Care Home: Hilton Park Care Home - Oaklands

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What has improved since the last inspection? This is a new service and therefore there were no pre-existing requirements. What the care home could do better: Although on the whole the care plans are of a satisfactory standard there needs to be some improvement to provide clear and accurate guidance for the staff in how to meet the needs of the residents. We have made no requirement, on this occasion, as we expect the home to manage this issue. People must be given medication as prescribed by their doctor. A requirement has been made about this. The home should have 50% of care staff with National Vocational Qualification level 2, or equivalent, in care, as part of good practice. We have made no recommendation about this as there is work in progress to meet this Standard. Key inspection report CARE HOMES FOR OLDER PEOPLE Hilton Park Care Home - Oaklands Bottisham Cambridge CB25 9BX Lead Inspector Elaine Boismier Unannounced Inspection 12th May 2009 9:45 DS0000072878.V375127.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hilton Park Care Home - Oaklands Address Bottisham Cambridge CB25 9BX 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) 01223 811256 01223 812692 www.barchester.com Barchester Healthcare Homes Ltd Sharlene Van Tonder Care Home 54 Category(ies) of Dementia (54), Mental disorder, excluding registration, with number learning disability or dementia (54), Old age, of places not falling within any other category (54), Physical disability (54) Hilton Park Care Home - Oaklands DS0000072878.V375127.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 with Nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP Dementia - Code DE Physical Disability - Code PD Mental Disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 54 New Service 2. Date of last inspection Brief Description of the Service: Oaklands, owned by Barchester Healthcare Homes Ltd, was first registered in November 2008, for 54 places, to provide care, including nursing care, and support to people over 18 years of age some of whom have a physical disability and some of whom have mental health needs. A major variation application to add the category for Mental Disorder, for up to 54 places, was approved in March 2009. Oaklands is a purpose-built two-storey home situated on the edge of the Cambridgeshire village of Bottisham and shares the same location as that of two other care homes, also owned by Barchester Healthcare Homes Ltd. The home is divided into three units, Maple Lane, Elm Avenue and Willow Drive; Maple Lane is situated on the first floor and access to here is via a passenger lift or stairs; both Elm Avenue and Willow Drive are located on the ground floor. All of the bedrooms have ensuite facilities and there are communal spaces, including kitchen areas and two inner courtyards with flower beds and garden furniture. Local amenities include a shop and the home is approximately six miles from the city of Cambridge. Transport is provided by public services and a mini-bus. Current fees range from £555 to £1300 and additional costs include those for Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 5 private chiropody, newspapers, hairdressing, aromatherapy and toiletries. Further information about the fees can be obtained from the home. A copy of our inspection reports should be available on request from the home or via our Care Quality Commission (CQC) website at www.cqc.org.uk Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 6 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. This is the first key inspection against the Care Standards Act 2000, the National Minimum Standards and the Care Homes Regulations 2001 (and the subsequent amendments thereof). The inspection was unannounced and was carried out by three Inspectors between 9:45 and 15:45, taking six hours to complete. We looked around the premises, spoke with some of the residents and some of the staff, including the Manager, and we watched what was happening in the home. We case tracked two of the people living on Willow Drive: case tracking means speaking and observing the people and the staff who are looking after them and comparing with what we see and hear with the person’s care records. We also spoke with some other people who were not part of our case tracking. In Elm Avenue we carried out a Short Observational Framework for Inspection (SOFI). Some of the people living at Oaklands are not able to say what it is like living there, so an Inspector spent some time observing and recording the experience of some of the people using the service. Before the inspection we received surveys from some of the residents and one from a member of the staff and we also received a completed Annual Quality Assurance Assessment (AQAA) from the Manager. We also looked at the information that we have received about and from the home, since it became registered to operate. For the purpose of this inspection report people who live at Oaklands are referred to as ‘people’, ’person’, ‘resident’ or ‘residents’. What the service does well: People have a good standard of information to help them in their decision where to live. One person wrote that the home ‘Looks after me well.’ People have opportunities to live a good quality of life. Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 7 People are listened to and are safe from the risk of recurring abuse. People live in a comfortable, safe and pleasant home that is furnished to an excellent standard. People are in safe hands as the staff are well recruited and generally welltrained. People benefit from a well-managed home. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Hilton Park Care Home - Oaklands DS0000072878.V375127.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 Hilton Park Care Home - Oaklands DS0000072878.V375127.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1 &3 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a good standard of information to help them in their decision where to live. EVIDENCE: The Statement of Purpose was submitted with the organisation application and reflected appropriately the categories of registration. The services, staffing and the services offered were included in the document. Within the main foyer there was information about activities, such as alternative and homeopathy therapies and the costs for these. Three of the four residents’ surveys said that the person received enough Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 10 information to help them decide if the home was the right place for them, before they moved in. The AQAA stated that ‘Residents are fully assessed ensuring appropriate admissions to the home. A four week trial period is offered.’ According to the AQAA there has been one placement breakdown since the home opened in December 2008. The Manager explained that the person needed further assessment and hospital care. We looked at two people’s care records and the evidence indicated that the people had a full assessment of their needs before they moved into the home. The home does not provide intermediate care and therefore Standard 6 is not applicable. Hilton Park Care Home - Oaklands DS0000072878.V375127.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are generally safe although there are some risks to their health and welfare. EVIDENCE: From our case tracking we found that the person had been consulted about both their care plans and their risk assessments and they had signed to say that they agreed to these. The care plans accurately reflected the person’s needs, choices and likes and dislikes. For example one of the people told us that they drink a certain type of lemonade (which they did when we were speaking with them) and we saw their preference recorded in their care plan; for the other person we saw how they interacted with the staff and we also saw such a description recorded. The care plans and risk assessments were Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 12 actively reviewed each month and information of any changes, such as risks of pressure sore development and records of weights were cross-referenced in to the monthly evaluation and action taken if needed. We examined other people’s care records, which were not part of our case tracking, and we found that these, overall, provided the information for the staff in how to meet the needs of the person. For one of the care files we saw that the person, who had mental health needs, had their care plan, for these needs, at the front of the file and as such provided the staff with information as to how their condition affected the person and others and what the staff were to do to meet the needs of the person. As part of our SOFI we saw there was personal information about one of the resident’s family and social history as part of their ‘Memory Lane’ background. We noted some deficiencies, however, within the care plans: we were unable to tell how a person had their medication given via an artificial feeding tube; we were unable to tell how a person’s skin integrity was to be maintained and we were unable to tell, for another person (who was part of our SOFI activity) how they were helped with their food. We have made no requirements about such deficiencies, on this occasion, as we expect the home to take action. The AQAA told us that the health and welfare of the people is met by visiting healthcare professionals such as chiropodists, physiotherapists, dieticians and tissue viability nurses and ‘We use a problem solving approach looking for ways of understanding our residents. By using memory boxes we get staff to understand the uniqueness of each person as an individual. With rummage boxes etc we find objects trigger emotional memories and ask families to bring reminiscence boxes personal to the resident in our care on our dementia unit.’ From our discussion with the people and looking at their care records we found that the people had access to a range of healthcare professionals, such as general practitioners, dieticians, speech and language therapists and hospital services. We saw that the people were well-dressed and their standard of personal care was satisfactory. We saw that where a person was able to shave themselves they were encouraged to do so. We also noted that where a person declined dentistry services and declined to have personal care provided, such choices were recorded in the person’s care records. All of the four residents’ surveys said that the person received the care, including medical care, and support that they needed. One person wrote that the home ‘Looks after me well.’ We looked at the arrangements for the safe storage, administration and recording of medication. Medicines are stored securely for the protection of residents in temperature controlled rooms. Temperatures are recorded regularly and were satisfactory. This ensures the quality of medicines in use. The cupboards used to store controlled drugs do not appear to be fixed to the Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 13 wall as required by the Regulations. We expect this to be managed by the home rather than made a requirement on this occasion. We looked at the records of medication received into the home, administered to people and disposed of and in general these were of a good standard with very few discrepancies. This demonstrates the home’s ability to account for medicines in use and ensures that people receive their prescribed medication. However the records for some people show that they have not receive their medication as prescribed and in line with the instructions on the label. In other cases, medication which is prescribed to be taken regularly had been omitted and the record showed that it was “not required”. Another person had been given medication to control behaviour but the care records did not show any justification for its use. A requirement has been made to ensure all people receive their medication as prescribed. We watched medicines being given to some residents at lunchtime and this was done by regard to individual people’s dignity and personal choice. During our SOFI activity we saw that there was very good interaction of the staff with the residents and we also found this was the case on Willow Drive. We saw the staff knock on people’s doors before entering and we saw the staff interacting with the people in an appropriate manner. Hilton Park Care Home - Oaklands DS0000072878.V375127.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have opportunities to live a good quality of life. EVIDENCE: The AQAA notes that ‘When it comes to activities we have employed a “Life Skill Coordinator” to oversee activities. We also have an art therapist who does classes every two weeks on a Saturday.’ During our SOFI we saw that people were supported in carrying out activities such as painting, listening and singing to music, guessing the name of the music, poetry reading and reading a newspaper. As part of our case tracking we noted that the people had opportunities to go out shopping and visiting friends and families and having a meal out with them or choosing to stay in their room listening to the radio and watching or listening to the television. One of the people said that they had a newspaper most days (one was delivered when we were there) and we saw that the other person enjoyed having 1:1 sessions with the activities coordinator and liked having passages, from the Bible, read to them. Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 15 The people we spoke with said that they could choose what they liked to do and we saw that where there were any restrictions imposed, due to health and safety reasons (such as where and when they could smoke a cigarette) these were explained to the person and the person had agreed to such restrictions. We saw some of the people receiving their guests and we noted, as part of our case tracking on Willow Drive, that friendships are forged amongst some of the residents and the home supports the people in maintaining such friendship links. According to the AQAA ‘We offer fine dining with 2 courses with an added core menu with 10 alternative choices. Residents have the choice of a cooked breakfast everyday.’ In our examination of the home’s menus we saw that this was the case. Alternative choices include burger and chips, omelettes, sorbets, mousses, doughnuts and muffins. During our SOFI we saw that people were offered drinks, biscuits and sweets. Three of the four residents’ surveys said that they always liked their meals whereas the remaining survey said the person sometimes liked their meals. The people we spoke with said that the food was ‘Yea ok’ and ‘Alright’. In Willow Drive we saw instructions for staff in what the people had chosen to eat and how this was to be presented, such as soft, pureed or of normal consistency. We saw the staff referring to these instructions when serving the people with their food. Hilton Park Care Home - Oaklands DS0000072878.V375127.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are listened to and are safe from the risk of recurring abuse. EVIDENCE: The AQAA stated that the home has received one complaint that was resolved within the required 28 day time period. We saw the record of this and the response was of a sensitive and listening nature. We have received no complaints about the home. All of the four residents’ surveys said that there was someone that they could speak to informally if they were unhappy about something and three of these four surveys said the person knew how to make a formal complaint. A member of staff, in their survey, said that they would know what to do if someone had concerns about the home. The people we spoke with said that they knew who to speak to if they were unhappy about something, including ‘My key worker.’ According to the AQAA there have been two referrals to the safeguarding team although neither of these has resulted in further investigations. Examination of the staff training records and discussion with some of the staff indicated that the staff have attended training in safeguarding (previously known as protection of vulnerable adults or POVA). These staff told us what they would Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 17 do if they suspected abuse had occurred against any of the residents. Contact details of the safeguarding agencies, such as social services and the police, were available in the staff offices on both Willow Drive and Elm Avenue. Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a comfortable, safe and pleasant home. EVIDENCE: The home is purpose built and divided into three units: Elm Avenue has 25 places for people with mental health needs; Willow Drive has 15 places for people with a physical disability, many of who are under 65 years of age and Maple Lane that is located on the first floor of the home. At the time we were at the home Maple Lane was unoccupied although the Manager indicated the purpose of this unit would be for people, mainly over 65 years of age, with early stages of dementia. A resident’s survey said that ‘To have a purpose built care home in our area is wonderful.’ Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 19 In the main foyer there were tables and chairs, provided with biscuits on cake stands and there were drinks, to include coffee and cold water, freely available. We found the home to be relaxed and welcoming throughout. The Manager stated that the names of the units are to reflect a ‘community’ feel with people ‘living’ on a street etc. All of the bedroom doors are provided with door knockers and letterboxes. Corridors were furnished with pictures and sensory items, such as tapestries and some of the bedroom doors, particularly on Elm Avenue, had ‘memory’ boxes with pictures of the person and their families. Throughout the building there were ornaments such as flower decorations and vases. In Elm Avenue there were items of clothing, such as dresses, that were fashionable in days gone by. There were two inner courtyards with patio areas, a large umbrella to offer shade and garden furniture. Garden borders had flowers and shrubs. We saw that there was an intention for painting activities to take place in one of the courtyards although the weather became too cold and windy for the people to stay out. The dining areas were adjoined to kitchen areas and, according to the Manager, there is working progress to enable residents to access these areas, to maintain or practice their life skills, such as cooking and clearing up. The laundry area did not encroach on any food preparation areas. The staff training records indicated that some of the staff have attended training in preventing and managing infection. The home was clean and we found no offensive smells. The four residents’ surveys said the home was always or usually clean and fresh. Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are in safe hands. EVIDENCE: We timed the response of the staff to the sound of call bells and we noted that the response times were less than two minutes. One of the people we case tracked said that they had to wait ‘No more than two minutes’ before staff came to attend to their call. The staff on Willow Drive said that sometimes the staffing numbers could be better particularly when there is an increased need of the residents and this was also found to be the case on Elm Avenue. We discussed this with the Manager who said that staff numbers are supplemented by staff from one of the neighbouring care homes and that there is no imposed restriction, by the registered provider, should there be a need to increase the number of staff on duty. All of the four residents’ surveys said that the staff were available when the person needed them although one of these surveys said that the home could ‘Have more staff.’ Another of these surveys said the home could ‘Continue to employ staff whose first language is English. In the dementia unit the staff are wonderful but occasionally Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 21 understanding is difficult’. During our SOFI we found that the staff were able to communicate with the residents without any difficulty. The staff survey said that there was ‘usually’ enough staff on duty to meet the needs of the residents. The home currently employs eighteen members of care staff and according to the Manager six of these have a National Vocational Qualification (NVQ) level 2 or equivalent in care i.e.33 . Although the Manager stated that there are some other staff working towards this desirable qualification this Standard, Standard 28, is not currently met. Two staff recruitment files were examined and all the required checks and information was available. Discussion with the staff and examination of the staff training files indicated that new staff receive a supervised induction training programme, to include how to care for a person and health and safety matters. The staff also said that they have opportunities to attend ongoing training such as care of a person with dementia and multiple sclerosis. The one staff survey said that they were generally satisfied with their induction training and said that they had received ongoing, up to date and relevant training. Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 22 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a well-managed home. EVIDENCE: The Registered Manager is registered to manage both Oaklands and one of the neighbouring care homes, Hilton Park Care Centre. She is a registered nurse and has previous experience in working and managing care homes. She has post (nurse) registration qualifications such as the care of people with dementia and teaching and assessing in clinical practice. In 2006 she Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 23 completed the registered manager’s award. She is supported by a senior nurse (Head of Care). We have received the required information, in accordance to regulation 37 of the Care Homes Regulations 2001, which notified us of events such as untoward incidents occurring. The AQAA told us that the home has effective quality assurance systems in place to include visits by a representative of Barchester Healthcare Homes Ltd, at least once a month and we saw two examples of the reports made following such visits. The AQAA was completed in a timely and satisfactory manner. It identified areas where the home does well in and what the home intends to do, within the next twelve months, to improve areas that have been identified, as part of the home’s quality assurance. The home does not hold any of the people’s monies for safe-keeping. Invoices and receipts are kept on a computer data base, located in the office of Hilton Park Care Centre. As part of our case tracking we saw the two people’s records of their financial transactions, such as those for chiropody and other personal expenses, and these were satisfactory. The AQAA notes that service and safety checks are in date for equipment such as fire detection and fire fighting equipment and hoists and lifts and we saw that this was the case from the records that we examined. We also noted that some of the staff have attended a fire drill and the staff told us and supported by the staff training records, that they have attended training in fire safety and safe moving and handling. We saw staff, during our SOFI, help people move about in a safe way. As part of our approval to register the home we received the following: • • • • • • • Fire protection certificate dated 31.10.08. Stannah lift certificate dated 17.10.08. Gas safety certificate dated 27.10.08. Arjo certificate for the Mailibu baths dated 29.10.08. Electrical installation certificate dated 29.10.08. Fire alarm system dated 29.10.08. Nurse call system dated 29.10.08. Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 24 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 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 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 3 x 3 x x 3 Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Not applicable 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 People must be given medication as prescribed by their GP. This will ensure they receive the correct treatment and protect people from harm. Timescale for action 31/05/09 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 Hilton Park Care Home - Oaklands DS0000072878.V375127.R01.S.doc Version 5.2 Page 26 Care Quality Commission Eastern Region Care Quality Commission Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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