Care Home: Tallington Rest Home

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What the care home does well This home provides clean and comfortable accommodation for residents. Residents` comments were positive about the care and services provided and staff members were observed carrying out their duties with sensitivity towards residents. One person said, "You should book your place here". All residents spoken to said they felt safe at the home and staff were kind. Various training sessions have been arranged for staff since the change of ownership. This has helped to ensure staff have up to date knowledge and skills to provide appropriate care to meet peoples needs. What has improved since the last inspection? This is the first inspection since the change of ownership of the home therefore this does not apply; however the acting manager and a company representative confirmed that it is planned for the home to be completely redecorated and refurbished. Some structural alterations are also future aims to provide more bedrooms that have en-suite facilities, which will provide residents with more privacy. What the care home could do better: The Statement of Purpose and Service User Guide must include more information about aspects of the service such as room sizes and facilities and numbers of staff so that people have sufficient information about the home and how it operates to enable them to decide whether it is likely to be suitable for them. Care records, in particular care plans and risk assessments need to be more detailed to ensure people receive individualised care. Records, which demonstrate tests of the fire alarm system have been carried out to ensure that it is in safe working order, need to be kept up to date to show that these are carried out on a weekly basis. An assessment of equipment such as access to call bells needs to be undertaken in order to maintain service users independence and to help keep service users safe as this was identified as concern of a service user. CARE HOMES FOR OLDER PEOPLE Tallington Rest Home Tallington Rest Home Main Road Tallington Stamford Lincolnshire PE9 4RP Lead Inspector Sue Hayward Unannounced Inspection 09:30 27 November 2007 th 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 Tallington Rest Home DS0000070303.V354760.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. Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tallington Rest Home Address Tallington Rest Home Main Road Tallington Stamford Lincolnshire PE9 4RP 01780 740314 01780 740992 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) www.countrycourtcarehomes.com Country Court Care Homes Ltd Post Vacant Care Home 39 Category(ies) of Dementia - over 65 years of age (39), Old age, registration, with number not falling within any other category (39), of places Physical disability over 65 years of age (1) Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission are within the following categories: Old age, not falling within any other category - Code OP. Dementia, aged 65 years and over - code DE(E). Physical disability - Code PD(E) (maximum 1). The maximum number of service users who can be accommodated is 39. 2. Date of last inspection New Service Brief Description of the Service: Tallington Rest Home cares for older people and people who have needs associated with dementia. It may also provide care for one older person with a physical disability. The home has a contract with a primary care trust to provide intermediate care for up to four people. The home was fully occupied on the day of the visit. It is situated in the village of Tallington, approximately 4 miles east of Stamford, which has a range of facilities and services. The main building is an old rectory, which has been extended to provide mostly single bedrooms and up to five twin bedrooms on two floors which can be reached using stairs or a chair lift. Four bedrooms have en-suite facilities. There are three lounges and two separate dining areas. The ownership and management of the home changed in June this year. It is now one of a number of homes in Lincolnshire owned by Country Court Care. The range of fees is from £348 to £500 per week. Additional costs are made for hairdressing, newspapers, and chiropody, and personal toiletries. A copy of the most recent inspection report is available at the home. Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home was undertaken by one inspector and formed part of an inspection, focusing on standards, which are key in terms of ensuring residents health, safety and welfare. Throughout this report the terms ‘we’ and ‘us’ refer to The Commission for Social Care Inspection (CSCI). The visit lasted approximately six hours and took into account previous information held by us since its registration in June 2007. Prior to the visit the acting manager had returned an Annual Quality Assurance Assessment (AQAA) questionnaire giving important information about the service. This will be mentioned throughout the report. The main method of inspection used was ‘case tracking’. This involved selecting three residents with a range of needs and following their care through checking their records, their bedrooms with their permission and discussion with them if able. A period of time was spent observing the care being given to residents and the interaction between staff and residents. The management arrangements have changed since registration, an acting manager being appointed in August. The manager, four staff members and a visitor were spoken with as well as six other residents. ‘Have your say about’ questionnaires were received from seven residents and two staff members. Comments from these are also included in this report. What the service does well: This home provides clean and comfortable accommodation for residents. Residents’ comments were positive about the care and services provided and staff members were observed carrying out their duties with sensitivity towards residents. One person said, “You should book your place here”. All residents spoken to said they felt safe at the home and staff were kind. Various training sessions have been arranged for staff since the change of ownership. This has helped to ensure staff have up to date knowledge and skills to provide appropriate care to meet peoples needs. Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 6 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. Tallington Rest Home DS0000070303.V354760.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 Tallington Rest Home DS0000070303.V354760.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): Standards 1, 3 and 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a satisfactory admission procedure in operation, which ensures residents’ needs are assessed and are able to be met before admission. Although information about the service is readily available it is not in sufficient depth to fully inform residents about some aspects of the service. EVIDENCE: Information, which tells people about the service, is available in the reception area of the home. The manager said that a copy of the “residents guide” is given to each resident and was seen in a resident’s room visited. Although the statement of purpose and residents guide contains information to help people understand what they can expect from the service, some important information is missing such as the number of staff who work in the home and Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 9 what the organisational arrangements are. Guides are currently only available in written form although after discussion the acting manager agreed to ensure that a version would be made available in larger print as the AQAA indicated that the majority of people living at the home have eyesight problems. There is a statement contained in the information given to residents reassuring any prospective residents that whatever their diverse individual and cultural needs may be they will not be discriminated against or disadvantaged in anyway. A resident who had been admitted to the service within the past six months was spoken to. Discussion and records checked indicated that her relatives had helped to arrange her admission and significant information had been obtained to develop a care plan to meet her needs. She had been provided with written confirmation about the outcome of the assessment. The majority of people who answered questionnaires felt that they had been consulted about moving to the home and had received sufficient information to help them decide, before moving in, whether it was the right place for them. A relative also confirmed that she had been given written confirmation of the changes to the terms and conditions of residency. Information provided prior to the visit showed that the assessment procedure followed prior to admission includes visits to the prospective resident and/or visits to the home from prospective residents and their friends and relatives if wished. Discussion with staff indicated that they had a good knowledge of residents’ needs and how to meet them. Residents’ comments were positive about the care and support they received. Tallington Rest Home DS0000070303.V354760.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): Standards 7 -10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans contain sufficient information to help ensure residents health and care needs are met. Medication is given using safe procedures and staff respect the wishes and preferences of people living in this home while maintaining their privacy and dignity. EVIDENCE: The care records of three people with a range of needs were checked on this occasion. They were well organised and all contained a care plan developed from assessment information. Records demonstrated that care was being reviewed on a regular basis. Some residents are very dependent and are unable to be fully involved with the development of their care plans. In such circumstances relatives or residents’ representatives are invited to sign to acknowledge their involvement and agreement to the care plan. The amount of detail contained in each varied for example some did not contain information about what peoples wishes were in the event of their death. Risk Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 11 assessments had been completed in some instances (for example in relation to moving and handling needs) but care plans were not always completed in sufficient detail to inform staff how residents’ needs were to be met. For example it was noted that a resident needed to be “monitored” who had had a fall but there was no specific information to detail in what way. This was discussed with the acting manager who agreed to ensure these matters were addressed. Resident’s comments were complimentary about the care they received and staff were noted to treat residents in a kind and caring way. One resident said “I was quire poorly when I first came here and they got me on my feet again”. Records checked showed when people had had visits from other health care professionals such as doctors or district nurses. There was also recorded information, which showed that matters affecting health were well monitored for example records are kept of residents weight and of visits from other health professionals such as chiropodists. There are policies and procedures in place in relation to health and safety matters such as an accident procedure, a missing person procedure and medication administration procedures. A staff member was observed for a short period of time giving out medicines to residents. A safe procedure was followed which included checking medication records; administering medication and signing records only after medication had been taken. There is an agreement with a local pharmacy to pre-dispense the majority of residents’ medication, which helps to ensure a safe system. Staff spoken to say they have training to administer medicines. There is also a contract with a local pharmacist who also visits the home periodically to provide advice and guidance. Information from the pharmacist’s last report of 07/09/07 indicated that two staff were to have training and a comment was made in relation to storage arrangements. Residents spoken to felt that there privacy and dignity was well respected by staff. Staff gave good examples of how they manage this in terms of assisting residents with their personal hygiene. Staff were also noted to be polite and courteous when talking to residents and knocked on bedroom doors before entering. Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 12 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): Standards 12-15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a variety of social and recreational activities arranged to meet residents individual needs. They are supported to have choice in their daily lives and to keep contact with relatives and visitors who are made welcome. Well-balanced meals are provided which cater for individual needs and preferences. EVIDENCE: From discussion with staff and residents information was obtained to show that there are various recreational and leisure activities provided which people can choose whether or not to participate in. Notices are on display in the home informing residents of events such as on the day of the visit a reminiscence session was planned. Other forthcoming events advertised for December were a Christmas Fayre, Christmas decorations and a resident’s party. There is a staff member specifically appointed as an activities co-ordinator. She confirmed that residents can take part in games such as dominoes and cards, quizzes and craft activities and records were available to support that these Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 13 activities take place. She said she had obtained a nationally recognised vocational qualification at level 2 in activities. She also gave a good description of how residents with higher dependency needs are involved in social and recreational activities. Some residents were noticed to be having a “sing song” in one of the lounges in the morning and said that this often happened. Two residents who were spoken to said that they felt they were able to come and go as they pleased around the home and said they could also go for walks out providing they let staff know (for safety reasons), and help fold towels and lay tables if they wished. The home has links with the community. Clothing firms visit to enable those residents who are less able to go out the opportunity to shop. Residents spiritual needs are met in different ways. Those that are able can attend Churches in the community or there are monthly services held in the home. Staff answered doorbells promptly and a relative who was visiting said that she was made to feel welcome and staff kept her well informed about her relatives health and welfare. She also said “I have been invited to stay for Christmas lunch”. There is some flexibility with meal times and where they are eaten. For example residents can have breakfast earlier or later depending on what time they prefer it. There are two dining areas and residents can also choose to have their meals in their own rooms if they wish. There is a set main meal although individual preferences and dietary requirements are catered for. Residents’ comments about the food were complimentary. Jugs of cold drinks were available for residents in the lounges. There is a rotating menu in place offering well-balanced meals. The manager said that records are kept of any variations to this. Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 14 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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are satisfactory systems in place to raise concerns and as far as possible protect residents from abuse. EVIDENCE: Staff had a good knowledge of what to do in the event of concerns and complaints being raised with them. Notices were on display in the home and information contained in the residents guide about how to raise concerns or complaints. Staff said that they had had training about how to safeguard adults. They had a good knowledge of what to do to if a concern or complaint was made and of both the complaints and safeguarding procedures, which are readily available for them to refer to if needed. The homes own safeguarding adults procedure needs to be expanded further to ensure it includes clear information as to who to report to should an allegation arise about a member of the senior management team, although discussion with staff showed that they knew of the other organisations they could contact. The acting manager confirmed that there had been no complaints raised since the change of ownership to the home. There is a satisfactory system in place to record any concerns or complaints raised. Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 15 Residents were complimentary about the care they received and commented that they felt safe. They said that they knew who was in charge and could tell staff if they had a problem. Residents meetings are another venue which residents can choose to attend and raise any matters if they wish. Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 16 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): Standards 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and hygienic and provides residents with a comfortable and safe environment. EVIDENCE: The home was clean and tidy at the time of the visit. Housekeeping staff are employed specifically for this purpose and discussion with a staff member provided confirmation that such staff are included in training, some which is specifically tailored to their roles. For example, the manual handling of loads. Discussion with the acting manager and a company representative confirmed that there is a programme of redecoration and refurbishment of the home. Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 17 The company are also looking at making some alterations to rooms in order to provide more bedrooms with en-suite facilities and are aware of their responsibilities to ensure that any alterations meet national minimum standards. Residents described their rooms as being comfortable and their privacy respected. All bedrooms are lockable and some residents have keys to their own rooms. One resident in answer to whether the home was always clean and fresh said it was “perfect”. Staff had a good knowledge of infection control and management and comments and observations indicated that staff was wearing equipment, which promotes good hygiene practices such as gloves and aprons. The laundry facilities were not seen on this occasion but residents commented positively about this and their clothing looked well cared for. Environmental health and fire safety officers visit the home periodically to check out aspects of the environment. The manager confirmed that there had not been an environmental health inspection since the company had taken over ownership but there had been a visit by a fire safety officer who had made some recommendations, which the manager confirmed had been addressed. No obvious health and safety matters were noticed of the areas seen on the day. A person is employed to maintain the building that was present at the time of the visit. It was noticed that he was in the process of painting toilet doors in a brighter colour in order to help residents with higher dependency needs more easily identify them. Residents said they felt safe in the home and it was noticed that there was equipment available to meet individual needs such as chair lifts, wheelchairs, handrails, raised toilet seats and a specialist bath. There was also pictures on room doors to help residents identify rooms. The manager confirmed that another specialist bath has been ordered to enable easier access for residents. Call bells are available in bedrooms and communal areas of the home. One resident commented that she could not easily get to the call bell in the lounge, which is on the wall and it is recommended that this is equipment is reviewed to ensure that residents can call for attention promptly if needed. (See also comments made at the staffing standards). Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 18 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): Standards 27 – 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The current needs of residents are being satisfactorily met by the staffing arrangements in place. Staff are trained to ensure they have the knowledge and skills to provide the appropriate care for residents. Residents are as far as possible protected by a thorough staff recruitment process. EVIDENCE: Comments from residents were positive about their relationships with staff. For example “they are very kind”. Observations made at the time of the visit indicated that staff were polite and attended to residents needs promptly. There has already been a range of training provided for staff and an annual programme has been developed to ensure staff have the skills and knowledge necessary to provide residents with appropriate care. For example staff comments and records showed that dementia care training had been provided, manual handling, safe guarding adults and first aid. Some staff have also completed or are in the process of completing a nationally recognised vocational qualification in care. Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 19 A recent employee confirmed that she had been through an induction process when she started work at the home. This had included going through policies and procedures, being shown around the building and having fire exits pointed out. Records are kept to show all the areas covered to ensure that new employees have a satisfactory introduction and information to the work. Residents comments indicated that staffing levels within the home were in the main, sufficient to meet their needs with only one person commenting that at times she felt she had to wait longer than she wished for staff attention when in the lounge as there was not a call bell system close enough to her in the lounge to summon staff if none were there. (See also comments made at the environment standards) It was noticed at lunchtime there were satisfactory staffing levels to enable two staff to sit with and assist those residents who required help to eat their meals. Staff comments indicated that they felt valued and supported in their work through the supervision and staff monitoring systems in place, such as team meetings. Records are kept of matters discussed at these. The records of one staff member who had recently been employed at the home were checked. This indicated that the recruitment procedure included sufficient checks being made prior to the employment of staff to ensure the protection of residents. For example, two references were taken up, a criminal record bureau check was made and proof of identity was obtained prior to employment. Information from the AQAA confirmed that there are equal opportunity policies and procedures in place with regard to staff recruitment and employment. Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 20 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): Standards 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The interim arrangements in place to manage the service are satisfactory and include a range of ways to enable people’s views about the service to be sought in order to develop it further. EVIDENCE: There have been changes to the management arrangements since the change of ownership. Currently there is an acting manager. She is a qualified nurse who has also obtained a recognised management award in care and has previous experience of managing a nursing home with the company. Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 21 Residents and relatives comments confirmed they knew who was in charge and would feel comfortable to raise any issues if they had any. There are satisfactory arrangements in place to ensure any valuables or monies held on behalf or residents are kept safe and a check of a residents records held of such transactions were up to date and accurate. Generally records required by law to be kept about the operation of the service are up to date and well maintained, however on this occasion the records of tests of fire alarms did not demonstrate that they were checked weekly, although comments from staff indicated that this was the frequency. The manager agreed that records confirming the weekly checks would be forwarded to us. There are a range of policies and procedures in place, which help to ensure the health and safety of residents. Discussion with the acting manager and observations confirmed that all policies and procedures are readily available for staff to refer to as needed. Risk assessments on areas of the environment such as fire safety were also in place. Information provided to us in the AQAA confirmed that regular maintenance checks are carried out on the environment and some equipment in use to ensure the health and safety of residents such as the lift and hoists. A random sample of service certificates confirmed this. Records are kept which demonstrate that there is a satisfactory system in place to monitor aspects of the service provided, including the use of questionnaires and meetings with residents and their relatives if they choose as well as regular audits by the manager and a company representative, which includes talking to residents, staff and visitors to obtain their views about the standard of the service provided. Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 22 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 2 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 2 3 X X 2 X X 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 X 3 X 3 X 2 3 Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 OP1 Regulation 4 (1)(c) Schedule 1 Requirement To ensure people are fully informed about the service and to comply with the law the statement of purpose must include information as follows: • Numbers, qualifications and experience of staff • Organisational structure of the home. • Rooms sizes and facilities Accurate and up to date records must be kept which demonstrate the frequency of tests made to ensure the fire alarm system is in working order. This will help to ensure the health and safety of residents. Timescale for action 31/12/07 2 OP37 17 (3) Schedule 4 - 14 31/12/07 Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 24 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 OP1 Good Practice Recommendations It is recommended that information, which is provided to residents about the service, is made available in formats, which is more suitable to the needs of residents such as larger print. The homes own procedure for safeguarding adults should be reviewed to ensure that it contains clear reporting information for staff to follow. It is recommended that a review of the call bell system in communal areas be carried out to ensure that it is accessible to all residents in order to promote their independence and safety. 2 3 OP18 OP22 Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Unity House The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Tallington Rest Home DS0000070303.V354760.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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