Care Home: Jack Sears House

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What the care home does well Jack Sears continues to provide a comfortable, secure and caring environment, where residents` individuality is encouraged. Information is available about the home, and service users have their needs assessed before they are offered a place. Basic residents rights, such as dignity, respect and privacy are upheld. The home is close to the town centre, with shops, banks, and a mainline train station. Visitors continue to be very welcome. Residents receive good personal care and their care needs are well met. Care plans describe how their needs will be met.Accommodation offers all single rooms, with large en-suite facilities and good storage space. Floors are level with a passenger lift to access service user rooms. There are large windows, which mean most rooms are bright, and all areas are clean. The home is well managed and the manager is popular with the service users. Staff have worked hard to improve the care plans, provide life histories for people living at the home and improve the environment. People living at the home said " I have no complaints, this is an excellent home and the staff are lovely" and "they are looking after me very well". What has improved since the last inspection? The broken bath panel has been replaced, so that people can get in and out of the bath in safety and that staff are not injured while supporting them. The manager has clarified the prescribing and administration arrangements for controlled medication so that medication can be given out safely. All rooms have a supply of hot water throughout the day. The manager has taken advice to ensure that the laundry arrangements are suitable to prevent any risk of cross contamination or cross infection. The first aid box was re-stocked, so that equipment is available in an emergency. The home`s environment is free from any unpleasant odour, so that people can live in attractive surroundings. People can benefit from additional information being recorded on their social and life history. This helps staff to understand the whole person they are caring for, and help in arranging suitable activities and occupation. A full induction programme is being used for all new members of staff, and especially those with little past experience of working within a care setting. This helps to ensure that staff are all working in the same way. Data sheets for all chemicals in use have been obtained and all cleaning materials are being stored securely. This is so that information is immediately available in case of accidental misuse. The home manager has made sure that if staff are accepting a verbal alteration to a prescription, this is heard by two staff, to minimise any risk of error. Ideally this would be confirmed in writing. A district nurse commented that improved handwashing facilities would be of benefit when visiting the home. The home has bought a dedicated medication refrigerator which is lockable. This is so that medication can be kept securely at the correct temperature. CARE HOMES FOR OLDER PEOPLE Jack Sears House Dartmouth Road Paignton Devon TQ4 5BH Lead Inspector Michelle Finniear Unannounced Inspection 09:00 4th June 2008 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 Jack Sears House DS0000071056.V365035.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. Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jack Sears House Address Dartmouth Road Paignton Devon TQ4 5BH 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) 01803 408556 01803 408557 Jack.Sears@Guinness.org.uk Guinness Care and Support Ltd Mrs Beata Anna Holderness Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24), Physical disability (24) of places Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Physical disability (Code PD) The maximum number of service users who can be accommodated is 24. This is the first Inspection carried out under the ownership of Guinness care and Support Limited 2. Date of last inspection Brief Description of the Service: Jack Sears House is a long established purpose built care home in the centre of Paignton. This is the first Inspection carried out under the ownership of Guinness care and Support Limited who took over ownership of the home earlier in the year. The registered manager has remained at the home. The home provides accommodation and care for up to 24 Older people who may or may not have a physical disability. Accommodation is provided in 24 single self contained flatlets, all with en-suite facilities. The home is situated close to the town centre and shops, and is on a busy corner, close to the bus station and opposite a pub. There is limited parking at the home. but this is available in nearby car parks or further away on streets. Fees charged are dependant on the type of care package and the needs of the individual resident. They do not cover hairdressing, private podiatry, private phone installation, newspapers or personal purchases. Copies of inspection reports are available in the home. Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This report reflects a summary of a cycle of Inspection activity at Jack Sears House. To help CSCI make decisions about the home the owners and manager gave us information in writing about how the home is run; documents and correspondence submitted since the last inspection were examined along with the records of what was found at the last inspection; a site visit was carried out; discussions were held with the manager and staff on duty; various records were sampled, such as care plans and risk assessments; questionnaires were sent to staff who work at the home; a tour was made of the home; discussions were held with visitors and visiting professionals during the day; and time was spent with the people who live at the home both individually and in groups. In addition a sample group of people living at the home were selected and their experience of care was ‘tracked’ and followed through records and discussions with staff and management, looking at how well the home understands and meets their needs, and the opportunities and lifestyle they experience. This approach hopes to gather as much information about what the experience of living at the home is really like. What the service does well: Jack Sears continues to provide a comfortable, secure and caring environment, where residents’ individuality is encouraged. Information is available about the home, and service users have their needs assessed before they are offered a place. Basic residents rights, such as dignity, respect and privacy are upheld. The home is close to the town centre, with shops, banks, and a mainline train station. Visitors continue to be very welcome. Residents receive good personal care and their care needs are well met. Care plans describe how their needs will be met. Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 6 Accommodation offers all single rooms, with large en-suite facilities and good storage space. Floors are level with a passenger lift to access service user rooms. There are large windows, which mean most rooms are bright, and all areas are clean. The home is well managed and the manager is popular with the service users. Staff have worked hard to improve the care plans, provide life histories for people living at the home and improve the environment. People living at the home said I have no complaints, this is an excellent home and the staff are lovely and they are looking after me very well. What has improved since the last inspection? The broken bath panel has been replaced, so that people can get in and out of the bath in safety and that staff are not injured while supporting them. The manager has clarified the prescribing and administration arrangements for controlled medication so that medication can be given out safely. All rooms have a supply of hot water throughout the day. The manager has taken advice to ensure that the laundry arrangements are suitable to prevent any risk of cross contamination or cross infection. The first aid box was re-stocked, so that equipment is available in an emergency. The home’s environment is free from any unpleasant odour, so that people can live in attractive surroundings. People can benefit from additional information being recorded on their social and life history. This helps staff to understand the whole person they are caring for, and help in arranging suitable activities and occupation. A full induction programme is being used for all new members of staff, and especially those with little past experience of working within a care setting. This helps to ensure that staff are all working in the same way. Data sheets for all chemicals in use have been obtained and all cleaning materials are being stored securely. This is so that information is immediately available in case of accidental misuse. The home manager has made sure that if staff are accepting a verbal alteration to a prescription, this is heard by two staff, to minimise any risk of error. Ideally this would be confirmed in writing. A district nurse commented that improved handwashing facilities would be of benefit when visiting the home. Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 7 The home has bought a dedicated medication refrigerator which is lockable. This is so that medication can be kept securely at the correct temperature. 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. Jack Sears House DS0000071056.V365035.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 Jack Sears House DS0000071056.V365035.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): 1, 3, 4, 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available about the home to help people make a choice about whether it is the right place for them. The home makes sure they can meet peoples needs before they agree to admit them. EVIDENCE: The home has a statement of purpose and service user guide available which contain information about the home and the services it provides. In the case of the service user guide this is available in a large print format and plain English test. These documents have been updated to take account of the change of ownership, and the manager confirmed they will be reissued to all of the people living at the home. This make sure they will have up-to-date information about the home, for example the address of who to make a complaint to, as well as information about the terms and conditions of residency. Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 10 One person who completed a questionnaire felt they had not received sufficient information about the home before they moved their, however other people spoken to felt they had received this either through documentation, or through trial visits. One person spoken to said they had visited with a relative and had seen the room available, and been able to choose what furniture they wished to bring into the home with them from their own home. During the day of the site visit an empty room was being prepared for another person to view. An examination was made of the records for the person most recently admitted. Discussion was held with the manager on how this process had been managed, and also on another person, who subsequently went home following a period of respite care. The manager had visited this person in a previous placement to complete an assessment, a copy of which was in their file. The assessment indicated the person’s needs and the support that they required in their day-to-day life. The manager had also spoken to staff at their placement and information had been supplied in writing about their needs, medication and interests. Information is also obtained from other agencies such as Torbay care trust, and this may on occasion include specialist assessments such as for moving and handling equipment or communication difficulties following a stroke. Each person living at the home has a contract, a copy of which is given to people before they make a decision about whether the home is the right place for them. This contract contains information about peoples rights and any conditions of residency, for example whether visitors are charged for meals they wish to take at the home and periods of notice required. Information is also available in the service users guide on pets, and how the home manages quality standards. The home does not cater for intermediate care. This means they do not provide specialist intensive rehabilitation services with an aim to return the person to their own home. Jack Sears House DS0000071056.V365035.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, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home felt well looked after. Plans of care are regularly updated, and are well understood by staff . EVIDENCE: Each person living at Jack Sears house has a care plan, based on an assessment of their needs, which details the support they require on a daily basis and how that care is to be delivered. A sample selection of care plans was looked at during the course of the site visit, and these plans were chosen to reflect a range of need. Following this discussions were held with staff on duty about the care that had actually been delivered to these individuals that day and about their understanding of the care plans. Discussions were also held with the people concerned, and in one case with their daughter who was visiting. Plans were seen to be a good reflection of the care being delivered. They were regularly updated and staff had a good understanding of the likes, wishes and Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 12 preferences of the people they were caring for. Discussion was held with the manager on ways in which increasing the amount of person centred information on the plans could enhance staff further in their understanding of the people they were caring for. Evidence could be seen in peoples files of the involvement of speech and language therapists, the palliative care team, hospital clinics such as the cardiac clinic, and good support being delivered by general practitioners, district nurses and podiatry staff. Some information in files did require a little updating, for example on persons file contained a record of jewellery she had bought in on admission, however there was no recording that some of this jewellery had now been taken away for safekeeping by her family due to her frailty. People spoken to or who completed questionnaires indicated that their care was being delivered in the way that they wished. During the inspection staff were seen to be knocking on peoples doors, and treating them with respect and dignity. One person said “The staff treat me as a person, not just a number”. Discussion was held at the manager on the medication systems, and the storage arrangements were seen. The home uses a blister pack system, which helps to minimise the risk of errors in administration. Some people at the home managed their own medication, which is risk assessed. Discussion was held with the manager on the training being undertaken by some senior staff in further enhancing their understanding of medication and safe practice. Discussion was also held on the timing of the evening medication, as according to the administration sheets some night medication such as sleeping tablets was being given out at 8:30 p.m. which may be too early for many people. The manager confirmed that whether tablets can be left with people to take themselves later was determined by a risk assessment and that for some people this was not considered appropriate. The home should consider whether better timings for administration of medication could enhance peoples lives. Care plans are being reviewed regularly, at least monthly. This helps to ensure they are accurate. Reviews involve the person concerned and their relatives if they wish, which helps to ensure they are a reflection of the way the person wishes their care to be delivered. Jack Sears House DS0000071056.V365035.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, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home have opportunities to take part in organised activities if they choose. Contacts are maintained wherever possible with family and friends with visitors being encouraged. Meals are well balanced and offer choice. EVIDENCE: Time was spent with a number of people living at the home discussing how they chose to spend their day. Discussions were also held with three members of staff and two visitors. Since the last inspection the homes approach to activities has altered with more time being spent individually enabling people to go out. This was as requested in the quality assurance questionnaires completed by people living at the home. There are still some communal activities organised within the home, and some people enjoy these. One person said they attended because they felt they should support them as the home had worked hard to put them on. Another person was full of praise for a member of staff who has worked hard in their own time to develop the patio area to look a more attractive place Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 14 to sit. This had been greatly appreciated by other people living at the home too. Discussion was held with the manager on the provision of more person centred activities for people who are more frail, and also for some more traditionally ‘male’ centred activities as the home has a number of gentleman living there. As an example one persons care plan indicated they were now too poorly to join in (the) homes activities and entertainment however in another sector indicated that the person enjoys company. A more person centred approach would be to identify, as the home has done what the person enjoys and provide that rather than excluding them from the activities because they are not able to participate in what is the home provides. One person felt they would have benefited from more exercise being available when they moved in. Since the last inspection the home has been developing life histories with the people living there. This has been a really positive development for people at the home and the staff who care for them, opening up channels of communication and a deeper understanding of the lives people have lived and the experiences they have had. The homes own quality assurance questionnaires had asked people what was the best thing about living at Jack Sears House. Answers included able to do what I like, warmth and friendship and security and help when needed. These responses reflected those received in discussions with people living at the home on this site visit. Responses on this visit included I have no complaints, this is an excellent home and the staff are lovely and they are looking after me very well. Discussion was held with the cook on duty concerning the diets and meal provision. The home currently provides for a number of soft and diabetic diets, and there is a choice available each day. On the day of the site visit the options were sausages and mashed potato with onion gravy or chicken or a salad with pear belle Helene for dessert. The evening meal was boiled eggs and bread-and-butter or any other option that people wanted. People also have the option of having supper if they wish, which would include sandwiches, drinks or cake. The home is using appropriate management systems for safe food, and was last inspected by the environmental health officer in December 2007. On this visit two new fridges were required and these were supplied without delay. The cooks helped devise the menus after consultation with people living at the home, and most people were said to eat well. People spoken to said they enjoyed the food and that the home would always do something else for them if they wanted something different or were feeling poorly. Jack Sears House DS0000071056.V365035.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, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are being well managed and the home has systems in place to protect people from abuse and abusive practices EVIDENCE: Discussions were held with the manager on complaints and issues of concern to people living at the home. The home has a complaints policy and procedure which is satisfactory, however one person who completed a questionnaire indicated that they thought the appropriate way to complain was to fill in a complaints book in the homes hallway. This book was seen and does not reflect the privacy of a complainant. It also had no recorded complaints for some time. The manager agreed to review the situation. The home have received no formal complaints from people living at the home since the last inspection, and no complaints have been received from CSCI concerning their service. One safeguarding issue has been received during the last year which was handled appropriately by the homes management with a swift referral to the local safeguarding team, and full protection in place for the people living at the home. The concerns were investigated and no further action was required. The concerns related to the inappropriate moving and handling of a person living at the home. Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 16 Staff spoken to had a good understanding of the rights of people living at the home and the majority have received formal training in safeguarding procedures. This includes for example what constitutes abuse and abusive practices and what to do if a concern was raised or abuse is suspected. Information is also available in the home for people to look at if they are not sure about what to do. This includes information on agencies outside of the homes local management structure. Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 , 21, 22, 23, 24, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Accommodation is being well maintained in general. Some updating is now being planned. EVIDENCE: A tour was made of all areas of the accommodation , and discussions held with people living there, and the manager looking at future developments planned. Accommodation at the home was generally of a good standard, with each person having a single bed sitting room, with en-suite facilities and storage space. Each room has their own front door which is lockable. Many people who went down to lunch locked their rooms. All areas of the home seen on the inspection site visit were clean and reasonably decorated. The manager confirmed that new furnishings are being obtained for the lounge and some new carpeting is to be undertaken in Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 18 communal areas. Other plans are to repair general wear and tear of the premises, for example damage to skirting boards and doors from wheelchairs and frames. The home has good access to property maintenance services. The home has several communal areas and people can choose to use these as they wish. For example on the day of the site visit some people were eating in a smaller dining room with a visiting relative, and a few people were using the large lounge. Other people were in their rooms, but some planned to come down for a Bingo session that afternoon. The home has taken steps since the last inspection to improve the control of potential infection in the homes laundry by the use of sealable storage bins for clean laundry. Used continence products are stored in sluice rooms in sealed bags until the end of each shift when they are taken to an outside storage bin. This helps contain odour and reduce risks of cross infection. Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained and are fully vetted to make sure they are suitable to be working with older people. EVIDENCE: Discussions were held with the manager, people living at the home and the staff about the staffing arrangements. Rotas and a selection of staff files were also examined, along with training records and evidence of staff policies and practice. Some people who completed questionnaires indicated they felt the home was short of staff at times, but the manager and the staffing rotas indicated an appropriate level of staffing to care for the people currently accommodated. People spoken to said the staff were very good and looked after them well. This was also reflected in the discussions held with relatives visiting the home. Files were seen for two members of staff which indicated a full recruitment process is being followed. Significant changes have not occurred since the last inspection visit to this system, when these were satisfactory. Evidence was seen of a full Induction programme available for staff to follow when they are appointed which helps them understand the larger organisation not just their role at Jack Sears house. Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 20 Staff training practices were good and evidence could b seen of staff being interested in developing their role and practice. Discussions with three staff on duty indicated a good interest in training and personal development which was linked to improved outcomes for the people living at the home. For example one person spoke about how undertaking the life history work with people had helped them gain a much greater understanding of the people they were caring for, how much they had enjoyed it and wished to continue. Staff are also undertaking National Vocational Qualifications, which are a recognised award reflecting the competency of the person in their job role. They should help to ensure people work consistently to support people living at the home. Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being well managed. EVIDENCE: The homes management locally has not changed since the change of ownership and this has provided stability for the people living there which has been appreciated. The homes manager, Mrs Holderness has a National Vocational Qualification in care at level 4, the registered managers award and a diploma in medicine (Poland). She is an experienced and well liked manager. The home has a quality assurance system which helps the homes management to identify which areas are working well and which could be improved. A cycle of questionnaires was completed in January 08 and the results of this shared at a following residents meeting, so that people can see what changes as a result Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 22 of their comments. Discussion was held on the changes to the system which will make sure that people are not routinely asked the same questions. Staff supervision is being implemented but is not yet being offered to each staff member six times a year. This is partly due to the system previously in use, and discussions were held on ways of developing systems to make sure they better meet the needs of the staff group and help to inspire staff to develop new skills. Supervision is a system for individual time spent with each member of staff looking at their performance and developmental needs. It should help to ensure staff are working to their full potential and consistently to support people at the home. There is a system for the management of small amounts of money owned by people living at the home who wish to leave a float with the manager for safekeeping. The balance was checked for two people against the receipts and accounts held and they were found to be correct. The organisation has good systems for the management of health and safety issues, and has regular internal and external audits to ensure the systems are safe for people living and working there. There are risk assessments for activities carried out as well as the environment and those seen were up to date and thorough. For example the manager confirmed water temperatures are tested regularly to ensure that people are protected from any risk of scalding. Data sheets have been provided for the cleaning and chemical products in use. These contain information on safe storage, use and precautions for each product so that staff know what to do in an emergency. Jack Sears House DS0000071056.V365035.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 3 3 3 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 3 3 3 3 3 3 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 3 x 3 Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? 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 Requirement Medication must be given at the appropriate time for the individual concerned, and as prescribed. Timescale for action 21/07/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP12 Good Practice Recommendations Consideration should be given to providing more person centred activities including those more orientated to meeting the wishes and needs of the male service users accommodated. Consideration should be given to removing the complaints book from the hallway. Supervision should be given to all staff at least six times a year. All care files should contain up to date information about the individual. Records on property must be maintained accurately if used. 2. 3. 4. OP16 OP36 OP7 Jack Sears House DS0000071056.V365035.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Jack Sears House DS0000071056.V365035.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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