Inspection on 02/07/08 for Waters View Residential Home

This inspection was carried out on 2nd July 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

Waters View Residential Home 04/07/07

Waters View Residential Home 04/10/06

Waters View Residential Home 24/02/06

Waters View Residential Home 10/03/05

Waters View Residential Home 15/09/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Waters View Residential Home 85 Main Road Little Oakley, Dovercourt Harwich Essex CO12 5AJ Lead Inspector Ray Finney Unannounced Inspection 2nd July 2008 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 Waters View Residential Home DS0000017992.V367630.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. Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Waters View Residential Home Address 85 Main Road Little Oakley, Dovercourt Harwich Essex CO12 5AJ 01255 880516 01255 880516 carolbrdshw@aol.com 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) Mr Andrew John Bradshaw Mrs Carol Ann Bradshaw Manager post vacant Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 15 persons) 4th July 2007 Date of last inspection Brief Description of the Service: Waters View is an established care home situated in a pleasant residential areas of Little Oakley. The town of Harwich is a few miles away and can be reached by bus or car. The home provides care and accommodation for up to 15 people over the age of 65. Accommodation is in single rooms with en-suite facilities, although one double room is available for people who may wish to share. Access to the first floor is by means of passenger lift or stairs. Communal areas include a large dining area and two comfortable lounges. There is an enclosed garden at the back of the home and parking facilities to the front of the property. The home charges £468.00 a week for the service they provide. Other services such as hairdressing and chiropody are available at an additional charge. This information was given to us in July 2008. Information about the home can be obtained by contacting the manager. Inspection reports are available from the home and from the CSCI website www.csci.org.uk Waters View Residential Home DS0000017992.V367630.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 star. This means the people who use this service experience good quality outcomes. A range of evidence was looked at when compiling this report. Documentary evidence was examined, such as menus, staff rotas, care plans and staff files. The manager completed an Annual Quality Assurance Assessment (AQAA) with information about the home. This document will be referred to as the AQAA throughout the report. An unannounced visit to the home took place on 2nd July 2008. The visit included a tour of the premises, discussions with people living in the home, the manager, the proprietor and members of staff. Observations of how members of staff interact and communicate with people living there have also been taken into account. On the day of the inspector’s visit the atmosphere in the home was relaxed and welcoming and we were given every assistance from the manager, the proprietor and the staff team. What the service does well: The staff team know people well and are able to provide support for people in a way that meets their needs and wishes. They ensure the personal and healthcare needs of people living in the home are met and relevant healthcare professionals are consulted where appropriate. People living in Waters View are cared for by staff who value and respect them as individuals. Staff treat people living in the home with dignity and respect and find time to sit and chat with them throughout the course of the day. The management team are able to demonstrate a good awareness of individual needs, wishes and preferences. Waters View provides a comfortable, homely environment with pleasant communal areas and bedrooms that reflect individual tastes. People living in the home are complimentary about the environment and the care provided. One person said Waters View is “lovely”. The menu in the home provides people with a well-balanced and varied diet. Staff provide good home cooked food that is enjoyed by people living there. Waters View Residential Home DS0000017992.V367630.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. Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 7 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 Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 8 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 (standard 6 does not apply to this service) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People choosing to live at Waters View can be confident their needs will be assessed before admission. EVIDENCE: The manager states in the AQAA, “When Residents and their representatives decide that Waters View is the right home for them, we conduct a full needs assessment. The results of this assessment are then considered before deciding whether or not we can meet the persons needs”. Assessments are carried out by the proprietor and the manager, who were able to demonstrate a good awareness of the importance of carrying out a comprehensive preadmission assessment. A sample of three care plans examined all contained a thorough pre-admission assessment as well as a Social Services ‘Com 5’ Assessment of Needs. One person spoken with said they were glad they had moved in to Waters View and felt the home was able to meet there needs “very well”. Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 9 Waters View does not offer intermediate care, therefore National Minimum Standard 6 does not apply. Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service can expect their personal and healthcare needs to be identified and to be provided with the support to ensure these needs are met as they would wish. EVIDENCE: The manager states in the AQAA, “All Residents are provided with a care plan, which is reviewed on a monthly basis, or more frequently if necessary”. On the day of the inspection a sample of three care plans was examined. The care plans identify the person’s care need and what the objective is that they are trying to achieve. Details of the care required to meet the identified need are then recorded. There is sufficient detail in the plans to guide staff so that people receive care in a consistent manner. There is a night-time care programme, which gives good details of people’s night time needs such as how many pillows they prefer, whether they like the light on or off, if the door should be left open or closed and whether they wish staff to enter their room to check on them during the night. Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 11 All of the care plans examined contained evidence that they are reviewed and amended to reflect people’s changing needs. Each person has a manual handling risk assessment, which details their capabilities and any aids that are required such as walking frames. There are other risk assessments in place relating to health and safety and the format used for assessing risk is good. However, the recording of individual risk assessments in people’s personal files could be further developed to ensure that all areas of potential risk are recorded. Discussions with staff and the management team demonstrated a good awareness of individual’s needs and any risks that may arise from those needs. The manager states in the AQAA that, “Residents have access to health care visitors whenever necessary and the home has a good relationship with all G.P surgeries concerned”. Individual care plans examined contain a range of documents recording the support people receive around their healthcare needs. These include weight charts, charts documenting nutritional intake, chiropodist visits, optician visits, records of hospital visits, G.P. appointments and district nurses visits. People spoken with were positive about the support they receive around their healthcare needs. One person said, “I’m very healthy” but said if they needed a doctor or any other medical support it wouldn’t be a problem. The home uses a Monitored Dose System (MDS) for medication. Medicine Administration Record (MAR) sheets were examined and well organised with people’s photographs on the front to minimise any risk of mistaken identity. Mar sheets were completed appropriately in relation to the medicines that were administered. However, on the sample of MAR sheets examined the section on identified allergies had not been completed by the pharmacy. The home has a new drugs trolley for the storage of medication and this was locked and appropriately secured to the wall. Monitored dose packs (sometimes referred to as ‘bubble packs’), were stored securely in the trolley. However, as the monitored dose packs take up a lot of space, there was not sufficient room for all the prescribed medication, therefore other medicines and preparations were stored in a separate locked cupboard. Some bottles of indigestion remedies and skin creams did not fit into either of the medication storage facilities and were stored in a metal locker. All the medication and preparations were securely stored, however, storage could be better organised. At the time of the inspection no-one living at Waters View had been prescribed any controlled drugs. However, the home did not have an appropriate controlled drugs cupboard, which must be available should anyone be prescribed medication that requires this level of secure storage. This was Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 12 discussed with the manager and the proprietor and they plan to pursue this with the medication supplier. There was an appropriate register in place for the recording of controlled drugs and the management team were able to demonstrate a good awareness of how controlled drugs should be recorded. The manager states in the AQAA that, “All personal care is provided in private in a manner which allows Residents to to retain their dignity. Incontinence in communal areas is dealt with swiftly and discreetly”. As previously reported, the ethos of the home places a very high value of treating people with dignity and respect. Staff practices were observed to be good and people spoken with were all complimentary about how they are treated. When asked if they feel they are treated with respect one person said, “Of course, it goes without saying”. Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Waters View can expect to enjoy a lifestyle that meets their wishes and interests. EVIDENCE: The manager states in the AQAA, “Social activities include an exercise instructor, visits from the church, as well as outings into the community, both with the Home and with the Family. We also offer things like word games, puzzles, quizzes, and games like dominoes and cards on a daily basis”. A sample of individual files examined contained a record of activities undertaken by people living in the home. People in the lounge were socialising and chatting animatedly. One person living in the home said they enjoyed doing crosswords and puzzles, so the manager had bought a puzzle book in large print format so they were able to do the puzzles more easily. Regular Church of England services are held at the home. The manager states in the AQAA, “These are a popular occasion in which most of the Residents partake. The local Catholic priest will also come and take communion with any Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 14 Catholic Residents that wish for this”. People spoken with said they could go to church if they wished. Daily records and care plans confirm that many of the people living in Waters View receive input from relatives who visit regularly. The manager states in the AQAA that, “Visitors are welcomed at any reasonable time, provided the Resident they are visiting has not requested otherwise”. One person spoken with said they were looking forward to going out the following day with a relative “for lunch”. They confirmed that relatives visited weekly and were always made welcome. How people like things done is well documented in their care plans. The manager states in the AQAA, “Residents are encouraged to make their own decisions on as many aspects of life within the Home as possible, including attire, meals, visitors, activities, etc”. People spoken with were very clear about what they like and all were confident that they were able to make decisions about their lives. The manager states in the AQAA, “The food provided at the home is a constant source of compliments from the Residents. Visitors around lunch time, including Health workers, Delivery staff, Family and Friends frequently comment that the food smells lovely. All food is prepared by hand from fresh ingredients”. Food charts in people’s individual records show that a good variety of traditional food is provided such as roast beef, chicken, fish and chips, liver and bacon, steak pie and sausages. There is also a range of traditional desserts including apple pie, sponge and custard and lemon meringue pie. Food stocks and storage were examined and there was a wide range of good quality food available including fresh fruit and vegetables. Lunch on the day of the inspection was seen to be a social occasion and people were smiling and chatting. People spoken with were complimentary about the food. One person said the food was “excellent” and another “couldn’t be better”. Waters View Residential Home DS0000017992.V367630.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service can be confident that their concerns about how they are treated are listened to and acted upon as stated in the complaints and safeguarding procedures. EVIDENCE: As at last inspection there is a robust policy and procedure in place for dealing with complaints. The manager states in the AQAA that, “A clear complaints procedure is in place at Waters View, detailing what a person should do, should they wish to lodge a complaint. All complaints are dealt with fully and properly. The results of any inquiry are then provided and explained to the complainant in writing”. Records examined confirm that there have been no formal complaints recorded in the past year. People spoken with were confident any issues they had would be dealt with. One person said, “we wouldn’t be human if we didn’t have a little moan sometimes, but I’ve got no complaints” and another person said, “there’s nothing to complain about”. Any minor concerns are dealt with as they arise and people said they would have no problems bringing up anything they weren’t happy with. The manager states in the AQAA that, “Clear policies are in place at the home to ensure that all staff are aware that abuse of any form and the ignorance of abuse by other members of staff will not be tolerated”. On the day of the Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 16 inspection staff spoken with demonstrated a good understanding of their responsibilities around safeguarding people. Personnel records contain evidence that staff have received safeguarding training (previously referred to as Protection of Vulnerable Adults or POVA). The manager stated in the AQAA, “We believe that protecting residents is an imperative role of any Care home and we take that responsibility very seriously”. Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 17 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, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can enjoy living in an environment that suits their lifestyle and which is homely, well maintained and clean. EVIDENCE: The décor in Waters View is traditional with furnishings that are domestic and comfortable. People living in the home benefit from the homely, family atmosphere. The manager states in the AQAA, “Waters View is decorated using wallpaper that is pleasant, gives an impression of increased space and is fairly neutral without being bland. All bedrooms are decorated individually according to need. This results in the feeling of a large family home, aided by the choice of furniture in the communal areas. All residents are encouraged to bring items of a personal nature which make their rooms feel like a home”. The smaller of the two communal lounges, known as the ‘poppy lounge’ is chosen by a few of the people living in Waters View as a quiet lounge where Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 18 they can socialise and chat. Bedrooms are bright, airy, and decorated individually; they show ample evidence of personal possessions such as ornaments and photographs. A requirement was made at the last inspection relating to radiator covers. The proprietor has carried out risk assessments and they have put shelves above the radiators and felt that they did not create a risk for people currently living in the home. Waters View is clean and well maintained with no evidence of odours throughout the home. The laundry is clean with appropriate facilities for the size of the home. It is situated so that soiled laundry does not need to be carried through areas where food is prepared or served, which helps protect people by maintaining good infection control. However, there is some minor damage to the laundry walls where shelves had been removed to make room for hanging clothes. Walls should have a washable surface without areas of damage if good infection control is to be maintained. Consideration should be given to how the home can ensure a good level of infection control is maintained in the laundry area. Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Waters View are cared for by a competent, well trained staff team who can meet their needs and have been employed following thorough recruitment checks to ensure people living at the home are protected. EVIDENCE: There have been improvements in staffing levels since the last inspection. The manager states in the AQAA, “Waters View provide adequate numbers of appropriate staff with adequate qualifications”. Staff rotas confirm that there are sufficient staff on duty to meet the needs of people living in the home. The proprietor explained that they place a high value on ensuring they employ the right staff who have good values and attitudes. On the day of the inspection staffing levels were seen to be appropriate and people’s needs were being attended to promptly. Observations during the inspection also show that staff have time to sit and talk to people and meet their needs in an unhurried manner. There have also been improvements in the numbers of staff either holding or working towards a National Vocational Qualification (NVQ). The manager states in the AQAA, “We now have virtually all of the staff either holding, or working towards a Level 2 NVQ. We also have several working towards a Level Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 20 3 qualification”. Out of a total of sixteen staff, six have completed NVQ and a further eight are currently working towards the award. The manager stated in the AQAA, “Recruitment is thorough and expectations of new staff are set to a high standard”. A sample of three personnel records were examined. All contained appropriate documents relating to safeguarding, including enhanced Criminal Records Bureau (CRB) and POVAFirst checks. One person’s file had only one written reference and the proprietor explained that the person had previously been self-employed, therefore a reference from a previous employer was not available. The manager had ensured that all other relevant checks had been carried out before employment commenced and character references had been taken up. The manager stated in the AQAA, “In the last 12 months the induction process has been improved by adopting the Skills for Care system and is now fully and properly implemented in the correct time frame of 12 weeks”. The sample of personnel records examined confirm that there is an appropriate induction process in place. As previously reported, personnel records examined contain evidence of a range of training including a recent “Awareness in Safeguarding Vulnerable Adults” course. All catering staff and more than 50 of carers have received training in safe food handling. The manager stated in the AQAA, “We have introduced a training system that allows carers to be trained in-house, meaning that they need not wait until we have enough staff ready for outside trainers to come in”. Staff spoken with said they get the training they need to do their jobs. Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 21 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in Waters View benefit from good management systems and their opinions are valued. EVIDENCE: On the day of the inspection, the management structure of the home was discussed with the proprietor and her deputy. They have had some previous poor experiences of employing managers who have had the required qualifications but who have not performed well in the day to day running of the home. The current arrangements are that the day to day running of the home is carried out by the assistant manager supported by the proprietor, who takes a hands on role in the running of the home. There are two Care Supervisors who take the lead in managing day to day matters relating to care practices and who supervise some of the care staff. The current management Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 22 arrangements appear to be working well and the evidence examined on the day of the inspection confirmed that the home is well managed. As part of the home’s Quality Assurance process they conducted a survey that was sent to residents, friends and families and to three local GPs. A report was generated from the information received and actions planned in response to some of the suggestions. The report was sent to us at the Commission. The management team use a number of ways of seeking the opinion of people using the service. The manager states in the AQAA, “We gather the views and opinions of our Residents, their representatives and families through informal chats within the home, often over a cup of tea or coffee. We have found Residents’ meeting in the past to be ineffective, as Residents tend to be intimidated by the occasion. We have found our current arrangement allows Residents to feel comfortable in airing their views and suits the family atmosphere that we are trying to create within the home”. People spoken with confirmed that they discuss any problems they might have with the manager and staff. The proprietor said that people living in the home are always the first priority driving all management decisions. As at the previous inspection, there continues to be a process in place to support people with managing their finances where necessary. The manager states in the AQAA, “Money belonging to the Residents is kept safely in the office and all records and receipts are kept accordingly”. Individual records and small amounts of money are stored separately and securely and records are kept of any expenditure. The process is robust and ensures people living at Waters View are safeguarded from financial abuse. There are appropriate records maintained relating to health and safety, including checks that are carried out on water temperatures and fire equipment. Information provided in the AQAA includes recent dates for the inspection of fire equipment, the heating system and gas appliances, hoists, maintenance of the lift and Portable Appliance Testing (PAT tests). A sample of health and safety records that were examined on the day of the inspection were in order and up to date. Since the last inspection records have been put in place relating to the Control of Substances Hazardous to Health (COSHH). Waters View Residential Home DS0000017992.V367630.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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 3 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations The manager should consider if all areas where there may be risks for individual service users have been identified so that any necessary precautions can be put in place to minimise the risks and keep people safe. An appropriate facility for the storage of controlled drugs should be available in the event someone in the home may be prescribed medication that requires this type of secure storage. The manager should ensure that the laundry floor and walls have a finish that is readily cleanable so that staff and people living in the home are protected by good infection control. The manager should continue to support staff working obtaining an NVQ award so that a minimum of 50 of care staff have the qualification. 2. OP9 3. OP26 4. OP28 Waters View Residential Home DS0000017992.V367630.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Waters View Residential Home DS0000017992.V367630.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. 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