Inspection on 20/12/06 for 146 Lower Robin Hood Lane

This inspection was carried out on 20th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

146 Lower Robin Hood Lane 29/04/09

146 Lower Robin Hood Lane 03/02/06

146 Lower Robin Hood Lane 23/06/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE 146 Lower Robin Hood Lane 146 Lower Robin Hood Lane Walderslade Chatham Kent ME5 9Lb Lead Inspector Jo Griffiths Key Unannounced Inspection 20th December 2006 11:30 X10029.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 146 Lower Robin Hood Lane DS0000064409.V315624.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 and 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. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 146 Lower Robin Hood Lane Address 146 Lower Robin Hood Lane Walderslade Chatham Kent ME5 9Lb 01634 685656 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) MCCH Society Limited Care Home 5 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (4) of places 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd February 2006 Brief Description of the Service: 146 Robin Hood Lane is a large detached bungalow situated in a quiet cul-desac in Chatham. Shops and other amenities are situated close by. The home cares for residents who have a learning disability with the majority being over 65 years of age. The home is staffed and managed by MCCH Society Ltd. The current fees for this service range from £1294.58 – 1446.28 per week 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took place between 11.30am and 4.30pm. The new Manager, Aaron Marshall, was at the service during the inspection. Two of the people that live at the home were spoken with and gave their views on the service. Staff were observed to support people throughout the day. Comment cards were received from five people living at the home, Two relatives and one care Manager. The feedback from these cards was very positive about the home. Some of the records in the home were looked at as part of this inspection. What the service does well: What has improved since the last inspection? There is a new Manager who the people living at the home say is very good. The Manager has made some positive changes by helping people to achieve some of the things they have always wanted to do. Most areas of the home have been decorated and the bathroom has been refitted. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 6 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. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2, 3, 4 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 are provided with the information they need to make a decision about moving to the home. Service users are provided with a contract for their care. Service users have a full assessment of their needs before moving to the home. Service users know that their needs can be met by the home. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 9 EVIDENCE: The Statement of Purpose and Service User Guide were reviewed in August 2006 to include the details of the new Manager. The Service User Guide is presented in easy to read format with pictures. Each service user has had an assessment of their needs. The Manager has introduced some new assessment documents as part of a new support plan. Service users spoken with said that their needs were being met and that they were getting the support they wanted. Service users have a contract with MCCH for their care and the Manager said that tenancy agreements were being developed with the housing provider. The home does not provide intermediate care and therefore standard 6 is not applicable. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9, 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users have a support plan that meets their needs, but they would benefit from these being updated. Service users can be confident that their health needs will be met. Service users are protected by the home’s procedures for managing medication. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 11 Service users are treated with respect and their privacy and dignity are maintained. EVIDENCE: Each service user has a written plan that identifies their support needs. The Manager is in the process of updating these plans to use a new format provided by MCCH. Some of the care plans have been updated and transferred, but others still require some work. The updated care plans will be more person centred and will include pictures and symbols to help people become more involved in writing their plan. It is recommended that, where possible, service users sign their care plan to agree to it. As part of updating the care plans the Manager has also begun updating the risk assessments for each individual. The risk assessments have been written to enable service users to safely enjoy the activities they want to do, such as swimming, going to football matches etc. The risk assessments are detailed and clear to follow. Service users health needs are met by the GP and other healthcare professionals. The Manager stated that the psychologist involved with one service user had recently complimented the service on the work they are doing to support the person. The Manager described how ‘positive reinforcement’ had been used to help people manage any challenging behaviours and that this had proved very successful in the last 6 months and had resulted in the atmosphere of the home being much more relaxed. Records are kept of individuals health needs within their support plan and any visits to a health professional are clearly recorded. Staff read the key health notes at the start of each shift and are directed to any important information they may need to know. All the service users require support with their medication and their medication is held by the home. A new medication cabinet has been purchased and was to be fitted the next day. Medication records were seen to be completed accurately. Staff have attended training in medication and the Manager and deputy have attended an advanced 12 week training course. The Manager assesses the competence of staff to give medication. Service users were observed to be supported by staff in a respectful and dignified manner. Staff said personal care is always provided in private and service users said they received their support in the way they wanted. Individuals routines are respected and support plans show they can choose when they wish to get up and go to bed. Through observation and discussion with service users and staff it was clear that peoples choices are respected and they are encouraged to make decisions for themselves. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users enjoy busy and interesting lifestyles. They participate in the activities of their choice. Service users are supported to maintain and build new relationships. Service users are supported to make their own decisions and exercise control of their lives. Service users enjoy a balanced and varied diet. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 13 EVIDENCE: Service users have a plan of activities that they enjoy regularly and are supported to choose daily any other things they would like to do. There is an activity worker is works with each person once a week to do something of their choice. The staff support service users to decide what things they would enjoy doing through their monthly meeting. Person centred planning has also been used to help people express any wishes they have. For example, one person had not been on a train for 10 years and was supported to tell staff that. It was arranged for him to go out for the day, making a train trip part of the activity. Another activity being planned is a holiday to Spain. Records show that service users have busy and interesting lives. The types of activities people regularly enjoy include, church, social clubs, exercise classes, shopping, visiting family and going to football matches. Service users said they can have their family and friends to visit at any time. Staff described how one service user had decided he would like his relative to come to his house for dinner as well as him going to visit her. This had been happening and the relative was at the home at the time of the inspection and the service user was also looking forward to her visiting for Christmas day. Another service user said that he sometimes had his football friends over or would go and meet them at the pub. There is internet and e mail available for service users and one person e mails and uses a web cam to contact a relative in Australia. At home service users get involved in the cooking and can relax in the lounge watching television or listening to music. One person has a new greenhouse in the garden. He spoke of his plans to grow flowers and vegetables this summer. Another service user spoke of how he enjoyed his weekly keyboard lessons with the tutor that visits him. All the service users were preparing for a Christmas party at a local hall that evening. Staff were cooking food to take and service users were enjoying watching and helping. Discussion took place with the Manager about the recording of all types of activity. The Manager said he had raised with staff about improving record keeping for activities. For example, recently the service users had been out for a Christmas lunch and met with friends but this had not been recorded in detail and did not do the activity justice. The staff are supporting service users to do lots of other activities at home, for example, DVD and popcorn afternoons, but could be better at evidencing this in their records. Service users are encouraged to make their own choices and decisions. Each month they have a meeting with their keyworker and are supported to say how they feel about things and if there is anything they would like to do. This is also an opportunity for them to say what meals they would like on the menu. The menus are planned by a member of staff who has a good understanding of 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 14 nutrition and healthy eating. The menus showed a balanced diet with plenty of choice. It showed that people favourite meals had been provided too. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users know how to make a complaint and know their concerns will be taken seriously. Service users are protected from abuse. EVIDENCE: Service users spoken with knew how to make a complaint if they needed to. MCCH has a clear complaints procedure and this is available to visitors and service users. The Manager has been working with relatives over the last few months to ensure they understand the complaints procedure and how to contact the commission. He has also spent time explaining the CSCI’s ‘Inspecting for Better Lives’ Programme to relatives and service users. The Manager is working toward putting the complaints procedure on audio tape so that it can be used with service users on occasion to remind them of the procedure. Service users generally use their monthly meeting to raise any concerns about anything, but are also confident to speak to the Manager or 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 16 staff at anytime. One service user has difficulty communicating their concerns so the Manager meets 3 monthly with their relative to discuss the support that is being given. There have been nom formal complaints received. All staff have received training in safeguarding vulnerable adults and those spoken with were aware of the whistle blowing policy and their responsibilities to report any alleged abuse. Service users spoken with were aware of their rights and were comfortable to talk to someone if they were worried about anything. Those spoken with said they had no complaints and were very happy with the staff, the home and the support they were getting. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20, 21, 23, 24, 25, 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users live in a safe and well maintained environment. Service users have access to safe and comfortable indoor and outdoor space. Service users have access to sufficient bathroom facilities. Service users’ bedrooms meet their needs. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 18 Service users’ bedrooms are well furnished and personalised. Service users benefit from living in a clean, hygienic and comfortable home. EVIDENCE: The home is clean and well maintained. It has a warm a homely atmosphere and the service users spoken with said they were very happy living there. There is a large lounge with a conservatory facing onto the garden. The garden is well maintained and safe for service users to use. One service user has a new greenhouse that has been added to the garden. The spacious kitchen/diner is a very social area and service users were seen to spend time in there with staff chatting and enjoying cups of coffee. There is a large bathroom, which has been refitted with a parker bath, and a separate toilet. One bedroom has an ensuite shower room. There have been some problems with hot water over the past few months and a new hot water cylinder was being fitted during the inspection to resolve this. Each person has a single bedroom and 4 of these have been recently decorated in the style of their choosing. One person’s bedroom is due to be decorated in the New Year. All the bedrooms were personalised and people said they were happy with their rooms. Staff were seen to knock on bedroom doors and respect service users privacy. The housing provider has agreed a 5 year redecoration plan for the home to ensure all areas are well maintained. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users are supported by sufficient numbers of competent staff to meet their needs. Service users are in safe hands. Service users are supported by trained and qualified staff. EVIDENCE: The rotas evidenced that service users are supported by enough staff to meet their needs, including being able to go out to do all the activities they enjoy. Team meetings are held monthly. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 20 Each member of staff completes an induction when they join MCCH which includes shadowing more experienced staff members, completing a workbook and attending training courses. The staff team have all completed the training they need to support the service users including, moving and handling, POVA, first aid, health and safety, dementia, medication fire safety and food hygiene. All staff are qualified to NVQ level 2 or above. Standard 29 was not inspected at this time. This will be inspected at another date by the CSCI Provider relationship Manager who is allocated to MCCH. Service users spoke highly of the staff and appeared very relaxed in their company. There is a low turnover of staff at this home. Therefore the staff know the service users very well and provide consistent support to them. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from a qualified and experienced Manager. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 22 Service users are consulted on their views and the service is run in their best interests. Service users’ financial interests are safeguarded. The health and welfare of service users and staff are protected. EVIDENCE: The Manager has been in post since April 2006 and has applied for registration with CSCI. The staff and service users gave positive feedback on the way the house was managed and said the Manager was supportive and approachable. Service users are consulted on their views of the service through a number of means. MCCH carries out an annual survey of all its clients and publishes the results. MCCH have now written a policy for quality assurance for the home. Service users have monthly meetings where they are supported to express their views. It is at these meetings they are also asked to make decisions about things such as activities they would like or menu ideas. One service user was recently involved in the interview of a new assistant chief executive for MCCH. A member of the senor management team visits the home every 3 months to carry out a quality audit and a Manager from another service visits monthly to review the service. The Manager reviews all records and care plan notes monthly and speaks with relatives regularly. The home does not have any responsibility for service users benefits or other money, but will hold small amounts of money for safe keeping if requested. Where this happens records of expenditure for the person are kept and the money is held securely. There is a weekly Health and Safety check of the environment and there are appropriate risk assessments in place. There are no issues of health and safety concern. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 x 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 13 14 15 ENVIRONMENT Standard No Score 19 4 20 3 21 3 22 x 23 3 24 3 25 3 26 3 STAFFING Standard No Score 27 3 28 4 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 x 18 3 3 x 3 x 3 x x 3 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? 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 Home’s 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 2 Refer to Standard OP7 OP12 Good Practice Recommendations It is recommended that the care plans be updated to use the new MCCH documents. It is recommended that staff complete more detail in the daily records with regard to the activities they are supporting people with. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 146 Lower Robin Hood Lane DS0000064409.V315624.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!