Inspection on 30/01/07 for 58 Crantock Drive

This inspection was carried out on 30th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

58 Crantock Drive 01/12/05

58 Crantock Drive 21/07/05

58 Crantock Drive 25/01/05

58 Crantock Drive 16/08/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOMES FOR OLDER PEOPLE 58 Crantock Drive Florence Park Almondsbury South Glos BS32 4HG Lead Inspector Odette Coveney Key Unannounced Inspection 30th January 2007 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 58 Crantock Drive DS0000003343.V324150.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. 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 58 Crantock Drive Address Florence Park Almondsbury South Glos BS32 4HG 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) 01454 614941 0117 9709301 admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Ms Paula Anne Ralph Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8) of places 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 8 persons with a Learning Disabilty aged 55 years and over. 1st December 2005 Date of last inspection Brief Description of the Service: 58 Crantock Drive is a care home that had been initially registered with South Gloucestershire Council and then with the National Care Standards Commission. Since April 2004 the home has been registered with the Commission for Social Care Inspection. This is one of the homes operated by Aspects and Milestones Trust, a non-profit making organisation. It provides accommodation and personal care, but not nursing, for up to eight adults who have a diagnosis of learning disabilities, aged 65 years and over, male or female. The home provides a variety of daytime activities, either by the staff or by day care services provided by Choices for Learning, a day care service that is part of Brandon Trust. The present manager has been in post since 1996. The home is a mature detached bungalow, which has been modernised and extended. It is wheelchair accessible. There are gardens to the front and rear of the property. There is a large lounge and a kitchen/dining room that leads onto a conservatory. There are eight single bedrooms, none of which are en-suite. Two bedrooms are adapted to meet the needs of wheelchair users. 58 Crantock Drive is located in a small residential area next to green belt land to the north of Bristol and is close to the M4 and M5 motorways. There are no shops within close proximity of the home, which has a mini-bus that has been adapted with a tail-lift and a side step to meet the needs of disabled people. 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place over 6.5 hours and was completed in one day. The manager was present during the inspection and participated in the process. Evidence was gained from a whole range of different sources, including: • • • • • • • • Information provided by the manager in the pre-inspection questionnaire Information taken from comment cards. Directly speaking with residents A review of individuals care records. Speaking with care staff A tour of the home Examination of some of the homes records Observation of staff practices and interaction with the residents. The purpose of the visit was to establish if the home is meeting the National Minimum Standards and the requirements of the Care Standards Act 2000 and to review the quality of the care provision for the individual’s living in the home. A good number of comment cards were received prior to the inspection, all contained many favourable comments about the service provided to individuals who live at Crantock Drive. 7 were from residents, 1 was from a relative of an individual who lives at the home, and 3 were from health/social care professionals who have supported residents at the home. Comments made were reviewed during the inspection visit and comments, maintaining individuals confidentiality were shared with the registered manager and registered provider and these have been incorporated within this inspection report. What the service does well: The manager at Crantock Drive has a commitment and drive in wishing to provide a good quality service at the home, ensuring that individuals, their relatives and staff are consulted. There are clear lines of accountability within the home and within the organisation. The manager ensures that no individual is admitted into the home unless there has been a full assessment of their needs and that the home are confident that they are able to support them to maintain their skills and lead a fulfilling life The home is comfortable, homely and well maintained. The house is well furnished and those living at the home have personalised their rooms and showed a sense of pride when showing the inspector their room. 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 6 The home has a good care planning system, which is holistic, and this specifies how identified needs are to be met. Care plans are regularly reviewed and there is an ongoing assessment and monitoring of individuals needs and the service is tailored accordingly. Those living at the home said; ‘I am very happy living here’, ‘Paula is lovely’, ‘Staff here are my friends’. Staff have developed sound relationships with those who live at the home and have a clear understanding of the individual needs, wishes and aspirations of those who live at the home. 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. 58 Crantock Drive DS0000003343.V324150.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 58 Crantock Drive DS0000003343.V324150.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): 1,3,4,5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes assessment processes and the information available about the home ensures that placement is offered to those people whose needs they can meet. EVIDENCE: Crantock Drive is a care home registered with the Commission to provide personal care and accommodation for up to 8 persons aged 64 years and over. All accommodated at the home are female and there are currently no vacancies at the home. Crantock Drive is owned and operated by the Aspects and Milestones Trust. The home is one of a variety of care services operated by the Trust focussing on services for adults who require support to live in the community. No changes have been made to the Statement of Purpose and homes brochure, since the last inspection and both contain all information as detailed 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 9 in the National Minimum Standards. The documents are available in the home, along with the previous inspection reports. For those residents who are funded by the local authority the inspector saw that the home had in place a comprehensive care management assessment in order to make a decision on whether the home and the skills of the staff team are able to meet the individual’s needs. The manager fully demonstrated a clear understanding of the admission process for individuals to the home. Mrs Ralph told the inspector about the admission process for the most recently admitted resident to the home and it was noted that the whole process was tailored to the needs of the individual and consideration was given of the views of others who live at the home. The inspector saw that the home holds a review after one months placement at the home, at this meeting the residents and their representatives are present and make their views known, these are recorded and appropriate action is taken. 58 Crantock Drive DS0000003343.V324150.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, 10. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Care Planning and arrangements for meeting health care needs are good providing staff with the necessary information so that the health and social care needs of individuals are met. Arrangements for making sure individual’s medication ensure that health needs are protected. The practice of staff and policies of the home help to make sure that residents are treated with respect and their dignity is upheld. EVIDENCE: Individuals care records were reviewed at this inspection and it was found that the plans in place had been generated from a care management assessment. Information contained within care records included: an individual’s profile containing information about the reason for admission, health care support services involved, next of kin, family contact details and medical history. Each resident also had risk assessments, records of health professionals visiting, daily records of individuals routines, health action plans, manual handling risk assessments and a care plan. The care plan identified the areas in which the individual required support, how staff intervention and support would be provided, the support and the situation is in turn evaluated and dated. When 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 11 examining the care plans it was evident that the home had spent time with individuals discussing their wishes and choices and it was seen that, where able, individuals had signed their care plan confirming the validity of its contents. On the day of the inspection a physiotherapist was visiting and had brought a new piece of equipment for a resident at the home, they spent time with the resident and staff demonstrating its use. The home have developed in depth health action plans for individuals living at the home and information seen within these, and daily records, evidenced that individuals are well supported with aspects of their physical and emotional health. Services are contacted promptly once a need has been identified. Prior to the inspection a comment card was received from a general practitioner who visits the home they recorded that the home communicates and works in partnership, that staff demonstrate a clear understanding of the care needs of residents and that specialist advice given is incorporated into individuals are plans. Additional comments were; ‘I have always found the staff at 58 Crantock Drive caring, sensible and appropriate in their dealings with the residents’. A review of the homes medication systems showed that they have safe procedures in place for the ordering, receipt, storage, administration and disposal of all medicines. The staff that are responsible for administering medications have had training to ensure they are competent and evidence was seen to verify this. The manager is a medication competency trainer for the Trust and is competent to undertake this. A requirement was made at the last inspection that medication keys must not be left unattended in cabinet, medication was stored securely at all times during this inspection All individuals spoken with said they like living at the home, and that they feel well cared for, that staff listen and treat them well and knew that they have a care plan in place. All knew who to speak with if they had any concern. Staff were aware of their responsibly in respect of confidentiality and respecting individuals right and privacy, these are under pinned by the organisations policies and procedures in this area. 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are able to participate in a range of meaningful activities and spend their time as they wish. The home’s practice and routines are flexible and enable residents to exercise choice and have control over their lives. Individuals are provided with well balanced and nutritious meals. EVIDENCE: Due to the good staffing levels at the home the routines of daily living and activities are flexible and varied to suit the expectations, preferences and abilities of individuals. Individuals are encouraged to continue with any activities outside of the home. Those that are able to, can go out as they wish and there are no restrictions made on their movements. It was reported that the home has a relaxed policy related to residents seeing their friends or family at the Home. And individuals are able to see their visitors in private and are able to choose whom they wish to see and do not see. It was noted that staff at the home were supporting a resident to visit 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 13 their mother later that day and that the resident was looking forward to this important visit. There is a comfortable dining area for individuals to have their meals in. The Home operates a rotating menu. Prior to the inspection the menu choices were looked at to see if residents are being offered a well-balanced and varied diet. All the choices seen were well balanced, traditional and varied. The home has recently been awarded a five star food hygiene award. This was issued by South Gloucestershire Council based on standards provided by the Food Standards Agency. The home is to be commended for achieving this award. Comment cards received from individuals who live at the home recorded that they are supported to make decisions and choices about their life. Three comment cards received from visitors to the home were all consistent in their praise for the care provided at the home; comments included, ‘’we have been extremely happy with the love, care and attention shown to our relative by all of the staff’. ‘I have noticed that as new individuals come into the home they are made to feel very welcome, within a matter of weeks residents become more confident, independent and socially aware, most of all the friendly staff are always there for them’. ‘Crantock Drive is homely and well run, all received such good care and attention at all times’. 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals can be assured that any complaints they have will be listened to and acted upon and that they will be safeguarded from harm. EVIDENCE: The homes complaints procedure is included in the homes statement of purpose and a copy of this in on display in the entrance of the home. Individuals spoken with during the course of the inspection said they would talk to the staff if they were not happy about anything. It was reported on a number of feedback forms, prior to the inspection that visitors felt very able to speak to any of the staff if they had concerns. They said staff would respond promptly and take their concerns seriously The home has in place a complaints logbook and it was seen that issues have been dealt with effectively and fairly. The home prides itself on having good relations with not only the residents, but their families too. One resident said, “There is nothing to complain about at all” whilst another said, “The staff are always so helpful”. The home has policies and procedures in place to ensure that the residents are safeguarded from any form of abuse. Staff have attended adult abuse awareness training. A copy of the homes policy about the protection of vulnerable adults (POVA) is kept with all other policies and procedures and the 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 15 day- to- day paperwork. Staff spoken with during the inspection demonstrated a good awareness of adult abuse issues and of their responsibility in reporting any bad practice. The home has good systems in place to manage any monies they hold on behalf of the residents. A number of the accounts were checked against the records held and they tallied. Minor accidents and incidents were recorded and more serious accidents and incidents affecting the well-being of residents had been reported to the Commission for Social Care Inspection. 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals live in a home that is safe, comfortable and homely, and equipped to meet their needs. EVIDENCE: 58 Crantock Drive is a mature detached bungalow, which has been modernised and extended. The home is located within the pleasant, semi rural area of Almondsbury. It is wheelchair accessible. There are gardens to the front and rear of the house; these were seen to be well tended. In walking around the home it was evident that the home is well maintained and provides a safe environment for residents and staff. A requirement was made at the last inspection that consideration to be given for the redecoration of a bedroom by the Trust in consultation with the individual. This was discussed with the manager and confirmed that the room 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 17 had been redecorated, the individual was consulted about the décor and the cost was met by the Trust. Since the last inspection the lounge has been redecorated, this room is well used by residents and is well furnished and comfortable. There is another sun lounge area for residents use. There are adaptations in place throughout the Home and specialist equipment including mobility aid, sensory aids and handrails. Toilets are situated in readily accessible parts of the Home near to communal areas and bedrooms. The bathrooms and toilets were clean, and were well stocked with hand towels and soap to help minimize risk from cross infection in the Home. The Home looked clean and tidy in all areas that were viewed. 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Individuals are cared for by sufficient numbers of competent staff that are provided with training to fulfil their roles and responsibilities. Safe vetting and recruitment procedures are in place. EVIDENCE: A strength of Crantock Drive is that there is a good history of retaining staff with a well-established staffing group. There were sufficient numbers of staff on duty at the time of this inspection. Each individual has a key worker to support them with the manager being involved with the overall monitoring of individual care. It was clear that staff have developed relationships with individuals and have worked together with them and others in order to identify the needs of residents and then support the person appropriately. There was information in individual care plans that provided information to guide staff to the appropriate level of support that individuals require. Regular staff meetings are held at the home and appropriate subjects are covered in respect of the service provided at the home and in line with the needs of those living at the home. The training records of staff were reviewed and staff are well supported in this area. The Trust has a large training department and staff are able to request and access a wide variety of training specific to the service provided and in line 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 19 with individuals personal development needs. Records evidence that staff have undertaken training in the following areas: First aid, fire safety, medication competency, food hygiene, assertiveness, training for trainers and positive response training. The achievement of a National Vocational Qualification is well promoted within the home. Time was spent observing staff that were supporting and caring for the residents. It was noted that staff were very patient and ‘asked’ residents, rather that deciding for them and encouraged individuals to make choices. At this inspection the staff records for three staff members were fully reviewed and two staff members were spoken with as part of the inspection process. The inspector judges that the manager operates a thorough recruitment procedure based on equal opportunities and ensuring the protection of residents. Written references, protection of vulnerable adults checks and criminal record bureau checks had been undertaken for staff prior to their commencement at work. Staff complete a comprehensive induction and receive ongoing training in order to fully undertake their role effectively. 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37, 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager has a strong sense of leadership and direction and is committed in providing a good quality of life for those living at Crantock Drive. The health, safety and wellbeing of those living at the home are well managed. EVIDENCE: Throughout the inspection Mrs Ralph demonstrated a commitment to the provision of good quality individualised care packages in the home. The inspector observed many occasions when Mrs Ralph spent time with the residents, she was supporting and reassuring. Mrs Ralph has high visibility in the home and gives strong leadership and direction. She encourages openness and discussion and is regarded as someone who is respected and who listens. Mrs Ralph is an asset to the Trust and is a qualified trainer in areas such as medication competency, epilepsy awareness and training in respect of policies 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 21 and procedures she delivers these training sessions to other members of staff employed with the organisation. Mrs Ralph is NVQ level 4 qualified and has achieved her registered managers award and is an assessor and verifier foe these processes. Mrs Ralph has maintained her professional practice and since the last inspection has completed additional training in positive response training, fire safety, and has undertaken update training in manual handling and NVQ practices. The fire logbook records showed fire alarm tests are being carried out. There are also fire drills carried out on a regular basis to help protect the health and safety of those who live and work at the home. Risk assessments had been reviewed and updated since the last inspection. Risk assessments seen covered a wide range of activities both in the home and the community. It was evident that these did not curtail individuals but encouraged independence. One of the staff members is responsible for health and safety within the home and spoke with confidence of the audits and checks that are undertaken in order to maintain a safe environment. Staff are supervised informally on a day to day basis and formally on a monthly basis, this is over and above the National Minimum Standards. These sessions are recorded and areas of discussion include a review of individual’s performance and personal development and key workers role. These sessions ensure continuity of service delivery and effective clear communication. During discussion the manager displayed insight into the business planning and has developed a future development plan for Crantock Drive, which includes information about staff training, supervision, recording and meeting needs of residents. This document links in well with the main business plan for the Trust. As well as a comprehensive quality assurance audit that is undertaken within the Trust and regular monthly visits undertaken by a representative of the registered provider the home have developed a quality assurance questionnaire specifically related to life at Crantock Drive and covers areas such as staffing, methods of feeding back about the service, the environment and access to medical services. The inspector saw that this document had been reviewed and updated in January 2007; questionnaires seen indicated high levels of satisfaction from those who live at the home. The manager was asked to explain how equality and diversity is implemented within the home, Mrs Ralph said that ‘everyone is listened to and the home endeavours to ensure that all who live and work at the home achieve their full potential. Mrs Ralph was able to give a number of examples in respect of residents and staff such as offering meaningful choice; person centred 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 22 planning, flexibility, personal development plan, training and health action plans. Mrs Ralph is fully conversant with the aims and objectives of the Trust and of the policies and procedures such as equal opportunities and rights promotion in order that within her role she facilitates this. 58 Crantock Drive DS0000003343.V324150.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 3 X 3 3 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 Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 4 3 3 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care 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. Refer to Standard Good Practice Recommendations 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 58 Crantock Drive DS0000003343.V324150.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!