Care Home: Moor House (Woking)

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What the care home does well Service user`s views are continually sought to improve the service the home provides. Regular meetings with service users are undertaken; the registered manager chairs the meetings. Minutes of the meetings were seen and to ensure comments made are taken seriously an action plan is in place and the agenda is taken back to the next meeting for further comments. One service user informed the inspector that she goes to the Organisation headquarters on a monthly basis to take part in a meeting. The service user confirmed that she enjoys attending the meetings and said she is able to voice her opinion and make suggestions. When asked if actioned she replied nearly always. The inspector spoke to a number of service users; and those who were able to communicate stated the staff are nice. The inspector observed there was a good rapport between the service users and staff. The inspector spoke with all the staff on duty on the day of inspection; staff commented they feel supported by the registered manager. Staff also commented they work well together and the team is stable, with very rarely any changes in the team. The garden is nicely presented and well maintained, with raised flowerbeds to enable the service users to work. It was pleasing to note that a neighbour helps in the garden; he provides plants for the raised flowerbeds and works with the service users and gives advice to the home. Some service users had some items of furniture in their bedrooms, which they had brought into the home with them or purchased since living in the home. What has improved since the last inspection? The registered manager informed the inspector that there is a constant redecoration programme in place. The home is in the process of implementing person centred planning. The manager stated that this process would be over a period of time as staff are also involved including staff training in this area, to ensure staff have a clear understanding and any changes that need to be undertaken. A number of staff has attended various training courses and according to the AQAA the staff are to undertake further equality and diversity training. The inspector was informed that staff training is to include equality and diversity, and training to commence on 08/01/08. Information taken from the Annual Quality Assurance Assessment (AQAA) selfassessment a document completed by the management of the home What the care home could do better: The home was homely and welcoming and all areas in the home are nicely decorated and furnished. However, it was noticed that where the wheelchairs are used in the corridors, bedrooms and communal areas the walls are badly scratched and require attention. The inspector would advice the home to have fitted appropriate protectors on doors and walls to ensure the walls are protected from the wear and tear. The staff currently use the conservatory as a storeroom for their personal belongings, the staff need to be provided with an area to hang their coats and keep their belongings safe. All dried foods once opened should be stored in a sealed container with a lid. The kitchen units and work surfaces need replacing. Several cupboards had broken doors and the surface of the worktops was burnt. The Environmental Health Officer visited the home on 27/04/07 to undertake an inspection on the kitchen there were two recommendations made with regards to a fly screen needs to be fitted to the windows and doors of the kitchen. This work is still outstanding. Several carpets were badly stained, which need cleaning or replacing. CARE HOMES FOR OLDER PEOPLE Moor House (Woking) Moor House 13/14 Horsell Moor Woking Surrey GU12 4NH Lead Inspector Vera Bulbeck Unannounced Inspection 14:10 28 November 2007 th 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 Moor House (Woking) DS0000013725.V344437.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. Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moor House (Woking) Address Moor House 13/14 Horsell Moor Woking Surrey GU12 4NH 01483 740108 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) Welmede Housing Association Ltd Mrs Sujata Seegum Care Home 9 Category(ies) of Learning disability over 65 years of age (9), registration, with number Physical disability over 65 years of age (1), of places Sensory Impairment over 65 years of age (6) Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: OVER 65 YEARS OF AGE 24th August 2006 Date of last inspection Brief Description of the Service: Moor House is a large detached property situated in a residential area close to the town centre of Woking. The accommodation is situated on two levels. The first floor is accessible by lift. There are nine single bedrooms one of which has an en-suite bathroom. The home has a number of communal areas for service users to enjoy including a conservatory. The premises are registered for nine service users aged 65 and above with learning and physical disabilities. Currently all service users are female. The garden is nicely laid out and is well maintained by staff, a neighbour and service users. The grounds are used frequently and readily accessible to the service users. There is car parking at the front of the premises. The fees for the home are from £936.00 to £1164.00. This does not include personal items, holidays and aromatherapy. Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit formed part of the key inspection process and took place over five hours and fifty minutes commencing at 14.10 pm and ending at 20.00pm. Mrs V Bulbeck, Regulation Inspector carried out the visit. A full tour of the premises was undertaken. Two care plans were sampled and the care observed for the two individuals. The inspector spoke with a number of service users to obtain feedback. One relative and the Aromatherapist the inspector was able to speak too, and all the staff on duty was spoken to during the visit. A number of records were observed. The registered manager Mrs Sujata Seegum was on duty. There were seven service users living in the home on the day of the site visit and there were two vacancies. The inspector would like to thank the service users and staff for their cooperation and hospitality during the inspection. What the service does well: Service user’s views are continually sought to improve the service the home provides. Regular meetings with service users are undertaken; the registered manager chairs the meetings. Minutes of the meetings were seen and to ensure comments made are taken seriously an action plan is in place and the agenda is taken back to the next meeting for further comments. One service user informed the inspector that she goes to the Organisation headquarters on a monthly basis to take part in a meeting. The service user confirmed that she enjoys attending the meetings and said she is able to voice her opinion and make suggestions. When asked if actioned she replied nearly always. The inspector spoke to a number of service users; and those who were able to communicate stated the staff are nice. The inspector observed there was a good rapport between the service users and staff. The inspector spoke with all the staff on duty on the day of inspection; staff commented they feel supported by the registered manager. Staff also commented they work well together and the team is stable, with very rarely any changes in the team. The garden is nicely presented and well maintained, with raised flowerbeds to enable the service users to work. It was pleasing to note that a neighbour Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 6 helps in the garden; he provides plants for the raised flowerbeds and works with the service users and gives advice to the home. Some service users had some items of furniture in their bedrooms, which they had brought into the home with them or purchased since living in the home. What has improved since the last inspection? What they could do better: The home was homely and welcoming and all areas in the home are nicely decorated and furnished. However, it was noticed that where the wheelchairs are used in the corridors, bedrooms and communal areas the walls are badly scratched and require attention. The inspector would advice the home to have fitted appropriate protectors on doors and walls to ensure the walls are protected from the wear and tear. The staff currently use the conservatory as a storeroom for their personal belongings, the staff need to be provided with an area to hang their coats and keep their belongings safe. All dried foods once opened should be stored in a sealed container with a lid. The kitchen units and work surfaces need replacing. Several cupboards had broken doors and the surface of the worktops was burnt. The Environmental Health Officer visited the home on 27/04/07 to undertake an inspection on the kitchen there were two recommendations made with regards to a fly screen needs to be fitted to the windows and doors of the kitchen. This work is still outstanding. Several carpets were badly stained, which need cleaning or replacing. Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 7 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. Moor House (Woking) DS0000013725.V344437.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 Moor House (Woking) DS0000013725.V344437.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each service user is only admitted to the home following a needs assessment to ensure that the home can meet the service user’s identified needs. The home does not offer intermediate care. EVIDENCE: The service users currently living in the home have done so for some considerable time. However there are two vacancies at present and the member of staff confirmed that service users are only admitted following a full needs assessment. It was noted that a pre assessment had been undertaken on one of the two files sampled these documents were found to be well documented. The service user, relative or care manager is involved where possible and signs the document, to ensure the home is able to meet the service users needs prior to admission to the home. Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 10 The home has provided a service users guide to all service users and relatives on admission to the home. This was not checked on this visit, management of the home stated that the statement of purpose and the service users guide is reviewed on a regular basis to include any changes, and an up to date copy is provided to all service users. Some relatives are also provided with a copy particuarly, if a service user is unable to be involved with the care provided in the home. The home does not admit service users requiring intermediate care, as the facilities required for the care needed are not available in the home. Moor House (Woking) DS0000013725.V344437.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance is planned and was clearly documented in care plans by the staff. Service user’s healthcare needs are maintained with a good working relationship with the healthcare professionals involved who visit the home on a regular basis, they provide, assistance support and guidance. EVIDENCE: Two service users care plans were sampled and there was evidence that service user’s health, personal and social care needs had been identified and assessed. Care notes are well documented and detailed. Care plans are in the process of being changed to be more person centred. A copy of the care plan is kept in the service users bedroom to enable staff to use as a working tool. A number of risk assessments need to be updated for all service users living in the home. Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 12 Medication records were well documented and a list of staff signatures was recorded on the file, this included a photograph of the service user on the MAR sheet. There are two members of staff involved when administering medication. The manager is maintaining a weekly check on the administration of medication to ensure there are no errors. Storage facilities were appropriate. The service users are not able to self medicate. Service users have been provided with a lockable facility to store the medication in their bedroom if necessary. Appropriate records are maintained of the drugs provided to the service users and the manager undertakes regular checks to ensure the medication is being administered as directed. Creams prescribed by the doctor must be stored in a locked facility in a service users bedroom. Several service users commented to the inspector about one service user who screams and shouts at night and wakes them up. If and when this happens the service user has been prescribed prn medication by the doctor and staff administer the medication. Records were seen and documents are well recorded. However, the inspector would advise the management of the home to make arrangements for the service user to be reviewed by the care manager and the health care professional, to ensure the service user’s placement is appropriate to meet the needs of the individual. Management must take into consideration the majority of service users who have constantly sleepless nights. The service users spoken to confirmed that staff are respectful and knock on the door before entering. Observation by the inspector was some service users and staff has a good rapport. Service users stated they discuss any worries they have with a member of staff or their family. Moor House (Woking) DS0000013725.V344437.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported and encouraged to maintain contact with family and friends. Meals are well balanced and varied with individual choices and preferences as well as special dietary needs catered for. EVIDENCE: The Majority of service users have contact with family and friends and the inspector had the opportunity to speak with a relative and the Aromatherapist on the day of the site visit. Those spoken to confirmed that the service users are very happy in the home. One person stated, “could not have chosen a better home for they’re relative to live in”. Discussion with the relative at the time of the inspection confirmed that some relatives visit on a regular basis. One relative confirmed that he takes his relative out for a ride and sometimes has a picnic in the car on a lovely spot in the Surrey Hills. It was also noted in the visitor’s book that there is a daily record of visitors to the home. One service user who does not have family or friends an advocate is involved and the advocate visits on a weekly basis. Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 14 There is a planned monthly activity programme, which is displayed on the notice board for service users to view. The dining area is mainly used for activities, also the conservatory. A number of activities are undertaken some in the home and a number in the community and on the day of the site visit a service user had won two pairs of socks and had given one pair of socks to another service user. An entertainer visits the home and plays music on a regular basis. Two service users attend art and music classes, and another service user attends cookery classes at the Higher Education centre. Service users also attend bingo, and have weekly aromatherapy sessions, as well as a monthly Saturday night disco. Three service users go to church on a Sunday and some service users prefer to sit and read or watch television. Service users stated they enjoy the activities and enjoy going out in the mini bus. Several service users commented that the staff team are very good; one service user commented, “The staff are wonderful”. The meals served in the home were nutritional in content and well balanced. It was noted that fresh vegetable are used and a good selection of vegetables was seen in the fridge and served to the service users on the day of inspection. The staff are involved with the menu planning, and seeks the service user’s views. Service users were seen working in the kitchen with staff preparing the evening meal. The inspector observed fresh fruit in dishes in the kitchen and the registered manager and a relative confirmed that service users are able to have fresh fruit whenever they request. Meals are served in the dining area and one service user has their meal served in the small conservatory. This is because the service user is disruptive and upsets the other service users; the individual eats alone with the support of a member of staff. The tables were nicely laid the food was plentiful and appeared appetising and nourishing. Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a simple, clear and accessible complaints procedure, which includes timescales for the process. All staff spoken to confirm they are aware and were knowledgeable regarding protecting service users from harm or abuse. EVIDENCE: There have been no recorded complaints in the home for some considerable time. The procedure for dealing with complaints was available and any complaints would be dealt with within the 28-day time scale. However, the procedure needs to be up dated. The registered manager was very clear on the procedure for managing any complaints and the outcome of the complaint, for example letters and the closure of a previous complaint. The Commission for Social Care Inspection has not received any complaints. All service users are provided with a copy of the complaints procedure, which is available and accessible in the service user’s terms and conditions, all new service users are given a copy on arrival in the home. A copy of the complaints procedure is also clearly displayed on the wall in the hallway. The homes policies and procedures for the protection of vulnerable adults and a whistle blowing policy were in place and the majority of staff has received the protection of vulnerable adults training. Staff on duty confirmed they had undertaken this training and were aware of the procedures. Further training Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 16 for staff is booked for 12/12/07. The home needs to request an up to date copy of Surrey Multi Agency procedures, when published. Service users are encouraged to vote and some have been registered for a postal vote. Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements in the home need to be continuous in order to ensure a safe and well-maintained environment for service users. The home was observed to be clean and hygiene. EVIDENCE: The environment is homely and welcoming all bedrooms were nicely decorated and furniture was of a good standard, rooms were personalised with some items brought into the home from the service user’s previous home, or purchased by the service users to suit their new surroundings. It was noticed that the door to a toilet was not closing appropriately, the member of staff informed the inspector this is due to the wood expanding, and the door would be attended to within a couple of days. In the meantime the toilet has been put out of order until the door is adjusted. Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 18 It was also noted that the lounge and dining area carpet is badly stained and needs cleaning or replacing. The member of staff in charge stated the management have already identified that the carpets need attention and this work is being undertaken early in the New Year. The conservatory is used as a quiet area for service users and for staff to use when they have a break. One service user has her meals in the conservatory and is supported by a member of staff during this time. It was also noted that staff leave their coats and belongings on chairs etc in the conservatory. The home needs to provide adequate facilities for staff, and should not be using the service users quiet room for a cloakroom. It was disappointing to see the walls and doors are badly marked by the use of wheelchairs, particuarly outside the office area. This was discussed at the previous inspection and should be addressed to ensure the home is meeting the standards. The inspector would advise the management of the home to provide some protective covering on the walls and doors once the work has been completed to ensure the same does not happen again. The garden at the back of the house is well maintained and nicely laid out. There are raised flowerbeds to enable service users to be involved with the gardening. The inspector was informed that a neighbour helps in the garden and grows plants for the garden in his greenhouse. Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of the staff meets service user’s needs. The home has a comprehensive staff recruitment and training programme which, incorporates all areas needed to ensure, as far as reasonably possible, that service users are in safe hands at all times. EVIDENCE: The staffing arrangements in the home include three-care staff on duty during the waking day. The staff is responsible for administering the medication as well as writing care plans and other duties include, cooking, cleaning and undertaking service users laundry, as well as maintaining the garden. Full recruitment procedures are being followed. All staff has been checked against the Criminal Records Bureau (CRB) and POVA checked before working in the home. Staff records were observed and found to be well maintained, including contracts and terms and conditions. However, the inspector informed the manager that staff CRB’s need to be updated and to access a copy of the guidance from the Internet. The majority of staff has received (POVA) protection of vulnerable adults training and further training is ongoing. The home has five members of staff who have completed NVQ Level 2 training and above. One agency member of staff is in the process of NVQ Level 2 and above. One member of staff has Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 20 signed up to undertake NVQ level 3 and is currently waiting for an assessor to be involved before she is able to commence the course. The registered manager has identified training as a priority. According to the AQAA which was completed by the registered manager that she is in the process of booking all staff on a training course to complete cultural awareness training. The registered manager informed the inspector that all staff are made aware of the differences in cultures and religion. Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users, benefit from an open, positive and inclusive management style. The home has a monitoring system in place that is based on seeking the views of the service users. Service user’s finances are managed and documented to a good standard. The health and safety of the service users needs to be a high priority by the management of the home, and the EHO report needs to be actioned. EVIDENCE: The registered manager is competent and qualified to manage the home, the manager has completed the Registered Managers award. Staff were complementary regarding the manager and stated they feel supported, the registered manager has an open door policy, staff also stated they are able to speak with the manager at anytime. One member of staff stated the manager Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 22 is very flexible with staff and has a great understanding. However, two members of staff stated that communication could be better. Regular visits are undertaken by a designated person to check the home is meeting the required standards. A questionnaire (Customer Care Satisfaction) is sent to all relatives on a yearly basis. Information regarding the survey was available; the registered manager informed the inspector that five surveys had been returned to the home. The registered manager undertakes regular meetings with service users at least once a month. Minutes of the meeting are documented to ensure the home is meeting the needs of the service users, and an action plan in place so that appropriate feedback can be given at the next meeting to ensure the views and comments made by the service users are taken seriously. A number of records were checked and were found to be well documented and details were filed appropriately. Regular checks are undertaken on the fire alarm system and a fire drill was recorded as taken place on 30/09/07, which ensures the health and safety aspects of the home are meeting the required Regulations. The inspector would advise the management of the home to implement an emergency contingency plan and to hold all fire records in one folder to ensure in the event of an emergency records are easily assessable. The Environmental Health Officer visited the home on 27/04/07 to undertake an inspection on the kitchen there were two recommendations made with regards to a fly screen needs to be fitted to the windows and doors of the kitchen. At the time of this inspection these works had still not been completed. It was also noted that some dry food including cereals stored in the kitchen cupboards, which had been opened, were kept in the packets purchased in. Any dried foods should be stored in a container with a lid once opened. The home needs to hold a record of the testing of portable appliances. One service user is able to manage their own finances and keeps their own bankbook as well as any receipts obtained. The staff at Moor House manage the finances for each service user. The service users key worker provides the support each individual requires in maintaining and budget keeping. Service users are provided with a sum of money for personal expenses when required. The registered manager has the overall responsibility to ensure the finances are managed appropriately. The inspector checked the amount of cash held, the records, receipts and the money available, all the records and money balanced against the records maintained. The cash is held in an appropriate facility for each individual service user and kept in a safe locked facility. Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 23 Four comment cards were received from service users with staff support and comments were complimentary towards the management and staff. The comments mentioned are taken from service users feedback comment cards sent to the Commission for Social Care Inspection prior to the inspection and discussion with service users on the day of the site visit. Some of the comments received from service users: • • • “The staff are very nice and kind” “We are able to eat whatever we like” “I like living in the home and would not want to live anywhere else”. The inspector received one comment card from a relative and was able to speak with another relative on the day of inspection. Both relatives stated the care provided is excellent. However, one comment made stated communication could be better. One care manager responded to the survey and was very positive about the home, staff and management. One G.P also responded to the survey and did not make any comments. Moor House (Woking) DS0000013725.V344437.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 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 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 26 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 3 4 5 6 7 8 9 10 11 12 Refer to Standard OP16 OP19 OP19 OP19 OP19 OP29 OP38 OP38 OP38 OP38 OP38 OP38 Good Practice Recommendations The homes complaints procedure needs to be up dated. To ensure the toilet door closes appropriately The service must ensure that the premises are kept in a good state of repair internally this includes the walls and doors that are badly damaged by wheelchairs. The kitchen units and work surfaces need replacing. The carpets that are badly stained need cleaning or replacing. To ensure CRB’s are up dated. An emergency contingency plan to be implemented and to hold all fire records in one folder to ensure in the event of an emergency records are easily assessable. Management of the home must ensure suitable facilities are available for staff belongings. The management of the home to ensure all dried foods once opened must be appropriately stored in a sealed container. To maintain a record of the testing of portable appliances. A fly screen needs to be fitted to the windows and doors of the kitchen, recommended by the EHO. The homes policies and procedures need to be reviewed and up dated on a regular basis. Moor House (Woking) DS0000013725.V344437.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Moor House (Woking) DS0000013725.V344437.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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