Please wait

Inspection on 19/05/09 for Home Close

Also see our care home review for Home Close for more information

This is the latest available inspection report for this service, carried out on 19th May 2009.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What has improved since the last inspection?

Both of the requirements made at the last inspection have been met. We found there is more information in care plans about how people want to be cared for. This improvement needs to continue and should contain as many details as possible about likes and dislikes to be person centred. All of the required information and documents are obtained before new staff members start working at the home. This makes sure that staff are safe to work.

What the care home could do better:

We only made one recommendation at this inspection. We think that all staff members should have training in abuse awareness. This is so that they are all aware of the different types of abuse and how to recognise this. Not all care plans are updated when information changes. We talked to people about the care they need and staff members. They were all able to tell us up to date information, but it is important for care records to be up to date in caseHome CloseDS0000015159.V375484.R01.S.doc Version 5.2 Page 7care staff who don`t know people have to care for them. Not everyone at the home is able to easily let staff know what they want.

Key inspection report CARE HOMES FOR OLDER PEOPLE Home Close Cow Lane Fulbourn Cambridgeshire CB21 5HB Lead Inspector Lesley Richardson Key Unannounced Inspection 1:15 19th May 2009 DS0000015159.V375484.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Home Close Address Cow Lane Fulbourn Cambridgeshire CB21 5HB 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) 01223 880233 01223 881728 Home Close Ltd Nicola Malthouse-Hobbs Care Home 68 Category(ies) of Dementia – over 65 years of age (1), Old age, registration, with number not falling within any other category (68) of places Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated at any one time who require nursing care must not exceed 42. One named person in the category DE(E) Date of last inspection 20th May 2008 Brief Description of the Service: Home Close is a purpose built home situated in grounds in a quiet lane close to the centre of the village of Fulbourn. Accommodation is arranged in flats, and each flat has a kitchenette and lounge area. There is a large communal lounge/dining room on the ground floor. Individual accommodation is on two floors with the upper floor being accessed by a passenger lift or stairs. The home provides care for older people with both social and nursing care needs. There is a day centre on site and the home has ambulance bus transport available for outings. An extension was built and this was registered with CSCI in January 2007. This increased the number of places they can provide by 20 to 68 people, of which, a maximum of 42 can also have nursing needs. The home is situated approximately 1 mile away from the centre of Fulbourn and 5 miles from the centre of Cambridge. There are local shops, pubs and a post-office in Fulbourn, and a full range of shopping and entertainment facilities in Cambridge. Fees for the service range from £600.00 to £760.00 a week. Extras are charged for additional items such as chiropody and hairdressing. Copies of the latest CSCI inspection report are available in the manager’s office or at the reception desk for people wishing to read them. Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was a key inspection of this service and it took place over 5 hours and 55 minutes as an unannounced visit to the premises. It was spent talking to the manager and staff working in the home, talking to people who live there and observing the interaction between them and the staff, and examining records and documents. Two requirements from the last inspection have been met. There have been no more requirements and one recommendation made as a result of this inspection. Information obtained from the Annual Quality Assurance Assessment and from returned surveys was also used in this report. Three surveys were returned from people who live at the home, and 7 were returned from visitors to the home and 1 from a staff member. What the service does well: Staff are polite and respectful to people living at the home. Comments we received about the home and staff who work there include, “the staff are always friendly and approachable”, “staff attentive. Appear respectful and caring”, “the staff are very caring and gentle in their approach in their dealings with my mother” and “the cheerfulness and friendliness of the staff are certainly helping”. An assessment is obtained before people go to live at the home to make sure staff there are able to care for them. Most people said there is enough information provided about the home for them to make a decision about whether to live there. Every person living at the home has a care plan to show staff what they need to do to help that person. The plans are written to show what people can still do for themselves and tell staff members what they need to do for that person. One person said, “I’m made comfortable and provide for my needs as much as they can”. People have access to health care professionals, such as opticians, chiropodists, GPs and community nurses. There is a dedicated activities co-ordinator at the home who makes sure there is always something for people to do, if they want to. People living at the home are able to choose what they do during the day, and this includes Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 6 staying in their room if they want. The home helps people keep in touch with their relatives, and one visitor said, “the organised activities are very good”. Meals are appetising and people we spoke to said they like them and they are happy with the choice. One person returning a survey said the meals had, “Food is good with reasonable selection” and a visitor said, “The range and quality of food is excellent”. The home is clean, tidy and smells pleasant. Regular maintenance and servicing checks are carried out and it is a safe place for people to live. Complaints are dealt with properly and everyone we received information from said they know how to and who to make a complaint to or talk to if they had any concerns. People who live at the home said they feel safe living there. The manager is a registered nurse and has other qualifications in management and dementia care. She has been working at the home since December 2005. Records are kept to show money kept by the home on behalf of people living there. This means that there is information to show when money is spent and what it is spent on, so that people can feel safe in having the home take care of it. There are enough staff at the home to be able to give people the care they need. Everyone living at the home who returned a survey said they get the care and support they everyone we spoke to said there are usually staff available when they are needed. What has improved since the last inspection? What they could do better: We only made one recommendation at this inspection. We think that all staff members should have training in abuse awareness. This is so that they are all aware of the different types of abuse and how to recognise this. Not all care plans are updated when information changes. We talked to people about the care they need and staff members. They were all able to tell us up to date information, but it is important for care records to be up to date in case Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 7 care staff who don’t know people have to care for them. Not everyone at the home is able to easily let staff know what they want. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Home Close DS0000015159.V375484.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 Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have enough information before moving into the home, which means they are able to decide if they would like to live there. EVIDENCE: Two thirds of the people who we received surveys from said they had received a contract and that they had enough information before moving to the home. Nearly all of the visitors we received surveys from said they had enough information before their relative moved into the home. Assessments are completed before people move into the home and assessments by health and social care teams are also obtained to provide more information. We looked at the care records of 3 people who had moved into the home since the last inspection. There was a written assessment in all of these people’s care files Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 10 that was completed by the home and included information about the person’s needs, and likes and dislikes. The home does not provide accommodation specifically for intermediate care or for rehabilitation purposes. Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care records are completed in enough detail and staff care for people in a positive way, which ensures the health and welfare of people living at the home. EVIDENCE: People who commented in surveys said they get the care and support they need from staff members and during the inspection people told us care staff are nice, are polite and treat them with dignity and respect. We saw this during the inspection and that staff knock on doors before entering rooms. People we spoke to said staff are nice and one person said, “I’m made comfortable and provide for my needs as much as they can”. Comments from visitors who returned surveys were also positive. Two examples of these are, “The staff are very caring and gentle in their approach in their dealings with Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 12 my mother” and “My mother has been very well looked after since she became bedridden”. Care plans for 4 people were looked at as part of this inspection. They show that each person has a plan that gives staff members’ information about what they need to do to meet most of the identified needs. Risk assessments, for things like falls and moving and handling, are completed and reviewed regularly. We found the care plans give staff members’ enough advice and guidance about how to meet most of peoples needs. Care plans are available for care needs and specific nursing tasks or procedures. Those for nursing needs are written in a more clinical style and give a good amount of detail about how to complete the task and how often it should be done. Notes written to describe how staff have carried out procedures are written clearly and give excellent descriptions. For example, the notes for a person who has just started having very small amounts of something to drink show the position the person was in, how much was given and in what way and what the effect was. Care plans for care needs generally tell staff how each person likes to be cared for and what their preferences are. This has improved since the last inspection, but there should be more information about how people want to be cared for. This is so that new or agency care staff easily have this knowledge without having to ask people who may not be able to clearly say what they want or ask other staff who may not know the person well. People or their relatives are able to look at the plans and say if they agree with them or not. One person’s plan shows how staff have talked to him and his doctor when he asked for medication to be given at a different time. Plans are reviewed monthly and we saw that most information and changes are recorded, and the plans are rewritten to give staff updated guidance. There are some plans that haven’t been updated when needs change. We talked to staff about how they care for these people, and to one of the people about how he moves from the bed or chair. All of the staff and the person were able to tell us how things are now, which means that people are being given care in the way they need, even if this isn’t written down. Everyone (3 people) who returned surveys said they receive medical attention when they need it. There is information in care records to show health care professionals, such as specialist nurses, opticians and chiropodists, are contacted for advice and treatment. However, one person’s relative said the doctor had recommended more exercise and that this is something the home needs to improve. Medication administration records (MAR) were looked at for 2 of the people whose care records we looked at and another 8 people. The MAR sheets are completed and there are no records with entries missing. Entries for Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 13 medications that have not been given show the reason for this. Amounts of medication remaining in blister packs of medication tally with the amount the MAR indicates are remaining. Medication storage area temperatures are taken and recorded as being at an acceptable level for the safe storage of medication. Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 – 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff members have a good understanding of peoples needs, and care records show how people are supported to live as they would like. EVIDENCE: The home has an activities co-ordinator who arranges activities and events, and for entertainers to visit the home. One person told us, “the organised activities are very good”. There are areas in the home that display the activities available and those that people have taken part in. 2 of the 3 people who returned surveys to us said there are activities that they can take part in, but the other person said that activities are only sometimes available to them. We spoke to people during the inspection who told us there are activities arranged for most days, but they can choose whether to take part in them or not. Most visitors also had positive things to say about the amount of activities available, with only 1 of the 7 surveys saying the visitor is not aware of them. Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 15 The activities co-ordinator records information about time they spend with people on individual sheets, which she keeps for reference. There is also some information in the care plans about what people have been involved in. We saw information about this in the care records we looked at. The information in one person’s file was written so that the activities co-ordinator and staff could gauge the person’s mood and willingness to take part in things and whether this was improving over time. People are able to make everyday choices about when to get up and go to bed, how to spend their days, whether that is in their own room, in the main lounge/dining area. We saw and listened to how staff members interact with people and found they ask what people would like and how they would like it rather than telling people or giving limited options. Staff members we spoke to know the people they care for and were able to tell us their preferences and how they like to be cared for. Everyone we spoke to said staff are nice and give them the care they want. 6 of the 7 visitors who returned surveys said staff at the home supports their relative to live as they choose in the home. The home has an open visiting policy and people can have visitors at any time of the day. 4 out of 7 visitors who returned a survey said the home helped people keep in touch and 6 of them said they are kept up to date with issues concerning that person. One person said they are not kept up to date as much as they would like. The main meal is served at lunchtime and there is a choice of two hot meals every day. Everyone we spoke to said they like the meals and the food is good. Comments were received in surveys and during the inspection include, “Food is good with reasonable selection”, “There is always a choice of food”, “Food also better than a few years ago (teatime)” and “The range and quality of food is excellent”. One person’s relative said staff should take more notice of information in the care plan about people’s dislikes. Home Close DS0000015159.V375484.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to make complaints and concerns known and can be confident that these will be listened to. EVIDENCE: All of the people returning surveys said they know who to speak to and they know how to make a complaint if they have to. They said that staff listen to what they say and act on it. People we spoke to during the inspection also said they know what to do if they’re not happy about something. 6 of the 7 visitors who returned surveys said they know how to make a complaint and 5 people said they are appropriately dealt with. Everyone we spoke to during this inspection said they are happy with the service given to them. The home has a complaints procedure and keeps a complaint log to show how they have looked at and the outcome of complaints that have been made. We were told before the inspection there have been 9 complaints made to the home in the last 12 months. 8 complaints have been investigated and all responded to within the correct timeframe. The ninth complaint is still being looked at. We have not been told about any of these complaints by the people who have made them. We looked at how the home looks at complaints and the information they keep to show how they made the decision they did about Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 17 it. We think the manager looks at things in enough detail to come to a decision. The staff training matrix shows that only 17 out of 68 staff members have received training in safeguarding (adult protection). We talked to 2 of the nurses in the home; one of them said she had received training in safeguarding people. Both nurses were able to tell us what should be done if abuse was suspected. They also told us where the safeguarding policy and procedures are kept and that contact information for local safeguarding teams is also available. Information provided to CQC before the inspection shows there have been no safeguarding referrals or investigations in the last 12 months. However, all staff should be given safeguarding training to make sure they are aware of the different types of abuse and how they may see it. Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is generally clean and provides a safe environment, giving most people a pleasant place to live. EVIDENCE: The home is a large purpose built property situated in a suburban area in the village of Fulbourn and on the outskirts of Cambridge. People living at the home have access to a number of communal areas, including a garden at the back of the property. The general décor within the home is satisfactory, and it was clean and tidy, with no offensive smells. Everyone returning surveys said the home is usually clean and tidy and people at the home said the home is clean. One person said, “room well looked after”. Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 19 We looked around the home but found that this was the case, and all areas were clean and pleasant. However, comments from the visitor’s surveys said there is still a smell sometimes at the entrance to the home and that tables in people’s own rooms are not always clean. We have talked to the manager about these issues, but because they were not seen during the inspection we think the home should be able to improve without the need for a requirement. Home Close DS0000015159.V375484.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff members most of the time with the training and skills to be able to care for people properly. EVIDENCE: The training matrix shows new staff members are given induction training, which includes mandatory health and safety training. We only received one survey back from staff members and that person said the home trains their staff well. We talked to other staff members during our visit, who also said there is a good amount of training available for staff. They were able to tell us about some of the training they have received recently, such as an update on PEG feeding and wound management training. The wound management training was given by representatives of the company that supplies particular dressings and means that staff have up to date information about what to expect from that dressing and how quickly the wound should heal. Additional training is given to staff so that they are able to properly meet people’s needs. All staff are included in some of this training, for example, mental capacity training has been given to all types of staff, not just care staff. Information in the AQAA tells us 40 of non nursing qualified care staff have a Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 21 National Vocational Qualification in care at level 2 or above. There are another 9 staff members working towards the qualification, which will bring the figure to 66 . The recommended number of staff with a NVQ is 50 . All 3 people who returned surveys said staff members are usually available when they are needed and that they get the care and support they need. Two comments from the surveys were, “the staff are always friendly and approachable” and “the cheerfulness and friendliness of the staff are certainly helping”. People we spoke to during the inspection said there is usually enough staff on duty and one person said, “staff are good, care for me properly, usually nice”. The staff member who returned a survey said staffing levels are high enough to be able to meet people’s needs. Staff members we spoke to during the inspection also said there are usually enough staff available to be able to meet people’s needs, although there are also periods when they are busy. We looked at recruitment records for three staff members employed since the last inspection and they all contained the appropriate recruitment documents including references, application forms, and PoVA/CRB checks. There were a very few areas where information could be clearer, such as the date when a reference is received by the home. We talked to the manager about these during the inspection. This area has improved a lot since the last inspection. Home Close DS0000015159.V375484.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 and 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is a safe place to live and people are asked their opinion so that things they are not happy with are changed. EVIDENCE: The manager has been at the home since December 2005 and is registered with the Care Quality Commission as manager. She is a nurse registered with the Nursing and Midwifery Council and has completed the registered managers award and the ENB (English National Board) N11 qualification in dementia care. Since the last inspection she has completed additional training in Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 23 dementia through the local authority, bereavement through a national organisation and medication. An annual quality assurance survey was carried out by the home in April 2009, a report will be written to show things people are happy with and anything they’re not happy with. There are regular residents’ meetings and relatives meetings, both have minutes taken and these are available on noticeboards around the home. We asked the home to complete and return an Annual Quality Assurance Assessment (AQAA) before the inspection. They did this within the time we asked for it and they gave us the information we asked for. Money is kept by the home on behalf of people living there; access can be gained through the administrator who maintains an accounting system for credits and withdrawals. Money and records for 3 people were checked, all were correct and tallied with the written records. Information provided before the inspection shows maintenance checks and servicing of equipment and systems are carried out at the required times. We looked at maintenance records and saw that weekly and monthly checks for fire safety that need to be complete are done and these are recorded to show this. Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 24 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 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 3 3 Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP18 Good Practice Recommendations All staff should have training in abuse awareness to make sure they have the knowledge to recognise abuse if needed. Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 26 Care Quality Commission Eastern Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.eastern@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Home Close DS0000015159.V375484.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!