Care Home: Curzon Park Residential Home

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What the care home does well Curzon Park provides a good standard of care for people living in the home. Typical comments about the care home were, `I have total admiration for the staff. They are always smiling, calm and loving towards the residents. I certainly could not do their job` and `what I really like about Curzon Park staff is the continuity of main staff and that they know each individual and their specific ways, eg like to `look good` in what they wear, know what they have particular difficulty with. They definitely know the individuals` personalities and use this to get the best out of the residents.` A person living in the home wrote, `excellent care and support all the time.` The home is very well managed and the new manager has implemented many changes in the short period of time she has been at the home. This means that care standards have improved and outcomes for people living in the home are good. The manager is well respected by people living in the home, relatives and staff. People living in the home know their privacy and dignity will be respected and that they are regarded as individuals. Onre relative commented,`the staff treat everyone with respect.` They enjoy a good standard of catering and are given opportunites to participate in a variety of activities so they have choice in their daily lives. Curzon Park offers a warm, friendly and homely atmosphere so people feel comfortable in this environment. The home offers a number of communal living areas where people can choose to sit or stay in their own room if they wish. Recruitment practices are thorough so people living in the home are protected. Staff are supported and encouraged to undertake training which is appropriate to their role so they have the skills and knowledge to provide good care. There are effective mechanisms in place to monitor the quality of care in the home so that people know they are receiving a good service. What has improved since the last inspection? The manager makes sure that people thinking about living at Curzon Park have their needs thoroughly assessed before admission so their needs can be met by care staff and in accordance with their registration certificate. All people living in the home have a care plan, which describes their care needs and the care plans are kept under regular review so that changing care needs are identified, recorded and met. The manager has made sure that thorough recruitment checks have been carried out so people living in the home are protected. The owners of the home conduct monthly visits to the care home to check that care standards are being met. They provide the manager with a report about this visit so the owners can evidence that the care home is providing a good service and so the owners can take any actions identified as a result of their visit. The care home informs the CSCI of any events occurring in the home, which they are legally required to do. Most staff have undertaken training in fire safety and participated in a fire drill so they know what to do in the event of a fire and so people living, working and visiting the home are protected. The owners have produced an up to date fire risk assessment, which details the actions to be taken by them to reduce the danger of fire in the home so people are protected.Most staff have undertaken moving and handling training so they know how to move people living in the home in a safe manner and so they are protected from possible injury. What the care home could do better: Care plans need to contain more information about how the needs of people with diabetes and at risk of developing pressure sores will be met so that people who are at risk are protected and so that staff know how to meet their needs. Any staff who have not undertaken training in adult protection should do so, so that they understand their roles and responsibilities in relation to possible abuse. The owners should review bathing facilities in the home to ensure that they are sufficient and fit for purpose. Suitable storage facilities should be provided for surplus furniture and equipment and faulty windows should be repaired so people living in the home are safe. Actions identified on the fire risk assessment should be completed within the agreed timescales so that people in the home are safe. All remaining staff should undertake fire safety training and regular fire drills so they know what to do in the event of a fire. CARE HOMES FOR OLDER PEOPLE Curzon Park Residential Home 13 Curzon Park South Chester Cheshire CH4 8AA Lead Inspector June Shimmin Unannounced Inspection 11 June 2008 09:30 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 Curzon Park Residential Home DS0000067766.V363576.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. Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Curzon Park Residential Home Address 13 Curzon Park South Chester Cheshire CH4 8AA 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) 01244 677666 Curzon Professional Services Limited Manager post vacant Care Home 25 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (25) of places Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 25 service users to include:* Up to 25 service users in the category of OP (Old age, not falling within any other category) * Up to 4 service users in the category of DE(E) (Dementia over the age of 65) Date of last inspection 15th January 2008 Brief Description of the Service: Curzon Park is a care home providing personal care for up to 25 older people, four of whom may have dementia. The home is an adapted two-storey house in a residential area within half a mile of Chester city centre. The home has 22 single and one double bedroom. Seven of the bedrooms have an en-suite toilet and all have washbasins. Bedrooms and bathrooms are on both floors. The main staircase between the ground and first floors has a stair-lift. However, residents who have a bedroom on the first floor need to be able to walk up one small fight of stairs to reach their bedroom. There are three lounges on the ground floor (one with a self contained kitchenette) and a dining room. The home is set in mature gardens and there is a pleasant garden and courtyard where residents and their visitors can sit. The weekly charge to residents was between £460 and £525. In addition to this residents would have to pay for hairdressing, toiletries, private chiropody and a personal telephone. Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. This key unannounced inspection visit took place over 7 and a quarter hours. Before the visit the manager was asked to provide information about the home as part of this inspection process. 4 CSCI surveys were received from people who live in the home as well as 3 from relatives. 4 staff surveys and a survey from a care professional were also received before the visit. We talked to 4 people living in the home and gained their views about the care and services that are provided. We also spoke to 4 staff members during the day. Their views are incorporated into the findings of this report. Two sets of care records were looked at during the visit to check on the care people who live in the home receive. Records of medication, maintenance, and staff training records were also examined, as were various policies and procedures. What the service does well: Curzon Park provides a good standard of care for people living in the home. Typical comments about the care home were, ‘I have total admiration for the staff. They are always smiling, calm and loving towards the residents. I certainly could not do their job’ and ‘what I really like about Curzon Park staff is the continuity of main staff and that they know each individual and their specific ways, eg like to ‘look good’ in what they wear, know what they have particular difficulty with. They definitely know the individuals’ personalities and use this to get the best out of the residents.’ A person living in the home wrote, ‘excellent care and support all the time.’ The home is very well managed and the new manager has implemented many changes in the short period of time she has been at the home. This means that care standards have improved and outcomes for people living in the home are good. The manager is well respected by people living in the home, relatives and staff. People living in the home know their privacy and dignity will be respected and that they are regarded as individuals. Onre relative commented,`the staff Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 6 treat everyone with respect.’ They enjoy a good standard of catering and are given opportunites to participate in a variety of activities so they have choice in their daily lives. Curzon Park offers a warm, friendly and homely atmosphere so people feel comfortable in this environment. The home offers a number of communal living areas where people can choose to sit or stay in their own room if they wish. Recruitment practices are thorough so people living in the home are protected. Staff are supported and encouraged to undertake training which is appropriate to their role so they have the skills and knowledge to provide good care. There are effective mechanisms in place to monitor the quality of care in the home so that people know they are receiving a good service. What has improved since the last inspection? The manager makes sure that people thinking about living at Curzon Park have their needs thoroughly assessed before admission so their needs can be met by care staff and in accordance with their registration certificate. All people living in the home have a care plan, which describes their care needs and the care plans are kept under regular review so that changing care needs are identified, recorded and met. The manager has made sure that thorough recruitment checks have been carried out so people living in the home are protected. The owners of the home conduct monthly visits to the care home to check that care standards are being met. They provide the manager with a report about this visit so the owners can evidence that the care home is providing a good service and so the owners can take any actions identified as a result of their visit. The care home informs the CSCI of any events occurring in the home, which they are legally required to do. Most staff have undertaken training in fire safety and participated in a fire drill so they know what to do in the event of a fire and so people living, working and visiting the home are protected. The owners have produced an up to date fire risk assessment, which details the actions to be taken by them to reduce the danger of fire in the home so people are protected. Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 7 Most staff have undertaken moving and handling training so they know how to move people living in the home in a safe manner and so they are protected from possible injury. 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. Curzon Park Residential Home DS0000067766.V363576.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 Curzon Park Residential Home DS0000067766.V363576.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People thinking of living in Curzon Park have their needs assessed before moving in so they know that staff at the home can meet their needs. EVIDENCE: The pre admission assessment of one person who has recently moved into Curzon Park on a permanent basis was seen. The manager said that she undertakes assessments of anyone considering moving into Curzon Park. The assessment was of a good standard and included an evaluation of the person’s physical and mental health needs. It also contained information about the person’s background in terms of their family, work and social life. This is good practice as it enables care home staff to understand the person as an individual and what their preferences are in relation to their daily life and what their expectations might be. Although the person has a diagnosis of early onset dementia the person was admitted because their physical needs were greater. The manager is aware that Curzon Park is only registered to accept Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 10 up to four people with a predominant diagnosis of dementia. She ensures that the care home does not exceed this number of people with dementia so that the home can meet the needs of everyone living in the home. Curzon Park does not currently provide intermediate care. Curzon Park Residential Home DS0000067766.V363576.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. People living in the home receive health and personal care based on their individual needs to make sure their wellbeing is maintained. Their privacy is maintained so their dignity is respected. EVIDENCE: The care plans of two people living in the home were seen. One was for a person recently admitted to Curzon Park. The manager has introduced new care plans for everyone living in the home. These are quite concise but do include information on the majority of care needs of people. Where there is difficulty communicating with the person the care plan details how this can be improved or made easier for the staff member so that staff are given guidance on how to communicate with people with varying degrees of dementia. One person had diabetes and the care plan needed to include more information about how the care home were going to manage this condition so that they could demonstrate that it was being well managed. Both people were at very high risk of developing pressure ulcers and one person had developed a Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 12 pressure ulcer since moving into the home. The other person had pressure ulcers in February this year but they had now healed. The manager said that although district nurses were involved in the care of one person there had been difficulty obtaining an appropriate pressure-relieving mattress from the local Primary Care Trust. Concern was raised with the manager about other people living in the home who were also at high risk of developing pressure ulcers but who did not have an appropriate pressure-relieving mattress on their bed. Staff members had undertaken basic training in the prevention of pressure ulcers but the manager was advised that senior staff members should undertake further training in this subject so that they would know how to prevent pressure ulcers. Care plans were kept under review so that changing needs were recorded on the care plan in red ink, thereby ensuring that staff members were aware of changes. In the information provided before the visit the manager said, ‘each staff member will read these care plans and sign to acknowledge understanding of the continuing care needs of the residents each month. Reviews were carried out every month or sooner if necessary so that changing care needs were documented in a timely manner. There was discussion about how changes should be recorded so that any change was linked to the relevant care need. The home keeps in contact with a range of health care professionals such as doctors, nurses, chiropodists and physiotherapists so that people living in the home receive further advice about their care when necessary. The storage of confidential information was discussed and the manager confirmed that any personal information about people living in the home would be kept securely at all times. Medication records were looked at. These were generally of a good standard although the care staff had not recorded the quantities of medication received by the home and initialled it. The manager said that a new cupboard was on order for controlled drugs but that currently no one needed this kind of medication. The issue of storage facilities for extra stock medication was also discussed and the manager undertook to source additional suitable storage space for this. People living in the home and relatives commented about the way in which staff members provided care. Comments such as, ‘very well looked after, very, very pleased’ and ‘staff are good always willing to help’ were made. Staff interactions with people in the home were friendly, helpful and sensitive so that people in the home appeared relaxed and happy. Curzon Park Residential Home DS0000067766.V363576.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, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the care home enjoy choices, a variety of activities and a good standard of catering, which enhances their quality of life. EVIDENCE: Curzon Park does not employ a staff member specifically to provide activities in the home. Care staff perform this role when time permits. The care home keeps a record of what activities people living in the home take part in although this was not very detailed. Several staff members were observed doing activities such as playing dominoes and listening to music during the visit. One carer took a small group of people out for a short walk during the afternoon. The home has three lounges, where people can sit and it was noted that the television was not on in one of the lounges so that people can have somewhere quiet to sit if they wish. The home also uses the dining room for activities when meals are not being served. All of the people who returned comment cards wrote that there were either ‘always’ or ‘usually’ activities that they could participate in. Two staff felt that the home provided sufficient activities but another considered that more should be done for people living in the home. A relative wrote, ‘ X is now spending much more time in one of the Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 14 lounges rather than alone in the bedroom.’ Relatives also said that they were made to feel welcome on arrival at the home and were kept informed of issues concerning people living in the home. Feedback about food provided in the home was also good. One person living in the home wrote, ‘excellent food, always available’ and a relative wrote, ‘the food looks and smells very good too.’ The manager has recently revised the menus with the head cook and they appeared varied and nutritious. The cook said that she prefers to use fresh produce whenever possible and does home baking so that people enjoy the food prepared for them. The menus were displayed in the dining room so that people could see what was available. The likes and dislikes of different people were recorded by the cook and an alternative was provided if the person did not like the first choice. Curzon Park Residential Home DS0000067766.V363576.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home have access to a complaints procedure but staff need to undertake training in adult protection to ensure that people are protected from possible abuse. EVIDENCE: Curzon Park has a complaints procedure, which is accessible to people living in the home and their families or friends. People living in the home and their relatives said that they would know who to speak to if they were unhappy about any aspect of the home. The manager said that no complaints had been received since the last key inspection but has devised a complaint form. The manager said that she also encourages people to make comments about the home, which provides her with feedback about how the home is being run. Since the last key inspection the manager has purchased a training pack from an external organisation about adult protection. However, the process of training staff in adult protection has only just begun with three staff having watched the video and answered questions about it. This means that all staff may not be fully aware of their responsibilities in relation to adult protection. However, two staff members were aware of what to do when questioned during the visit. The manager said that although no one currently needs an advocate she has been in contact with a voluntary organisation, which provides information about advocacy so that information is available if needed. Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 16 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, 21, 22, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is fairly well maintained, enabling residents to live in a homely and comfortable environment but bathing facilities are limited. EVIDENCE: Since the last key inspection various improvements have been made to the environment of Curzon Park. This includes redecoration of three bedrooms, the addition of garden furniture and work to upgrade the kitchen is ongoing. The home is comfortable and cosy in style, one relative commenting, ‘it is small and quite homely’. During a tour of the building the home was clean, tidy and with no unpleasant odours. Effective measures were in place to prevent the spread of infection in the home. Access to the first floor is via a staircase that has been fitted with a chair lift. At the top of the staircase there are another three steps to the left and to the Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 17 right, which have to be negotiated by people living in the home who have a bedroom on the first floor. This means that people who live on the first floor need to be quite mobile. The manager said that two people use the stair lift at the moment. There has been no change to the bathing facilities sine the last key inspection. There is one bathroom on the first floor and two separate toilets. The bath can only be used by people who are independently mobile as there are no aids to help people get in or out of the bath. There are two bathrooms on the ground floor. The bath in the larger bathroom is not being used because the enamel is damaged. The second bathroom has been converted to accommodate a bath with hoist and separate shower cubicle. As these facilities are located in the same room only one person can bathe or shower at a time. The space in this bathroom is quite cramped so that the overall facilities for people who wish to bathe or shower are limited. Curzon Park has a range of communal living areas on the ground floor. This includes two lounges situated at the front of the home and a further lounge towards the rear of the home, which does not appear to be used much except by the hairdresser. There is also a separate dining room. It was noted that a variety of furniture was being stored in the rear lounge, which could prove to be a hazard for people living in the home. The wardrobe in one bedroom was also not fixed to the wall and could be pulled over, putting the person at risk. In two bedrooms the sash windows had broken and the windows were being held open by various objects. It was also noted that there were no safety chains in these rooms so that the window could be opened wide, representing a potential hazard for people living in these rooms. Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 18 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. Recruitment practices are thorough so that people living in the home are protected. There are enough suitably trained and competent staff working in the home to make sure that the needs of the people who live in the home are met. EVIDENCE: The recruitment records of two staff members were seen. These included all necessary information about the staff members. Security checks had been carried out and the manager said that a new staff member was working under supervision until a full security check (CRB) had been received. The records also contained copies of training that staff members had done either before coming to work in the home or since they had started, so it was possible to see that they had done training appropriate to their role. These records included induction training. The manager said that all care staff either had an NVQ qualification or were working towards this. 50 of care staff have achieved NVQ2 or above and three staff were working towards NVQ level 3 and one towards level 4. Staff said that they were encouraged to undertake training and felt supported by the manager. One commented, `I also know our new manager has lots of other courses for us to do.’ The manager has introduced a good training programme Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 19 since the last key inspection covering topics such as infection control, dementia and first aid. The manager has also provided her own training pack on dementia so that staff are receiving relevant training and are fully equipped for their role. Staffing levels appeared adequate on the day of the inspection. However, two staff commented via comment cards that they felt staffing levels were not always sufficient. Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 20 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Curzon Park is well managed so the care home is run in the best interests of the people living there. EVIDENCE: The new manager has now been in post for six months and previously worked in a home for older people with varying degrees of dementia and related conditions. She worked for nearly six years at that home, as deputy manager for the last two years and therefore has the experience to provide appropriate care for people at Curzon Park. The new manager has also achieved NVQ 4 in care and the registered manager’s award. She has undertaken a degree through the Open University to extend her knowledge and skills. The manager said that she has started the process to become registered with the CSCI but Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 21 her application has not yet been received by the CSCI. The manager is highly regarded by people living in the home, staff and relatives. She has succeeded in bringing about positive changes in the home, which benefit both staff and people living in the home. One staff member commented, `I think the manager has a hard task getting the home and the staff to a higher standard but she is doing well so far.’ There are various processes in place to monitor the quality of care standards in the home. The owners visit the home monthly and provide a written report about the home as required by law, which assesses how well or otherwise the home is performing. The new manager has developed ways of finding out what people think about the service. She undertook an initial audit, identified issues that needed to be put right and has either fully or partially met all the requirements from the last key inspection. The manager has held two staff meetings since the last key inspection and said that relatives want to set up a meeting, which she will support. People living in the home can give the manager small sums of personal spending money to be kept secure on their behalf. Records of all transactions are maintained with two sets of initials to ensure a safe system or work. These were checked for one person and found to be correct. A variety of maintenance records and fire safety records were seen. These showed that fire equipment was serviced regularly and that the maintenance man carried out regular checks to ensure that they were satisfactory. The fire risk assessment was updated in March 2008 and actions recommended in the report have started so that appropriate action is being taken to ensure fire safety at the home. The report highlighted that the owners need to fit fire resisting doors and a self-closing device within six months. Training records indicated that half the staff had attended a fire safety training course in May 2008 and that remaining staff will be doing this training in June 2008. All but three staff have done training in moving and handling since the last key inspection. Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 22 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 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 2 3 X 2 2 X X 2 3 STAFFING Standard No Score 27 3 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 2 Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 23 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 OP7 Good Practice Recommendations Care plans should demonstrate how the needs of people with diabetes will be met so that people’s care needs will be fully met. Senior care staff should undertake further training in the prevention of pressure ulcers so that they know what actions to take to prevent people from developing pressure sores. Equipment necessary for the prevention of pressure ulcers should be made available as soon as the risk is identified so that people living in the home are protected. Records should be kept of medication received by the care home so that medication is safely managed. All staff should undertake training in adult protection DS0000067766.V363576.R01.S.doc Version 5.2 Page 24 2 OP8 3 OP8 4 5 OP9 OP18 Curzon Park Residential Home procedures so that they are aware of their roles and responsibilities. 6 OP21 Bathing facilities in the home should be reviewed to ensure that these are sufficient and fit for purpose for people who require assistance to bathe/shower. Surplus furniture should be stored safely so it does not present a hazard to people living in the home. Windows should be repaired and safety chains put in place so that people are protected. The manager should submit her application to the CSCI to become the registered manager of the care home as required by law. Remaining staff should undertake fire safety training and fire drills so that they know what to do in the event of a fire and so that people in the home are protected. The owners should ensure that all remaining actions identified in the fire risk assessment are carried out within the agreed timescales so that people in the home are protected. 7 8 10 OP22 OP25 OP31 11 OP38 12 OP38 Curzon Park Residential Home DS0000067766.V363576.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston, PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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