Inspection on 04/07/05 for 57 Crabbe Street

This inspection was carried out on 4th July 2005.

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

57 Crabbe Street 18/05/06

57 Crabbe Street 08/03/06

57 Crabbe Street 22/12/04

57 Crabbe Street 07/05/04

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE 57 Crabbe Street 57 Crabbe Street Ipswich Suffolk IP4 5HS Lead Inspector Kevin Dally Announced 4 July 2005 th 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 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. 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 57 Crabbe Street Address 57 Crabbe Street, Ipswich, Suffolk, IP4 5HS 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) 01473 588508 01473 712869 pam.purnell@socserv.suffolkcc.gov.uk Suffolk County Council Mrs Pamela Purnell Care Home 26 Category(ies) of Old Age (26) registration, with number of places 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22nd December 2004 Brief Description of the Service: 57 Crabbe Street is a local authority owned home for older people and is located in a quiet area of East Ipswich, within walking distance of local shops. The centre of the town can be reached by bus. The home provides personal care only to 26 residents. There are three units, Glencoe which is divided into two and provides care to 13 people with special needs, dementia. Killarney and Windermere are long-term care units and provide places for 5 and 8 people respectively. Each of the units is self-contained and have a sitting room, kitchen/diner, and bath and laundry facilities. Meals are provided from the main kitchen but residents can cook, with staff, to make cakes and snacks. All bedrooms are single and have an en-suite facility comprising shower, hand basin and WC. There is a fourth unit, Snowdonia, which provides accommodation to five tenants. This unit is not part of the registration of the home and is not subject to inspection. Communal areas include a library and central dining room used by day care visitors. There is a central kitchen, which is well equipped, and in addition to providing meals for the residents, they also provide meals for those using the day care facility and also a number of community meals. Residents also have access to a hairdressing service at the home. There are good garden facilities for use by residents. The gardens are well maintained and can be accessed by wheelchair users. Each garden provides seating and cover from the hot weather. 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an announced inspection at 57 Crabbe St, a Local Authority care home for 29 older people. The inspection was conducted over a 7.5 hour period from 10am to 5.30pm. Mrs Purnell, the homes manager, was present at the inspection and contributed throughout the day. The inspection found that of the 31 National Minimum Standards inspected, that the home met 29 of these with 2 being partially met, and that the overall quality of care continued to be of a very high standard. The environment was found to be well maintained, and very clean and hygienic. 9 residents were spoken with and 13 comment cards were received from residents, and 7 comment cards from relatives. What the service does well: What has improved since the last inspection? 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 6 Two requirements from the previous inspection around recruitment and residents wishes documentation had now been resolved. 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. 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3,4,5 People can expect that they will receive high quality informative and helpful information about the service provided, will have their care needs thoroughly assessed, and could expect to have their needs properly met by the home. EVIDENCE: 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 9 The Home had a very comprehensive Statement of Purpose and Service User Guide, which clearly described for residents the various services that the home could offer. This included information around the organisational structure, the premises and grounds, the admission procedures and the services provided. Residents would be offered a copy of the home’s standard contract of Terms and Conditions. Prospective residents and their relatives are encouraged to visit the home before accepting a placement, and the manager would ensure that a suitable needs assessment is undertaken. This allowed the service to assess the potential residents needs and the suitability of the placement. Three service users records were checked and these included extensive assessment of each resident’s needs, which had been collated from a variety of information sources. These included a detailed managers needs assessment and a Social Workers ‘compass’ (assessment) report. Three residents spoken with and 13 of 13 questionnaires received from residents stated that the home met their personal care needs. 7 of 7 relatives questionnaires received stated that they were satisfied with the overall care provided. Comments made to support these views included, “I am very happy with the standard of the care my [relative] receives..”, or, “The care, food, cleanliness, friendliness and carers are first class..”. or My [relative] went to Crabbe St…and all my concerns about residential care have been laid to rest. My [relative] is happy and settled, the staff are very good and attentive and the care received is excellent. I am very satisfied with all aspects of the home”. Due to residents and relatives views of the home, and observations made at the inspection, meeting the needs of the residents, standard 4 was assessed as excellent, and so was assessed as “standard exceeded”. 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 The promotion of health at the home was taken seriously and therefore people could expect that they would receive properly planned care and have their healthcare needs met and monitored by staff and visiting healthcare professionals. People could expect that the staff team would be well trained in order that they were able to meet resident’s personal care needs. People could expect that they will be treated with respect and dignity by staff. EVIDENCE: The home ensured that the CSCI received regular written updates (Regulation 26 notices), usually monthly, on the progress of the home. As a result of these reports it was noted that there was a high incidence of reported falls. The manager was asked to respond to the CSCI around this matter, and the home provided details of how they monitored and managed falls within the home. At this inspection, it was confirmed that within the last 12 months there had been 263 incidents/falls, of which around half (130) related to one resident. Although this resident was no longer at the home, it was revealed that many of the reported incidents relating to this person included incidents were the resident had “slid” down the bed, so had not actually fallen. 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 11 A falls audit was also undertaken and the previous three months records were checked in detail. These evidenced that there had been a significant reduction in the number of falls, since the departure of the one resident who had been prone to falls. Home monitoring records were as follows • • • Falls for April 2005, 10 in total with 2 residents reported as having more than 1 fall but not more than 3 falls. Falls for May 2005, 5 in total with 1 resident reported as having more than 1 fall but not more than 2 falls. Falls for June 2005, 7 in total with 1 resident reported as having more than 1 fall but not more than 3 falls in total. One resident, who was identified as having had the highest number of falls for June, which was 3 falls, was tracked for evidence of home monitoring and management of these falls. Extensive assessment and 15 measures to reduce their falls were found in place. These included consultation with the Health and Safety officer, review meetings, staff meetings, moving and handling risk assessments, a fracture and falls assessment, consultation with the Doctor, consultation with the Osteoporosis nurse and consultation with the family. A falls monitoring form was maintained within the resident’s records, for ease of reference. Two additional residents care plans were checked and tracked, and similar high quality assessments, planning and monitoring was found in place, including moving and handling risk assessments, nutritional assessments and dementia mapping for one resident. Due to the high quality of plans of care, positive care outcomes received by these residents, and the views of residents and relatives, standard 7 and 8, care planning and residents health care needs, were assessed as “standard exceeded”. One staff member’s records examined recorded that they had received sufficient training to meet residents care needs. These included NVQ 2 in care, quality assurance training, care of the dying, fire training, moving and handling training, abuse training, first aid and food hygiene training. Thirteen of 13 returned residents comment cards, confirmed that they thought the home treated them well and that their privacy was respected. At the inspection staff were seen to be polite and respectful and knocked on residents doors before entering. The home had medication policy guidance provided by the Local Authority. The home had formerly used the Nomad system of administration but had recently moved to the medication dispensing system (MDS) with blister pack and medication administration recording sheets (MARS). Staff authorised to administer medication would first attend a training course. Senior staff undertake ordering of medication, and the visiting nurse would give insulin. 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14, 15 With staff support, people can expect that the home would enable residents to be involved in meaningful recreational activities, exercise choice, and make decisions about the lifestyle that they wished to pursue. Contact with relatives, friends, and family would be encouraged, and there were also some opportunities to go into the community. People could expect that residents were provided with a good diet and choice of menu options. EVIDENCE: Discussion with a group of residents and the staff confirmed that residents are able to follow their own routines, and a variety of leisure and personal pursuits. Two residents confirmed that they were able to choose when to rise in the morning, and when they could settle at night. They confirmed that staff would respect their requests to remain in bed for longer, if they so chose. Residents confirmed that they had access to a number of leisure pursuits including reading, search words, television, newspapers, and some trips away. Residents stated that they had enjoyed day trips to the Zoo in Norfolk, and a trip to Felixstowe. Church services and Communion was also available. Residents stated that they thought there was “plenty to do” at the home. On the afternoon of the inspection, residents were observed in the special needs unit enjoying a game of cards, supported by a support worker. 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 13 Residents stated that friends and family were always made to feel welcome by staff members and that there were no restrictions placed on visiting. One resident confirmed that their relative visited each week. Of the 13 residents comment cards received, 12 stated that they thought the home provided suitable activities, while 1 stated “sometimes”. Residents and staff spoken with confirmed that the home offered a choice of good quality meals. One resident’s relative spoken with confirmed that residents were asked about their choice of menu, and who stated that there were always a variety of alternatives, if the main dish did not suit. This relative confirmed that staff always offered to assist their relative by cutting their meat, as they had difficulty using a knife. Staff members spoken with confirmed that there was always a choice of meals, which, they thought, were of a very good quality. The lunch-time meal was observed being served to residents in the upstairs dining room and the special needs dining room. This was delivered in a hot trolley with vegetables in separate containers, and was served hot to residents. The meal of the day was pork stake or vegetable pie, beans, swede and new potatoes. Desert was rhubarb pudding with custard. The lunch-time meal was unhurried and relaxed, with residents enjoying each others conservation and company. Thirteen of the 13 returned residents comment cards confirmed that residents liked the food. One stated “very much”. 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 The home had a complaint system in operation, and adult protection procedures were appropriately in place. Residents could therefore expect to be kept safe, and that any complaints made would be taken seriously and acted upon. EVIDENCE: The home had not received any complaints within the previous 12 month period. The home used the Local Authority complaints procedure which included a record book for the recording of any complaints, should a resident which to do so. This was provided within the Statement of Purpose and was adequate and informative. It included the name and address of the Commission for Social Care Inspection, which was required, should a service user wish to contact the CSCI directly. The policy also stated that a complaint would be investigated within 28 days. One relative spoken with confirmed that they were aware that there was a complaints system in place, and further, that they had not needed to complain to the home within the last year. The relative stated that they felt sure that if a complaint were made, that this would be properly addressed by the home. The home had suitable Adult Protection policies and procedures in place and were aware of their obligation in the reporting of any allegations of abuse to Social Services, the police and/or the CSCI. The Home’s recruitment procedures included CRB disclosures, references and identity checks for all staff. A sample of staff records checked found these records in place. 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26 People could expect a well maintained environment with good communal provision. People could expect adequate bedroom sizes and facilities, with sufficient toilets and hand washing facilities. People could expect an exceptionally clean, hygienic and odour free home, which is maintained in a very personalised way. People could mostly expect to find a safe environment. EVIDENCE: 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 16 57 Crabbe Street is a local authority owned home for older people which is located in a quiet area of East Ipswich, and is within walking distance of local shops. The home provides care to 26 residents. There are three units, Glencoe which is divided into two and provides care to 13 people with Dementia. Killarney and Windermere are long-term care units and provide places for 5 and 8 people respectively. Each of the units is self-contained and have a sitting room, Kitchen/Diner and bath and laundry facilities. All bedrooms are single and have an en-suite facility comprising shower, hand basin and WC. Communal areas include a library and central dining room used by day care visitors. There is a central kitchen. Residents have access to a hairdressing service at the home. There are good garden facilities for use by residents which are well maintained and can be accessed by wheelchair users. At this inspection the special needs unit was checked and which included a tour of the corridors, dining room, lounge, conservatory, one bathroom, one resident’s room, a toilet, the unit’s kitchen and laundry. These areas were found to be well maintained clean, and fresh smelling with no unpleasant odours detected. The resident’s room visited was found to be clean and tidy, warm and properly maintained. Residents were enabled to bring some of their own personal furniture, if they so wished. The home was found to be accessible to residents with appropriate aids, hoists and adaptations which were provided to meet the assessed needs of service users, identified though manual handling risk assessments and needs assessments. The home had a call bell system enabling service users to summon staff should they require assistance. Grab rails are provided in bathrooms and toilet areas and the bath had an assisted bath hoist. One bathroom had been carpeted, and was very personalised and homely, with pictures and decorations. The hot water tap temperatures in the Glencoe North kitchen and laundry of the special needs unit were found to be excessive. Further, a sign on the laundry door stated that this must be kept locked, but this was found unlocked, and therefore residents with dementia could gain access to the laundry. It was a requirement of this inspection that the hot water tap temperature of the kitchen be reduced to ensure that residents cannot be scalded. Further that the laundry room must be either properly secured at all times or alternatively, that the hot water tap temperature be reduced to avoid scalding. This was an immediate requirement. A number of residents confirmed that the home was kept very clean and hygienic, and one stated that they were “amazed by [the high standard] of the cleanness”. A domestic spoken with confirmed that there were always 3 cleaning staff on each day, Monday to Sunday, one per unit, and that they worked very hard to maintain the Home’s cleaning standards. This was confirmed by the tour of the home, and due to the high standards of 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 17 cleanliness maintained through out the home, this standard was assessed as “standard exceeded”. 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 People could expect that the home would have consistent numbers of staff, in order that they can support residents and meet their care needs. People could expect that staff will have received thorough training. EVIDENCE: 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 19 The rotas for each of the four units are completed by the senior team leader and overseen by the manager. There are four units, and although Snowdonia provides sheltered accommodation and no staff hours are allocated to this unit, one of the senior team leaders oversees this area. The remaining three units each have a senior member of staff who take specific responsibility. The shift pattern is usually 07.00 – 15.00 and 14.00 – 22.00. The special needs unit (Glencoe) has two members of staff on duty between 07.00 and 22.00 hours and the other two units (Killarney and Windermere only have one member of staff on during 07.00 and 22.00 hours. There are also three support workers with specific responsibilities to assisting residents and arrange activities. The shift pattern for support workers is usually 0900 to 1600, or 1600 to 2100. Night staff cover from 22.00 hours until 07.00 includes a senior team leader who covers all the units and two members of night staff. One member of night staff is always stationed within the Special Needs unit. There are 12 residents in the special needs unit, which is ‘divided’ into two with 6 and 7 beds respectively. The geographical layout of this unit is difficult and when two staff are on duty, they are at either end of the unit. The care staff rota was viewed and this demonstrated that the home had mainly consistent and adequate numbers of staff available to meet residents needs. In feedback received from the staff, it was identified that the period between 0700 and 0900 hours in the morning was sometimes a stressful period for care staff. Support staff would arrive from 0900 hours to assist with mealtimes etc and the situation would then stabilise for the day. Staff suggested that it would most likely be more beneficial to have the support staff starting work an hour earlier, to help take the pressure off care staff. This was fed back to the manager who stated that this would be looked into further. The home provided a copy of their staff training and development plan, which detailed the training that was planned for staff for the coming year. This looked at the training needs of the senior team, the residential carers, the housekeeping staff, the administration staff and any voluntary workers. Training included induction and foundation training, which might lead to NVQ 2 or 3 training. Core training including fire, moving and handling, first aid, food hygiene, and infection control was to be provided and specific training planned for the year included, care of the dying, equal opportunities, safe handling of medicines, diabetes, dementia care etc. Staff members spoken with confirmed that the home promoted and provided very good opportunities for learning with the home. Staff records checked confirmed that these staff had received good training. Two staff member’s records checked evidenced that training had been received. Further that the home had undertaken appropriate recruitment and employment checks, which included Criminal Bureau Checks (CRB), references, identity checks and a medical declaration of health status. 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35,36,38 People could expect the home to the resident’s views. They could maintained. People could expect would receive appropriate health are safe. EVIDENCE: Mrs Pam Parnell, the Manager of the home is very experienced in working with older people in a variety of settings. Her training includes the Certificate in Social Service (CSS), an NVQ Assessor, a Diploma in the Management of Care Services and a Post Qualifying Award in Social Work, which was achieved in 2001. be well managed and would take account of mostly expect the environment to be safely that staff would be properly supervised and and safety training to ensure that residents 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 21 Comments received from residents, relatives and staff confirmed that the home was open and transparent, and responsive to the concerns of residents, relatives or the staff group. The manager would be available for residents, relatives or the staff should they require advice. Staff spoken with, and records examined, confirmed that staff received health and safety training including moving and handling, fire training, first aid, infection control and food hygiene. Staff records checked and staff spoken with confirmed that they regularly received supervision. This inspection confirmed that the home undertake routine and maintenance tasks to maintain a safe environment, although the hot water tap temperature in the Glencoe North kitchen was found to be excessive. Further, the hot water tap temperature in the Glencoe laundry was also found to be excessive, and residents could gain access to the laundry. It was a requirement of this inspection that these matters were attended to and are fully discussed under standard 26. 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 4 3 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 2 4 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x 3 3 x 2 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 23 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. Standard 25 Timescale for action 13(4(a)(c) The hot water tap temperature in Immediate the Glencoe North kitchen must be reduced to a safe level to ensure that residents cannot be scalded. 13(4)(a)(c The hot water tap temperature in Immediate ) the Glencoe laundry was found to be excessive, and residents could gain access to the laundry. The hot water tap temperature of the laundry must be either reduced to ensure that residents cannot be scalded or the laundry room door must be properly secured at all times. Regulation Requirement 2. 25 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 27 Good Practice Recommendations The home should consider if support staff should commence work at 0800 hours to support the care staff. 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 5th Floor, St Vincent House Cutler Street Ipswich IP1 1UQ National Enquiry Line: 0845 015 0120 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 57 Crabbe Street I54-I04 S36814 57 Crabbe Street V218506 050704 Stage 4.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!