Care Home: Millfields Residential Home

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What the care home does well People who live at the home felt that they received good care and support from the staff team. One person said, `staff are very good and caring`. A relative who helped their relative to complete a survey commented `I am very pleased and satisfied with the care and services that are given to my relative. The staff and carers offer an excellent service`. A survey returned by a health professional commented `I don`t think care could be improved`. The interactions observed between staff and people living at the home appeared to be respectful and caring. Staff displayed a commitment to providing good care and support to people. The home had a calm and friendly atmosphere and was clean and comfortable for the people living there. Staff said that they received good training and support to meet the needs of people living at the home. Good systems were in place to enable people to be involved in decision making about how the home was run and the manager encouraged people to discuss any concerns. What has improved since the last inspection? Plans about moving and handling people are now in more detail so that staff have better guidance on how to move the person safely to minimise risk of harm to the person and themselves. Care planning information now includes details of people`s religious interests. This enables staff to support people in meeting their spiritual needs. The home had introduced a list of forthcoming events so that people were aware of what activities were taking place. The home had achieved a five star (excellent) rating from Environmental Health for their hygiene standards. Some staff had undertaken learning about dementia awareness to improve their knowledge and understanding. Further training for other staff would further develop the skills and knowledge of the workforce in meeting the specific needs of people with dementia who live at the home. What the care home could do better: Care planning information could be more person centred so that care can be planned in a more individualised way to suit the person`s needs. Further improvements could be made to care planning documentation so that all risk management plans provide specific detail about what actions are to be taken to minimise risks to the person or others. Daily records could be kept up to date so that the care and support being given is accurately recorded to make sure that people`s health needs are being met. Arrangements could be put in place to make sure that all staff fully understand the role of all agencies in safeguarding people from abuse. This will help to make sure that proper procedures are followed to keep people safe in the event of abuse happening. The home`s policy and procedure on safeguarding people from abuse could be updated in line with the local authority`s policy and procedure on safeguarding adults from abuse to help make sure that staff are clear about what to do if abuse was suspected. Arrangements could be put in place to make sure that staff training records are kept up to date to show what training has taken place. This will make it easier to identify people`s training needs and to determine when updates are needed. Measures could be put in place so that hot water temperatures from water outlets are monitored on a more regular basis so that any problems can be identified and acted on at an early stage. CARE HOMES FOR OLDER PEOPLE Millfields Residential Home Mill Lane Nevison Pontefract West Yorks WF8 2LS Lead Inspector David White Unannounced Inspection 1st April 2009 09:00 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 Millfields Residential Home DS0000006200.V374648.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. Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Millfields Residential Home Address Mill Lane Nevison Pontefract West Yorks WF8 2LS 01977 690606 01977 690606 jentucker.millfields@btconnect.com 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) Mr John Fieldhouse Mrs Jill Fieldhouse Mrs Jennifer Tucker Care Home 38 Category(ies) of Dementia (38), Mental disorder, excluding registration, with number learning disability or dementia (38), Old age, of places not falling within any other category (38), Physical disability (7) Millfields Residential Home DS0000006200.V374648.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 the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places 38 Mental Disorder, excluding learning disability or dementia - Code MD, maximum number of places 38 Dementia - Code DE, maximum number of places 38 Physical disability - Code PD, maximum number of places 7 The maximum number of users who can be accommodated is 38 2. Date of last inspection 3rd April 2007 Brief Description of the Service: Millfields is a care home providing personal care and accommodation for 38 older people who may also have dementia, mental health needs or physical disabilities. The home is situated in a residential suburb approximately one mile from the town centre of Pontefract, is close to local amenities and has been in operation and under the same management for 8 years. Accommodation is arranged on two floors and has a passenger lift. All bedrooms are single and six rooms have en-suite facilities. There are appropriate communal facilities provided by the home, including pleasant gardens which are accessible to people who live at the home. At the time of the site visit on 1st April 2009 the weekly bed fees for people living at the home were £398. Information about the home is made available through the home’s Statement of Purpose and Service User Guide both of which are available, on request, from the home. Millfields Residential Home DS0000006200.V374648.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 stars. This means that people who use the service experience good quality outcomes. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations-but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. We went to the home without telling them that we were going to visit. This report follows the visit that took place on the 1st April 2009. The visit lasted from 9am until 3.30pm. The purpose of the visit was to make sure that the home was operating and being managed in the best interests of people living there. Information has been used from different sources for this report. These sources include: • • • Reviewing information that has been received about the home since the last inspection. Information provided by the manager on an Annual Quality Assurance Assessment questionnaire. Surveys returned from people who live at the home, staff, and a health care and social care professional who both visited the home. During the visit time was spent talking to people who live at the home, a relative, care staff and the manager. We observed staff caring for people in communal rooms, looked at various records relating to care, staff, and maintenance, and looked at some parts of the building. The registered manager was available throughout the site visit and the findings were discussed with her at the end of the inspection. Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Plans about moving and handling people are now in more detail so that staff have better guidance on how to move the person safely to minimise risk of harm to the person and themselves. Care planning information now includes details of people’s religious interests. This enables staff to support people in meeting their spiritual needs. The home had introduced a list of forthcoming events so that people were aware of what activities were taking place. The home had achieved a five star (excellent) rating from Environmental Health for their hygiene standards. Some staff had undertaken learning about dementia awareness to improve their knowledge and understanding. Further training for other staff would further develop the skills and knowledge of the workforce in meeting the specific needs of people with dementia who live at the home. Millfields Residential Home DS0000006200.V374648.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. Millfields Residential Home DS0000006200.V374648.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 Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People’s needs were properly assessed before they moved into the home so that people moving into the home could feel confident their needs will be met. EVIDENCE: A range of information explaining the care and services on offer is given to people who are thinking about moving into the home. All the surveys returned by people living in the home said that they were given information about the home before moving there and were given a contract on moving in. As part of the pre-admission assessment process information was gathered from various sources. This included an assessment of the person’s needs and Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 10 care plan from the person’s social worker. The manager and another senior person then carry out their own assessment of the person’s needs to make sure that the home has the resources to meet the person’s needs. People who were being considered for the home and their family would be invited to visit the home beforehand to help with their decision making. Evidence that proper pre-admission assessment procedures were being followed could be seen in the care records of a person who had only recently moved into the home. The home does not provide intermediate care. Millfields Residential Home DS0000006200.V374648.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 the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People’s personal and healthcare needs were well met although some aspects of care planning documentation could be improved. EVIDENCE: Each person had a care plan that detailed people’s individual needs and how these were to be met. The quality of the care plan records varied. Whilst some were informative other care plan records required more detail about the actions that staff needed to take to meet the person’s needs. There was limited evidence that care planning was person centred in that there was limited personal information about individuals and their preferences about how they wish to be supported. There was some information about people’s likes and dislikes and improvements had been made to the way people’s spiritual and Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 12 religious needs had been recorded. Information was also available about people’s communication needs so that staff were aware how to best communicate with individuals to make sure their needs could be understood and met. Care plans were regularly reviewed and did involve the person where appropriate, their relatives and others who were involved in their care. A survey returned by a social care professional that had involvement with the home said, ‘the home communicates well about the progress of individuals’. The home had three moving and handling assessors who had reviewed and implemented new documentation for moving and handling people. The new documentation clearly identified where people could be at risk from their mobility and specified what actions were to be taken to minimise these risks. One person had been identified as being at risk of pressure ulcers and the risk management plan was good in stating how this was to be managed. Nutritional assessments were carried out in all cases to identify if the person was at risk from malnutrition. The care records of one person showed that the person could become aggressive and be a risk to others because of this. Whilst actions had been put in place to manage a recent incident where the person had become aggressive towards another person, information in the risk assessment about how the person’s aggression was to be managed lacked detail and was not specific enough. The daily records and care plans showed that health care was monitored. Each person had a GP (General Practitioner) and had access to other health care professionals. Visits to health care appointments and from health care professionals was recorded. A health professional who visited the home said, ‘staff contact us when they have concerns and any instructions we give are usually followed’. Referrals were made to specialist agencies when needed. Daily records were mostly kept up to date and accurately reflected the care and support that was being given. One person’s care plan stated that they needed to be given pressure care periodically to reduce the risk of pressure ulcers developing. On the day of the site visit staff were observed to be doing this however the person’s care records for that day did not evidence that this was always happening. There were handover periods between shifts and a communication book to help in making sure that information was always passed on. People living in the home who returned surveys spoke positively about the care and support they received. One person said, ‘staff are very good and caring’. All said that they received medical care when they needed it. A relative who helped their relative to complete the survey commented ‘I am very pleased and satisfied with the care and services that are given to my relative. The staff and carers offer an excellent service’. A survey returned by a health professional commented ‘I don’t think care could be improved’. The interactions between staff and people living at the home were respectful and caring. Staff were seen to knock on doors and wait for a reply before Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 13 entering rooms. People at the home who were spoken with all said they felt they were respected by staff at the home. One person said, ‘staff are good at helping me in and out of the bath when I am using the hoist’. A health professional who visited the home said, ‘any care provided is always performed in private areas of the home’. A sample of the medication records were looked at and found to be accurate and up to date. All medication was stored securely. The staff that administered medication confirmed that they had been provided with training and certificates were available to evidence this. The assistant manager said that GP’s undertook periodic six-monthly reviews of people’s medication. Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living at the home enjoy a lifestyle to suit their needs. EVIDENCE: People said that they were able to make their own choices about their daily routines. They had opportunities to join in with in-house activities such as bingo, quizzes, arts and craft and card games. Entertainers periodically visited the home and there were occasional trips to the coast and places of interest. A person at the home said, ‘I enjoy the organist’s visits, they are very good’. There were monthly in-house church services and transport was provided from the local church for those wishing to attend church and took into consideration those people with mobility problems. The home had introduced a list of forthcoming events so that people were aware of what activities were taking place. Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 15 House meetings were held with people to discuss and plan activities. Some people said that they do not like taking part in activities and preferred to spend time alone. The staff team respected people’s wishes. One person liked to watch television in their bedroom and said, ‘staff call in when they are passing and we have a chat’. Staff rotas were planned so that staff were available to carry out activities with people. People were encouraged to maintain contact with their family and friends. At the time of the site visit some relatives were visiting the home and were welcomed into the home. One relative said, ‘I am kept up to date about any changes. I cannot fault the staff’. All the surveys returned by people living in the home indicated that the quality of the food was good. One person said, ‘the only problem is that there is too much of it’ another person said, ‘the food is first class’. People were asked in advance about what they would like for their meals. At mealtimes people could have an alternative meal if they did not like what was on the menu. Snacks and drinks were available throughout the day. A mealtime was observed and those people that needed support with their eating were given assistance in a patient and dignified way. One person required a specialist diet and all staff were aware of this and had written guidance about what the person was able to eat. Most people sat in the dining lounge to eat although they could eat on their own if they chose to do so. Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People concerns were listened to and acted on. Policies and procedures were in place to safeguard people from harm although measures need to be put in place to make sure these are fully understood. EVIDENCE: The complaints procedure was on display in the home. This information was also included in the Service User Guide that was given to people when they were admitted to the home. A record of complaints was kept. These detailed the nature of the complaint, the action taken and the outcome of the complaint. The records showed that complaints had been dealt with in agreed timescales and complainants were given information about outcomes from their complaints. Five out of the six people living in the home who returned surveys said that they knew how to make a complaint. People living at the home said they felt safe there. The home had a copy of the local authority’s multi-agency policy and procedure for safeguarding adults. The home also had their own policy and procedure although this needed Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 17 updating so that the information within it was more in line with the local authority’s policy and procedure. The manager said that all staff had attended training on safeguarding people from abuse, whistle blowing and on how to manage challenging behaviour. The home had a low number of incidents. There had been one incident when external input was needed because a person was at potential risk and referrals had been made to the appropriate agencies to keep the person safe. Following discussion with senior and other members of staff it was evident that staff knew of their responsibilities in reporting any issues although they needed to develop a clearer understanding about the roles of other agencies in the safeguarding process. This was discussed with the manager who said she would be putting measures in place to address this issue. Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home provided a comfortable and safe environment for the people living there. EVIDENCE: The atmosphere in the home was calm and friendly. Accommodation was over two floors. There was ramped access to the home and there was a passenger lift so enabling people with mobility problems to have access to and be able to move around the home. Furniture and fittings were well maintained. Communal areas were provided with pictures and ornaments to create a homely environment. Toilets and bathrooms were easily accessible on both Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 19 floors and had specialist equipment and adaptations to help people with their independence. Other aids and adaptations were available around the home to support people with their mobility and to be independent. Call bells were available in people’s bedroom and communal areas so that people could access staff support at all times. People at the home said they liked living there and their bedrooms were personalised to suit their tastes. The home was clean and tidy with no odours. A survey returned by a person living at the home said, ‘the home is spotless and very clean’. The home employed domestic staff to help maintain standards of hygiene. Environmental Health had carried out a recent visit to the premises and had awarded the home five stars (excellent) for hygiene standards. Staff received infection control training and at the time of the visit infection control procedures were being followed. Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People received good support from a sufficient number of staff who received the necessary training to meet their needs. EVIDENCE: The duty rotas showed that there was a sufficient number of staff on duty at all times. People living at the home said that there was always enough staff about and said that call bell requests were responded to promptly. The staff team included domestic and catering staff who helped to maintain food and hygiene standards and an administrator. A programme of NVQ (National Vocational Qualification) was ongoing. Some staff had completed the course and had then left the home. However the home continued to enrol staff members onto the NVQ course with the aim of having a minimum of 50 of the staff team trained to NVQ level. Three staff recruitment files were inspected. They contained all the required information. Application forms had been completed, references had been Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 21 obtained and Criminal Record Bureau (CRB) checks had been completed. In one case a person giving a reference was going on holiday and a verbal reference had been obtained and was to be followed up in writing. One person had started working at the home following a POVA First check, however there was no evidence in the person’s records that the check had been completed. The manager explained that the person responsible for the checks kept the records on file at a sister home belonging to the same care provider. Following discussion with the manager evidence of the person’s completed POVA First check was sent through to the home and put into the staff member’s file. The manager said that in future where a POVA First check had been carried out, evidence to confirm that the check had been completed would be kept on the person’s staff file at the home. The home had a training matrix that was used to monitor and identify any training needs. At the time of the site visit this was not up to date, as some training that had been undertaken by staff had not been logged onto the training record data. However the manager gave assurances that staff training was up to date and staff were able to confirm the different types of training they had received. Staff were provided with induction training. One member of staff said, ‘the induction covered all the areas of care’. Some staff had undertaken open learning training in dementia awareness to improve their knowledge and staff received training on how to manage challenging behaviour. A survey returned by a member of staff said, ‘the home is excellent at keeping you up to date with new training and legislation’. Plans were in place for management to attend some training and to implement polices and procedures on Deprivation of Liberty. This will help provide staff with information and guidance on what actions they need to take to make sure that people’s freedom and rights are protected. Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People lived in a well managed home where their best interests were put first. EVIDENCE: The manager and her assistant were very experienced in running the home. People living in the home and staff described the manager as helpful and approachable. A survey returned by someone at the home said, ‘it is a very good home and well run’. A social care professional survey commented ‘I have always found the manager and care staff to be approachable’. Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 23 The manager had an open door policy so that people could see her at any time to discuss concerns or other matters. Various means were used to involve people in the home and other stakeholders in decision-making about how the home was run. The home obtained feedback through quality assurance forms that were distributed to people at the home and outside agencies who were involved in the home. Regular house meetings were held with people at the home to obtain their views about the care and services on offer and to plan for activities. Staff said that they were encouraged to offer their opinions in staff meetings and felt their views were valued. They also received supervision to support them in their job roles. Relatives were invited to attend care plan reviews and offer their views and opinions about the home. The home continued to hold the Investors in People Award for their commitment to maintaining and improving the care and services on offer. Financial records relating to people’s finances were looked at and found to be satisfactory. All incoming and outgoing monies were accounted for. A hairdresser visited the home and records were well maintained of individual costs to people from this. People could have access to their monies at all times. The manager said that regular spot checks were carried out to check that there were no discrepancies with the monies. A sample of records and certificates relating to maintenance of the home in respect of health and safety were seen. These were up to date and completed in line with health and safety requirements. Improvements have been made in the detail of information in risk management plans for moving and handling so that staff were clearer about the level of assistance that individuals needed with this. A plumber carried out hot water temperature checks from the water outlets every three months. Discussion was had with the manager about the need for more regular checks so that any problems could be identified at an earlier stage and acted on. Millfields Residential Home DS0000006200.V374648.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Millfields Residential Home DS0000006200.V374648.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 OP7 Good Practice Recommendations • Risk management plans should be more detailed and specific in saying what action needs to be taken to minimise risks to people. Care planning information should be more person centred to help in making sure that people’s individual needs are met in the way they prefer. Care plan records should be kept up to date to reflect the care that is being given in order to make sure people’s health needs are being fully met. The home’s policy and procedures on safeguarding people from abuse should be updated in line with the local authority’s policy and procedures so that the information for staff is clear and consistent. Arrangements should be put in place so that staff DS0000006200.V374648.R01.S.doc Version 5.2 Page 26 • • 2. OP18 • • Millfields Residential Home have a clearer understanding about the roles of all agencies in safeguarding people from abuse. This will help in making sure that procedures are followed to keep people safe in the event of abuse happening. 3. 4. OP30 Staff training records should be kept up to date so that it can be easily identified what training staff have undertaken and when updates are needed. Arrangements should be put in place for more regular monitoring of hot water temperatures so that any areas of concern can be identified at an earlier stage to minimise possible risks to people. OP38 Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Millfields Residential Home DS0000006200.V374648.R01.S.doc Version 5.2 Page 28 - 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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