Care Home: Stafford House

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What the care home does well The owners of the service have worked hard to help ensure that standards at this home have improved. There has been a lot of improvement since our last key inspection and the residents are experiencing better outcomes and a positive standard of care. The residents’ care is well planned and reviewed regularly to promote positive outcomes. The care plans are detailed and informative and are used on a daily basis. The care staff were comfortable in contributing to the plans. All of the residents that were spoken to during the inspection were pleased with the service that they received. One resident commented, “Yes, I like it here, I like the way I’m looked after. The home is very comfortable.”Stafford HouseDS0000009702.V377994.R01.S.docVersion 5.2The catering arrangements are good and all of the residents that were spoken to said that they liked the food and looked forward to mealtimes. The people who use this service have a nutritious and wholesome diet. People told us that they looked forward to mealtimes. Health matters are dealt with properly and there is lots of evidence to show that health care professionals were being asked for help and advice where this was appropriate. There were plenty of activities and there were a variety of things for the residents to do during the day and in the evenings. Activities were available both within the home and outside in the community. The staff told us that they were well trained and supported in their roles. We observed the care staff working within the home; the residents were cared from properly and politely. What has improved since the last inspection? A new care planning system is in the process of being introduced within the service meaning that the care plans are more structured ad organised. Plans are being properly reviewed on a regular basis so that information is current and informative. Each care plan was reviewed properly by the manager every few weeks to ensure that the information that was held was clear, accurate and consistent and explained current need. Good information and accurate recording is essential when ensuring someone’s needs are fully met. Medication practice has improved and training has been provided for the care staff. Medication was being recorded properly and the records were better. This service was warm, clean and fresh smelling and some significant improvements had been made since we last visited this service. Repairs had been made to the roof and the water damage that was evident during our last inspection had been repaired and redecorated. This meant that the home was a nicer place to live. A clear and informative complaints procedure was available in the hallway of the home to tell people how to voice their concerns, should they have any. What the care home could do better: This was an old property and storage space was very limited. There were files and information stored in the dining area of the home which wasn’t really appropriate. The medication trolley was also stored in the dining area which cut down the space that was available for the people who used the service.Stafford HouseDS0000009702.V377994.R01.S.docVersion 5.2The owners should continue to replace older furniture within the home. Some of the furniture looked worn and ‘tired’. Key inspection report CARE HOMES FOR OLDER PEOPLE Stafford House 7 North Promenade Cleveleys Lancashire FY5 1DB Lead Inspector Christopher Bond Key Unannounced Inspection 09:30 21st October 2009 DS0000009702.V377994.R01.S.do c Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Stafford House DS0000009702.V377994.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Stafford House DS0000009702.V377994.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stafford House Address 7 North Promenade Cleveleys Lancashire FY5 1DB 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) 01253 853073 Mr Gary James Meller Mrs Jill Margueretta Meller Manager post vacant Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Stafford House DS0000009702.V377994.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered numbers to include one (1) person between 60 and 65 years of age 4th August 2008 Date of last inspection Brief Description of the Service: Stafford House is a care home in the Cleveleys area, north of Blackpool. It is situated on the promenade, close to the town centre. There are a number of facilities and resources close at hand, including shops, social clubs, pubs, Churches and leisure facilities. Most of these facilities are in walking distance. The upper rooms of the home overlook the sea and the promenade. There is a bus station near by, and busses leave from there to most parts of the Fylde Coast. A tram service operates from central Cleveleys, which serves Blackpool and Fleetwood. There are four double and four single rooms and a passenger lift to all floors. None of the rooms are en-suite. Parking facilities are limited close to the home due to its town centre position. Information relating to the home’s Service User Guide and Statement of Purpose is included in the welcome pack, which would be given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, the information given to the Commission showed that the fees for care at the home are from £329.00 to £372.00 per week, with added expenses for hairdressing and chiropody. Stafford House DS0000009702.V377994.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 stars. This means the people who use this service experience good quality outcomes. As part of the inspection process an unannounced visit took place over a total of 4 hours on the 21st October 2009. A tour of the home was carried out, which included bedrooms, lounge, dining areas, and bathrooms. The residents’ personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication records for the home were also examined. The manager, residents and care staff were spoken to during the inspection to find out their views of the service. We sent out surveys to the care staff of this home to tell us about their experiences of working at Stafford House. We have used the results from this survey within the body of the report. Every year the Commission for Social Care Inspection sends out an Annual Quality Assurance Assessment for the owner or manager of the home to complete. This tells us about important aspects of the home and how it runs. From this we can also find out the things that have been happening within the service and what plans there may be for the future. The contents of this assessment have been used in the finalisation of this report. What the service does well: The owners of the service have worked hard to help ensure that standards at this home have improved. There has been a lot of improvement since our last key inspection and the residents are experiencing better outcomes and a positive standard of care. The residents’ care is well planned and reviewed regularly to promote positive outcomes. The care plans are detailed and informative and are used on a daily basis. The care staff were comfortable in contributing to the plans. All of the residents that were spoken to during the inspection were pleased with the service that they received. One resident commented, “Yes, I like it here, I like the way I’m looked after. The home is very comfortable.” Stafford House DS0000009702.V377994.R01.S.doc Version 5.2 Page 6 The catering arrangements are good and all of the residents that were spoken to said that they liked the food and looked forward to mealtimes. The people who use this service have a nutritious and wholesome diet. People told us that they looked forward to mealtimes. Health matters are dealt with properly and there is lots of evidence to show that health care professionals were being asked for help and advice where this was appropriate. There were plenty of activities and there were a variety of things for the residents to do during the day and in the evenings. Activities were available both within the home and outside in the community. The staff told us that they were well trained and supported in their roles. We observed the care staff working within the home; the residents were cared from properly and politely. What has improved since the last inspection? What they could do better: This was an old property and storage space was very limited. There were files and information stored in the dining area of the home which wasn’t really appropriate. The medication trolley was also stored in the dining area which cut down the space that was available for the people who used the service. Stafford House DS0000009702.V377994.R01.S.doc Version 5.2 Page 7 The owners should continue to replace older furniture within the home. Some of the furniture looked worn and ‘tired’. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 3 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information is available for prospective residents and their family to read before they make a decision as to whether the home is right for them. People’s needs are assessed properly to help ensure that the home can meet their health and social requirements. EVIDENCE: The manager had recently updated the information available about this home. She showed us the ‘Service User Guide’ and ‘Statement of Purpose’ for the home and these documents explained the services that were available and what people could expect if they chose to use this service. The information was clear and easily understood. Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 Page 10 The manager also explained the process of admittance and how she visited people to assess their needs before the decision was made that the home was right for them. We looked at some of the pre-admission assessments that had been completed by the manager. Things such as mobility, healthcare needs and social needs were looked at and peoples’ health and social needs were written down clearly and precisely. This information helped the manager to decide if the home had the facilities to care for the person properly. The residents’ care could be planned properly using this information. The manager also told us that the people who were thinking about using the service were invited to view the service before they made a decision as to whether or not the home was right for them. One person was due to be admitted to the service that day. The manager told us that they had been to visit the home and had been shown the room that they would occupy. This service did not supply intermediate care and this standard has not been assessed. Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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’s care is planned properly, and their needs are being met because of this. The residents are treated with respect and are looked after properly. EVIDENCE: We spoke to three people who were living at the home. They told us that the service met their needs and they felt that they were being cared for properly. One resident told us, “It’s smashing living here, I’m very pleased.” Everyone who lived at this home had a care plan. Information was currently being transferred to a new type of care plan that held more information in a more ordered way. We looked at all of the plans and looked at the information that was available about each person. This included information on mobility, personal hygiene, health needs, social needs and nutrition. The plans also explained clearly the Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 Page 12 individual attention that people needed and what care the people who used this service should receive. There needed to be more information recorded about social needs and people’s history before they came to live at Stafford House. The staff should be able to read about what the person did before they came to live the home and what their job used to be. Such information is important when ensuring that people feel comfortable and ‘at home’ within a caring service. Each care plan was reviewed properly by the manager every few weeks to ensure that the information that was held was clear, accurate and consistent and explained current need. Good information and accurate recording is essential when ensuring someone’s needs are fully met. Some of the residents had medication that was prescribed for them by their GP. There were proper policies and procedures available to guide the manager and staff when administering medication. Every time that the person was given medication this was signed for, and if it wasn’t given there was an explanation given for this. The manager checked these records regularly to ensure that things were done correctly. The storage for the medication was good and secure. One of the residents also received a form of medication that was ‘controlled’ because of its content or strength. This was stored properly and accurate records were kept when this was administered. We observed the care staff whilst they worked and spoke to them about their roles and responsibilities. All of the carers were polite to the residents and very respectful. There were some very positive comments regarding the quality of care within this service. Five of the care staff returned surveys to us regarding the service. All were positive about the service that is provided and felt that the information available about the residents was good. One of the care staff commented, “All of the service users are happy and well cared for, and we try hard to meet their needs.” Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. People’s social needs are being addressed and activities are available to help enhance people’s lives. Catering arrangements are good, meaning that people look forward to mealtimes. EVIDENCE: There was a good programme of activities available at this home. Last time that we visited the service we found that there weren’t many activities planned on a daily basis to stimulate the residents and help keep people active. The manager had introduced a daily schedule of activity including a regular quiz, reminiscence sessions, a knitting circle, board games, and music and movement to help keep joints supple. Some of the residents also enjoyed walks out, supported by staff. The service was situated on the promenade in Cleveleys and there were planned walks down the promenade. The residents Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 Page 14 also enjoyed ‘pamper’ sessions where their nails were done. A hairdresser visited the home regularly. There were no relatives visiting the home at the time of our inspection. Two people who used the service were able to tell us that they had regular visitors. The manager said that visitors were always encouraged. This helped to enhance the residents’ well being and enhance positive relationships. People were given the choice regarding attending a church service and religious representatives visited the home on a regular basis. Several people told us that the food that was served was very good. Information about the residents’ likes and dislikes were recorded and the owners of the service had built up a good knowledge of people’s preferences. There were regular deliveries of fresh produce and the menu’s told us that there was a good choice of nutritious food served. One resident told us that the food was “smashing”. The manager had recently helped one of the residents to trace a lost relative that she had lost touch with since the Second World War. It was clear that the residents’ interests were being addressed properly. There was a general feeling of well-being within the home and the people who used the service were pleased to tell us that they were happy living at Stafford House. Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Concerns and complaints are taken seriously, meaning that people feel that they are listened to. Good training and staff knowledge means that people live in a safer home. EVIDENCE: The manager of this home had ensured that training was available to help ensure that people are protected from harm. Both of the care staff that were working in the home during our visit had undergone this training. Other care staff had covered this whilst undertaking a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). There were robust policies and procedures available to instruct the care staff in safeguarding issues. The manager was fully aware of her responsibilities regarding reporting incidents of a safeguarding nature, should they occur, and aware of the role of the local authority in helping to ensure people are protected from harm. There was a copy of the latest safeguarding policies and procedures from the local authority and the manager had a good knowledge of these. The manager had recently followed these guidelines with regard to a concern that had arisen regarding a financial matter. The local authority was currently Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 Page 16 looking into the managers concerns and appropriate action was being taken to protect and safeguard the interests of the person concerned. The home had a clear and understandable complaints procedure. The manager told us that people were encouraged to voice their views on the service they received. Two of the residents that we spoke to were aware of whom to speak to should they be unhappy about anything at the home. The instructions about making a complaint were clearly displayed on the wall of the home. They were also written down in the information they gave out to prospective residents and their families/ carers. The procedure had recently been updated and simplified to assist the residents and their representatives. There was information within the home regarding the Mental Capacity Act and the manager demonstrated that she had a good knowledge of this. Booklets containing information about deprivation of liberty safeguards had been given to staff and there had been training on this subject to help ensure that the people who used the service were protected and safeguarded. Five of the care staff sent back surveys to us that told us about their experiences of working at the home. All were positive about their training and support and all knew what action to take should someone have concerns about the service. Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a service that is homely, comfortable, clean and warm. EVIDENCE: We had a look around this home to find out what it was like for the people who lived there. It was good to see that some areas of the home had been decorated and re-carpeted since our last visit to this service. Some of the bedrooms had new furniture and new large, flat-screen televisions were being purchased for the service during our visit for when the analogue signal was switched off. New double glazing had been fitted to the front of the house, Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 Page 18 which made the home warmer and draught free. This was important because the service overlooked the sea and the promenade, and there was usually a prevailing wind blowing against the building. It was a fine day when we visited and there were nice views down the newly developed promenade area, and across the sea. This was an old property and storage space was very limited. There were files and information stored in the dining area of the home which wasn’t really appropriate. The medication trolley was also stored in the dining area which cut down the space that was available for the people who used the service. We did find, however, that the service had a ‘homely’ feel about it. Several residents were smiling and relaxing in the lounge area, and there was a feeling of ‘well being’. Several people told us that they really liked living at Stafford House, and one resident described the home as “really nice”. The bedrooms were generally of a good size and all of the rooms that we saw were personalised with photographs, pictures, ornaments and other personal possessions. There were some shared rooms; one of these had nice views of the promenade and looked very comfortable. The gentlemen who shared the room didn’t mind sharing and there were screens available to protect their privacy and dignity. This service was warm, clean and fresh smelling and some significant improvements had been made since we last visited this service. Repairs had been made to the roof and the water damage that was evident during our last inspection had been repaired and redecorated. This meant that the home was a nicer place to live. Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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 were protected by good staffing numbers and well trained care staff. Good recruitment practices helped to make sure that only suitable people are employed to work at the home. EVIDENCE: There were enough care staff on duty during the inspection to ensure that the assessed needs of the residents were adequately dealt with. The staff rotas showed that staffing was good and that there were plenty of staff on each shift to ensure that people were being properly looked after. The rota also showed that the residents were being properly supported at night. Most of the care staff had achieved a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). Those that had not yet achieved this qualification had been enrolled. There was also a good training programme to ensure that the care staff were able to improve their skill and learn new ways to care for people. There had been a number of training events Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 Page 20 at the home since we last visited. The manager had a training matrix to show which staff had been trained in certain areas. Certificates were also available on file regarding completed training events. Two of the care staff were seen during the inspection and it was clear that they had the knowledge, skills and abilities to provide a good standard of care for the residents of the home. Both told us that they were pleased with the amount of training that was available and both felt that this had improved their caring skills. There was a good induction process for new care staff ensuring that staff were taught how the care home operated before starting to care for people and being included on the rota. The staff are taught how to help move people who may have mobility issues. There had been regular moving and handling training to ensure that people were assisted to move the residents safely and professionally. Staff records showed that new carers had been properly checked before starting their jobs, including obtaining Criminal Records Bureau disclosures. This helped to make sure that the residents were safer by ensuring that suitable staff are employed. There was evidence within the care staff files to show that the correct information had been gathered prior to employment. Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. This home is managed well and is run in the best interests of the people who live there. The residents live in a safe home where the care staff are aware of health and safety matters. EVIDENCE: Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 Page 22 The owner of the service lived on the premises and managed the service. This meant that she was available to provide help and advice to the residents and care staff whenever this was necessary. The owner is a trained nurse and has a recognised managerial qualification: this helped her to manage the service properly and professionally. It was clear that concerns raised our previous inspection had been dealt with properly, and the service was being managed in a successful way. Good records were being kept of safety checks within the home. These showed that professional trades’ people were checking the lift, electric and gas equipment and the fire alarm system regularly. This helped to ensure that the residents lived in a safe home. Trained maintenance people were also checking the lifting equipment in the home on a regular basis. Staff were being instructed in safety aspects within the service. They were being shown how to move those residents, who had difficulty in supporting their own weight, safely and respectfully. Other safety training included fire safety awareness, food hygiene and health and safety. All of the care staff that were spoken to were able to confirm that they had received safety training. There was evidence on the carers’ personal files to show that everyone was being supervised properly. Time was set aside for regular one to one meetings with the staff to ensure that they were happy and doing there jobs successfully and professionally. Staff were able to discuss their performance and training needs. There were several quality checks undertaken by the manager on all aspects of the running of the home. The medication records were checked thoroughly on a regular basis. These checks helped to ensure that the people who used the service lived in a safe and clean environment. The information that was currently available about the functions and services that the home provided (the Service User Guide and Statement of Purpose) had recently been reviewed and updated. This meant that only current information was available about the home, which ensured everyone had good information. The policies and procedures of the service had also recently been reviewed and updated, which meant that the manager and care staff had good, current information available to help them provide a good service. Small amounts of money were kept by the service for the residents. The manager checked this monthly to ensure that this was being handled properly and safeguarded. Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 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 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 2 x x 3 3 3 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 3 Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP19 Good Practice Recommendations The fabric and furniture of the home should continue to be updated and improved to ensure that the residents live in nice surroundings. Staff based files and literature should be removed from the dining room and relocated to somewhere more appropriate. Such items detract from the homely feel of the service. 2. OP19 Stafford House DS0000009702.V377994.R01.S.doc Version 5.3 Page 25 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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