Care Home: Morris Feinmann House

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What the care home does well Considering there are a large number of people working at the home, there has been little turnover of staff, which helps for relationships between residents and staff to develop and enables staff to have a good understanding of the needs of people living at the home. This was confirmed through looking at staff records and talking to people during the visit. One resident spoken to said, "Absolutely wonderful cannot fault the carers". Another said, "They know what they are doing and its nice to get to know them" A relative spoken to said, "There seems to be little change in the personnel they last a long time here". One staff member wrote in a survey, "We get on well considering there are a lot of staff around".Resident`s spoken to and observations around the kitchen and dining area confirmed the quality of food is of a high standard. Meals met the residents` cultural needs and a good choice was available and these were served in well looked after dining rooms or the resident`s own room if that was their wish. We spoke to a resident in her own room who said, "I have just ordered lunch to be brought to my room as I am going out early this afternoon, nothing is to much trouble". Other comments about food included, "Cannot want for anything else, good quality and plenty if you want". Also, " The food is first class". There is an `Activities co-ordinator` person employed which works well and ensures the interests of residents and social preferences are identified and people are able to enjoy what activities they like to do. There is a wide range of activities and social events for people to join in if they wish. Volunteers who come into the home provide regular live music and other activities. As the home caters exclusively for Jewish residents a number of religious services are held in the home. One staff member spoken to said, "Because we have a lot of staff available we can provide a wide range of activities". One resident spoken to said, "There is always something going on". Routines in the home looked relaxed with people being allowed unrestricted access to all communal areas. We saw residents sat talking together and enjoying each other`s company. From observations made and from talking to residents and staff, it appeared that the privacy and dignity of residents was protected and that residents were able to have choice with regard to their every day life. A resident spoken to said, "They are very respectful and understanding". One relative said, "They always make me feel welcome". Staff at the home have good access to training courses and are competent to do their jobs ensuring people at the home receive the right care and support from a well trained staff team. Looking at training records and talking to people during the visit confirmed this. One staff member wrote in a survey, "Excellent training opportunities". What has improved since the last inspection? The management and staff have worked hard to address the requirements and recommendations from the last inspection to ensure residents are protected and provided with the right support and care. Care plans have been updated and more detail included so that staff are aware of the needs and wishes of individuals. One staff member wrote in a survey, ""We can follow the care plans they are written so that they are easily understood". Medication procedures have been improved following an inspection by the pharmacist inspector to ensure medicines are administered recorded accurately and stored safely. Other requirements and recommendations addressed include improved training for staff in adult protection procedures so that all staff receive training. Financial records have been looked at and we examined records to find good procedures and systems in place to ensure residents monies are recorded and kept safe. One member of staff spoken to said, "The new way of recording residents money is better". Procedures for the development of staff training have been revised so that each member of staff now has an individual training plan, which identifies the training staff require. Over 50% of staff now has a recognised qualification in care, which is called `National Vocational Qualification` (NVQ) to level 2. What the care home could do better: Recruitment procedures still require improving, we looked at the application form, which needs amending and should ask for a full employment history with any gaps explained to ensure suitable staff are employed. Also `Criminal Records Bureaux` (CRB) checks should be in place before staff start to work at the home. Care plans looked at show reviews of residents care are not all being looked at on a regular basis. Care plans should be reviewed monthly to ensure any changes are recorded so that the health and welfare of residents is constantly monitored. One member of staff spoken to said, "We are working to make sure we review every ones care monthly". Walking around the building we found areas of the home in particular hallways and doors should be repainted and decorated to ensure people live in pleasant surroundings. One resident spoken to said, "It is always spotless but some parts of the home is looking tired". A member of staff said, "I agree some parts need repainting". CARE HOMES FOR OLDER PEOPLE Morris Feinmann House 178 Palatine Road Didsbury Manchester M20 2YW Lead Inspector Mr Kevan Royston Unannounced Inspection 09:30 17 March 2009 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 Morris Feinmann House DS0000021565.V374069.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. Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Morris Feinmann House Address 178 Palatine Road Didsbury Manchester M20 2YW 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) 0161 445 3533 0161 448 1755 heather@morrisfeinmannhome.com Morris Feinmann Trust Mrs Heather Flora Naylor Care Home 57 Category(ies) of Old age, not falling within any other category registration, with number (57) of places Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. The maximum number of service users within the overall total of 57 requiring nursing care shall be 22. The maximum number of service users requiring personal care only shall be 35. The Levy wing accommodates only service users requiring nursing care. Minimum nursing staffing levels as set out in the Notice issued under Section 25(3) of the Registered Homes Act on 8 January 2002 shall be maintained. That a First level Registered Nurse trained in General Nursing will be in charge of each shift. In addition to the General Manager the service provider employs an identified full time First level Nurse trained in General Nursing who is responsible for the clinical supervision of the nursing staff in the home. The service must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 10th January 2007 7. Date of last inspection Brief Description of the Service: The Morris Feinmann Home provides nursing and social care for up to fiftyseven (57) residents on a long or a short-term basis. Registration is currently for thirty-three (33) receiving care only and twenty-two (22) residents receiving care with nursing. The home admits Jewish residents aged over sixty years from the local community, other areas of Britain and from abroad. The home is divided into three wings and a central area. The Palatine and Spath wings comprise of residential care beds and the Levy nursing wing is for high dependency nursing care. The central area comprises of the administration block, hallway and reception. The home is situated in a residential area of Didsbury, set back from a main road. Car parking areas are provided. Pawned areas, gardens and mature trees and shrubs surround the home. Bus routes to the city centre and surrounding towns pass the home with bus stops a hundred yards from the main entrance. There is a statement of Purpose/Service user Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are and what the resident can expect if he or Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 5 she decides to live at the home. The current fees range from £650. 00 to £995.00 per week. Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 6 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. This unannounced visit was part of the key inspection process and took place on the 17th March 2009 and lasted approximately 6.5 hours. We spoke to a group of resident’s sitting in the lounge area, residents on their own, staff members, two relatives visiting the home and the manager. Staff, resident’s care, maintenance and financial records were looked at during the visit and we had a walk around the premises with the manager. As part of the inspection process we talked to people using the service and asked staff about those peoples needs. We also looked at their rooms, care plans, records and daily notes this is called case tracking. Other residents are invited to pass their opinions to us if they wish. We had responses from surveys/questionnaires sent to residents and staff for their views on how the home is run. Comments we received were all positive and some are included in this report. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of their service. This document is called ‘Annual Quality Assurance Assessment’ (AQAA). We use this information, in part, to focus our inspection activity. What the service does well: Considering there are a large number of people working at the home, there has been little turnover of staff, which helps for relationships between residents and staff to develop and enables staff to have a good understanding of the needs of people living at the home. This was confirmed through looking at staff records and talking to people during the visit. One resident spoken to said, “Absolutely wonderful cannot fault the carers”. Another said, “They know what they are doing and its nice to get to know them” A relative spoken to said, “There seems to be little change in the personnel they last a long time here”. One staff member wrote in a survey, “We get on well considering there are a lot of staff around”. Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 7 Resident’s spoken to and observations around the kitchen and dining area confirmed the quality of food is of a high standard. Meals met the residents’ cultural needs and a good choice was available and these were served in well looked after dining rooms or the resident’s own room if that was their wish. We spoke to a resident in her own room who said, “I have just ordered lunch to be brought to my room as I am going out early this afternoon, nothing is to much trouble”. Other comments about food included, “Cannot want for anything else, good quality and plenty if you want”. Also, “ The food is first class”. There is an ‘Activities co-ordinator’ person employed which works well and ensures the interests of residents and social preferences are identified and people are able to enjoy what activities they like to do. There is a wide range of activities and social events for people to join in if they wish. Volunteers who come into the home provide regular live music and other activities. As the home caters exclusively for Jewish residents a number of religious services are held in the home. One staff member spoken to said, “Because we have a lot of staff available we can provide a wide range of activities”. One resident spoken to said, “There is always something going on”. Routines in the home looked relaxed with people being allowed unrestricted access to all communal areas. We saw residents sat talking together and enjoying each other’s company. From observations made and from talking to residents and staff, it appeared that the privacy and dignity of residents was protected and that residents were able to have choice with regard to their every day life. A resident spoken to said, “They are very respectful and understanding”. One relative said, “They always make me feel welcome”. Staff at the home have good access to training courses and are competent to do their jobs ensuring people at the home receive the right care and support from a well trained staff team. Looking at training records and talking to people during the visit confirmed this. One staff member wrote in a survey, “Excellent training opportunities”. What has improved since the last inspection? The management and staff have worked hard to address the requirements and recommendations from the last inspection to ensure residents are protected and provided with the right support and care. Care plans have been updated and more detail included so that staff are aware of the needs and wishes of individuals. One staff member wrote in a survey, “”We can follow the care plans they are written so that they are easily understood”. Medication procedures have been improved following an inspection by the pharmacist inspector to ensure medicines are administered recorded accurately and stored safely. Other requirements and recommendations addressed include improved training for staff in adult protection procedures so that all staff receive training. Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 8 Financial records have been looked at and we examined records to find good procedures and systems in place to ensure residents monies are recorded and kept safe. One member of staff spoken to said, “The new way of recording residents money is better”. Procedures for the development of staff training have been revised so that each member of staff now has an individual training plan, which identifies the training staff require. Over 50 of staff now has a recognised qualification in care, which is called ‘National Vocational Qualification’ (NVQ) to level 2. 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. Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 9 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 Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 10 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. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. There is admission and assessment procedures in place to ensure the care needs of people are met. EVIDENCE: We looked at assessment information of three people admitted to the home, all had full assessment information including personal information, health needs and relationship details. The assessment had identified the nutritional needs of the people and risk assessment information advising staff members of the action to be taken to minimize identified risks and hazards. Staff members on duty confirmed they had access to this information and were fully aware of the health and social care needs of the people living at the home. Social services information had been obtained before residents move in. The manager informs us in the AQAA they complete a care plan based on this assessment to ensure all needs can be met. They invite prospective residents Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 11 and their families to spend time at the home before moving in. One resident spoken to said about the assessment process, “My family were invited to look around before I came here”. The home has access to a range of health care professionals, including consultants, who can undertake specialist assessments prior to offering a place at the home, to ensure specific health and welfare needs can be met. One staff member said, “We have a good assessment procedure”. We spoke to members of staff and found they know the importance of getting to know people before they move in so that they are aware of the needs and wishes of the person entering the home. One staff member spoken to said, “It is important to speak to potential residents before they move in”. Standard 6 was not assessed, as the home does not provide intermediate care. Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 12 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. Promotion of health is taken seriously, people’s welfare is monitored and health needs are met. EVIDENCE: We looked at individual records for three resident’s kept for each person and found significant improvements since the previous inspection. A plan of care setting out the action needed to be taken by care staff to ensure all aspects of health, personal and social care needs of the people living at the home were met. Significant events had been recorded and daily entries made setting out the care given. The care plans were structured and improvements have been made to the recording of resident’s care to ensure all information is contained on file allowing staff to follow any action needed or any care that needed monitoring. Risk assessments had been undertaken to ensure residents are safe. However not all care plans are being reviewed monthly, one we looked at was overdue, care plans should be reviewed monthly and updated to reflect any changes. One member of staff spoken to said, “It is a big task but we are Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 13 getting there”. The manager points out improvements in care plans in the AQAA by being able to demonstrate more involvement of care plans on the residential side, and an increased involvement on nursing area. Care plans for residents receiving nursing care are now relating to social and emotional needs this was confirmed through looking at care records. Medication practices have improved following an inspection recently by the pharmacist inspector. We were able to observe medication practices at lunchtime, which was found to be safe and good records had been kept ensuring residents health is maintained. The procedures for medication on the three resident’s case tracked were examined and discussed with a nurse on duty and confirmed safe practices taking place ensuring the protection of the residents. One member of staff spoken to said, “We have taken on board everything the inspector said and improved medication procedures”. We observed during the visit people’s dignity and privacy being respected ensuring residents are treated as individuals and with dignity and respect. This was confirmed by watching staff knocking on doors before entering rooms, helping with meals sensitively, and the way staff talked to the residents. Comments from residents supported this and included, “ Polite and respectful that’s how staff are here”, also, “They look after you with care and dignity”. Morris Feinmann House DS0000021565.V374069.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 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: We spoke to residents, care staff, the manager and had a look around the kitchen/ dining room during lunch. People spoken to confirmed they enjoyed the quality and variation of food provided by the home. The staff member responsible for the preparation of meals was able to confirm they had information about people with special diets and personal preferences to ensure people receive a nutritious balanced diet. Comments about the quality of food were positive and included from residents, “Faultless, always something different and wholesome”. Also, “Good choices and plenty”. Staff members were observed being very attentive to the needs of people during meal times making it a pleasant atmosphere. Discussion with staff and looking at records confirmed activities are centred on each individuals preferences ensuring flexibility and residents can enjoy their Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 15 own personal interests, which are recorded on their care plan. One Staff member spoken to said, “Activities and social events are excellent”. One resident said, “The staff put a lot of effort into activities”. As a course of good practice there is an ‘Activities Co-ordinator’ employed, ensuring the interests of residents and social preferences are identified and people are able to enjoy what activities they like to do. The manager informs us in the AQAA how they provide a full programme of activities which is varied and covers all residents interests, those people who do not wish to take part in group activities are offered an hourly one to one session each week. One staff member said, “We use the resources available from the social committee, volunteers, local community and the Jewish Federation”. Volunteers support the home on a weekly basis providing support to group activities assisting staff on outings, building mutually trusting relationships with individual residents. A programme of activities is displayed throughout the home and where appropriate residents receive a personal copy. There is a visitor’s policy in place, which says people are welcome at any time, residents spoken to confirm this. One relative spoken to said, “I come at any time and made to feel welcome”. We were invited to look in some of the residents rooms and found personal belongings are allowed into the home to provide a homely atmosphere for each individual. Some of the rooms are like small self contained flats and one resident who had lots of furniture and personal belongings around said, “Its like my home before with everything around me”. Morris Feinmann House DS0000021565.V374069.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. EVIDENCE: There is a complaints procedure, which is made available to all residents on admission and written in the Statement of Purpose and Service User Guide to ensure they feel protected. Staff and residents spoken to are aware of how to make a complaint and who to speak to if they have any problems. One resident spoken to said, “I know to talk to the manager if I have a problem”. There have been no complaints since the previous inspection. An open approach to encourage comments through resident and staff discussions goes some way in ensuring that concerns are looked at prior to them becoming formal complaints. Records are kept of any internal complaints or concerns we looked at records and found any concerns have been fully investigated by the home and evidence of outcomes are recorded. The manager had a copy of the local authorities ‘No Secrets’ guidance and the manager said that all staff had now attended Protection of Vulnerable Adult (POVA) training records looked at confirmed this. One staff member said, “I have attended safeguarding adults training”. Morris Feinmann House DS0000021565.V374069.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 good. This judgement has been made using available evidence including a visit to this service. The environment is safe, clean and maintained to provide comfortable surroundings for the residents. EVIDENCE: We had a walk around the building and found the home to be clean and tidy so residents live in pleasant clean surroundings. One resident said, “They keep it so clean, the place is never dirty”. Another resident commented, “Its spotless”. We noticed some parts of the downstairs communal hallways and doors are in need of redecorating and should be repainted to ensure people who live at the home are provided with pleasant surroundings. A resident said, “Some parts of the home are looking tired”. There are policies and guidance for laundry processes and for the control of infection ensuring the home is kept clean, pleasant and hygienic. The laundry Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 18 area is situated in an area away from the dining room so that soiled items and clothing are not carried through where food is prepared, cooked or eaten. Hot water temperatures throughout the home were checked and found to deliver water at a safe temperature in line with health and safety guidelines. Morris Feinmann House DS0000021565.V374069.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 procedures for the recruitment of staff have improved but still need to be more robust to ensure suitable staff are employed. Training for staff is good and enables staff to have the skills and competencies for their roles. EVIDENCE: Looking at staffing rotas and discussion with staff on duty and residents at the time of the visit, confirm there are sufficient carers and nurses working at any one time to support the residents so their needs can be met. One staff member wrote, “They are good at providing enough staff”. We looked at two staff files and found the recruitment procedures have improved however one file we looked at contained a CRB dated after the person started to work. The application form also should be amended to request people applying for a job to provide a full employment history with any gaps explained. All recruitment checks should be done before staff are employed. There was evidence of induction training for each member of staff and one member spoken to said, “I received good initial training as I started”. Records and discussion with the manager confirm training is ongoing for staff as part of their development. Each member of staff has a training record and courses completed are entered on record so that staff development can be Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 20 monitored. Comments from staff about training and opportunities to access courses were all positive. The manager tells us in the AQAA over 50 of staff now have NVQ to level 2. One staff member spoken to said, “I have completed level 3 NVQ”. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. Morris Feinmann House DS0000021565.V374069.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. The home is run well and has policies and procedures in place to ensure the health and safety of staff and people living there are promoted and protected. EVIDENCE: The manager has completed the recognised qualifications to run a care home and has overall responsibility for the management and operation of the home. She has a clear understanding of the need to keep developing the care service in the best interests of the residents with staff support. People responded positively in surveys returned in relation to the way the home is run comments included, “Good support from management”, also, “The Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 22 home operates for the benefit of the residents”. One resident said, “The manager is very good here the home runs well”. We looked at records of residents and found they are comprehensive, well written and up to date ensuring the correct information is available and health; social and welfare needs are continuously monitored. Improvements have been made to recording residents monies. We looked at random residents finamcial records and found good systems in place for residents to control there own money where possible and ensure safeguards are in place for there protection. Examination of records confirmed regular tests to emergency lighting, fire procedures and electrical equipment had been carried out ensuring the safety of residents and staff is maintained. Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X 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 4 13 4 14 3 15 4 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 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP7 OP29 OP26 Good Practice Recommendations Care plans of residents should be reviewed monthly to ensure any changes are recorded and the health and welfare of residents is constantly monitored. Recruitment procedures and checks should be more robust to ensure suitable people are employed at the home The home should be well maintained and decorated to a standard where people live in pleasant surroundings. Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Morris Feinmann House DS0000021565.V374069.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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