Inspection on 26/09/08 for Medihands Healthcare (2)

This is the latest available inspection report for this service, carried out on 26th September 2008.

CSCI 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.

Other inspections for this house

Medihands Healthcare (2) 21/12/05

Medihands Healthcare (2) 28/10/05

Medihands Healthcare (2) 21/03/05

Medihands Healthcare (2) 09/12/04

Medihands Healthcare (2) 28/02/04

Medihands Healthcare (2) 30/10/03

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Ashlong House

Norbury Crescent (30)

Edenvale

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Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOME ADULTS 18-65 Medihands Healthcare (2) 2 Westbury Road New Malden Surrey KT3 5BE Lead Inspector David Pennells Unannounced Inspection 26th September 2008 11:00 Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 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 Medihands Healthcare (2) DS0000013435.V372100.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 Adults 18-65. 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. Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Medihands Healthcare (2) Address 2 Westbury Road New Malden Surrey KT3 5BE 020 8404 4108 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) Mrs Jayashree Sawmynaden Mrs Jayashree Sawmynaden Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th October 2006 Brief Description of the Service: 2, Westbury Road is owned and managed by Mrs Sawmynaden - being part of a group of homes in this area (‘Medihands Care Services’). The owner / manager is well organised in supporting the needs of both service users and staff. She is also the proprietor of a larger home for people with mental health needs and also a care home for older people with dementia. This establishment is a small care home situated in a pleasant and bustling residential area not far from New Malden High Street, on a busy main road close to local amenities and shops. The house is in keeping with the neighbouring properties, and is not identifiable externally as a ‘home’. The service provides long term care for three (maximum) people with enduring mental ill health conditions, and one has a learning disability. The home aims to support the people who use the service to remain independent through providing appropriate support to each individual in line with their care plan. Accommodation comprises a bedroom for each of the three people, with a bathroom and toilet upstairs, and the lounge / diner, a conservatory, toilet, and kitchen provided on the ground floor. There is a small rear garden with a patio. The accommodation and furnishings are of generally good quality. Medihands Healthcare (2) DS0000013435.V372100.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. We conducted the visit over a late morning and early afternoon period (leaving at 5.00pm), during which time we were able to meet the staff member currently on duty and the proprietor, and also to speak with two of the three people using the service. The third user of the service was currently in hospital at the time of the visit. We reviewed the outcomes from requirements and recommendations from the last inspection visit, and also inspected the essential care and maintenance documentation relating to the home, ensuring that the conduct of the home was safe for both people using the service and staff. The inspector is grateful to the people living at the service and to staff for their welcome and hospitality during the visit. We were able to spend some good time talking to the people using the service in private and ascertained that both were generally content and happy with the service they received. Staff records are held at the proprietor’s larger care home - situated just the other side of the road from 2, Westbury Road - at 149 -153 Kingston Road. For administrative convenience and also due to the close working and training interaction by staff at between both establishments, this centralisation of documentation works well. Staff documentation was checked at the Kingston Road establishment at their most recent inspection visit. What the service does well: The service provides a warm and comfortable environment for younger people with mental health problems / learning disabilities to lead a full and ‘ordinary’ lifestyle suited to their day-to-day needs and recognising their specific needs. People at the service are encouraged to engage with the local community attending resource centres, clubs, and accessing everyday community facilities - but also have the ‘security’ of the home to return to, which clearly for all, is a vital resource, without which, their sense of stability and security would be significantly compromised. There remains a positive encouragement for all three people to keep engaged with their respective family members - this being a vital part of both ‘ordinary life’, and also encouraged to ensure continuity in upholding and reinforcing cultural values and recognising their diversity in ethnicity and gender. Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 & 5. People using this 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 using the service can expect their needs and aspirations to be assessed and expressed in both the comprehensive assessments undertaken through the care programme approach, and by the home seeking to underpin these plans through their own ongoing care planning processes. EVIDENCE: The population of the home has changed, though all people using the service are familiar to each other. One person has been resident at the home since 1994 - the other two arriving, from a similar small ‘Medihands’ home, in 2007. No ‘new’ admissions have, therefore, been undertaken for some time. Once again, the service was able to evidence that regular reviews are held during which time service users are interviewed and their plans for the future and also preferences and comments about the service - are taken on board. All people using the service have active social worker / care management involvement. The Community Mental Health Team is situated only a short walk away from the house - at Roselands Resource Centre. There is a positive working relationship between the mental health care professionals and the home. Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 - 9. People using this 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 maintains care plan / assessment documents designed to ensure that the needs of individuals are realistically met in a focused & individual way. People using the service can be assured that their rights to individuality and self-expression are protected, whilst acknowledging the ‘community’ aspect of living at the home. Consultation and sharing of information involves, and takes into account, the wishes and aspirations of the individual. People using the service can be assured that risk-taking is underpinned by the support / protection plans put in place by the home and the placing authority. EVIDENCE: People using the service live their lives independently, and express their selfdetermination through generally speaking up for themselves (and each other). Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 10 The client-centred approach adopted by the home involves the person using the service; they all sign their own CPA documentation. Individual Daily Progress books (hardback) and other individualised records are kept to monitor progress and to inform assessments. Care Plans are held for each service user – these stemming from the generally regularly reviewed ‘enhanced Care Programme Approach’ / comprehensive assessment documents - and they are revised at regular meetings. The Plans give a detailed review and assessment of needs concerning health and social care, and describe how the care is delivered - and by whom. People using the service have their own ‘formal’ group meetings at the home; records of these meetings are kept. However - being a small home - many lifestyle decisions are individually focused or negotiated on the ‘spur of the moment’. All service users manage their own finances; these aspects of service user need being entirely independent of the home; families are often involved in the background. Risk assessments were examined and were clearly integral to the care at the home; the home alters / amends risk assessments as issues arise; and usually these are undertaken in collaboration with care management staff of the appropriate local authority. The enhanced Care Programme Approach used by care managers / social workers (at individual service reviews) ensures that those resident at the home are encouraged – within a risk-taking framework to maintain as much independence as is practicable and appropriate for them. Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 - 17. People using this 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 using the service can be assured that the home provides opportunities for them to engage in activities both within and outside the home, and to adopt a lifestyle suited to their individual needs and preferences, whilst respecting a service user’s own choices and decision-making. Engagement with the outside community is integral to the home’s philosophy of living an ‘ordinary life’. People resident at the home are encouraged to develop & maintain personal relationships with family members and friends, through the home offering advice, support and encouragement. Service users can expect to be provided with nutritious and wholesome food from the home’s menu, acknowledging the right to their own stated choice, and again reflecting an approach based on ‘ordinary life’ principles. EVIDENCE: Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 12 People using the service again confirmed that relationships with families and friends are positively encouraged by the home. All three people resident at the home have strong ties with family - this being particularly positive for all three, due to their cultural / diversity needs. Personal relationships are also encouraged, the service users stating that personal friends are accepted and encouraged at the home. There is a link between the Westbury Road home and the nearby other care home provided by the same provider in Kingston Road; friends interlink and visit each other from these two locations. With the exception of spending the entire night at the home, visitors are welcomed at the home and it was confirmed that people using the service spend times with their friends either in the communal space of the home (with the remaining service users’ agreement) or in their own private bedroom space. All people resident at the home have their own bedroom and front door keys and mail is given, unopened, directly to them. The home’s ethos is one of fostering independence, building on strengths and promoting choice. There is a policy on smoking in the home, and a policy on the use of drugs and alcohol. All bedrooms have their own tea/coffee making facilities and people are encouraged to help themselves to breakfast and lunchtime food. The kitchen is accessible at all times. General leisure activities engaged in by service users include cinema, leisure centres and visiting the local pubs with friends. Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. People using this 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 using the service can be assured that their personal, health care and emotional / mental health needs will be recognised and met by the home’s input - and through longer-term monitoring, assessment & care plan programming, in conjunction with the mental health team professionals. The systems adopted by the home for the storage, administration and disposal of medication ensure the safety and consistent treatment and support for each service user, according to their individual programme needs. EVIDENCE: As in the past, people using the service do not require direct personal care, though some require prompting / encouragement at times. Continuity of care is provided by a staff group who build up relationships and an understanding of each person’s needs, alongside them being a designated ‘key-worker’ to an individual - all this being supported and guided by the proprietor. Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 14 There is no set ‘house routine’ as such; people determine their day-to-day routine for themselves. The local Community Mental Health Team provides support, encouragement and direct assistance to all the individuals resident at the home. Almost every day each person has a definite structure to their day through day centre / club / café / drop-in engagement. The (conveniently very local) presence of the mental health Resource Centre Roselands, including the MIND café – just under the railway bridge – provides another location for meeting and accessing both mental health specific and social / activity services. The Consultant Psychiatrist attends the six monthly mental health reviews - which are held in the home. A fortnightly visit from the community psychiatric nursing (CPN) service also supports the service. Annual GP checks are undertaken to ensure the ‘general’ physical side of the each person’s wellbeing is not neglected. Staff members undertake regular monitoring and recording of weight, etc. Medication is stored, ordered and disposed of according to the set written house procedures. Photos are present on Medication Administration Record sheets, and recent full medical check ups were again in evidence, with reviews of medication seen. Details concerning ‘p.r.n.’ medication (‘when required’) were full in detail to support staff when having to decide if discretionary medication was appropriate or necessary. Staff members are trained in the administration and handling of drugs - and are supervised by the manager until assessed as generally proficient. Staff training is accredited through training given by Boots – the supplying pharmacist. The Consultant Pharmacist also visits all the ‘Medihands’ homes and inspects the systems used - from time to time. Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. People using this 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 using the service can be confident that their comments and complaints are responded to, with appropriate action taken, and feedback provided. The home provides support to people to ensure that they are protected from harm and any form of abuse, the home’s policy and procedure harmonised with that of the local authority Safeguarding Vulnerable Adults Protocol. EVIDENCE: The service has a complaints procedure with clear step-by-step stages and timescales, which make the document workable. The procedure gives people clear information on how to make a complaint at the first stage of a concern. Staff members encourage people to air their views openly, and to sort out any concerns at an early stage - thus saving complaints from becoming an ‘issue’. There were no complaints about the service within the past twelve months. Mrs Sawmynaden again confirmed that the home’s abuse procedure now ‘parallels’ guidance issued by the local authority (R B Kingston). The proprietor has a good concept of the issues around ‘Safeguarding adults’ procedures in general, due to issues arising (and being well handled) within one of her other establishments. All staff have received briefings on Safeguarding issues. Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27 & 30. People using this 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 can expect to live in a clean, warm and comfortable environment designed to meet individual needs - and providing adequate domestic services and facilities. People can be assured that the home is maintained as a safe environment, in which they may live without unnecessary risk or danger. EVIDENCE: The home is ideally situated, overlooking a principal arterial road leading into Kingston, within a short walk of local New Malden town shops, where other local amenities are found and public transport can be accessed. The premises were, once again, well maintained and provided a comfortable and homely environment for all service users. There is a good standard of decoration throughout the home, with the furniture and fittings being of generally good quality. Both the lounge and conservatory had been recently Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 17 repainted and were bright and pleasant. The home has access to regular maintenance staff, ensuring all needful repairs can be dealt with swiftly. All people using the service have their own single occupancy bedrooms (all three of ‘double’ size). All bedrooms seen were personalised and decorated to the person’s individual taste and preference. Each room is provided with a wash hand basin and a lockable space for personal / valuable possessions. They may also hold tea and coffee making facilities in their rooms. The dining / sitting area to the rear of the house is ample in size for three and a staff member - especially bearing in mind the fact that service users tend also to use their rooms as ‘bedsits’. The conservatory off the lounge to the rear is also popular on brighter days. There is one bathroom (with a relatively new bathroom suite of suitable type, and two toilets are available to service users (one upstairs, one down), this sufficient to meet their needs. The shower facility was due to be reinstated; the proprietor spoke of, perhaps, installing a new shower cubicle. Staff members are provided with a lockable space in the sleeping-in room – which is the ‘box room’ on the first floor - close to where the people using the service sleep. The home was kept clean generally and without odour and well maintained. Cleaning is a shared task - people using the service are encouraged to clean their own private space, and to help with keeping the communal areas of the house clean and tidy. The laundry area is located in the conservatory at the rear of the house - this appears again to be quite sufficient - and is comfortably accessible - for the three people resident at the house. Maintenance and service certificates for the premises were inspected and found to be up-to-date on the annual cycle of maintenance routines. Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35. People using this 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 using the service can be assured that staff will be available at all times to respond to their needs, and that the proprietor and staff members will ensure they are supported and protected through the provision of competent and informed care, and through appropriate employment practices. EVIDENCE: Staffing is provided with a single staff member available on site in the home at all times. The proprietor / manager works flexibly between this house and her two other care homes, which (although they have designated managers) also inevitably - demand some of her time and attention. It is fortunate that the service users at this small home conduct their lives quite independently – being out almost every weekday, and quite often absent at weekends - thus removing the need for the manager to be available ‘on site’ continuously throughout these hours. The proprietor does ensure she makes herself available for ‘official’ appointments, as required, and is generally ‘in residence’ most weekday mornings. Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 19 Mrs Sawmynaden is invariably available (by mobile phone), for immediate advice - and can usually - as was the case to meet the inspector - appear at the home itself within a short period of time - coming from her own home, or one of her other establishments. The Annual ‘AQAA’ questionnaire information revealed that two of the current five care staff members at the home were qualified in, and two undertaking NVQ training in Care at Level 2 - so that the home will very soon well exceed the target minimum of 50 of care staff being trained. The duty roster again confirmed that there is one staff member on duty at all times at the home, and one staff member sleeps-in ‘on call’ to the service users at nighttime. The Proprietor assured that all staff members are now currently qualified in First Aid - this being a deficit identified at the last visit. All staff members working at the home are familiar employees with some level of experience and standing within the ‘Medihands’ staff grouping. It is a prerequisite that staff members are experienced to work ‘solo’ as they do at this establishment. Staff records previously examined at the proprietor’s ‘main’ home - at 149-153 Kingston Road - have proven that all staff records were well kept, with appropriate references, and the ‘enhanced level’ Criminal Record Bureau checks for all staff. Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42. People using this 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 run by an experienced proprietor who has a clear concern for the people using the service, and a determination to maintain a high standard of service – this producing an ongoing good standard of care. People are encouraged to contribute to the review and development of life in the home, this promoting their best interests and rights. The home is run to the benefit of people using the service, with mechanisms and provision in place to guarantee safety, and evidence good practice in regard to health, welfare and safety issues. Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 21 EVIDENCE: The proprietor / manager – Mrs Sawmynaden (‘Mrs Sammy’) - is almost always immediately available to the home, should any problems arise. She has demonstrated a clear competence in management and care issues, and has created a skilled and well-focused - and enthusiastic - small staff group for Westbury Road. Mrs Sawmynaden is experienced through being a Staff Nurse and Sister in both hospitals and nursing homes and was an RGN - and has also gained a Certificate in Management of Residential and Voluntary Care services at Nescot. She has spent many years working with the current client categories, and clearly displays relevant insight into all such care issues. Mrs Sawmynaden continues to be very much ‘hands-on’, naturally providing additional support and guidance to people and also to staff members. People at the home confirmed that they have routine ‘Residents Meetings’ and that minutes are taken of these events. There is also a format devised by the proprietor for surveying their relatives and professional carers. It is clear that people are all competent in making their point, and being heard, at the home. Health & Safety measures, in so far as maintenance and contracted servicing of equipment and facilities at the house, was found in place - and up to date. Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 23 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 YA27 Good Practice Recommendations That the shower should be reinstated as soon as practicable, to ensure the widest variety of opportunities for bathing. The manager of the home should evidence her prior training / qualifications against the NVQ Level 4 Registered Manager’s Award framework, in order to evidence sufficiency in her professional competencies. 2. YA37 Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Medihands Healthcare (2) DS0000013435.V372100.R01.S.doc Version 5.2 Page 25 - 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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