Care Home: Karam Court Care Home

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What the care home does well The home provides people with information about the facilities and the service it provides, in suitable formats. Assessments are carried out on people who want to come to the home and, if the home can meet their needs, individual arrangements are made for them to visit the home and move in on a trial basis. This home provides a good standard of accommodation which is wellmaintained. Efforts are made to create a homely atmosphere and appropriate checks carried out on appliances and equipment so that people using the building are kept safe. People are provided with nutritious and well-balanced meals. Their health care needs are met and arrangements are made to enable them to consult relevant healthcare professionals.The home provides a wide range of activities and supports people to access community-based clubs and events. There are good arrangements to meet the needs of people with a variety of cultural and religious needs. The staff consult the people who live in the home on an individual basis and regular house meetings are organised by the members of the service users` committee. There are enough staff and they are well-trained and supported to carry out their duties. People who live in this home are well-protected by the home policies and procedures and the practice of the staff. There are good arrangements for monitoring the quality of care and identifying the ways in which the home can be improved. What has improved since the last inspection? There have been improvements to the building so that it is more homely, with more varied colour schemes and rooms which look more individual. Some carpets have been replaced and more suitable flooring has been fitted in the dining areas. There are more activities and better links with the community. The quality of the information held in people`s files, such as care plans and risk assessments has improved. Staff are better trained so that they can provide better care for the people who live there. A manager has been trained as a trainer in manual handling and adult protection, so that staff can be helped to gain further skills. There are better arrangements to make sure that the people in the home receive a balanced and healthy diet and remain suitably hydrated. What the care home could do better: The managers need to make sure that the Statement of Purpose and the service user guide are updated so that they contain the up to date contact details for the CSCI. The managers need to keep a record of the informal complaints which the managers have dealt with to show the action which has been taken in response to comments made by people who live in the home and their visitors. The company needs to make sure that the monthly visits made by a representative to monitor the performance of the home are always carried out.The managers need to make sure that the senior staff always carry out monitoring according to the home`s own procedures. CARE HOMES FOR OLDER PEOPLE Karam Court Care Home Mallin Street Highbury Road Smethwick West Midlands B66 1QX Lead Inspector Chris Lancashire Key Unannounced Inspection 9th September 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Karam Court Care Home DS0000069175.V371865.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. Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Karam Court Care Home Address Mallin Street Highbury Road Smethwick West Midlands B66 1QX 0121 558 8007 0121 558 8008 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) Minster Care Management Ltd Mrs Valmy Flores Ms Nicola Dawn Hope Care Home 44 Category(ies) of Dementia - over 65 years of age (44), Old age, registration, with number not falling within any other category (44) of places Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide personal care (excluding nursing) and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category (OP) 44 dementia over 65 (DE)(E) 44 The maximum number of service users who can be accommodated is 44. 26th October 2007 2. Date of last inspection Brief Description of the Service: Karam Court is a purpose built three-storey care home which is registered to provide accommodation and personal care for up to 44 older people. It is on the corner plot of a residential road in Smethwick and is easily accessible by public transport. There is limited parking at the frontage of the home, with additional off-road parking available on land opposite to the premises. The home has 44 single en-suite bedrooms located on the ground and first floors. Each floor has three lounges, two dining rooms and toilet and bathing facilities. Kitchen and laundry facilities are on the ground floor. The second floor has training and storage rooms and staff accommodation. All floors can be accessed via passenger lifts or stairways. The home is suitable for wheelchair service users. The staff team is made up of two registered managers, team leaders, senior care officers and care assistants. The home also employs catering, domestic and administrative staff, an activity co-ordinator and a handy person. The home should be contacted directly about the range of fees charged for this service. Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We inspected this home on a weekday without telling anyone that we would be arriving that day. The purpose was to assess the home’s performance against the key standards in the National Minimum Standards for Care Homes for Adults and report on the progress made to address the requirements made at the previous inspection. We looked at the files of six people who live in the home and two members of staff. We also looked at other records such as risk assessments and safety checks, menus, activities and medication. We toured the building, looking in several bedrooms and met most of the people who live in the home. We spoke to some of these people, staff and a visitor. A senior member of staff and both managers assisted by providing records and being available for discussion. The managers provided information about the home and the changes made during the past year in a questionnaire (AQAA) which we sent out before the visit. The atmosphere within the home was relaxed and friendly. The managers have continued to identify areas for improvement and address issues raised at the previous inspection. People who live in the home told us that they were pleased with the care. One said, ‘I’m very happy’; another told us she had a ‘lovely room’. The quality rating for this service is 2 stars. This means that the people who use this service experience good quality outcomes. What the service does well: The home provides people with information about the facilities and the service it provides, in suitable formats. Assessments are carried out on people who want to come to the home and, if the home can meet their needs, individual arrangements are made for them to visit the home and move in on a trial basis. This home provides a good standard of accommodation which is wellmaintained. Efforts are made to create a homely atmosphere and appropriate checks carried out on appliances and equipment so that people using the building are kept safe. People are provided with nutritious and well-balanced meals. Their health care needs are met and arrangements are made to enable them to consult relevant healthcare professionals. Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 6 The home provides a wide range of activities and supports people to access community-based clubs and events. There are good arrangements to meet the needs of people with a variety of cultural and religious needs. The staff consult the people who live in the home on an individual basis and regular house meetings are organised by the members of the service users’ committee. There are enough staff and they are well-trained and supported to carry out their duties. People who live in this home are well-protected by the home policies and procedures and the practice of the staff. There are good arrangements for monitoring the quality of care and identifying the ways in which the home can be improved. What has improved since the last inspection? What they could do better: The managers need to make sure that the Statement of Purpose and the service user guide are updated so that they contain the up to date contact details for the CSCI. The managers need to keep a record of the informal complaints which the managers have dealt with to show the action which has been taken in response to comments made by people who live in the home and their visitors. The company needs to make sure that the monthly visits made by a representative to monitor the performance of the home are always carried out. Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 7 The managers need to make sure that the senior staff always carry out monitoring according to the home’s own procedures. 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. Karam Court Care Home DS0000069175.V371865.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 Karam Court Care Home DS0000069175.V371865.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 and 3. Quality in this outcome area is good. People who are considering moving into the home are provided with the necessary information so that they can make an informed choice. Their needs are assessed and they are assured that these will be met by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We saw that the home’s Statement of Purpose and Service User Guide are produced in different formats, for example large print and pictures. These documents provide information about what people can expect from the home such as the accommodation and facilities, qualifications and experience of staff, activities and how to make complaints. These documents are available in the reception area, together with additional information such as the home’s newsletter and a copy of the last Commission for Social Care Inspection (CSCI) report. The manager said that these documents are updated when there are Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 10 changes in the home. We saw that the home needs to update the contact details for the CSCI as these have recently changed. We sampled people’s files and found that they contained assessments carried out by representatives of the home as well as social workers in the funding authorities. There were also copies of letters sent by the home to say that their needs could be met. The manager told us that the home follows the same process for people who are finding their own care. We spoke with the managers and examined records and found that there are relevant skills and experience within the staff team to meet the assessed needs of the service users, including those with dementia and those whose first language is not English. Karam Court Care Home DS0000069175.V371865.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. The health, personal and social care needs of the people who live in this home are set out in care plans so that staff can ensure that their needs are met. They are protected by the home’s procedures and practices for dealing with medicines. Staff treat the people who live in this home with dignity and respect their privacy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The managers told us that the home uses the information in the assessments of people’s needs to create care plans which help staff know how to provide care to each person according to their needs and preferences. We sampled people’s files and found that they all contained care plans covering a variety of needs. Plans also had space for people’s comments about the ways in which they need support. These had been completed with comments such as ‘I can use the WC by myself’. The plans are reviewed and updated on a regular basis. The manager showed us copies of new forms which are to be introduced for Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 12 care plans. They are similar to the ones used now. However, they have more space for evaluation of the care provided. We saw good plans for meeting people’s health needs and records of visits by and to various health professionals. District nurses visit to carry out any nursing tasks such as injections. The staff encourage people who live in the home to follow a healthy lifestyle and this includes providing a healthy diet and encouraging exercise. We saw monthly records of weights and weekly records for those people whose care plans indicated that they may be more healthy at a different weight. On the inspection day one person at the home needed to be admitted to hospital due to a serious health condition and staff remained calm. They obtained assistance promptly with minimum disruption to other people in the home. Senior members of staff are responsible for the safe handling and administration of medication. They receive accredited training and are subject to competency assessments. There are suitable arrangements for ordering, storing, disposal and recording of medication. We saw details of prescribed medication on people’s files and in the medication folders. These included details of allergies and other medical conditions. There are photographs attached to each person’s medication administration record (MAR) sheets for identification purposes. We saw that the local pharmacist carries out regular reviews of the systems and practice and the report of the most recent visit indicated that there were no areas where improvements are needed. We saw staff using service users’ preferred names and knocking on doors and waiting for an answer before entering rooms. All of the people who live in the home look well-groomed and staff said that they help people to make sure that they are appropriately dressed, whilst providing choice. Hairdressers visit the home two days each week and the home has its own salon. The hairdresser was in the home on the day of the inspection and people clearly enjoyed the experience. All of the bedrooms are single occupancy and have en-suite facilities with enough space for staff to provide support in absolute privacy. People who live in the home can make their own arrangements to have a telephone installed in their bedroom, if they wish. Alternatively, they are able to use the home’s handset or their own mobile ‘phones to make and receive calls in their bedrooms. Karam Court Care Home DS0000069175.V371865.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 excellent. The people who live in this home find that their lifestyle meets their needs and matches their expectations. They are enabled to maintain contact with family and to exercise choice and control over their lives. They receive a wholesome and appetising diet which meets their needs and takes account of their preferences This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in this home are supported to follow their own daily routines. A weekly programme of in-house activities is displayed on the notice boards in pictorial and large print format. Activities include bingo and chair aerobics, exercises and activities at a local church, crafts and trips to the local pub. There are visits by singing groups and trips to places of interest, such as Blackpool. The activity co-ordinator is responsible for producing programmes and is supported by care staff in providing activities for those who wish to participate. We spoke to one person who said that she likes to spend some time alone watching television in her own room and she was clearly comfortable. Staff had brought her a cup of tea. Transport is arranged for Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 14 people who wish to access community-based activities, such as social clubs. Some people attend day centres and clubs, including those for people of Asian and Caribbean origin. There are visits by ministers of various religions. The manager makes sure that there is at least one member of staff who speaks Punjabi on each shift. There are enough members of staff of each gender to make sure that people’s preferences in terms of who provides personal care are respected. The manager and staff demonstrated respect for the each person’s preferred lifestyle in this home which caters for a diverse mix of people. The home operates an open visiting policy that allows people to receive visitors at a time of their choosing. Visitors were observed arriving at different times of the day throughout this inspection and they had a good relationship with staff. Some took their relative out with them. The manager told us that all of the people in the home have at least one person who visits them. The manager told us that staff have made efforts to make sure that mealtimes are a social occasion and most people choose to take their meals in one of the two dining rooms. There is a choice at each mealtime and this includes meals which meet the medical and cultural needs of the people who live in the home. The home employs dining room assistants to support care staff during mealtimes and to provide people with snacks and drinks throughout the day. They ask people about their choices and make sure that alternatives are provided when people do not want the main dishes on offer. People may help themselves to a selection of cold drinks available in the lounges. The dining room assistants take a drinks trolley round the home on a regular basis and make sure that people are encouraged to drink enough fluids. They also take fresh fruit platters round in the afternoons. The fruit is prepared so that it is convenient to eat. The minutes of house meetings show regular discussions take place about meals. The manager told us that menus are soon to be changed to reflect the change in the season and observations about which meals are most popular with people in the home. All people who expressed an opinion were complimentary about the meals provided. The home seeks and follows advice from the community dietician about any nutritional concerns. In addition to staff consulting people on an individual basis, house meetings are organised by the service users’ committee. These are chaired by one of the service users and they produce their own minutes. These are included in the home’s newsletters along with other regular features such as quizzes, details of forthcoming events and information of interest to service users and their relatives. Karam Court Care Home DS0000069175.V371865.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. People who live in this home are protected by the staff, who follow the policies and procedures. There are good arrangements to make sure that people’s complaints will be listened to. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We saw that details of the home’s complaints procedures are included in the Statement of Purpose and Service User Guide and, as previously reported, these are produced in large print and pictorial formats. The manager told us that there have been no recent complaints about the home and there are no complaints recorded. The CSCI has not received any complaints about this home since the last inspection. However, the manager did provide details of times when she has made changes to the arrangements in the home due to comments made by people who live there or their relatives, such as changes to meals. We recommend that she keeps a record of informal complaints and comments so that there is evidence of how she has responded to these. The manager informed us that staff have received training in Protection of Vulnerable Adults. Since the last inspection, one of the managers has been Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 16 trained so that she can provide training in this area and this should mean that she can ensure that staff keep up to date. The home has a procedure for staff to follow in the event of a person who lives there going missing. This includes details of the agencies that should be notified. There is good security at the entrance to the home. Visitors are welcomed and staff assist people when they leave the building. Professional visitors are asked to provide identification. The office overlooks the front door, so managers can see who is entering and leaving. These measures help to keep people safe. The home has a written procedure for the use of physical intervention. Some staff have attended training in managing challenging behaviour and the use of restraint. The managers report there have been no incidents that have required physical intervention by staff. Karam Court Care Home DS0000069175.V371865.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): 19,26 Quality in this outcome area is good. Service users live in a safe, well-maintained environment which is pleasant and measures are taken to keep it clean and free from infection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Karam Court is a purpose built care home with 44 single en-suite bedrooms. There is a lift providing access to the communal areas and bedrooms on the first floor. The ground and first floors have sufficient toilets and bathing facilities, with a choice of assisted bath or accessible shower. Appropriate aids and adaptations are fitted to enable service users with limited mobility to manoeuvre safely around the home. The handy person carries out regular safety checks on the building, appliances, equipment and aids and adaptations. Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 18 Bedrooms are personalised with photographs and ornaments and some people have brought small pieces of furniture with them. An inventory of personal possessions is kept by the home to enable any mislaid items to be returned to their owner. The housekeeper and ancillary staff are provided with relevant training. The home has adequate infection control measures in place and issues raised in the Environmental Health Agency’s report have been addressed. Staff are provided with protective clothing to wear, where required. We saw gloves available in the bathrooms. Since the last inspection several areas have been decorated so that the colour scheme is more varied and different areas are more easily identified. This is helpful to some people with dementia. Some of the carpets have been replaced and the flooring in the dining areas has been replaced with one of more suitable material. Efforts have been made to create a more homely environment by making sure that there are pictures and plates on corridor walls and the entrance area is homely and welcoming with contemporary furniture and ornaments. There is off-road parking available for visitors. The sheltered garden at the rear of the premises has a selection of flowerbeds and plants. Furniture is provided for people to sit out during fine weather. Karam Court Care Home DS0000069175.V371865.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. The people who live in this home are cared for by a team of staff who have a mix of skills and experience and are sufficient in numbers to meet their needs. They are protected by the robust recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The rotas show that there are sufficient numbers of staff to care for the people who live in the home. Staff have specific roles so that all the necessary tasks are completed efficiently. For example, there are dining room assistants and an activities coordinator. There are always senior staff in charge of shifts and the two managers oversee the care and plan improvements as well as providing an on-call service in case of emergencies. The home has a standard procedure for the recruitment and selection of staff and this includes taking up references and checking through the Criminal Records Bureau. We sampled staff files and found that they contained the correct information. Staff receive an induction, based on their previous qualifications and experience when they start work and they are supervised closely until their competency is confirmed. They receive training in necessary areas of their role, such as manual handling, adult protection, infection control, Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 20 fire safety and basic food handling. The manager told us that over 90 of the staff are trained to NVQ level 2 or above. Karam Court Care Home DS0000069175.V371865.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 and 38 Quality in this outcome area is good. The people living in this home benefit from two competent managers and the home is run in their best interests. Their financial interests are safeguarded and their health, safety and welfare is promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two managers have been registered by the Commission for Social Care Inspection (CSCI) and hold joint responsibility for the running Karam Court. We met them both on the day of the inspection. They have both completed the Registered Managers Award. They work well together to improve practices Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 22 within the home and have developed positive relationships with service users, relatives and multi-agency professionals. The home has systems for reporting accidents and significant incidents to senior staff. These are reviewed on a regular basis by one of the managers and, where appropriate, suitable risk assessments are carried out and changes are made to reduce the risks. There are very good arrangements for monitoring the quality of care. These include regular audits of performance in various areas of the home such as health and safety, care plan and kitchen audits. These identify action required and set a target date. The outcome of any action taken is also recorded. These audits feed into the home’s business plan. We saw that items identified in last year’s business plan had been put into practice, such as the plan for one member of staff to complete ‘train the trainer’ training. This had been exceeded, with two people having completed this. We saw questionnaires which had been completed by people who live in the home, their visitors and staff. These were mostly very positive and the managers were able to say what action had been taken to make improvements in areas where people had suggested that these may be desirable. The managers told us that they are developing questionnaires for other stakeholders. The quality of care is also monitored by the visits by representatives of the organisation. These visits are carried out by a variety of people, which provides different perspectives on the findings and this has been a positive feature. However, these visits should be made on a monthly basis and we found that they have been, until June, 2008, but there are no minutes available since then. We discussed this with the managers, who expect that the visits will continue, now that the holiday season is over. These visits play an important part in making sure that the home’s standards are assessed by people who do not work there. The people who live in this home are encouraged to maintain financial independence and are supported by their relatives. The home does not manage people’s financial affairs. The home does keep small amounts of money for people in temporary safekeeping. There are suitable records of transactions. There are regular meetings of staff and senior staff. We looked at the minutes of these and saw that they contained details of discussions about various areas of practice to encourage staff be more consistent. There are instructions for senior staff to make sure that they carry out their responsibilities so that all records on shift are completed accurately. We sampled records in various areas of the running of the home and found that they were of a good quality Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 23 and they were well organised. We did, however, find one example of a personal record which had not been completed properly and we brought this to the attention of the managers. It is important that all senior staff carry out the required checks, according to the home’s own procedures. The managers informed us in the AQAA that all necessary checks and servicing have been carried out on equipment in the home and on services such as the gas and electricity. We sampled these records at the inspection and found that they were up to date. There were records of action which had been taken to repair or replace items when faults had been found, such as the purchase of a new cooker. We saw records of hot water checks and checks on fire equipment. There are risk assessments which cover the environment and the activities in which people take part. These measures mean that the people who live in, work at and visit the home are kept safe. Karam Court Care Home DS0000069175.V371865.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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 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 3 3 Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 25 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. 1 Refer to Standard OP1 Good Practice Recommendations The manager should make sure that the Statement of Purpose and service user guide contain the up to date contact details for the CSCI. The managers should keep a record of informal complaints and their resolution. The registered individual should make sure that visits are carried out under regulation 26 on a monthly basis. The managers should ensure that senior staff always follow the home’s procedures. 2 3 4 OP16 OP33 OP37 Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Karam Court Care Home DS0000069175.V371865.R01.S.doc Version 5.2 Page 27 - 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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