Care Home: Galtres Care Home

What the care home does well Thorough assessments of peoples needs are undertaken and include details of risks, to ensure people`s needs can be met. People receive care in a way that respects their privacy and dignity. A robust complaint`s procedure is in place to ensure that any concerns raised are investigated and dealt with thoroughly. Training for staff is provided to ensure that care is given by people who have knowledge of how to give care safely. One health care professional said, "Galtres offers a very caring environment, the residents are looked after to a very high standard. The team have coped admirably well through the trying circumstances of the recent building work". What has improved since the last inspection? Care plans and risk assessment have become more detailed to ensure people`s need`s are known and are being met. Staffing levels have increased to ensure care can be given timely to people living in the home. Stock balances of medications received at the home are recorded and this helps to protect people. More activity equipment has been purchased and activities are offered by the care staff to help meet people`s social needs. More training has been provided for staff and a training plan is in place to ensure staff receive training when it is due. The environment in certain areas has been improved to enhance the facilities available to people. Quality assurance procedures have been implemented and the manager has become registered with the Commission for Social Care Inspection. This helps to ensure that the home is managed well. What the care home could do better: Information about what the home has to offer should be made available in different formats and people`s views should be gained about the services the home has to offer. Care documentation should be signed by people to say that they agree with the package of care being provided. And social care plans would help ensure that peoples preferred social needs are being met. People should be informed in writing as well as verbally what choice of meals they have available to them. Medications must be given as prescribed and staff must ensure that they record controlled medication when it has been given in the controlled medication register to protect people`s health and well-being. Staff should be encouraged to continue with their National Vocational training, which enhances care being provided. Improvements must continue to be made to the environment and people`s health and safety must continue to be protected during this time. Signage to help people find their way around would be beneficial. CARE HOMES FOR OLDER PEOPLE Galtres Care Home Ox Carr Lane Strensall York YO32 5TD Lead Inspector Denise Rouse Key Unannounced Inspection 17th June 2008 11:20 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 Galtres Care Home DS0000068222.V366332.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. Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Galtres Care Home Address Ox Carr Lane Strensall York YO32 5TD 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) 01904 491300 01904 491300 galtresch@yahoo.co.uk Mrs Gillian Mary Conroy Mr John Anthony Conroy Ms Jennifer Ann Marshall Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20) of places Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 20 (OP) and up to 20(DE(E) up to a maximum of 20 service users. 17th July 2007 Date of last inspection Brief Description of the Service: Galtres is a home offering personal care for up to twenty older people who may have dementia. It is situated in the village of Strensal and has two gardened areas and an area for visitors and staff to park. The home is currently undergoing a programme of refurbishment which will enhance the facilities available to people who live there. Information about what the home has to offer is available in the statement of purpose, and service user guide. Inspection reports are also available. People who use the service have access to local shops and amenities within walking distance. The fees charged on the day of the site visit ranged from £ 378.26 to £425.00 per week. Additional charges are made for hairdressing and chiropody Galtres Care Home DS0000068222.V366332.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 accumulated evidence used in this report has included: • A review of the information held on the home’s file since its last key inspection. • Information submitted by the registered provider in the Annual Quality Assurance Assessment. • Surveys received from two people living at the home, two relatives, and one health care professional. • An unannounced visit to the home, which lasted four hours, undertaken by one inspector. This included a full tour of the premises. • Evidence was gained by direct observation during the site visit; which involved talking with people living at the home, the manager and administrator and other members of staff. Inspection of records, including care profiles, medication administration records, staff files and some of the home’s policies and procedures. • What the service does well: Thorough assessments of peoples needs are undertaken and include details of risks, to ensure people’s needs can be met. People receive care in a way that respects their privacy and dignity. A robust complaint’s procedure is in place to ensure that any concerns raised are investigated and dealt with thoroughly. Training for staff is provided to ensure that care is given by people who have knowledge of how to give care safely. One health care professional said, “Galtres offers a very caring environment, the residents are looked after to a very high standard. The team have coped admirably well through the trying circumstances of the recent building work”. Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Information about what the home has to offer should be made available in different formats and people’s views should be gained about the services the home has to offer. Care documentation should be signed by people to say that they agree with the package of care being provided. And social care plans would help ensure that peoples preferred social needs are being met. People should be informed in writing as well as verbally what choice of meals they have available to them. Medications must be given as prescribed and staff must ensure that they record controlled medication when it has been given in the controlled medication register to protect people’s health and well-being. Staff should be encouraged to continue with their National Vocational training, which enhances care being provided. Improvements must continue to be made to the environment and people’s health and safety must continue to be protected during this time. Signage to help people find their way around would be beneficial. Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 7 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. Galtres Care Home DS0000068222.V366332.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 Galtres Care Home DS0000068222.V366332.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): Standards 1 & 3 People who use the service experience good quality outcomes in this area. People are fully assessed before they are offered a place in the home; this ensures their needs can be met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People who are considering moving into the home have a pre admission assessment undertaken by the manager. The assessment is detailed and includes information about people’s physical and special needs in relation to communication and memory. Additional information from care managers, community psychiatric nurses and discharging hospitals is also gained to ensure peoples full needs are known and can be met. Admissions are not made to the home if staff cannot meet their needs. Prospective residents are able to visit the home, have lunch or stay for the day or a trial period, with their chosen representative. The manager and staff are Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 10 available to spend time with people to answer their questions and help relatives decide if this is the right home for their loved one. Information is available in the statement of purpose and service user guide as well as the last inspection report. This helps people make an informed choice about if the home is the right place for them. However this should be provided in different formats to help people who have special communication or memory needs. Intermediate care is not provided. Galtres Care Home DS0000068222.V366332.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): Standards 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. People have their health care needs met. However there are some shortfalls relating to medications which must be addressed to ensure peoples health and wellbeing is protected. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People who use the service have individual person centred care plans and risk assessments in place, these have been improved since the last inspection. Care plans are reviewed monthly or as the person’s needs change. Information is available about people’s special needs relating to their mobility, nutrition and mental health; this ensures people’s needs are met. Staff review risk assessments monthly, however the date of this review is not always recorded if there is no change to a persons needs. This should be recorded to reflect that peoples’ risk assessments have been routinely reviewed. Comments received included “ This is an excellent care home, I’m very happy with the care given and attitude of the staff, who are well mannered”. Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 12 The manager holds care reviews with the resident and their family and social worker a few weeks after a person is admitted. This helps to ensure that people are happy with the care and services they are receiving. Any shortfalls found at this review are addressed. However, care plans inspected were not signed by the individual or their chosen representative, to say that they agreed with the plan of care being provided. This system should be implemented wherever possible. A key worker system is in place, which allows people to build up trust and gain support from their individual staff, which helps to enhance the care they receive. Specialist equipment is available to ensure that peoples individual and special health care needs are met. This includes profiling beds and hoists. Help and advice is sought from health care professionals in relation to people’s health and special needs to ensure their needs are met. People are escorted to appointments or health care professionals attend the home as required. A health care professional said, “ Staff developed a good working relationship and a greater efficiency of use of the primary care services. Requests for visits are much more co-ordinated now”. Staff address people by their preferred names and spend time with them giving individual support. This helps to maintain people’s privacy and dignity. Staff helped and supported people who had issues remembering things in a sensitive and supportive way. People are able to follow their own chosen routines with support and guidance as required from the staff to ensure peoples individuality and independence is protected. Medication systems in operation in the home were looked at. Medication is stored in a temporary area due to the ongoing refurbishment of the home. A medication fridge has been supplied however the temperature of this fridge was recorded monthly not daily as required. This should be addressed. The medication records for two people were looked at. One person was prescribed a pain relieving gel three times a day. On three days this had been signed as being given four times a day. This was discussed with the manager who arranged for General Practitioner to review this. One controlled medication balance was checked. It was found that the controlled medication register had not been signed to reflect that the person had been given their medication as prescribed because the person had been upset and staff had forgotten to record this. This was discussed with the manager and staff were reminded to record medication when given. No one was able to self medicate at the time of the inspection. One comment received from a health care professional was Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 13 “ The nature of the residents is that all medications needs to be supervised it would not be appropriate for self administration in most if not all patients” Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13 ,14 & 15 People who use the service experience good quality outcomes in this area. People’s social needs are met, and they are encouraged to maintain links with the local community and their family. People receive a nutritious well balanced diet. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People’s preferred social activities are recorded at the pre admission assessment and then in their care profile, this ensures people’s individual social needs are known. However there is not a separate care plan for individuals preferred social activities although people who take part in activities and conversation with staff and other residents, have this recorded on an activities sheet. An activities co-ordinator is not provided. Staff provide activities during their shift and interacting socially with people on a one to one basis as well as providing group activities. They have received some training to help them provide activities that are suitable for people with memory loss. A general knowledge quiz occurred on the afternoon of the site visit and was well Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 15 attended and enjoyed. Two or three people are taken out to the local shops in nice weather, every day if they wish to go. Games such as carpet skittles, bean bags, dominos and Hoopla are enjoyed by people especially those unsteady on their feet, they can sit down and play. A motivational company attend the home every 2 weeks to give armchair exercises, and more quizzes. New activities equipment has been purchased so that different activities are available for people to enjoy. A health care professional said, “ Some of the residents do not have the ability to make an informed choice. There are a wide variety of activities put on for the residents” An outside entertainer comes to the home each month to sing to the residents. An extra member of staff is on duty on a Sunday to escort people across to the church if they wish to attend. Local clergy visit the home to give Holy Communion every 3 months and church visitors attend the home weekly, and on request. This helps to ensure peoples religious needs are met. Local trips to the Farmers Cart have been undertaken and there are plans to take people to the seaside. People are asked at the residents meeting what activities they would like to have provided for them and this is then organised. A hairdresser, chiropodist and aroma therapist also visit the home. People can receive visitors at any time, and they are encouraged and supported to go out with their family within the local community to promote their independence. The kitchen was inspected. Systems are in operation to promote food health and safety. Meals can be enjoyed by people in their bedrooms or in the dining area. Lunch was well attended and was a social occasion. People are helped and supported to eat by patient staff in an unhurried manner. Care staff are sensitive to the needs of residents who find it difficult to eat and need help and encouragement with this. People have whatever portion size they prefer and could choose at lunchtime what they wished to eat from two hot choices of home cooked food. The menu was not displayed and this should be provided. Food looked appetizing and people were offered as many choices as required to encourage them to eat. Special equipment is used such as plate guards, to help people maintain their independence to feed themselves. The chef was aware of people who required a special diet and these are provided. People are asked to give their suggestions to update the menu on offer for them, this helps to ensure that people have their nutritional needs met. A new dining area has been created this has enhanced the facilities available to people. Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 People who use the service experience good quality outcomes in this area. People are confident that their concerns will be listened to and acted upon and they feel protected. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The complaints procedure is available to people. One person said, “ If I had any complaints I would feel happy to talk to the staff about them and I’m sure they would be sorted out”. Complaints are investigated and documented, and the complainant is informed of the outcome. The manager has an open door policy; anyone one can see her to make their views known at any time. A “Grumbles book” has been commenced so even the smallest issue raised can be investigated and sorted out so that people remain happy with the service they are receiving. A safeguarding policy is in place. Staff spoken with knew what to do if an allegation of abuse occurred. Ongoing training and information relating to the whistle blowing procedure has been given to all staff and issues are brought to management’s attention and acted upon appropriately. This ensures that people are being protected from abuse. Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 People who use the service experience adequate quality outcomes in this area. People live in a home that is maintained and which is being improved. However shortfalls identified should be addressed. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home is maintained and decorated and a programme of refurbishment is taking place in certain areas of the home to enhance the facilities available for people. The entrance has been improved and there is a secure door entry system in place. A new front office has been created so that the manager and administrator are more easily accessible to people and they can oversee what is happening in the home and greet visitors. A new dining area has been created at one end of a lounge. Some bedrooms have been fully refurbished including carpets and new furniture and there are Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 18 plans to continue until all have been refurbished. All have a lockable drawer for people to use. A new staff room and staff toilet have been created. A new laundry and kitchen have been completed to a high standard and they enhance the services that are provided to people in the home. One bathroom has been refurbished downstairs to incorporate a wash and dry toilet facility for people to use; this enhances infection control within the home. The communal lounges and conservatory are to be totally refurbished and the corridors will be redecorated in time. This work will be ongoing for some months and will really enhance the facilities available to people living there. There is an enclosed garden with mature shrubs at the side of the home, which is accessible by people who can walk and those requiring wheelchair access. There is limited parking at the side of the home as well as on street parking being available. A sensory garden is being created, people have helped to choose the planting scheme that is to be adopted and the beds will be raised so that people can help with the gardening if they wish. Herbs and sensory plants are to be used so that people with memory issues can gain some stimulation from the scents and textures of the plants. All of the bedrooms have room number and people can have their name on their bedroom door. Management should consider having other indicators specifically for those people who have problems with their memory or dementia such as larger room numbers or photographs to help people remember which is their bedroom. Signage throughout the home could be implemented to help people gain their bearings and know where toilets and bathrooms are located; this would aid people’s independence. All the upstairs bedroom doors at the time of the site visit were being held open by items of furniture. This was discussed with the home manager and the cleaner who had done this to get air flowing upstairs. Fire doors must not be held open by inappropriate means. Door guards are to be fitted and this commenced at the time of the site visit. One storage room on the first floor had a small area of plaster absent round the electric ceiling light. It was not clear why this was. This should be looked at and repaired to ensure peoples health and safety is protected. The home is clean and there is no malodour. Hand wash facilities are available in all areas of the home as well as hand sanitizer at the back door. This helps to ensure that infection control measures are in place. The laundry facilities and systems in operation ensure infection control measures are in place and hand wash facilities are available throughout the home. Comments received included “ The building has suffered from lack of investment, but this is being remedied by the new owners” Galtres Care Home DS0000068222.V366332.R01.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): Standards 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. People are looked after by adequate numbers of well-trained staff. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staff spoken with were friendly approachable and positive about the role they played in the home. There has been an increase in staffing levels since the last inspection to improve the quality of care being delivered. Staffing level are adequate to ensure people get the care they require. Recruitment policies and procedures are thorough to ensure staff recruited are suitable to work in the care industry. Equality and diversity of staff is respected and male and female staff are available to care for people. An Equal opportunities policy is in place. Staff update their training to ensure their health and safety is protected and that of the people living in the home. Staff who require extra help and support with their induction and their National Vocational Qualification in Care are given this assistance to ensure staff feel well supported and have all the relevant skills they need to be able to give good care. The home has not achieved over 50 of care staff that hold an NVQ in care, this is due to people having left and new staff commencing this qualification. Management should continue to support people to gain this qualification, which helps to enhance the care that people receive. Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 20 There is an ongoing staff-training programme, which highlights staff who require refresher training in certain areas. This helps to ensure that staff have up to date skills to deliver good care. Induction training and fire training are carried out by the manager and night staff receive a fire drill every 3 months this helps to protect people. Staff meetings are held to gain the views of people working in the home. Any issues raised are looked at by management and appropriate action taken. Agency staff are used from the homes sister company so that staff know the company’s policies and procedures and are able to work effectively. Local bank staff are also available when staff go off sick at short notice. This improves the continuity of care being provided to people. Galtres Care Home DS0000068222.V366332.R01.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): Standards 31, 33, 35 & 38 People who use the service experience good quality outcomes in this area. People live in a home that is well managed and their health and safety is protected. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager has been in place at the home for a long time, she is experienced and approachable and has gained her Registered Managers Award. The company help and support her; the director visits the home regularly to monitor how the home is operating. There has been a lot of work undertaken to ensure management have evidence to tell them how the home is operating. Quality assurance procedures are in place for laundry services, medication procedures and health Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 22 and safety within the home. The key worker system in operation is also audited by the manager, who speaks with the staff to see how this system is working. The company’s training manager also visits the home to ensure training is up to date and to give advice and help to staff to audit peoples care plans and to look at ways that these systems can be improved. Audits are also carried out to find out what people think about the staff and the services that the home has to offer. A yearly questionnaire is not sent to people living in the home or their relatives and this should be considered. Exit interviews for staff are also undertaken to make sure management are aware why staff leave the home, to ensure any issues raised can be addressed. The home is continually being improved to ensure it is a safe and homely environment for people and their families to enjoy. The management team communicate well with the Commission for Social Care Inspection. Personal allowance accounts are operated for people living in the home and these were found to be correct, and safeguarding people from financial abuse. Health and safety checks and regular maintenance is undertaken. Records relating to the hot water temperature of water supplied to bedrooms were inspected; all were in the correct range. Fire checks are undertaken and fire drills are recorded. This ensures peoples health and safety is protected. One comment received was“ I am very happy that my patients are looked after well. Jenny the manager is very thorough and always puts the residents interests first. Since the admission policies have been reviewed, life has been easier for both staff, residents and visiting members of the Primary Care Team”. Galtres Care Home DS0000068222.V366332.R01.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 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 13 (2) Requirement Controlled medications given must be signed for in the controlled drugs register. Medications prescribed must be given at the frequency they are prescribed. To ensure peoples wellbeing is protected. Fridge temperatures must be recorded daily. Improvements to the environment must continue to take place in line with the improvement plan. This will enhance the quality of life for people. Previous time scale not met. Fire doors must not be held open by inappropriate means. To ensure peoples health and safety is protected. Timescale for action 28/07/08 2. OP19 23 28/07/08 Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 25 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 2 Refer to Standard OP1 OP7 Good Practice Recommendations Information about the home should be provided in formats which are suitable to people living in the home. Care plans and risk assessments should be signed, where possible by the resident or their chosen representative. The date of risk assessment reviews should be recorded, so that there is an accurate record kept of reviews taking place. Social care plans should be created to ensure people are receiving their preferred activities. The menu should be made available to people, so that they have more time to decide what they may want to eat. Signage should be considered to help people with poor memory to help them find their way around the home and find to their bedroom. The ceiling in the upstairs storage cupboard should be repaired. Management should continue to encourage and support staff to gain their NVQ in care at level 2 or 3 to enhance the care being given in the home. Management should consider sending out questionnaires to people to gain their views about the home. 3 4 5 OP12 OP15 OP19 6 7 OP28 OP35 Galtres Care Home DS0000068222.V366332.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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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