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Inspection on 04/01/07 for April Cottage

Also see our care home review for April Cottage for more information

This inspection was carried out on 4th January 2007.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents are fully assessed before admission to check that the home can meet their needs properly. Care plans are detailed and easy to read, they offer good guidance to staff about how to meet the residents` needs. Health care needs are properly assessed and provided for. Medication is managed safely and residents get their medication as prescribed by their Doctor. Staff members treat residents with dignity and respect. The residents have some activities provided, and they have lots of opportunities to spend time in the community and with their family and friends.The routines at the home are flexible and revolve around the residents` needs and wishes. The meals are varied, nutritious and residents are given choices and alternatives for all meals. Residents know they can complain and the owner responds to any concerns raised. The residents at the home feel safe and they are protected from abuse by supportive staff. The home is comfortable, homely, well maintained and clean. There are enough staff on duty to meet the needs of the residents. The staff are well trained and supported and are good at their jobs. The recruitment arrangements are robust and protect residents from potential harm and abuse. The home is well run and managed and provides a good service to its residents. Residents are asked for their views on the care they receive and suggestions are acted upon.

What has improved since the last inspection?

No requirements nor recommendations were set after the last inspection, and only two recommendations have been set following this one which would suggest that the service continues to be of good quality.

What the care home could do better:

Residents` monies should be kept on the premises so that balances can be checked easily. The Portable appliance testing of electrical equipment needs doing urgently to make sure residents and staff are safe.

CARE HOMES FOR OLDER PEOPLE April Cottage 54 Belvoir Road Coalville Leicestershire LE67 3PP Lead Inspector Linda Hirst Key Unannounced Inspection 4th January 2007 10:30 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 April Cottage DS0000001804.V323933.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. April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service April Cottage Address 54 Belvoir Road Coalville Leicestershire LE67 3PP 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) 01530 451452 01530 451452 Mr Ian Borland Mrs Gaynor Borland Mr Ian Borland Mrs Gaynor Borland Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No one falling within category OP may be admitted into the home where there are 12 persons of category OP already accommodated within the home. To be able to admit the named person of category OP, aged less than 65 years old named in variation application V32040/S51804 dated 07/05/2006. 1st November 2005 Date of last inspection Brief Description of the Service: April Cottage care home cares for twelve older persons in two converted detached properties converted into one building for its present purpose. The home is situated in a residential area and within walking distance of the market town centre of Coalville. Residents have access to a variety of shops and other amenities in the town centre. There is easy access for private and public transport. The accommodation is over two floors accessible by use of the vertical lift. There are twelve single bedrooms, six of which have en suite facilities. There are two lounges and dining space for residents use. A garden is situated to the rear of the premises. The fees at the home range from £319.00 to £365.00, and these do not include personal newspapers, hairdressing or chiropody. April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (Commission for Social Care Inspection) is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection involved one inspector; it was unannounced and took place over 7 daytime hours, including lunchtime. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. One resident was asleep and too unwell to be interviewed as part of the inspection. Two members of staff were spoken to as part of this inspection, documents were read and medication inspected to form an opinion about the quality of the care provided to residents. A partial tour of the building was undertaken, all communal areas were seen and a sample of bedrooms to make sure that the environment is safe and homely. What the service does well: Residents are fully assessed before admission to check that the home can meet their needs properly. Care plans are detailed and easy to read, they offer good guidance to staff about how to meet the residents’ needs. Health care needs are properly assessed and provided for. Medication is managed safely and residents get their medication as prescribed by their Doctor. Staff members treat residents with dignity and respect. The residents have some activities provided, and they have lots of opportunities to spend time in the community and with their family and friends. April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 6 The routines at the home are flexible and revolve around the residents’ needs and wishes. The meals are varied, nutritious and residents are given choices and alternatives for all meals. Residents know they can complain and the owner responds to any concerns raised. The residents at the home feel safe and they are protected from abuse by supportive staff. The home is comfortable, homely, well maintained and clean. There are enough staff on duty to meet the needs of the residents. The staff are well trained and supported and are good at their jobs. The recruitment arrangements are robust and protect residents from potential harm and abuse. The home is well run and managed and provides a good service to its residents. Residents are asked for their views on the care they receive and suggestions are acted upon. 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. April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 7 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. April Cottage DS0000001804.V323933.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 April Cottage DS0000001804.V323933.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are properly assessed before admission to make sure the home is suitable for their needs, thereby avoiding inappropriate placement. EVIDENCE: There was evidence on all of the files of the residents selected for case tracking that they were assessed before admission by Social Services staff to make sure the home is appropriate for their needs. In addition, the Manager or Deputy visits each potential resident in their current setting to double check that their needs can be met at the home, there was evidence of this assessment on the files inspected. Potential residents can come in for the day or (by negotiation) the weekend prior to admission and a daily charge is applied. This is to enable April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 10 them to check whether they like the home and can settle there. When new residents move into the home, a keyworker is allocated who is responsible for getting to know the resident and making sure they are happy and settled in their new environment. There is a trial period of a month but this can be extended, and a formal review is held after one month to make sure the resident, their family and the staff from the home are happy with the placement. One resident said she came to live at the home as a relative had lived there previously, another moved here from another home where she was very unhappy and she said that since the move, she could not be happier. They confirmed that they had had a chat with the owner/manager before coming in. Staff who were interviewed confirmed that all residents are fully assessed before admission. They said they are informed verbally about new residents and given information from the Social worker and the homes own assessment. Intermediate care is not provided at the home and this standard is not applicable. April Cottage DS0000001804.V323933.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’ health and personal care needs are properly assessed and provided for. Medication practice is safe and provides evidence that residents get their medication as prescribed by their Doctor. Residents are treated with dignity and respect by the staff. EVIDENCE: The care plans of the residents selected for case tracking were inspected to ensure that there was sufficient detail available to guide staff in how to meet residents’ needs. The care plans have a consistent format and are easy to read, meaning that information is readily accessible to the staff when needed. There is evidence that residents have been consulted about their care plan and those interviewed confirmed that they had seen their care plans and knew what help to expect from staff. The residents have confidence in the staff and April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 12 said they help them “a lot.” The staff who were interviewed said the manager wrote the care plans and they said they found the care plans easy to use, they feel the plans offer clear guidance to them. The residents who were interviewed said that the health care provided is good. One said she is taken to Hospital for appointments by staff, another has a nurse who visits regularly and both said the home are “very quick” to get help in if needed. There was evidence of involvement from the Macmillan Nurse; various residents have regular checks on their Tissue Viability, although the owner/manager reported a problem with accessing equipment at the moment, which he is challenging to make sure that residents have the support they need to remain well. The staff reported good links with the Doctors and District Nurses whom they said come regularly to the home. They said that any health worries are reported immediately to the owner/manager and appropriate help is sought without delay. The arrangements for medication were inspected to make sure that these were safe, well organised and ensure that the residents get their medicines as prescribed by their Doctor. A medication round was observed and this was generally safe, but the staff were signing the record after all of the medication had been administered. The owner/manager said that this was because the home is very small, but it is not best practice. It was recommended to the owner that the record be signed after each person has their medication administered to improve the safety of the arrangements and this matter was attended to before the end of the inspection. The records of administration, receipt and disposal were inspected and were well maintained with evidence of internal auditing. The Controlled Drugs are appropriately stored, recorded and the records tally with the medication held at the home. The staff who were interviewed confirmed they have received training on the safe administration of medication and talked through safe practice, confirming that they have been instructed today that they must sign the record sheet after giving out each medication. None of the staff have seen any unsafe practice. The residents who were interviewed both have their tablets managed by staff, both confirmed that staff give them a drink with their tablets and wait to make sure they have taken their tablets as they should. The residents said that staff treat them in a respectful way and they can have privacy if they want. One said she has a phone in her room, another sees here relatives in private, they said the staff help them with personal care in a nice way and have time to chat to them. There are standardised policies and procedures and staff are expected to read and translate these as part of their training package. The staff gave good examples of how they ensure that residents are treated with dignity, and they said that the manager tells them they should treat the residents as if they were their own parent or grandparent. They said that the owner/managers are very keen on residents being treated properly and would approach staff directly if they were unhappy April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 13 with how residents were being treated. Staff said they would report any behaviour they felt was unacceptable. April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 12, 13, 14 and 15 Residents live happy and fulfilled lives, maintining contact with their family, friends and the local community. Routines at the homeare flexible, and residents have a healthy and nutritious diet. EVIDENCE: There are no formal activities arranged, although over the Christmas period there have been carol services, some residents go into the kitchen to help make cakes and table top games are available if residents want to use them. Will take residents out into town in wheelchairs, one went Christmas shopping. Two people go to the Salvation Army and volunteers come to collect people to take them out. Both of the residents who were spoken with said that they have been out to family and friends over Christmas, one also went Christmas shopping with the staff. One person said she wished she had more people to talk to, but said the other residents at the home like to have a nap; one person goes to church every week. The staff who were interviewed said that lots of the residents were very old now and many did not like to be bothered April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 15 with activities. They said a shopping trip was arranged recently and lots of residents said they wanted to go, but on the day only one person would go. Residents’ relatives come and visit and take people out. One resident without local relatives has a visitor from Age Concern who comes and offers a “befriending/advocacy” service. Residents interviewed said that their family and friends are welcomed into the home. The staff confirmed that family and friends come regularly to visit and that they make sure they have a cup of tea or coffee and biscuits. Visitors can see their relative or friend in private if they wish to. Staff members said that some residents go out to their relatives’ houses. The home’s policy on sexuality was seen and incorporated issues of choice and consent. The residents who were interviewed rise and retire at different times, and they both said they could stay in bed for longer if they wanted. They both have a weekly bath but one person would prefer this to be more frequent and the comment was passed to the owner/manager who said he would speak to staff to ensure this was done. The residents said they could spend their day as they wish. The staff who were interviewed confirmed that routines are flexible around the residents and they can choose what to do with their day. Lunch was observed to make sure the residents receive a balanced, nutritious diet to maintain their health and wellbeing. There are two menu choices for lunch and tea, one hot and one cold. The menu is displayed in the home and any alternatives to the two choices are recorded. The menus are decided based on information from the residents who fill out a likes and dislikes sheet and these are catered for (E.g., one person likes sweetcorn and another mandarin oranges and these are provided). Those who need help to eat were observed to be supported in a discreet manner. The meals looked appetising and the tables were nicely laid out. The residents said the food was “lovely”, they feel they get plenty of hot, tasty food, and they said there is a choice for all meals, on Sundays they get a cooked breakfast which they enjoy. They can have drinks through the day and had nothing but praise for the food provided. The staff confirmed the food is really good, that the residents get whatever they like and can always have more. They said choices and alternatives are provided for. April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 16 and 18 The systems for complaints ensure that concerns are addressed promptly, and residents are well protected by staff who are aware of abuse issues and the owner/manager who is clear about his responsibilities to keep residents safe. EVIDENCE: There is a complaints procedure displayed in the home. The record of complaints was seen, three complaints have been received since the last inspection, and these were properly recorded, investigated and responded to. Neither of the residents had made a complaint, but they said they knew they could if they wished and said they would talk to the owner/managers who they knew they would sort out any problems. None of the staff interviewed had ever dealt with a complaint but said they would report any concerns at all to the managers. There has been one allegation of physical abuse since the last inspection which was reported to Social Services. The records of the investigation were seen and these and the action taken by the owner/manager were appropriate. The residents who were interviewed said they feel safe at the home and said the staff are kind and caring and never shout. The residents said they have never seen anything they thought was worrying. The staff were clear about what April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 17 constitutes abuse and they said they would report any such behaviour straight away to the owner/manager who would take immediate action. April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 18 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, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, safe well maintained and homely throughout and offers a good standard of accommodation to the residents. EVIDENCE: A partial tour of the home was undertaken to make sure the home is clean, homely and well maintained. The home throughout is comfortable and homely; there is a main and a quiet lounge for visitors or training purposes. Each resident has a table beside them in the lounge to put personal items such as flowers, sweets and newspapers on. There are two bathrooms, one with assisted bathing. All of the bedrooms are single and five have en suite facilities. The bedrooms seen were highly personalised and the residents can bring in items from home. Each person is April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 19 given a lockable facility and keys to their bedrooms can be provided if they wish. The residents love their rooms, and both of the people interviewed have brought in items from home. They feel the home is “cosy”, “comfortable” and warm. The staff said the home is very well maintained and said if anything is reported to the owner/manager he ensures it is repaired as soon as possible. There is an ongoing rotation in respect of decoration and carpeting, and some rooms were being decorated during this inspection. The home is clean, hygienic and fresh smelling throughout. The staff reported that there are enough cleaning hours to keep the home clean and hygienic and they said they work hard to keep the home fresh smelling. The residents said the home is kept “beautifully clean” and always smells fresh. April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing levels meet the needs of the residents at the home, and residents are protected from harm and abuse by robust recruitment procedures Staff are well trained and competent in their role. EVIDENCE: The staff rota was inspected to make sure that there were sufficient staff on duty to cater for the needs of the residents. The staffing levels meet the minimum required in all instances and in some exceed minimum requirements. There is always a named person on the day shift who is responsible for the day-to-day management of the home. One resident who was spoken with feels there are enough staff around and said she never has to wait for help, the other said there were enough staff most of the time but it was busy just before bedtime. The staff who were interviewed said the staffing levels were fine and they could not identify any particularly busy time. They said they like their jobs because they have time to really get to know the residents and can take their time caring for them. The residents who were interviewed both feel that the staff are very caring and good at their jobs, they said they will “help you with anything.” April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 21 All of the staff files seen comply with legal requirements, with staff having Criminal Records Bureau checks, references and application forms. The staff who were interviewed confirmed they have up to date Criminal Records Bureau checks. There is a comprehensive training package in place for staff members to make sure they are competent to undertake their roles. The owner/manager maintains a training achievement sheet and won an award as most supportive employers after being nominated by the college. All new staff will be undertaking a Skills for Care induction package and all are enrolled on National Vocational Qualification Level 2 training if this has not already been achieved. Statutory training courses are up to date or refreshers are planned. The staff have undertaken an external course on understanding Dementia and two staff members have undertaken a National Vocational Qualification in cleaning. The staff who were interviewed confirmed that they get plenty of training and if they identify any training needs and mention them to the owners the training is arranged for them. April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 22 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is well managed and responds to the views of residents in seeking to improve the service provided. EVIDENCE: The two owners and the deputy have achieved Registered Managers Award and National Vocational Qualification level 4. The residents said the owner/managers run a very good home and are very approachable. The staff who were interviewed said the owner/managers are good employers, approachable and supportive and very hands on. They also said they are honest with the staff and if they are unhappy with anything they will speak to staff directly about this. April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 23 The owner/managers have bought a new quality assurance package to review the quality of care provided at the home, they have not started to use this yet. In addition to this, resident questionnaires are done every 3 to 6 months by the managers on a one to one basis with those who live at the home. Completed questionnaires were seen from September 2006, the responses were very positive; residents said they were “more than satisfied.” Residents interviewed confirmed that they have filled in questionnaires about their views on care and said these are done regularly. They said they can also talk directly to the owners. The staff who were interviewed confirmed that the residents are asked for their views regularly. There is only one resident who has her money held at the home. The records were inspected to ensure that her financial interests are properly protected. These are well kept and include signatures from service users to confirm she has received or returned money. There are signatures to confirm that cross checks of balances have been done by family members, however as the money is not kept on the premises it was not possible to confirm that the balance tallies with the money remaining. It is therefore recommended that the money be kept on the premises to enable proper auditing. The home does not manage finances for either of the residents selected for case tracking, and they were not able to comment on this aspect of care. The Health and Safety records of checks and servicing were inspected to make sure that the home is safely maintained for residents and staff. Fire safety checks are undertaken at the correct intervals and are up to date. The vertical lift and hoist have been serviced at the correct intervals to make sure they are safe for use. There have been very few accidents at the home, but accident records are well recorded by staff. The gas appliances have been serviced but the Portable Appliance Testing is now overdue and it is recommended that this be undertaken as soon as possible. The staff who were interviewed felt their health and safety is well protected, the owner/manager will not let them do any tasks where there is a risk involved. April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 24 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 X X 3 X X 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 X X X 3 X 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 X 3 X 3 X X 3 April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? None 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. Refer to Standard OP35 OP38 Good Practice Recommendations Residents’ money should be kept on the premises to ensure proper checks of balances can be undertaken. PAT testing should be done as soon as possible April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 April Cottage DS0000001804.V323933.R01.S.doc Version 5.2 Page 27 - 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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