Care Home: Welford Court Residential Home

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What the care home does well Welford Court Residential Home is a small home, which suits residents wanting to live in a warm, personal and family friendly home. Residents can choose to participate in activities within the home, go out for a walk or receive visitors at any time. The atmosphere in the home is relaxed and residents are supported to live that suits them. Staff are aware of the individual needs of the residents having been trained to meet specialist care needs, such as caring for a resident in bed. Welford Court Residential Home benefits from having a stable staff team, familiar to the residents living at the home and trained to care for them. Residents and staff benefit from having a management team that are approachable and available at any time. Welford Court Residential Home is well maintained and the decoration and furnishings are of a good standard and are presented in a comfortable and homely way. What has improved since the last inspection? What the care home could do better: Overall, the inspection of the Welford Court Residential Home was good. The Registered Manager and the Care Manager were open to the comments and discussions during the site visit in relation to the safeguarding procedures. Although a copy of the multi-agency safeguarding procedure has been acquired, the Registered Manager should ensure that he and all the staff are aware of their responsibility and this is reflected in the home`s safeguarding procedure. CARE HOMES FOR OLDER PEOPLE Welford Court Residential Home 458 Welford Road Knighton Leicester Leicestershire LE2 6EL Lead Inspector Ms Rajshree Mistry Unannounced Inspection 14th May 2008 09:30 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 Welford Court Residential Home DS0000006447.V364509.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. Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Welford Court Residential Home Address 458 Welford Road Knighton Leicester Leicestershire LE2 6EL 0116 270 3482 0116 270 3482 kemp@bulldoghome.com 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) Welford Court Limited Mr Christopher Kemp Care Home 14 Category(ies) of Dementia - over 65 years of age (5), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (14), Sensory Impairment over 65 years of age (2) Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person falling within category SI(E) may be admitted to the home when 2 persons in total of this category are already accommodated within the home. Service User Numbers. No person falling within categories MD(E) or DE(E) may be admitted to the home when 5 persons in total of these categories/combined categories are already accommodated within the home. 12th June 2007 Date of last inspection Brief Description of the Service: Welford Court Residential Home is a care home for older persons, providing accommodation and personal care for up to fourteen residents. Welford Court Residential Home is situated on the Welford Road which is a major bus route into the city of Leicester, and is situated a short distance from the local shops. The bedrooms are on both the ground floor and the first floor of the home and a stair lift serves the rooms on the first floor. There are two lounges and a dining area on the ground floor. There is a large and pleasant secure garden and small conservatory to the rear of the building. The Registered Manager provided the current range of fees, which are between £416 per week to £470 per week. Additional charges are in place for hairdressing and chiropody treatment. Details of all charges can be found in the homes Statement of Purpose document (a document which provides relevant information about the home), which is available to all prospective and current residents. The latest CSCI Inspection Report is available at the home, upon request. Welford Court Residential Home DS0000006447.V364509.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 star. This means the people who use this service experience good quality outcomes. This is a report of the findings of a thematic inspection. A thematic inspection is a short focused inspection that looks in detail at a specific theme. This thematic inspection looked at how well this service makes sure people are protected from abuse. We looked at whether this service has good procedures and training for safeguarding; how they recognise abuse and respond to allegations to protect the people who use their service. We call this ‘safeguarding systems’. We spoke to people who use the service, the manager and staff members. We also looked at staff recruitment records, training records, policies, and procedures. We did this because we wanted to understand how well the safeguarding systems work and what this means for people who use the service. The findings of this thematic inspection will be used as part of a wider study on safeguarding. We will publish this report in the autumn of 2008. You can find further information on this, and thematic inspections, on our website www.csci.org.uk The inspection process consisted of pre-planning the inspection, which included reviewing the last Inspection; the information from the Annual Quality Assurance Assessment (AQAA) – the Provider’s self-assessment and the service history of significant events since the last inspection. Surveys were sent from the Commission for Social Care Inspection to the people living at Welford Court and their relatives who were identified in the AQAA. The unannounced site visit commenced on the 14th May 2008 and lasted 1 day. The focus of the inspection is based upon the outcomes for the residents. The method of inspection was ‘case tracking’, which involved identifying residents with varying levels of needs and looking at how these are being met at Welford Court Residential Home. Discussions were held with the residents living at the home and visiting relatives. Records relating to the care they received were read with their permission. Discussions were held with staff that showed their knowledge and understanding the needs of the residents living at Welford Court Residential Home. Records were read in relation to the staff, training records and team meetings. Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 6 The CSCI sent out fourteen surveys to residents, their relatives; four surveys to health care professionals and eighteen surveys sent to the staff. The surveys were not received at the time of producing this inspection report although any surveys received before the publication of this inspection report may include a summary of the survey responses received. Overall, the thematic inspection showed that people were given information about the home, which contains information about how to complain and contact details for the Commission. Residents receive information about the home’s complaints procedure and details of the local authority and the Commission for Social Care Inspection. Residents and their relatives were confident to speak with the Registered Manager, Care Manager of the staff on duty. Staff demonstrated some awareness of the types of abuse that can occur in a care home setting and confident to report concerns to the senior person on duty. The Registered Manager, Care Manager and staff were not aware of the local multi-agency safeguarding procedure nor had at the time of the site visit acquired a copy. However, following the site visit the Registered Manager confirmed in writing that they had received a copy of the multi-agency safeguarding policy and procedure and would be sharing the procedure with staff at the next team meeting in June 2008. This will be followed up at the next inspection of the service. What the service does well: Welford Court Residential Home is a small home, which suits residents wanting to live in a warm, personal and family friendly home. Residents can choose to participate in activities within the home, go out for a walk or receive visitors at any time. The atmosphere in the home is relaxed and residents are supported to live that suits them. Staff are aware of the individual needs of the residents having been trained to meet specialist care needs, such as caring for a resident in bed. Welford Court Residential Home benefits from having a stable staff team, familiar to the residents living at the home and trained to care for them. Residents and staff benefit from having a management team that are approachable and available at any time. Welford Court Residential Home is well maintained and the decoration and furnishings are of a good standard and are presented in a comfortable and homely way. Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 7 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. Welford Court Residential Home DS0000006447.V364509.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 Welford Court Residential Home DS0000006447.V364509.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Standard 6 intermediate care is not provided. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive information about the service and are involved in the assessment process to ensure their needs can be met by the home. EVIDENCE: Residents spoken with said they and their relative received information about the home and had the opportunity to visit the home. There is information is available in large print and sets out the type of services available at the home, the process of moving into the home, the range of staff skills will look after the people when they move to the home. Two residents said that they were involved in the assessment process before moving to the home. This was confirmed on checking the files belonging to the three residents case tracked, which all contained copies of the completed assessment sheet. The assessment of needs was completed by the Registered Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 10 Manager and contained details about the personal care needs, medication, preferences and aspects of daily living. Two care files contained a copy of the needs assessment completed by the resident’s social worker before they were admitted to the home. Information received from the Registered Manager before the site visit stated that the home’s assessment process provides sufficient information to ensure that the home is can meet the resident’s needs. Staff spoken with said they get information about the new resident, the level of support they and any special requirements such as their ability to walk or use a walking frame and the level communication and understanding, where the resident has a level of dementia. Residents and relatives said they received information about the home and had an agreement in place, which sets out the fees, the key policies and procedures and includes the complaints procedure. This was consistent with the information held in the residents files viewed. One relative said another family member lived at Welford Court, who was well cared for, hence, this another member of the family chose to move to this home. Welford Court Residential Home DS0000006447.V364509.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from having their individual health and personal care needs met promptly by staff. EVIDENCE: The information received from the Registered Manager before the site visit stated that the care plan for the residents have been personalised to the resident, which details the areas of care and support needed and is updated regularly. Residents were aware of their care files held at the home and some recalled being involved in talking with the Care Manager about the help they needed on a daily basis. The care plans read for the residents tracked confirmed these reflected the help needed by those individual residents. The care plans showed there was guidance for staff to follow as to how to help the resident with their daily personal care needs. There was evidence that assessments of Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 12 risk are carried out and the measures are taken to promote resident’s independence and rights. For example arrangements are in place and staff are aware that a resident who wishes to continue smoking; another resident receiving palliative care in bed, the risk assessment covered regular turning to avoid pressure sores developing and making sure the resident was having plenty to drink. The care files for the residents also contained a record of visits made by General Practitioners and the District Nurse. On the day, two GP’s came to see two residents. One GP visit was planned whilst the other was arranged as an emergency that morning. Residents and the visiting relative said the staff have always been prompt in getting medical support and records viewed confirmed this. The visiting relative spoke highly of the care provided and comments received: “They have done over and above what’s required with a special bed, equipment, staff have helped feed . . . . when he’s not been well. We know he’s happy and he would say if there was anything wrong” “The staff do come quickly and always help turn home because he can get a sore bottom and back” Residents said they were treated well and staff were always polite. Staff were seen treating residents in a respectful manner, allowing them to finish what they were saying and assisting the resident in a manner that did not compromise their dignity. Residents said they would get their medication on time. One resident said she would count the number of tablets for the morning and lunchtime just to make sure. Medication is stored in the locked medication trolley, which is stored in the office. Medication is pre-packed by the pharmacist in blister packs. Although the staff member giving out the medication at lunchtime did not pot the medication into a pot at for one resident, she quickly fetched a pot and apologised to the resident for the delay. All other residents were given their medication potted into a pot with a glass of water. The medication and the medication records checked for three residents were accurate. Staff confirmed she had received training in giving out medication, described the procedure, which was consistent with the home’s medication procedure and safe practices. Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ experience and enjoy a lifestyle that suits them; receive visitors and have a healthy choice of meals. EVIDENCE: On the day of the site visit residents were seen relaxing in two of the lounges, conservatory and whilst others chose to remain in their bedrooms where they were watching television and tidying their rooms. During the day, one resident was seen returning from a short walk and started to set the dining table for lunch. Residents were seen receiving visitors throughout the day and it was evident that relatives treated the home as the resident’s own home. The atmosphere within the home was relaxed and residents were moving about the home freely or with some assistance from the staff. A group of residents were seen enjoying a game of ‘Family Fortunes’ with the Activity Coordinator, which was followed by some women residents deciding to have their make-up done before lunch. This further supported the information received from the Registered Manager before the site visit sating that there is an Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 14 Activities Co-ordinator and there were activities provided for residents including outside entertainers. The Activity Co-ordinator said the activities are planned around the residents and what they wish to do although she would make some suggestions. The Activity Co-ordinator was seen talking with residents individually in the lounge or seeing the residents who preferred to remain in their bedrooms. The care plans contained details about the resident’s interests and hobbies. For example, one resident enjoys helping around the home at meal times whilst another resident likes to keep her bedroom and en-suite toilet clean and tidy. It was evident that the residents were making decisions about their day from what they wish to eat to how they wish to spend the day. A resident said she likes to have her hair done by the hairdresser who visits regularly. Meals are prepared by a designated staff on duty who is trained in the safe handling of food and aware of special diets such diabetic meals. The menu indicated there is a choice of meals daily. The majority of residents spoken with said the food served was always good and having a daily choice. One resident said they have celebrated their birthday at the home with their family. Comments received from the residents: “Enjoyed my lunch . . . . I had fagots which I enjoy” “Meals – it’s good food, made properly and we have every vegetable and always have fish and chips on Fridays. We always have a pudding, ice cream or yoghurt” “Always have a choice but we don’t have runner-beans” “Chair-aerobics . . . I occasionally join in but prefer to go out” Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ are protected by the home’s complaints process and the management and staff would benefit from familiarising themselves again with the safeguarding procedures. EVIDENCE: The complaints procedure is clearly displayed at the entrance to the home and included in the information pack given to the residents when they move to the home. Residents and relative said they were informed of the process to make a complaint or express concerns about the provision of care provided at Welford Court Residential Home. The majority of residents said they had not experienced any problems or had any concerns about home. The residents and relatives were confident that the care manager or the manager would act promptly if they had a concern. The complaints log showed that the service had received five new verbal concerns / complaints, all were investigated, resolved and recorded. The Registered Manager or the Care Manager could not find the safeguarding adults policy for Welford Court Residential Home at the time of the site visit. Upon further discussion with the Registered Manager it transpired that the he Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 16 was not aware of the updated multi-agency safeguarding procedure and said he was not told that POVA (protection of vulnerable adults) had changed to safeguarding adults. This further supported the limited information provided by the Registered Manager before the site visit in relation to ‘Complaints and Protection’, in the Annual Quality Assurance Assessment, which is a selfassessment of the home. Staff demonstrated knowledge, awareness and responsibilities in reporting concerns, allegations or any suspicions of abuse and were confident to whistleblow poor or bad care practices. Staff demonstrated how residents could be hurt due to the home environment in relation to furniture, equipment, trips, slips and falls. Staff spoken with said they had not received specific training on safeguarding or protection of vulnerable adults but had recently attending training on ‘Equality and Diversity’ and completed the National Vocational Qualification in care, which included procedures for protecting vulnerable adults. Staff files checked showed some staff had received training in protection of vulnerable adults as part of their induction training. Although staff knew there was a policy on whistle blowing, they could not recall the home’s policy on safeguarding or protecting vulnerable adults. This further demonstrated that the home might not have this policy. The Registered Manager was strongly advised to contact the local authority to establish how the home could acquire a copy of the multi-agency policy and procedure for safeguarding adults. After the site visit the Registered Manager confirmed in writing that a copy of the multi-agency policy and procedure was being sent by the local authority and staff would be briefed at the next planned staff meeting in June 2008. Comments received from the residents and relatives during the site visit included: “I’d speak to . . . or . . . . if I wasn’t happy about something” “My daughter has complained in the past and I’m much happier” Welford Court Residential Home DS0000006447.V364509.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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a clean, comfortable and homely environment. EVIDENCE: Welford Court Residential Home is situated in a residential area. The home is domestic in character and accessible for people using walking aids. There are a two lounges and a dining room are on the ground floor decorated to create a family type atmosphere. The bedrooms are on both the ground and the upper floor, which are accessible by stairs or the chair lift. Three residents’ bedrooms were viewed, all were proud to show their rooms and enjoyed showing the family photographs. Some bedrooms had en-suite toilet facilities and other bedrooms were close to bathroom and toilet facilities. The bathroom has a hoist in place to help people who have difficulty in getting Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 18 in and out of the bath. The bedrooms were personalised and furnished to create a homely feel to the place, pictures of family, friends, and ornaments that reflected the resident’s interests. Many residents had a television in their bedrooms and some had a private telephone. Information received from the Registered Manager before the site visit stated improvements have been made with the installation of new windows and conservatory, new carpets and decoration. This was evident during the visit as residents commented on the new conservatory, which they have been using on the warmer days. The Registered Manager said that the bathroom is being refurbished in July 2008, and residents have been informed. Throughout the site visit domestic staff and care staff were seen working in specific areas within the home. Staff were seen wearing gloves and aprons when assisting people with personal care, handling residents laundry and meals. Staff demonstrated good knowledge and practice to prevent the risk of cross infection and training records supported this. Comments received from the residents and relatives indicated they were satisfied with the homely environment. A comment received from a relative visiting a resident: “they have done over and above what’s required with a special bed and equipment”. Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ are protected by recruitment processes; staff trained and supervised, to care and support the people using the service. EVIDENCE: Residents and the visiting relative indicated that there were sufficient numbers of staff on duty. Residents said they were confident about the staff helping them when they needed some assistance. A relative said they felt the staff were helpful and knew about the resident’s living at the home. Four staff personnel files, indicated staff were appointed upon receipt of two satisfactory references, Protection of Vulnerable Adults (POVA) first check, Criminal Records Bureau (CRB) check. This was consistent with the information received before the site visit and from discussion with staff on duty. Staff confirmed they underwent a programme of the home’s induction in line with the Common Induction Workbook and the needs of the residents living at the home. The staff records showed staff had received training in moving and handling, infection control, personal care, stoma care, first aid, food & hygiene, fire safety and equality and diversity. The Registered Manager confirmed 80 of the current staff have attained or completing National Vocational Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 20 Qualification level 2 and above in care. The Care Manager is a qualified Assessor and is also responsible for identifying training establishments for staff to do their NVQ award. Staff spoken with confirmed they have received supervision and minutes of the meetings are kept on the individual staff files. This was supported by the information received from the home before the site visit and the notice of the planned staff meeting on 17.06.07. The Registered Manager confirmed in writing after the site visit that the local authority multi-agency policy and procedure would be included in the staff meeting to ensure staff are aware of the local procedure. Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Residents’ benefit from an open and positive atmosphere having the opportunity to express their views about the home. EVIDENCE: The residents and their relatives spoken with during the visit said that the Registered Manager and the Care Manager were always around and approachable. This was further supported from observations made of the interaction between the residents with either the Registered Manager or the Care Manager. Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 22 The home appears to be well managed by staff being aware of the roles and responsibilities and staffing levels evidently met the needs of the residents at the time of the site visit. Relatives were confident about the management of the home and found the home managed, clean and residents appeared to enjoy the relaxed atmosphere. Residents and relative confirmed that they are encouraged to express themselves views, ideas and opinions that would improve the quality of lifestyle provided. The residents meetings minutes were read confirmed they often meet to talk about matters affecting them in the home such as meals, celebrations and the Easter event. The Activities Co-ordinator had recently gathered views from the residents in the form of a quality assurance exercise. The questions asked related to the home environment, the care they received, what they thought about the staff, in relation to the help they get and the choice of meals and activities available. This in the first instance has helped the Activities Co-ordinator to introduce activities of interest to the residents. Supervision is provided to the care staff working in the home and minutes of the meetings are recorded on their individual files. The Care Manager also observes care practices and concerns are discussed in the individual supervision meetings. There is a system in place for the safe keeping of resident’s money, which is auditable and relatives and residents know how much money they have. Two residents were happy with the arrangement they had for managing their money, both preferring a family member of oversee the account held at the home, so that they can hair done regularly. The information received from the home before the site visit indicated that all policies and procedures are updated and reviewed regularly and the safety checks for equipment are in place. Staff demonstrated awareness of the policies, procedures and their responsibility. Staff were confident that the Registered Manager or the Care Manager would be available if there was an emergency. Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 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 X 3 Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Welford Court Residential Home DS0000006447.V364509.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Welford Court Residential Home DS0000006447.V364509.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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