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Care Home: Highview Residential Home

  • 42 and 44 Foxholes Road Southbourne Bournemouth Dorset BH6 3AT
  • Tel: 01202428799
  • Fax:

Highview Residential Home is a care home registered to provide personal care for 19 older people who have dementia or a mental disorder. Two beds are booked by Bournemouth Borough Council social services directorate for the provision of short-term and respite care. The home has recently been extended to provide 19 places, previously registered for 10. Mr & Mrs Rhodes purchased the adjoining property, the extended premises was registered in November 2007. Highview is situated in a quiet residential road, half a mile from local shops, the cliff top and coastal walks and is approximately one mile from the main centre of Southbourne. Southbourne offers a number of amenities, such as post office, shops, a park and bowling greens, places of worship, GP surgeries and a library. There is limited off-road car parking available at the front of the home, with further parking on the road outside. Buses are available nearby, running to and from Southbourne, Bournemouth, Christchurch and beyond. Residents are accommodated in nineteen single bedrooms on the ground and first floors, with five rooms having en-suite facilities. The home has sufficient communal bathroom/shower/WC provision to meet the needs of residents. The ground floor lounge and separate dining room are situated to the rear of the home, with the lounge having patio doors to the rear garden. There is also a spacious porch area where some residents like to sit and watch the "comings and goings." The accommodation is comfortable and `homely.` The area at the front of the home is used mainly to provide car-parking facilities. The rear garden is laid mainly to lawn with a paved patio area and decking, with surrounding shrubs and tree.Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 524-hour personal care is provided. Laundering of personal clothing etc is carried out on the premises. All meals are prepared and cooked within the home. Although a choice of menu is not offered for the lunchtime meal, a variety of alternatives are available to suit individual taste and preference. The current fees are £490 per week for all residents Rhodes Care Home Ltd also owns one other care home in Dorset.

  • Latitude: 50.723999023438
    Longitude: -1.7960000038147
  • Manager: Mrs Clair Maxine Rhodes
  • UK
  • Total Capacity: 19
  • Type: Care home only
  • Provider: Rhodes Care Home Ltd
  • Ownership: Private
  • Care Home ID: 8177
Residents Needs:
Dementia

Latest Inspection

This is the latest available inspection report for this service, carried out on 17th December 2007. CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

For extracts, read the latest CQC inspection for Highview Residential Home.

What the care home does well Highview ensures that people who entered the home are able to have their needs met by the services provided there; assessments confirm that an holistic approach to care is established and the use of care planning documentation demonstrates the extent of information available to staff in order that assessed needs can be met. A committed and caring staff team treats residents in the home respectfully and systems are in place to ensure the dignity of residents is preserved. A good diet is provided from a newly fitted and equipped kitchen. Residents` individual dietary requirements are considered and catered for. Highview ensure the protection of residents with formal policies and procedures in place supported by staff training programmes relating to the prevention of abuse with vulnerable adults and complaints procedures ensure that any concerns raised would be dealt with effectively. The home`s environment is clean and well maintained and the recent extension work has improved communal areas of the home. Staff are employed and deployed in sufficient numbers to ensure residents` needs can be met. Safe recruitment practice is carried out to ensure staff are suitable to work with vulnerable adults. The registered manager`s recent success in obtaining the Registered Managers Award and NVQ level 4 in Care should give residents confidence that the home is well managed with effective administration and practices in place for their protection. What has improved since the last inspection? Since the last inspection the home has re-registered in order to increase its numbers. The extension work has resulted in an increase of nine additional rooms and extended lounge, dining room and garden facilities for residents to enjoy. Mrs Rhodes has attained the Registered Managers Award and NVQ 4 in care to assist with effective management of the home. What the care home could do better: This inspection has not identified any specific areas where improvement will be sought although Mr & Mrs Rhodes are aware of the need to strive for improvement at all times and this has been identified in their Annual Quality Assurance Assessment which outlines their aims for development in the next 12 months. CARE HOMES FOR OLDER PEOPLE Highview Residential Home 42 and 44 Foxholes Road Southbourne Bournemouth Dorset BH6 3AT Lead Inspector Jo Palmer Key Unannounced Inspection 17th December 2007 10:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Highview Residential Home DS0000064372.V356994.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. Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highview Residential Home Address 42 and 44 Foxholes Road Southbourne Bournemouth Dorset BH6 3AT 01202 428799 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) rhodescarehome@aol.com Rhodes Care Home Ltd Mrs Clair Maxine Rhodes Care Home 19 Category(ies) of Dementia (19) registration, with number of places Highview Residential Home DS0000064372.V356994.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 providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Dementia (Code DE) The maximum number of service users who can be accommodated is 19. 23rd March 2007 Date of last inspection Brief Description of the Service: Highview Residential Home is a care home registered to provide personal care for 19 older people who have dementia or a mental disorder. Two beds are booked by Bournemouth Borough Council social services directorate for the provision of short-term and respite care. The home has recently been extended to provide 19 places, previously registered for 10. Mr & Mrs Rhodes purchased the adjoining property, the extended premises was registered in November 2007. Highview is situated in a quiet residential road, half a mile from local shops, the cliff top and coastal walks and is approximately one mile from the main centre of Southbourne. Southbourne offers a number of amenities, such as post office, shops, a park and bowling greens, places of worship, GP surgeries and a library. There is limited off-road car parking available at the front of the home, with further parking on the road outside. Buses are available nearby, running to and from Southbourne, Bournemouth, Christchurch and beyond. Residents are accommodated in nineteen single bedrooms on the ground and first floors, with five rooms having en-suite facilities. The home has sufficient communal bathroom/shower/WC provision to meet the needs of residents. The ground floor lounge and separate dining room are situated to the rear of the home, with the lounge having patio doors to the rear garden. There is also a spacious porch area where some residents like to sit and watch the comings and goings. The accommodation is comfortable and homely. The area at the front of the home is used mainly to provide car-parking facilities. The rear garden is laid mainly to lawn with a paved patio area and decking, with surrounding shrubs and tree. Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 5 24-hour personal care is provided. Laundering of personal clothing etc is carried out on the premises. All meals are prepared and cooked within the home. Although a choice of menu is not offered for the lunchtime meal, a variety of alternatives are available to suit individual taste and preference. The current fees are £490 per week for all residents Rhodes Care Home Ltd also owns one other care home in Dorset. Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 17th December 2007 between 10.45 and 14.45. Mr & Mrs Rhodes, owners of Rhodes Care Home Ltd were present, Mrs Rhodes is registered as the manager for Highview Residential Home. The main purpose of this key inspection was to check that the residents living in the home were safe and properly cared for and to review the home’s performance against the key National Minimum Standards The inspector spoke with four residents, one relative, one staff member and the owner/manager, took a tour of the premises and examined relevant records. What the service does well: Highview ensures that people who entered the home are able to have their needs met by the services provided there; assessments confirm that an holistic approach to care is established and the use of care planning documentation demonstrates the extent of information available to staff in order that assessed needs can be met. A committed and caring staff team treats residents in the home respectfully and systems are in place to ensure the dignity of residents is preserved. A good diet is provided from a newly fitted and equipped kitchen. Residents’ individual dietary requirements are considered and catered for. Highview ensure the protection of residents with formal policies and procedures in place supported by staff training programmes relating to the prevention of abuse with vulnerable adults and complaints procedures ensure that any concerns raised would be dealt with effectively. The home’s environment is clean and well maintained and the recent extension work has improved communal areas of the home. Staff are employed and deployed in sufficient numbers to ensure residents’ needs can be met. Safe recruitment practice is carried out to ensure staff are suitable to work with vulnerable adults. The registered manager’s recent success in obtaining the Registered Managers Award and NVQ level 4 in Care should give residents confidence that the home is well managed with effective administration and practices in place for their protection. Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 7 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. Highview Residential Home DS0000064372.V356994.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 Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A pre admission procedure is in place and assessments are routinely undertaken to ensure that only residents whose needs can be met by the home are offered places there. EVIDENCE: In the weeks leading up to the inspection, Highview was re-registered to increase its resident numbers from 10 to 19; consequently, a number of new residents had been admitted to the home. Care files were seen for three people who had recently moved in to Highview; these files contained preadmission assessments which demonstrated that the home had considered their needs prior to offering them a permanent place to live. Of the three residents whose files were examined, two had been previously known to the home having lived there for short periods of respite care. The records held during the respite periods were used to inform the assessment of their long Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 10 term needs. For residents who receive support with their funding arrangements from a local authority, local authority and health care plans were in place. Assessments seen included assessment of all aspects of health and welfare including daily living tasks, personal and social care. Mr Rhodes was advised that where possible, care files should indicate the residents participation in the assessment process with identification on file of how, where and from whom, the information was obtained. Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to provide staff with the information they need to meet the health and personal care needs of residents. The principles of respect, dignity and privacy are put into practice EVIDENCE: Resident care files examined held individual care plans devised from assessment; care plans are written for each aspect of identified need. Additionally, as care plans are lengthy documents, a précis of residents’ needs is in place with the daily records that staff write following each shift identifying care delivered as planned. This précis of care demonstrates that each aspect of the person’s daily routine is considered and made known to staff in order that they may assist them correctly. Where a resident is in receipt of any form of nursing care, it is evident from the care plans that the district nursing service provides this; it is advised that where this is the case, a contingency plan is written identifying for care staff any care that may be required in Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 12 respect of the procedure between the nurses visits (this relates to catheter care, wound care or diabetic care specifically). Highview does however have in place policies and procedures relating to these aspects of health care, which they are not registered to provide in order that staff understand the principles and implications of the care delivered on a daily basis. Medication systems are in place in the home for the protection of residents. Medicines are normally managed by the home and the supplying pharmacy in monitored dosage blister packs and records are held relating to the receipt and administration of medicines. As a result of the recent increase in numbers and admission of several new residents, medication held at the time of inspection was somewhat unwieldy as many of the new residents had arrived at the home with their own supplies of medicines or these had been ordered by the home outside of the 28 day schedule of the blister packs, these medicines were therefore held in the original boxed/bottled containers rather than the blister packs. It was evident however from examination of stocks and records that medicine was being well managed with appropriate control of stock and audit trails. Mr & Mrs Rhodes confirmed that all new residents’ medicines would come in line with the 28 day routine of the blister pack system with the next order. Residents spoken to briefly who were able to comment and observation of staff and residents in the home confirmed that they were treated respectfully and that their dignity was upheld in relation to daily routines and personal care; care records examined were noted also to be written respectfully and with consideration for residents as individuals. Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social care is limited to the extent of residents’ abilities to participate, people are generally encouraged to make choices about their life style and to maintain contact with their family and friends. The meals in this home are wholesome and varied and are served in a pleasant environment. EVIDENCE: Care files examined evidenced that resident’s social care and recreational needs are taken into consideration. Of four residents spoken with during this inspection, three were unable to engage in meaningful dialogue; one confirmed that their social needs and expectations were met. Records held relating to residents daily lives in the home confirmed that they maintain contact with their friends and family and visitors are welcomed to the home. A returned AQAA (Annual Quality Assurance Assessment) completed prior to this inspection identified that Mr & Mrs Rhodes feel there could be more structure to activities in the home with more residents involved in planning activities and leisure arrangements. A ‘memorabilia’ cabinet has been incorporated into the new lounge area of the home, this is filled with items of interest from days Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 14 gone by that residents may be able to relate to. Staff are working on compiling social histories for each resident, putting together folders containing information about significant events in their past and photographs; these are to be used for individual reminiscence topics for residents. Residents who were able to, confirmed that meals in the home were well provided, a visitor spoken with confirmed also that their relative enjoyed the meals and that likes and dislikes were catered for. Breakfast is served to residents by individual choice, most having cereals or toast although Mr Rhodes confirmed that a cooked breakfast could be taken. Breakfast is provided between 7.00 and 10.00am when residents are ready. Lunch and supper are served at midday and 5.00pm respectively although again, Mr Rhodes stated that if a resident wishes to take their meals at different times, this would be catered for. There is a four week rotating menu, set meals are provided although alternatives are available if a resident does not like the set meal of the day; menus seen demonstrated that a variety of meals are prepared. Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and staff training programmes are in place to protect the residents living at the home; residents can be reassured that they can express any concerns they may have and that any incidents will be managed appropriately EVIDENCE: A complaints procedure is available to residents and visitors to the home. Mr Rhodes confirmed that no complaints had been received although was aware that if any were, they would be fully investigated and resolved to a satisfactory conclusion. An adult protection policy is in place with procedures detailed for contacting the appropriate authorities should any concerns or allegations be made, no concerns or allegations have been reported. Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, comfortable, safe and well-maintained environment, which has been upgraded to ensure it best meets their needs. EVIDENCE: Recent extension work at the home has resulted in an increase in numbers from 10 to 19 and extensive refurbishment. The home is clean with no unpleasant odours and has been equipped with necessary adaptations to meet resident mobility needs such as ramps, grab rails, a lift, and new furnishings. The rear gardens of the home have also been extended and when finished will provide a pleasant seating and lawn area for residents in the summer months. In those resident rooms that were visited it was evident that they are able to personalise their surroundings with pictures, knick-knacks and small items of furniture from home. Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 17 Five of the rooms have en-suite facilities, the rest have vanity basins and use of toilet and assisted or domestic style bathing facilities nearby; assisted bathrooms are sited around the home. Radiators in the home were covered with low surface temperature covers to prevent accidental scalding, hot water outlets had not been regulated although Mr Rhodes confirmed that the proper valves had been bought and were waiting to be fitted; Mr Rhodes was strongly advised to have this done as soon as possible. Risk assessments are in place however to identify any resident that may be at risk of accidental scalding and appropriate control measures were in place, staff always assist with bathing in these cases and thermometers were available in the bathrooms. Infection control procedures were in place and anti-bacterial hand soaps, paper towels and alcohol based hand rubs were available for staff hand hygiene. Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff are on duty to meet residents’ needs. Training is provided to staff in order that they have the skills and are competent to do their jobs. Safe staff recruitment practice is used. EVIDENCE: Staff rotas seen demonstrated that there were four member of staff on duty in the morning, four each afternoon and two at night; there is a two hour overlap of shifts during the day resulting in 5 care staff being on duty between 2.00 and 4.00pm. Additionally the manager, Mrs Rhodes is in the home, there is a housekeeper and cook. Residents who were able to comment and one visitor spoken with confirmed that staff are available when they need them. The manager and deputy manager have attained NVQ level 4 in care, the manager also has achieved the Registered Managers Award. Two care staff have NVQ level 3 and one is currently doing this award; and four staff have attained NVQ level 2 although one is away on maternity leave. Highview has achieved its target of having over 50 of its care staff trained to NVQ level 2 or equivalent. Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 19 A training audit is available which shows that all care staff have attended appropriate training in areas necessary for them to undertake their duties, the following courses have been undertaken: • Emergency aid • Health and Safety • Protection of vulnerable adults • Food hygiene • Dementia care • Infection control • Moving and handling • Fire safety Mr Rhodes confirmed that staff are booked for updates of these courses as they fall due. Staff files seen demonstrated appropriate recruitment. Application forms are used to recruit into vacant posts, applicants provide personal details as required in Schedule 4 (Care Homes Regulations) including work history and qualification, provide names of referees and sign a Rehabilitation of Offenders statement. References, POVA (Adult Protection) and Criminal Records checks are made before an applicant is successful and starts employment at the home. Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are can be confident that the home is well managed and that systems are in place that centre around their care needs. Management practices and records kept, confirm the health and safety of people in the home. EVIDENCE: Mrs Rhodes, registered manager completed an NVQ level 4 in care and Registered Managers Award since the last inspection and has therefore met a requirement of the last inspection and a condition of registration which has now been removed from the registration certificate. Mr Rhodes, joint owner of Rhodes Care Home Ltd also takes an active role in the management of the home, and an administrator is employed. Residents spoken with who were able Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 21 to comment confirmed they were happy with the management arrangements stating that Mr & Mrs Rhodes were available and active in the home The Commission for Social Care Inspection send all care homes an AQAA (Annual Quality Assurance Assessment) to complete prior to inspection. A completed AQAA which provided detail of the home’s intention to continue to monitor and evaluate quality of service provided was submitted which identifies what the home feels they do well and sets out their plans for improvement over the next twelve months. Additionally, Mr Rhodes is in the process of completing an internal quality assurance audit, this was seen and it is evident that Mr Rhodes has assessed the home’s performance against the National Minimum Standards based on previous inspection reports and feedback from residents and relatives. Surveys were sent to relatives and interested parties. The results of these have not yet been compiled as a report although Mr Rhodes is aware of the need to produce a report in respect of any review and make it available to the Commission and to residents and their representatives. Residents can be assured of effective management of their personal finances, where a resident requires assistance with their allowances; the home ensures that procedures are in place for their protection. Records seen demonstrate that income, expenses and balances are recorded; receipts for expenditure are held to ensure a clear audit is kept. Although individual records were not reviewed, it was evident from a matrix held in the office that staff receive regular supervision, all staff had had an individual supervision meeting in October 2007 and it was planned that these would be carried out six times each year. A health and safety file was reviewed which evidenced that regular and appropriate testing, servicing and maintenance of fire alarms, emergency lighting and fire fighting equipment is carried out, these records and the homes fire warning system was reviewed by Dorset Fire and Rescue Service as part of the process of re-registering the home to increase resident numbers; a fire risk assessment was also available which had been reviewed in October 2007. Electrical installation and gas safety certificates were available for inspection, these too had been checked as part of the process of re-registering the home and were satisfactory. Food hygiene and Health and Safety inspections had been carried out by the local authority consumer protection department. Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 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 3 Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Highview Residential Home DS0000064372.V356994.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Highview Residential Home DS0000064372.V356994.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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