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Care Home: Moat House Retirement Home

  • New Road Burbage Hinckley Leicestershire LE10 2AW
  • Tel: 01455633271
  • Fax: 0116618271
  • Planned feature Advertise here!

Moat House is situated close to the centre of Burbage village, and as such maintains close links with the surrounding community. All the rooms in this home are for single occupancy and many have a pleasant view over the gardens. The home is very well decorated and comfortably furnished. The gardens form an attractive area for service users to use when they wish to sit outside. There are a variety of lounges that residents can choose to sit in. The large dining room can be used for activities. The weekly fee is from £409 - £455, which was provided on the day of the Inspection. All additional costs for individual expenditure such as hairdressing, toiletries, etc are included in the fee. A Service Users Guide to the services the home offers can be supplied to applicants and the last Inspection Report is available on request, to enable prospective residents to make an informed choice as to whether they wish to live at the home.

Residents Needs:
Old age, not falling within any other category

Latest Inspection

This is the latest available inspection report for this service, carried out on 20th August 2008. CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

For extracts, read the latest CQC inspection for Moat House Retirement Home.

What the care home does well There was again evidence of promoting the welfare of residents in terms of good relationships between staff and residents with staff listening and consulting with residents. Residents said that the care provided by staff was very friendly and respectful. Assessments contain good detail of relevant information as to residents needs and aspects of medical checks to ensure these are followed up in a timely manner to make sure residents health needs are fully promoted. Care Plans seen by the inspector contained detailed information information as to the physical, social and medical needs of residents. Residents said when they felt ill then staff would swiftly summon medical assistance. This promotes their health needs. Accident records were viewed which showed that medical services were properly referred to when there had been a head injury so as to protect their health needs. Residents are consulted about life at the home with Residents Meetings so as to meet their expressed views. To meet residents interests and provide stimulation for them there is an Activities Programme. Residents enjoy a lifestyle free from imposed restrictions so that their choices are promoted. Visitors are warmly welcomed by staff. This assists residents to continue relationships important to them. Residents and the relative spoken with thought that if there was a problem then they were confident the management would sort it out. There was evidence of investigations of complaints on file that they had been properly followed up by management with apologies given where needed so that complainants can be sure their complaints are taken seriously. Facilities used by residents are clean, comfortable, and homely with no odours. Staff are encouraged to have training to equip them to meet residents needs and have supervision to support them in their jobs. Residents and staff thought that the Management team were doing a good job and were supportive to them. There is a Health and Safety folder with Risk Assessments for safe working practices so residents can be properly protected from any potential dangers in the home. What has improved since the last inspection? Care Plans have been improved so that all residents needs have been recorded so that staff are aware of how to meet residents needs. There was evidence that Medical Services have been called when residents health was in doubt following falls to promote their health needs. The Registered Manager has ensured that references are obtained prior to staff commencing employment to protect residents from unsuitable staff. What the care home could do better: Residents welfare could be more effectively met by staff ensuring that: Medication security is preserved at all times so that access to medication is limited to ensure there are no accidents and residents health is preserved. The Complaints Procedure needs to be clearer for residents and their representatives so that any complaint is dealt with fully. The staff training programme needs to be completed for staff so that it equips them to be able to meet residents needs more fully. Fire systems need to be strengthened by ensuring that staff are aware of the full fire procedure to protect residents from fire and that testing of systems is recorded to show it has been done. CARE HOMES FOR OLDER PEOPLE Moat House Retirement Home New Road Burbage Hinckley Leicestershire LE10 2AW Lead Inspector Keith Charlton Unannounced Inspection 20th August 2008 09:20 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 Moat House Retirement Home DS0000001720.V370438.R02.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. Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moat House Retirement Home Address New Road Burbage Hinckley Leicestershire LE10 2AW 01455 633271 01455 618271 moathouse@adeptgroup.org 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) Moat House Retirement Home Limited Eileen Crutchlow Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th October 2007 Brief Description of the Service: Moat House is situated close to the centre of Burbage village, and as such maintains close links with the surrounding community. All the rooms in this home are for single occupancy and many have a pleasant view over the gardens. The home is very well decorated and comfortably furnished. The gardens form an attractive area for service users to use when they wish to sit outside. There are a variety of lounges that residents can choose to sit in. The large dining room can be used for activities. The weekly fee is from £409 - £455, which was provided on the day of the Inspection. All additional costs for individual expenditure such as hairdressing, toiletries, etc are included in the fee. A Service Users Guide to the services the home offers can be supplied to applicants and the last Inspection Report is available on request, to enable prospective residents to make an informed choice as to whether they wish to live at the home. Moat House Retirement Home DS0000001720.V370438.R02.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 the people who use this service experience good quality outcomes. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they received through looking at their records, discussion, where possible, with them, visitors and care staff and observation of care practices. This was an unannounced Inspection. The Registered Manager was present and helped in carrying out the inspection. Planning for the Inspection included looking at notifications of significant events sent to the Commission for Social Care Inspection and the issues contained in the previous two Inspection Reports. There has not been one complaint made to the Commission for Social Care Inspection about the service since the last full inspection so a Random Inspection was carried out. It found no evidence to prove the issues of the complaint. The Inspection took place between 9.30 and 15.45 and included a selected tour of the building, inspection of records and indirect observation of care practices. The Inspector spoke with nine residents, two members of staff, one visitor, the Registered Manager and Deputy Manager. What the service does well: There was again evidence of promoting the welfare of residents in terms of good relationships between staff and residents with staff listening and consulting with residents. Residents said that the care provided by staff was very friendly and respectful. Assessments contain good detail of relevant information as to residents needs and aspects of medical checks to ensure these are followed up in a timely manner to make sure residents health needs are fully promoted. Care Plans seen by the inspector contained detailed information information as to the physical, social and medical needs of residents. Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 6 Residents said when they felt ill then staff would swiftly summon medical assistance. This promotes their health needs. Accident records were viewed which showed that medical services were properly referred to when there had been a head injury so as to protect their health needs. Residents are consulted about life at the home with Residents Meetings so as to meet their expressed views. To meet residents interests and provide stimulation for them there is an Activities Programme. Residents enjoy a lifestyle free from imposed restrictions so that their choices are promoted. Visitors are warmly welcomed by staff. This assists residents to continue relationships important to them. Residents and the relative spoken with thought that if there was a problem then they were confident the management would sort it out. There was evidence of investigations of complaints on file that they had been properly followed up by management with apologies given where needed so that complainants can be sure their complaints are taken seriously. Facilities used by residents are clean, comfortable, and homely with no odours. Staff are encouraged to have training to equip them to meet residents needs and have supervision to support them in their jobs. Residents and staff thought that the Management team were doing a good job and were supportive to them. There is a Health and Safety folder with Risk Assessments for safe working practices so residents can be properly protected from any potential dangers in the home. What has improved since the last inspection? Care Plans have been improved so that all residents needs have been recorded so that staff are aware of how to meet residents needs. There was evidence that Medical Services have been called when residents health was in doubt following falls to promote their health needs. The Registered Manager has ensured that references are obtained prior to staff commencing employment to protect residents from unsuitable staff. Moat House Retirement Home DS0000001720.V370438.R02.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. Moat House Retirement Home DS0000001720.V370438.R02.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 Moat House Retirement Home DS0000001720.V370438.R02.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): 3,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are assessed in detail before admission so that staff are able to meet their needs. EVIDENCE: A resident said that someone from the home came to see them before admission to discuss their needs and they were encouraged to visit to see whether the home suited them. This is the policy of the home and is in the Annual Quality Assurance Assessment. An assessment was inspected and it contained good detail of relevant information as to residents needs and aspects of medical checks to ensure these are followed up in a timely manner to make sure residents health needs are fully promoted, as per the National Minimum Standard. Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 10 The service does not offer intermediate care. Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The individual needs and choices of residents living in the home are generally well met. EVIDENCE: None of the residents spoken with said that they could recall having Care Plans, although the Plans seen indicated they had been compiled with the resident who had signed them. Residents need to be reminded they can see their Care Plans and discuss them if they wished to ensure that their needs are accurately recorded. Care Plans seen by the inspector contained detailed information information as to the physical, social and medical needs of residents. Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 12 Risk assessments were found to be a part of the plans so that staff know how to keep residents safe. Staff said they had not yet read all the Care Plans. This means they may not be fully aware of residents needs. The Registered Manager said it was the policy of the home that staff read Care Plans and she would ensure this is carried out. Monthly reviews of residents needs were noted in Care Plans and were kept up to date so that their needs are accurately recorded in order top deliver the right care at all times. Residents said when they felt ill then staff would swiftly summon medical assistance – residents contacts with medical personnel were documented in their Care Plans. This promotes their health needs. Accident records were viewed which showed that medical services were properly referred to when there had been a head injury so as to protect their health needs. Residents all said that staff were very caring and would ‘’do anything for you’’. The inspector observed that staff were friendly and respectful to residents. The visitor the inspector spoke with said she thought the staff were caring and friendly and did a good job. The Registered Manager confirmed that all staff issue medication had undertaken medication training and this was recorded on the staff records the inspector viewed. Medication was observed to be properly issued to a resident, though the trolley was not locked when staff left it to issue medication. This needs to be carried out to prevent anyone taking it and potentially harming themselves. The Registered Manager said she would put this into practice. Medication record sheets were found to be generally well completed, with only a few gaps. Medication is kept securely in medication trolleys though the medication room was left open for a short time leaving access to medication in the fridge and medication that was being returned. The Registered Manager said this issue would be put in place. Controlled medication is kept more securely though a more robust cabinet may be required for special medication. The Registered Manager said she would check with the pharmacist about this. Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living at the home have good opportunities for activities and outings and meals are seen as generally good. EVIDENCE: Residents again said that they were generally satisfied with the range of activities on offer. ‘’There’s something to do every day if you want to’’. ‘’They ask us where we want to go on outings’’. ‘’I think there is a good social programme. You choose to take part or not’’. There was a comment that there should be more relevant activities as some were not well attended like the film show. The Registered Manager said she would persue this in the Residents Meeting. Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 14 The Registered Manager said in the Annual Quality Assurance Assessment that more outings and activities were held this year and the minutes of the Residents Meetings supported this. Some residents said they liked being outside and enjoying the garden patio area, which they went when the weather was good. Staff said residents can go out if they wish and are able to and attend clubs and staff can take residents out for a walk in the village if they want this. Residents said that there is a Church service in the home on a regular basis. Residents said that their visitors were made welcome by staff and this was supported by the visitor’s comments. Residents said there were no rules, e.g. going to bed and getting up times, whether to stay in their rooms or go to the lounge, have more baths, have meals in their rooms etc., and staff respected this. Staff said that residents can keep alcohol in their rooms if they chose. This allows residents to exercise proper choice in their lives. Staff said that it was important that residents were able to keep their independence so they could still do things for themselves. This was confirmed by comments made by residents. Most residents said that they enjoyed the food. There is a choice each day for the main meals and residents knew they could ask for something else if they did not want the meals on offer. Food records showed there were a variety of vegetables offered. Though it was not recorded every day on the menu the Registered Manager said cooked breakfast was available each day. The food tasted was found to be of a generally good standard with a two course meal offered with two fresh vegetables followed by a tasty jelly and dessert though the jam roly poly was lacking in taste. Residents are asked their opinion of the food at their meetings, which was recorded in the notes. This gives them the opportunity to comment and the management then can change the menu accordingly if needed. There were a number of comments where they thought improvement was needed – hard toast, lack of fresh vegetables, vegetables overcooked etc. Residents Meetings also proved that the Registered Manager promised to look into issues and do something about them. A staff member was observed to assist a resident to eat in a friendly way at the resident’s pace. Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents views are listened to and acted upon and they and their representatives can be confident their concerns will be properly attended to. The Complaints Procedure needs to be altered to make it easier to make a complaint. EVIDENCE: Residents and the relative spoken with thought that if there was a problem then they were confident the management would sort it out. The Annual Quality Assurance Assessment stated that an advocacy service is available to residents if they wished to have this support. A Complaints Book is kept. There have been a number of complaints in the past year though there was evidence of investigations of complaints on file that they had been properly followed up by management with apologies given where needed so that complainants can be sure their complaints are taken seriously. The Complaints Procedure is generally satisfactory but states that all complaints need to be made to the home first – the National Minimum Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 16 Standard states complainants can choose to go to the lead agency first, so that they can choose how to make the complaint. It also needs to include the telephone number of the local Social Service Department, and the Commission for Social Care Inspection. The Registered Manager said these issues would be followed up. Staff spoken with were aware of the procedure regarding how to handle abuse and the Agencies to contact if the in house arrangement failed – this protects residents from abuse. Moat House Retirement Home DS0000001720.V370438.R02.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 excellent. This judgement has been made using available evidence including a visit to this service. Residents enjoy facilities that are clean, homely and comfortable. EVIDENCE: Residents all said that they liked their bedrooms and they could bring in their own things. All residents spoken with said that the home was kept clean at all times and they liked that their bedrooms were cleaned every day. They said: : ‘’There are never any nasty smells’’ ‘’Cleaning staff know how to clean. I think they must be house proud’’. ‘’Never a problem with the cleaning here’’. Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 18 Bedrooms were observed to be personalised and homely by the inspector, with personal items of residents furniture, pictures, photographs, ornaments etc. The lounges were comfortable and furnished in a homely and attractive fashion. The garden area looked attractive and there were and chairs out so residents could sit there and appreciate the fresh air if they chose. The Quality Assurance survey said that the Registered Manager had met the contractors to ensure the gardens are kept tidy. Locks to bathrooms were working, which ensures residents privacy and dignity. Radiators have covers fitted to them to ensure that residents cannot be burnt and pipe work was also found to be covered to protect residents health and safety. The Annual Quality Assurance Assessment stated that corridor carpets have been replaced, which was found to be the case by the inspector. This adds to the homely appearance of the home. Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels meet residents needs. Recruitment procedures are in place to properly protect residents welfare. Staff training systems are in place to plan to equip staff to meet residents needs though more training needs to be carried out to equip staff to fully meet residents needs. EVIDENCE: Residents thought there were enough staff, as they did not have to wait for a long time for call bells to be answered. The inspector tested this and staff came after a few minutes and anticipated that the resident needed help to go to the toilet. ‘’Staff are wonderful here’’. ‘’Staff take real care of us and they are all friendly’’. ‘’You could not get better staff than the ones here. They are lovely’’. The staffing rota demonstrated that staffing has remained consistent since the last inspection in that there is seven care staff on duty until after lunch. This Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 20 then drops down to four staff until 4.00 then five staff from 4.00 pm to 9.30pm and two waking staff at night with an on call system. Domestic cover is seven days a week and there is a cook seven days a week so residents nutritional needs are covered. Staff said the management of the home provides training. Records seen by the inspector showed this. There was also evidence of induction training for new staff. Specific training on residents conditions – e.g. stroke care, diabetes, parkinsons disease etc, is still needed. It was agreed that where training was identified as needed – e.g. for Food Hygiene, pressure sore awareness, dementia, diabetes, Strokes care etc, this would be completed with in six months of the inspection. The Registered Manager has set up a Training Matrix to identify what training specific staff members need so this can be seen at a glance to make planning for this training needs easier to spot and organise. Staff said they were encouraged to undertake National Vocational Qualification level training. The Annual Quality Assurance Assessment stated that with staff completing the National Vocational Qualification level 2 then there will be over 50 of staff with this qualification, which will then meet the National Minimum Standard. Recruitment records were inspected with Criminal Records Bureau /Protection of Vulnerable Adults checks and written references in place to ensure that residents are fully protected from potentially unsuitable staff and have a proper check of competency etc. The Registered Manager has followed up that staff have identification as needed, which is a further legal check to ensure that residents are protected. Moat House Retirement Home DS0000001720.V370438.R02.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): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management systems are in place to protect the health and safety of residents. EVIDENCE: The Registered Manager has a number of professional qualifications including the National Vocational Qualification level 4 and Registered Managers Award training and has over thirty years experience of the caring professions. Residents, the visitor and staff spoken to said that the home was well run and staff said they were well supported by management. Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 22 There was evidence on records that staff are supervised. There is detail to supervision records to show what issues have been discussed, as per the National Minimum Standard, e.g. care issues, performance issues, training etc. This equips staff to meet residents needs. There are also Residents Meetings to ensure that there is a forum to air views and preferences, put forward suggestions etc. The Registered Manager was recommended to consider inviting residents to staff meetings to be able to effectively put forward residents views. Staff Meetings have been held and were well recorded. There are also management meetings, which are useful in reviewing the quality of services for residents. A Quality Assurance system was in place with completed surveys for the food service carried out for 2008. It was recommended that such surveys were extended to other issues of interest to residents – staffing, activities, facilities etc. They are also to be given to other interested parties - e.g. GPs, Social Workers, District Nurses etc. The results need to be included in the Statement of Purpose so that this information is available to residents and their representatives. It was recommended that an Action Plan is also included showing how the home has dealt with any issues that arise from the survey so that residents quality of life is shown to be promoted. Residents monies records were found to be kept with print outs of how much money residents have in the home’s general account. Monies for personal use are not handled by the home as money is transferred from bank accounts. It was recommended that accounts show running balances to further prove that the home was keeping monies correctly and that the balance can be quickly accessible to residents. Fire Precautions: System testing was on the required weekly fire bell testing except for a three week gap in July 2008. Monthly schedules for emergency lighting were not available on the day of the inspection but were supplied by post by the Registered Manager showing they had been carried out. The Registered Manager said fire drills were carried out on a regular weekly basis whilst doing the weekly fire bell testing, though this had not been recorded. The Registered Manager said this issue would be put in place. There was also a fire risk assessment on file, which helps to ensure that proper fire safety systems are in place to protect residents. Staff members were asked the fire procedure and were aware of the whole procedure although one staff member was not aware of the first stage of the procedure. The Registered Manager said this issue would be put in place and would be checked with other staff. Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 23 There is a Health and Safety folder with Risk Assessments for safe working practices so residents can be properly protected from any potential dangers in the home. Regarding Health and Safety training all staff are expected to complete fire training, infection control training, moving and handling training, first aid and food hygiene training. The hot water temperature was measured at 42c, close to the National Minimum Standard of 43c so that residents are protected from scalding risks. Moat House Retirement Home DS0000001720.V370438.R02.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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 4 X X X X X X 4 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 Moat House Retirement Home DS0000001720.V370438.R02.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. 2. Refer to Standard OP9 OP16 Good Practice Recommendations Security for medication needs to be maintained at all times to prevent accidents occurring. The Complaints Procedure needs to be more detailed for complainants so it is clear who they can go to, to make a complaint. Staff need to be trained on all identified issues needed to equip staff to have all relevant skills to meet residents needs. Fire protection needs to be extended so that all staff know the fire procedure and that testing of systems is recorded. 3. OP30 4. OP38 Moat House Retirement Home DS0000001720.V370438.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Moat House Retirement Home DS0000001720.V370438.R02.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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