Care Home: Park House

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What the care home does well The home understands the importance of ensuring they have all the information necessary concerning a persons health and welfare prior to them moving in and of the persons rights to know all about the service before they make the decision to move. Based on assessment information prior to the person moving to the home, a care plan is devised detailing how care needs are to be met, for those residents who have been living at the home for some time (prior to the new owners taking over) their care files are being reviewed and updated to ensure care can be delivered satisfactorily and that all care needs are addressed in the daily routines. Residents at Park house have access to healthcare services from the local surgery and are supported in meeting appointments with other health care professionals. Medication is well managed in the home. Social and recreational activity is limited to that which the residents wish to participate in, some organised activities are arranged and visitors from family and friends and other members of the community keep residents stimulated and involved.Residents living at the home are protected by the home`s policies regarding adult protection and complaints and can be assured that any concerns will be taken seriously and acted upon. The home provides comfortable clean and well maintained accommodation. There are sufficient numbers of trained staff on duty to meet residents needs; the recruitment process ensures that all staff employed are suitable to work with vulnerable adults. Park House is well managed and Mrs Cannie has a good understanding of the principles and focus of the service, a quality assurance review (AQAA) demonstrates the home`s plans for improvement and Mrs Cannie demonstrated a commitment to the development and progress of the home. Mrs Cannie is supported by the homes Head of Care and it was evident from discussion that the management systems are transparent. What has improved since the last inspection? This is the first inspection of Park House since its registration to Mrs Cannie. What the care home could do better: Two recommendations have been made as a result of this inspection where the service could consider making improvements to ensure good practice is maintained. Although it was evident from discussion with residents that they feel involved in their care programme, it is recommended that the extent of the consultation is documented on their care files. Policies and procedures would benefit from review to ensure they remain up to date and workable. No requirements are made as a result of this visit. CARE HOMES FOR OLDER PEOPLE Park House Martinstown Dorchester Dorset DT2 9JN Lead Inspector Jo Palmer Key Unannounced Inspection 22nd January 2008 10:30 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 Park House DS0000068114.V358097.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. Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park House Address Martinstown Dorchester Dorset DT2 9JN 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) 01305 889420 F/P 01305 889420 Park House Care (UK) Ltd Mrs Karen Elizabeth Cannie Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two bedrooms, numbered 1 and 11, are registered as doubles. Date of last inspection New Service Brief Description of the Service: Park House residential home is in the quiet village of Martinstown, a short drive from Dorchester. Martinstown has a post office, pub, church and village shop. A converted residential period house Park House retains many of its original features, it provides residential care for up to 14 people although typically 12 are accommodated as the two double rooms are used for single occupancy. The property has been a residential home for many years but the current owners have been registered since 2006 Two bedrooms with en-suite facilities are on the ground floor of the home, the remaining ten bedrooms are on the first floor, nine of these have en-suites. A bathroom is available for all residents to use. On the ground floor there is also a lounge and dining room and a separate, smaller lounge, Utility space is also on the ground floor including a kitchen, laundry, freezer/stock room, staff room and office. The first floor is accessed by two stairways, one of which has a chair lift to ease access; there is no passenger lift. Current fees are £443 to £500. See the following website for further guidance on fees and contracts: http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_people_ choos.aspx Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced inspection took place on 22nd January 2008 between 10.30 and 15.00, this was the first inspection of the home since the new owners have been registered. Mrs Karen Cannie is the registered provider/manager of Park House, Mrs Cannie and the Head of Care were available to assist with the inspection process. The main purpose of this inspection was to check that the residents living in the home were safe and properly cared for and to review key standards. The inspector spoke with four residents, one staff member of care staff, the manager and head of care and the cook. The Commission for Social Care Inspection sends an Annual Quality Assurance Assessment (AQAA) for completion by the manager/responsible person. The completed AQAA was used to inform parts of this inspection. Examination of relevant records and a tour of part of the premises completed this visit. What the service does well: The home understands the importance of ensuring they have all the information necessary concerning a persons health and welfare prior to them moving in and of the persons rights to know all about the service before they make the decision to move. Based on assessment information prior to the person moving to the home, a care plan is devised detailing how care needs are to be met, for those residents who have been living at the home for some time (prior to the new owners taking over) their care files are being reviewed and updated to ensure care can be delivered satisfactorily and that all care needs are addressed in the daily routines. Residents at Park house have access to healthcare services from the local surgery and are supported in meeting appointments with other health care professionals. Medication is well managed in the home. Social and recreational activity is limited to that which the residents wish to participate in, some organised activities are arranged and visitors from family and friends and other members of the community keep residents stimulated and involved. Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 6 Residents living at the home are protected by the home’s policies regarding adult protection and complaints and can be assured that any concerns will be taken seriously and acted upon. The home provides comfortable clean and well maintained accommodation. There are sufficient numbers of trained staff on duty to meet residents needs; the recruitment process ensures that all staff employed are suitable to work with vulnerable adults. Park House is well managed and Mrs Cannie has a good understanding of the principles and focus of the service, a quality assurance review (AQAA) demonstrates the home’s plans for improvement and Mrs Cannie demonstrated a commitment to the development and progress of the home. Mrs Cannie is supported by the homes Head of Care and it was evident from discussion that the management systems are transparent. What has improved since the last inspection? 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. Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 7 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 Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 (Standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions to the home only take place if the service is confident that staff have the skills, ability and qualifications to meet assessed needs of the prospective resident and that the home can provide the appropriate facilities where assessed needs can be met EVIDENCE: A review of two care files for residents who had recently moved to the home were examined, these demonstrated that a pre-admission process is undertaken including issuing all relevant information about the service. The statement of Purpose and Service User guide provide relevant information about what the home is able to offer in terms of accommodation, personal care, social and recreational activity and support from outside services such as GP, district nurses, chiropody etc. Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 9 Following an enquiry for a vacancy at the home, the resident will be invited to visit with their family or representative, where this is not possible, a senior member of staff or the manager, will visit the prospective resident. An assessment of need is carried out where information will be obtained concerning the persons health and welfare needs, their expectations about moving into care and any special needs; a decision is then made as to the suitability of Park House as a new home for the resident. Where a resident may have support with their funding arrangements by a local authority, a copy of the community assessment and care plan is obtained and held on file for reference and from which to inform the home’s own assessment and care planning process. Of the care files examined, it was evident that decisions had been made following receipt of information about the person’s health, personal and social care needs. Park House is registered for personal care only and is not registered to accommodate residents with dementia type illnesses. One resident with such a diagnosis has been admitted to the home but is currently well managed and there are no significant concerns, a local authority funds this resident. Karen Cannie is aware of the restrictions to the home’s registration in respect of providing care to people with dementia and confirmed that if this, or any other resident needed a higher level of care than the home was able to provide, arrangements would be made for them to move to a more suitable environment. Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 10 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. People receive personal and health care support using a person centred approach with respect for the individuals rights, dignity, equality and respect. Personal care is flexible, responsive and consistent and people are encouraged to maintain their independence as far as practicable. EVIDENCE: Four resident care files were examined. Each file contains a plan of care based on information obtained from reviewed and updated assessments. The care plan details for staff how individual needs are to be met throughout the day and night and care records support that this delivery of care is in accordance with that which is planned. Care plans address a range of needs including personal and health care, mobility, continence and diet. Risk assessments are routinely undertaken where there is any potential risk to the resident, action detailed for staff to Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 11 ensure these risks are reduced or eliminated are clear and concise. Risk assessments reviewed included those relating to falling/tripping, accidental scalding, environmental factors and individual considerations around residents personal circumstances or health needs. Care staff keep records relating to care as delivered, each residents file contains a daily report sheet where any significant events or changes are recorded, the record also provides a good account of the residents life in the home indicating any social events or activities, visitors, outings etc. Care records are written clearly and respectfully. It was evident from these records that medical attention was made available for residents as required from the local GP surgery and that specialist medical advice was sought as required including hospital visits and specialist consultation. Residents care files examined held all the necessary information, staff may find it easier however if files were better organised and care plans were more accessible. Files were holding much information that was not necessarily relevant to the day to day care routine; past assessments and reviewed care plans could be archived or sectioned off in the files leaving the current information at the front. The home has an efficient medication policy supported by procedure and practice, residents are given support to manage their own medication although if they lack capacity, staff manage this on their behalf. Examination of medication records showed them to be well kept and evidenced that residents are in receipt of any medication as prescribed by their GP. Storage of medicines in the home was safe and in order. Medicines are issued in 28 day dispensing packs and use of these was noted to be in accordance with prescribed instruction. Medicines that are not suited to dispensing packs are issued in their original containers; the containers are dated when opened to ensure an accurate audit trail can be maintained Residents spoken with confirmed that they are cared for by a kind and caring staff group and that there needs are met by the arrangements of the home. Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 12 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. Residents are able to maintain personal and family relationships and are supported in accessing and enjoying opportunities available in the local community. Entertainment in the home is limited although residents are encouraged to follow their own recreational pursuits as far as they are able. A varied and nutritious diet is provided. EVIDENCE: Mrs Cannie confirmed that there is some group and organised activity in the home, individual care records examined supported this and it was evident that residents had been able to participate in quizzes, games groups, carol singing and religious services. It is the aim of the service to support residents in more individualised activity in line with their own requirements and expectations. Life History forms and questionnaires are completed by residents or a member of their family on admission, this provides staff with information about hobbies and interests and things of interest to them, Mrs Cannie identified on the home’s completed AQAA that she would like to introduce more constructive Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 13 activity and appoint an activities coordinator. Martinstown is a small village community where local residents are often present at Park House in a supportive role, the local branch of the Women’s Institute visits weekly, the minister from the local church conducts a communion service monthly and family and friends are welcome to visit freely. Residents spoken with confirmed that they are able to determine their own pace and how they spend their time, two confirmed that they enjoy reading and that books are available from the homes ‘library’ and a newspaper is available daily. Those spoken with stated they are able to get up and go to bed when they pleased and were able to either spend time in their rooms or in the lounge area of the home, one spoken with said there was little to do and that it was sometimes very quiet although confirmed that this was fine at her ‘time of life’. Residents care files indicated in some instances that they had been consulted regarding their care arrangements (including social care and recreation) but others did not. Whilst those residents spoken with felt that the home supported them in their chosen daily routine, it is recommended that evidence of consultation is held on file with records showing that residents have access to, and can contribute to their care plans. A six week rotating menu had at the time of inspection, recently been reviewed, brief examination of this showed there to be a variety of balanced, nutritious meals provided. Breakfasts are served individually dependent on residents preferences, the main meal of the day is at noon and residents were seen finishing their meals in the dining room, residents spoken with confirmed that the food is always appetising and well presented and the only complaint was that there was often too much. The evening meal is lighter with a variety of available options such as eggs, beans, bacon etc on toast, soup, sandwiches and cakes. The main midday meal is a set meal although residents confirmed they enjoyed this and the cook, when spoken with confirmed that if it is known that a resident does not like a particular dish, a range of alternatives are available form the well-stocked kitchen. A brief look at supplies showed there to be well ordered stock cupboards for dry and tinned goods, freezers for meats and some vegetables and fridges for chilled goods. Cook confirmed that the all meals are home cooked from freshly bought produce except apparently ‘faggots’ which the residents have confirmed as a favourite! Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 14 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. Policies and procedures are in place to protect the residents living at the home EVIDENCE: Park House has a complaints procedure that is clearly written and easy to understand, it is available to residents and is posted in the home’s entrance. No complaints have been reported although Mrs Cannie is aware of the need to keep concise records of any complaint received and action taken to address the complaint to a satisfactory conclusion. An adult protection procedure is in place, which refers staff to the local authority guidelines on managing any incidents that may be witnessed or reported. However, the procedure is out of date in respect of some of the contact details of the appropriate authorities and refers to the Registered Homes Act 1984 instead of the Care Standards Act 2000. Mrs Cannie confirmed however and evidence was available that more up to date information has been provided to all staff following one staff member’s attendance at a training event in respect of adult protection issues. (See also standard 38) Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 15 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. Residents live in a clean, comfortable, safe and well-maintained environment, which meets their individual needs. EVIDENCE: Residents spoken with confirmed that they are comfortable in their rooms and they are able to bring personal effects to make their space more homely. Bathing and toilet facilities are accessible providing suitable facilities; communal rooms are comfortable, pleasantly decorated and furnished and are clean. Large gardens to the rear of the home would be accessible to residents in the warmer weather. Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 16 The home was clean and well maintained at the time of inspection with no unpleasant odours; infection control procedures are in place with suitable hand washing facilities for residents, staff and visitors. The home’s laundry operates well, a resident confirmed their washing is returned swiftly, is clean and in good condition; the laundry houses two machines and a tumble dryer. Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 17 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. Residents have confidence in the staff who care for them and there are sufficient numbers of staff are on duty to meet resident’s needs. Training is provided to staff in order that they have the skills and are competent to do their jobs. Safe staff recruitment practice is used. EVIDENCE: Examination of staff rotas demonstrates that here are 2 care staff on duty daily and one each night with a further two sleeping in/on call. Of the two day staff, one is always a senior or the head of care and Mrs Cannie is also in the home at varying times throughout the week for management and administrative duties. In order to keep abreast of resident care issues and to work with staff, Mrs Cannie also works two to three shifts each week in a carers role. Care staff are supported by a cleaner who works each weekday morning and a cook who works 7 days (one cook from Monday to Friday and one at weekends) The rota demonstrated with handwritten amendments how the cover was arranged should any member of staff not arrive for work due to illness. One member of staff was spoken with who confirmed that there were sufficient staff on duty for the level of care provided and residents spoken with also confirmed that there were sufficient staff on duty to meet their needs. Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 18 Staff files examined evidenced the extent of the training provided and detailed whether this was accredited training or provided in in-house workshops. I was evident that staff had received training in areas relating to health and safety of residents and the environment including infection control, health and safety, food hygiene, moving and handling, first aid and fire. One member of staff had attended a training event on protection of vulnerable adults and other staff files indicated that this information had been disseminated during an in house training session for all staff. Other courses attended included medication management, continence care, Mental Capacity Act and dementia care. Three staff files were examined in relation to the recruitment process used; records indicated safe practice. All relevant documentation was held relating to the application including employment history, qualifications, and general information, two references were held and a copy of the CRB and POVA first check. Where necessary, evidence of the employees immigration status were held (work permit, visa etc) and each staff file held photo identification. Prospective employees are requested to sign a declaration under the Rehabilitation of Offenders Act and a health questionnaire, staff are issued with a letter of appointment contract. One member of staff currently holds an NVQ level 3 and another is currently studying for this award. One member of staff has attained NVQ level 2 and a further four are currently studying at this level. Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The owner/manager takes responsibility for the day to day management of the service and is aware of the basic processes set out in the National Minimum Standards and of the need to keep up to date with practice and to develop the service. All sections of the Annual Quality Assurance Assessment (AQAA) were completed and the information gives a reasonable picture of the current situation within the service. People are supported to manage their own money where possible and health and safety policies and procedures are in place for the protection of residents. Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 20 EVIDENCE: Karen Cannie is the Registered Provider and manager of Park House, she is supported by the home’s Head of care and senior staff team. Mrs Cannie is a registered nurse (although not currently using this qualification in her daily practice) and attained the Registered Managers Award in a previous post as manager in 2003. This is the first inspection of Park House since Mrs Cannie took ownership and has evidenced that she has a sound understanding of good care practice and of managing the business in order that it remains viable and in accordance with the regulations. The Commission for Social Care Inspection sent the home an annual quality assurance assessment (AQAA), which they were requested to complete and return to identify what the home feels they do well and set out their plans for improvement over the next twelve months. Mrs Cannie is advised to make this report is available to residents and their representatives (the second half of the AQAA is not to be included as this contains resident’s data) Mrs Cannie explained her proposals for developing an internal quality assurance programme, questionnaires have been sent out to residents and relatives, when these are returned any comments will be acted upon but Mrs Cannie is considering putting together a report for residents and their relatives from information gained from the surveys. In order to protect residents, it is the policy of the home not to have any involvement with their personal finances. Therefore, any resident unable or not wishing to handle their own affairs has a relative or other representative to deal with their finances etc. Any purchases that a resident may require including hairdressing and chiropody appointments are paid for by the home and then invoiced to the fee payer (Power of Attorney) as appropriate. Staff files demonstrated the extent of formal supervision; each staff member receives a supervision session at regular, pre-determined dates where all aspects of their care practice are discussed and any training needs are identified. An annual appraisal supports the supervision providing a review of the year and progress in meeting training needs. Policies are in place with procedural guidance for staff on all aspects of the home operation, although these contain relevant information, some were out of date and need reviewing; Mrs Cannie confirmed that since being at Park House she had to prioritise tasks in order that important matters were not overlooked and that a review of the policies would be undertaken shortly to ensure they were up to date with current good practice. Policies in place that were up to date included COSHH, infection control, health and safety, first aid and food hygiene. Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 21 A fire risk assessment was in place when Mrs Cannie took over the management of the home, this has been reviewed and is considered to remain accurate; Dorset Fire and Rescue Service visited the home in August 2006 and confirmed that the risk assessment was sufficient. It is advised however that his is typed to make it more professional and readable (currently hand written) Risk assessments are in place on residents files demonstrating action necessary to reduce or eliminate identified risks such as accidental scalding and falling. Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 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 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 2 Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No (first 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 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP14 Good Practice Recommendations It is recommended that evidence is held on file indicating the extent of the consultation with residents about their care in order to demonstrate that resident’s personal choice and autonomy is maximised. It is recommended that the home’s policies and procedures are up-dated to ensure all relevant information is available for staff reference. 2 OP38 Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Park House DS0000068114.V358097.R01.S.doc Version 5.2 Page 25 - 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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