Care Home: Stildon Brendoncare

Similar services:

• The Shelley
• Springfield House
• Sutton Lodge Nursing Home
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court
• Old Hastings House

What the care home does well People receive good care and are treated with respect and kindness. One person said that staff were “very caring and respectful”. Staff are ensuring that people receive the health care support they need. The home listens to people’s suggestions and ideas for improvement – for example for the activities that are being provided. Staff receive the support and training they need to continue to provide a good quality of care. What has improved since the last inspection? We found that all requirements made at our previous visit had been met. The service has increased the times when activities which people can take part in are provided, and increased the number of staff who carry out the activities. People’s suggestions and ideas, for example for a regular coffee morning, are being implemented. Improvements to the environment have included new pathways and equipment in the garden, which have made it more attractive and accessible to people living in the home. What the care home could do better: No requirements or recommendations were made at this visit.Stildon BrendoncareDS0000014746.V375850.R01.S.docVersion 5.2 Key inspection report CARE HOMES FOR OLDER PEOPLE Stildon Brendoncare Dorset Avenue East Grinstead West Sussex RH19 1PZ Lead Inspector Ed McLeod Key Unannounced Inspection 25th August 2009 12:28 DS0000014746.V375850.R01.S.do c Version 5.2 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. Stildon Brendoncare DS0000014746.V375850.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 Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stildon Brendoncare Address Dorset Avenue East Grinstead West Sussex RH19 1PZ 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) 01342 305750 01342 305758 rblatcher@brendoncare.org.uk www.brendoncare.org.uk The Brendoncare Foundation Mrs Rita Beryl Blatcher Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with Nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 32. Date of last inspection 12th August 2008 Brief Description of the Service: Stildon Brendoncare is a purpose built home providing personal care and nursing care for thirty-two persons over the age of sixty-five years but has a variation to enable the admission of the following: Old age not falling within any other category (32) Physical disability (4) Physical disability over 65 years of age (4) Dementia (4) Dementia over 65 years of age (4). The accommodation comprises of thirty-two single rooms all with en-suite facilities. The accommodation is arranged on two floors each having a sitting room, dining room and two large bathrooms. The home is located within a short distance of East Grinstead town centre with its shops and leisure facilities. The home is owned by The Brendoncare Foundation for whom the responsible individual is Ms Karen Smith. The registered manager is Mrs Rita Beryl Blatcher. The range of fees is £819 to £994 per week. Stildon Brendoncare DS0000014746.V375850.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. The inspection visit was arranged to assess the services compliance with the key national minimum standards for care homes for older people, and to assess compliance with requirements made at our previous visit. We prepared for this visit by obtaining the homes annual Care Quality Commission (CQC) quality assessment audit (the AQAA) which told us how they have been running the service and the improvements to the service they have made or are planning to make. The AQAA provided the information we asked for, and was returned by the date by which we had asked for it. In preparation for this visit we sent CQC service user surveys to eight people living in the home, and five were returned to us completed. We sent CQC surveys to eight staff working in the home and seven of these were returned completed. We also took into account information received from the service, for example in the form of notifications, and any views on the service received from other sources. Some of the information received in the period previous to the visit to the service has been included in this report. The visit was carried out by one inspector who was on the premises for four and a half hours. During the visit we spoke with five people living in the home, five members of staff, and the manager. We also sampled care assessments, records and plans for three people living in the home. We observed interactions between staff and people living in the home, including during the serving of lunch. We sampled three sets of staff training, supervision and recruitment records to help assess how staffing arrangements were protecting and meeting the needs of people living in the home. Recruitment and training information on three temporary (agency) staff who had recently worked in the home was also sampled. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 6 Other records we sampled included complaints and health and safety records. What the service does well: People receive good care and are treated with respect and kindness. One person said that staff were “very caring and respectful”. Staff are ensuring that people receive the health care support they need. The home listens to people’s suggestions and ideas for improvement – for example for the activities that are being provided. Staff receive the support and training they need to continue to provide a good quality of care. What has improved since the last inspection? What they could do better: No requirements or recommendations were made at this visit. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 7 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. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 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 Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 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): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident the 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 home all about them and the support they need. EVIDENCE: The five people living in the home who completed CQC survey forms told us that before admission they had received enough information on the service to help them decide about applying for admission, and that they had received a contract/ terms and conditions. We sampled pre-admission assessments for three people admitted to the home, and found that people’s needs were being assessed before admission was being agreed. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 10 Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 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): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If people cannot manage their medicine the care home supports them with it in a safe way. Peoples right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 12 EVIDENCE: At the previous visit a requirement was made that the registered person ensure that a written plan which addresses all the care needs, including the social care needs of the person, is completed. During our visit we sampled the care plans for three people receiving a service. We found that the care plans were setting out how the person’s health and welfare needs are to be met, and included information on how the person’s interests and how they wish their care to be provided. We found that the individual plan of care plan is being regularly reviewed. Mrs Blatcher, the manager, told us that at the monthly reviews things are discussed with the person receiving the care and/or their representative, so that they can have a say in how the care is provided. Mrs Blatcher told us that it had been recognised that there was a need for care plans to better reflect the wishes and preferences of the person receiving the care, and that training had been provided for staff in this. We were also advised that managers for the service have been monitoring care plans to ensure that the improvements the service is seeking have been implemented. The care plans we sampled indicated that since our previous visit are more fully recording the person’s interests, wishes and preferences. We found that care plans were providing more specific guidance for staff on how the person’s needs were to be addressed. The previous requirement was found to have been met. Previous to our visit, we received Care Quality Commission (CQC) surveys completed by five people living in the home. Four of the five respondents told us they always received the care and support they need. All five respondents told us they usually or always received the medical support they were in need of. During our visit we observed that staff were ensuring that each person’s privacy and dignity needs were being supported. For example, people who did not wish to have their meals in communal areas were supported to have their meal in their room, and people who needed assistance with eating were receiving this in an unobtrusive and supportive manner. One person living in the home told us in their survey form that staff were “very caring and respectful”. During our visit we attended a nursing handover meeting. Care and health needs discussed during that meeting indicated that the service is ensuring that people’s needs are being reviewed and revised where appropriate, and that people were being assisted to access the health care support they are in need of. One member of staff told us in their survey form that there was an “excellent rapport with local GPs”. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 13 We discussed medication procedures in the home with a member of staff and sampled some medication records. We found that appropriate arrangements were in place to ensure the safe and consistent administration of medicines, for example ensuring that the person’s medication is regularly reviewed by their G.P. The AQAA tells us that registered nurses have received training in the Liverpool Care Pathway approach to end of life care. At our visit we sampled letters from relatives which complimented the end of life care in the home. One person wrote that “we feel that her last few weeks were made as good as they could have been by everyone’s caring and kind help to her through this difficult time”. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 14 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): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks at a time and place to suit them. EVIDENCE: Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 15 The AQAA tells us that the service have recruited a second activity co-ordinator “to enable more residents to participate in a daily activity”, and that people are being supported to write lifestyle memory books if they wish to do this. At our visit the manager Mrs Blatcher told us that a number of people had shown an interest in completing a lifestyle memory book. The five people living in the home who completed CQC surveys told us that activities which they could take part in were being provided. Two people suggested that more activities be provided at weekends. We discussed this with Mrs Blatcher, who told us that activities are now provided on at least five days of the week where previously they had been provided on three days of the week. This was confirmed by the activities plan for the week which was posted on the notice board in communal areas of the home. Mrs Blatcher said that she was already looking into how some activities could be provided at weekends. She said that a concert was arranged for the coming Saturday, and a theatre outing was planned for a Saturday in the future. Mrs Blatcher said that at the previous residents’ meeting there had been a request for more social events. As a result of this, a monthly coffee morning has been started and Mrs Blatcher advised that this was very popular. Two people living in the home told us that the day before our visit there had been a party to celebrate one person reaching a hundred years of age which had been very enjoyable. On the day of our visit we observed an exercise class taking place which was attended by around ten people. People living in the home are supported to continue with the religious beliefs. For example, on the day of our visit staff told us that one person had received communion. We observed lunch in the home. Portions were served at the table, which allowed people to choose how much they had on their plate. People are offered a choice of meals and specialist diets are being catered for. Main meal choices on the day of our visit included omelette, curry and rice, and fish and chips. Kitchen staff told us that specialist diets such as soft food diets, wheat-free and diabetic diets are being catered for. Lunch started on time, and took place in a calm, relaxed atmosphere. People said they enjoyed the meal, and little food was left on plates. People who needed assistance with eating were receiving this in an unobtrusive and unhurried manner. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 16 Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 17 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): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. If people have concerns about their care they or other 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 AQAA tells us that the complaints procedure has been updated to make it more user friendly. People receive a copy of the complaints procedure in the Service User Guide that they are given when they come to live in the home. During our visit Mrs Blatcher told us that the complaints process was also explained at a recent residents’ meeting. We sampled the home’s complaints policy and proceedure and looked at the records for two complaints which had been received in the past year. We found that complaints were being recorded, acknowledged, and investigated within the timescale set out in the complaints procedure. Records indicated that the Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 18 home was writing to the complainant to advise them of the outcome of the complaint and any action which was being taken. We sampled a number of recent compliments received by the service, and this included a comment that a person receiving care had spent many happy years in the home and had talked highly of all the staff. Policies and procedures are in place to safeguard people living in the home from harm, and training records sampled indicated that staff are receiving regular training in this. There have been no safeguarding concerns in the home since our previous visit. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 19 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): People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People stay in a well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. Their rooms feel like their own, it is comfortable and they feel safe when they use it. EVIDENCE: During our visit we found that the premises were being maintained to a good standard. The garden and grounds are arranged to encourage their use by residents Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 20 and are being well maintained. People we spoke to told us they enjoyed going out in the garden in good weather. Maintenance records were sampled and these indicated that maintenance tasks were usually being undertaken within a day or two of being reported. The AQAA tells us that the home have extended the pathway in the main garden area to enable a circular walk for residents which is also wheel chair accessible. At the request of people living in the home a bird feeding station has been added to the garden. Decoration and furnishing in the home are of a good standard, and there are sufficient communal areas in the home to meet people’s needs. We visited four bedrooms which we found people had been helped to personalise with small items of furniture and with personal effects. The bedrooms seen were furnished to a good standard and included en suite facilities. One person told us in their CQC survey form that the home was “nicely decorated, clean”. All areas of the home visited were found to be clean and free from odours. The five people living in the home who completed CQC surveys told us the home was always or usually clean and fresh. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 21 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): People using the service experience good quality outcomes in this area. We have made this judgement using a range of 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. EVIDENCE: At the previous visit a requirement was made that the service review their staffing levels. Previous to this visit we received CQC survey forms completed by five people receiving a service. Four of the five people told us that staff were available when needed usually or always. We also received CQC survey forms completed by seven members of staff. Six of the respondents told us that there were usually enough staff on duty to meet people’s needs. One member of staff wrote that ““more care staff would be good as it’s always Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 22 so busy and another person on shift in the mornings on each floor would be beneficial to residents”. During our visit it was our observation that people were receiving the personal support they needed when they needed it. For example, sufficient numbers of staff were available during lunch for people to be assisted if they needed this. We sampled some of the staffing level reviews which have been undertaken by the service since our previous visit. We found that staff levels are reviewed in a written format once per month. We sampled the record of a recent review undertaken. This indicated that the review takes into account the dependency needs of the people receiving a service, and makes recommendations for the increase or decrease of staffing levels. Mrs Blatcher advised us that there had been a recent increase in staffing levels for night shifts. The previous requirement was found to have been met. We sampled the recruitment records for three permanent members of staff and found that the required checks and references had been obtained for them before they began work in the home. The AQAA tells us that new staff do not begin work in the home until satisfactory checks and references are received, and that all new staff undergo the required induction training. At our previous visit we found that the home was not always obtaining confirmation that temporary (agency) staff being employed had been appropriately checked and were safe and trained enough to care for people in the home. During this visit we looked at the records obtained for three temporary (agency) staff who had worked recently in the home. We found that the records obtained confirmed the training they had completed and the checks obtained for them. Records sampled also confirmed that the three agency staff had undertaken an induction training in the home. This requirement was found to have been met. At this visit records seen indicated that staff are advised when they are due to undertake or refresh mandatory training, such as health and safety and fire procedures training. Records seen indicated that most staff are up to date with most mandatory trainings, and that trainings planned for September 2009 included food hygiene, manual handling, fire procedures, and infection control. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 23 The seven staff who completed CQC surveys told us that they always or usually felt they had enough support, experience and knowledge to carry out their work. All seven staff told us that the induction training provided told them everything they needed to know before starting work in the home and that they were receiving training which keeps them up to date with good practice and able to meet people’s needs. The seven staff told us in their survey forms that required checks and references were obtained for them before they began work in the home. Comments made in the staff surveys included that there was “lots of training, support when needed” and that “care for residents is excellent”. One visitor was overheard saying that the home was “held in high regard in the local community”. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 24 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): People using the service experience good quality outcomes in this area. We have made this judgement using a range of 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. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 25 EVIDENCE: Training records sampled indicated that the manager has continued to update her training and skills. At this visit we found that the manager has continued to implement improvements to the service, including some things requested by people living in the home. People living in the home who responded to our CQC survey made comments such as it was “an excellent home, the home cares very well for the residents” and that the staff were cheerful and there was a relaxed and friendly atmosphere. People living in the home are being encouraged to make suggestions for improvements for the home, and there is a “future ideas and suggestions” part of the agenda at each residents’ meeting. Ideas from residents’ meetings taken up have included a monthly coffee morning, and providing a bird table for the garden. Mrs Blatcher told us other suggestions such as a gazebo for the garden are being considered. Mrs Blatcher told us that on one evening some people asked if supper could be taken in the garden, and this was arranged and candlelight was provided to heighten the occasion. An annual customer satisfaction survey is carried out in November of each year, and the outcomes of the audit are published for people to read. The AQAA advises us that residents may handle their own finances should they choose to do so. During our visit we looked at the arrangements in place to ensure the proper handling of small amounts of money held on behalf of people living in the home. We sampled receipts, records and account balances, and saw examples of the account report including balances and transactions which is sent to the person or their relative each month. We sampled the supervision records for three members of staff and found that regular supervision which addresses issues of practice, training and development is being provided. The AQAA tells us of the most recent services and checks which have been undertaken on equipment in the home. Training records sampled indicated that staff are being provided with training in health and safety topics such as fire training, first aid, and infection control. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 26 Safety checks in the home are being regularly carried out. For example, on the day of our visit checks were being made to ensure that hot water temperatures in bedrooms were safe. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x n/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 4 3 x x x 4 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 x 3 3 x 3 Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 28 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 Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 29 Care Quality Commission Citygate Gallowgate Newcastle uponTyne 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. Stildon Brendoncare DS0000014746.V375850.R01.S.doc Version 5.2 Page 30 - 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!