Inspection on 18/10/07 for Beaconview

This inspection was carried out on 18th October 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

Beaconview 21/12/06

Beaconview 24/10/05

Beaconview 23/05/05

Beaconview 18/10/04

Beaconview 29/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Beaconview Kiln Lane Skelmersdale Lancashire WN8 8PW Lead Inspector Phil McConnell Unannounced Inspection 18th October 2007 09:30 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 Beaconview DS0000034114.V346957.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. Beaconview DS0000034114.V346957.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beaconview Address Kiln Lane Skelmersdale Lancashire WN8 8PW 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) 01695 725682 01695 555834 Lancashire County Care Services Mrs Margaret Sutcliffe Care Home 44 Category(ies) of Dementia (16), Old age, not falling within any registration, with number other category (28) of places Beaconview DS0000034114.V346957.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 44 service users to include: Up to 28 service users in the category of OP (Old age, not falling within any other category). Up to 16 service users in the category of DE (Dementia). 23rd & 28th December 2006 Date of last inspection Brief Description of the Service: Beaconview is a purpose built home situated in Skelmersdale. The accommodation is on two floors and is serviced by a lift. It is situated near to local shops and facilities. The home is one of a group of homes that is managed by the Lancashire County Care Services. Accommodation is provided in single rooms in three units for forty-four older people, including sixteen people with care needs associated with a diagnosis of dementia. There are a total of nine communal areas one of which is a designated smoking lounge. Some significant refurbishment improvements have been made to the establishment since the last inspection visit. The present rate of charging is between £342.50 - £396.00 Beaconview DS0000034114.V346957.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information was gathered in order to assess the key standards that are identified in the National Minimum Standards for care homes for older people, including: the Annual Quality Assurance Assessment, (AQAA) which is a self assessment document completed by the manager, some surveys returned to the commission from service users and relatives and an unannounced inspection visit to the service on the 18th of October 2007, which lasted approximately 7.5 hrs. An ‘expert by experience’ also took some part in the inspection visit and some of the persons findings are included in this report. The registered manager Margaret Sutcliffe was available during the inspection visit. Following some concerns identified at the previous inspection visit a referral was made to the commissions’ pharmacy inspectors and consequently a pharmacist inspection was carried out by Simon Hill (CSCI pharmacist) and his findings have “resulted in some positive changes being made”. During the visit to Beaconview 5 service users’ files were examined, including the most recent person to go and live at the home and discussions took place with some of the service users throughout the day. All of the files were well organised with all relevant documentation being in place. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. Five staff files were also examined, including the last person to be employed at Beaconview, with all documentation being found correct. Throughout the visit there was the opportunity to have conversations with other staff members, a visiting practice nurse (local Health centre) and there was also the opportunity to speak to some visitors to the home. All of the feedback from these discussions was very positive. The homes policies, procedures and all other documentation including health and safety files and certificates were examined. (See management section). A full tour of the home was also carried out. (See environment section). What the service does well: Beaconview DS0000034114.V346957.R01.S.doc Version 5.2 Page 6 The management and team have been successful in maintaining a welcoming, pleasant, calm and happy atmosphere within the home. The provider has been committed to addressing the requirements made following the last inspection from the commission. There is an established staff team, which helps give the service users the confidence and assurance that they will be cared for and supported by a fairly static and consistent team. Very good relationships exist between Beaconview and health professionals including, GP’s, Nurses, dentist, optician, and chiropodist. There is a consensus of opinion that the meals provided are always good, with people being offered a choice / alternative at every mealtime. The training provided is of a really good quality and it is apparent that people are appreciative of the training they receive. It is also recognised that the service users benefit from well-trained staff. It is evident that the provider is continually seeking to improve the environmental standards within the home. Overall the home is very well managed, with a supportive and committed staff team. What has improved since the last inspection? What they could do better: Beaconview DS0000034114.V346957.R01.S.doc Version 5.2 Page 7 Ensure that any changes to any of the homes documentation is recorded and dated including, all care plan reviews, risk assessments, statement of purpose, service users guide and policies and procedures. If there are no changes following a review, this should also be recorded and dated. It would be beneficial if the home had two carpet cleaners, this would help prevent any bad odours. (See environment section) Some consideration should be given to employing an activities coordinator; this would help ensure that people’s interests and hobbies are identified and catered for. (See Daily life and social activity) An activities and menu board displayed in the reception area, would further inform people of what is available. It would also benefit service users if visual aids could be used, for example pictures/photographs. Keep copies of all recruitment clearance checks in the home for inspection purposes including, Home Office work permits. (See staffing section). All of the above was discussed with the homes manager following the inspection visit and an assurance was given that the items will be addressed. 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. Beaconview DS0000034114.V346957.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 Beaconview DS0000034114.V346957.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 6 N/A. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes admission process is concise and thorough. This helps give the assurance that peoples’ needs will be clearly identified and determined if they can be met. EVIDENCE: Five service users’ files were examined including the most recent person to go and live at Beaconview. All of the files contained relevant assessment documentation including: admission assessments, care plans and up to date daily record sheets. The Annual Quality Assurance Assessment (AQAA) states, “Prior to admission to our home a member of the management team visits the person and completes a pre-admission form, in order to gather as much information as Beaconview DS0000034114.V346957.R01.S.doc Version 5.2 Page 10 possible, this enables us to assess initially if we are able to meet the needs of the person and ensure each person is placed in the right category and given appropriate care”. A thorough and robust pre-admission process was in place and in discussion with the manager it was clear that the process is successfully used for all new service users who to come to live at Beaconview. One person commented, “I lived in Brookside (Home closed down) and I came to Beaconview to have a look around before I came to live here, it’s brilliant”. A visiting nurse said, “I have been coming here for a number of years and the home is fabulous. ‘Hand on heart’ this is the best home I come to. I would place anyone here”. Beaconview DS0000034114.V346957.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. Service users’ care plans are thoroughly detailed, with specific health care needs clearly identified. It is evident that peoples’ assessed needs are being appropriately provided and people are treated with respect and dignity. EVIDENCE: Five service users’ care plans were examined and they were well detailed, containing thorough and relevant information. This gives the carers clear and concise guidance in how to appropriately provide peoples’ needs. Care plans are reviewed on a monthly basis and more frequently if needed. Each person has a ‘key worker’, “which enables the person and the staff member to build up a relationship and trust and the key worker will be involved in the care plan reviews”. Beaconview DS0000034114.V346957.R01.S.doc Version 5.2 Page 12 Peoples’ care plans (on the three units) also contained up to date and appropriate diary notes. Since the last inspection Beaconview have introduced a new computer/IT system called ‘Saturn’. It was commented that, “This system is excellent, it is a good tool, which has improved documentation and service delivery” and “All care plans are now electronically recorded, Saturn is a great asset enabling the team to record and support our residents, giving a person centred approach”. The AQAA states, “We have good relationships with all health professionals”. The feedback received from various health professionals confirmed this statement, with one visiting Practice Nurse saying, “I have been coming into the home since 2003. The staff are so nice and professional, they stay with you when you attend to a patient. This doesn’t happen in very many homes. This definitely helps to give the resident confidence. That’s one of the things I really like about here”. Some of the comments from service users and relatives were, “I regularly go to see the nurse and to the clinics and staff always come with me” “The staff have been brilliant with my mum. They have encouraged her to walk again with the aid of a trolley table. She hadn’t walked for months before she went to live at Beaconview” and “Myself and my family are always very impressed with all aspects of the care support given to our relative”. Information was available with regard to peoples’ specific health care needs and there was evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out. During the inspection visit a visiting dentist was attending to some people. It was evident that the dentist visits the home on a regular basis. It was commented, “The dentist is really good and he has an excellent rapport with the residents”. Each person has their own medical profile with both electronic and hard copies being kept. These profiles contained specific and relevant information for every person. There is a policy in place for staff to adhere to regarding the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. The medicine administration records (MAR) were observed and were found to be accurate with medication being correctly administered. Medicines were securely managed with provision made for the correct storage of controlled drugs. The controlled drugs register was examined and it was found to be accurately recorded, with only appropriately trained members of staff administering medication. There had been some concerns with the recording and administration of medication (previous inspection report). These issues have been satisfactorily rectified, with extra training and the necessary Beaconview DS0000034114.V346957.R01.S.doc Version 5.2 Page 13 supervision of staff taking place. The manager or the officer on duty carries out a twice-weekly audit of the controlled drugs. Rainford United Health provides medication training to the staff and “this is provided to small groups or if needed individual training can be arranged, this can give some people more confidence”. Rainhill United Health also provides peoples’ medication and they carry out regular medication audits. Members of the staff team were observed demonstrating a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. Some of the comments received were, “the staff always treat residents, family and visitors with respect, honesty, dignity and always with a friendly and welcoming manner” and “The staff treat people in their care as individuals and always have time for myself and my relative”. Beaconview DS0000034114.V346957.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): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall this outcome is rated as good, however there is a need to further improve the provision of activities, this will help ensure that people are stimulated and motivated as much as possible. EVIDENCE: There was evidence to demonstrate that a number of activities are provided within the home. These included, various board games, quizzes, regular entertainers coming into the home, with some of the service users saying they had “enjoyed the recent sing-along and the film evening”. There was also evidence to show that some people have contact and involvement with the local community, this is either by visiting local shops, organised visits from schools and churches. Some of the service users said they had been on the three Barge trips that had been arranged earlier in the year. Beaconview DS0000034114.V346957.R01.S.doc Version 5.2 Page 15 However, a few of the service users said, there wasn’t much activity, they were aware of board games, but couldn’t say what they were. It appears that there is a need to broaden the range of activities available and if possible employ someone to specifically coordinate the homes leisure and recreational programme; this was discussed with the registered manager. The home has an open house policy with visitors to the home being made welcome and service users are encouraged to maintain relationships with their families and friends. One relative said, “we are always made welcome and the staff are very friendly”. In the morning people are informed of the meals for the day and are asked for their choices. The menus were observed and they were seen to be nutritious, varied and appetising. Some of the comments regarding the meals were, “It’s good food” and “If I don’t like it I can have something else”. The service users were unanimous in their praise of the food. Large ‘white boards’ display the day’s menus, these were observed to be good and informative however they could be better situated, away from the lift entrance. A discussion took place with one of the homes two qualified and experienced cooks. It was apparent that there is a full awareness of individuals specific dietary needs. It was also apparent that the kitchen is very well organised with peoples’ needs being paramount. Beaconview DS0000034114.V346957.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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is evident from the policies and procedures that vulnerable people are protected as much as possible from harm or abuse. EVIDENCE: The home had a comprehensive complaints policy and procedure in place, regarding the safeguarding and protection of vulnerable adults. No complaints have been received by the commission since the last inspection visit. Questionnaires received indicated that people are aware of the complaints procedure and how to complain if needed. One relative wrote, “I have never had to complain, everything is really good” and a person living at Beaconview said, “I love living here, it’s great. I would complain to the manager, if I had a complaint”. The AQAA states, “On admission the residents and family are made aware of the complaints procedure. All complaints and concerns are dealt with immediate effect”. Beaconview DS0000034114.V346957.R01.S.doc Version 5.2 Page 17 There was a thorough policy in place to deal with a suspicion or allegation of abuse. Regular ‘safeguarding adults’ training is consistently provided. One member of staff said, “I have just completed abuse training with the manager and it covered all of the different possible ranges of abuse and it was really interesting”. Lancashire care services have recently introduced a new initiative to specifically promote the ‘principles of care’, which includes respect, dignity, choice, independence, fulfilment and privacy. Beaconview have a key theme for each month, with Octobers theme being ‘zero tolerance’ for any kind of abuse and Septembers theme was ‘respect’. Each month there are ‘top tips’ for staff, giving guidance in how to promote the particular principle. The homes manager is a campaign champion for the Principles of care initiative. Beaconview DS0000034114.V346957.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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall the environmental standards are good, helping to give the assurance that people live and work in a safe, comfortable and pleasant home. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a reasonably good standard, it was clean, homely and comfortable. The homes three units were found to be pleasantly decorated, warm and light, with each unit having their own lounge area with easy chairs and a dining area, where people have their meals. Compact kitchen units are situated in each unit and it was observed that all of them are in need of being replaced. Beaconview DS0000034114.V346957.R01.S.doc Version 5.2 Page 19 It was commented that these, “kitchen areas are to be refurbished” and the AQAA states, “Using the dignity in care grant we will replace the carpets in two areas and replace the kitchen units”. In one of the corridors there was quite a bad smell of urine. The manager explained, “the carpet cleaner is broken and we are awaiting a replacement” and went on to say “it would be good if we had another carpet cleaning machine, so that we always have one available”. The décor and furnishings throughout the home were observed to be of a good standard. The main kitchen was fully equipped, clean and hygienic with stainless steel cupboards and worktops. The main laundry is also very well equipped to cater for the homes needs. The layout of the small laundry in the Goldfinch unit has been improved since the last inspection visit, (previous report) which now enables better management and easier access. Peoples’ bedrooms contained personal belongings, such as televisions, photographs, ornaments and some of their own furniture items, demonstrating that people are encouraged to bring their own personal possessions into the home, in order for it to be familiar and as comfortable as possible. Some of the comments received were, “the home provides a safe, happy and stable environment for my Father and I feel satisfied that he is in good hands” “the home is usually fresh and clean” “it is kept clean to a very high standard” and “Beaconview and all it’s residents are kept to a high level of cleanliness and I can’t fault anything at all”. There was appropriate specialist equipment observed around the home, such as lifting hoists, passenger lift, walking frames, bath seats/shower chairs and wheelchairs, thereby helping to ensure that individual needs are catered for, whilst independence is promoted. Overall the environmental standard is generally good, with the planned changes to the kitchen areas and some re-carpeting, these good standards will be maintained. Beaconview DS0000034114.V346957.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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team have been correctly recruited and have the necessary skills and experience to provide a good standard of care to vulnerable people. EVIDENCE: Beaconviews staffing levels were examined and were found to be adequate and satisfactory. As already mentioned the staff demonstrated a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. There is a thorough recruitment process in place, with staff files containing evidence that Criminal Record Bureau (CRB) checks had been carried out and staff are only employed on the satisfactory completion of these checks with two independent satisfactory references being obtained. However, it was identified that Home office clearance records (‘work permits’) for overseas staff were kept at the head office in Preston. In discussion with the Human Resources department, it was decided that copies of these records would be kept in the home, for the benefit of inspection purposes. Beaconview DS0000034114.V346957.R01.S.doc Version 5.2 Page 21 Staff files also contained information with regards to the experience, skills and training that staff have received with a full and thorough mandatory-induction programme being in place. Much of the training is provided in house and the manager has obtained the ‘professional trainers award’. Some of the staff made positive comments about the training being provided including, “the training we get is very up to date” and “the training is wonderful, the manager is the main trainer and she is fantastic”. The national vocational qualification in care (NVQ) training programme is ongoing and there was evidence that the provider is committed to ensuring that this NVQ training is accessed for all staff. At the present time over 80 of the care staff have obtained the award. All of the feedback from relatives and people living at the home was positive and complimentary including, “all of the care staff enable my wife to live the best possible life and always to the best of their ability” and “I appreciate all the hard work all staff do on a day to day basis in which I believe to be a very demanding job”. Beaconview DS0000034114.V346957.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 home is well organised and managed, helping to give the assurance that people receive a good quality service. EVIDENCE: The registered manager has over 14 years of experience in the care profession and she has been the registered manager at Beaconview for over 3 years. She is adequately qualified and has achieved the national vocational qualification in management at level 4, (NVQ) and the registered managers award (RMA). As previously mentioned the manager is quite involved in providing much of the staff training in the home. Beaconview DS0000034114.V346957.R01.S.doc Version 5.2 Page 23 The comments regarding the manager and the management team in general were very positive such as, “my manager is always giving support and we can discuss anything with her. She is a good manager” “I find my manager very helpful and very approachable” and “the manager has done really well, people have really come to trust her and she is appreciated by the staff and the residents”. A visiting health professional said, “the manager is absolutely brilliant and the staff team have a lot of respect for her. She is approachable and everybody at the health centre who has had any involvement with the manager and Beaconview has a really good opinion” The home’s policies and procedures were examined and they were found to be up to date and of a good quality. The manager said, “The new electronic care planning system (Saturn) has really helped with the organisation”. There was documented evidence to show that regular staff meetings and service users meetings are held, helping to demonstrate that feedback and peoples’ opinions are taken seriously. This is seen as part of the homes internal quality assurance monitoring. The home continues to maintain the investors in people award; this is an external quality assurance-monitoring organisation. The formal supervision of staff is regularly carried out, every 8 to 10 weeks. This was a previous recommendation. There was an up to date health and safety policy, with comprehensive, individual and corporate risk assessments, promoting the health, safety and independence of service users. All inspection certificates were in place and up to date, including: gas safety certificate, electric check certificate, fire extinguisher checks, PAT portable appliance testing, emergency lighting certificate, hoists and passenger lift inspection certificates. There was sufficient evidence to demonstrate that the health and safety of people who live and work at Beaconview is promoted as much as possible, to help ensure that a safe and healthy environment is maintained. There were procedures in place, regarding service users’ finances, with appropriate and adequate records being kept, helping to ensure that people’s finances are safeguarded. Beaconview DS0000034114.V346957.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 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Beaconview DS0000034114.V346957.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. 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 Beaconview DS0000034114.V346957.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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. 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