CARE HOME ADULTS 18-65
5 Greenbrook Court St Michaels Road Newcastle Staffordshire ST5 9QB Lead Inspector
Irene Wilkes Announced 7 June 2005 9:30 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. 5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service 5 Greenbrook Court Address St Michaels Road Newcastle Staffordshire ST5 9QB 01782 628190 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Choices Housing Association Limited Mrs Sandra Perkin Care Home 6 6 6 6 6 Category(ies) of LD registration, with number LD(E) of places PD PD(E) - 5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: 1) Minimum age on admission for PD and LD 55 years Date of last inspection 21 December 2004 Brief Description of the Service: Greenbrook Court is a care home registered for six older people over 55 years of age with a learning and physical disability. The accommodation is owned by The Beth Johnson Housing Association, and the registered provider is Choices Housing Association. The property is located on the outskirts of Newcastleunder-Lyme and is within easy reach of a range of local community facilities. The property is a conversion of three bungalow into the one building, surrounded by a few other linked bungalows in a small cul- de- sac that has been developed to meet the needs of older people. It comprises six bedrooms (although one of these is now put to alternative use due to its small size), a large lounge/dining room, a small domestic kitchen, an assisted bathroom with toilet, a shower room and an additional separate toilet. In addition there is a small laundry room and a separate office.The lounge has patio doors fitted that lead out on to a patio with an enclosed lawn. There are communal gardens and shared parking facilities at the front courtyard. The home has shared access to appropriate transport to take wheelchairs that is available on a pre-booked basis. 5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This announced inspection took place over 6 hours by 1 inspector. A tour of the home and gardens was undertaken and 2 service users chatted to the inspector for some time in their bedrooms, and also throughout the visit. The other 3 service users were spoken to throughout the day but their verbal communication skills and abilities are not as great as the other 2 service users. Nevertheless demeanour, body language and eye contact was discreetly observed. The manager and the trainee deputy manager were on duty, together with a number of care staff throughout the day, and they were all spoken to in varying degrees throughout the visit. There was 1 visitor to the home who kindly made some time available for a chat. The care plans of the 2 ladies who talked to the inspector were examined in detail. The information contained in them was cross referenced with the service users to further confirm this evidence, and further clarification was sought from the staff about their role in supporting the service users. In this way a full picture of the service users’ needs and aspirations and if these were being met was built up. Staff practice was observed throughout the inspection. Staff records regarding training were seen, as were records relating to medication, food, residents meetings, staff meetings, staff rotas, complaints and maintenance. What the service does well:
Both of the service users chatted with said that they were very happy at the home. ‘I love it here. The staff are very nice girls. They look after us’ was the way that one of the ladies put it. It was clear from observation of the staff working with each service user that they had an excellent rapport with each of them. One gentleman living at the home does not speak at all, although he understands what people are saying to him, and his eye contact and smiley face showed that he was comfortable with all of the staff. His relative said that X had ‘really come on since he’s lived here. … . the staff are very good to him.’ Every effort is made by the home to ensure that the wishes of the service users are met. There are up to date person centred plans that are reviewed regularly to check if the outcomes that service users want are being met, and the 2 service users spoken with each confirmed in their own way that staff assist them to undertake the activities that they choose for themselves. Staff were also asked about the needs and interests of each person and all had a good understanding of each individual, particularly those that they were a key
5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 6 worker to. The service users at Greenbrook Court are elderly and their goals mostly centre on enjoying life on a day to day basis. The 1 service user asked said that she enjoys her food. All of the service users were seen having their lunch and their demeanour suggested that they were enjoying their food. A dietician has been involved at looking at the dietary needs of the service users on an individual basis, and a follow up annual review is planned. Meals are therefore provided in line with the dietician’s recommendations. The service users take it in turn to food shop with the staff and this activity was reported as being enjoyed by 2 of the service users. Each service user has a Health Action Plan that addresses both physical and mental health needs, and any professional appointments needed are followed up and acted upon. Records were seen for all health appointments and the follow up action needed. It was particularly good to see the attention paid to therapeutic treatments, such as foot spas, hand massage, facials, manicures and the like. These are carried out regularly to the obvious enjoyment of the service users. 1 lady talked about the treatments and was proud of her last nail treatment and colour, and 2 other service users were observed enjoying a foot spa and hand massage. There is a well trained staff team who all work hard together to provide an enjoyable life for the service users. There was obvious trust by service users of staff who clearly considered them their friends. What has improved since the last inspection? What they could do better:
There are discussions with service users about their wishes and these discussions are recorded by staff in each individual’s file and signed, where possible, by the service users. It may help the process if the plan was developed using pictures and symbols that could be discussed with the service users.
5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 7 This might help them to play a bigger part in deciding what activities they wish to become involved in. This is a recommendation for the home to consider. The service is let down somewhat by the environment. While the home is spacious and generally homely, with lovely bedrooms and a comfortable lounge/diner, there are aspects of the home that could be improved. The kitchen worktops need replacing, and the kitchen would benefit from a revamp to enable service users to access it in their wheelchairs to take a greater part in meal preparation etc. Ramps are required to the outside of the property for easier access and egress for those in wheelchairs. The patio slabs require relaying/renewal as they are uneven and pose a safety hazard to the service users. There is poor access to the assisted bath for staff. The bathroom would benefit from an extension/refit. 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. 5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 The needs and aspirations of the current service users who have each lived at the home for some time now were assessed prior to admission. EVIDENCE: Greenbrook court is registered for 6 people, but due to the size of one of the bedrooms the home has only provided a service to 5 people since the death of one of the service users a few years ago. All of the remaining 5 service users have lived at the home for some time, and their personal files have been seen previously which showed that a full assessment had been made of their needs prior to admission. 5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 There is an individual plan in place for each service user that reflects their wishes and the support that they will receive to help them pursue a fulfilling lifestyle. EVIDENCE: All 5 of the service users were at home for most of the visit. 2 service users have more developed verbal communication than the others and were pleased to be able to chat. Their personal files were also looked at. Some interaction took place with the other 3 service users, but this was more limited. The files showed that each person had a 6 monthly review of their person centred plan (PCP), the last one having been completed in January 2005, and that progress towards what had been decided at that planning meeting was evaluated monthly. For each person there were individual plans of care related to personal care needs and goals that they were working towards to enhance their community presence, ensure valued lifestyles etc. The service users themselves had some limited understanding about their plans that were all recorded in the written
5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 11 word. It is recommended that some consideration be given to making them more service user friendly with pictures and symbols that would provide a focus for discussion. However, the service users did have some understanding and ideas of what they wanted to do, and of the things that interested them. For example, one service user had expressed a wish to go to church to sing hymns, and this had been recorded and acted upon. Another wish was to undertake more cooking related tasks that was being addressed. While the needs of the service users are such that they do not venture out into the community without a member of staff, and any risks encountered are within that context, it was clear from all discussions with them that service users make their own decisions about their lifestyles and are supported by staff to achieve the things that they want for themselves. Rising and retiring are according to individual need, and a valued lifestyle is ensured by staff chatting to the service users and formulating a varied programme of activities for each person with consideration to their individual needs, wishes and age. 5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15 and 17 Service users have a varied lifestyle based around their own interests and wishes, and steps are being taken to further enhance their involvement in the community. They enjoy good relationships with staff and their family and friends in the community. EVIDENCE: 2 of the service users chatted about their lifestyles and what they enjoyed doing. 1 service user was particularly proud of her beautifully appointed bedroom and obviously enjoyed looking after it and all her personal possessions. She talked about how she liked dusting her room, going out shopping with her key worker for clothes, of which she had many, helping with the food shopping, meeting friends and attending the elderly needs group once a week where she had made a number of friends who visited her and she also returned the visit. She maintains close contact with her family. She also liked colouring pictures which were admired and one was offered as a gift. The other service user also showed off her room. This lady does not talk as much as the first person conversed with, but her facial expressions also showed that she was proud of her room. She spoke of wanting to go on holiday
5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 13 to Wales, about visiting Leek with her key worker where she used to live and when asked said that she visited friends and liked looking at magazines. Records showed that each service user is provided with the opportunity to undertake all of the activities that they enjoy, and that they have trips out into the community. There is a new manager in post who has transferred from another Choices home and discussion with her and a record of staff meetings showed that she was making it a priority for all of the service users to access community activities more, to ensure that they become more a part of the local community. Staff spoken with also commented on discussions that had taken place to develop this, and about planning for transport etc. This good practice is pleasing to note. Both service users said that they enjoyed their lives. ‘I love it here. The staff are very nice girls. They look after us.’ A relative of another service user was visiting and kindly agreed to chat. ‘Staff are doing a wonderful job. There’s a nice community here. X has been here for 10years and he’s really come on since he’s lived here. He’s 81 now and can do much more than he used to. They are very good to him. They take him out, he goes on holiday – he’s even been abroad.’ The conversations with the 2 service users and their individual records also showed that they maintain contact with their families and friends. Meal times were discussed and it was obvious that people living at Greenbrook Court enjoy good food. A dietician had been consulted about healthy eating and from that information individual diets and menu plans have been devised. The record of meals was seen and confirmed this. An annual review of the dietary needs of each service user is in the course of being planned, which is seen as good practice. 5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20 Service users are appropriately assisted with their personal care, thus ensuring their dignity, comfort and welfare. All aspects of their physical and mental health are assessed, referrals are made to other health professionals as required and appropriate action taken following their advice. EVIDENCE: Examination of individual plans and discussion with staff and service users showed that personal care and healthcare support is provided on an individual needs led basis. Each person had a 24 hour plan of care in place in their person centred plan with appropriate risk assessments for areas of need linked to these, e.g. nutrition screening where needed, management of aggression and violence, diabetes management. Each also had a Health Action Plan with full information about all aspects of physical and mental health, including dates for reviews and follow up appointments. The service users generally require full support with personal care and the staff spoken with had an excellent understanding of the individual needs of the people they supported. It was particularly pleasing to see how the home uses therapeutic foot spa’s, hand massage, facials, etc. to increase personal contact and promote mental wellbeing. Records were seen that indicate these are undertaken very regularly and 1 service user who does not speak very much was seen having a foot spa treatment, and it was clear from her facial expression that it was providing pleasure.
5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 15 None of the service users at the home are able to self medicate. Procedures for the storage and recording of all medication given were looked at by sampling and were satisfactory in each case seen. Medication provision was also discussed with the manager who is a qualified nurse, and she reported that she audited medication provision and records whenever she was on duty. All staff have received appropriate external training in medication. Training has also been provided about diabetes and the administration of insulin, and the use of a glaucometer for recording blood sugar levels. 5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The home strives to ensure that service users understand their right to complain and they are asked about their views of the service which means that their rights are promoted. Staff have a good understanding and are aware of their responsibilities in protecting service users from any form of abuse. This ensures the protection of the service users. EVIDENCE: The home has an appropriate complaints procedure and each service user has a ‘Residents Complaints Procedure’ in a pictorial format that shows all of the relevant information in an easy to follow style. 1 service user looked through this and it was clear that she had some understanding about what would happen should she have cause to complain. Minutes made of the last residents meeting held showed that the complaints procedure had been discussed with them, and also that they had been asked if they were happy with everything in their home. A Complaints Book is kept by the home. 2 complaints had been received from neighbours regarding noise from the home. This is due to residents needs, and has been addressed by soundproofing. There were no complaints from service users or relatives. The relative spoken with said he knew about the complaints procedure, but had never had any cause to complain. 2 staff members were spoken to about their understanding of signs of abusive practice and how they would deal with any untoward incident that they saw or were told about by a service user. Each staff member had a good understanding of their responsibilities, and confirmed that issues about abuse were thoroughly covered at their induction and further training.
5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 17 It is recommended that all staff are kept up to date in any new initiatives that are developed to further protect vulnerable people. In this instance staff did not have knowledge about the POVA (Protection of Vulnerable Adults) list. 5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 18 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 Greenbrook Court provides a pleasant home for the service users, with particularly pleasing bedrooms that provide pleasure to the service users. However consideration is needed to make parts of the home safer, and in parts more accessible for the service users, and to aid staff to assist them. EVIDENCE: The home continues generally to maintain a high standard of decoration and fitments. There is an attractive and spacious lounge/ dining area, and bedrooms are particularly pleasant and well personalised. Some areas of the home are awaiting redecoration by the housing provider; the kitchen worktops present a hygiene hazard because the surfaces are worn in places and are being covered by utensils or chopping boards. The water tank is exposed and due to be covered with louvre doors. These improvements had been promised for early this year but have still not been completed. The kitchen would benefit from a revamp of the layout to enable easier access for service users to promote their daily living skills. Currently they are restricted in their access to the kitchen which compromises their lifestyle.
5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 19 The home has a shower room with separate toilet and an assisted bathroom with toilet. The bathroom presents some problems for staff as there is no room for them to manoeuvre around the bath when attending to the personal care needs of the service users. The empty bedroom is currently being used as a recreation room/storage room, although discussion highlighted that activities tended to be carried out in bedrooms or in the lounge. Part of this room, which adjoins the bathroom, could be used to extend the bathroom allowing some realignment of the bath etc. to give better access. The other part of the room could then be used for storage, which is greatly lacking in the home. The spaciousness of the communal lounge and wide corridors is spoiled somewhat by the fact that both the front door to the property and the rear patio door require ramps to be fitted to allow independent access to the outside, and to allow better wheelchair access. The staff are struggling to manoeuvre wheelchairs out of the doors which must be far from comfortable for the service users. This must be addressed. Once outside the slabs on the patio are very uneven which presents a health and safety hazard. The uneven patio must be made safe. The kitchen worktops must be replaced. Their current state could lead to the spread of infection. The other environmental improvements highlighted above must be considered. This must result in an action plan being provided to the Commission as to the conclusions reached as to how the problems can be addressed, with a timescale for any resulting works to be provided. 5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 20 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff receive all of the mandatory and specialist training required to ensure that the individual and joint needs of the service users are appropriately met. EVIDENCE: Choices organisation pays considerable attention to the training needs of staff and there was no exception to this in this home. The staff training file was seen that showed a record of all individual staff training completed, with dates when mandatory training needed to be renewed. All mandatory training was up to date. Specialist training, such as training about diabetes, provision of insulin was also evident. Their record of training was discussed with 2 staff on duty. Both were experienced members of staff who each also confirmed that their mandatory training was up to date. They each were qualified to NVQ 3. One of the staff spoken with is the Trainee Deputy for the home and she advised that she is due to commence her Registered Managers Award and NVQ 4 to underpin her practical knowledge now that she has taken on this new role. Staff were discreetly observed throughout the visit providing care to the service users and talking to them. There was also discussion with them about their role. Staff had a good understanding of each service users’ needs, and
5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 21 they showed the utmost respect to the service users both in their actions, i.e. knocking on doors, respecting their privacy and dignity and in the various interactions with them. It was clear from observations that there was an excellent rapport between everyone. The manager has recently moved to Greenbrook Court from another home and she also considered that she had inherited an excellent staff team who were anxious to meet the needs of the service users and to secure a pleasant life for them. 5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 22 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Greenbrook Court is a well run home that overall provides a safe environment for all of the service users, staff and visitors. Some aspects of the environment beyond the responsibility of the manager let the home down in this respect. EVIDENCE: A pre-inspection questionnaire had been completed by the manager prior to the visit that showed that maintenance and associated records were up to date for all applicable areas, such as fire, temperature checks, hoist and adaptations servicing and COSHH (Control of Substances Hazardous to Health). At the visit a sample check was made of fire records, COSHH storage, fridge and freezer temperatures and food probing checks and all of these had been maintained appropriately. One of the service users has ‘cot sides’ fitted to her bed. There was a well considered risk assessment in place for these, and a daily check was made,
5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 23 with records, to show that they had been examined for safety. There is a waking night member of staff available, and records showed that hourly checks are made on all the service users during the night-time period. Staff are appropriately trained in health and safety, food hygiene, first aid, medication etc. The need for the patio paving slabs to be relaid/replaced has been highlighted elsewhere in this report, as has the attention required to the kitchen worktops. 5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23
ENVIRONMENT Score 4 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 4 3 x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 x 4 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
5 Greenbrook Court Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 25 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 Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. Standard 24 24 24 Regulation 23(2) o 23(2) b 23(2) a Requirement Timescale for action 31/8/05 Refit the paving slabs to the patio area Replace the work surfaces in the 31/7/05 kitchen Consider all of the environmental 30/9/05 issues as detailed in the report, and provide the Commission with a report on the outcome of the review,with timescales where work is to be undertaken. 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 6 Good Practice Recommendations Consider developing the person centred plan in pictorial format 5 Greenbrook Court E09 E51 S4947 5 Greenbrook court V225676 070605 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Staffordshire ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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