Care Home: Snydale Care Home

Similar services:

• Abbey The
• Larchfield Manor
• Hawkhills
• Beeches The - North Yorkshire County Council
• Staveley Birk Leas Nursing Home
• Carentan House
• Ravensworth Lodge

What the care home does well People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. Each person is treated as an individual, they are part of their local community, and they are supported to follow personal interests and activities. People`s health, personal and social care needs are well met by staff at the home, and each person has a very detailed plan of care that the person, or someone close to them, has been involved in making. People are confident that the care home can support them, this is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the people working at the home all about them and the support they need. Snydale does not provide intermediate care. What has improved since the last inspection? What the care home could do better: This visit did not identify any problems or issues at the home. The owner has the Commission`s document called "Key Lines of Regulatory Assessment", which details what a poor, adequate, good or excellent service should look like. She will be looking at how to maintain the good practice improvements already made at the home so that the high quality of care continues and is built on. CARE HOMES FOR OLDER PEOPLE Snydale Care Home New Road Old Snydale Pontefract West Yorks WF7 6HD Lead Inspector Tony Brindle Key Unannounced Inspection 28th November 2007 10:00 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 Snydale Care Home DS0000006217.V355862.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. Snydale Care Home DS0000006217.V355862.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Snydale Care Home Address New Road Old Snydale Pontefract West Yorks WF7 6HD 01924 895517 01924 897482 traceyholroyd@aol.com 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) Mr S Holroyd Tracey Holroyd Caroline Jones Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52), Physical disability over 65 years of age of places (52) Snydale Care Home DS0000006217.V355862.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Can accommodate two named service users with physical disabilities under 65 years. Can accommodate one named service user under category Terminally Ill (TI(E)) Can accommodate up to two service users with physical disabilities who are aged 60 years or over on admission. 28th November 2006 Date of last inspection Brief Description of the Service: Snydale Nursing Home is registered as a care home to provide care, including nursing, for up to fifty-two older people. It is located in the small village of Old Snydale which is between Normanton and Featherstone. The accommodation is set out on two floors. The main sitting room and dining facilities are located on the ground floor. There is level access at the main entrance and hydraulic passenger lifts allow easy access to the first floor accommodation. The home provides well furnished and comfortable accommodation. Snydale Nursing Home is situated off the main road and is accessed via a long drive that leads up to the care home. There are off street parking facilities for visitors and a large garden at the back of the home provides a pleasant environment for service users to sit out in good weather. A local bus service passes right by the front entrance at the bottom of the drive every hour. Snydale Care Home DS0000006217.V355862.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit started at 10:00 am and ended at 2:00 pm. This was a very positive and enjoyable visit. There was the opportunity to speak to people living at the home as well as the registered manager, registered providers and care staff. The care plan files of people living at the home were seen and included assessments, care plans, daily and medical records and the record of activities. Staff records were also seen and included application forms, references, police checks, training and supervision records. A sample of people’s medications were checked and a look around the home was undertaken. Other information considered was the home’s returned Annual Quality Assurance document and surveys that were returned to the Commission for Social Care Inspection. A good number of people responded to our survey, and the feedback received was positive. The inspector would like to take the opportunity to thank the manager and her staff team for their hospitality, and people using the service and their relatives for their patience and co-operation throughout the visit. What the service does well: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put Snydale Care Home DS0000006217.V355862.R01.S.doc Version 5.2 Page 6 things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. Each person is treated as an individual, they are part of their local community, and they are supported to follow personal interests and activities. People’s health, personal and social care needs are well met by staff at the home, and each person has a very detailed plan of care that the person, or someone close to them, has been involved in making. People are confident that the care home can support them, this is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the people working at the home all about them and the support they need. Snydale does not provide intermediate care. 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. Snydale Care Home DS0000006217.V355862.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 Snydale Care Home DS0000006217.V355862.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): 3 and 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are confident that the care home can support them, this is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the people working at the home all about them and the support they need. Snydale does not provide intermediate care. EVIDENCE: The manager explained that people can decide whether the care home can meet their support and accommodation needs. She added that this is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home, the manager explained that people are given information about their rights and responsibilities in an easy to understand contract or Snydale Care Home DS0000006217.V355862.R01.S.doc Version 5.2 Page 9 statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. The records conformed this, and people who responded to our surveys confirmed this. The manager said that no one is admitted to the home until a full needs assessment has been undertaken by her (or the senior staff if she is not available). She added that this applies to all people, including those who are self funding. The records confirmed this. The manager explained that admissions to the home only take place if the service is confident staff have the skills and ability to meet the assessed needs of the prospective new person. One staff member said that people looking at moving into Snydale would be given the opportunity to spend time in the home, prior to them moving in. The manager confirmed this. People living at the home said that they had been given enough information about the home and the service it provides before they moved in. Feedback from relatives confirmed that they had been given enough information about the home to make an informed decision before their relative moved in. One of the owners of the home spoke about the development of an information pack to accompany the home’s Statement of Purpose and Service User Guide. The manager recently asked a relative of a person living at the home to help develop a Service User Guide, Complaint’s Procedure and Statement of Purpose in Braille. This has been done and is seen by the Commission to be a valuable addition to the information resources produced by the service. Feedback from people who completed our survey indicated that they were satisfied with the information they had been given about the home prior to moving in and were happy about the way their move had been carried out. The home does not provide intermediate care. Snydale Care Home DS0000006217.V355862.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 excellent. This judgement has been made using available evidence including a visit to this service. People’s health, personal and social care needs are well met by staff at the home, and each person has a very detailed plan of care that the person, or someone close to them, has been involved in making. EVIDENCE: The records show that there has been a sustained track record of delivering good performance in this area. For example, the records show that the ways in which care plans are written and developed have significantly improved. The care plans now contain very good levels of information relating to the personal healthcare needs, including specialist health nursing and dietary requirements of each person. The care plans were seen to contain information relating to social needs, exercise needs and mental/psychological needs. This is a significant development from the last time the care plans were looked at. Snydale Care Home DS0000006217.V355862.R01.S.doc Version 5.2 Page 11 The care plans were found to contain clear information about individuals’ wishes, choices and decisions in relation to their healthcare needs. Information within people’s files showed what they can and cannot do, how the staff should support people and what to do if problems arise. The records show that care staff work to monitor pain, distress and other symptoms to ensure individuals receive the care they need. Staff working at the home confirmed this. Nutritional screening records were seen, and the manager said that this is undertaken on admission and subsequently on a periodic basis. The records confirmed this. A record is maintained of people’s weight gain or loss, and the records showed what action needs to be taken depending on either a weight gain or loss. The manager said that people are registered with a GP, and the records confirmed this. The records also show that people have access to hearing and sight tests according to their needs. Feedback from relatives confirmed that they believe their relative is looked after well, and that the staff at the home do consult them about aspects of care that is then recorded in people’s individual care plans. People living at the home said that they believed they were well cared for, and one person said that the staff really know people as individuals and know what each person wants. Another comment from someone living at the home was, “We’re all different you know, and the staff know that as well. They do a good job”. The feedback from people living and working in the home is supported by the records held by the manager which shows that there is substantial strengths in this area. The manager said that personal support is carried out in relation to the individual needs and preferences of the people who use services. One person living at the home said that the personal care given to them is consistent and that the staff are reliable. Staff were seen to respect the privacy and dignity of people in the home, and were seen to respond people’s individual choices and requests. The feedback from people living and working in the home is supported by the records held by the manager which shows that there are substantial strengths in this area. The records show that home has a medication policy, which is supported by procedures. Medication records were found to be fully completed, contained the required entries, and were signed by appropriate staff. The feedback from people living and working in the home is supported by the records held by the manager which shows that there are substantial strengths in this area. The records show that there has been a sustained track record of delivering good performance in this area. For example, the manager explained that regular management audits now take place to monitor the medication. These records were seen and were found to be in good order, showing a steady increase in Snydale Care Home DS0000006217.V355862.R01.S.doc Version 5.2 Page 12 compliance from poor in January 2007 to very good in November 2007. The manager explained that she is looking at introducing a risk assessment that will be used to determine whether people who use services need to be given help to manage their medication. She added that, if the assessment shows that people can self-administer their medication, then they will be given the opportunity to do this. The records show that the manager has in place a good record of compliance with the receipt, administration, safekeeping and disposal of Controlled Drugs. The staff training records show that staff at the home have completed appropriate training in medication. Snydale Care Home DS0000006217.V355862.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. This judgement has been made using available evidence including a visit to this service. Each person is treated as an individual, they are part of their local community, and they are supported to follow personal interests and activities. EVIDENCE: Staff working at the home said that people who use the service have the opportunity to develop and maintain important personal and family relationships. One person living at the home said that their relative can come and see them at any time, and they added, “That’s really important because you can lose touch with what’s going on in the big wide world”. Visiting relatives were seen to come and go throughout the day, and those who were spoken with said that they are made to feel welcome and that they feel their relative is being well cared for at Snydale. The feedback from people living and working in the home is supported by the records held by the manager which shows that there are substantial strengths in this area. The records show that there has been a sustained track record of Snydale Care Home DS0000006217.V355862.R01.S.doc Version 5.2 Page 14 delivering good performance in this area. For example, the manager explained that there are now various different in-house and external activities on offer to people living in the home. This was supported by information held within people’s individual files. People living in the home spoke about this, saying that for them it is a great improvement to life in the home. One person said that they enjoy the different activities as it helps them to keep active. Another person said that the range of activities on offer is very good, and sometimes they feel spoilt for choice. Other comments included, “You can take part if you like, but there’s no pressure.” The feedback from people living and working in the home is supported by the records held by the manager which shows that there is substantial strengths in this area. The menu was seen to be varied with choices of food. The menu was seen to be balanced and providing nutritional value. The staff at the home said that the cook does cater for the varying dietary needs of the people living at the home. People confirmed this saying that the food was very nice. Feedback from relatives confirmed that they believe the food to be of a good quality. One person living at the home said, “I think we get too much food, but I’m not complaining. It’s really nice, like a hotel”. An observation made at mealtime showed that meals are presented in an attractive manner and that people living at the home were enjoying their food, and being supported appropriately. One person living at the home said that there is a good choice of meals, which the menus confirmed. Staff were seen to interact with people in positive ways, enjoying pleasant conversation and offering people drinks whilst talking about people’s day. Snydale Care Home DS0000006217.V355862.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. EVIDENCE: The owners of the home said that they have tried to foster an open culture that allows people to express their views and concerns in a safe and understanding environment. This was backed up by one person living at the home who was spoken with who said that they could go and speak to any staff member about problems, and added that the owners are approachable. The records show that there is a complaints procedure that is clearly written and easy to understand. One of the owners said that if people wanted it put into another format (eg. on a tape), then this could be done very easily. At present, no one has asked for this to be done. The records show that there is a full record of complaints and this includes details of the investigation and any actions taken. The policies and procedures Snydale Care Home DS0000006217.V355862.R01.S.doc Version 5.2 Page 16 for Safeguarding Adults were seen to be available to people living at the home, staff and relatives. After talking with staff at the home, it was clear that they understood the procedures for safeguarding adults. The records show that there are a low number of referrals, and the manager said that this is due to lack of incidents, rather than a non-reporting of events. The manager explained that training of staff in the area of protection is regularly arranged. This was supported by documents found within people’s individual training files. People living in the home spoke about feeling safe in the home, and also that they knew who to speak to if they wanted to complain. Feedback from relatives confirmed that they too believe their relative to be safe in the home, and know who to speak to about complaints. The feedback from people living and working in the home is supported by the records held by the manager which shows that there are substantial strengths in this area. Snydale Care Home DS0000006217.V355862.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 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. EVIDENCE: A walk around the home found that it is well maintained, pleasantly decorated and of a suitable layout for the people living at the home. Various parts of the home have been re-decorated and, at the time of the site visit, a bathroom was being re-tiled with a view to it being converted into a walk in shower room. People living in the home said that they thought it was nicely decorated, Snydale Care Home DS0000006217.V355862.R01.S.doc Version 5.2 Page 18 and they said that they found it comfortable and homely. People who responded to our survey supported this, with one person saying that they thought it was a good idea that rooms are redecorated when they become vacant. The manager confirmed that when rooms do become vacant they are redecorated within a few days and then are classed as viewing rooms and shown to prospective new people and their relatives. One person living at the home spoke about the work they had done during the summer, putting together hanging baskets and potted flowers. This person was able to show some photographs of the hanging baskets and flowers that were placed outside the home. Visitors confirmed that the exterior of the home looked lovely, and added that the people living at the home had really enjoyed preparing the plants and flowers with the help of the activities co-ordinator and staff. The manager explained that people who use services are encouraged to personalise their bedrooms. This was supported looking at people’s individual rooms. People living in the home spoke about this, and confirmed the information given by the manager. The shared areas were found to provide a choice of communal space and one staff member said that opportunities are created for relatives and friends in private. People living in the home spoke about this, and confirmed the information given by the staff member. The bathrooms and toilets were found to be are fitted with appropriate aids and adaptations to meet the needs of the people who use the service, and were found to be in sufficient numbers and of good quality. The home was found to be well lit, clean and tidy and smelling fresh. The manager has a good infection control policy and the manager explained that she would seek advice from external specialists, eg. infection control if and when required. Laundry facilities are sited so that soiled articles, clothing and infected linen are not carried through areas where food is stored, prepared, cooked or eaten. Appropriate hand washing facilities are available; the records show that there is an appropriate infection control policy and procedure in place. People living at the home said that it is easy to get around the home. Feedback from people who completed our survey indicated that they believed that the home is kept clean and hygienic. The feedback from people living and working in the home is supported by the records held by the manager which shows that there are substantial strengths in this area. Snydale Care Home DS0000006217.V355862.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 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. EVIDENCE: The rotas show that the home is staffed efficiently, with particular attention given to busy times of the day and changing needs of the people who use the service. Observations on the day found that there were sufficient numbers of staff on duty that were able to meet the needs of the people living in the home. The records show that staff members undertake external qualifications beyond the basic NVQ II. The manager said that the staff receive relevant training that is focussed on delivering good outcomes for people using the service. This was supported by information held within people’s individual files and confirmed by staff. The staff training records confirmed that staff receive training in areas such as Snydale Care Home DS0000006217.V355862.R01.S.doc Version 5.2 Page 20 health and safety, fire safety, movement and handling, safeguarding, and food hygiene. Feedback from people who completed our survey indicated that they believed that the staff were well trained. The manager explained the recruitment procedure, which was found to be satisfactory. She said that two written references are obtained before appointing a member of staff, and any gaps in employment records are explored. The records confirmed this, and show that new staff are confirmed in post only following completion of a satisfactory police check, and satisfactory check of the Protection of Vulnerable Adults register and Nursing register. The records show that staff meetings take place. Individual staff files detail that supervision sessions are regular and staff confirmed that they find them helpful. The records show that induction procedures are in place and that new staff receive the new induction in common standards in line with the Skills for Care Council. One staff member discussed the induction process and was able to talk at length about topics such as understanding principles of care, maintaining safety at work and recognising and responding to abuse and neglect. The records show that National Vocational Qualification (NVQ) training has been arranged for care staff and that more than 54 of the staff team have hold an NVQ II care award. Snydale Care Home DS0000006217.V355862.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 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. Snydale Care Home DS0000006217.V355862.R01.S.doc Version 5.2 Page 22 EVIDENCE: The Commission records show that the manager has the required qualifications and experience to run the home, and that she is registered with the Commission. The manager explained that she and the staff undertake routine health and safety checks. This was confirmed by people living in the home and supported by information held within the office files and all was found to be in good order. The records show that the home has good policies and procedures in place, and the manager and owner explained that they review and update these as and when required. The records confirmed. There is evidence to show that the home has a quality assurance and quality monitoring system which is based on the views of people living in the home, with feedback from relatives and visiting healthcare professionals gathered. The records show that there is suitable insurance cover in place and the certificates are displayed in the office of the home. The manager said that the home does not hold money for people. However, if the money of individuals needs to handled at the home, then there are systems in place to make sure that the personal allowances are not pooled and to make sure that appropriate records and receipts would be kept. The records show that the care staff receive formal supervision at least 6 times a year. One staff member said that supervision usually involves talking about the care people need, how the home should operate and their own training needs. The manager confirmed that she also gets supervision from one of the homeowners. The records confirmed this. The records show that the staff have had training in health and safety, fire, movement and handling, food hygiene, safeguarding, infection control and first aid. The manager said that she undertakes checks on issues such as the risk of Legionella, risks from hot water/surfaces, gas and electric safety, fire safety and maintaining equipment, eg. hoists. The records confirmed this. Feedback from people who completed our survey indicated that they feel safe living in the home, and that they believe it is well run. The feedback from people living and working in the home is supported by the records and shows that there are substantial strengths in this area. Snydale Care Home DS0000006217.V355862.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 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 X X 4 Snydale Care Home DS0000006217.V355862.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. Refer to Standard Good Practice Recommendations Snydale Care Home DS0000006217.V355862.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Snydale Care Home DS0000006217.V355862.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!