Inspection on 17/11/06 for Anglesey Court

This inspection was carried out on 17th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Anglesey Court 09/09/09

Anglesey Court 13/09/07

Anglesey Court 06/02/06

Anglesey Court 14/09/05

Anglesey Court 24/01/05

Anglesey Court 01/06/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Anglesey Court 26 Crescent Road Alverstoke Gosport Hampshire PO12 2DJ Lead Inspector Marilyn Lewis Unannounced Inspection 17th November 2006 10:00 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 Anglesey Court DS0000011732.V316623.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. Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Anglesey Court Address 26 Crescent Road Alverstoke Gosport Hampshire PO12 2DJ 023 9258 2322 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) Anglesey Court Limited Mrs Anne Margaret O`Gorman Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2006 Brief Description of the Service: Anglesey Court is a large detached house, situated in the village of Alverstoke, Gosport. The home has a garden at the front of the property and a car park to the rear. There is a public park opposite the house and the beach is a short distance away. Angelsey Court is registered to provide care and accommodation for up to twenty older persons. There are five double and ten single bedrooms. Residents also have access to the communal lounge and dining room. Information received from the registered manager on the 1st November 2006 stated that the current fees were from £327.04 to £358.68 per week. Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two days, the 17th and 27th of November 2006. On the first visit the registered manager was not on duty and the inspector was assisted by a senior carer. The inspector toured the home and met with six of the thirteen residents, two care staff and the cook. Records seen included care plans and risk assessments, medication, accidents and complaints. On the second visit the inspector met with another two residents, the registered manager and a carer. Records seen on this occasion included staff training and recruitment and residents finances. Information received from the registered manager prior to the inspection was taken into account when writing this report. Service users at the home wished to be known as residents and this has been respected in the report. As part of this inspection, the quality of information given to people about the care home was looked at. People who use the services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the Service User Guide (sometimes called a brochure or prospectus), Statement of Terms and Conditions (also known as Contracts of Care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. What the service does well: All the residents spoken with said that they liked living at the home and felt that the staff were kind, friendly and caring. All felt they were treated with respect at all times. The atmosphere was relaxed and welcoming and good interaction was observed between staff and residents. A care needs assessment is undertaken for all prospective residents to ensure the home can meet their care needs. Prospective residents are given clear information about life at the home and are able to visit before making a decision about living there. Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 6 The residents are involved in the planning of their care. One resident said that the information in the care plans reflected their wishes. The home has clear procedures for dealing with medicines. Staff had received training in the safe administration of medicines and records seen had been completed appropriately. On the first visit to the home a musician was visiting to entertain the residents. Residents said that they were able to choose whether to participate in the event and everyone who did said that they enjoyed the session. One resident said that they had been told the musician was going to entertain but had chosen to spend time alone in their room. Residents all said that they enjoyed the food provided and meals seen were well presented and served in a relaxed atmosphere. Residents were able to choose to take their meals in the dining room, the lounge or the privacy of their own room. Residents said that they liked their rooms, which looked clean and homely and contained many personal items such as photographs and ornaments. Two residents spoken with in the lounge said that the chairs were very comfortable. Staff have received training in the prevention of abuse and a staff member spoken with was aware of the procedures to follow should abuse be suspected. Residents said that they felt that any complaints would be taken seriously and acted upon quickly. Residents said that staff came quickly when they called for assistance and staff said that they felt there were sufficient staff on duty for each shift to fully support the residents. A high percentage of staff hold National Vocational Qualifications (NVQ) level 2 or above and receive the training required to do their jobs. Staff are recruited through robust procedures to protect the safety of the residents. The registered manager Mrs O’Gorman has been the manager of the home for fifteen years and runs it well. Residents have the opportunity to give their views on the quality of care provided at the home. All residents spoken with said that they were able to talk with the registered manager at any time and it was evident during the visits that Mrs O’Gorman had a good rapport with residents and staff. Residents financial interests were safeguarded by the home’s clear procedures for dealing with money and they are protected by the safe working procedures operated there. Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 7 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. Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 8 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 Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 9 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, 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No one is admitted to the home without a care needs assessment to ensure the home can meet their care needs. Prospective residents receive clear information about life at the home and are able to visit before making a decision to take a place there. Written contracts should include the fees to confirm residents or if appropriate, their relatives, are aware of the cost for receiving care at the home. The home does not provide intermediate care. EVIDENCE: The home has a Statement of Purpose and Service User Guide that provide clear information on life at the home. Two residents spoken with said that they had received the information when they visited the home before they Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 10 made the decision to move in. One resident said that their relatives had discussed the information with them. The registered manager said that a care needs assessment was undertaken for each prospective resident before a place was offered to ensure the home could meet their care needs. If possible the prospective resident was asked to spend a day at the home, giving them an opportunity to meet the permanent residents and to give staff the opportunity to assess their care needs. Assessments seen for three residents covered all care needs including personal and emotional needs. One resident spoken with confirmed that they had spent the day at the home before the registered manager confirmed a place there. Each resident is provided with a written contract giving the terms and conditions for residency. Contracts were seen for the three residents case tracked. The contracts stated what services were included in the fees and services available at additional cost such as hairdressing, chiropody, dental hygienist, newspapers and toiletries. Two of the contracts seen did not state the actual fees but relatives on behalf of the residents had signed them. The registered manager said that the fees were stated on letters that were given with the contracts and copies of these were kept at the organisations’ headquarters. Any changes to the fees were also notified by letter. The three residents when asked about their contracts said that they did not wish to have anything to do with them and that their relatives looked after their finances. Records seen indicated that the three residents had visited the home before taking a place there on a trial basis. The home does not provide intermediate care. Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in their care planning, their health needs are met, they feel they are treated with respect and they are protected by staff adhering to the home’s clear procedures for dealing with medicines. EVIDENCE: The information in the pre admission assessment forms the basis for the care plans. The three care plans seen covered all aspects of care provision including plans for mobility, washing and dressing, nutrition and recreation and leisure. The residents’ likes and dislikes were noted. The plans for one resident said that they preferred a bed bath rather than a bath and the records seen indicated that this wish was respected. Risk assessments were contained in the plans and those seen included assessment for moving and handling, the risk of falls and verbal aggression. Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 12 Care plans seen had been reviewed monthly. The three residents spoken with were aware of the information contained in their care plans. One said that a staff member sat with her and discussed the plans and she agreed that they reflected her wishes. Records seen indicated that the health care needs of the residents were met. Visits by GPs and other health professionals including the district nurse, chiropodist and optician were recorded. One resident said that her GP visited her regularly and another said that the district nurse had visited her. The home has clear procedures for dealing with medicines. The carer responsible for medicines at the time of the visit said that she had received training in the administration of medication and records seen confirmed this. Medication records seen had been completed appropriately. Medication was provided mainly in blister packs. When the carer administered the medicines she waited until she was sure the resident had taken the medicines. At the time of the visit no resident was self administering their own medicines but procedures were in place should this change in the future. There were also no controlled drugs currently prescribed. Up to date information on medicines was readily available for staff. During the visits staff were observed to knock on doors and wait before entering rooms and they spoke with residents in a friendly, respectful manner. All residents spoken with said that staff were caring and kind. Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise control over their lives, participate in a varied programme of activities, receive visitors as they wish and enjoy nourishing meals served in a relaxed atmosphere. EVIDENCE: At the time of the first visit a musician was visiting to entertain the residents. The majority of the residents joined in with the entertainment and staff spent time with them assisting them to dance to the music. Two residents sitting in the hallway listening to the music said that they enjoyed listening but did not wish to sit in the lounge where the entertainment was taking place. One resident who stayed in their room said that a staff member had told them the musician was visiting but they had chosen to spend time quietly in their room. The activities programme seen indicated that a variety of activities were offered including craftwork, quizzes, nostalgia chats and weekly exercises. Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 14 Residents said that they enjoyed the activities provided and one said that ‘there was always something going on’. One resident said that they often went out for visits with relatives. Two other residents said that they enjoyed going for walks in the park across the road from the home and along the sea front that is very close by. One resident sometimes attends services in a local church and a note in her care plan reminds staff to ask her is she wishes to go to services. The registered manager said that visitors were welcome at any time and two residents spoken with confirmed this. The cook said that she had information on the residents’ likes and dislikes for food items and this was taken into account when writing the menus. Lunch on one of the days was cottage pie with fresh carrots and green beans, followed by apple strudel and cream. Alternatives were available for residents who did not wish the main meals. The cook was heard chatting to a resident about what meal they would like for supper that day. She spent time with the resident giving different options, ensuring the resident was able to choose the meal they wished. The meals served were well presented and all the residents said that they enjoyed their meals with one saying that ‘the meals were always good’. Homemade cakes were provided for tea. Care plans seen for one resident had stated that the resident preferred to take their meals in the lounge and on both visits to the home this wish had been respected. The atmosphere during lunch was relaxed with staff supporting residents in a friendly and caring manner. Records seen indicated that all staff had received training in food hygiene. Anglesey Court DS0000011732.V316623.R01.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel any complaints will be taken seriously and acted upon and they are protected by staff awareness of the prevention of abuse. EVIDENCE: The home has a complaints policy that indicates who will investigate the complaint and timescales for resolving the issues. A copy of the complaints policy was seen included in the written contract given to residents on admission. Two residents said that they knew about the complaints procedure but had never needed to use it. Both said that if they had any concerns they would talk to the registered manager and they felt sure she would act. A staff member spoken with knew the procedures to follow should abuse be suspected. The home has procedures for the prevention of abuse including Hampshire County Council’s Protection of Vulnerable Adults and Whistle Blowing. Records seen indicated that staff had received training in the prevention of abuse. Anglesey Court DS0000011732.V316623.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Anglesey Court provides a clean and homely environment for all who live, work and visit there. EVIDENCE: Anglesey Court is a large detached house situated in Alverstoke, Gosport, close to a park and the sea front. Accommodation is provided over three floors for twenty residents. There are ten single and five double rooms plus a lounge and dining room. Small seating areas are also provided on each floor. A passenger lift, chair lift and stairs give access to each floor. All the residents spoken with, except one, said that they liked their rooms. The resident who did not like her room said that the registered manager was arranging for her to move into another room and the registered manager Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 17 confirmed this. Residents’ rooms looked clean and homely and contained many personal items such as pictures and ornaments. All the rooms have hand basins and lockable storage space. During the visit one room on the ground floor was being used as the hairdressing room. The resident was asked if they agreed to this and they said that they ‘did not mind at all’. The home has sufficient bathroom and toilet facilities and at the time of the visits those seen looked clean. However an alcove in one bathroom was also used as a storage room for items such as soft toys and although the items were not causing an obstruction, it is necessary to separate them from the toilet area. Also there is a toilet on the ground floor that is accessed through a door very close to the laundry area. On the first visit soiled linen was stored close to the toilet room. The risk of cross infection would be reduced if the laundry were separated from the toilet room by a door or partition. The registered manager said that these issues would also be discussed with the registered provider and maintenance. The kitchen, which is domestic in style, looked clean and food was seen stored appropriately. Staff were seen to use disposable aprons and gloves as necessary to reduce the risk of cross infection. Nine staff members had received training in infection control and sessions had been arranged for those who had not yet received the training. The home has a garden to the front of the property where seating is provided. A resident said that they had enjoyed a barbecue that had been held for friends and relatives in the garden. The rear of the property is used for car parking. Anglesey Court DS0000011732.V316623.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number and skill mix of staff employed at the home meets residents’ needs and they are protected by the robust procedures used for staff recruitment. Staff are supported and encouraged to obtain the training required to do their jobs. EVIDENCE: The home employs the registered manager, a trained nurse, eleven senior carers and six carers. Separate staff are employed for catering, domestic, administration and maintenance duties. There is also a helper for three mornings a week to assist with duties such as bed making. The registered manager said that staffing levels were flexible to meet the needs of the residents. While the home has thirteen residents three care staff were on duty in the morning together with the registered manager and the cook, three in the afternoon and at night there was one awake and one sleep in staff. Staff spoken with said that they felt staffing levels were sufficient and residents said that staff always responded quickly when they called for assistance. Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 19 Staff spoken with said they were encouraged by the registered manager to attend training sessions and obtain qualifications. Records seen indicated that fourteen of the seventeen care staff hold National Vocational Qualifications (NVQ) level 2 or above. This exceeds the required 50 of care staff who must hold or be in the process of obtaining NVQ level 2 or above. The home follows robust procedures when recruiting staff. Many of the staff have been employed for a number of years, with only one staff member employed since the last inspection. Records seen for this staff member contained all the information required including two written references and proof of identity. Criminal Records Bureau (CRB) and Protection of Vulnerable Adult (POVA) checks had been completed before the staff member started work at the home, protecting the safety of the residents. The registered manager said that she felt strongly staff should be able to receive the training they required to do their jobs and records seen confirmed this. All staff had received training in food hygiene and first aid. Eleven staff had received training in the safe administration of medicines and eight in continence care. All staff had attended training in moving and handling and sessions had been arranged for the three staff members who required refresher courses. Staff had also received training in topics relevant to the needs of the residents with eleven undertaking training in dementia awareness and five in Parkinson’s disease. Anglesey Court DS0000011732.V316623.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, and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Anglesey Court is run in the best interests of the residents, whose financial interests are safeguarded by the home’s clear policy on handling money and who are protected by the safe working practices in operation at the home. EVIDENCE: The registered manager Mrs Anne O’Gorman has been the manager of the home for fifteen years and has completed NVQ level 4 in management. During the visits staff spoken with commented on the good support they received from Mrs O’Gorman. It was evident that Mrs O’Gorman had a good rapport Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 21 with residents and staff. Residents were observed chatting easily with her and one said that the registered manager ‘was a good listener’. The registered manager said that there had not recently been any formal survey to obtain the views of the residents on the care provided. However their views were obtained during one to one meetings and group meetings that took the format of relaxed chats. Minutes were taken of these meetings and those seen indicated that topics such as the menus and entertainment had been discussed. Letters and cards containing comments from relatives and visitors were displayed for residents and staff to see. Three residents spoken with said that they felt able to give their views on the quality of their care at any time by talking with the registered manager. Two staff members spoken with said that staff meetings were not held regularly but opportunities arose to discuss the care provided at the home during handovers and also before in house training sessions. The registered manager said that the trained nurse, who works on night duty, met with night staff and fed back their views. A member of the organisation responsible for the running of the home makes unannounced visits to the home on a monthly basis to check on the quality of care provided. Records seen confirmed these visits were taking place. Small amounts of residents’ money are kept in a locked drawer in a locked office. Records are kept of all transactions and records seen for three residents, matched that amount of money held. The registered manager said that she undertakes supervision for day staff and the trained nurse supervises the night staff. Records seen confirmed that supervision was taking place but the content of the meetings would benefit from expansion to include aspects such as the philosophy of care in the home. During the visits safe working practices were observed. Health and Safety information was displayed in the home and staff had received training in health and safety issues during induction and NVQ courses. Substances hazardous to health such as cleaning fluids were stored safely. Records seen indicated that all accidents were recorded and the information used to update risk assessments as necessary. Fire records seen indicated that all staff had received fire safety training. However staff attendance at fire drills had not been recorded and it was therefore not possible to confirm that all staff had attended a fire drill. Two staff members spoken with said that they had attended fire drills. The registered manager said that the method for recording fire drills would be changed to include staff attendance to ensure staff were aware of the procedures to be taken and protect the safety of the residents. Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 22 Certificates seen indicated that regular maintenance and service checks were undertaken for specialist equipment such as hoists and for services such as the electric and gas. Anglesey Court DS0000011732.V316623.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 3 3 x 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 2 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 3 Anglesey Court DS0000011732.V316623.R01.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. Refer to Standard Good Practice Recommendations Anglesey Court DS0000011732.V316623.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Anglesey Court DS0000011732.V316623.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. 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