Care Home: Floron Rest Home

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What the care home does well The home`s brochure is illustrated so that it provides important information clearly for people considering living at the home. The home has a core group of staff who have worked there for some time and know the residents well, and are able to support them sensitively. The owner managers take a personal pride in the appearance of the home, so that it is inviting and comfortable for residents. The feedback from residents is very positive, one resident said "the food is lovely here" and another advised that staff "put themselves out to talk to you" and are always helpful. There is a high standard of record keeping within the home with detailed care plans available, including individual goals for each person. There is a high standard of training for staff members in the home, exceeding the national minimum standards for training staff to NVQ level 2 or above. The home has been innovative in gaining certification in recycling and sustainability with the Centre for Environmental and Safety Management for Business. What has improved since the last inspection? The home had been decorated, with refurbishment of some bathroom facilities, and the installation of two new plasma screen televisions and a new CD player. A new office had been provided in an outbuilding in the garden, providing more space for storage on information and files, and a further private area for meetings. Improvement had been made in the recording of staff training, with profiles for each staff member, and certificates to evidence training undertaken. A training plan had also been put in place for the home. Further staff training had been undertaken including dementia, diabetes, and Mental Capacity Act 2005 training. What the care home could do better: Care plans for people living in the home should be reviewed at least monthly, to ensure that the home is responsive to changes in people`s needs. There is also a need for improvement in the recording of healthcare appointments, to evidence that residents are encouraged to attend routine dentist, optician and chiropodist appointments. More opportunities must be made available for residents to go out with staff support, within the local area, and visit shops, cafes, pubs, or places of worship according to their preferences. A small number of minor maintenance issues should be addressed in the home`s building for the comfort of staff and residents. It is recommended that the presentation of pureed meals might be enhanced so that they are more appetising, that staff attend the local authority`s safeguarding adults training, and the home consider provision of a portable hoist so that people whose mobility deteriorates, can remain resident at the home. More frequent resident meetings could also be held at the home, to consult with people about how the home is run. CARE HOMES FOR OLDER PEOPLE Floron Rest Home Floron Rest Home 236 Upton Lane London E7 9NP Lead Inspector Susan Shamash Key Unannounced Inspection 29th August 2008 01:15 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 Floron Rest Home DS0000022836.V370358.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. Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Floron Rest Home Address Floron Rest Home 236 Upton Lane London E7 9NP 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) 020 8472 5250 020 8655 7228 g.collison@btinternet.com Mrs C Quarshie Collison Mrs C Quarshie Collison Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Floron Rest Home DS0000022836.V370358.R01.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 the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 16 8th September 2006 Date of last inspection Brief Description of the Service: Floron Rest Home is a residential home for 16 service users over the age of 65 years. It has been established since 1972. The home does not offer nursing care. There are 4 single bedrooms and 6 double bedrooms. 3 of the single rooms are en-suite and all the rooms have basins. There are two bathrooms with toilets and a shower room and toilet on the ground floor. There are two additional toilets on the ground floor and a separate staff toilet. There is also a passenger lift to all floors. Floron is situated in Upton Lane in Forest Gate and backs on to West Ham Park. It is on a main bus route and a short distance from both underground and rail stations. Floron has off street parking in front of the house, for several vehicles. There is a pleasant garden with patio area at the rear, and the office is in an outbuilding in the garden area. The registered manager is also the registered provider. Fees in August 2008 range from £460 depending on need, and the most recent CSCI inspection reports are available at the home or on www.csci.org.uk. Floron Rest Home DS0000022836.V370358.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 purpose of the inspection was to check on compliance with requirements made at the previous inspection and inspect standards within the home, and identify the outcomes for people living there. The inspection was unannounced and took place over approximately seven hours, so that I was able to observe the evening routines within the home. I spoke to ten residents, two relatives and two carers, in addition to the two managers, who arrived at the home during my inspection. In addition I was assisted throughout by a senior carer. I inspected four residents’ files, and six carers’ files in addition to other documentation and conducted a tour of the premises including the gardens. What the service does well: What has improved since the last inspection? Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 6 The home had been decorated, with refurbishment of some bathroom facilities, and the installation of two new plasma screen televisions and a new CD player. A new office had been provided in an outbuilding in the garden, providing more space for storage on information and files, and a further private area for meetings. Improvement had been made in the recording of staff training, with profiles for each staff member, and certificates to evidence training undertaken. A training plan had also been put in place for the home. Further staff training had been undertaken including dementia, diabetes, and Mental Capacity Act 2005 training. 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. Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 7 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 Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 8 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 (Standard 6 is not applicable). People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is skilled at assessing new residents against its admission criteria, to ensure that their needs can be met appropriately. EVIDENCE: I inspected four people’s personal care files and cardex notes (which are in daily use) each contained evidence of detailed short and long term care assessments. The long term care assessments were holistic, covering personal care, social and healthcare needs as well as cultural, intellectual, emotional and religious needs as appropriate. Discussion with the manager, staff and residents indicated that the home has clear admission criteria and that they liaise with social workers and families to gather information about prospective residents. The admission policy for the home was also inspected and found to be appropriate. The home does not offer intermediate care. Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 9 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): People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The daily health and personal care needs of residents are met appropriately, with appropriate support to take their prescribed medicines, but they would benefit from better monitoring of their healthcare appointments. People are supported with their medicine. People living in the home feel that they are treated with respect and that their privacy is maintained as far as possible. EVIDENCE: Residents have a care assessment and service plan combined, and my inspection of four people’s files indicated that they were sufficiently detailed to inform care and support appropriately. Each file also included details of residents’ life stories, cultural and lifestyle choices. Daily records included evidence of people’s current health, with medical conditions clearly documented. Staff spoken to appeared to be knowledgeable about people’s health and personal care needs, including those more recently admitted to the home. Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 10 Although all information provided in the care plans appeared to be current for the people living in the home, and there are detailed records of review meetings including social workers, and family members as appropriate, there were no records indicating that care plans are reviewed at least monthly. This is required to comply with the national minimum standards for homes supporting older people, to ensure that the home is responsive to changes in people’s needs. The GP visits the home regularly, and there were records of some healthcare appointments attended by, or to residents in the home including dentists, opticians, GPs, district nurses, chiropodists, and hospital consultants. This was confirmed by staff, residents and relatives visiting the home. However records were insufficiently clear, to monitor the last time each person had attended a relevant healthcare appointment, and did not show that all residents were being encouraged to attend routine dentist, optician or chiropodist appointments, even if some may have refused to attend on occasion. Clearer recording is therefore needed in this area. I observed staff administering prescribed medicines to people living at the home appropriately. Medicines are stored in a locked cabinet, with a blister pack system used for most medications. Those which cannot be dispensed in blister packs are kept in their boxes with the residents name written on. Inspection of medication administration records (MAR sheets) showed that there was a high standard of record keeping with medicines signed in and out of the home, and no gaps in the administration record. Three residents were prescribed controlled medicines, and these were stored appropriately, with rigorous recording of the balance of these medicines at any time, and double signatures for each administration. Allergies were clearly highlighted on the administration records. I observed that staff spoke respectfully to residents and that the atmosphere in the home was relaxed and informal. There were some small stools in the sitting room which allow carers to sit next to the residents for one to one interaction with them. There is also a little reception room where residents can entertain their visitors or they can use their bedrooms if they prefer. Rooms are shared at the home but screens are provided for privacy. One female resident told me that her privacy was respected when her gentleman friend visited, so that they could meet in private. Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 11 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. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The lifestyle experienced in the home affords residents choice and dignity. People are encouraged to maintain contacts with friends and family members but they would benefit from more opportunities to go out in the local community. A varied menu is served at the home, which is enjoyed by residents, and meets people’s nutritional needs. EVIDENCE: Photographs were on display around the home of parties arranged for residents including one for a resident who has reached a great age, to which the mayor came. One resident pointed out two large pieces of art work displayed in the dining area, which residents had produced with support in the art group held at the home. Staff advised that a professional art teacher provides these sessions at the home. An activities chart is posted in the reception area, including a tea party every Tuesday, music, singing, arts and crafts, bingo, and gentle exercise. Staff advised that professional entertainers also come to the home occasionally, and there are digital TV channels installed on the two new flat screen television Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 12 sets purchased for the home so that people can watch programmes from the 60’s and 70’s if they so wish. The home arranges one or two summertime outings. They had recently been to Clacton-on-Sea, and some residents had also been out to see a theatre production. Staff advised that residents also go out to a nearby park, with staff support. One resident also attends some events with a local cultural day centre. A small library of large print books is available in the sitting room. Residents daily recordings evidence them taking part in activities provided in house. During the visit, several residents spent most of their time in the lounge, some were reading books, and knitting, whilst others watched television or chatted to the staff. Family are encouraged to visit residents and I observed several visitors at the home on the day of the inspection. Some residents told me that they are visited by clergy, with a Catholic priest visiting weekly, and a Church of England priest visiting every other week. The senior carer stated that service users are encouraged to exercise choice whenever possible. No residents are currently married or in long term relationships, however their privacy is respected as far as possible, should they wish to see a visitor in private. Several residents told me that they would like to go out more often within the local area with staff support e.g. to visit the local shops, cafes, pubs, or places of worship. Staff spoken to advised that it was difficult to arrange this at present due to other duties that they had to perform in the home. A requirement is made accordingly. Residents advised that they are able to choose when to get up, and have a first cup of tea in their rooms. The owner/manager advised that if someone feels unwell or just wants to stay in bed a bit longer then their breakfast is brought to them and they dont get up until they feel ready. I asked if some residents like to go back to their rooms during the day, and staff advised that there are several residents who choose to do this. I observed several residents sitting outside in the garden area during the visit. Some residents came out to the garden to smoke cigarettes. The homes cook uses a Food Standards Agency manual of food hygiene, which includes a diary so that all information regarding food can be recorded there. I noted detailed records of food eaten with temperature recordings of the food, alongside the daily temperatures of refrigerators and freezers. The cook attends residents meetings to discuss the menu, and the majority of residents spoken to indicated that they enjoyed the food served at the home immensely. One or two residents indicated that they didn’t always like the Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 13 vegetables served, but the majority enjoyed home cooked English food. Staff seemed aware of residents food preferences, and special diets were provided including diabetic options, and pureed food for one resident. One resident who is from South Africa is also offered cultural alternatives, although they also enjoy English food. Staff advised that the components of pureed meals are currently pureed together, so that there is a mixture of all the food. Some people prefer to have each part of the meal pureed separately, and there are also mould available so that the pureed food looks more like its original form. It is recommended that research be undertaken into increasing options for the presentation of pureed meals within the home, to ensure that these are more appetising for relevant residents. Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 14 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. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home ensures that residents are protected appropriately, and takes complaints seriously, so that people living at the home feel listened to. EVIDENCE: The owner/manager stated that there had been no complaints since the last inspection, and this was confirmed in the complaints record. Residents and relatives spoken to indicated that they felt able to speak up about things that concern them, and that these are taken seriously. Their views are also addressed through residents meetings and quality assurance procedures. An appropriate adult protection policy is available for the home, alongside the local authority’s adult protection policy and procedure. The owner/manager stated that NVQ training includes adult protection and there are a high percentage of staff at the home with NVQ qualifications. Staff spoken to were knowledgeable about adult protection, however it is recommended that the management/some staff attend the local authority’s safeguarding adults training, and cascade this training to other staff in the home, to ensure that all are familiar with local procedures. Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 15 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 and 26. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is comfortably decorated and furnished, and is clean and hygienic providing a pleasant environment for residents. EVIDENCE: I conducted a full tour of the premises, which presented a safe, hazard free environment. Bedrooms appeared to be personalised, and furnished and decorated appropriately, particularly those with en-suite facilities. The home continues to employ two cleaners and looked clean and bright, and free from unpleasant odours. It had recently been painted internally, with some new furnishings provided including two new plasma screen television sets and a new CD player. Staff advised that the home was also looking to replace some armchairs and commodes within the home. Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 16 The rear garden was very colourful with seated areas available for residents, and two large umbrellas for shade. The garden included a cherry tree, apple tree and tomato plants, in addition to a wide range of shrubs and flowers. Several residents sat out in the garden during my visit. Several bathrooms had been refurbished prior to my visit, however I was concerned to noted that the pressure of hot water in some of these rooms was very low, which may have been frustrating for staff and residents wishing to use them. Staff advised that they would run baths well before the person was ready to use them because of the time taken. The hot water pressure should therefore be reviewed and addressed if necessary. One ground floor toilet/shower room (room 6) had some tiles missing from it, which needed to be replaced, and one person told me that they wished to have a new lamp in their bedroom (room 9). There are no residents in the home that currently need to be hoisted, with all residents able to weight-bare. However it is recommended that the home consider providing a portable hoist within the home, so that people whose mobility deteriorates, can remain resident at the home. The home has a separate utility room where the washing machine is housed. Staff advised that there is no foul laundry to be washed but in any case they have a machine which has the programming to meet disinfection standards. Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 17 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. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has recruited a competent staff team and supports the development of their skills, to ensure that resident’s needs are met appropriately. EVIDENCE: The owner/manager stated that there are about 17 members of staff including part-timers. The ratio of care is two carers to sixteen residents. In addition to this the home has trainees and students who visit, and are allowed to help the carers under supervision. There are two waking night staff. During my visit there were two staff members on duty and two students helping out at the home. Information provided in the Annual Quality Assurance Assessment indicated that the owner/manager is aiming for 100 percent staff to be qualified to NVQ level 2 or above. Staff confirmed that they received a high standard of training and supervision. I inspected six staff files, and these indicated that there is a robust staff recruitment system, which incorporates equal opportunities, and is consistently followed. The staff group is culturally diverse, and records included detailed induction processes. The manager advised that the home uses recruitment consultants who specialise in immigration law. Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 18 It is however recommended that a record be maintained of how and when staff references are verified, to ensure that these are genuine, for the protection of people living at the home. As required at the previous inspection there had been an improvement in the recording of staff training, with certificates available on each file to evidence training. Training undertaken included health and safety, adult protection, Mental Capacity Act 2005, food hygiene, first aid, fire safety, manual handling, person centred planning, infection control, and medication administration. A training plan was in place for the home as appropriate including mandatory courses as well as dementia and mental health training, COSHH training and risk assessment training. One staff member was working towards their NVQ level 3 (with one having completed this already) and two staff members are working towards NVQ level 4 qualifications. Records also indicated that staff receive regular supervision sessions, although some of this is undertaken in groups. It was noted that informal supervision sessions can also be recorded. Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 19 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. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well run and managed in the best interest of residents. There are appropriate quality assurance, financial and health and safety procedures in place, to ensure that people receive a safe service, which is of a high quality. EVIDENCE: The home is run by the owner/manager and a partner, who have been running it for approximately twenty-two years. The registered manager is a qualified nurse. The managers come to the home every day and are on hand to advise and guide staff. Staff noted that a lot of verbal feedback is collected by chatting to relatives. In addition surveys are used to conduct quality assurance audits and I saw three completed service user surveys, six relatives surveys, and three staff surveys. Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 20 These were all generally very positive, including comments such as “I’ve never know them to be miserable,” “its very clean,” “my mother is being well looked after,” and “the management are great because they do anything and everything for the sake of the home.” Some suggestions for improvement included trips out to the shops, more outings, more activities to keep people’s brains active, and wet floor signs. There was a current business plan in place for the home, and the manager advised that a new environmental policy had been put in place, following the proprietors enrolment on a one year Waste Sustainability masterclass programme at Middlesex University. Although records evidenced that staff and resident meetings are held at the home, resident meetings were less frequent than those for staff. It is recommended that more frequent resident meetings be held, to consult with people about how the home is run. The home does not generally deal with service users’ monies. This is instead carried out by people’s relatives. If there are no relatives available to help, social workers act as appointees. However there was one instance of a resident having asked staff to store money on their behalf for safe keeping – and the records for this money, were checked, and found to be accurate. A manual of assessments is available for products used under the Control of Substances Hazardous to Health (COSHH) and COSHH items in the house were securely locked away. There were up to date gas and electrical installation certificates and portable appliance testing certificates. There were also current records for fire alarm testing and fire drills and fire equipment servicing, and hot water temperature within the home was also being monitored as appropriate. There are currently maintenance service visits to check on the home’s lift, and the more recent of these recommended that some specific maintenance work be carried out. I asked the home’s management to clarify how urgent this work was, with the maintenance company, and was advised that this work would need to be carried out but was not currently a risk for people using the lift, or the lift would have been put out of action. Finally, the home’s water supply had not been tested for Legionella within the last year, and a requirement is made accordingly. The manager is aware that there is a backlog of filing in the main office, that needs to be sorted through, and advised that this was in the process of being addressed. Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 21 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 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 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 3 X 3 X 3 X X 2 Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 22 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. 1. Standard OP7 Regulation 15(2b) Requirement Timescale for action 31/10/08 2. OP8 12 3. OP12 16(2mn) 4. OP19 23(4dj) The registered person must ensure that care plans for people living in the home are reviewed at least monthly, and that this is recorded, to ensure that the home is responsive to changes in people’s needs. The registered person must 17/10/08 ensure that there is an improvement in the recording of healthcare appointments, to evidence that residents are encouraged to attend routine dentist, optician and chiropodist appointments. The registered person must 17/10/08 ensure that more regular opportunities are available for residents to go out, with staff support, within the local area, and visit shops, cafes, pubs, or places of worship according to their preferences. The registered person must 14/11/08 ensure that the pressure of hot water in all areas of the home is monitored to ensure that it is sufficient, Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 23 Missing tiles must be replaced in the ground floor toilet/shower room (room 6) and A new lamp must be provided in bedroom 9, to ensure the comfort of staff and residents. The registered person must ensure that recommended maintenance works as specified in the last lift service report are undertaken, and that the home’s water supply is tested for Legionella, to ensure the safety of people living and working at the home. 5. OP38 13(4) 12/12/08 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 OP15 Good Practice Recommendations It is recommended that research be undertaken into increasing options for the presentation of pureed meals within the home, to ensure that these are more appetising for relevant residents. It is recommended that the management/some staff attend the local authority’s safeguarding adults training, and cascade this training to other staff in the home. It is recommended that the home consider providing a portable hoist within the home so that people whose mobility deteriorates, can remain resident at the home. It is recommended that a record be maintained of how and when staff references are verified, to ensure that these are genuine, for the protection of people living at the home. It is recommended that more frequent resident meetings be held at the home, to consult with people about how the home is run. 2. 3. 4. 5. OP18 OP19 OP29 OP33 Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Floron Rest Home DS0000022836.V370358.R01.S.doc Version 5.2 Page 25 - 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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