made and this was supported by what we saw. Action has been taken to address the things needed at the last inspection to be sure that the right medicines are given to the right people, at the right time. One of the things that the manager has done is to introduce a medication competency test and only staff that have been assessed as competent are allowed to give out the medications. We looked at a sample of records completed each time a medicine is dispensed and saw that they are correctly completed. We also looked at two records in more detail and saw that the remaining stock matched with the records. We spoke to five people and asked them what they think of the carers. They each praised the staff, saying that staff are respectful, that there is a lovely atmosphere and one person summed it up by saying, “The staff are A1, Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 13 wonderful, you can’t improve on the care here”. A carer said, “This is a lovely place, patient, no rushing, good staff morale.” All of these things show that the improvements asked for at the last inspection have been acted upon and healthcare outcomes for people are now good. Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People benefit from having opportunities to take part in activities that suit their needs and from being able to keep in contact with families and friends. They are encouraged to lead their lives the way that they want. People benefit from the varied menu and enjoy their food and the choices available to them. EVIDENCE: We spoke to people about their daily lives. They say that there are various activities that take place in the home and they can also go out into the community if they wish. People have been asked what they would like to do and staff have responded by putting on activities that they want. For example, some people want to go out to a pub for a drink and to socialise and this is currently being arranged. The indoor activity programme includes a monthly visit by a singer, who was at the home during the afternoon of this visit. People were clearly enjoying this entertainment. Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 15 Some people are able to go out for walks on their own and suitable steps have been taken for their safety. One person said that a staff member accompanies them when they go out once a week. A volunteer takes another person out shopping each week. Some people like to spend most of their time in their room and this is respected. People are able to celebrate their religion, for example, a vicar visits monthly for communion and a church group visit once a month and put on a service. A “pat dog” visits regularly and is very popular. People say their families and friends are able to visit any time they wish and the home also has open days. People say that they are encouraged to make their bedrooms their own. For example, by bringing some items of their own furniture in with them, as well as ornaments and photographs. We saw plenty of examples of this in bedrooms we looked at. People say they enjoy good food and that they have enough to eat. They consider meal times to be relaxed and social occasions. There is a choice of dish at each meal. The menu provides people with a varied diet and special diets are catered for. For example, if someone prefers to eat a vegetarian diet, or needs to not have too much sugar. People have a say in what they have, for example, they wanted fish and chips from the chip shop and this was being served at this visit. They are looking forward to when the new dining room extension is completed so they will have more room. Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People can be confident that any complaints will be listened to and sorted out. They can be assured that staff practices in the home will safeguard them from harm. EVIDENCE: People say that if they have a worry they can speak to any of the staff, and they know they will listen to them and do whatever is needed to allay their concerns. They are confident to approach the manager, but say that there is no need to do so at the moment, because they do not have any concerns. The manager has introduced informal weekly meetings with people when they can discuss things and this means that things are usually nipped in the bud before they develop into a concern. The home welcomes people’s comments and has acted upon suggestions made. There is a well written complaints procedure displayed in the entrance hall and each person has a complaints form in their service user guide and care plan file. We looked at how the home has dealt with one complaint received since our last inspection. This had been properly recorded and showed what had been done to resolve the issue and there was a satisfactory outcome. Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 17 The home’s statement of purpose sets out its commitment to making sure that the people are kept safe. For example, “to ensure residents are treated with equality and protected from harm”. The home has policies to protect people and to encourage staff to say if they feel something is not right (whistle blow). We spoke to two carers, both had a good understanding of this issue, the signs that would alert them if something was wrong, and what action to take. They say there is nothing to worry about how things are done at Cornerways and the people who live there say that they feel safe and secure in the home. Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The recent investment to improve the building, décor and furnishing will benefit people living in the home, providing them with a more comfortable and pleasing environment to live in. People benefit from the practices in place to maintain hygiene and prevent the spread of infection within the home. EVIDENCE: There is an ongoing development plan for the home. This has included the building of a new extension to enlarge the lounge and dining room space, which is currently taking place. The provider has told us about this and the arrangements to keep people safe while the building works are going on. People living at the home have been kept informed about the changes and Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 19 their views listened to. A new large screen television and a loop system are to be installed in the new lounge. Bedrooms are comfortably furnished, some with people’s own furniture. The decoration and the furnishings are of a good standard throughout, with a number of rooms having been redecorated since the last inspection. People told us that they like their own rooms. Some bedrooms and stairways have had new carpets fitted. As things are identified that would improve the environment, they have been added. For example, two new call bells have been fitted within the ensuite toilets of two bedrooms and a number of handrails have been added throughout the home, to make it easier for people to move about independently. All bedrooms are now singles, as the one double room has been converted into two singles. The ground floor bathroom has been revamped and new non-slip flooring fitted. The new extension will include an extra toilet near the lounge areas as well as improvements to the laundry, with a new industrial washing machine and tumble drier to be added. We saw that the home is clean and free from any unpleasant odours. The visiting community nurse and people we spoke to confirmed this. There are a number of things that have been done to prevent the spread of infection in the home. These include, having plentiful supplies of liquid soap and disposable paper towels in toilets and bathrooms. Staff told us that there are always plentiful supplies of disposable gloves and aprons and they have attended infection control training. The manager is considering the addition of a sluice machine, for the cleaning of commode pans, when the building works are completed. Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People can be confident that they will be supported by competent and qualified staff, and protected by the home’s recruitment practices. EVIDENCE: People say there is a nice atmosphere at the home and that staff have good attitudes towards them. They say that staff know what they are doing and that there is usually enough staff on duty to assist them, when they need it. Staff are enthusiastic about their work, saying that they like working at the home, one said, ““I love it, love looking after the elderly.” At the start of the visit, there were two carers, a cook and the manager on duty. Later in the morning the team leader came on duty early to attend a review meeting. There is usually a cleaner on duty during the week as well, but they were on holiday. The manager was covering this when we arrived, but other staff did some cleaning later. At the last inspection, we made a recommendation to review staffing levels, taking account of residents’ dependencies and peaks and troughs throughout the day. The manager has done this and considers the current staffing levels suitable, but can call in an extra staff member if the need should arise. Staff Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 21 say there are usually enough staff on duty to give people the attention they need. Staff say they have received lots of training since working at the home and related a variety of courses they had attended. The AQAA indicates that 70 of the staff have achieved their National Vocational Qualification (NVQ) in care level 2 or above and others are working towards the higher levels. The manager has put right the deficiencies, identified at the last inspection, in the home’s recruitment process. The AQAA states: “We have a robust selection and recruitment procedure and policy. There are interview questions and a scoring sheet, which residents are involved in”. We talked about this with the manager and looked at two staff files. This confirmed that improvements have been made and staff recruitment is now thorough and safe. This includes carrying out a number of security checks, for example, obtaining two written references, criminal records bureau (CRB) and protection of vulnerable adults (POVA) register checks. This is important to make sure that any new staff employed are trustworthy and safe to be around the people living in the home. Since the last inspection, some of the people who live in the service have been involved in the interview process by completing their own scoring sheet. The manager then compares the scores and between them, they decide if the person has the right qualities to fit in at the home. The home has improved upon the training given to new staff when they first start work at the home. They are using the ‘Skills for Care’ induction training programme recommended by the Department of Health. This is completed over a number of weeks and signed off at each stage completed. The manager, or one of the senior care staff, supervises the new person and assesses them at regular intervals, to make sure they understand the right ways of doing things. We spoke to two carers about their training and some of the things that they do. They say the home is very good for training opportunities. They have a good knowledge of a range of relevant things. For example, about people’s medical conditions and how to keep them well. Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is managed in a way that safeguards the best interests of the people living there, promoting and protecting their health, safety and welfare. People can be confident that their views will influence the development of the service. EVIDENCE: The manager has the right qualifications and experience to run the home properly. She completed the AQAA well and this provides all the information we asked for. It shows where the home has made improvements and the plans for future development. The manager has a clear vision for the home Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 23 and communicates a sense of direction to staff. She promotes good practice, encouraging staff to think and work in a person centred way. One of the areas of improvement needed at the time of the last inspection was to improve communication between staff in the home and with the community nursing team. This has been done and evidence throughout this report supports this. The changes made have clearly benefited people living in the home. The home has a nationally recognised quality monitoring process. Various methods are used to gain people’s views, for example, the manager holds regular informal meetings with people each Monday. Some of the things asked for are being included within the development plan, such as the plans for a hearing loop to be fitted in the lounge and a new wide screen television, when the building work is complete. The manager also gives out quality surveys each year to people living in the home, their relatives and the staff. The results are analysed and used to influence changes within the home and the annual development plan. The registered provider visits the home regularly and talks to people and staff to ascertain their views. The AQAA indicates that the home only accepts a small amount of personal spending money for people and records are kept and counter signed periodically. This was what was found at the last inspection. The AQAA also indicates that the home’s equipment is regularly serviced and any accidents are recorded. There is an emergency plan for the evacuation of the building, which is kept in the hallway and the AQAA states that residents are well aware of this. The manager confirmed that the fire safety system is being checked regularly to make sure that it is working properly. She also carries out regular health and safety checks, such as checking the bath water temperatures. Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard Good Practice Recommendations Cornerways Rest Home DS0000023633.V369516.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Cornerways Rest Home DS0000023633.V369516.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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