Inspection on 16/09/08 for Abbotts Court

This inspection was carried out on 16th September 2008.

CSCI found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Abbotts Court 20/09/07

Abbotts Court 19/09/06

Abbotts Court 10/10/05

Abbotts Court 04/05/05

Abbotts Court 16/11/04

Abbotts Court 14/06/04

Abbotts Court 23/02/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 19/03/2009.

CARE HOMES FOR OLDER PEOPLE Abbotts Court Wingate Lane Wheatley Hill Co Durham DH6 3LP Lead Inspector Stephen Ellis Key Unannounced Inspection 16th September 2008 9:30 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 Abbotts Court DS0000039316.V372264.R02.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. Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbotts Court Address Wingate Lane Wheatley Hill Co Durham DH6 3LP 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) 01429 820866 01429 821010 abbottscourt@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross Home Properties Limited Vacant (The appointed manager, Pamela Harrison, has applied for registration) Care Home 39 Category(ies) of Dementia (24), Old age, not falling within any registration, with number other category (15) of places Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 15 2. Dementia - Code DE, maximum number of places: 24 The maximum number of service users who can be accommodated is: 39 20th September 2007 Date of last inspection Brief Description of the Service: Abbots Court is located on the edge of the ex mining village of Wheatley Hill, close to local shops and amenities. It is a registered care home, providing personal care and accommodation for 39 people, including up to 24 older people with dementia and 15 older people. Southern Cross Homes Properties Ltd. is the registered provider. The home is a three-storey building, situated in its own grounds, with enclosed garden areas and car parking at the front. Personal accommodation and communal space is located on all floors. Service areas (e.g. kitchen and laundry) are located on the ground floor. There are 39 single bedrooms, all with wash hand basins, and 26 with en suite facilities. Most bedrooms are suitable for wheelchair users and are of good size. The weekly fees vary between £417 and £445.87. The fee covers all accommodation, meals and personal care. Hairdressing, toiletries, newspapers, plus services from private opticians, dentists and chiropodists are not included in the fee. The actual amount people pay will depend upon their individual circumstances. Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. This unannounced fieldwork visit to Abbott’s Court took place over 5 hours on 16th September 2008 as part of the statutory inspection of the service. Information received prior to the fieldwork visit was used in preparation and during the visit. The visit to the home included a tour of the building, a meal with service users, examination of some of the documents and records that the home is required to keep, and various discussions with service users and staff. Comments were received during the visit and from surveys that we carried out before the visit. In total, there were comments received from 10 service users, 2 relatives and 6 staff, including the manager. What the service does well: The service achieves good or excellent outcomes for its service users in all key areas covered by the National Minimum Standards. In particular, choice of home, health and personal care, and daily life and social activities are all rated as being excellent. Typical comments received from service users and relatives included: “I received enough information about this home before I moved in so I could decide if it was the right place for me.” “Staff always listen and act on what I say.” “I always receive the medical support I need.” “I am very happy here and wouldn’t change a thing.” “The staff are very good to me and the food is also very good.” “I know how to make a complaint and the staff are very helpful in responding to any concerns.” A key aspect of the home’s philosophy may be summarised in a quote from the home’s most recent newsletter (September 2008): “A community within a community. This is what we are hoping to achieve within Abbott’s Court Care Centre. Communities are made up of people who have strong bonds and relationships to where they live and other community members within their Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 6 community. It implies a sharing of responsibilities and interests. At Abbott’s Court we are trying to develop a community of which members may be clients, friends & families, staff or interested parties within our community.” 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. Abbotts Court DS0000039316.V372264.R02.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 Abbotts Court DS0000039316.V372264.R02.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, 2, and 3. People who use the service experience excellent quality outcomes in this area. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. They have their needs assessed and a contract which tells them much about the service they will receive. Intermediate care is not provided, although day care is for up to 5 people per day. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Comments received from residents and staff confirmed that full assessments of needs were carried out prior to admission to the home. Most residents felt there was enough information from which to make a choice about being Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 9 admitted, although many had shared this responsibility with others such as relatives and/or social workers. The home supplies comprehensive statements of purpose, service user guides and contracts/terms and conditions of residence. These are informative documents and copies are available in Reception and in a variety of formats, including large print and audio versions. The home keeps these documents under review. The home’s reception area is next to the manager’s office on the ground floor and a variety of useful information is available, including the service user’s guide, brochures, company magazines, statement of purpose and previous inspection reports. Typical comments included: “I received enough information about this home before I moved in so I could decide if it was the right place for me.” Service user plans of care revealed comprehensive, detailed assessments of need being carried out prior to admission, with regular evaluations and reviews of care needs and care plans at appropriate intervals following admission. These assessments showed that the home only admitted people whose needs were known and could be appropriately met by the service. Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience excellent quality outcomes in this area. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Residents felt that their health and social care needs were well known by staff and were being fully met. Care plans confirmed that health and social care assessments and treatments/interventions were being carried out, with input from staff, local doctors, community nurses and social workers. Residents said that the community nurse or doctor would see them whenever required and they were satisfied with the quality of service they received. Residents’ Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 11 personal, social and health care needs were well known, understood and respected by the staff team. Residents said that they felt they were treated with respect and sensitivity. Typical comments included: “Staff always listen and act on what I say.” “I always receive the medical support I need.” Care plans and risk assessments were detailed and comprehensive about service users’ health and social care needs, providing clear guidance to staff. They were subject to regular review and evaluation, involving service users, relatives and social workers where appropriate. Staff training, such as National Vocational Qualifications (NVQ) level 2 or above, includes the important issues of privacy and dignity and a high percentage of permanent care staff (over 80 ) have achieved NVQ in care. There are good arrangements for the safe administration of medicines. All care staff members responsible for the administration of medicine have completed Safe Handling of Medicines courses. There is good support from a local Pharmacist who supplies medication in Monitored Dosage form (in blister packs with the medication clearly identified for the individual resident). There are adequate storage systems and care staff check all medication when it is received into the home. Medication is kept securely in lockable cabinets and trolleys. Residents may attend to their own medication, but in practice most prefer to delegate this responsibility to staff. Unwanted medicines are returned promptly to the Pharmacist and the home is careful not to stockpile large quantities. The manager carries out monthly medicine audits routinely. It is good that a photograph of the service user is kept next to their Medicine Administration Record, along with their name, date of birth and room number, to aid identification. Abbotts Court DS0000039316.V372264.R02.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 and 15. People who use the service experience excellent quality outcomes in this area. Residents are able to choose their lifestyle, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet residents’ expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: All residents who were asked said they enjoyed living at Abbott’s Court and described the staff as being caring and helpful. They liked the atmosphere in the home, describing it as being friendly and supportive. They liked the small groups in the various lounge and dining areas across the home. They were free to sit in any lounge, in their own bedroom, or in the reception area. All were satisfied with the arrangements for daily life in the home. Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 13 Residents confirmed they could exercise choice in their daily lives, such as what clothes they wore and how they spent their time, including when they got up and went to bed. They said there were different events and activities that they could take part in if they wished, including social evenings, bingo, board games, crafts, visiting organist, visiting entertainer, seasonal events, quizzes, raffles, chair exercises, pool, parachute games, videos and DVDs, reminiscence and outings. There is also a visiting hairdresser. The home has recruited an activities organizer who has devised a full programme of social and recreational activities. There are some very good links with the local community, including schools, scouts, community centre and golf club. An informative and enjoyable newsletter is supplied, including colour photographs of residents and staff celebrating various events such as summer fair and recent activities, plus quizzes and other news items concerning the home. Typical comments from service users included: “I am very happy here and wouldn’t change a thing.” “The staff are very good to me and the food is also very good.” Residents and relatives are invited to monthly meetings, at which matters of interest and suggestions are discussed. The minutes of these meeting are displayed in the home. Residents confirmed that they could pursue individual interests such as reading and television, and their religious needs were also addressed (for example, small services are held at the home). Residents and relatives said that visitors were always made welcome and there were no set visiting times. Some residents went out with relatives or friends for part of the day. All the residents spoken to said the catering was very good. They felt there was a good choice and the Cook understood their preferences. Nutritional screening takes place routinely and the home provides a wide range of meals based on the ‘Nutmeg’ approach to healthy eating and appetising menus for older people. Residents mainly dined together in the various dining areas. They could, however, eat their meals elsewhere (such as their bedrooms) and at different times if required. Décor and furnishing in dining areas was attractive, creating a relaxed and welcoming environment. Tables were supplied with linen tablecloths and napkins, plus floral arrangement and menu. Staff members will assist residents with their meals wherever needed. Records are kept of meals served. A good choice of menu is provided, with ample portions and the quality of meals was observed to be very good. Birthdays are always celebrated with a cake and a special tea, and are mentioned in the home’s monthly newsletter. Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 14 Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. Residents have access to a robust, effective complaints procedure and are protected from abuse. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: All residents said that they were confident about approaching staff and management about any concerns or complaints they might have. They described the staff and management as being very approachable, helpful and friendly. A written complaints procedure is provided in the statement of purpose and service user’s guide. The home invites comments, compliments and suggestions, plus complaints, which it records along with any necessary action taken to investigate and address issues. Typical comments included: “I know how to make a complaint and the staff are very helpful in responding to any concerns.” The home actively seeks feedback from service users and their representatives about the quality of its service, including inviting written comments and suggestions, holding regular meetings of residents and relatives, 6 monthly reviews of residents’ progress and manager drop in surgeries. Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 16 Staff and management are aware of the need to safeguard adults from abuse or neglect and most have undergone training in these issues. Staff members are aware of the home’s ‘whistle blowing’ policy, which requires staff to speak out about any suspected abuse or neglect. All staff members undergo enhanced Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks, as required by law. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to ensure that unsuitable people are not employed to care for vulnerable adults. Staff confirmed that new staff members go through comprehensive induction and foundation training, so that they have the right knowledge and skills to do their jobs competently. Records examined in 3 personnel files supported these conclusions. Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 22, 23 and 26. People who use the service experience good quality outcomes in this area. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: There were some slightly unpleasant odours in one or two rooms, but the home was found to be generally clean in all the areas inspected. Some comments received were critical of the home’s cleanliness. For example, one relative found a mattress to be malodorous and had to insist on its removal. New floor covering is needed in a prominent ground floor area adjoining a Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 18 toilet following a recent plumbing incident. The manager said that a request has been made for this work to be carried out in the near future. Room temperatures would benefit from being monitored by the provision of safe thermometers (mercury free) so that an objective record can be made. Some rooms felt hot. Provision of tactile pictures and a sensory room should be considered, along with any other measures to promote the quality of life of people with dementia. Most staff members have completed training in health and safety, fire safety, food hygiene and infection control. Bathrooms and toilets were supplied with liquid soap and paper towels in wall mounted containers, to help prevent cross infection. All residents have their own personal towels and flannels, which they keep in their rooms. Residents said they were pleased with the premises, finding them comfortable and homely as well as practical. The home is generally well maintained, with evidence of repairs and servicing being carried out promptly and according to schedule. Of special note is the quality of the furnishings and fittings supplied, including comfortable seating, pictures, music centres, bathrooms and shower rooms, plus en suite facilities in 26 bedrooms. A new level entry shower room has been installed on the top floor. On this floor, the home has supplied doorknockers and decorative letterboxes to individual bedrooms, plus a colour scheme for bathroom and toilet doors to aid orientation. The manager would like to display some tactile pictures that can be touched as well as looked at, and also create a sensory room. These are both desirable developments. On the ground floor, there are a number of sitting and dining areas that allow residents to meet in small groups if they wish, as well as larger groups. The home has semi-independent units on each of its three floors, but there is flexibility in their use, with most residents choosing to socialise within a variety of groups on the ground floor. Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: On the day of the fieldwork visit, there were 30 residents being accommodated: 15 older people with dementia and 15 older people without dementia. In each bedroom there is a laminated sheet detailing the resident’s personal key worker (usually with a photograph of the key worker) and named member of care staff, along with key issues relevant to the individual’s care needs. It is desirable for the photographs to be larger so that they can be seen more easily. During the day (8 am to 8 pm), there are 5 care staff members on duty (two senior care assistants and three care assistants). At night, there is one senior care assistant and two care assistants on duty. Catering and domestic hours are sufficient for the needs of the service and there is a dedicated administrator (20 hours, Monday to Friday). There is a maintenance officer Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 20 employed at the home. The full time manager works weekdays and her hours are not included in the care hours available. A full staff training and development programme is in operation, including moving and handling, first aid, safe handling of medicines, safeguarding adults, fire awareness, health and safety, food safety, plus National Vocational Qualifications. Staff confirmed that they had undergone extensive induction and foundation training. Over 80 of permanent care staff members have achieved National Vocational Qualifications (NVQ) at level 2 or above, which is commendable. Thorough pre-employment checks are carried out on all staff, including enhanced checks with the Criminal Record Bureau (CRB) and Protection of Vulnerable Adult (POVA) register, as evidenced in personnel files. Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. People who use the service experience good quality outcomes in this area. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a new manager who is not yet registered. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The new manager has applied for registration. She is well qualified and experienced in senior roles within social care settings, although not as a manager. Residents, relatives and staff described her as being approachable Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 22 and caring. She intends to work towards the Registered Manager’s Award at National Vocational Qualification (NVQ) level 4. She is well supported by a deputy and part time administrator who works each weekday morning. Staff confirmed that they are regularly supervised (bimonthly) and have an annual appraisal. Good accounting procedures are followed, with receipts and signatures being obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives look after the personal monies of some residents. In those situations where the home looks after residents’ monies, such as pocket monies, clear individual accounts and records are maintained, including individual bank accounts. These are subject to regular, independent audit. Comprehensive paper and computer records are maintained. Service users have ready access to their money, even at short notice. Comments received from staff and management confirmed that there are good health and safety policies and practices that promote the health, safety and welfare of residents and staff. The manager takes a lead role in Health and Safety Risk Assessments. All relevant staff members do refresher training in Health and Safety, such as moving and handling, fire safety and food hygiene. This helps reinforce the registered provider’s written policies on Health and Safety. Health and Safety issues are also discussed at monthly staff meetings. The manager promotes an attention to detail policy within the home and carries out regular audits. The registered provider’s operations manager visits monthly and also carries out comprehensive audits on policies, procedures, care plans and other key areas, making a report and giving a quality rating and general feedback on the home’s performance. Residents and staff expressed satisfaction with the way the home was run and the good standards that were evident in many instances. For example, most residents and relatives commented that the home was usually fresh and clean. Residents and staff said they enjoyed living and working at Abbott’s Court and believed the home was safe and run in the best interests of residents. It is good that there is a named photograph of each member of staff in the entrance foyer, along with copies of helpful documents including the home’s informative newsletter, service user’s guide, report of the last meeting of residents and relatives, plus comment cards inviting feedback on the quality of the service and suggestions for improvement. The manager routinely invites comments and suggestions for improvements from both residents and visitors to the home, via regular meetings, surveys and consultations. Abbotts Court DS0000039316.V372264.R02.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 4 3 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 3 3 X X 2 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 3 X 3 X 4 3 X 3 Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP26 OP25 OP22 OP33 Good Practice Recommendations One or two rooms were slightly malodorous and work is needed to address the issue. However, the home is generally clean and well maintained. Room temperatures would benefit from being monitored by the provision of safe thermometers (mercury free) so that an objective record can be made. Provision of tactile pictures and a sensory room should be considered, along with any other measures to promote the quality of life of people with dementia. Photographs of key workers in service users’ rooms would benefit from being larger so that they can be easily seen. Abbotts Court DS0000039316.V372264.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Abbotts Court DS0000039316.V372264.R02.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!