Inspection on 13/06/07 for Avala Park

This inspection was carried out on 13th June 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.

Other inspections for this house

Avala Park 16/09/09

Avala Park 12/06/08

Avala Park 13/11/06

Avala Park 10/01/06

Avala Park 15/08/05

Avala Park 20/10/04

Avala Park 21/06/04

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Avala Park Mile Road Widdrington Morpeth Northumberland NE61 5QW Lead Inspector Anne Urwin Brown Key Unannounced Inspection 13th June 2007 09:15 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 Avala Park DS0000000553.V338251.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. Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Avala Park Address Mile Road Widdrington Morpeth Northumberland NE61 5QW 01670-790019 01670 791203 avalapark@highfield-care.com 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) Southern Cross Care Homes Limited Mrs Alison Martin Care Home 35 Category(ies) of Dementia - over 65 years of age (11), Old age, registration, with number not falling within any other category (24) of places Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13th November 2006 Brief Description of the Service: Avala Park is a purpose built two-storey home located in the rural village of Widdrington. The home is set back from the road in its own large gardens and it has ample car parking space. Local amenities and public transport are limited but include a small supermarket, public house, community centre and GP surgery. The home is registered to provide accommodation and personal care to 35 older people, 10 of whom have a dementia. Southern Cross Care Homes Limited owns the home. Fees range from £409.40 to £414.71 per week. The statement of purpose, service user guide and copy of the most recent inspection report are available at the home. Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 13th November 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on date 13th June 2006 and a further visit was made on 21 June 2007. During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager/provider what we found. What the service does well: A good care planning system is in place that is based on a full assessment. Good policies and procedures are followed for the administration of medicines. People are treated as individuals and staff are aware of issues relating to dignity and respect. Routines and activities are organised to suit individual choice. Staff are welcoming to visitors and keep them informed about any issues about residents. Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 6 The food provides a healthy diet and is well cooked and presented. Peoples’ likes and dislikes are well known to staff. Individual tastes are catered for and special diets are provided as necessary. Staffing levels are appropriate and staff are provided with training in care. Recruitment procedures protect people living in the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 and 6 were inspected. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Good full assessments are generally carried out before and after admission to ensure that peoples’ needs can be planned and met, however one assessment of a person admitted in March was not completed. This means that staff may not have sufficient information about peoples’ needs to provide good quality care. Intermediate care is not provided at Avala Park. EVIDENCE: The assessments cover the areas identified within Standard 3 of the National Minimum Standards for Care Homes for Older People and takes account of any specific needs relating to equality and diversity. Staff draw up individual plans of care using the information in the assessment. One person who was Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 9 admitted in March did not have a full assessment completed and staff reported that this had been overlooked in the manager’s absence, however this meant that the care plan for this person was incomplete. Care management assessments were available in the records sampled. Three people spoken with during the inspection said that they felt that they get a good service from staff who are well informed about their needs. The home is not registered for, and therefore does not provide, intermediate care. Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 were inspected. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of care planning is generally good, however since March some individual plans have not been updated to identify changing needs and this may put people at risk of receiving inappropriate care. Care is planned sensitively with people living at the home in a way they prefer. Peoples’ health care needs are well met using a multi-agency approach, but assessments are not always updated by staff and this may put people at risk. Good procedures and practice for dealing with medicines protects those living at Avala Park. Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 11 EVIDENCE: Each resident has an individual plan of care, which is based on the admission assessment and is then added to during the placement. Care plans reflect peoples’ personal, physical, cultural, religious and emotional needs. The care plan for one person admitted in March did not provide enough information about how their particular needs or behaviour was monitored and assessed. Good recording systems including assessment tools for: • nutrition, • skin care, • moving and assisting, • continence promotion, • risks and • dependency rating were available. However the lack of monitoring of records has impacted on the quality of the care planning system. Most records contained risk assessments for specific interventions and these had been updated when necessary. Systems were in place for regular reviews that involved relatives or representatives if appropriate. Three people said that they are very satisfied with the care they receive; they said staff are caring and kind. Three questionnaires from relatives made positive comments about the quality of care and the staff support. One relative said that she did not feel that all staff provide consistent care and that sometimes programmes are not well followed by staff. Staff were well informed about individual needs and demonstrated this during the inspection. All contact with the doctor, district nurse and other health care professionals is recorded appropriately. Records showed that the home seeks expert advice from external professionals if necessary. Aids and other equipment are in place for those who need it. Residents said that the staff are aware of their health needs. They said they get support to attend appointments. Two service users said they were satisfied that they can access the health services that they need. The systems for managing medicines in the home are in line with safe working practice guidelines. The records relating to the administration of medicines are fully completed and staff are clear about the procedures. A monitored dosage system is in use and appropriate checks are carried out when medicines are received. Staff training in handling medicines has been provided. Risk assessments are in place for people wanting to manage their own medicines and lockable storage is provided. Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 12 During the inspection it was observed that staff were aware of issues relating to privacy and dignity. People living in the home were treated respectfully and staff were seen knocking on doors before entering rooms. Staff induction training includes information about the home’s policies that include reference to privacy and dignity. People spoken to during the inspection said that staff always knock on the door before coming in to their rooms. They said that staff are respectful and kind offering them support in a way that allows them to keep their dignity. Avala Park DS0000000553.V338251.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): Standards 12, 13, 14 and 15 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have good opportunities to take part in a variety of leisure pursuits and activities that helps them to maintain good links with the local community. Service users are encouraged to exercise control over their lives, which helps them retain their independence. Mealtimes are flexible to suit individual choices and lifestyles. People are given plenty of choice and are supported sensitively to eat meals where they have specific needs. EVIDENCE: People living at Avala Park said that they are able to make choices about their daily routines, like when they get up, go to bed and what they do with their time. Individual routines are identified within care plans. There is a programme of activities and information about this is made available to people living there. Good records are kept to show what activities and outings Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 14 individuals have taken part in. Records showed that there is a good range of activities and that these are popular. Staff said that they are able to spend time on an individual basis with people living in the home. There are videos, music tapes, newspapers and books available. One person said they enjoyed regular quizzes. One visitor felt that not all residents were involved in activities and one response in a questionnaire said that the service home would be improved if “more individual stimulation was given to those that are capable.” People living in the home said that they have regular visitors and this was evident from the Visitors Book and from seeing visitors coming in during the inspection. Two people said that they could see visitors in their own rooms or in the public areas of the home. Information is available for relatives about visiting and this is made available before a resident is admitted. One relative said that most staff are welcoming and another said in the questionnaire that they enjoy visiting the home, as staff “are always lovely to visitors.” People are encouraged to continue to manage their finances for as long as they are able and this was evident from care plans. They are encouraged to bring in furniture, ornaments and pictures from their previous homes. Rooms are personalised and reflect peoples’ interests and taste. People are supported to practice their own religion and local ministers visit the home regularly. Information about advocacy services is made available to people who use the service. The menu shows that a varied diet is provided that offers choice at each mealtime. Peoples’ likes and dislikes are recorded and the cook regularly consults with them about the food. There is choice about where food is served so that people can choose to have their meals in their room or in the dining room. The quality of the food served during the inspection was excellent. People were able to ask for alternatives if they did not like what was available. Positive comments were made in one relatives’ questionnaire and this said, “the food is of a varied menu cooked and presented to a high standard.” One person said, “the cook is very good and we can ask for something different if we want.” Staff have completed Food Hygiene training and Safer Food Better Business practice has been introduced. Records kept relating to this were in very good order. Avala Park DS0000000553.V338251.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): Standards 16 and 18 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure is in place to ensure that complaints are dealt with effectively and to the satisfaction of the complainant. Good Safeguarding Adults arrangements are in place for people using the service. EVIDENCE: Clear guidance is in place for dealing with complaints and staff were aware of its’ content. They were also aware of how to support someone to make a complaint. People living at Avala Park said that they knew how to make a complaint and that they felt able to speak to the manager or the staff if they have any concerns. One complaint has been made since the last inspection and records show a full investigation was made and that this matter was resolved to the satisfaction of the complainant. Three relatives confirmed in questionnaires that they knew how to make a complaint. Policies and procedures provide clear guidance to staff about protecting people living in the home and the action to be taken in the event of any allegations being made. People using the service are made aware of what abuse is and the safeguards in place for their protection. Access to external agencies is Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 16 promoted. Staff were clear about the procedures to be followed if an allegation is made. Staff training has been provided in Protection of Vulnerable Adults. Avala Park DS0000000553.V338251.R01.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): Standards 19, 20, 21, 22, 24 and 26 were inspected. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Avala Court provides a safe environment that encourages independence, however the standard of some of the furnishings has deteriorated. This is affecting the quality of life for people living in the home. The home is clean, but odours were evident in some areas of the home. The laundry has limited facilities to cater for the number of people living in the home and the flooring is not impermeable so that it is easily cleaned to prevent the spread of infection. The lack of sluice facilities impairs the quality of infection control at the home. Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 18 EVIDENCE: Maintenance records well kept and showed items that can be undertaken by the handyman are addressed quickly. There were no outstanding repairs. However there are some public areas of the home that have worn and damaged furniture and/or carpets that need to be replaced. These include the conservatory, upstairs sitting room and smoking room. The furniture in the smoking room is in a very poor condition, particularly the chairs and settee. Disabled access is available at the front of the building and from the conservatory into the garden. There is a large paper shredder in the corridor on the ground floor that could present a hazard to people living in the home and no risk assessment is in place for the shredder’s use in this area. The gardens are spacious and attractive, however some of the borders are overgrown and untidy. A shaft lift is fitted so that residents can easily access the first floor and records showed regular servicing is carried out. In one of the relative questionnaires a comment was made about the need for “a few home improvements” and one visitor said that she was concerned about the odour in the bedroom and the outstanding repairs to the wardrobe and chest of drawers (one of the bedrooms identified below). This compromises residents dignity. There are sufficient toilets and bathrooms to meet the needs of the people living at Avala Park. The ground floor bathroom floor has been repaired since the last inspection. The flooring in some of the toilets is worn and marked. A shaver was charging in the ground floor bathroom and could present a hazard to some of the people living in the home. Toilets and bathrooms have appropriate aids and adaptations to suit the needs of the people living in the home. Records show that appropriate assessments are carried out to ensure that aids are provided for people when they need them. Most bedrooms are comfortably furnished and people have brought in items from their previous homes. Five rooms have en-suite toilet and wash hand basin. An odour was evident in three rooms and also in the main hall early in the morning. The manager said that some carpets are to be replaced as part of the general refurbishment programme. Some bedrooms do not have a bedside light or cabinet beside the bed as the cabinets are too large to fit in the space available. The provision of a bedside light and bedside table is a National Minimum Standard. Some furniture in bedrooms is damaged with broken handles and chipped veneers. This does not help people living in the home to be independent if they cannot open drawers and wardrobes easily. The laundry is very small and there is no window that opens, staff need to open the external door for ventilation. As there are times when the door is left open unattended this can present a security hazard. There is little room in the laundry for shelving or for moving around easily and space is further reduced Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 19 when staff are ironing. Washing machines have appropriate cycles for washing soiled linen. The laundry flooring is a combination of carpet and lino. Both are worn and the lino is cracked and does not provide an impermeable surface. There is no sluice in the home for cleaning commodes that are in regular use and this means that the risk of cross infection is increased. Avala Park DS0000000553.V338251.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): Standards 27, 28, 29 and 30 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers are sufficient to meet the needs of the people living at Avala Park. Opportunities for training are good and this enables staff to learn new skills to better support the people living at the home. Good recruitment procedures protect people living at the home. EVIDENCE: The rota showed that staffing levels are adequate to meet peoples’ needs, however there have been additional demands placed on senior staff during the manager’s absence. The deputy manager and senior staff have been covering for this for about three months and this has impacted on their ability to keep some records up to date. The manager returned to work during this inspection, which has resolved this issue. Records show that eight part time staff have left the home during the past twelve months and this has also impacted on staffing arrangements. One visitor said that during the last few months there have been times when she felt that there were not enough staff. People living in the home said during the inspection that they felt there were Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 21 enough staff on duty at the home. One person said that “staff are there when you need them, I think that there are enough of them.” Staff said that the recent staff shortages have affected the work to update care plans and that the absence of the manager has meant that senior staff have had less time to spend on this. A level of almost fifty per cent of trained staff has been achieved at Avala Court and a further twelve staff are working towards achieving national qualifications in care. Staff are committed to training and are aware of the importance of gaining recognised qualifications. They said they feel training is well supported by the management of the home. Staff recruitment policies and procedures are in place to protect people living at the home and records show that these are followed. Appropriate reference and Criminal Records Bureau checks are carried out and evidence of these was in individual records. The training records show that appropriate training opportunities were provided during the past year. Records are clearly maintained and offered an efficient and easily examined system. Statutory training is provided and includes moving and handling, food hygiene, first aid, fire, and health and safety. Staff said that new staff receive appropriate induction training and records confirm this. They also said that there have plenty of opportunities to access training. Avala Park DS0000000553.V338251.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): Standards 31, 33, 35 and 38 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager has an open style and good management systems ensure that the service provided suits the needs and wishes of the people living at the home. Although adequate quality assurance systems are in place that involves monitoring of records and gathering views from users of the service, they do not show clearly how this information is collected and used to further develop the service to suit the needs of the people living there. Personal allowance management is good and the systems and records are in place to allow audit to be effective. Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 23 Peoples’ financial interests are safeguarded by the appropriate systems for handling money held on their behalf. People living in the home and staff are protected by the good systems and practices for health and safety. EVIDENCE: The Manager has the required qualifications and experience to run the home and meet its aims and objectives. There are clear lines of accountability with appropriate line management support available. Management systems for strategic and financial planning are in place and administrative support is available in the home. Staff said that they are well supported by the manager and senior staff and that they have regular supervision. Records confirm that supervision is provided every two months. Senior staff also said that they had been well supported by the line manager in the absence of the manager. The Manager has a clear vision of the home’s values and priorities. She undertakes regular training and recognises the importance of improving her professional development and practice. Quality monitoring systems are in place and these include audits of records and the use of questionnaires to seek the views of those living at Avala Park and their relatives. The manager said that information from questionnaires is returned directly to the organisation’s main office and is used for monitoring purposes and to set priorities. A development plan is in place, but this mainly focuses on the refurbishment and improvements planned to the premises. There are effective systems in place for safeguarding and managing money held on behalf of people living in the home including clear records. Policies and procedures underpin staff practice with regard to handling residents’ money. Records show that training in moving and handling, first aid, fire safety, food hygiene and infection control is provided at regular intervals. Staff said that they receive this training. Records showed that regular checks are made of electrical equipment and the central heating system. Risk assessments are in place for safe working practices. Staff said that appropriate induction training is provided for new staff and records are in place to confirm this. Records of fire alarm tests, servicing of fire equipment and the alarm, fire training and emergency lighting are kept in a suitable manner. Full details of accidents are kept. Avala Park DS0000000553.V338251.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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 3 3 X 2 X 2 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 Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 25 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. 1 2. 3. Standard OP3 OP7 OP8 OP26 Regulation 14 15 23 Requirement Each person’s needs must be fully assessed prior to coming to live at Avala Park. Residents’ care plans must to be regularly updated to reflect their changing needs. The following issues relating to the premises require action: • • • Appropriate steps must be taken to deal any odours in the home. Damaged furniture should be replaced or repaired. The laundry flooring must be replaced. The problem of ventilating the laundry needs review to ensure the security of residents is maintained while providing an appropriate working environment. Bedside lights and bedside tables should be provided in each bedroom. Furniture in the smoking room must be replaced without delay. Timescale for action 31/08/07 31/08/07 30/09/07 • • Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 26 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 Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Avala Park DS0000000553.V338251.R01.S.doc Version 5.2 Page 28 - 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!