Care Home: Stanton Court

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What the care home does well Stanton Court provides a very high standard of care to its residents, who appear to be happy with the service they receive and are content with their daily lives. Staff have a good awareness of individuals` needs and treat the residents in a warm and respectful manner. Residents benefit from a varied activities programme, which is both enjoyable, stimulating and meets individual preferences and expectations. Meals are well presented and menus verify a healthy well balanced diet for all residents who benefit from a wide variety of choice. The home is comfortable and provides a safe, peaceful and well-maintained environment for the residents. The outdoor surroundings provides great pleasure and enjoyment to them. Staffing levels help to ensure that resident`s needs are met. Staffing levels are increased when the dependency levels of the residents change. The home is well organised and managed by an effective, stable management team that promotes the views and interests of the residents. What has improved since the last inspection? Registered nurses training records are up to date. Various improvements and new facilities have been put in place in the house and grounds to the benefit of residents. What the care home could do better: Those medicines for disposal should be entered in the disposal book as soon as they are taken out of use. That the policy and procedures for the safekeeping of resident`s money and valuables be revised and clarified. That the manager completes her RMA and updates her knowledge in management of H&S regulations and practices. CARE HOMES FOR OLDER PEOPLE Stanton Court Stanton Drew Bath & N E Somerset BS39 4ER Lead Inspector Andrew Pollard Unannounced Inspection 14th April 2008 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 Stanton Court DS0000020291.V360466.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. Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanton Court Address Stanton Drew Bath & N E Somerset BS39 4ER 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) 01275 332410 01275 333510 stanton.court@blueyonder.co.uk Brightwell Care Limited Diane Jane Piekarski Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. May accommodate up to 36 persons aged 50 years and over requiring nursing care May accommodate up to 3 persons aged 65 years and over requiring personal care. Staffing Notice dated 22/02/2000 applies Managers must be a RN on parts 1 or 12 of the NMC register. Date of last inspection Brief Description of the Service: Stanton Court Care Home is registered to provide care for 36 residents requiring nursing and personal care. The home is situated in the village of Stanton Drew near Chew Magna. The home can be accessed by car and public transport services and is approximately 20 minutes from Bristol or Bath. The cost per week to reside at Stanton Court ranges from £527.00 to £744.00. Fees are reviewed annually. This weekly fee does not include provision for items such as hairdressing, chiropody, dental, ophthalmic, or audiology services. Prospective residents can be provided with information about the home by accessing the Service Users Guide, which will detail the services and facilities available at the home. Four day care places are available in the home as only 32 of the thirty six beds are routinely used. Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection visit conducted as part of the annual inspection process. Prior to the visit the inspector spent some time examining documentation accumulated since the previous inspection, including the Annual Quality Assurance Assessment (AQAA), notified incidents (Regulation 37’s) and the reports conducted by the Registered Providers (Regulation 26’s). The inspector sent questionnaires “Have your say” to all residents in the home prior to the inspection and 17 were completed and returned. Surveys were also given to relatives, visitors, staff and visiting health and social care professionals, 12 staff, and 1 health professional and 12 relative surveys were also completed and returned. Information from these has been collated and is detailed throughout the report. The inspector spent time throughout the visit in discussions with the registered provider, Mr Townsend and the manager Ms Piekarski and a number of residents. Residents care plans and care files were examined. Records and files relating to the day-to-day running and management of the home were examined. The inspector toured the premises. Feedback was given as the visit progressed on the outcome of the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. We came to this quality rating at the last key inspection. What the service does well: Stanton Court provides a very high standard of care to its residents, who appear to be happy with the service they receive and are content with their daily lives. Staff have a good awareness of individuals’ needs and treat the residents in a warm and respectful manner. Residents benefit from a varied activities programme, which is both enjoyable, stimulating and meets individual preferences and expectations. Meals are well presented and menus verify a healthy well balanced diet for all residents who benefit from a wide variety of choice. Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 6 The home is comfortable and provides a safe, peaceful and well-maintained environment for the residents. The outdoor surroundings provides great pleasure and enjoyment to them. Staffing levels help to ensure that resident’s needs are met. Staffing levels are increased when the dependency levels of the residents change. The home is well organised and managed by an effective, stable management team that promotes the views and interests of the residents. 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. Stanton Court DS0000020291.V360466.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 Stanton Court DS0000020291.V360466.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): 1,2,3,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective clients and their families are given relevant information in written or verbal form about the home. Contracts and terms and conditions of services are provided to all clients. The assessment procedure is clearly written and a thorough assessment of prospective residents needs is carried out. Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 9 EVIDENCE: A brochure containing a service user guide and statement of purpose and other information is made available to prospective residents and their families. All residents and relatives stated in their surveys that they and their families had received information about the home prior to admission. The service user guide is to be revised to include more detailed admission criteria due to the Commissions intended removal of restrictive conditions. The pre-admission assessments were fully completed and informative. The manager or a senior nurse and senior carer meet with prospective residents and their families prior to admission. The prospective resident, family and carers are involved in the assessment and all information is used to determine the suitability of the placement. Where possible the manager obtains assessments and care plans from other professionals for example, social workers and hospital staff. Assessment is an ongoing process and following admission to the home a full detailed assessment of the residents care needs are established and regularly reviewed. Assessments seen had been regularly reviewed and updated, this included the risk assessments. Prospective residents are encouraged to visit the home either for the day or perhaps for a meal. People spoken with felt the home had a good reputation and there is a waiting list for admission. A month’s trial period on both sides is usually undertaken to ensure that everyone is happy with the arrangements and to ensure that the placement is suitable. Residents’ files contained contracts, terms and conditions and a breakdown of fees, which are signed on admission. All residents confirmed in their surveys that they had received a written contract. Residents are referred to the Primary Care Trust for assessment of funding under the Registered Nurse Contribution (RNC) or Continuing Health Care (CHC) funding. Stanton Court DS0000020291.V360466.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): 7,8,9,10,11 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Staff have a good awareness of individuals’ needs and treat the residents in a warm and respectful manner. Care plans are detailed and relate to residents care needs. They are well written giving clear directions to staff. The staff provide appropriate personal and nursing care to maintains residents’ health, well-being and dignity. Good arrangements are in place for residents to access primary healthcare services. The staff properly store, administer and record medication on behalf of residents. Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 11 EVIDENCE: Resident’s case files were examined during the inspection. It is intended that each resident has a brief biography written and a person centred assessments where their wishes, likes and dislikes are put at the centre of the care provided. The information supports people’s health and social needs including, psychological, emotional, and cultural needs, which demonstrates that the home takes a holistic approach to the provision of care. It is intended that more emphasis is to be put on developing the person centred care planning approach this year. All care plans are evaluated each month and all Registered Nurses are involved with this process. A care review meeting takes place every six months for each resident, with the involvement of family members and key worker wherever possible. The reviews allow opportunity to discuss and evaluate residents’ care plans and any issues or concerns they may have. End of life Care Plans are becoming established in the home whereby residents are encouraged to think ahead about the care they would like to receive if their health deteriorates. The manager is going to introduce the Liverpool care pathway documentation in the near future, which will further enhance this aspect of care. Residents spoke positively about the staff and the care they receive. All were confident that if they had any problems they could talk to the staff or the manager who would sort them out. Relative surveys said they are made very welcome at the home. Staff interactions with residents showed respect for their privacy and dignity. Residents and visitors with confirmed that residents were treated with respect. Each resident is referred to a General Practitioner (GP) on admission to the home and an initial first visit is arranged. The GP conducts a weekly visit to the home and will visit on request. All residents stated in their surveys that they receive good medical support. Health Care needs were clearly detailed in the care files and included, wound care, nutritional, and pressure area risk assessments. All care plan elements are regularly reviewed. We discussed the value of photographs in wound management and it was suggested they have limited value and in general should not be used. Daily notes are maintained for all residents. Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 12 Records of the GP and Consultant visits and those from other professionals were evidenced in files including, chiropodists, opticians and dentists. Policies and procedures for receiving, storing, administering and disposing of medications are in place and meet with current legislation. The receipt, administration, disposal and controlled drug records were up to date and in order. The pharmacist who supplies the medication also receives unwanted medication for disposal. It was suggested that medicines for disposal should be entered in the disposal book as soon as they are taken out of use. None of the current residents wish to or are able to self medicate at the present time. Stanton Court DS0000020291.V360466.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. A range of social and recreational activities is arranged that seek to enhance the quality of life for the residents, which is both enjoyable, stimulating and meets individual preferences and expectations. Residents are able to maintain close contact with families and friends. Resident’s families are informed of issues related to their relatives and to take part in activities running in the home. The food is of a high standard and provides a balanced diet for residents. EVIDENCE: In conjunction with the staff Mr and Mrs Townsend develop a varied annual and monthly calendar of activities. A month-by-month list of events such as; theatre, fashion show, reminiscence and events in the garden. Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 14 The monthly calendars are colourfully designed with pictures, anecdotes and reminders for residents informing them of social events, hairdressing and GP visits, and important dates such as residents’ birthdays and public holidays. A copy of the calendars are circulated to residents and placed in communal areas to ensure that residents and visitors are aware of planned activities. Trips and outings are arranged throughout the year. Regular entertainment is provided in the afternoons including singers and guest speakers. Special events are arranged throughout the year and residents and visitors are sent invitations to attend. The relatives and staff are developing resident’s thumbnail biographies and social profile, which provide interesting facts and life history information about each person. There has been some progress in this regard but the manager is working on gathering more detailed data. Residents meetings take place approximately six times a year to which relatives are also invited. The surveys returned indicated that people said there were “always” activities arranged that they could take part in or “usually” so. Relatives indicated they were always kept up to date with important issues affecting their relative. Comments included, “There is always good humour, care and support given to residents and families” and “ Good all round services, good events, helpful and friendly staff”. A photographic display of memorable days and events is on view in the corridor, which is regularly updated and provides memories and topics of conversation for residents. The grounds and gardens are extensive at Stanton Court and the residents take advantage of sitting on the terrace enjoying the country views when the weather permits. A new wheelchair path has been laid in the garden and gazebo and pergola erected. A link has been made with a local school to set up a gardening club, which has been a great success. The home also has a mobile shop and residents can buy a range of useful dayto-day items, including toiletries, sweets and a selection of greeting cards. The hairdresser visits weekly. Clergy of Christian denominations visit the home. A monthly service and communion takes place. Songs of praise takes place bi-weekly There are currently no residents with other faith backgrounds but the home would seek to meet any cultural or religious practice requirements of new residents. Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 15 In surveys relatives said that they found the home to be welcoming and the staff ‘friendly and caring” and had enjoyed attending various events at the home. Residents said that the social activities were varied and there were lots of opportunities to do things if you wanted to. The cook spends time with the residents on a regular basis to see if they are happy with the menus. There are details of individual likes and dislikes kept in the kitchen and special diets including diabetic diets were catered for. The rotational menu offers traditional food and choice is available at each meal. The menus are reviewed to reflect seasonal trends and availability of produce. Specials are ordered on request for birthdays and other occasions. Fresh fruit and vegetables are delivered daily and bowls of fruit are on offer throughout the day. Fruit and vegetables are also produced in the homes gardens. Surveys confirmed that residents enjoyed the meals provided, as did those spoken with. The kitchen had received an inspection by the Environmental Health Inspector and all was found to be in order. Stanton Court DS0000020291.V360466.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 Excellent. This judgement has been made using available evidence including a visit to this service. There are good arrangements in place for staff training and awareness related to safeguarding of adults. There are robust and comprehensive policies in place to protect residents investigate complaints or manage any allegations of abuse. EVIDENCE: A copy of the complaints procedure is on display in a well-frequented part of the home. There have been no complaints received by the home or the Commission. All the residents who completed a survey indicated that they knew how to complain and who to talk if they were not happy. No surveys indicated that any complaints had been made. Comments included, “I’ve never need to complain”. Relatives confirmed that they were aware of the homes complaints policy and procedure. Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 17 The healthcare professional who responded indicated that they had never had any concerns about care. The home promotes staff training and education in the protection of vulnerable adults (POVA) on induction and by annual updates. Training has been booked for staff updates by the local Authority A number of staff are undertaking the National Vocational Qualification in care award, and a component of the award addresses issues around the topic of safeguarding adults from abuse. There are procedures as well as a range of guidance information on the topic of protection from abuse’ The manager has attended both alerters and investigators adult protection training facilitated by the Local Authority. The home has a copy of the Bath and North East Somerset “No Secrets” or multi agency working policy. The General Social Care Council code of practice has been distributed to the care staff. Stanton Court DS0000020291.V360466.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): 19,20,22,23,25,26 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. The home is comfortable, well decorated and furnished. It provides a safe, peaceful environment for the residents. The standard of furnishing and décor is high to the benefit of residents. The bedrooms and communal rooms and facilities are suitable and well presented for their purpose and meet the resident’s needs. The grounds are very well presented and accessible to residents. The standard of cleanliness is high. Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 19 EVIDENCE: The home is set in a quiet village, near to a church and village pub. The owners have renovated and refurbished the home to a high standard whilst retaining original character features. The building is an older spacious converted property, built over three floors, with a range of suitable adaptations in place throughout the home to assist people who may have limited mobility. There is lift access to each floor. The lift is small but it would be impractical to enlarge it. Stanton Court is surrounded by two acres of landscaped gardens, with wellstocked flowerbeds, established trees and shrubs and a well-tended lawn. There are various semi-private seating areas with plenty of sun screening. The gardens provide peace, tranquillity and enjoyment for the residents and visitors throughout the year. A new wheelchair path has been laid in the garden and gazebo and pergola erected. Strawberry teas and BBQ are planned for the coming summer. There is a large vegetable area and orchard at the back of the garden, which has provided various produce throughout the year for residents and visitors to enjoy. The planting includes apricots, raspberries, pears, plums, marrows and pumpkins. This venture is tended and enjoyed jointly by all residents and staff. The home is well decorated, clean and maintained to ensure that all areas are homely. Residents are supported to personalise their bedrooms with pictures and ornaments and are able to bring items of furniture should they wish. The home provides specialist equipment when necessary including pressure relieving equipment, profiling beds and electric reclining chairs for the residents in the home. A new resident WC, parker bathroom have been installed and wheel in shower planned for the current year for the benefit of residents. Work continues to create additional En-suite facilities in bedrooms. The house was clean and free from unpleasant odours. The home employs domestic staff on a daily basis. Residents’ surveys confirmed that the home is always fresh and clean and one resident stated, “There are very good standards of cleaning”. The kitchen was well equipped, clean and spacious. A recent Environmental Health check found everything to be in order. The laundry has been rebuilt and the freezer room refurbished. Stanton Court DS0000020291.V360466.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): 27,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment procedures and records are in good order to protect residents. The home is well staffed with appropriately trained and experienced staff for the number of residents. Training records are up to date. Good progress is being made training care staff for the benefit of residents. EVIDENCE: The staffing levels are in accord with or exceed the staffing notice. The manager ensures that staffing levels are related to the level of care required by the residents. The majority of the manager’s hours are supranumary. The domestic, catering, admin and laundry staffing levels are satisfactory. Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 21 There is a warm cheerful atmosphere in the home The staff/resident interactions were respectful and caring. Staff have a committed attitude to their roles and responsibilities in ensuring they provide quality of care to the residents. All residents and relative surveys agreed that staff were available when they needed them and listened and acted upon what the residents had to say. The inspector viewed the personnel records for several staff members including new recruits. Staff files seen showed that employment records were in good order. It was suggested that standardised questions could be used in interviews so that comparative outcomes can be seen in recorded responses. Criminal Records Bureau (CRB) disclosures are carried out prior to recruitment but thereafter not repeated. Registered Nurse PIN’s are validated annually. Staff turnover rates are very low. The home has a small bank of staff and agency use is minimal. There is an induction programme based on skills for care guidelines, which includes all mandatory training, Fire, Manual Handling, Health and Safety and the Protection of Vulnerable Adults. The home has a mentor system where all new staff are linked with and shadow a senior staff member during each shift to enable continuity and continued training throughout the induction process. The home continues to support their staff with their NVQ training. There are three staff trained to level 3 and other on programmes, who are proposed to be team leaders. The majority of staff will train to level 2 facilitated by Bristol City College. Care staff records and the homes training matrix confirmed that training was up to date and future courses had been arranged in food hygiene, 1st aid, load handling infection control, H&S and adult protection. The nurse training records related to clinical updating were up to date. Currently all nurses are undertaking updates in tissue viability. A detailed handover takes place between shifts. Staff meetings are held roughly six times per year. Stanton Court DS0000020291.V360466.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): 31,33,36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run taking into account the views and wishes of the residents and relatives, as they are able. There are good arrangements in place to maintain and service the equipment and facilities in the home. The policy regarding management of valuables and money needs revising. The Home protects the health and safety of residents and staff. The staff supervision and appraisal arrangements are good. Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 23 EVIDENCE: Diane Piekarski was appointed as manager at Stanton Court in October 2005, she is able to demonstrate effective leadership and management skills that support the aims of the home and is fully supported by Mr and Mrs Townsend. Ms Piekarski has part completed her RMA but is looking for a new provider as the previous provider has ceased operating. The home has a stable staff team that has a commitment to providing quality care for the benefit of the residents. Mr and Mrs Townsend encourage innovation within the team, which demonstrates an open and inclusive atmosphere. All staff receive supervision roughly every three months and an annual appraisal from which learning needs are identified. Some of the other senior staff have been trained to carry out supervisions so the manager can in part delegate the role out. The home holds money and valuables in safe keeping for a small number of residents. Records are kept but they are not clear or easy to follow audit trails and some items were not identifies as belonging to anyone. Secondly there needs to be a clear policy as to what to do with lost/found property. The manager has indicated that she will rewrite the policies and procedures to ensure better clarity in future. Regular staff meetings are held, enabling staff to have input and receive feedback concerning the running of the home. Staff surveyed agreed that the manager encourages an open and positive atmosphere and they feel confident to approach the manager with concerns. Regular resident/relative forums are held and play an active role in shaping the provision of care and services in the home. The results of the resident/relative surveys and discussions with residents were overwhelmingly positive with all aspects of care, food, activities and the quality of staff being praised. Based on the comments made and through the inspectors observation it is evident that the home is run in their best interests and to ensure their needs are being met. Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 24 The provider has recently carried out an annual quality assurance survey of residents and relatives to assess the satisfaction with regards to the service that the home provides. Although not fully analysed the initial results are very positive. The results have enabled the home to identify strengths and weaknesses within the service and provide information to create a development plan for the following year. One issue identifies in the home survey and the commissions survey was the need to have a call bell system in the lounge, Mr Townsend is dealing with this. Resident comments included,” The staff are very kind and considerate, and there is a good varied programme of events” and “The care staff and catering are excellent”. Health and safety records showed that relevant inspections and maintenance has been carried out at the required intervals for the fire alarm, fire fighting equipment, gas and electrical services, hoists, lift and all other relevant services and equipment. Detailed audits of plant and equipment are carried out regularly. Generic risk assessments have been reviewed for the resident and staff areas. These have been updated with records accordingly. The manager been delegated responsibilities for aspects of Health and safety in the home and has had some previous training but considers she needs to update her knowledge. The home has a system of training staff in Moving and Handling. Accident records/Reg 37 notices are properly completed. Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 25 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 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 x 18 3 4 4 3 3 x 3 x 4 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x 3 2 3 Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP9 OP37 OP31 Good Practice Recommendations Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Stanton Court DS0000020291.V360466.R01.S.doc Version 5.2 Page 28 - 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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