CARE HOMES FOR OLDER PEOPLE
Benkhill Lodge - North Yorkshire County Council Benkill Lodge 38 Benkhill Drive Bedale North Yorkshire DL8 2ED Lead Inspector
Kate Shackleton Key Unannounced Inspection 25th July 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 Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.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. Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Benkhill Lodge - North Yorkshire County Council Address Benkill Lodge 38 Benkhill Drive Bedale North Yorkshire DL8 2ED 01677 422 407 01677 427426 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) www.northyorks.gov.uk North Yorkshire County Council vacant post Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 08/08/06 Brief Description of the Service: Benkhill Lodge is a care home providing personal and social care for 35 older people. The home was purpose built approximately 35 years ago and is located close to the centre of the busy market town of Bedale. At the time of this visit the weekly charge is £381:41p. Fees are subject to an individual financial assessment. The home makes no additional charges. The Commission for Social Care inspection reports are displayed in the home for anyone to read. Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • A review of the information held on the homes file since its last inspection. • Information submitted by the registered provider in the Annual Quality Assurance Assessment document. This is information that the care service has to provide to the Commission for Social Care Inspection when we ask for it. • Feedback from surveys received from residents, relatives, staff and a General Practitioner • An unannounced visit to the home. This visit lasted about seven hours. It included a tour of the premises; talking to residents, staff, Team Managers and a visitor. Examining some residents and staff files, sampling a small number of health and safety records and observing staff working with residents. What the service does well:
Residents or their representatives are given enough information about the home before they move in. Someone from the home visits them prior to admission and they are offered the opportunity to visit the home for a look around and to ask questions about how the service is delivered. This enables them to make an informed decision as to whether the home is the right place for them to live. Comprehensive assessments are done from which a clear easy to understand care plan is developed. The resident is seen as a “whole person” and the service works well with other services to ensure that health needs are met. Residents are asked what they need and are actively encouraged to be involved in their care plans and reviews. This promotes the residents’ right to have a say in the care delivered and makes sure that all of their needs are considered. Comments heard included “I am very well looked after, home from home” and “can’t wish for better” The home is clean and comfortable. One resident said “It is always fresh and clean” Staff are kind and helpful and make an effort to provide the service in the manner that service users want. Routines are flexible. Emphasis is placed on maintaining the independence of people using the service enabling them to exercise choice in key areas of their lives. Examples given included rising and retiring times, clothes, food and some activities. This ensures that residents
Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 6 maintain some control. Staff promotes the rights of residents to access the health care professionals that they need. A survey received from a General Practitioner commends the service delivered by the home. A good choice of food and drinks are available. This ensures that service users receive a varied and nutritious diet. One resident spoken to said “The food is very very good.” Arrangements are made for religious worship. Visitors are encouraged and made welcome. There is a clear and user-friendly complaints procedure and managers show a positive approach to complaints and ideas for improvement. This promotes openness and transparency, which helps residents to say if they are not happy with any aspect of the service. The staff is provided with comprehensive training to improve their knowledge and skills. This means that service users receive care from a well-informed staff team whose practice is up to date. The safety of residents is an important aspect of the care service delivered. It is demonstrated through good recruitment practices, proper risk assessments, staff training and the servicing of equipment and maintenance of the premises. The home is managed in a manner that is resident focussed. It concentrates on the needs and wishes of the people who use the service. What has improved since the last inspection?
Better pre admission assessments, risk assessments and care plans are completed. This was a requirement made at the last inspection. These improvements ensure that all of the residents care needs are known about. And staff have detailed information about how to deliver the care in a safe manner and in line with residents’ wishes. A requirement made at the last inspection to manage incontinence more discreetly has been achieved. Seat covers are now only used to ensure the comfort of residents in cases where some chair fabrics have a tendency to make residents feel as if they are “sticking” to the chair. A requirement made at the last inspection to include residents in the quality assurance scheme has been implemented. Residents now receive “Quality Questionnaires” to complete. Their views are taken account of as part of improvement plans for the service. Some of the communal areas have been redecorated and a large plasma television with surround sound installed in one lounge. This will improve viewing and listening. A shower room and a hairdressing room with a shaped sink to allow easy access has been provided.
Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 7 Staff has been provided with specific training in order to gain skills and knowledge so that they can promote equality and diversity within the home. This seeks to ensure that issues relating to race, gender identity, disability, sexual orientation, age, religion and belief are promoted and incorporated into the work that staff do. 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. Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.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 Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.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. Standard 6 does not apply to this service. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. To be confident that the service can meet all of the needs of prospective residents, comprehensive assessments are completed prior to admission. EVIDENCE: At the last inspection of the service a requirement was made to improve the pre admission assessment. Examination of three resident’s files showed that comprehensive assessments are now completed before anyone is offered a place in the home. A community care manager employed by North Yorkshire County Council does the initial assessment and makes a referral to the home requesting admission. A manager from the home then visits prospective residents in their own home or in hospital to complete their own assessment. Information is gathered from a range of sources including other relevant professionals. Relatives/representatives are involved where possible to find out more information that the prospective resident may not be able to provide.
Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 10 This meeting allows people the opportunity to ask questions about living at Benkhill Lodge. Everyone is offered the opportunity to visit the home prior to moving in. This provides another chance for prospective residents and their families to assess whether or not they want to go ahead with the admission. On admission a key-worker is allocated to each resident. On the day of admission a member of staff is allocated to help the resident settle in and find their way around. All admissions are subject to a trial period. After six weeks a review is held to decide whether the resident wants to live in the home permanently. The resident and their families are involved in this review. All of the residents spoken to, as far as they could remember, were satisfied with the way they were admitted to the home. Resident’s surveys confirmed that people were given enough information about the home before they moved in which helped them to make a decision as to whether or not Benkhill Lodge would be the right place for them to live. Staff surveys confirm that they are given enough information about the specific needs of residents before they begin to care for them. Admission documents provided good information and included a copy of the care management assessment. The diverse needs of service users are identified. The information is available to staff to enable them to understand the social, personal and emotional needs of people who use the service. Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.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 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users receive a care service that meets their needs. Care is delivered in a manner that respects residents’ wishes. EVIDENCE: The home has a strong ethos for involving residents in all aspects of their lives. Staff are expected to work in a manner that takes account of all of the residents needs and delivers the care in a dignified and respectful way. A requirement was made at the last inspection to improve the information in the care plans and risk assessments. Files examined showed that resident’s care plans are comprehensive. Key- workers work with residents to develop their plan. The plan is a working document. It contains good relevant information to ensure that care staff knows the support they have to provide to meet the diverse needs of residents in a manner that promotes independence and respects privacy and dignity.
Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 12 Each plan contains a range of comprehensive risk assessments. Management of risks takes into account the needs of service users balanced with their aspirations for independence and choice. Where restrictions are in place there is evidence that residents are involved with any decisions made and agrees to them. The plan is reviewed monthly and updated as changing needs dictate. Residents spoken to said that they received a very good service and are treated with respect. . Comments like “I am very well looked after, home from home” and “can’t wish for better” were heard. They were able to give examples as to how staff ensured their privacy and dignity. Feedback from residents surveys show that they always receive the care and support they need. A survey received from a General Practitioner commented “Very supportive conscientious home, very friendly and kind” One relatives’ survey commends a particular member of staff for her caring manner and further commented ”on the whole we cant fault the staff they are jolly and caring” One visitor spoken to said that the staff provided a very good service. Staff promotes the rights of residents to access the health care professionals that they need both within the home and in the community. Residents spoken to said that they can see the doctor and other health care providers as and when they need to. Staff training programmes show that training is provided on health care topics that relate to the health care needs of residents. Staff were observed delivering care in a kind and helpful manner. Residents looked clean and well cared for. There are medication procedures to guide staffs’ practice and training is provided on the safe storage, administration and disposal of medicines. Medication is stored and administered in a safe manner. However the application of prescribed skin creams are not recorded on the Medication Administration Record in the same way as tablets are. Creams applied are recorded in the residents daily log as part of the personal care delivered on each shift. Discussed with management that the application of prescribed skin creams must be recorded in the same way as any other prescribed medication. Service users assessed as being able are encouraged and facilitated to keep and take their own medication. Residents are able to securely store medicines in their bedrooms. Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,and 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service The service provides some opportunities for stimulation and interest for some people living in the home. Meals are nutritious and offer a varied diet. EVIDENCE: Residents say that the daily routines are very flexible and that they are able to make choices in key areas of their lives. Rising and retiring time, bath time, food and how and where to spend their time were some of the examples given. Staff was observed communicating in a positive and friendly manner with residents. Staff training and the homes policies and procedures focus on residents being in control of their lives. There is a weekly Christian service and monthly communion in the home. Arrangements can be made for service users to attend church. The home employs an activities organiser and some activities are available. Forthcoming attractions are displayed on the notice board. Service users spoken to, in general were happy with the activities provided. Feed back from surveys in general stated satisfaction with activities arranged by the home. Two surveys
Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 14 commented that due to hearing or sight impairment they were unable to participate fully in group activities. Discussed with the management the need to have a person centred activities program. This would mean talking individually to all of the residents to find out the sort of activities they might like to engage in within and outside of the home. Activities arranged should reflect the residents wishes. Bar facilities are available. Residents are not able to have trips out in the mini bus because there is noone eligible to drive it. The manager is trying to resolve this problem. At the time of this visit a volunteer of the “Pat a dog” scheme had brought her dog to visit. Residents were enjoying the experience. Visitors are encouraged and made welcome. There is a private visitors room and if they have travelled a distance they are offered a meal. The service is about to buy a range of children’s toys to make visiting arrangements more child- friendly. This will hopefully encourage younger members of residents’ families to visit and maintain contact. Menus are varied and nutritionally balanced. There is a choice of food at each mealtime and special diets are catered for. Residents mostly eat in the dining rooms but can have their meal in their bedroom if they prefer to eat alone. The dining room has recently been redecorated and is a pleasant and comfortable place to eat. Dining room tables were set properly with tablecloths, mats, appropriate cutlery and condiments. A cold drink was provided followed by a hot drink after the meal. Some residents were provided with tureens so they could help themselves and be independent. Mealtimes were relaxed and unhurried allowing people as much time as they needed to complete their meal. The mid-day meal was taken with residents. It was nicely presented served hot and very tasty. Residents said they enjoy their food. Surveys received show that residents like the meals. One resident commented ”the meals are very good”. A relative commented “The food is very good, always a choice.” Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are listened to. Robust procedures and staff training protect service users from abuse. EVIDENCE: The home has a clear complaints procedure that highlights the importance of complaining if people are not happy with the service. The procedure is given to every resident and is on display in the home. The procedure can be provided in a variety of formats on request. A local advocacy scheme, which provides independent support for people, is displayed. Records examined showed that complaints are dealt with speedily. Team managers spoken to were not aware of any analysis of complaints in order for the service to “learn lessons” and thereby improve the service. Residents spoken to know how to complain. Feedback from residents and relatives’ surveys confirmed that they are aware of the complaints procedure and know who to talk to if they are not happy. Residents also confirmed that it would be easy to complain without fear of recriminations. They said they felt very safe living at Benkhill Lodge. Residents’ surveys confirmed that staff listen and act on what residents say.
Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 16 The policies and procedures regarding the protection of residents are robust and in line with best practice. Staff have received training in safeguarding adults. Management know the procedure to follow if an incident is reported to them. Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.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): 19 and 26 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents live in a clean safe comfortable home. EVIDENCE: The home is purpose built and meets residents’ personal and collective needs in a comfortable manner. There has been some redecoration of the communal areas since the last inspection. The premises are easily accessible and provide a safe and well-maintained environment for the people who live there. Aids and adaptations are provided and regularly serviced. The home employs a handyman who is responsible for routine maintenance and the monitoring of some health and safety aspects of the premises.
Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 18 Information provided by the manager and the sampling of some health and safety records showed that every effort is made to provide a safe environment. Records show that the staff receives fire training and fire equipment is routinely serviced. A monthly record of hot water temperatures is kept to ensure the delivery of safe hot water and prevent the risk of scalding. Some records were missing. Management were confidant that the checks had been made and that the records were temporarily misplaced. The lift is routinely serviced and maintained in a safe condition. A tour of the premises included all of the public areas, some bedrooms, bathrooms, toilets, and the laundry. The home is very clean and smelled fresh. NHS infection control guidance is followed and systems are in place to prevent the spread of infection. Discussions held with the laundress showed that she was knowledgeable about infection control in her daily routines. Nine staff have received training on the prevention of infection and management of infection control. Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 19 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 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The safety and well being of residents is promoted through a robust recruitment process and a well-trained workforce. EVIDENCE: The rota shows that there is enough staff employed on each shift and especially at times of peak activity. The home has its own relief staff that they can call on in times of staff sickness and holidays. Staff was observed carrying out their duties in a calm and relaxed manner, responding quickly and appropriately to requests from residents and spent time talking to them. Discussions with residents found that in most cases they felt that there is enough well informed staff in the home. One resident thought that the home needed more staff saying that staff had “too much to do”. Residents said that any requests for assistance were dealt with quickly. Residents’ surveys confirmed that staff is available when needed. Staff surveys confirmed that there is enough staff available when all the shifts are covered to allow time for residents needs to be met safely. Staff training programmes are properly planned in order to provide staff with the skills and knowledge to deliver a good care service. All staff completes a
Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 20 proper induction training within the first few months of starting work. Further training needs are identified and the programme includes all the mandatory training needed to meet service users basic needs such as lifting and handling, food hygiene, and health and safety. Training is focused on improving the experiences for people who use the service. All staff is encouraged to complete National Vocational Qualifications training and a high percentage of staff have already completed the award, with more staff currently working towards it. Staff surveys received confirms that regular training is offered to support staff to do their job. The home has a well - developed recruitment procedure that seeks to ensure that only suitable people are employed. Staff files examined showed that all appropriate and relevant pre employment checks are carried out before anyone is offered employment. All staff is recruited subject to a satisfactory probationary period. Residents are not involved in the choosing of staff that works in their home. Discussed with the Team Manager ways in which residents might be involved in the recruitment process. Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 21 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 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well managed and in a manner that promotes good service delivery in the best interests of residents. EVIDENCE: Since the last inspection the manager has had her application to be the registered manager of the home approved by the Commission for Social Care Inspection. This means that she is considered a fit person to manage a care home. She has many years experience of working in care settings for older people and is currently undertaking professional training. She is studying for The Joseph Rowntree Foundation National Vocational Qualification level 4 and the Registered Managers Award.
Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 22 Resident’s say that they receive a reliable service from staff who are courteous, respectful, communicate well and deliver services in a responsible and organised manner. They also say that the management team are approachable and very easy to talk to. The home has sound policies and procedures in line with current thinking and practice. Efficient systems are in place to monitor staff adherence to policies and procedures in their practice. Monthly procedure awareness sheets are given to staff to help them maintain their knowledge and understanding. Staff surveys received showed that most of the time they felt supported to do their job. Residents surveys confirmed that they receive the care and support that they need. There is a Quality Assurance Scheme where audits of key aspects of the service are regularly monitored. At the last inspection a requirement was made to ascertain the views of residents as part of quality monitoring and this has been achieved. Residents are now surveyed about different aspects of the service. The findings are analysed and wherever possible improvements made. A senior manager of the organisation visits the home at least monthly and completes a report. These visits include discussions with residents. A service improvement plan is developed to document, measure and monitor improvements. Files examined showed that residents are encouraged to manage their own financial affairs and spend their money as they wish. Staff provides support for people who require help in managing their finances and there is a robust procedure in place, which directs staff in their practice and protects residents from financial abuse. Management work in partnership with a range of other key people to ensure continuous improvement of the service. The home works to a clear health and safety policy and regular safety checks are carried out. All staff attends mandatory Health and Safety training and safe working practices are maintained throughout the home. Staff were observed using a “standing hoist” and confirmed that they had received training in its use. Staff was also seen making sure that wheelchair footplates were properly in place before wheeling the resident. Records are of a good standard and routinely completed Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 X X 4 Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(2) Requirement The application of prescribed skin creams must be recorded on the Medication Administration Record. Timescale for action 31/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations Every effort should be made to find a driver for the mini bus. Residents should be involved in meaningful daytime activities of their choice and according to their individual interests and capabilities. 2 OP29 Where possible residents should be positively involved in the employment of staff. Benkhill Lodge - North Yorkshire County Council DS0000034358.V343616.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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