Inspection on 29/06/07 for Bay Tree Court

This inspection was carried out on 29th 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

Bay Tree Court 04/07/06

Bay Tree Court 09/02/06

Bay Tree Court 09/11/05

Bay Tree Court 02/03/05

Bay Tree Court 30/09/04

Bay Tree Court 03/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Bay Tree Court Normanby Road Scunthorpe North Lincolnshire DN16 2AR Lead Inspector Theresa Bryson Unannounced Key Inspection 29th June 2007 09:00 X10029.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bay Tree Court Address Normanby Road Scunthorpe North Lincolnshire DN16 2AR 01724 855410 01724 853735 baytreecourt@schealthcare.co.uk 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 Healthcare (West) Limited Michelle Pepworth Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2006 Brief Description of the Service: Baytree Court Care Home provides care for 34 service users under the category older people. It is owned by the larger company Southern Cross Ltd and has the full support of a head office and regional team. The Regional operations manager makes regular visits. It has sister homes in near by Grimsby. The home is situated on the very edge of the main town thoroughfare of shops in Scunthorpe and bordering a residential and hotel area and small industrial estate. The home is purpose built and has gardens to the back and sides. All areas are accessible for wheelchair users and there is ample car parking space. The home has on display informative information leaflets about the home, to enable people to make informed choice. The home will accept service users who are paid at the local authority fee level rates and also those privately funded. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection site visit took place over one day in June 2007. Prior to the inspection the home was asked to complete an AQAA document, which it returned prior to the site visit. The CSCI also sent out 15 surveys to relatives (of which all were returned) and 15 to staff (of which 9 were returned). During the site visit a number of people living in the home were spoken to, staff, relatives and 2 health care professionals. A variety of records and other documented evidence was seen and tracked by the inspector. The manager accompanied the inspector on a tour of the building and feedback was given at the end of the visit. During the course of the visit a member of the Company’s regional team arrived and had a short interview with the inspector. What the service does well: The Company supplies comprehensive tools to enable staff to ensure the needs of people living in the home are monitored on a regular basis. The staff complete the records in a very detailed way to ensure each person can track the actual delivery of care given to each individual. People living in the home are given ample opportunity to comment on the services provided and expressed that they felt comforted that their opinions are asked for. The home has safe systems in place to ensure that the administration of medication is robust and safe practises are completed by staff. A varied programme of activities is readily available to ensure that the social and cultural needs of each person is being met and individual expectations can be met. Meals are varied and the kitchen can cater for a variety of diets. All food is prepared in a safe and clean environment. And served in a relaxing atmosphere. Robust systems are in place to ensure staff are safe to work with the people who live in the home, prior to commencement of their employment and are then trained to do their jobs. The home was clean and fresh looking, with well-maintained furnishings and décor. Care is taken to ensure that the environment can be changed, where necessary to meet peoples needs and it is a safe and secure environment in which to live. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 6 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. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each service user receives an holistic assessment prior to admission and is given comprehensive information about the home to help them make an informed decision about the services provided. EVIDENCE: During the course of this inspection Standards 3,4 and 6 were checked. Since the last inspection there was more documented evidence to show that staff had received some service specific training to enable them to understand Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 9 the needs of current service users and care for them using the latest researched methods. On tracking several service user care plans there was documented evidence that each person had received an holistic assessment prior to admission, after an initial enquiry form had been completed. This helped staff to prepare for each person’s needs and service users stated this had helped them feel welcomed at the home. The home does not provide intermediate care and therefore Standard 6 is not applicable. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service Users, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans of service users are updated on a regular basis to ensure that all the current needs of service users are addressed and medication is given using safe methods of practise. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 11 EVIDENCE: During the course of this inspection Standards 7,8,9 and 10 were checked. Survey forms were sent out prior to the site visit day and although none had been returned prior to the preparation work for the site visit all 15 were returned just after the site visit. Several comments were made on how well the staff ensured that everyone’s needs were being meet at all times and they appeared “to know what they are doing” was one comment. 4 care plans were tracked in depth and there had been a significant improvement in the standard of recording on documentation. There was better use of the comprehensive tools that the Company provides for staff to complete on each person, which gave a good history of the delivery of care to each person and showed this is regularly updated. The manager has been ensuring that care plan audits are taking place and that the key workers action section of the audit is completed in a reasonable time scale. Staff were observed assisting service users with a variety of tasks through out the day, including personal care, meals and social activities. Each task was performed with regard to the service users dignity and staff spoke to each person in a respectable manner. Some service users were spoken to in a group setting in one of the sitting rooms and each one was very positive about the care they were receiving. Making such comments as “the night bells are answered promptly” and “they are very kind and patient”. The falls coordinator of the local Primary Care Trust was also seen on the site visit day and stated how well the staff had taken on board the various tools to enable them to assess falls in the older people and the attendance at the training sessions was excellent. The drug administration records were also checked and there appeared to be safe practises in place to ensure that all drugs are given safely. Staff administering medication now wear a tabard stating, “do not disturb”, which staff appeared to respect. Since the last inspection the home had taken on board the recommendation that the room and drug fridge temperatures are recorded on a regular basis, to ensure each item is safely stored. A visiting district nurse also stated to the inspector at the site visit that staff often seek advice from the professional trained nurses and gave an example of advice given on service users self administering their own insulin. This was seen to have been recorded in a service users care notes and recorded accurately on the drug administration sheets. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A varied programme of activities is in place to ensure each person’s individual needs are being met and a good choice is available on the menu from food prepared in a clean and safe environment. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 13 EVIDENCE: During the course of the inspection Standards 12,13,14 and 15 were checked. The activities organiser was talked to at length and was able to able to show documented evidence on the types of activities in place and how each person had participated. This person works closely with the key workers of the service users, who complete a social needs assessment, which is updated regularly in the care plans. On display in the home was a notice board, which not only detailed forthcoming events, but a précis of previous ones plus pictures and a regular newsletter. Also on display in the main entrance was a table with some artwork and other records of events, which had taken place. Although some survey sheets returned from service users indicated that some service users would like to go out more into the community there was enough supporting evidence in the records kept and on speaking to other service users on the day, that this element of social activities has improved. One of the cooks escorted the inspector around the kitchen are and was able to adequately explain the running of the kitchen. Menus were seen, which showed a varied nutritious diet was on offer to service users and the cook was able to explain about any special diets catered for at the time of the site visit. This has improved since the last inspection and the menu is now in on display. Service users and relatives spoken to on the day of the site visit all stated how well presented the meals are and “tasty”. One person stated, “ I like the meals, I didn’t cook much at home and its good to have a choice and not have to shop for it”. The cleanliness of the kitchen had also improved and there appeared to be safe working practises in place, with all staff having at least a basic food hygiene certificate. The last environmental health officer’s visit had been in February 2007 where suggestions had been made to improve certain standards, which on a return visit they appeared satisfied had been achieved according to the letters seen. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service Users feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust systems are in place to ensure that service users are protected from abuse and complaints are handled promptly. EVIDENCE: During the course of the inspection Standards 16 and 18 were checked. The database of CSCI showed that in the last year 1 complaint had been made direct to CSCI, but had later been with drawn, by a health professional. 2 concerns had been raised through the safe guarding adults referral system of North Lincs Council and both up held. The home dealt with both issues promptly with a satisfactory out come for each party involved. The AQAA document returned by the home stated there had been a reduction in concerns raised in the last year, but 14 had been dealt with and all out comes recorded. The complaint log was checked at the site visit and the documented evidence was thorough and showed how each item had been investigated and resolved. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 15 Service users and relatives stated on the survey forms that they felt confident in the present management team to handle any concerns promptly and in a confidential manner. Other records seen showed there was a robust system in place to ensure staff are aware of how to report any abusive situations and 97 of staff had received up date training in the protection of vulnerable adults in the last year. A representative of the local authority also stated they felt confident the home would deal with any serious matters promptly and thoroughly. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. Service users are living in a safe and clean environment adapted to their individual needs. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 17 EVIDENCE: During the course of this inspection Standards 19 and 26 were checked. The manager accompanied the inspector on a tour of the building, where all bathrooms, toilets and communal areas were see and a selection of service users rooms. All areas of the home were seen to have improved in the standard of cleanliness now obtained and audits are now completed concerning how happy service users are in their environment. Some redecoration had taken place since the last inspection in many areas of the home and some large items, such as the corridor carpet on the first floor replaced and the entire first floor corridor repainted and papered. Service users stated how “I’ve been able to bring my own items in, which has made me feel at home”. Others stated how they had been consulted on the colour choices of their rooms. To aid personalization of each room, the rooms now have numbers, names on doors (if service users wish) and doorknockers. Families and friend are then encouraged to write a precise address for each person rather than just the name of the home, as each corridor is also named, like a street address. The home had recently obtained a local capital grant, which they intend to use to put in a sensory garden and also a bar area in one of the sitting rooms, as part of a social meeting area. This was asked for by service users and the manager was pleased that their wishes would be bale to be fulfilled. Since the last inspection the manager was able to show the inspector documented evidence to show that a linen audit had taken place. And more linen purchased. Items seen whilst on the tour of the building looked in a good state of repair, with ample supplies in the storerooms. This shows that the home is trying to maintain an acceptable standard of comfort for the service users and each person spoken to and on surveys received appeared to appreciate the well maintained and safe environment in which they live. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust systems are in place to ensure that safety checks are made on staff prior to commencement of employment and they are trained to do their jobs. EVIDENCE: During the course of the inspection Standards 27,28,29 and 30 were checked. Prior to the site visit 15 survey forms were sent to staff and 9 returned, 6 members of staff were spoken to on the day of the site visit. All were very positive about working in the home and stated they felt the current management team would deal with any issues, which they had to raise. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 19 All rotas were seen and these had been prepared using a verifiable dependency tool and appeared adequate for there to be sufficient staff to duty to meet service users needs. This showed a marked improvement from the last inspection. Some survey sheets of relatives stated they felt their loved ones would like some more quality time with their key workers and this was also stated by some staff. These comments were fed back to the manager at the end of the site, who stated she would ensure this was looked in to when the operational budget was being reviewed. The inspector was given a copy of the training audit, which showed that 38 of staff had now obtained NVQ training at level 2 or above and also the different types of training, which had taken place over the last year. Some events were tracked through the personal records of staff, which confirmed the detail of the recent audit. Apart from mandatory training, more service specific training had occurred, such as dementia awareness, customer care and pressure are care. Staff stated this has helped them have a better understanding of the needs of those they are looking after and to deliver the care correctly. 5 staff personal files were tracked and all details appeared to be correct, with robust systems in place to ensure that staff are safe to work with service users prior to commencement of employment. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and staff live and work in a safe and secure environment, which is audited regularly to ensure the home maintains a good level of care. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 21 EVIDENCE: During the course of this inspection Standards 31,33,35 and 38 were checked. Since the last inspection the current home’s manager has been registered with CSCI and the new certificate was on display. She has also commenced her Registered Manager’s Award, but was able to show documented evidence of what other training she has undertaken. This ensures she keeps up to date and can pass on her knowledge to others. The Company has a comprehensive quality assurance tool to enable staff to monitor not only the care being delivered to service users, but also how well the building is maintained and how well staff are looking after the service users. There was ample documented evidence to show that the service users, relatives, visitors and staff are surveyed for their views and how these are acted upon. These questionnaires are supplemented also by minutes of meetings and individual care conferences and supervision records of staff. Other records such as safety certificates, fire alarm testing, contracts with out side contractors – such as electricians and waste disposal firms – showed how well the home is being maintained. The recording of service users personal finances has improved since the last inspection and the detailed records were seen and explained by the administrator. One service user stated “its good to feel safe with out the need to think about paying bills and ensuring I am safe”. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 3 4 3 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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. Bay Tree Court DS0000002875.V344769.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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