Care Home: Glow Rest Home

What the care home does well This is a home for older people where the people who have received services have constantly reported experiencing a caring family-like environment. All the people who have received services have also consistently commented about liking living in the home, and liking their rooms, meals and how they are treated. Only positive comments have been received from relatives and friends. Bedroom sizes exceed those required under the National Minimum Standards, which gives more personal space for the residents. Communal sizes exceed those required under the National Minimum Standards, which gives more shared space for the residents. It is seen as good practice that the home supports relatives` wishes to maintain contact with the home following bereavement. It is seen as good practice that the home does not manage any money from those who have received services` and the homes to be commended for pursuing alternative solutions. This home is very well maintained. It was reassuring to see that the home was as particularly clean and hygienic, as it was at previous unannounced inspections. Relatives and people who have received services have allconsistently confirmed this in communications with the inspector. This standard is currently exceeded. What has improved since the last inspection? The Statement Of Purpose and the Service Users Guide have been updated with all the information required. This means that potential new people who may consider using this service and those making placements are now provided with all the information they need to make an informed decision about moving in to the home. Since the last inspection the manager sent us documentation to confirm that reviews are now occurring with a satisfactory frequency. This updates the staffs` knowledge of the changing needs of those who use the service. The manager has updated all of the home`s policies. This should ensure clearer and more up to date guidelines and procedures for staff. The 5 year electrical wiring certificate and portable appliance testing certificate were out of date at the last inspection but up to date tests have since been sent to the Commission. This helps ensure the electrical supply and appliances are safe. What the care home could do better: The statement of purpose should be collated into one collection of documents for easy presentation to placing authorities. Once new people start to use the service their views of the home should be included in the service users guide. If any new placements are made, 50% of the new staff recruited will need a NVQ2 or equivalent. If the proprietor/manager wishes to re-start the service, the manager should complete the NVQ 4 registered managers award. CARE HOMES FOR OLDER PEOPLE Glow Rest Home 58 Villiers Avenue Surbiton Surrey KT5 8BD Lead Inspector Barry Khabbazi Unannounced Inspection 28th July 2008 09:00 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 Glow Rest Home DS0000013416.V368582.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. Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glow Rest Home Address 58 Villiers Avenue Surbiton Surrey KT5 8BD 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 8399 2614 F/P 020 8399 2614 alomaglowacki@yahoo.co.uk Mrs Aloma Glowacki Mrs Aloma Glowacki Care Home 3 Category(ies) of Dementia (3), Old age, not falling within any registration, with number other category (3) of places Glow Rest Home DS0000013416.V368582.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 (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP 2. Dementia - Code DE The maximum number of service users who can be accommodated is: 3 5th June 2007 Date of last inspection Brief Description of the Service: Glow Rest Home is registered with the Commission for the provision of residential care to a maximum of three service users. The home is situated within easy reach by car or public transport of both Surbiton and Kingston town centres. On-street parking outside the property is limited, but the home has sufficient hard standing to provide parking for up to four vehicles. All service users bedrooms are on the first floor of the property. The building does not have an elevator or stair lift. To the rear of the property, a mature garden. The fees are currently from £357 to 400 per week Glow Rest Home DS0000013416.V368582.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 of the service is 2 star. This means the people who use this service generally experience good outcomes. There were no people who use the service placed at the time of this inspection. Any comments from people who use the service throughout the report will therefore refer to the last or previous inspections. This inspection was unannounced. At this inspection the manager/provider was interviewed, policies, care plans, and the building were also examined. The manager’s self assessment {AQAA} was not yet available to support this report. All the key Standards identified throughout this report were re-assessed at this inspection. This inspection also focussed on following up on previous requirements and recommendations, and any new issues arising. What the service does well: This is a home for older people where the people who have received services have constantly reported experiencing a caring family-like environment. All the people who have received services have also consistently commented about liking living in the home, and liking their rooms, meals and how they are treated. Only positive comments have been received from relatives and friends. Bedroom sizes exceed those required under the National Minimum Standards, which gives more personal space for the residents. Communal sizes exceed those required under the National Minimum Standards, which gives more shared space for the residents. It is seen as good practice that the home supports relatives’ wishes to maintain contact with the home following bereavement. It is seen as good practice that the home does not manage any money from those who have received services’ and the homes to be commended for pursuing alternative solutions. This home is very well maintained. It was reassuring to see that the home was as particularly clean and hygienic, as it was at previous unannounced inspections. Relatives and people who have received services have all Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 6 consistently confirmed this in communications with the inspector. This standard is currently exceeded. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Glow Rest Home DS0000013416.V368582.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 Glow Rest Home DS0000013416.V368582.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): Standards 1, 3 and 6: People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. People who are considering using the service and those making placements are provided with all the information they need to make an informed decision about moving in to the home. People who are considering using the service have their needs assessed before they start at the home to ensure that all needs are known by the staff. This home does not provide intermediate care with a view to return to the community and Standard 6 is therefore not applicable. EVIDENCE: Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 9 The last report recorded that the Statement Of Purpose did not include all the information required, for example, the qualifications and experience of staff. The following requirement was set to address this shortfall: The Statement Of Purpose must contain all the information required under Schedule 1. The manager had completed this by the time of this inspection with all the required additional information included, including staff numbers. This requirement is now met. The home’s Statement Of Purpose is made up of the brochure and additional documents. The following recommendation regarding this is made: The statement of purpose should be collated into one collection of documents for easy presentation to placing authorities. The last report also recorded that the Service Users Guide was also made up of the brochure and additional documents. However these did not include all the information required, for example, the views of the people who use the service and the qualifications and experience of staff. The following requirement was then set to address this shortfall: The Service Users Guide must contain all the information required under Standard 1 including the views of the service users. The manager also completed this by the time of this inspection but as no one is currently using this service no comments were possible. The requirement is now met and the following recommendation is now set: Once new people start to use the service their views of the home should be included in the service users guide. As there were no people receiving a service at the time of this inspection it was not possible to fully re-assess Standard 3 which refers to admission documents. However, this Standard has been previously met and all the assessment documentation to assess any new placement is in place as follows: The home uses ‘Standex’ medical assessment forms, which while being comprehensive from a clinical perspective, do not cover any social needs. The manager has since therefore amended both care plans and assessments to cover all the additional elements of Standard 3.3, and in particular a history falls, oral health, mobility, social interests, religious and cultural needs and carer and family involvement and other social contacts. The initial assessment now covers all the elements of Standard 3. This will result in more detailed and relevant assessments of a resident’s individual needs and a better understanding of needs by staff. This home does not provide intermediate care with a view to return to the community and Standard 6 is therefore not applicable. Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 10 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 and,11. People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. Plans of care are now more holistic and reviews occur frequently. This helps staff know all the needs of people who use services, their changing needs, and how to meet them. The personal care needs and physical and emotional health needs of people who use this service are met well by this home. This ensures that physical and emotional health is well maintained for people who use the service and therefore the quality of life experienced is also maximised. Medication is also well managed to ensure maximised good health. The needs regarding terminal care and following death for people who use this service are met well. Good practice has been identified in treating people who use this service and relatives with respect and sensitivity at times of illness and death. Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 11 EVIDENCE: Care Plans now cover all the elements of Standard 3.3 {see Standard 1}. While examining the residents’ files at the last inspection, it was ascertained that reviews were not occurring monthly as required under Standard 7. The following requirement was then set: Reviews must occur on a monthly basis. Since the last inspection the manager sent us documentation to confirm that reviews are now occurring with a satisfactory frequency. This updates the staffs’ knowledge of the changing needs of those who use the service. This requirement is now met. Medicines are currently stored securely. People who use the service can self medicate subject to a risk assessment and all have lockable cabinets in their rooms to facilitate this. Staff have been frequently observed to interact with people who use the service with respect and dignity and demonstrated a good relationship with them. This has been confirmed through discussions with people who use the service and relatives. Personal care needs are addressed promptly, and in a fashion that maintains the respect and dignity. There are flexible visiting hours and relatives, friends and visiting professionals can meet People who use the service privately in their own rooms or in a separate room. There are no shared rooms at this home. Procedures are in place for death and dying and evidence for preparation for this has been observed. The procedure includes recording wishes regarding terminal care and arrangements after death of people who use the service. People who use the service are able to spend their final days in their rooms and specialist medical care is brought in if required and appropriate attention to pain relief given. The following evidence of good practice was presented: The home provided evidence of supporting relatives’ wishes to maintain contact with the home following a bereavement. Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 12 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,and,15. People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. The home’s policies support visits to the people who use this service from relatives and friends. Residents are provided with opportunities to remain part of the local community and are able to take part in appropriate activities. The daily routines and the home’s policies promote the peoples’ choice and rights, to ensure equality and that all rights are enjoyed by all residents. Dietary needs are well catered for and a well balanced diet is provided, to ensure health and enjoyment of food. EVIDENCE: The routines of daily living and activities are made as flexible as possible, for example there is no set bed time or getting up time. Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 13 Group activities included ball games and skittles. The home also has links with other similar services in the area like open coffee mornings in the home. Individual activities also occur and events and birthdays are also celebrated. The owner/registered manager provides transport, if required, to enable people who use this service to undertake visits to places of interest locally. People who use this service are encouraged to receive visitors at all times, although the home requests that visitors are asked to avoid mealtimes unless invited to share a meal. Visitors were present at 3 out of the last 4 inspections and all had only positive comments about the home. Community interaction includes the local town centre’s resources and shops. People who use this service are supported to attend church or other religious venues should they wish to do so. The home is run in a manner that promotes choice and independence and this was confirmed through comments from people who used this service, policies, and observation. People who use this service can take meals, and particularly snacks, at times and places to suit them and have a choice of meals and alternatives. People who use this service can bring in their own possessions and furniture if they wish and this was observed in their rooms, which had been individualised. The home has demonstrated good practice by not taking responsibility for the control or administration of the finances of people who use this service. Where an individual may not be able to exercise control in this area the home will liase with relatives or independent advocates, for example solicitors. Meals can be taken in the dining room or conservatory, which had room for all to be seated. The home menus are based on the likes and dislikes of the people who use this service. These have been examined and were nutritious and varied. Meals can be taken separately to the main dining room if wanted. Additional drinks and snacks are available at any time. The inspector was invited to take a meal with the people who use this service at the 2nd to last inspection and would like to thank them for their hospitality. The meal was pleasant, nutritious and served in a congenial environment. Staff provided assistance discretely and sensitively where necessary. People who use this service have previously described the food as “lovely”. At the last inspection all the service users also commented positively about the meal and all seemed to eat well. Glow Rest Home DS0000013416.V368582.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): Standards 16 and 18: People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. Complaints are managed well which should ensure that concerns are listened to and acted apon. The home’s policies and procedures help protect residents from abuse and help staff if they need to tell someone about any bad care practice they may see. EVIDENCE: The home has not received any complaints over the last 60 months. The complaints procedure was clear and contained all the elements required including a written maximum response time of less than 28 days and details of how to contact the Commission. The home has a copy of the local Adult Protection procedure. The home has Violence at Work Policy that gives guidance regarding restraint. The home also has a Whistle Blowing Policy and an Abuse Policy. The Gifts Policy was updated during last year’s inspection to also preclude staff from being involved in the making or being the beneficiary of service users’ wills as required under this Standard. The home does not handle any the money from people who use this service and there are lockable bedrooms and a safe for secure holding of valuables. Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 15 The last report contained the following recommendation: The manager should continue with the current updating of policies. This has now occurred and the recommendation is met. Glow Rest Home DS0000013416.V368582.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): Standards: 19, 20, 23, and 26: People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. The home is in very good condition externally and internally, and is well decorated in a homely fashion and very well maintained. This creates a pleasant environment that promotes the dignity and emotional well-being of people who use this service. Bedroom sizes and communal area sizes exceed the National Minimum Standard providing extra space for the people who use this service. Bedrooms contain all the furniture required under the National Minimum Standards unless recorded choice or risk assessment shows otherwise and exceed the size required under the National Minimum Standards, which gives more personal space for people who use this service. The home is particularly hygienic and clean, homely and comfortable; this environment therefore promotes a pleasant environment, the residents’ health, and emotional well-being. Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 17 EVIDENCE: The home has a lounge and dining room, which are both large enough for all the people who use this service to sit together if they wished. In addition, there is a conservatory. Communal sizes exceed those required under the National Minimum Standards, which gives more shared space for people who use this service. Bedroom sizes exceed that required under the National Minimum Standards, which gives more personal space for the residents. All the bedrooms were seen at the last unannounced inspection. Bedrooms were decorated to a high standard. The bedrooms were highly personalised and reflected the individual tastes and preferences of their occupants. People who use this service spoken to during the inspection confirmed that they had been able to bring items with them on admission, including photographs, ornaments and in some cases items of furniture. People who use this service also confirmed that they liked their rooms. The home always gives the impression of a very clean and hygienic home. The building was clean and tidy and rooms were free of offensive odours. This has been the case at all announced and unannounced inspection visits. Laundry facilities have easily cleanable floors and walls. The home has policies covering storage, infection control and dealing with spillages. Hand washing facilities and protective clothing are available where required. At all inspections, announced and unannounced, We saw that the home was particularly clean and hygienic. This is an area of good practice commented on by people who use this service during inspections and by relatives in recent surveys. Glow Rest Home DS0000013416.V368582.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): Standards 27, 28, 29, and 30. People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. Staff numbers are of sufficient quantity to meet the residents’ needs and provide consistency. People who use this service are supported by a staff group where 50 or more have the required qualifications. Achieving this raises the quality of staff, their knowledge and their practices. {This will need to be re-checked when new placements are made and new staff begin work.} The staff recruitment policies and vetting procedures helps protect the people who use this service r from undesirable staff. {This will need to be re-checked when new placements are made and new staff begin work.} Induction and foundation training to National Training Organisation’s specifications is now in place EVIDENCE: Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 19 This whole section should be read bearing in mind that there were no people using this service at the time of this inspection. The 2007 unannounced inspection report specifically examined staff numbers and quantity and found that they met the needs of people who use this service and provided consistency. See that report for details. In addition to the registered manager’s 42 hours there is a total of 35 care staff hours per week The home is managed and run on a day-to-day basis by the owner/manager, with assistance provided by staff. Both the owner and staff members live on site and are therefore available in case of emergency. The owner has reported that, in her absence from the service, she liases with other local homes with which she has links, to make appropriate arrangements for cover. This was also confirmed at the last unannounced inspection. The last report recorded that the staff vetting procedure is now much improved and all the required documents were in place except for one reference. This member of staff is well known to the owner/manager and therefore the lack of a reference is not of great concern. The following requirement was set to address this: Written references are needed for all staff employed at the home. It appears that although this was sought, this member of staff is not currently working at this home. This requirement is therefore not only met but not currently applicable to the particular member of staff concerned. The manager is however reminded of the need for two references for any new staff even if she does know them. The last report contained the following requirement: 50 of staff must have an NVQ2 qualification. As there are currently no people placed and therefore no staff, this requirement is currently not applicable as 50 of zero is still zero. However the manager is reminded that if new people are placed and the home is staffed again, the need for 50 of staff with a NVQ2 qualification will become a requirement. A recommendation will be set at this time to facilitate this occurring for any new staff as follows: If any new placements are made, 50 of the new staff recruited will need a NVQ2 or equivalent. Staff training meets National Training Organisation standards and specifications. By the time of the last inspection the home had acquired the ‘Training Of Personal Social Services’ induction packs and the new member of staff had started this induction system. Glow Rest Home DS0000013416.V368582.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): Standards 31, 33, 35, and 38. People who use this service experience Good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. People who use this service benefit from a home that is managed by a person with appropriate qualifications and many years of relevant experience. There is a quality assurance system that involves the people who use this service, which now has been developed to provide feedback to them, to allow them to be involved in improvements and measure improvements in the home for themselves. The financial interests of people who use this service are well guarded. The home promotes the health and safety of the people who use this service, so that practices and the environment do not place their health and safety at risk. Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 21 EVIDENCE: The home is managed very well. The positive outcomes for this have been shown by the positive comments made by those who have used the service and relative, regarding the running of the home. See the main body of this report for details. The manager has many years experience in the field and is a qualified nurse. The manager however, is not qualified to NVQ 4 in management and needs this qualification under this Standard. The following new recommendation is set. If the manager/manager wishes to re-start the service, the manager should complete the NVQ 4 registered managers award. Quality assurance tools currently include questionnaires and meetings for those who use the service and a complaints system. These quality assurance tools have been pulled together into an internal quality assurance system, which includes this information in the home’s annual plan where appropriate, and then provides a system of feedback and review involving the people who use the service in the form of meetings. This should allow open measuring of achievement in improving quality. The home does not hold savings for, or act on behalf of, service users. Evidence of good practice presented: The home is to be commended for pursuing alternative solutions regarding management of the money of those who use the service. All of the health and safety policies and procedures relevant to this Standard have been seen to be present. Fire Safety, First Aid, Food Hygiene, Infection Control, and Handling and Disposal of Clinical Waste policies are all also included in staff induction. Control Of Substances Hazardous to Health policies and data sheets were available and these substances were all locked away. The last report contained the following requirement: An up to date 5 year electrical wiring safety certificate and a portable appliance testing certificate must be sent into the Commission. These were sent to us prior to this visit. This requirement is now therefore met. All of the remaining procedures and testing of systems required in Standard 38 were also present and up to date. As mentioned throughout this report, there are currently no people placed at this home and subsequently no staff. To ensure that staffing and resources match the needs and numbers of potential new residents, the following requirement is set: Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 22 The providers must inform the Commission of any planned re-opening of the service before any new placements occur. Glow Rest Home DS0000013416.V368582.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 3 x 3 x x N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 3 4 x x 4 X X 4 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 3 Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP38 Regulation 23 Requirement The providers must inform the Commission of any planned reopening of the service before any new placements occur. Timescale for action 01/01/10 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. 3. 4. Refer to Standard OP1 OP1 OP28 OP31 Good Practice Recommendations The statement of purpose should be collated into one collection of documents for easy presentation to placing authorities. Once new people start to use the service their views of the home should be included in the service users guide. If any new placements are made, 50 of the new staff recruited will need a NVQ2 or equivalent. If the owner/manager wishes to re-start the service, the manager should complete the NVQ 4 registered managers award. Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 25 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 Glow Rest Home DS0000013416.V368582.R01.S.doc Version 5.2 Page 26 - 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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