Inspection on 05/11/07 for Huntingdon Court

This is the latest available inspection report for this service, carried out on 5th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

Huntingdon Court 24/08/05

Huntingdon Court 07/06/05

Huntingdon Court 25/01/05

Huntingdon Court 18/08/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Huntingdon Court Regent Street Loughborough Leicestershire LE11 5BA Lead Inspector Linda Clarke Unannounced Inspection 5th November 2007 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 Huntingdon Court DS0000033477.V350909.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. Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Huntingdon Court Address Regent Street Loughborough Leicestershire LE11 5BA 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) 01509 217474 01509 268393 www.leicestershire.gov.uk Leicestershire County Council Social Services Mr David Dixon Care Home 40 Category(ies) of Dementia (8), Dementia - over 65 years of age registration, with number (30), Learning disability (4), Learning disability of places over 65 years of age (4), Mental disorder, excluding learning disability or dementia (4), Mental Disorder, excluding learning disability or dementia - over 65 years of age (6), Old age, not falling within any other category (40), Physical disability (8), Physical disability over 65 years of age (20), Sensory impairment (4), Sensory Impairment over 65 years of age (4) Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Categories DE, DE(E) No person to be admitted to the home in categories DE or DE/E when 30 persons in total of these categories/combined categories are already accommodated in the home Service User Categories PD, PD(E) No person to be admitted to the home in categories PD or PD/E when 20 persons in total of these categories/combined categories are already accommodated in the home No persons under 55 years of age who fall within categories LD, DE, PD, MD and SI may be admitted to the home No persons falling within category DE may be admitted to the home where there are 8 persons of category DE already accommodated No persons falling within category PD may be admitted to the home where there are 8 persons of category PD already accommodated Service User Categories MD, MD(E) No person to be admitted to the home in categories MD or MD/E when 6 persons in total of these categories combined/categories are already accommodated in the home Service User Categories SI, SI(E) No person to be admitted to the home in categories SI or SI/E when 4 persons in total of these categories combined/categories are already accommodated in the home Service User Categories LD, LD(E) No person to be admitted to the home in categories LD or LD/E when 4 persons in total of these categories combined/categories are already accommodated in the home No person falling within category MD may be admitted to the home where there are 4 persons of category MD already accommodated Intermediate Care Admittance The home may admit persons for purposes of intermediate care as prescribed in the statement of purpose and falling within existing registered categories To be able to admit a person under the age of 65 years named in variation application number V19978 for a period of 4 weeks to commence 12th May `05. Named Person To be able to admit the named person aged 54 years under category PD named in variation application number V24384 dated 5:9:05 for a period of 90 days commencing from the date of their admission to the Home 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 5 Date of last inspection 10th January 2007 Brief Description of the Service: Huntingdon Court is a care home providing personal care and accommodation for up to forty older persons, who may have associated conditions, which may include dementia, mental disorder, learning disability, physical disability and sensory impairment. Designated beds are also available for service users accessing respite, assessment or reablement services. The home is located in the town of Loughborough, which provides a range of shops and has public transport links. The home has a central and rear garden, which is well maintained and is accessible to all service users residing in the home. Accommodation is provided over two floors, with lounges being available on the ground and first floor, access between the floors being via stairs or a passenger lift. Information is located on site detailing the range of services offered, which includes the Statement of Purpose, in addition to this Huntingdon Court has copies of the Commission of Social Care Inspections, Inspection Reports, which are located in the main office and are available upon request. The maximum weekly fee is £476.00; information as to fees is contained within literature supplied to prospective service users, including information about individual savings and financial contribution to care. There are additional costs for individual expenditure such as Chiropody, Optician and Hairdressing services, and the fee will depend on the services received. Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, which included viewing the previous Inspection Report, reviewing the Annual Quality Assurance Assessment (AQAA), which is a self-audit tool completed by the Registered Manager. We sent thirty-five surveys to service users and forty-six surveys to the staff of Huntingdon Court; to ascertain their views of which sixservice user and three staff surveys were returned. The unannounced site visit commenced on the 5th November 2007 and lasted 1 day. The focus of the inspection is based upon the outcomes for the service users. The method of inspection was ‘case tracking’. This involved identifying service users with varying levels of care needs and looking at how these are being met by the staff at Huntingdon Court. Four service users were selected and discussions were held with two of them. In addition five other service users were spoken with. The method of case tracking included the review of service users’ individual care records, discussions with staff of various responsibilities within the home and reviewing records, training records and the minutes of service user and team meetings. What the service does well: What has improved since the last inspection? Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 7 Care plans are reviewed with greater frequency ensuring that service users personal and health care needs are timely met, and are supported by risk assessments, which enable service users care to be delivered in the safest way possible. Documentation is now available which confirms that aspects of the Home have been maintained, and that health and safety practices are up to date. 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. Huntingdon Court DS0000033477.V350909.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 Huntingdon Court DS0000033477.V350909.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, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that the information supplied by the home will enable them to make an informed choice as to whether this is appropriate home for them. Individuals care needs may not be met if an assessment of their needs is not undertaken. EVIDENCE: An information pack is provided to prospective service users containing information as to the services provided by Huntingdon Court, and includes information on staff, fees, how to raise concerns, how service users and their relatives are consulted and how the home operates along with information as to the admission process. Service users and relatives spoken with confirmed that they had received written information about the home and the services it offers, service users Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 10 spoken with were asked why they had chosen to move into Huntingdon Court, once they had decided that they needed care and support, all said that they had previous experience with Huntingdon Court, and felt the home would be most appropriate for them, as previous experiences and impressions had been positive. The records of four service users currently residing at Huntingdon Court were viewed, three were of service users living at the Home, whilst one service user had recently moved into Huntingdon Court for an emergency placement. The three service users residing at the home had comprehensive assessments, which had been completed by a Social Worker, clearly outlining their reason for admission and their needs. The service user admitted for an emergency placement had not been assessed. A review of the service users situation had been organised for the following day, involving all relevant parties. The admission of service users without an assessment could place the service user at risk, as the Registered Manager cannot determine as to whether their needs can be met, or that the service user falls within their categories of registration. Huntingdon Court DS0000033477.V350909.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. Service users physical and health care needs are met, however improvements to service users care plans, which reflect a holistic approach to care could improve the quality of care service users, receive. EVIDENCE: The records of four service users, three in receipt of residential care and one accessing a placement for assessment were viewed as part of the ‘case tracking’ process, this included looking at their care plans. An initial assessment and care plan was in place for those service users residing at Huntingdon Court, however the service user admitted for assessment following an emergency had neither an assessment outlining their needs or a care plan. An additional care plan is written by staff of Huntingdon Court, and includes information about a service users previous life and any significant events. The care plans viewed focused on the personal care needs of service users detailing Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 12 as to how staff were to support service users, including any specialist equipment required such as a hoist. Significant improvements to the contents of care plan needs to be considered if all aspects of service user care are to be considered. Care plans are supported by risk assessments where risk to service users and staff have been identified, by detailing how a service user needs to be supported in the delivery of personal care and for moving from one place to another. A significant number of service users residing at Huntingdon Court have additional care needs to those of personal care, which includes Sensory Impairment and Dementia. Care plans whilst specifying that they have an additional care need, no information is provided to how their day to day lives are affected, and how staff need to offer support and reassurance to promote their quality of life. Care plans attempt to provide information as to the preferred daily routines of service users, the information is very limited, and does not support service users who are unable to express their preferences to live a life style they choose. Staff were asked their views as to care plans, responses were varied, some indicated that care plans were detailed, whilst others felt their was insufficient information about service users, particularly those with Dementia. Staff said they were responsible for updating and reviewing care plans for those service users they are ‘keyworker’ to. Staff went on to say that there is limited time to talk to service users on a one to one basis. Daily records and discussions with service users evidenced service users access to health care professionals, a District Nurse was visiting the home on the day of the site visit. A relative spoken with said that they remain involved in the day to day care of their relative, supporting them in accessing health care appointments, and felt confident that staff responded to the health care needs of their relative. An Assistant Manager was observed dispensing the lunchtime medication to service users, service users who are prescribed medication to relieve pain were asked whether they required this medication. The administration of medication was managed well, all service users receiving their medication in a timely manner. A number of service users were asked if staff respected their privacy and dignity, and whether staff were polite and courteous, and offered the care they required. Service users making several comments: “Look after me, they respond to call bells.” “Care is very good, always people to help if I need it.” “Staff respect my privacy, staff are polite and I get on well with the carers.” Huntingdon Court DS0000033477.V350909.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 adequate. This judgement has been made using available evidence including a visit to this service. Activities currently provided whilst being positively received by some service users are not appropriate or accessible to those with specialist needs. Service users benefit from a wholesome diet, and have their specialist dietary needs met. EVIDENCE: An Activity Co-ordinator has been appointed to organise activities for service users. The records of service users viewed recorded that they enjoyed bingo sessions, and visits from family. Service users had mixed views with regards to the activities offered by the home. Service users in some instances said they felt the range of activities was very limited, and said they could not participate due their physical limitations or their ability to hear and see. Service users in some instances did not wish to participate in activities, preferring to watch television. Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 14 A service user said that they like to read choosing books from the mobile library, and had enjoyed the recent visit from a group of American Singers. Additionally they had been involved in knitting and art and craft sessions. The service user went onto say that they often feel isolated, as a number of service users are not able to converse, and staff have limited time to sit and talk with them. The service user commented that although the television is on, the volume is turned down low, and therefore it cannot be heard. The environment with which the service user referred too is open plan, and provides access thorough to the dining room. The area can become very busy, and with the doors open to the dining room conversations between catering staff can be easily heard, and be intrusive to service users listening to the television or relaxing. The Commission for Social Care Inspection (CSCI) sent out surveys to a number of service users when asked whether the home arranges activities, the relative of one service user made the following comment: • Ability to participate is limited, but ‘sing a longs’ are acceptable to most service users. I today witnessed services users who are normally uncommunicative or dozing singing along and moving their hands to the music, how much better to have music rather that television which many services users can’t see or understand. Activity care plans had been introduced by the previous Activity Co-ordinator with service users participation in activities recorded, these records are no longer used, and there are limited records within service users daily records as to their participation in activities. Huntingdon Court has an open door policy to visitors, and relatives of service users visited throughout the day. One service user went out with their family for a meal to celebrate their birthday, a number of service users spoken with said that they have frequent visits from their relatives and friends and often go out with them or visit them at their homes. A majority of service users spoke positively about the meals provided, making the following comments: “The food is very nice.” “The meals are good, they’re nice and can’t complaint at all.” “Food is smashing, it’s lovely.” Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 15 One service user said at teatime there is often a selection of sandwiches to choose from, but felt that staff served service users on one table first, meaning that other service users had less choice. It was suggested that a selection of sandwiches be placed on each table, therefore service users could select for themselves what they wanted to eat, and were not reliant on staff serving them. Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to a complaints procedure, and are supported by systems and staff trained in recognising abuse. EVIDENCE: Information received prior to the Site Visit recorded that Huntingdon Court has received three complaints since the last Inspection. The records of these concerns were viewed; all had been documented, as had the outcome of the concerns. The Commission for Social Care Inspection has not received any concerns relating to Huntingdon Court since the last Key Inspection. Information as to how concerns and complaints can be raised and how they will be handled is provided in documentation supplied to prospective service users. Service users spoken with when asked if they had a concern who would they speak with identified members of staff or the management team. There are limited opportunities for service users to express their views and opinions, which affect their day-to-day lives, a service user meeting has not be held this year. The Registered Manager stated that any meetings held this year Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 17 had been held to discuss the proposal that Leicestershire County Council no longer owns and manages Huntingdon Court. A quality assurance process, which includes service users and their relatives completing questionnaires to ascertain their views as to the service they receive, was undertaken in March 2007. Information received was then collated and an action plan devised, which identified the need for improvements to service user activities and communication. In the main service users and their relatives expressed satisfaction with the service they receive. Staff receive training in how to look out for signs of abuse and how they are to respond if they have any suspicions or concerns. Policies and procedures detail the action that staff are to take should that have any concerns with regards to service user welfare. Huntingdon Court DS0000033477.V350909.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. 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. Service users are provided with a warm, safe, clean, comfortable and wellmaintained environment suitable for their needs. EVIDENCE: Huntingdon Court has car park facilities to the side and rear of the home, and there is flat level access to the front door. Mechanisms on the front door prevent individuals entering the building without alerting staff. Huntingdon Court has an on-going programme of re-furbishment and maintenance. Communal lounge facilities for long term and short stay service users are located on the ground floor, as are some of the bedrooms and bathing facilities. The first floor, which is accessible via the stairwell or passenger lift, provides additional lounges, bedrooms and bathing facilities. Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 19 All areas of the Home are decorated to a good standard, creating a homely environment in which service users can relax. Service users spoken with made positive comments about the environment, and said that they had brought in objects including furniture to personalise their bedrooms. The Commission for Social Care Inspection (CSCI) sent out surveys to a number of service users when asked whether the home is fresh and clean, the relative of one service user made the following comment: • Very good, everywhere is very clean and there is a good presence of cleaning staff. Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 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. Service users receive the appropriate support they require by staff that are experienced and trained, having their needs met in a safe and timely way, this could be compromised if staff do not continually access specialist training. EVIDENCE: Huntingdon Court employs twenty-eight members of staff, of which 64 have attained a National Vocational Qualification in Care at level 2 or 3, which enables staff to deliver a good standard of care. The Registered Manager confirmed that there are six or seven care staff on duty in the morning, and four staff supporting service users in the afternoon and evening. Staff in the main believe there are sufficient staff on duty to cater for the care needs of service users, but did raise concerns that their was very little time to sit and converse with service users, and that in some instances the use of agency staff affects the quality of care service users receive, and that service users in majority of circumstances are more confident with staff they are familiar with. Service users spoken with confirmed that staff respond appropriately when they ask for assistance, observations on the day of the site visit showed that Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 21 care staff were sensitive to the needs of service users and spoke courteously and professionally. Staff receive training in topics related to health and safety which includes moving and handling, fire awareness, infection control and first aid. Staff training records for this year do not support a commitment for staff to attend training in topics specific to the care of service users in specialist areas such as Dementia and Alzheimer Awareness, Sensory Impairment, and conditions associated with health, as minimal attendance was recorded. Records of a staff member recently recruited were viewed, all necessary employment checks, which included written references and a Criminal Record Bureau disclosure, were in place. The robust recruitment practice promotes the safety and welfare of service users. The Commission for Social Care Inspection (CSCI) sent out surveys to a number of service users when asked whether staff listen and act upon what they say, and are available, the relative of one service user made the following comment: • Staff appear to be on the ball and appear vigilant, staff are very attentive and responsive and there are always staff around. Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from home, which is managed to ensures their health, safety and welfare are promoted, however opportunities for the sharing of information and views could be improved for both service users and staff. EVIDENCE: The Registered Manager, David Dixon has attained a level 4 National Vocational Qualification and the Registered Managers Award. A quality assurance system has been developed which provides information to prospective and existing service users and their families as to how quality is measured and maintained, in addition a system is in place, which seeks the Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 23 views of service users and their relatives as to the care and services offered by Huntingdon Court. A quality assurance report has been produced, the report identified areas for improvement being communication and activities for service users, a majority indicated that service users and relatives were confident and happy with the service they receive. Improvements could be made as to how service users influence the home in which they live, a service user meeting has not been held this year to discuss their views as to the care they receive and comment on aspects which affects the quality of their day to day lives, such as staffing, meals, activities and the environment. The Registered Manager stated that service user meetings that had been held this year had focused on the proposal made by the Local Authority that they no longer manager and own Huntingdon Court. The line manager of the Registered Manager visits the home monthly, and spends time looking at various records, and speaking with staff and service users, to ensure that the service is being run in the best interests of the service users. Information as to the management of service users financial affairs is detailed within the service users care plan, and often involves their family or legal representatives such as Solicitors. Staff spoken with said that they receive two or three supervisions a year, with their line manager to discuss day to day care practices, philosophy of care at the home, and career development and training needs. Staff stated that staff meetings are infrequent and do not in all instances feel that information is communicated effectively, but they rely on information being passed from one member of staff to another. Staff identified that information about service users health and welfare is not always passed on in sufficient detail when staff have not been on duty for several days. The previous inspection identified some aspects of maintenance and health and safety where records were not available or up to date. These records were viewed and were found to be in good order. Huntingdon Court DS0000033477.V350909.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 3 X 2 X X 3 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 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 2 X 3 Huntingdon Court DS0000033477.V350909.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 OP7 Good Practice Recommendations It is recommended that care plans are reviewed on a monthly basis, and that all residents have a care plan relating specifically to their residential care needs. It is recommended that the complaints procedure is prominently displayed for residents and relatives. 2. OP16 Huntingdon Court DS0000033477.V350909.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Huntingdon Court DS0000033477.V350909.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. 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