Inspection on 31/03/09 for Ravenscroft Rest Home Ltd

This is the latest available inspection report for this service, carried out on 31st March 2009.

CSCI found this care home to be providing an Excellent 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.

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ravenscroft Rest Home Ltd Liverpool Road Longton Lancashire PR4 5HA Lead Inspector Mrs Felicity Lacey Unannounced Inspection 31st March 2009 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 Ravenscroft Rest Home Ltd DS0000072928.V374763.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. Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ravenscroft Rest Home Ltd Address Liverpool Road Longton Lancashire PR4 5HA 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) 01772 614516 01772 617318 Ravenscroft Rest Home Limited Sarah Mault Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36), Physical disability (36) of places Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Physical disability - Code PD The maximum number of people who can be accommodated is: 36 Date of last inspection Brief Description of the Service: Ravenscroft Rest Home is situated in the village of Longton and close to all the amenities. This is a reregistered service due to a change of ownership arrangements. The home is registered to take up to a maximum of 36 people of both sexes. Ten of the beds are for a rehabilitation unit within the home, this is known as the Centre For Independent Living. People in this unit are usually admitted straight from hospital and stay for a few weeks to recuperate. It is staffed separately. There is also a three bedroom bungalow that is used to prepare people for independent living back in the community. This is set out in homely way. In the rest home the accommodation is provided in mostly single bedrooms and some of them have an ensuite facility. A passenger lift is available to access the few bedrooms on the first floor. A large and well maintained garden is available for people to enjoy. Information about the current fee levels at Ravenscroft Rest Home can be obtained from the manager. Ravenscroft Rest Home Ltd DS0000072928.V374763.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 3 stars. This means that the people who use this service experience excellent quality outcomes. This inspection included an unannounced visit to Ravenscroft Rest Home. Prior to the visit information was provided by the manager of the home in an Annual Quality Assurance Assessment (AQAA), this is a record of how the service provided at the home meets the standards set out in law and good practice guidance. Surveys were sent out to people living at the home and staff. During the visit people who live at Ravenscroft Rest Home, their relatives, visiting health professionals, staff and the manager were spoken with. The home also includes an intermediate care unit and a bungalow, which helps prepare people for their move back home. All parts of the service were visited during the inspection. What the service does well: The people living at the home spoken with during the inspection were very positive about their experiences. They felt that the home exceeded their expectations. They thought the staff were very helpful and caring. The comments received included: ‘I had visited several other homes in the area before deciding on Ravenscroft, I had also heard good reports about Ravenscroft from people who had experience of it.’ ‘The lounges and dining room are always very clean and tidy.’ ‘I am very happy here. I try to talk to new people who come in, as I know what they are going through. It is very difficult to give up your home. But for me it has been excellent. The Queen couldn’t be treated any better.’ ‘I have been able to spend time doing my exercises and this place has given me the chance to get on with it and soon I’ll be back home.’ ‘Staff are so kind and caring. It’s the little things that make a big difference to how you feel.’ The relatives spoken with during the visit always felt welcome at the home. They were felt that they were kept informed about any significant events by the staff. Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 6 Staff members thought the manager and her deputy provided excellent support and were responsive. Their comments included: ‘I have been encouraged to go on training. The management team are very supportive-without a doubt.’ ‘My induction covered everything, moving and handling was also completed in the workplace.’ ‘Ravenscroft provides a high quality care for all. Everyone is treated as an individual and all their needs are met. Regular training and meetings are put in place to ensure that staff are updated and aware of standards of care.’ ‘Staff are always informed of client needs at handovers, we can read the care plans and communication book.’ ‘The seniors get together once a week for a meeting to discuss any queries or problems regarding work. We do training sessions once a week which all staff are invited to attend.’ ‘The manager is always calm and approachable.’ What has improved since the last inspection? There have been changes to the ownership arrangements of the home and this has led to a streamlining of services. The manager has found this to be an improvement as decisions can be made quickly and changes put into place without delay. All relevant documents and records have been up dated to make sure people have accurate information. There have been improvements in the Centre for Independent Living. Notice boards have been put in each bedroom which detail the individual therapy goals and the progress made. This is a way of helping the people who are working towards returning to living on their own to see their progress and to help keep family members up to date. Additional equipment has been bought to improve the range of activities on offer. This included a camera, which has been used to capture activities and events. The photos are displayed in a folder and on the notice board at the home. A regular newsletter has been introduced. This helps keep people informed of happenings at the home and also gives the opportunity for people living at the home to be involved in its production. The idea for the newsletter came from a person living at the home, this is one example of how the views of people living at the home are listened to and acted upon. Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 7 The arrangements for the storage of medication have improved. All the policies and procedures around health and personal care have been reviewed and updated. The staff of the home have been active in promoting dignity in care and respecting the rights of people living at the home. The manager has been active in making sure that all people at the home feel valued as individuals. She and the staff have been supported through training and supervision to help create an atmosphere at the home where each persons race, gender identity, disability, sexual orientation, age and religion is respected. All the policies and procedures at the home have been reviewed to make sure they do not discriminate any sectors of the community. Staff continue to have excellent training opportunities. The manager is active in finding new ways to provide additional training and to gain extra funding. This is of benefit to people living at the home who are well supported by a competent staff group. 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. Ravenscroft Rest Home Ltd DS0000072928.V374763.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 Ravenscroft Rest Home Ltd DS0000072928.V374763.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): 3,6 Quality in this outcome area is excellent. People who are considering living at Ravenscroft receive good information and their views are gathered during an assessment, this ensures that they are supported in line with their needs and expectations. The intermediate care unit provides an excellent setting in which people can rebuild their confidence and regain independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people who completed surveys and who were spoken to during the inspection felt they had good information prior to moving to the home and this help them make an informed decision. Any person thinking of moving to the home will be visited by a senior member of staff to discuss their care needs , they may wish a family member or social worker to be present and are encouraged to visit and spend time at Ravenscroft before making a decision. One person who has lived at the home for some time feels that people are Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 10 made welcome. She personally tries to support people during a time when they are becoming familiar with the home, as she recognises the anxiety and distress this can cause. The people who live in the Centre for Independent Living are admitted in a different way. These people are assessed by the Health and Social Services and a decision is made about the ability of the person to regain their independence in order to return home. The person may not have the opportunity to visit but information is provided about the service in a guide. A copy of this guide is also in the bedroom for reference. The unit provides specialist facilities, equipment and staff support. The unit is supported by Occupational Therapists and Physiotherapists. Each person has an individual programme that details their support needs and goals. Bedrooms have a notice board that contains information about the person’s individual goals and progress. People who were spoken with who had spent time in the unit felt that they had been well supported and this had enabled them to make successful steps towards regaining their independence. The unit also has a bungalow, which enables people to get used to living in a less supported environment. Here the people have a Life Line Pendant, which they can use to summon staff, but the bungalow is not staffed 24 hours a day. People in the bungalow prepare some of their own meals and snacks. There is a therapy room, which can be used for exercise in addition to the person’s own room. Ravenscroft Rest Home Ltd DS0000072928.V374763.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, 10 Quality in this outcome area is excellent. People are treated with dignity and respect in this home. Their health and personal care needs are taken seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans are comprehensive they cover all areas of personal and health care. All plans are kept under review. The frequency of this depends on the needs of the person, who is encouraged to be involved in drawing up the care plan. The care plans are outcome focused and this means that they concentrate on the effects of the support given to the quality of life experienced by the person. There was evidence that care plans were routinely reviewed and reviewed following significant changes in a persons needs. The people spoken with and who completed surveys felt that the staff understood their care needs and responded well to any changes. The care plans for people in Centre for Independent Living are involved in devising their care plan and goals and the plan includes consideration of their feelings and hopes for the future. There are weekly reviews, which involve staff Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 12 from the home, health and social services. Currently the person who the review is about does not attend the meeting, it would be useful to consider why this is the case. It is important that people are involved and fully consulted about their care needs and progress. The health needs of people are well documented. There are additional health care assessments including pressure area care and nutritional screening. All people are registered with the GP of their choice. People spoken with felt that their health needs were monitored and were confident that the GP would be called if needed. People are supported to attend hospital. The incidence of falls are monitored and this ensures that any further action is taken to help improve a person’s mobility. District nurses are involved when needed. The people at the home have access to community health services, including opticians and dentists. The health needs of people who are rehabilitating at the home are under continual assessment, with regular input by the Physiotherapist and Occupational Therapist and Technical Instructor. The people spoken with found the support and advise invaluable. One person shared his experience and explained how he carried out the exercises set and recorded his progress. He thought the staff of the care home were very good, he had made excellent progress and would soon be back home. People are encouraged to choose how they wish their medication to be dealt with. Some people self medicate and are able to store and administer their medication independently. All senior members of staff who are responsible to the administration of medication have received training about safe practice and legal requirements; this was confirmed in discussions with staff members. The staff of the home have signed up to The Dignity in Care Charter. The people spoken with felt that they were treated with respect and their privacy and dignity was promoted at the home. The observations of staff interactions with people living at the home showed that there was mutual respect and an atmosphere were everyone was included. Ravenscroft Rest Home Ltd DS0000072928.V374763.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, 15 Quality in this outcome area is good. People are enjoying a good quality of life and are involved with a good range of activities both in the home and local community. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The interests and hobbies of people who live at the home provide a starting point for the activities on offer. The person’s key worker gathers information about their preferences about social and cultural interests and religious observance. There are some people who are active in the local community and church groups, including the Mothers Union. Newspaper and magazines are delivered to the home. Some people choose to order their own. There are talking books and newspapers also available for people who have sight difficulties. The home is located next to the local library and some make good use of it. The activities on offer are advertised on the notice board. There is regular discussion in meetings held by people living at the home about activities and trips out, a recent suggestion is visiting a local Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 14 garden centre for afternoon tea. The home has purchased a camera, which is being used to keep a record of the activities enjoyed; a photo album is on display in the hall. The home has pet birds and rabbits and some people living at the home are very fond of these. A newsletter has been introduced. This helps keep people informed of events and provides an opportunity for people who live at the home to write their own pieces to be included. The newsletter is given out to families and visitors and is a good way of keeping people informed and involved. During the visit to the home there were people who had come to see their relatives and friends. They said that they were always made welcome and always found their loved one being well cared for. Relatives and friends are welcome to join in activities and events held at the home. One person commented on how lovely the gardens are to spend time in when the weather is pleasant. The people who live at Ravenscroft are encouraged to make their own choices. There is a range of useful information available at the home. In the hallway useful leaflets are on display, for example the recent government guidance about Deprivation of Liberty and the expectation of how people will be listened to when they live in a care home was on display. People continue to manage their own financial affairs as long as they are able to. There is advice about advocacy and support services available, and people are encouraged to make arrangements for their management of their affairs if they feel they are no longer able to do this themselves. The people spoken with thought the meals were very good, one person was not sure about the quality of the meals provided in the rehabilitation bungalow. The manager is active in seeking the views of people and responding to them. The menu for people who are preparing to go home is based on the advice of the health professionals involved, and is designed to help people have easy to prepare and nutritious meals. The meals are prepared by a trained chef, they are presented in tureens and this help to encourage people to serve themselves and to have the portions they like. There is choice at all mealtimes. People are able to have snacks and drinks through out the day. They are able to take their meals in the dining room or in their own rooms. The Centre for Independent Living has facilities to help people prepare their own meals and snacks. Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. People using the service were protected by the complaints and safeguarding procedures, which were understood by staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people who live at Ravenscroft know that they can raise any concern and this will be dealt with by staff. The home has a complaints procedure and this is understood by people living at the home and the staff, however the people and staff spoken with felt that most things would be satisfactorily sorted out with out having to use the procedure. The people at the home feel confident making their views known. The manager is active in keeping in touch with relatives and speaks to the people living at the home on a daily basis. The complaints policy also includes concerns and suggestions, this is one way in which people are encouraged to voice their opinions. The staff have competed training about the important of adult protection and Whistle Blowing. The staff spoken with understood their responsibilities under the homes policies and how to deal with safeguarding issues. Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. Ravenscroft Rest Home provides a safe and comfortable home that is well maintained and decorated and furnished to a good standard. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The environment is designed to meet the needs of the people living at the home and using the Centre For Independent Living. In the care home there are two large lounges which offer a range of seating options and provide a pleasant place to spend time. The lounges are equipped with TV and DVD. There is a music centre. There is a large dining area with a small seating area which over looks a courtyard. During the summer months this courtyard is used for barbeques which are popular. There is a large garden and this is well used during warm weather. The people living at the home commented on how lovely the garden was and some find great enjoyment watching the wildlife of the garden. There is an on going programme of refurbishment and renewal. The hall and stairs carpet is becoming threadbare in places and should be replaced before this becomes hazardous. Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 17 The bedrooms are furnished to meet the needs of the person and these are regarded as the persons private space. The rooms seen were arranged by the person for convenience and contained many personal items and photos. The people spoken with were very happy with their own rooms and thought they were kept clean and tidy. The areas of the home which provide rehabilitative care are arranged to meet the needs of the people who use the service. There are therapy rooms and equipment provided by Occupational health and Physiotherapy services which are use to promote mobility and independence. All areas of the home were clean. There is dedicated housekeeping staff. There were no unpleasant odours. The staff understood the need to use protective clothing to control infection and have received training. Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is excellent. The people living at Ravenscroft are supported by well trained, effective staff who have gone through a thorough recruitment process, so people’s needs are met and they are safe from possible harm or poor practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people spoken with and who completed surveys were pleased with the kindness and caring attitude of the staff at the home. They considered staff to be readily available and able to meet their needs. The manager is keen to promote training and to encourage staff to continually add to their skills. The staff member spoken with and who completed surveys confirmed that they felt valued and had enough time to complete their duties. They also felt that training and support was very good. The recruitment files looked at showed that the recruitment policy is robust and consistently followed. All prospective employees attend for interview. Employees must have satisfactory references and Criminal Record Bureau disclosure check. Staff have a planned induction and are supported by more experienced staff members. At the time of the visit to Ravenscroft 16 out of 18 staff had completed a National Vocational Qualification in Care, this is the recommended qualification Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 19 for people working in social care. The manager has also made links with the Lancashire Workforce Development Partnership, which provides additional funding for staff training, and a number of short courses have been arranged to help staff continue to up date and add to their skills. Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is excellent. The service is well run with a high level of consultation which means that people living at Ravenscroft can contribute to its development. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is held in high regard by the people who live at the home, their relatives and the staff. She is active in getting to know the people who live and work at the home. She is experienced and continues to add to her skills, her qualifications include a National Vocational Qualification in Health and Social Care and the Registered Managers Award. The manager is supported by a Deputy and other senior carers, together they provide a strong management team who are seen as dependable and approachable by people who live at Ravenscroft. The views of the people living at the home are gathered in a number of ways including regular surveys. These consider different aspects of life at Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 21 Ravenscroft, such as staff attitude, meals and mealtimes. The results are gathered and acted upon. As a company owns the home, a representative of the company must carry out monthly quality assurance visits in line with the Care Home Regulations and provide a copy of their findings to the manager, and ensure that a copy is available for the commission. In this way the company demonstrates that they are aware of the standards of care and administration at the care home. Ravenscroft Rest Home has an external quality assurance award, which recognises good standards in administration and staff training. The people who live at Ravenscroft retain control over their own finances and if this is not possible they must appoint someone to act on their behalf. The manager does not act as appointee for any person. There are small amounts of money administered on behalf of people at the home for day to day expenditure. Records of any money spent are maintained and receipted. Each person has secure storage in their own rooms for any items of value. The manager and owner are aware of the responsibility to protect employees, people living at the home and visitors by having policies and procedures in place which promote health and safety. Regular health and safety checks are completed around the building and grounds. The required maintenance checks and servicing of equipment is organised and carried out. The manager has the support of a specialist company who provide health and safety advise and updates. The fire plan and evacuation procedures have recently been up dated. Staff receive regular updates and mandatory training in health and safety topics. Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 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 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Ravenscroft Rest Home Ltd DS0000072928.V374763.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 OP33 Good Practice Recommendations The Registered Person should provide a regular report about the quality of care and administration at the home under Regulation 26 of the Care Homes Regulations. Ravenscroft Rest Home Ltd DS0000072928.V374763.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Preston Local Office Unit 1, Tustin Court Port Way Preston Lancashire PR2 2YQ 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 Ravenscroft Rest Home Ltd DS0000072928.V374763.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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