Care Home: Court House Retirement Home

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What the care home does well Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 6The home provides a range of accommodation which allows people to maintain their independence. The standard of all accommodation is of an exceptional standard. The standard of cleanliness is high and appropriate procedures are in place to reduce the risk of the spread of infection. Peoples` laundry is laundered on an individual basis at the home. People who are thinking about moving to the home are appropriately assessed and are provided with information about the home and services offered. The home`s care planning procedures ensure that peoples` needs and preferences can be met by staff. People living at the home were very positive about the care and support they received. People are protected by the home`s robust staff recruitment procedures. Staffing levels are appropriate to the needs of people living at the home and staff have been appropriately trained. The home is appropriately managed and people benefit from an open and inclusive style of management. The procedures for the management and administration of peoples` medication are good and since the last inspection people have been provided with safe storage in their bedrooms. People are supported to administer their own medicines through a risk assessment process. People told us that they were treated with respect and that their privacy was respected. During the inspection we observed staff interactions to be very respectful and staff were observed knocking on peoples` bedroom doors before entering. The home`s activity programme is based on the views and preferences of the people living there. People told us that there were things going on if you chose to join in. The home employs catering staff and people benefit from a wide range of choices for each meal. People are provided with personalised menus. The home ensures that the mealtime experience is a pleasurable one and there is an emphasis on attention to detail. Each person is provided with a complaints procedure and people told us that they felt confident in raising concerns. The home has systems in place to ensure the health and safety of persons at the home. What has improved since the last inspection? At the last inspection it was required that the home complete risk assessments for any individual who self-medicated. At this inspection we found appropriate risk assessments to be in place. Since the last inspection the home have provided lockable storage in all bedrooms for the safe storage of medication. The home`s procedures for staff recruitment have improved meaning that people living in the home are better protected. Since the last inspection, all staff have received training in the protection of vulnerable adults. CARE HOMES FOR OLDER PEOPLE Court House Retirement Home Church Street Cheddar Somerset BS27 3RA Lead Inspector Kathy McCluskey Unannounced Inspection 24th September 2008 10:30 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 Court House Retirement Home DS0000016113.V372317.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. Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Court House Retirement Home Address Church Street Cheddar Somerset BS27 3RA 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) 01934 742131 01934 742054 Mr Brian Dando MRS PEARL DANDO MRS MARGARET ANNE THOMAS Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12/10/07 Brief Description of the Service: Court House Retirement home is a large Georgian House situated in the heart of the town of Cheddar in Somerset. Accommodation is arranged in three buildings. The main house, which can accommodate 12 people, The Courtyard is made up of 6 rooms and The Cottage which accommodates 8 people. The Courtyard and the Cottage are situated in the grounds of the main house. The home is registered with the Commission for Social Care Inspection to provide personal care for up to 29 people over the age of 65 years. The home is not registered to provide nursing care. The registered providers are Mr B. & Mrs P.Dando. The registered manager is Mrs Margaret Thomas The current fee range is £450.00 to £550.00 per week. Additional charges include personal items, hairdressing and newspapers. Court House Retirement Home DS0000016113.V372317.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 focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service for each outcome group under four general headings. These are; - excellent, good, adequate and poor. This unannounced key inspection was conducted over one day (7hrs) by CSCI Regulation Inspector Kathy McCluskey. The registered manager was unavailable for this inspection but the deputy manager was available throughout the day. We were informed that at the time of this inspection, 23 people were living at the home. We were able to speak with a number of people using the service and three staff. We were given unrestricted access to the home and records required for this inspection were made available to us. The home returned its’ completed Annual Quality Assurance Assessment (AQAA) to the Commission within the required timescale. The AQAA is a selfassessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Extracts from the AQAA have been included in the report as appropriate. We would like to thank all involved, for their time and cooperation with the inspection process. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. What the service does well: Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 6 The home provides a range of accommodation which allows people to maintain their independence. The standard of all accommodation is of an exceptional standard. The standard of cleanliness is high and appropriate procedures are in place to reduce the risk of the spread of infection. Peoples’ laundry is laundered on an individual basis at the home. People who are thinking about moving to the home are appropriately assessed and are provided with information about the home and services offered. The home’s care planning procedures ensure that peoples’ needs and preferences can be met by staff. People living at the home were very positive about the care and support they received. People are protected by the home’s robust staff recruitment procedures. Staffing levels are appropriate to the needs of people living at the home and staff have been appropriately trained. The home is appropriately managed and people benefit from an open and inclusive style of management. The procedures for the management and administration of peoples’ medication are good and since the last inspection people have been provided with safe storage in their bedrooms. People are supported to administer their own medicines through a risk assessment process. People told us that they were treated with respect and that their privacy was respected. During the inspection we observed staff interactions to be very respectful and staff were observed knocking on peoples’ bedroom doors before entering. The home’s activity programme is based on the views and preferences of the people living there. People told us that there were things going on if you chose to join in. The home employs catering staff and people benefit from a wide range of choices for each meal. People are provided with personalised menus. The home ensures that the mealtime experience is a pleasurable one and there is an emphasis on attention to detail. Each person is provided with a complaints procedure and people told us that they felt confident in raising concerns. The home has systems in place to ensure the health and safety of persons at the home. Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Court House Retirement Home DS0000016113.V372317.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 Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, & 3 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. People are provided with information about the home that assists them in making an informed decision to live there. The home ensures that people thinking about moving to the home are appropriately assessed before being offered a placement. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide, which have been updated since the last inspection to reflect management changes. We spoke to two people who had recently moved to the home and they told us that they had received information about the service before they moved there. Both informed us that their family had visited the home at their request. Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 10 We were able to see that people are issued with a contract which sets out the fees to be paid and the terms and conditions of residence. We were informed that the first four weeks of admission is a trial period. There was evidence in the care plans examined that people had been appropriately assessed before a placement had been offered. We were informed that pre-admission assessments are carried out by the registered or deputy manager. Court House Retirement Home DS0000016113.V372317.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 and 10 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Peoples’ support and healthcare needs are clearly set out in their plan of care. The care planning process also ensures that peoples’ preferences are identified and met. This promotes a person centred approach to care. The home’s procedures for the management and administration of peoples’ medication are good and people are supported to self-administer through a risk assessment process. People told us that they were treated with respect and that their privacy was respected. EVIDENCE: We examined two care plans at this inspection and found them to contain up to date information about the assessed needs of the individual’s. Details regarding their individual preferences had been recorded. Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 12 We were informed that people living at the home currently required very little staff input to meet their health or personal care needs. We were able to see evidence that people had access to appropriate healthcare professionals. The home maintains records relating to a persons contact with a healthcare professional. There was evidence that one person was receiving support from a specialist healthcare professional. Peoples’ weights are monitored every month. Care plans are reviewed every month. The home’s completed AQAA stated; ‘The registered manager sees each resident daily to find out about any health issues that need addressing’ and ‘We have a good working relationship with our local medical centre, district nurses and social workers’. During this inspection we spoke with the majority of the people living at the home. People were very positive about the care they received; ‘Staff know what I want and what I like’, ‘I never get told to do anything, they are very kind and help you to stay independent’, ‘The staff are very kind and respectful’, ‘I feel that my needs are fully met by all of the staff here, they are wonderful’. We spoke to three members of staff and all confirmed that they felt well informed as to the needs and preferences of the people at the home. During the inspection we noted staff interactions with people to be very respectful. The atmosphere at the home was very relaxed and people were observed moving freely around the home. We examined the home’s procedures for the management and administration of peoples’ medication. The home uses a local pharmacy and are provided with pre-printed medication administration records (MAR). Since the last inspection the home have improved on the storage of peoples’ medication by installing medicine cabinets in each persons bedroom. This ensures that medicines are securely stored and also ensures that the system for administering medication is safer. We examined all available MAR charts and found them to be fully completed. Appropriate recording systems were in place for medicines received into the home and returned to the pharmacy. As required at the last inspection, risk assessments have been introduced for people who administer their own medicines. It has been recommended that the home obtain the person’s signature on the MAR chart to confirm the number of medicines that they have received and the date received. The home’s AQAA confirmed that all staff had received training in the management and administration of peoples’ medication. Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 & 15 Quality in this outcome area is Excellent This judgement has been made using available evidence including a visit to this service. The home’s activity programme is based on the views and preferences of the people living there. The standard and choice of meals and the mealtime experience are excellent. EVIDENCE: The home has activity programme which is based on the views of the people living there. People told us that were regularly invited to offer suggestions. Some people told us that although there were things going on, they chose not to join in. The home has regular keep fit, film evenings, coffee mornings and art classes. The completed AQAA stated that there are also monthly quizzes and a visiting theatre company and that trips out are also arranged. As previously mentioned, people’s preferences and details about their social history, are recorded within their plan of care. There was evidence that people are supported to continue with their own hobbies/interests. Two people are currently being encouraged to continue with their love of painting. Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 14 Records are maintained relating to peoples’ involvement in the activity programme. People living at the home told us that their visitors were always made to feel welcome and that refreshments were always made available. This was also confirmed by a visitor we met with during the inspection. People told us that they could choose where to see their visitors. During this inspection we were able to observe the lunchtime experience. Just prior to lunch we observed people relaxing in the drawing room, chatting and enjoying a glass of sherry. Once they had been informed that lunch was served, people made their way into the very comfortable dining room where they were served their chosen meal. A selection of potatoes and vegetables were provided to each table in serving dishes. People spoken with were very positive about the meals and choices offered at the home; ‘The food is excellent and you have three choices for every meal’. Each week people are asked about their choices and are then provided with their own menu to keep. At lunch time people can choose from two hot dishes or a cold option. Hot dishes are also available at tea time. Desserts, a cheese board and fresh fruit are always offered. Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. The home has systems in place which allow people to raise concerns. Procedures are in place to ensure people are protected from the risk of harm or abuse. EVIDENCE: The home has produced a complaints procedure which is made available to each person using the service. The home’s completed AQAA told us that the home has not received any complaints and no complaints have been raised directly with the Commission. People told us that they would feel confident in raising concerns if they had any and that their views were sought on a daily basis. The home has a range of policies and procedures in place for staff which help to reduce the risk of harm or abuse to the people living there. These include the whistle blowing policy, acceptance of gifts and restraint. We were able to see evidence that all staff had received recent training in the Protection of Vulnerable Adults. It has been recommended that the home obtains a copy of Somerset’s revised policy (May 2007) on Safeguarding Adults so that staff are aware of the local procedures to be followed. Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 16 The home follows robust staff recruitment procedures that include checking staff against the Criminal Records Bureau (CRB) and Protection of Vulnerable Adults register (POVA). Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24, 25 & 26 Quality in this outcome area is Excellent This judgement has been made using available evidence including a visit to this service. People can choose from a range of accommodation to suit their needs and preferences. People benefit from an environment that is maintained to a very high standard. All bedrooms are for single occupancy and are fitted with en-suite facilities. The standard of cleanliness is high and appropriate procedures are in place to reduce the risk of the spread of infection. People benefit from a personalised laundry service. Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 18 EVIDENCE: The home is conveniently situated in the heart of the small town of Cheddar which allows people easy access to local amenities. The home has beautiful and well maintained gardens and the majority of peoples’ private accommodation, look out onto the gardens. Accommodation is set out in three ‘units’ which are all in close proximity to each other. The main house is a beautiful Grade II listed Georgian property which has been tastefully restored to provide ‘gracious’ living. Furniture, décor and fixtures are of a very high standard and are in keeping with the Georgian period of the house. The main house has 12 spacious bedrooms all of which are fitted with en-suite toilet and bathing facilities. A stair lift is fitted to the stairs to assist those with mobility difficulties. The ‘Courtyard’ consists of six rooms at ground floor level. These provide spacious accommodation for those who require a greater degree of independence. All are fitted with en-suite and kitchenette facilities. The ‘Cottage’ can accommodate up to eight people. Communal areas include a very pleasant lounge and conservatory/dining area. All bedrooms are fitted with en-suite and kitchenette facilities. A stair lift is installed. All areas are fitted with a nurse call system. Bedrooms are completely refurbished each time they become vacant. People bring their own personal possessions with them and this allows people to make their private space as homely as possible. Peoples’ private space is fitted with a lock, which can be overridden by staff in the event of an emergency. During this inspection we visited people living in each house. Without exception, all were very positive about the home and of their private accommodation; ‘I am very happy here and I like going into the garden’, ‘You feel just like you are at home, it is wonderful’, ‘I can choose how and where to spend my day and nobody bothers you’, ‘It is beautiful and so clean’. The standard of cleanliness was noted to be of a very high standard. We were informed by people living at the home that the laundry service was ‘exceptional’. Peoples’ personal laundry is laundered on an individual basis at the home. Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 19 The home has procedures in place to reduce the risk of the spread of infection. Staff hand washing facilities are appropriately sited throughout the home. Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Staffing levels are appropriate to the needs of people living at the home. People are protected by the home’s robust staff recruitment procedures. The home takes steps to ensure that staff are appropriately trained. EVIDENCE: We were informed that there have been no changes to staffing levels since the last inspection. We were also informed that staffing levels were appropriate to the current needs of people living at the home. Staffing is currently provided as follows; Morning – 3 carers increasing to 4 between 0900 & 1100hrs Afternoon – 3 carers Night – 1 waking and 1 sleep-in staff. The registered manager and deputy manager work in addition to the staff shown above. The home also employs a lunch and supper chef over a 7 day period. Gardeners are also employed. Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 21 When we spoke to people living at the home, they told us that staff were ‘always available when you need them’. People said that call bells were responded to promptly during the day and at night. We spoke to three members of staff and no concerns were raised regarding the current staffing levels. The home’s completed AQAA told us that of the 18 permanent care staff employed, 7 have achieved a minimum of an NVQ level 2 in care or equivalent. This equates to 39 which falls below the recommended 50 of the National Minimum Standards. The AQAA did identify that 7 staff are currently working towards this award. We were also able to see evidence that newly appointed staff are encouraged to undertake this award. We examined the home’s procedures for staff recruitment by looking at the files for two staff who had been recently employed. Both files contained all required information and there was evidence that the staff had not commenced employment until a satisfactory enhanced criminal record check (CRB) and protection of vulnerable adults check (POVA) had been received. We have recommended that the staff application form is updated to include a statement clarifying that the post is exempt from the Rehabilitation of Offenders Act. We were able to see evidence that newly appointed staff follow an induction programme which follows the Skills for Care Common Induction Standards. There was also evidence that staff had received mandatory training and training in the protection of vulnerable adults. All staff are issued with a comprehensive employee handbook. The deputy manager has devised a staff training matrix to ensure that all staff receive appropriate training and updates as required. Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 & 38 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. People benefit from an effective management team who promote an open and inclusive style of management. Procedures are in place to ensure that the views of people using the service and other stakeholders are regularly sought. People benefit from a team of staff who are regularly supervised. Appropriate procedures are in place to ensure the health and safety of persons at the home. Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 23 EVIDENCE: The registered manager is Mrs Margaret Thomas. Mrs Thomas has over 20 years experience in care and has worked at the home for 16 years. She has been the registered manager for the last 9 years. Since the last inspection a deputy manager has been employed. The deputy manager works closely with the registered manager and the home’s completed AQAA told us that the deputy manager is currently registered on the new leadership in management course. People living at the home and staff were positive about the management of the home. Staff told us that they felt well supported. They described working at the home as being ‘like part of a big family’. During the inspection we observed the deputy manager interacting with the people living there and they responded in a very positive manner. People living at the home told us that they had the opportunity to attend regular meetings. One person showed us a letter inviting them to the next meeting later in the week. Regular meetings are also held for staff. The home has an effective quality assurance programme which formally seeks the views of people living at the home, relatives and other stakeholders. We were able to see the results of the most recent survey and responses were very positive. There was evidence that the home had responded to suggestions raised by people living at the home. We were informed that the home is currently assisting one person to manage small amounts of money. Appropriate records were in place, receipts had been obtained and monies were securely stored. The home has systems in place to ensure that staff are appropriately supervised. Records indicated that staff receive formal supervision at least six times a year with records maintained. Staff also have an annual appraisal. As previously mentioned, staff told us that they felt well supported. We examined a selection of records and toured the premises to check the home’s procedures relating to health and safety. All records were up to date and the home was found to be well maintained. Mandatory training for staff was up to date. Court House Retirement Home DS0000016113.V372317.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 3 3 x x N/A 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 x 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 4 x 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 3 Court House Retirement Home DS0000016113.V372317.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. 1. Refer to Standard OP9 Good Practice Recommendations When medicines are given to a person to self administer, the home should obtain the person’s signature on the Medication Administration Record confirming the number of tablets supplied and the date supplied. To ensure that staff are aware of local procedures to be followed, the home should obtain a copy of Somerset’s revised policy (May 2007) on Safeguarding Adults. The home needs to update its employment application form to include a statement that the post is exempt from the Rehabilitation of Offenders Act 2. 3. OP18 OP29 Court House Retirement Home DS0000016113.V372317.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Court House Retirement Home DS0000016113.V372317.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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