Care Home: Stoneleigh Residential Care Home

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What the care home does well The home offers a relaxed, friendly and homely environment and all residents and their relatives spoken with and surveyed confirmed that they are happy living there. Daily routines are flexible and staff accommodate individual lifestyle choices, whilst enabling residents to remain as independent as possible. Care planning records clearly evidence the home`s person-centred approach to the care of its residents. The home offers a varied menu, which allows for individual choice and preferences, and residents enjoy their meals in a relaxed and pleasant environment. Comments made by residents and their relatives include: "I am very happy here" "Very good food" "Cared for very well" "The care I had when I was very ill was excellent, and done with kindness", "The staff at Stoneleigh are very considerate, friendly & obliging", "I can`t fault the care and attention in any way" and "Enjoying fruit & vegetables that we didn`t get before with the previous owner". What has improved since the last inspection? The providers have continued to decorate and improve the premises. All bedrooms have been decorated and re-carpeted and residents have been able to choose a carpet of their liking. One of the two staircases has had a new stairlift fitted and been re-carpeted. The other staircase will also be recarpeted once the stairlift is replaced on those stairs. Any bedroom handbasins that were cracked or stained have been replaced. Hot water temperature regulars and radiator thermostats have been fitted. When the new owners purchased the property a condition of the sale was that part of the land would not be included, therefore reducing the size of the garden to the rear of the home and excluding 3 bedrooms at the end of a ground floor extension. The new boundary of the land has now been marked by a stonewall and the 3 bedrooms that fell outside of this line are no longer occupied. A self contained flat upstairs in the home has been converted into 3 bedrooms to replace the 3 bedrooms that are now not part of the home. The garden to the rear of the property has been re-paved to provide a safe and pleasant patio area outside the dining room. Residents and their families have been consulted and kept informed of changes that have taken place in the home. Controlled drugs are now being locked in a separate cabinet that is secured within the medication cupboard. Notices have been put on the door of the medicine room where oxygen is stored and on the resident`s room who uses oxygen. What the care home could do better: One of the new rooms has a door that opens out onto a roof space that has been found not to be safe to walk on. The resident had wanted to keep the door to give the room light and air and the providers are considering making the roof safe to use at some point in the future. However, the providers must fit the door with a devise to restrict its opening to ensure the safety of the resident. A clear record of any monies held on service users` behalf must be kept and the money stored securely. The providers must carry out a health & safety risk assessment of the premises and update the fire risk assessment. The responsible individual must carry out a monthly audit of the home and submit a copy of the report to CSCI. The references format should be amended so that the name of the referee is recorded and is signed and dated by the referee. An overview of staff training should be recorded as well as individual training record for each member of staff. CARE HOMES FOR OLDER PEOPLE Stoneleigh Residential Care Home 24 Clarence Road South Weston Super Mare North Somerset BS23 4BN Lead Inspector Carole White Key Unannounced Inspection 09:30 31st October 2007 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 Stoneleigh Residential Care Home DS0000067446.V345949.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. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stoneleigh Residential Care Home Address 24 Clarence Road South Weston Super Mare North Somerset BS23 4BN 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) 01934 626701 enquiries@stoneleighwsm.com Stoneleigh Residential Care Home Ltd Mrs Tracey Underwood Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Manager to complete registered managers award within the first year of registration. Window restrictors to be fitted to upstairs windows within first month of registration. Hot water temperature regulators and radiator covers to be fittered within first six months of registration. 8th August 2006 Date of last inspection Brief Description of the Service: Stoneleigh provides personal care for up to 25 older people. It is a Victorian house with a ground floor extension, located close to the beach and about a mile from Weston-super-Mare town centre. There is easy, level access to the local shops and the home is opposite a park. The home aims to provide individualised care by adapting the service to meet varying needs, and by creating an open culture in which people feel supported to follow their preferred lifestyles. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit that took place over one day totalling eight and a half hours as part of the key inspection. A tour of the premises was conducted and records were examined. The inspector spoke with the members of staff on duty and with several residents. On the day of the inspection the home had 22 residents. Surveys forms were sent to the home prior to the inspection and given to residents. 7 surveys forms were returned from residents and 5 from relatives/visitors and 2 comment cards from health professionals. What the service does well: The home offers a relaxed, friendly and homely environment and all residents and their relatives spoken with and surveyed confirmed that they are happy living there. Daily routines are flexible and staff accommodate individual lifestyle choices, whilst enabling residents to remain as independent as possible. Care planning records clearly evidence the home’s person-centred approach to the care of its residents. The home offers a varied menu, which allows for individual choice and preferences, and residents enjoy their meals in a relaxed and pleasant environment. Comments made by residents and their relatives include: “I am very happy here” “Very good food” “Cared for very well” “The care I had when I was very ill was excellent, and done with kindness”, “The staff at Stoneleigh are very considerate, friendly & obliging”, “I can’t fault the care and attention in any way” and “Enjoying fruit & vegetables that we didn’t get before with the previous owner”. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? The providers have continued to decorate and improve the premises. All bedrooms have been decorated and re-carpeted and residents have been able to choose a carpet of their liking. One of the two staircases has had a new stairlift fitted and been re-carpeted. The other staircase will also be recarpeted once the stairlift is replaced on those stairs. Any bedroom handbasins that were cracked or stained have been replaced. Hot water temperature regulars and radiator thermostats have been fitted. When the new owners purchased the property a condition of the sale was that part of the land would not be included, therefore reducing the size of the garden to the rear of the home and excluding 3 bedrooms at the end of a ground floor extension. The new boundary of the land has now been marked by a stonewall and the 3 bedrooms that fell outside of this line are no longer occupied. A self contained flat upstairs in the home has been converted into 3 bedrooms to replace the 3 bedrooms that are now not part of the home. The garden to the rear of the property has been re-paved to provide a safe and pleasant patio area outside the dining room. Residents and their families have been consulted and kept informed of changes that have taken place in the home. Controlled drugs are now being locked in a separate cabinet that is secured within the medication cupboard. Notices have been put on the door of the medicine room where oxygen is stored and on the resident’s room who uses oxygen. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 7 What they could do better: One of the new rooms has a door that opens out onto a roof space that has been found not to be safe to walk on. The resident had wanted to keep the door to give the room light and air and the providers are considering making the roof safe to use at some point in the future. However, the providers must fit the door with a devise to restrict its opening to ensure the safety of the resident. A clear record of any monies held on service users’ behalf must be kept and the money stored securely. The providers must carry out a health & safety risk assessment of the premises and update the fire risk assessment. The responsible individual must carry out a monthly audit of the home and submit a copy of the report to CSCI. The references format should be amended so that the name of the referee is recorded and is signed and dated by the referee. An overview of staff training should be recorded as well as individual training record for each member of staff. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 8 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. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 9 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 Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 10 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, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Current and prospective residents are good information about the services that the home can offer. Residents have had their needs assessed and they know that the home has the ability to meet their personal care needs. EVIDENCE: The home’s Statement of Purpose has detailed information about the services and facilities that the home provides. The home has also developed a Service Users’ Guide, which is given to the prospective resident or their representative prior to moving into the home enabling them to make an informed choice. Copies of the Service User’s Guide were seen in resident’s rooms on the day of the site visit. Four files were examined and all had evidence that the manager had visited the prospective residents prior to them moving into the home to carry out an assessment of their needs. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 11 The needs assessments give details of the resident’s daily living, social activities, likes and dislikes, family involvement, spiritual and emotional wellbeing and medication. Each resident has been given a contract that now states the number of their room. Evidence from speaking with residents and their relatives and surveys received confirms that residents feel that the home can meet their needs. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs are recorded in a care plan that is developed with the residents. Resident’s health care needs are fully met. Residents feel that they are treated with respect and their privacy is upheld. EVIDENCE: All of the files examined had a photograph of the resident and a copy of their care plan with evidence of monthly reviews. Care plans give clear information about the areas that residents require assistance with and the actions that staff need to take to meet those needs. Care plans also clearly evidence the home’s person-centred approach to the care of its residents. The home carries out a general risk assessment for all residents and for most this format gives sufficient information to identify any potential risks to the residents or the environment. However, it would be helpful to record a separate risk assessment when a specific risk is identified, especially the risk of falls. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 13 Although, it is noted that a resident who had recently experienced some falls had full details of the falls recorded on an incident record. The care plan had also been updated to reflect the change in the individual’s condition, and actions for staff to take as a result of the individual’s decreased mobility. Staff write in each resident’s daily notes and some entries made in the individual’s care notes read, “care as plan”. It was discussed with the manager that this is not very informative, although the communication book used by staff did contain more detailed information. Medication is administered through a dosage system and a senior care worker administers the medication to the residents. Medication is stored appropriately and records examined were found to be correct. Controlled drugs are now being locked in a separate cabinet that is secured within the medication cupboard. Stoneleigh Residential Care Home DS0000067446.V345949.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11 - 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are offered a range of activities within the home that enables them to have choice and flexibility in their lifestyle and residents are able to receive visitors at their convenience. The home offers a balanced choice of meals in a relaxed and pleasant environment. EVIDENCE: The home has residents meetings every 3 months and at these meetings discussions take place to agree activities that residents would like to take part in or trips that could be arranged. A visiting activities co-ordinator holds weekly group exercise classes and conducts one-to-one sessions with individual residents in their rooms. A hairdresser also attends each week and residents spoken with clearly looked forward to this. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 15 The home is situated in a pleasant part of the town opposite a park and close to the sea front. Some residents spoken with go out regularly on their own and others who like to go out, but are happier to be accompanied, confirmed that staff are always willing to go out with them for short walks. The visitor’s book confirmed that residents receive regular visits from relatives. Resident’s spoken with confirmed that their visitors are always made welcome. The home has a relaxed, friendly and homely environment and all residents spoken with and surveyed confirmed that they are happy living there. The interaction observed between residents and staff is good and staff are kind and attentive to their needs and wishes. Daily routines are flexible and staff accommodate individual lifestyle choices, whilst enabling residents to remain as independent as possible. The home offers a varied menu, which allows for individual choice and preferences, and residents enjoy their meals in a relaxed and pleasant dining room. The new owners use fresh vegetables and fresh meat and the cook bakes fresh cakes every other day for tea. Residents spoken with and surveyed all confirmed that they like the food and clearly enjoy meal times and see it as a social occasion. Some residents spoken with made a point of commenting that they particularly like the vegetables that are served and having fresh fruit available. During the visit to the home residents were observed being offered regular drinks and jugs of water or squash were placed in each room. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a simple, clear complaints procedure and residents know how to access it. The home promotes the protection of residents from abuse through the training and awareness of staff. EVIDENCE: Appropriate procedures are in place for the management of any complaints. The home has not received any complaints since the last inspection and neither has the commission. It is clear that the new manager of the home has worked hard to achieve a more open culture and to encourage residents to feel confident about raising concerns. The complaints procedure is clearly displayed in the entrance hall and is written in an informal and friendly way. All staff are given training in the Protection of Vulnerable Adults as part of their initial induction. Staff spoken with demonstrated that they had a good understanding of how to identify potential abuse and report it. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean and well-maintained environment with comfortable bedrooms, that they are able to personalise with their own furniture and possessions. However, one room presents a potential safety issue which if resolved will meet with the standard of the rest of the home. EVIDENCE: Stoneleigh is an attractive Victorian property with lovely features in the original part of the building. It has pleasant lawned gardens at the front of the home with ample space for parking. The home has 23 bedrooms, two of which could be used as shared rooms, making a possible total of 25 residents. Although the providers do not plan to use the double rooms for two people unless anyone specifically asks to share a room. The home has two lounges, the larger lounge has a television and the smaller lounge has a keyboard that is used by some residents. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 18 The smaller lounge is also used each day for a pre-lunch glass of sherry and several residents commented that they go into this lounge each day for their sherry, which they enjoy. When the new owners purchased the property a condition of the sale was that part of the land would not be included, therefore reducing the size of the garden to the rear of the home and excluding 3 bedrooms at the end of a ground floor extension. The new boundary of the land has now been marked by a stonewall and the 3 bedrooms that fell outside of this line are no longer occupied. A self contained flat upstairs in the home has been converted into 3 bedrooms to replace the 3 bedrooms that are now not part of the home. The garden to the rear of the property has been re-paved to provide a safe and pleasant patio area outside the dining room. The owners intent to involve the residents in the planting of plants and landscaping the area. Two of the bedrooms that have patio doors that are open out close to the newly built wall have had to have the paths that gave access to the outside repositioned. On the day of the site visit one resident and her relative were upset that the builders had put steps in place that were clearly too steep for the resident to manage. A discussion took place with the manager/owner and she assured them that she would ensure that changes were made to make access to the outside safe for the resident. The manager was observed speaking with the builders and arrangements were put in place to remedy the situation. The providers have continued to decorate and improve the premises. All bedrooms have been decorated and re-carpeted and residents have been able to choose a carpet of their liking. A requirement was made at the last inspection to ensure that the two stairlifts were regularly serviced. However, when a service was carried out it was found that due to the age of the equipment it would be easier and safer to replace the lifts altogether rather than repair them. One stairlift has already been replaced and the stairs and hall re-carpeted. The other staircase will also be re-carpeted once the stairlift is replaced on those stairs, which has been arranged. Any bedroom handbasins that were cracked or stained have been replaced. Hot water temperature regulars and radiator thermostats have been fitted. Residents and their families have been consulted and kept informed of changes that have taken place in the home. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 19 A tour of the premises was conducted and the home was found to be well maintained, clean and free of any unpleasant odours. One of the new rooms, in the part of the home that has been converted from the self-contained flat, has a door that opens out onto a roof space that has been found not to be safe to walk on. The resident had wanted to keep the door to give the room light and air and the providers are considering making the roof safe to use at some point in the future. However, in the meantime the providers must fit the door with a devise to restrict it’s opening to ensure the safety of the resident. Notices have been put on the door of the medicine room where oxygen is stored and on the resident’s room who uses oxygen. Stoneleigh Residential Care Home DS0000067446.V345949.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 - 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s recruitment practices and numbers of staff working protect residents, although this would be better evidenced if references showed details of the referee. The home ensures that staff are trained and competent to carry out their work in order to meet residents’ personal care needs. However, keeping an overview of staff training and individual training records will further enhance this. EVIDENCE: On the day of the inspection two members of staff were on duty and the manager was also available to assist staff and spend time talking to residents. All residents and relatives spoken with and surveys received confirmed that the staff are competent to do their jobs. Four staff files were examined and all contained the relevant information. One worker had commenced employment with the home under supervision until her full Criminal Record Bureau check was received. The manager confirmed that she had been given verbal confirmation that the worker had been checked for the Protection of Vulnerable Adults list. However, it would be helpful if the files incorporated a checklist so that a clear record of the status of any application could be clearly seen. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 21 The reference format does not have provision for the referee to give their name and the name of the organisation nor does it ask for a signature and date. It is therefore recommended that the reference format be amended so that the name of the referee is recorded and is signed and dated by the referee. Staff are being trained and are up to date with fire training and other mandatory training. Although keeping an overview of staff training and individual training record for each member of staff would evidence this better and provide a good basis for staff one-to-one supervision and appraisals. The home has continued with its on-going programme of NVQ training and many staff who had been previously reluctant to undertake this training have now started the programme will the encouragement and support of the manager. Stoneleigh Residential Care Home DS0000067446.V345949.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, 32, 33, 35, 36, 37 & 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 run in the best interests of the residents and residents’ financial interests are safeguarded, although keeping a record of monies held for residents would further enhance this. The health, safety & welfare of the residents and staff are promoted and protected. However, residents and staff would be further protected if a risk assessment of the premises was recorded and the fire risk assessment updated. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 23 EVIDENCE: It is clear that the home is run in the best interest of the residents. The relaxed and homely environment and open culture ensure that residents have a good quality of life. Most of the major work to the premises has now been completed and residents spoken with confirmed that they had been consulted and keep informed of changes as they occurred and now seemed happy with the improvements made to their home. Many new recording systems have been put in place and staff have been consulted and involved in these changes. It was clear from speaking to staff that the home has an open culture that welcomes and encourages them to contribute their views to the running of the home. Evidence was seen of staff meetings where open discussions take place to decide ways in which the running of the home can be improved for the people who live there. Staff spoken with on the day of the visit were enthusiastic and passionate about their work and clearly worked together with the owners as a team. Tracy Underwood has nearly completed her registered managers award and continues to keep herself up to date with relevant training and practices. Small amounts of money are held for some residents to enable the home to pay for small purchases and services such as the hairdresser of residents’ behalf. A clear record must be kept of any monies held on service users’ behalf and the money held securely. There is clear evidence that staff have regular meetings and have informal supervision and are supported in their work by the open culture of the management of the home. The manager has not yet set up a systematic programme for regular formal one-to-one supervision. She is about to appoint a senior carer and envisages that this will help her to achieve regular formal supervision of staff. An outside agency carries out fire training with all staff on a regular basis and helped the owners complete the homes fire risk assessment. However, the providers must complete a health & safety risk assessment of the premises and update the fire risk assessment that is just out of date. Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 24 The manager/owner is very involved in the day-to-day running of the home and likes to be ‘hands-on’ with the residents. Most of her energy has been put into ensuring that the residents are happy and well cared for and sometimes she finds it difficult to keep systems up to date. It was discussed that her business partner, who is the responsible individual, could oversee this by carrying out a monthly audit of the home as is required under the regulations. The commission no longer insists that these reports are sent to the commission’s office each month, but made available at inspections. However, it was agreed at the inspection that the first one is submitted to the commission and afterwards keep at the home for examination at future inspections. Stoneleigh Residential Care Home DS0000067446.V345949.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 3 3 X 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 2 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 2 3 3 2 Stoneleigh Residential Care Home DS0000067446.V345949.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. 1 Standard OP19 Regulation 23 Requirement Ensure that the door in the identified resident’s room that opens onto the roof space has a devise attached to restrict its opening. Keep a clear record of any monies held on service users’ behalf and store the money securely. Carry out a health & safety risk assessment of the premises and update the fire risk assessment. The responsible individual must carry out a monthly audit of the home and submit a copy of the report to CSCI. Timescale for action 30/11/07 2 OP35 16(2) (l) 31/12/07 3 4 OP38 OP38 23 26 30/11/07 31/01/08 Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 27 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 OP29 Good Practice Recommendations The references format should be amended so that the name of the referee is recorded and is signed and dated by the referee. An overview of staff training should be recorded as well as individual training record for each member of staff. 2 OP30 Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South West Regional Office 4th Floor 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 Stoneleigh Residential Care Home DS0000067446.V345949.R01.S.doc Version 5.2 Page 29 - 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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