Care Home: Sidegate Lane 214

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What the care home does well The service provides secure, homely accommodation for people with a diagnosis of dementia. They are offered meaningful activities and have freedom to wander within the home and secure gardens. New staff are recruited carefully with all the required recruitment checks and thorough induction is given. Further training is encouraged and mandatory training is up to date. Information about residents and their preferences is full and regularly reviewed with the resident or their representative. What has improved since the last inspection? The manager has addressed the two requirements left after the last inspection. All new residents, including those in intermediate care, now have a preadmission assessment of need. Strenuous efforts have been made to eradicate unpleasant odours but the manager acknowledged that there are still occasions when there is a lingering smell in specific areas. What the care home could do better: In the key areas inspected on the day standards were met and had been maintained since the last inspection. In several sections of the AQAA the manager states that they have plans to build on the good practice already taking place, to increase staff skills and offer more person centred support to residents. CARE HOMES FOR OLDER PEOPLE Sidegate Lane 214 214 Sidegate Lane Ipswich Suffolk IP4 3DH Lead Inspector Jane Offord Unannounced Inspection 5th February 2008 10:20 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sidegate Lane 214 DS0000037157.V359062.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. Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sidegate Lane 214 Address 214 Sidegate Lane Ipswich Suffolk IP4 3DH 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) 01473 588575 01473 588573 tania.moore@socserv.suffolkcc.gov.uk Suffolk County Council Mrs Tania L Moore Care Home 30 Category(ies) of Dementia (24), Dementia - over 65 years of age registration, with number (24), Old age, not falling within any other of places category (10), Physical disability (6), Physical disability over 65 years of age (6) Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 The home is able to provide a service to people with a physical disability and dementia 6th March 2007 Date of last inspection Brief Description of the Service: 214 Sidegate Lane is owned and run by Suffolk County Council. It was purpose built in the early 1970s and in 2000 the home was fully refurbished. The home is divided into five units. Twos Company offers 18 places for older people who require extra care because of their individual needs arising from their dementia. Four of these places are for short-term care. Twos Company is on the ground floor divided into three units that are connected by corridors that overlook the enclosed gardens. The residents also benefit from a sunroom and conservatory. Pleasant View is on the first floor and is a unit for a further six people with dementia. Each unit has en suite bedrooms, a lounge and kitchen/diner. Rooftops is the intermediate care unit run in conjunction with the intermediate care team from the Ipswich Hospital. The purpose of the unit is to prevent hospital admission or to take a person from hospital where acute care is no longer required to ensure they have time to build confidence and in some cases regain life skills in order to return home. The fees for accommodation are £386.00 per week and do not include hairdressing, chiropody, toiletries, newspapers, transport and telephone calls. Sidegate Lane 214 DS0000037157.V359062.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 that the people who use this service experience good quality outcomes. This key unannounced inspection looking at the core standards for care of older people took place on a weekday between 10.20 and 16.30. The registered manager was present throughout the day and assisted with the inspection process by providing documents and information. This report has been compiled using information available prior to the inspection including an annual quality assurance assessment (AQAA), completed surveys from relatives and residents as well as evidence found on the day. During the day a tour of the home was undertaken and all parts were revisited later. Three residents’ files and care plans were seen and three new staff files were inspected. A number of policies, the complaints log, the duty rotas and some service certificates were looked at. The lunch time medication administration round was observed and the lunch serving was seen at the same time. A number of residents and staff were spoken with during the day. Residents were using all areas of the home and looked relaxed and comfortable. The home was clean and tidy and except for one limited area there were no unpleasant odours. Interactions between staff and residents were friendly and appropriate. Support was carried out with good humour and patience. The lunch time meal looked appetising and residents spoken with said they had enjoyed it. What the service does well: What has improved since the last inspection? The manager has addressed the two requirements left after the last inspection. All new residents, including those in intermediate care, now have a preSidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 6 admission assessment of need. Strenuous efforts have been made to eradicate unpleasant odours but the manager acknowledged that there are still occasions when there is a lingering smell in specific areas. 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. Sidegate Lane 214 DS0000037157.V359062.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 Sidegate Lane 214 DS0000037157.V359062.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, 2, 3, 6. Quality in this outcome area is good. People who use this service can expect to have sufficient information to make an informed choice and have an assessment of need prior to moving into the home. People using the intermediate care service are helped to develop their skills to enable them to return home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a statement of purpose and service users guide that form part of a pre-admission pack given to all prospective residents or their representatives. In the present format both documents are informative but the manager said they were updating them to take account of the new legislation, The Mental Capacity Act 2005, and the impact that will have on the service and the rights of residents. The pre-admission pack also contained a copy of the local authority’s leaflet ‘comments, compliments and complaints’. Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 9 The files of three residents were looked at and all contained a contract with terms and conditions of residency. Four residents’ surveys received by CSCI all said they had received a contract. In response to a survey question about the quality of information available before admission two relatives said, ‘contract and information pack was detailed and helpful’ and ‘good information posted on notice boards’. The admission procedure includes the possibility of a potential resident and/or their family visiting the home to see the facilities and meet staff. In one file seen it was recorded that the manager visited the person in hospital to complete a pre-admission assessment of need and then one of their relatives visited the home. Each file seen had a pre-admission assessment document that covered areas of physical and mental need as well as social support. One file was for a resident in the intermediate care unit and the information from the hospital team to the intermediate care team clearly outlined the needs to be met to allow the person to regain independence and return home. The first six weeks to three months of residency are considered a trial period for both the resident and the service. A review is held after this period with the resident and family, the social worker and the team leader to ascertain that needs are being met and both parties are satisfied with the placement. Evidence of review meetings was seen in the files of the two permanent residents. Sidegate Lane 214 DS0000037157.V359062.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, 10. Quality in this outcome area is good. People who use this service can expect to have a plan of care in place to enable staff to support them as they wish, be treated with respect and protected from harm by the medication procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files for two permanent residents and one resident receiving intermediate care were looked at. The care plan for the person having intermediate care was contributed to by the team of therapists from the intermediate care team (ICT) based in the Ipswich Hospital. All the therapists who had input into the plan had left specimen signatures, as had the carers from the home. The care plan covered areas such as personal hygiene, continence, mobility and dressing, indicating which areas the person was independent in managing and where help was needed and at what level. There was also an assessment of some skills such as preparing a hot drink or managing medication. Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 11 Risk assessments for moving and handling, tissue viability and a nutritional screening were completed. All the files had contact details of any health professional involved with the resident and records of visits to or by them with details of treatments prescribed or altered. One resident had regular blood tests to monitor the level of Warfarin they needed to take. Past medical history and any known allergies were recorded. Care plans seen showed an individual approach with interventions tailored to suit the person. Some areas of support were common to people such as managing personal hygiene, diet and communication, other areas related to the needs of the individual. One intervention for supporting someone to dress themselves each day said, ‘return clothing to named drawers to allow the resident to find it, i.e. underwear, nightwear’. Another intervention about phobias recorded, ‘I do not like other residents in my room’. There was evidence that the care plans were ‘live’ documents with monthly reviews and updates as the residents’ needs changed. There was a referral in one file to the continence advisor for someone whose need had changed and one plan had an intervention to manage challenging behaviour. Reviews were held with the resident, their family or representative and their key worker. In the surveys received one relative has put, ‘liaison with the GP and arranging prescriptions has been very good’. One resident put, ‘the home arranged for a GP visit when needed’ and another said, ‘I am aware of my key worker but can speak to any of the staff’. The lunch time medication round was followed. Medication is kept in locked cupboards in residents’ own rooms. Each cupboard had a photograph of the resident in it for identification purposes. The medication administration records (MAR sheets) were also kept in the cupboards. The home uses a monitored dosage system (MDS) so medicines are dispensed into blister packs by a pharmacist ready for the carer to administer. The carer signed for medication after administration returning to each room to do so. There were no signature gaps noted on the MAR sheets and if a medicine was omitted for any reason a note was recorded on the reverse of the sheet. Medication that had a choice of dose i.e. one tablet or two had the number given recorded to allow for an audit trail. Controlled drugs (CDs) are kept securely in the office with the team leader holding the keys. A random sample was checked and the amounts tallied with the records in the CD register. During the day interactions between staff and residents were observed. Staff spoke respectfully to residents using their preferred name as recorded in their file. Eye contact was made with people when asking questions or holding a conversation. One resident had recently been admitted to the home and was Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 12 finding it difficult to orientate them self and find their room. Different staff were overheard patiently giving guidance and using other rooms and features to help the resident identify their own room. Sidegate Lane 214 DS0000037157.V359062.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, 15. Quality in this outcome area is excellent. People who use this service can expect to be encouraged to maintain contact with family and friends, be offered meaningful activities and have a nutritional diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of the permanent residents seen contained life history work and details of the person’s interests and preferred pastimes. One had noted the person’s favourite newspaper and another had stated that the person particularly enjoyed certain radio programmes. Some activities take place in the units and others are organised for everyone. Carers spending time with residents in the units will read with them or play cards or bingo. Other events such as external entertainers or exercise groups may take place in the large communal rooms. People are taken to the local public house for a coffee or snack and shopping expeditions are arranged at times. The home has links with a number of local churches and residents are supported to attend services in the church of their choice or prayer meetings arranged in the home. Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 14 A range of material to help residents with sensory impairment is available from large print or talking books, videos and DVDs and a loop system is available for people with impaired hearing. The home subscribes to the ‘pat a dog’ scheme and has recently acquired some cage birds following requests from residents. The home has a number of younger people with dementia as residents and staff have been having some training with the younger people with dementia assessor team to look at age appropriate activities. The file for one resident showed that with the agreement of their spouse daily household tasks were part of their care plan. The resident was physically active and enjoyed helping with laying dining tables, washing up, delivering the hot meal trolleys and helping with the laundry. They were observed with another resident walking the circuit of the corridors on the ground floor and chatting and laughing as they went. They said that when the better weather came they wanted to be in the garden. Daily records seen were full and informative giving details of the way a resident had spent their time and any visitors they may have received. Note was made of any achievements by the resident and their mood and mental state. Contact details for the next of kin were recorded in all the files seen. The home has an open visiting policy and a number of visitors were seen to come and go during the day. Comments in relatives’ surveys received included, ‘we appreciate the freedom of visitor times and allowing resident time out’, and, ‘we are all continually reassured and welcomed with tea and smiles each visit’. The lunch time meal was seen served in the individual unit dining rooms. The meals are sent from the kitchen in hot trolleys and each meal is plated individually in the unit kitchenette. Fresh vegetables are served in tureens on the tables for residents to help themselves if they are able. Support, when it was required, was given by carers discreetly and sensitively. Residents can choose to have meals served in their room and visitors are welcome to join people for a meal. There is one main meal offered on the menu daily but there is a standing alternative menu always available that offers fish dishes, an all day breakfast, jacket potatoes and fillings or salads and pies. Fresh fruit and cold drinks and juice are available throughout the day. The clean plates were evidence on the day that residents had enjoyed their meal. There was a good store of varied ingredients in the kitchen and the cook said they have deliveries of fresh fruit and vegetables twice weekly. All the cakes, puddings and pastry are home made and special diets and preferences are catered for. The cleaning regime was seen and tasks were signed off regularly. Temperatures were recorded for the refrigerators and freezers being used and showed they were functioning within safe limits for food storage. Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 15 One comment in a survey said, ‘food and catering for individual need is excellent’, another stated, ‘food is very good and the home identifies and caters for individual tastes and needs’. Sidegate Lane 214 DS0000037157.V359062.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, 18. Quality in this outcome area is good. People who use this service can expect to have their concerns taken seriously and be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints log was seen and showed three complaints had been received since the last inspection. One was anonymous and although investigated was not substantiated. Another was from the relative of a short stay resident. That was investigated and upheld. An apology was offered and accepted and the complainant still wanted to access the short stay facilities for their relative. The third was a concern relating to the security of the home in relation to a resident who wandered. The service responded by increasing the security measures on the front door of the home. In the surveys received from residents and relatives three of four residents were aware of how to complain and eight of nine relatives said they knew about the complaints procedure. In response to the question, ‘has the home responded appropriately if you have raised concerns?’. One response was, ‘the need has not arisen’, and another said, ‘I have never had to raise concerns about care’. Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 17 At the previous inspection the home had the most up to date guidelines from the county protection of vulnerable adults (POVA) committee and there was evidence of staff training updates. In discussion with the manager it was clear that they were aware of the changes in this area to Safeguarding Adults and were in the process of accessing training for the staff. Abuse awareness is a subject covered in the induction programme and again in all the NVQ courses. The training matrix showed that sixty-four percent of staff have achieved NVQ level 2 or above. Staff spoken with were able to talk of even subtle abuse scenarios and were clear about the action they would take if they had any concerns. The home has a whistle blowing policy to protect staff who raise any issues. The comment in a survey from one relative said, ‘(staff) carry out their jobs with a sense of fun whilst respecting dignity and providing security’. Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is good. People who use this service can expect to live in clean, homely surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home was undertaken with the manager at the start of the inspection and all areas were revisited during the course of the day. Each of the five units is self-contained with a kitchenette, lounge and dining area. There is also a small laundry in all the units and six residents’ bedrooms all with en suite facilities. The ground floor units are all connected with secure, glass sided corridors enabling people to wander and access the attractive gardens in safety. As well as the unit lounges the home has seating areas in the corridors so people can meet relatives or other residents in private if they choose. The décor throughout the home is light and attractive with coordinated furniture and soft furnishings. Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 19 Individual residents’ rooms had furniture arranged to suit the resident and were personalised with photographs and pictures. There were fresh flowers and plants around the building and the furniture was comfortable and appropriate for the client group. In one unit where there had been a problem with odour control at the previous inspection the manager said they had worked very hard with different cleaning products to eradicate the smell. One resident’s room had had the carpet replaced by laminate flooring and consideration was being given to renewing the carpet in the dining area. There was a faint odour detected in a limited part of the corridor entering the unit but all other parts of the home were fresh. A comment from one survey received said, ‘problem with smell on arrival but this is regularly cleaned and is improving’. The laundry rooms located on each unit are kept locked when there is no staff member working in them. The washing machines all have automated product feed and sluice wash programmes. The infection control policy gave comprehensive guidance on hand washing and the use of protective clothing for ‘dirty’ tasks. All the hand-washing basins seen had liquid soap and paper towels available. One survey stated, ‘level of cleanliness is first class’ and another said, ‘support for resident ------ laundry is excellent’. Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is excellent. People who use this service can expect to be supported by correctly recruited and trained staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty rotas were seen and showed that during the day there was a senior carer on duty supported by six carers and at night a senior carer worked with three carers. The manager was supernumerary and a housekeeping team, kitchen workers, a maintenance person and an administrator supported the care team. Staff spoken with said they felt the staffing levels were sufficient for the needs of the residents and that the team was supportive and worked closely together. Carers are encouraged to undertake qualification training and the home has a rolling programme for level 2 and 3 NVQ courses. A number of the senior team are NVQ assessors. At present sixty-four percent of the care team have achieved an NVQ at level 2 or 3. This exceeds the recommended fifty percent in standard 28 of the national minimum standards (NMS). Comments made about staff in the surveys received included, ‘it appears staff have the skills and are caring and considerate’ and ‘carers are professional, willing and not patronising’. Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 21 The files of three new staff were seen and all contained a full work history, a copy of their contract of terms and conditions and a job description for the post they were appointed to. There was documentary evidence that their identity had been checked and two references had been taken up. In each file there was a recent photograph of the person and a criminal records bureau (CRB) check had been carried out. The AQAA states that all new staff are registered on the Skills for Care programme and receive a recognised induction including shadow shifts. The induction covers areas of work such as moving and handling, health and safety, communication and the principles of care. During the initial shifts other aspects of the job are covered including team working, confidentiality, care plans and the use of specialised equipment such as hoists. All the files seen contained a certificate for a completed induction course. The training matrix showed regular updated mandatory training sessions in moving and handling, infection control, recognition of abuse, fire awareness, dementia care, first aid, food hygiene, care planning and medication administration. The manager said they were looking into training sessions for staff to help them understand the implications for residents of the new Mental Capacity Act. Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38. Quality in this outcome area is good. People who use this service can expect to be consulted and have their welfare protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The present registered manager has been in post for over ten years. They have a qualification in social work and nursing. They have achieved the registered managers NVQ level 4 and are an NVQ assessor and internal verifier. In discussion with them they demonstrated a commitment to improving the standards of care for the residents in the home by building on existing good practice and encouraging ongoing training for staff. Staff spoken with said the manager gave clear leadership and was approachable. Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 23 Residents, relatives and staff all had questionnaires about the service in November 2007. The results showed a high level of satisfaction with the service from all the people who responded. Some comments included, ‘the care could not have been better’ and ‘a lot of time was given to each resident to see they had whatever they needed’. The system for managing residents’ finances in the home was inspected at the last inspection and found to be safe. The manager confirmed that the same system was in use with an account held by Suffolk County Council for all monies and individual statements issued to residents or their representatives showing transactions and a running balance. In the staff files seen there were records of supervision sessions. The notes showed that a wide range of subjects was covered from personnel issues to care practice and reporting incidents. Staff spoken with said they had supervision every two months. A comment in one staff questionnaire said, ‘recent supervision was excellent, pre-planned and well prepared’. A selection of service and maintenance records were looked at and showed that the lift had been serviced in August 2007 and the hoists and Parker baths in January 2008. The fire log had records of weekly fire alarm, emergency lighting and fire exit route checks. The fire risk assessment had been updated in November 2007. The AQAA stated that the home had no contract for the disposal of soiled waste. This was discussed with the manager who said it was an error as there was a contract. The document was seen and is valid until May 2008. Sidegate Lane 214 DS0000037157.V359062.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 3 3 3 X X 3 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 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 4 X 3 Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NONE. 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. Refer to Standard Good Practice Recommendations Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Sidegate Lane 214 DS0000037157.V359062.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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