Inspection on 24/09/07 for Abba Care Home

This inspection was carried out on 24th September 2007.

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

Abba Care Home 04/12/08

Abba Care Home 13/10/06

Abba Care Home 22/11/05

Abba Care Home 23/05/05

Abba Care Home 14/03/05

Abba Care Home 10/05/04

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Creative Support

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Abba Care Home Wesley Old Hall New Row Weir Bacup Lancashire OL13 8RA Lead Inspector Mrs Christine Mulcahy Unannounced Inspection 24th September 2007 10:00 X10029.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abba Care Home Address 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) Wesley Old Hall New Row Weir Bacup Lancashire OL13 8RA 01706 879042 01706 879565 Mrs Rosemarie Nash vacant post Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (4) Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Statement of Purpose, Service User`s Guide, written policies and procedures and all administrative tools and record systems of the home must be reviewed, and revised where necessary, to reflect the change of name. The home is registered for a maximum of 4 service users to include: up to 4 service users in the category of MD (mental disorder under 65 years of age excluding learning disability or dementia) up to 4 service users in the category of MD(E) - mental disorder over 65 years of age, excluding learning disability or dementia. 2. Date of last inspection Brief Description of the Service: Abba Care Home is registered with the Commission for Social Care to provide care and accommodation to 4 residents with a mental disorder. The property is a detached house set in a rural area, set back from the road and situated within five acres of fields, farms and gardens. It is reached via an unmade road near the village of Weir. The home has views of the surrounding hills and valleys of the Rossendale Way. Accommodation is provided in 3 single bedrooms and one double. Bedrooms are on the first floor of the house. Within the home, there are lounge areas and a kitchen diner on the ground floor. Prospective residents can have a copy of the statement of purpose, a guide for the people who use the service and colour brochure to inform them of what to expect if they decide to live at the home. The current fee at Abba Care Home is £480 per week. Items not covered by the fees are hairdressing, chiropody, holidays, meals out and some toiletries. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, including a visit to the home, was carried out on 24th September 2007. Information was obtained from resident’s care plans, records, management systems, and care observations. The inspector spoke to 3 residents and 1care staff and the person in charge. What the service does well: What has improved since the last inspection? Since the last inspection the manager has fully reviewed and updated the information guide for the people who use the service. This means that the people who use the service and their families have accurate up to date information about the home and know what services to expect on moving into the home. The homes policies and procedures have been reviewed and updated. Resident’s care plans are now comprehensive records that include detailed risk assessments clearly informing the care staff about the needs of the residents and how to prevent residents from risk of harm. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 6 Abba Care Home has maintained it’s homely, family atmosphere throughout environmental improvements and redecorating. All care staff are trained in safeguarding adults. This means that the care staff team will now be aware of abusive practices and will know how to report suspected abuse. 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. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 2 (Adults 18-65) and 1, 3 & 6 (Older People) Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. The people who use the service were given clear information about the home to help them make an informed decision before moving in. Residents are admitted following a full assessment to ensure staff at the home can meet their needs. EVIDENCE: The inspector examined a comprehensive guide and information leaflet and guide for people who use the service. Both of these documents are specific to the people who use the service and sets out the objectives and philosophy of the service. The guide shows what the people who use the service can expect Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 9 and clearly explains the specialist services provided, quality of the accommodation, qualifications and experience of the staff, how to make a complaint. The manager said that copies of these documents could be made available in formats that meet the resident’s capacities. Since the last inspection one new resident has moved into the home. The registered manager said that new information about the home is given to prospective residents and their relatives before moving in. New residents undergo a needs assessments lead by the registered manager and included relevant professional input to determine the residents care needs. Residents are encouraged to be involved in the assessment process and relatives are also given the opportunity to be involved in this process. The assessment documentation was available to staff and when asked about these knew they formed the basis of the care plan. Intermediate care is not provided. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service Users, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 9, 16, 18 & 19 & 20 (Adults 18-65) and 7, 8, 9 and 10 (Older People) Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The needs of the people who use the service were set out in a plan of care to help them maximise autonomy and choice. Hhealth and safety procedures including medication ensured residents were safeguarded from harm and mis administration. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 11 EVIDENCE: Case tracking and discussion with the registered manager confirmed that all residents had a plan of care that included sufficient details for care staff to meet the identified needs. The Care plans seen were written in plain English, person centred and comprehensive and held relevant information about, reasons for admission, day to day living, leisure, social, intellectual and cultural needs, relationship with family, and important life events. Resident’s needs were properly addressed through these records and the registered manager said these documents would be subject to review at any time. Two care plans were examined and showed that relevant professionals and relatives were included in these reviews. Daily records were written clearly and were up to date. Risk assessments included in the care plans were reviewed regularly. Restrictions and limitations were thoroughly discussed with residents prior to their agreement and recording. There is an efficient medication policy supported by procedures and practice guidance, which care staff understand and follow. Medication records are fully completed, contained the required entries and were signed by appropriate staff. Medication is stored appropriately and there are regular management checks to ensure compliance. When asked about respect and dignity two residents confirmed they were aware of their rights to confidentiality. One resident commented about his involvement in care planning and said, “It helps the staff to know what to do for me”. Residents were regularly consulted about the development and review of the service at regular meetings this included the recent building work. These meetings were held frequently and comments were always recorded. Notes of these meeting were examined and showed that residents were encouraged to express their views and these were acted on. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 (Adults 18-65) and 10, 12, 13 and 15 (Older People) Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. The leisure and recreational activities available met the social needs and interests of the people who use the service. Visiting from relatives and friends is flexible. Meals and snacks ensured variety and nutrition. EVIDENCE: The registered manager said that wherever possible the residents were able to make choices about aspects of their lives like waking and going to bed times Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 13 and handling their own finances. There was a strong commitment to enabling the people who use the service to use facilities that would maintain or develop their skills and keep them in contact with the local community. This is done through a person centred approach. Case tracking, examination of records and discussion with two residents confirmed that as far as possible their independence was maintained. When asked about their daily routines two residents commented positively on the variety of activities available in the home and were happy to tell the inspector about their recent 5 day holiday in Ireland. Residents confirmed that they were able to take part in a variety of activities around the home and out of the home. There was revidence to show that the service uses effective methods that focus on involving the residents as much as possible in all areas of their life and promotes their rights to make informed choices about the way they wish to spend their time. One of the residents said that he enjoyed the fresh air and scenery around the building. Through his own choice he had become the resident dog walker and ensured the dogs were exercised up to three times a day. Other activities in the home included helping to look after some of the animals that lived on the small holding. One of the residents took great delight in showing the inspector 5 kittens recently born at the home. It was apparent that the service actively encouraged and provided imaginative and varied opportunities for the people using the service to develop and maintain their social, emotional, communication and independent living skills. People who use the service were able to enjoy a full and stimulating lifestyle with a variety of options to chose from. The home had used the views of the residents to plan the daily living routines and arranging activities both in the home and in the community. The routines, activities and plans are focused on the residents and a list of planned activities included Southport flower show Skipton market, Seven Valley Railway, Blackpool illuminations, Fleetwood market, Howarth and York museum and railway were displayed at the home to remind the residents of their forthcoming excursions. Resident’s religious and cultural needs had been assessed and identified and recorded in the residents care plan on moving into the home as part of the admission process. The menu is varied with a number of choices including take away food, eating out, and home cooked meals that the residents sometimes help to plan. Meals are cooked and served by the duty care staff and are always made from fresh ingredients. The meal served on the day of the inspection was shepherds pie and cabbage and homemade apple crumble was served for pudding. A sample of the meal taken by the inspector was full of flavour and looked appetising. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service Users feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 (Adults 18-65) and 8, 9 & 10 (Older People) Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. Complaints made by the people who use the service and their relatives were acted on and recorded. Residents are protected from abuse and have their rights protected. EVIDENCE: The open culture at the home allows the residents to express their views and concerns in a safe and understanding environment. One resident was asked if he knew who to go to if he had a complaint or a worry and replied, “I’d go to Rosemary or Joan and tell her. They’re very good here”. The homes complaints procedure is clearly written and easy to understand. Residents are given a copy of the complaints procedure with the service guide on moving into the home. The complaints book was examined and the registered manager confirmed that no complaints had been made since the last inspection. She said, “Residents know that problems will be treated seriously and quickly so that the environment in the home isn’t affected”. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 15 There is a robust policy and procedure for Safeguarding Adults and gives clear guidance to those using them. All staff are trained in Safeguarding Adults. This means that more care staff will now be aware of abusive practices and would know how to report them. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 29 & 30 (Adults 18-65) and 19, 22 & 26 (Older People) Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. The standard of decoration and furnishings in the home ensured the environment more comfortable, homely, clean, pleasant and hygienic. EVIDENCE: A tour of the home showed the shared facilities, communal areas, bedrooms, bathrooms and the kitchen had been well maintained and some areas re Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 17 decorated. Furniture was of good quality and the home had received new UPVC double-glazing external windows and doors. A new central heating system, new beds and other small items of furniture were also in place. The home was light and bright with added accessories that gave the home a cosy atmosphere. Residents could personalise their bedrooms. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 (Adults 18-65) and 27, 28, 29 & 30 (Older people) Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Staff are trained, skilled and in sufficient numbers to support the people who use the service and the smooth running of the service. The homes recruitment policy and procedure ensures residents are protected from risk of abuse. EVIDENCE: The staff rota showed the home was staffed sufficiently. Particular attention was given to busy times of the day and specific needs of residents like medical appointments, and leisure interests and at peak times of activity. A copy of the training matrix was examined and showed staff training was ongoing. The registered manager now encourages care staff to undertake external qualifications beyond the basic requirements and this is focused on delivering improved outcomes for people using the service. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 19 All staff have undertaken safeguarding adults training, equality and diversity training and medication training. Three care staff have undergone training in the Mental Capacity Act. This means that the care staff are able to fully meet the needs of the people who use the service. There is a good recruitment procedure that clearly defines the process to be followed and ensures the protection of the people who use the service. A Staff member spoken to and examination of a staff file confirmed pre employment checks required to ensure the protection of residents were done. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 (Adults 18-65) and 31, 33, 35 & 38 (Older people) Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 21 Management systems ensure the home is comfortable with flexible routines and that residents interests are safeguarded. There are effective quality assurance systems developed by a qualified competent manager. EVIDENCE: The registered manager has the required qualifications and experience and is competent to run the home. She has a clear understanding of the key principles and focus of the service. She has worked continuously to improve the service and increase the quality of life of the people who use the service. The manager is person centred in her approach and is aware of current developments to plan the service accordingly. The manager has reviewed the homes policies and procedures and ensures staff awareness during supervision and practice. The home has the necessary insurance cover in place to fulfil any loss or legal liabilities. Details and records were kept of resident’s fees charged and paid. There is a clear health and safety policy that ensures safe working practices. Records and documents examined showed equipment appliance and safety checks were done regularly. An internal audit is carried out to determine resident’s satisfaction. Resident’s and care staff meetings are held regularly so that the views of staff and residents were known and recorded. All policies and procedures have been reviewed and updated and residents care plans are now comprehensive records. These clearly inform the care workers about the needs of the residents so that their care needs can be fully met. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 x 18 3 ENVIRONMENT Standard No Score 19 4 20 X 21 X 22 X 23 X 24 X 25 X 26 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 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. 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 Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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. Abba Care Home DS0000009594.V343139.R01.S.doc Version 5.2 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!