Care Home: Cross Park House

Similar services:

• The Vicarage
• Fairfields Country Rest Home
• 7 Hyde Road
• 5 Seafield Road
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home

What the care home does well Good information is offered to people thinking of moving into Cross Park House, and their families, and consideration is given to meeting their individual needs as they move in. The general ambience was one of affection and genuine care in a large, happy, busy family home. Several residents said they would not hesitate to recommend Cross Park to their friends. They all said they enjoy their meals. Residents have easy access to the gardens, and had been encouraged to go out in good weather. What has improved since the last inspection? A new Manager had been appointed, who had introduced improved care practices and staff support. A resident`s relative told us that the home had `improved 100%` since she got here. Care planning had been improved, to include peoples` social interests as well as their health care information. They were more individualised and recorded peoples` family and personal interests. The Manager had arranged for a new and safer medication system to be introduced. A new medication trolley has been provided, and staff training provided, in order to promote the good health of residents. More staff had been enabled to work towards NVQ training, and more training had been provided on the particular needs of residents. The team was working well together, and managing to cover for absences to maintain the service to the residents. The programme of activities had been expanded, and the social life in the home was very lively. Most bedrooms had been refurbished, and dining furniture had been provided. New wheelchairs, commodes and an additional hoist had been provided to meet the increasing needs of residents.. What the care home could do better: At night, there is one awake Carer, and one on sleeping in duty. This needs to be carefully monitored and increased if necessary, as the needs of residents with dementia may make this unsafe, particularly as the house is on three levels. The call bell system is currently cancelled beside the office. It should be replaced with a system that is cancelled at the point of call.Staffing levels need to be monitored, as residents` care needs vary over time. There should be an extra carer between the hours of 8 and 11am, to allow for attention to residents during the busy period when the staff are helping people get up and have their breakfast. Locks on communal toilet doors should have locks for privacy, but enable staff to enter in an emergency. A record of minor concerns should be kept, so that any patterns can be identified, and action taken in response can be recorded. Night care staff should have more frequent up-dates with their fire safety training, to assure residents` safety in an emergency. CARE HOMES FOR OLDER PEOPLE Cross Park House Monksbridge Road Brixham Devon TQ5 9NB Lead Inspector Stella Lindsay Key Inspection (unannounced) 14th July 2008 9:45 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 Cross Park House DS0000018341.V363814.R03.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. Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cross Park House Address Monksbridge Road Brixham Devon TQ5 9NB 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) 01803 856619 01803 859040 crosspark@stone-haven.co.uk WWW.stone-haven.co.uk Stonehaven (Healthcare) Ltd vacancy Care Home 23 Category(ies) of Dementia (11), Old age, not falling within any registration, with number other category (23), Physical disability (23) of places Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) - maximum number 23 Physical disability (Code PD) - maximum number 23 Dementia (Code DE) - maximum number 11 The maximum number of service users who can be accommodated is 23. 29th June 2007 2. Date of last inspection Brief Description of the Service: Cross Park House is located on the outskirts of Brixham, on the hillside above the town centre. There is a driveway to the front door, and car parking space beside the house. Residential care is offered for up to 23 persons within the categories of old age and physical disability, and up to 11 of the residents may have a dementia. Living accommodation is on three floors, with two shaft lifts. At one side of the house there is a lift to the first floor, and at the other side of the house is the shaft lift to the lower ground floor. There are bathrooms on each floor. All bedrooms are single occupancy. One has on suite facilities. There are two lounge areas, one of which has easy access to the patios. A large conservatory is used as a dining room. To the front of the home there is a garden and patio, to the rear there is a small garden and terrace. The homes Statement of Purpose, Service User Guide and last inspection report are available in the main entrance hall of the home. Current fees range from £320 - £475 per week. Cross Park House DS0000018341.V363814.R03.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. This inspection was unannounced and took place over two days in July 2008. On the first day the inspector was accompanied by an Expert by Experience. An ‘expert by experience’ is a person who either has an experience of using services or understands how people in this service communicate. They visited the service with us to help us get a picture of what it is like to live in or use the service. Prior to the unannounced inspection we sent questionnaires to people who live at the home, and to people who work there. Five residents and four staff completed and returned these. The new Manager sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. During our visit we spoke to six people who use the service and three regular visitors, the Manager, and six other staff members. The expert by experience spoke to eight people who use the service and saw others in the lounge and dining room. We case tracked two people who use the service. Case tracking means we looked in detail at the care three people receive. We spoke to staff about their care, looked at records that related to them, met with them and made observations if they were unable to speak to us. We looked at staff recruitment records, training records and policies and procedures. We did this because we wanted to understand how well the safeguarding systems work and what this means for people who use the service. All this information helps us to develop a picture of what it is like to live at Cross Park House. What the service does well: Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 6 Good information is offered to people thinking of moving into Cross Park House, and their families, and consideration is given to meeting their individual needs as they move in. The general ambience was one of affection and genuine care in a large, happy, busy family home. Several residents said they would not hesitate to recommend Cross Park to their friends. They all said they enjoy their meals. Residents have easy access to the gardens, and had been encouraged to go out in good weather. What has improved since the last inspection? What they could do better: At night, there is one awake Carer, and one on sleeping in duty. This needs to be carefully monitored and increased if necessary, as the needs of residents with dementia may make this unsafe, particularly as the house is on three levels. The call bell system is currently cancelled beside the office. It should be replaced with a system that is cancelled at the point of call. Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 7 Staffing levels need to be monitored, as residents’ care needs vary over time. There should be an extra carer between the hours of 8 and 11am, to allow for attention to residents during the busy period when the staff are helping people get up and have their breakfast. Locks on communal toilet doors should have locks for privacy, but enable staff to enter in an emergency. A record of minor concerns should be kept, so that any patterns can be identified, and action taken in response can be recorded. Night care staff should have more frequent up-dates with their fire safety training, to assure residents’ safety in an emergency. 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. Cross Park House DS0000018341.V363814.R03.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 Cross Park House DS0000018341.V363814.R03.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 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information is provided about the service, and assessment of needs is carried out in order to admit people that the home will be able to care for. EVIDENCE: An information pack is offered to enquirers. It contains the home’s Statement of Purpose and Service Users’ Guide, the most recent CSCI inspection report, a well as a leaflet about an advocacy service and an Alzheimer’s Society guide to choosing a care home. Six newsletters per year are distributed, with photos, keeping people informed of activities, news, and forthcoming events. We examined the assessment of two residents who had recently been admitted to Cross Park House. One had been an emergency admission, and there was brief information from the social worker. A Senior Carer had been to the house to meet the prospective resident and their spouse, to assess their needs and the home’s ability to meet them. The other new resident had information Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 10 provided by their social worker with respect to their health problems and care needs. The home is registered to care for people with dementia. The Manager ensures that residents admitted to Cross Park House do not have advanced dementia or challenging behaviour, as this would be beyond the scope of the home at present, with the level of staffing provided. The home provides a statement of terms to be clear about what the home provides, and the terms of residency. One was seen on file, signed on behalf of a resident by their representative, as they were not competent to make that decision. This had not yet been done for the new residents. A relative of one of the new residents said that the staff, in particular the Manager, had been ‘a brilliant support to me’ through what had been a difficult time for the family. Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care is delivered according to assessed need, flexibly and with respect to residents’ dignity and changing needs. The staff are keen to work with health care staff. Medication is administered carefully and efficiently for promotion of residents’ good health. EVIDENCE: Each resident had a care plan, based on careful assessment of their needs. These were being developed to include residents’ social interests, family history and occupational skills. Risks had been considered and recorded with the emphasis on enabling residents to continue to do what they want, while providing a safe environment for them. No bed-guards were in use, but a crash mat had been provided for someone who was at risk of falling out of bed. Care tasks for staff were detailed in files in each resident’s bedroom, for staff to check daily and keep records. These were seen to include detailed instruction with regard to skin care where this was needed. The MUST tool Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 12 was used and residents were weighed regularly, in order to identify problems. Bowel and nutrition charts were kept when this was needed, and these were examined and found to be completed and up to date. Skin care needs were recorded with regard to pressure risk areas, with body maps for guidance. Everyone was confident that they could have “extra” baths or showers if they wished. All were confident that a doctor would be called when necessary. District Nurses have been frequent and regular visitors to residents at Cross Park House. Until recently their visits have not always been documented, and the person in charge mat not have been aware of the visit. Now all visits are recorded. District Nurses had raised an alert about problems with regard to the administration of insulin, and an incidence of sunburn. The Manager responded promptly to put correct procedures in place. The Continence Nurse had visited monthly to review residents’ needs and had provided information for staff on good practice in catheter care. Occupation Therapy assessments had been carried out with respect to residents whose mobility was declining. Advice had been taken with respect to obtaining the correct slings to use in the mobile hoist. A stand-aid was being used by two residents. The Manager had been involved in the presentation of a ‘Falls Day’ with local health and social services personnel. The Manager had arranged for a safer medication system to be introduced. A new medication trolley has been provided, and staff had been trained. We looked at the Medication Administration records and found them to be kept accurately. These records included photographs of all individuals and the medication policy and procedure. Staff were seen to relate to individuals with respect, and to knock on bedroom doors before entering. Cross Park House DS0000018341.V363814.R03.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, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is a lively social life in Cross Park House, and efforts are made to suit individual needs and preferences, in order to provide a good quality of life and avoid residents becoming isolated. EVIDENCE: Everyone said they retired and rose at a time of their choice. All but one of the residents chose to come to the dining room for breakfast, between 8 and 10.30am. One person was seen to be having breakfast at 10.45am. Their family confirmed that it was normal for them to make ‘breakfast run into lunch’. People were happy with their laundry saying it was usually returned the next day. Many social activities are available, most people were still talking about the party at the weekend when families were invited and they enjoyed themselves greatly. From time to time wheelchair users are taken down to the harbour returning in an adapted taxi. Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 14 The home had joined in a ‘Breath of Fresh Air Week’, getting out and about every day, promoted by the National Association for Providers of Activities for older people. One person had a picture of himself with the local Mayor, other photographs depicted residents with the “pirates” at the quayside. Social visits are made to a nearby residential home, whose residents also visit Cross Park. The weekend fete had been a joint event. Photo albums are kept to remind residents of activities they have enjoyed and to enable them to share this with their visitors. There is a wide range of videos, and some residents choose to watch films during the afternoons. Musicians and entertainers are booked to perform at the home once or twice per month. The local clergyman visits every four weeks and an increasing number of residents take Holy Communion. Without exception people were content with the food saying “Enjoyable”, “Good food but too much sometimes”, “No choice except at tea times”, “I have never had to complain about the food”, “Good enough”, and “Very good”. Although there is no choice of menu the Chef is aware of and takes into account likes and dislikes. On the day of the visit the lunch was two medium sized sausages with baked beans and mashed potatoes followed by pear sponge and custard. The food was fresh and hot. The previous day roast beef had been served with vegetables. Tablemats with a photograph of the service user marked their dining place. The Manager advised that snacks were available in the evening, but not everyone was aware of that. Cross Park House DS0000018341.V363814.R03.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place for dealing with complaints and safeguarding issues, and the home deals effectively with matters as they arise. EVIDENCE: The Manager is commended by the CSCI for bringing to light poor practice that she found when she came to work at Cross Park House, so that it could be dealt with. This brought about a time of change which has not been easy for the team, but now all are working well together to provide a good service to their residents. The service providers kept the CSCI well informed about the evidence as it came to light, the ensuing disciplinary process, and their arrangements for maintaining management within the home. Residents were able to say to whom they could make a complaint if necessary. They have a copy of the Complaints Procedure in their bedrooms. It would be good practice to keep a record of minor concerns, to see if any pattern emerges, and to show what action has been taken in response. The Manager said that she ‘wants to provide an excellent service and so welcomes suggestions and any concerns that someone might have.’ A safeguarding alert was raised in June 2008 by a visiting District Nurse. This highlighted issues of procedure both for the home and visiting professionals. Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 16 To address the issues highlighted for the home, the Manager has made changes to ensure referrals are now made directly to the District Nurses at admission, that the person in charge of the home at any time will know when a District Nurse visits a client, and she has given a Senior Carer responsibility for liaison with the District Nurses. All staff are checked during the recruitment process - ‘They are very strict about CRB and POVA checks’ – was written by a staff member returning a survey, and confirmed when we looked at staff files. There had been in-house staff training on the Protection of Vulnerable Adults. Three staff had received training on the Mental Capacity Act, and others were booked in for later in the year. The Manager was advised that she has a responsibility to include herself in this. Cross Park House DS0000018341.V363814.R03.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, 22, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Cross Park House is clean, attractive, and provides comfortable and appropriate surroundings in which to live. Some safety issues remain. EVIDENCE: Cross Park House is a detached building on three floors. The entrance and communal rooms are on the middle floor, with two shaft lifts – one to the lower ground floor, and the other to the first floor. There are two separate lounges. The larger of the two has access to patios on two sides, and is a light airy room. The small lounge is more enclosed, and is adjacent to the large conservatory, which is used as the dining room, and gives people living in the home plenty of light and garden views while they eat. There are accessible and attractive gardens and various patios and courtyards Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 18 with seating where people may enjoy the fresh air and views. The House has several pet rabbits that the residents enjoy petting and stroking. Residents are free to use either lounge as they prefer. The bedrooms were personalised with photographs and ornaments. The call bell system is not satisfactory, as bells are turned off at a switchboard beside the office. A system should be provided where the bells are turned off at the point of call. We were told that ‘walkie-talkies’ were provided for the Night care staff to call for support from the sleeper-in, without having to leave a potentially ill or distressed resident to go and fetch help, and that the day staff find them useful as well. Good locks were fitted to bedroom doors, to assure privacy while giving no danger of being locked in. Suitable locks should be fitted to communal toilet doors for privacy – there was no lock on the toilet by the office, while the first floor toilet had a bolt on the inside which could lead to staff being unable to get to a resident in an emergency. Radiators had been covered to protect residents from potential harm, but one was seen in a bathroom with no cover, and another in Room 8. These should be provided. The carpet in the large lounge was worn and in need of replacement. The Manager said that she had sent the service providers a list of the electrical sockets needed to meet residents’ needs for electrical appliances. The home was clean and sweet smelling throughout. The cleaner was pleased with the equipment provided for cleaning floors. There is a system in place to deal with soiled and potentially infectious laundry. Clean clothes are dried in a separate room. The sluice was broken at the time of this inspection, but a new one was on order. The sliding door beside the laundry had broken, but was replaced during this inspection, to assure security. The home had recently taken part in a local infection control incentive, with all staff involved. Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Well-motivated staff are working hard to fulfil their role as well as they can, though staffing levels will need to be reviewed as residents with more complex needs are admitted. Good training is being provided. EVIDENCE: Without exception residents were very complimentary about the Manager and her staff, commenting, ‘staff are excellent’; ‘can’t do enough for you’, the girls are lovely’, and ‘staff are very good here’. We noted that the staff were very much in evidence and the Manager was extremely “hands on”- seeming to be in all places at all times leading her industrious happy team by example. Much good humour was displayed between colleagues and residents. However, we saw that staff are very busy during the mornings, and not able to give attention to residents in the lounges. This becomes increasingly important as more residents with complex needs are cared for. Staffing levels between 8 and 11 am need to be reviewed. Currently there are four carers at this period. One is responsible for administering the medication, while care tasks are allocated daily between the others, with residents’ care needs and state of health considered. Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 20 At night there is only one awake Carer, and one on sleeping in duty. All residents spoken with said a carer came very quickly if the call cord was used at night. One said, “they come so quickly they must be outside my door!” another replied, “within five minutes if they are already busy somewhere else”. In spite of this good experience, it remains a concern, as the home is over three floors, and some of the residents have complex needs. Two overseas staff had recently been moved by the home owners from a different home in their group. This leads to difficulties as the staff have to learn all the different ways and requirements of residents who may themselves have problems with communication due to hearing problems or speech difficulties. All respondents said they had no problem understanding what the staff were saying, but these were the more articulate and able residents. District Nurses had reported meeting with problems making themselves understood. The overseas staff we met had good language skills. The home has its own induction workbook. After completing this, all staff are expected to engage in NVQ training and now all have achieved or are working towards level two or three. This is very good progress. Incentives are offered by the company to staff achieving high levels of qualification. The Manager gave us a copy of her staff training plan. This shows that many of the staff are up to date with most or all of their mandatory training, and that she is aware of those needing training. This had included Challenging behaviour and dementia care awareness. Seven further staff were enrolled on an external 32 week course on Dementia care with North Devon College. A local clergyman has provided bereavement counselling to the staff. Staff confirmed that the training supplied gave them confidence to carry out their work. This included Person Centred care and record keeping. Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The new Manager has a clear vision of the good care to be provided at Cross Park House, and has the support of the Service Providers and her team to work towards this, in the best interests of the residents. EVIDENCE: The new Manager has worked at the home for a year, guiding it through a period of change. She has been in post as Manager only since May 2008, and her application to register with the CSCI is anticipated. She has two more units to complete in order to achieve the Registered Managers’ Award, and following this will work towards NVQ4 in care and management. She has shown her aptitude for this work, with good leadership skills and strong motivation to work for the residents’ best interests. Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 22 The Responsible Individual for the company visits monthly to inspect the premises and speak with residents and staff in accordance with the regulations and to monitor the quality of the service provided. Action had been taken to meet requirements made at the previous inspection. Audits are carried out within the home according to their quality assurance manual. Feedback is gathered from families and friends of residents. Staff meetings are held regularly. Cash is kept in the home for some residents, with all transactions recorded, and receipts kept. There should be two signatures for each withdrawal, unless the resident is competent to sign for themselves. The Responsible Individual checks these accounts every month to assure accuracy. The Manager has introduced new books for recording supervision sessions with staff, and is providing regular 1:1 time to ensure they have an opportunity to discuss anxieties and training needs, as well as being given feedback on their performance and being kept up to date with any new policies. Safe working practices are maintained in the home. Moving and handling practice was seen to be good and reliable, and Occupational Therapist assessment and advice is sought when needed. All of the staff were up to date with their Manual Handling training. Ten staff were qualified first aiders, ensuring that one would be available at any time. Seven staff had not benefited from the professional Fire safety training provided in January 2008. A way of providing this training should be found before the next annual training is due. The home has resources for in-house fire safety up-dates. These should be carried out and recorded for night staff at three monthly intervals, to assure safety for residents in an emergency. Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 2 X 3 X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Cross Park House DS0000018341.V363814.R03.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP27 Good Practice Recommendations Management should continue to review staffing levels by night and between the hours of 8 and 11am, and send a report to CSCI. A record of minor concerns should be kept, in order to see any pattern emerging, and to record any action taken in response. The Manager should receive training in the Mental Capacity Act 2005, as it is her responsibility to implement it in the home. A call bell system should be provided that is cancelled at the point of call. Electricity sockets should be provided to meet residents’ needs for electrical appliances. DS0000018341.V363814.R03.S.doc Version 5.2 Page 25 2. OP16 3. OP18 4. 5. OP22 OP24 Cross Park House 7. OP38 The house should be checked for any further radiators needing to be covered, and these should be provided promptly. All staff should be up to date with fire safety training, including three-monthly up-dates for Night staff. 8. OP38 Cross Park House DS0000018341.V363814.R03.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 Cross Park House DS0000018341.V363814.R03.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!