Care Home: Kingscourt Nursing Home

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What the care home does well People interested in going to live at Kingscourt have a full assessment so they will know before moving in whether their needs can be met there. The medicines for people who live in the home are well managed, stored and audited so people can be sure they are getting their medicines as prescribed. A social activities organiser is employed at the home so there is a daily programme of activities, which includes regular trips out. The standard of catering at the home has always been good. Menus have been re-written after listening to comments from residents and the new menus will be introduced from 1st June. The new menus incorporate pictures of the different choices of food so it is easier for people with limited verbal communication to make choices. Staff are carefully recruited to ensure that they are safe and suitable to work with vulnerable older people. The company employs two trainers to provide training to staff so they can provide a good standard of care for residents. The manager has worked hard to make sure the requirements and recommendations of the last inspection have been met so that the people living at the home are safe and the home is run in their best interests. Regular staff meetings are held so staff can have a say in how the home is run. Staff receive individual support and supervision and are encouraged to develop their knowledge and skills so they can provide good quality care for the people who live in the home. The manager responds to the individual needs of residents; for example as bedrooms became vacant a resident prone to falling was offered a ground floor room where there are always staff nearby, and people who would benefit most have been offered an en-suite room to help maintain their independence. Company policies and procedures are continually reviewed and updated in the policy manual to make sure that they give staff the right up to date guidance. What has improved since the last inspection? Requirements and recommendations made at the last key inspection have all been acted on so the people who live at the home are safe and well looked after. Management of medicines is greatly improved. Enough staff are provided to meet the needs of residents and records showed that good recruitment practices are followed. Training records have improved and showed that all staff receive the training they need to provide good care for residents. Staff turnover has reduced. The ground floor bathroom has been refurbished and provides a safe and pleasant environment for residents. The views of staff, residents and their representatives are sought so the management know what they need to do to improve things for the people living at the home. A comment received from a relative was: The home has improved over the last few months as there seems to be more staff. What the care home could do better: Continue to develop the care plans so that they are more person-centred. Continue with the programme of redecoration and refurbishment of bedrooms so the home provides pleasant surroundings for all of the people who live there. CARE HOMES FOR OLDER PEOPLE Kingscourt Nursing Home 12 Newton Lane Hoole Chester Cheshire CH2 3RB Lead Inspector Wendy Smith Unannounced Inspection 16 May 2008 9:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Kingscourt Nursing Home DS0000018722.V363385.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. Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingscourt Nursing Home Address 12 Newton Lane Hoole Chester Cheshire CH2 3RB 01244 313201 01244 350133 kings.court@hotmail.co.uk 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) Springcare (King’scourt) Limited Lindsey Elizabeth Unsworth Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 37 service users in the category OP (Old age, not falling within any other category) 20 September 2007 Date of last inspection Brief Description of the Service: Kingscourt Nursing Home is a purpose built three-storey property set in its own grounds on the outskirts of Chester city centre and close to local shops, doctors surgery and other amenities in Hoole. The home provides care for up to 37 older people, some of whom require nursing care. It is convenient for the local bus service. All of the rooms are single occupancy and some have an en-suite toilet. There are two staircases and a passenger lift. Communal space is on the ground floor only, consisting of two lounges, a dining room and a conservatory. There is a small garden at the back of the home and car parking spaces at the front. The current weekly fees are from £425 to £435. This does not include hairdressing, chiropody or newspapers. Kingscourt Nursing Home DS0000018722.V363385.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 3 stars. This means the people who use this service experience excellent quality outcomes. An unannounced visit took place on 16 May 2008. The home had 27 residents, all over 65 years of age. During the visit we spoke with residents, staff and visitors. CSCI survey forms were sent out prior to the visit to give residents, relatives and staff the opportunity to lets us know their views about the home. Before the visit, the manager was asked to complete a questionnaire to provide us with up to date information about the home. Some of the comments we received and the information we were given is included in the report. A tour of the building, including all communal areas and some bedrooms, was completed. A sample of records was looked at and time was spent talking with the home manager. We carried out a short inspection at the home on 20 September 2007 during which a CSCI pharmacist inspected the medicines and found that the management of residents’ medicines was greatly improved since the main inspection in May 2007. It was also found that the manager had reviewed the use of bedrails in the home and reduced the number used. The staffing levels and mix had improved so people living at the home could receive care in the way they preferred and recruitment procedures had improved to make sure that people who live at the home are safe. The overall standard of record keeping and administration had improved and fire safety drills had been attended by all staff. What the service does well: People interested in going to live at Kingscourt have a full assessment so they will know before moving in whether their needs can be met there. The medicines for people who live in the home are well managed, stored and audited so people can be sure they are getting their medicines as prescribed. A social activities organiser is employed at the home so there is a daily programme of activities, which includes regular trips out. The standard of catering at the home has always been good. Menus have been re-written after listening to comments from residents and the new menus Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 6 will be introduced from 1st June. The new menus incorporate pictures of the different choices of food so it is easier for people with limited verbal communication to make choices. Staff are carefully recruited to ensure that they are safe and suitable to work with vulnerable older people. The company employs two trainers to provide training to staff so they can provide a good standard of care for residents. The manager has worked hard to make sure the requirements and recommendations of the last inspection have been met so that the people living at the home are safe and the home is run in their best interests. Regular staff meetings are held so staff can have a say in how the home is run. Staff receive individual support and supervision and are encouraged to develop their knowledge and skills so they can provide good quality care for the people who live in the home. The manager responds to the individual needs of residents; for example as bedrooms became vacant a resident prone to falling was offered a ground floor room where there are always staff nearby, and people who would benefit most have been offered an en-suite room to help maintain their independence. Company policies and procedures are continually reviewed and updated in the policy manual to make sure that they give staff the right up to date guidance. What has improved since the last inspection? Requirements and recommendations made at the last key inspection have all been acted on so the people who live at the home are safe and well looked after. Management of medicines is greatly improved. Enough staff are provided to meet the needs of residents and records showed that good recruitment practices are followed. Training records have improved and showed that all staff receive the training they need to provide good care for residents. Staff turnover has reduced. The ground floor bathroom has been refurbished and provides a safe and pleasant environment for residents. The views of staff, residents and their representatives are sought so the management know what they need to do to improve things for the people living at the home. A comment received from a relative was: The home has improved over the last few months as there seems to be more staff. Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 7 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. Kingscourt Nursing Home DS0000018722.V363385.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 Kingscourt Nursing Home DS0000018722.V363385.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, 2 and 3 (Standard 6 is not applicable to this service) People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People interested in going to live at Kingscourt have a full assessment so they know before they move in that their needs can be met there and staff know what to do to meet those needs. EVIDENCE: A good range of information about the home, and about the company that owns the home, is provided in a new brochure. A CSCI comment card completed by a relative confirmed that she had received a copy of the home’s service user guide including the complaints procedure. There is also a bimonthly company newsletter which is made available for people who live at the home and the staff. The home has a standard fee and there is a small reduction for payment by standing order. People requiring nursing care pay the additional registered nurse contribution. The manager considers it important to have a simple fee Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 10 structure that people can understand, with no ‘hidden extras’. A contract is usually provided before people move into the home, or, if this is not possible, when they move in. On the day of the inspection visit, of the twenty seven people living in the home, 17 needed nursing care and 10 needed only personal care. Short term care is provided when rooms are available. The care plans looked at for two people who moved into the home quite recently showed that staff at the home had gathered good information about them before they moved in. The manager had gone to see them and had completed a thorough assessment before they moved in so staff would know what the person’s needs were and how they were to be met, before they moved in. Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Care plans are thorough and detailed to make sure that staff know what to do to meet people’s needs in the way they prefer and the medicines are well managed so people receive their medicines as prescribed to maintain their health. EVIDENCE: Care plans were looked at for three people. These had been completed well and kept up to date. Risks to residents’ health and safety are identified and addressed. There are records of regular health checks and visits by health professionals, such as doctors. There is a record of consultation with relatives. The care plans contain a personal preference sheet, which is very good. The care plans could be further improved by continuing to develop a more personcentred approach. At the time of the inspection visit, five people were spending all, or most, of their time in bed. Appropriate equipment including pressure relieving Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 12 mattresses and adjustable beds were provided to meet their needs. No resident had a pressure sore. Charts in the bedrooms recorded daily food and fluid intake and regular repositioning. A variety of food supplements were prescribed for people who are unable to eat enough to maintain a healthy weight, and the manager said that six small meals a day are provided for people who are unable to eat a full lunch or evening meal. Pureed meals were nicely presented to look appetising to encourage people to eat more of them. The ordering, storage, administration and disposal of medicines were looked at and these are now very well managed. The medicine room was tidy and storage good. Administration records are very good. A pain chart is used for a person who is prescribed variable doses of analgesics. A full medicines audit is carried out monthly, and a less detailed check is done between audits so that any errors can be picked up quickly and dealt with. Staff were observed to have a pleasant and respectful attitude towards the people who live at the home. One person living in the home told us he had been at other homes and said, ‘This is the best I have been in, the staff are a grand lot, they look after you very well’. Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There are regular social activities and a good standard of food with choices so that people who live at the home can make choices about their day-to-day lives. EVIDENCE: A social activities organiser is employed at the home. The information we received from the manager before the visit stated: ‘We have a daily programme of activities but recognise that not everyone wants to join in group activities and actively encourage individual choice, independence and one to one activities … staff are encouraged to ensure that the routines of the home are planned around the residents choices and staff spend time every day discussing things with residents’. There is a minibus available that is shared with another home and is used regularly once or twice a week for people at Kingscourt. On the day of the inspection visit, a group of residents went shopping to Chester in the morning, and a different group went to a park in the afternoon. Six people who live at the home are going to Llandudno for an overnight stay. This is a new venture Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 14 and on this occasion has only been offered to people who have better mobility, but the manager plans to arrange more short holidays that will include the less mobile people. The manager told us she has been making enquiries about installing a loop system for the lounge for the benefit of residents who use a hearing aid. Visitors arriving for a birthday party were made welcome and clearly had a good rapport with the manager and staff. Another visitor told us she is always made welcome when she visits her friend. The standard of catering at the home has always been good. Menus have now been re-written after listening to comments from the people living at the home and the new menus will be introduced from 1st June. These menus incorporate pictures of the different choices of food to make it easier for people with limited verbal communication to make choices. A person who lives in the home told us there are all sorts of things to choose from at teatime. Most people have their breakfast in their bedroom, which means that they no longer have to hurry to get to the dining room. Some people who find it easier to move around choose to have breakfast in the dining room. The dining room has new furniture since the last inspection and there were fresh flowers on each of the dining tables. Kingscourt Nursing Home DS0000018722.V363385.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): Standards 16 and 18 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There is a thorough complaints procedure and staff have received training on safeguarding so that people who live in the home know their concerns will be listened to and they are protected from harm and abuse. EVIDENCE: The information we were sent before the inspection visit showed that seven complaints were received by the home between March 2007 and March 2008. Good records are kept about these and showed that all complaints had been fully investigated and action taken, following the company complaints procedure. The manager said that she welcomes comments and complaints as a way of learning how the service can improve. We were told that all staff have received training about safeguarding vulnerable people from abuse. This training is provided by one of two company trainers. The manager has also attended two training courses and found that the training provided by the NHS was the same programme as used by the company trainer who provides this for staff. Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home is well maintained so people live in clean, comfortable and safe surroundings. EVIDENCE: There is limited space on the first and second floors so there are no communal areas there. This means that residents who like to sit in a lounge and/or have their meals in the dining room need to be assisted down to the ground floor. The main lounge was a very large room and it was divided into two smaller rooms, which are more homely and more conducive to social interaction. The décor and furniture have also been improved. There is also a conservatory which was little used as it became too hot. It has been fitted with blinds and an air-cooling machine and is now more widely used. Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 17 There is a small garden at the back of the home and this has been made pleasant for people to sit in. The bathroom on the ground floor has been refurbished and this is a great improvement. There is a good shower room on each floor, but bathrooms are small and not really suitable for more dependent people who need a lot of assistance. The manager told us that showers are now used more often. Nearly all of the bedrooms have been refurbished over the last three years, but some re-decoration is now needed again. There are many adjustable beds in the home but if people prefer a divan, these can be swapped with other homes in the group. A relative commented on some poor towels and bed linen. The manager knew about this problem and has instigated a programme of monthly replacements. A recent problem with the passenger lift was reported to the Commission for Social Care Inspection. Unfortunately it took several days for a replacement part to be supplied and a number of residents were confined to their rooms during this time. The home has recently recruited a new maintenance person so that maintenance can be carried out quickly in the home. On the day of the inspection visit all parts of the home were clean and there were no unpleasant odours. A member of the domestic staff told us that each day one bedroom is spring-cleaned. A relative commented that the standard of cleaning is sometimes not as good at the weekend and the housekeeper confirmed that some days there is only one cleaner on duty, although there are usually two. Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Staff are carefully recruited and receive the training they need so they can provide a good standard of care for residents. EVIDENCE: There are enough nurses and care staff employed to meet the needs of the current number of people living in the home. During mornings, there is a nurse and five carers on duty; during afternoons and evenings, there is a nurse and four or five carers; at night a nurse and two carers. Some days there are two nurses on duty. The manager told us that when the number of residents exceeds 30 a third carer will be put on duty at night. At the last inspection a high staff turnover was of concern, but this year the staff team has been more stable. The home employs 17 care staff. Of these, eight have achieved an NVQ level 2 in care. One person is currently working towards NVQ level 2 and one is working towards level 3. The others are new staff who are working through foundation training before starting NVQ. The personnel files were looked at for the two most recently recruited staff. The records showed that good recruitment procedures had been followed to ensure that they are safe and suitable to work with vulnerable people. There Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 19 is a thorough induction training programme for new staff and the record looked at for a carer who started in January 2008 showed that he had completed the programme. Springcare employs two company trainers and one of these people has responsibility for ensuring that all staff are up to date with mandatory training that protects the health and safety of residents and staff. Records showed that staff receive regular updates of moving and handling training and fire safety training. All of the catering staff and all except the most recent care staff have completed food hygiene training. Although the home is not currently registered for dementia care, all of the nurses and care staff who were employed in 2007 have completed a dementia care course of substantial content, and the manager said that she intends to use the same training programme for the newer staff. Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 People who use this service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. The manager listens to the views of the people living in the home, the staff and visitors and uses her knowledge to ensure continuous improvement of the home so it is run in the best interests of the people who live there. EVIDENCE: The manager has been in post for three years. She is a registered nurse and had previous experience as a care home manager. Since being at Kingscourt she has achieved a management qualification. The home suffered in early 2007 when the manager was moved to cover another home, but since she returned she has worked hard to take the home forward and ensure that all of Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 21 the requirements and recommendations made at the last key inspection on 15 May 2007 have been addressed. The information sent to CSCI before the inspection, the annual quality assurance assessment, was very well completed. It presented a realistic assessment of home and an awareness of where current successes can be built on. The manager is exploring the possibility of employing a part-time administrator to deal with routine paper work so that she has more time to spend with staff and the people living at the home. Staff meetings are held every month or every two months; the manager holds a staff meeting as often as she thinks helpful. Minutes were seen from staff meetings in March and April 2008. These showed that staff have the opportunity to raise any issues that they wish to discuss. Staff are showing more commitment to the home and one way in which this is apparent is that staff are now volunteering to accompany residents on trips out in their own time. There were records of individual supervision of staff, and annual appraisals. These records provided evidence of staff development: for example a carer expressed an interest in becoming the continence link carer for the home and now has this role. The same person is working towards NVQ level 3. The manager is considering an extended role for carers who achieve NVQ level 3, which would be a new development for the home. Carers are encouraged to attend training at another home in the group, which is provided by the PCT for carers, as there is no local equivalent. CSCI surveys returned by four members of staff confirmed that they receive regular support from the manager. The manager and the other nurses attend training provided by the Cheshire consortium, and the manager gave examples of how she has been able to put learning from this into practice to improve the care of the people who live at the home. Minutes of a residents’ meeting held in March 2008 provided evidence of good communication, and menus have been reviewed to reflect suggestions from residents. There was evidence of the manager responding to the individual needs of residents, for example as bedrooms become vacant a resident prone to falling was offered a ground floor room where there are always staff nearby, and people who would benefit most have been offered an en-suite room to help maintain their independence. The notice boards in the home publicised an open evening for visitors later in the month. The company’s area manager carries out monthly visits to check on how the home is running and she also carries out care plan audits. The manager submits a monthly report of pressure sores, complaints and accidents to head office. A monthly full audit of medicines, with a mini-audit between, has addressed serious concerns regarding the management of residents’ medicines and on this visit the standard of medicines management was very good. Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 22 There is a company satisfaction survey and the manager said that survey forms have been sent out monthly to a small number of residents and their relatives. This year the manager considers that it would be more informative to do a full survey and she has planned this for the end of summer 2008. Arrangements are in place for residents to be able to keep small amounts of personal spending money in safekeeping at the home and individual records are maintained. Company policies and procedures are continually reviewed and updated in the policy manual. The information sent to CSCI from the home before the inspection visit provided details that plant and equipment had been tested and serviced as required. Fire drills are held regularly and all staff have attended at least one fire drill so far in 2008. Kingscourt Nursing Home DS0000018722.V363385.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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 3 X 3 Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kingscourt Nursing Home DS0000018722.V363385.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Kingscourt Nursing Home DS0000018722.V363385.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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