Inspection on 18/04/07 for Blenheim Care Centre

This inspection was carried out on 18th April 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

Blenheim Care Centre 27/04/09

Blenheim Care Centre 20/04/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOME ADULTS 18-65 Blenheim Care Centre Hemswell Cliff Gainsborough Lincs DN21 5TJ Lead Inspector Roger Harrison Key Unannounced Inspection 18th April 2007 07:30 Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 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 Blenheim Care Centre DS0000067472.V335707.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 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. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blenheim Care Centre Address Hemswell Cliff Gainsborough Lincs DN21 5TJ 01427 668175 01427 668179 blenheimcentre@aol.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Southwark Park Nursing Home Limited Mrs Suzanne Faith Grimley Care Home 80 Category(ies) of Old age, not falling within any other category registration, with number (80), Physical disability (80), Physical disability of places over 65 years of age (80) Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th July 2006 Brief Description of the Service: The Blenheim Care Centre is an established care service which is owned by Southwark Park Nursing Home Ltd and comprises of three units: Blenheim House, Blenheim Lodge and semi independent flats within Blenheim House. Blenheim House and Blenheim Lodge are detached properties situated in a rural trading/industrial setting in the village of Hemswell Cliff, which offers a range of amenities such as an Antiques Centre and business services. The village has a post office and shop. The Blenheim Care Centre provides personal, respite and nursing care for up to eighty people of both sexes whose age’s range from 18 years upwards, some with physical disabilities or acquired brain injury. Residents aged over 65 years are mostly accommodated in the Lodge. The home provides transport to enable residents to take part in activities in the community and for residents to visit the nearby town of Gainsborough or City of Lincoln. The units have large communal areas comprising lounge/diningrooms and quiet areas on the ground floor. Bedrooms are located on ground and first floors. There are passenger lifts to first and second floors in both units. The gardens are separated by fencing from the surrounding buildings, having grassed and paved areas for the use of the residents. A large car park is situated at the front of the main building. The manager said that she works with the care team and residents to foster and maintain an atmosphere of care and support, which aims to and encourage all residents to live as full, and independent a life as possible. In April 2007 the Registered Person confirmed that the fees charged for care ranged from £348.00 to £830.00 per week. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken by an inspector reviewing all the previous inspection records available, looking at information provided by the manager and residents about The Blenheim Centres, and by undertaking a visit to the centres, which took 8 hours to complete with the inspector using a method of inspection called “case tracking”. This method involved identifying individual residents who currently live at the home and tracking the experience of the care and support they have received during the time they have lived there. The inspection was also used to check that information provided by the manager matched the individual experiences of residents. This was achieved by talking to residents; the manager and care staff whilst observing day-to-day care practice within the home. Since April 2006 two further random inspection visits were made in July and December 2006 to check on progress regarding the requirements set at the last inspection. Through these visits it was found that there had been some progress toward meeting the requirements of the previous inspection. These additional visits will be referred to where appropriate in this report. What the service does well: What has improved since the last inspection? Care plans have been improved and now contain more information about how resident’s needs are being met. Care plans are also reviewed. Care plan information also includes details about resident’s social histories and interests. There are a range of activities available, which residents said they enjoyed taking part in. An activity organiser is working to further develop activities at the home. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 6 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. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures that new residents needs and aspirations are assessed prior to admission to the home. Trial periods are used to check that new residents are happy and that any changes in need can be met by the care team. EVIDENCE: Before carrying out the inspection visit to the home, some residents chose to send written comments to the Commission, which stated that they had an assessment and felt they had received enough support and information to enable them to decide that they wanted to live at the Blenheim Centres. The manager also provided copies of the residents guide and statement of purpose, which showed the procedure for any new admission, and that trial periods are used to check whether longer term needs can be met by the care team. Since the last inspection the manager has developed the way new assessments are carried out by asking about, and recording residents life histories in order to gain a fuller understanding about how their likes and dislikes should be Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 9 supported. The manager said that residents have a choice about whether they want to share this information or not. During the inspection visit the manager provided copies of care plans, which showed that new residents had received an assessment of need and assurances that their needs could be met before moving into the home. One new resident said, “They came to see me and its worked well, I knew what I was coming to and they talked to me about what I needed”. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have their own individual care plans, which are reviewed to ensure any risks and changes in need are identified and acted upon together to support residents to be as independent as possible. EVIDENCE: Since the last inspection two further random inspection visits have been made by an inspector, which identified that the manager had made progress since the last inspection to improve the care plan systems in place. These visits showed that the manager had set up a system to ensure that new residents have a care plan and a detailed “life profile” showing their needs and how these should be met. Staff and three residents said they had enjoyed completing life profiles together and that this work is ongoing. One staff member said Its brilliant because it helps us all understand a persons background even when Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 11 commuication is difficult we can look and see what they have done in order to understand their needs better. One resident said Its been good to tell somebody about myself and another said If it helps them care for me and know about me it can only be a good thing. Care plans included risk assessments, which showed how residents are supported to take risks in a safe way either directly by the staff team or with support from other professionals like doctors, social workers and the full time physiotherapist employed at the home. One resident said, My life has changed since I came here. At first I was difficult to care for but the risks I was taking were explained to me and now I work with the team and they are great with me. I have no problems what so ever and feel safe to take risks and that my needs are being met. The manager said that there were some files still awaiting residents/family carers signature. The manager said that where these could not be obtained senior care staff would complete a dated record, which would be signed by the manager to show that residents had fully agreed with their care plan been. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to make choices about how they wish to live and the range of activities that they take part in, which ensures they have control over their lives. Residents receive a varied, balanced and nutritious diet. EVIDENCE: Since the last inspection two further random inspection visits have been made by an inspector, which identified that some progress had been made by the manager to increase opportunities for residents to take part in planned activities both inside and outside the centres. The manager confirmed that the life profiles completed are being used with care plan information by the activity organiser to identify individual Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 13 preferences in order to further develop the range of activities on offer. The manager sent information to the commission before the inspection visit to show that residents had produced a magazine about the home, which helped to tell residents about events and to encourage them to get involved in producing future issues. Residents said that residents meetings are held regularly to discuss plans for activities and to share thoughts and ideas about things that they feel are important such as the quality of care and meals, and about the how activities could be further developed. The manager confirmed that the one of the home owners had attended the residents meeting in April 2007, which residents said was positive. During this inspection visit the manager provided an activity plan showing activities provided by the activity organiser. Activities included; cookery skills, discussion groups, outings, movie afternoons, hand massage and music evenings. Day trips are also organised and residents said they had recently enjoyed a day out to Cleethorpes. Since the last inspection a full time physiotherapist has been empolyed to work at the home. He was available during the visit and provided a full activity time table showing who was receieving support with physio including a detailed record of each session. Residents said that the addition of physiotherapy at the home had helped them to be more independent. During the inspection visit one resident said they would like to go out more. This request was discussed with the manager and activity organiser, who confirmed that the care plan would be reviewed together with the resident to explore ways for further meeting their needs. Residents who live in the flats were observed together in one flat watching a film. One resident was working in the acitvity room and another was out attending a support group at a specialist college in Lincoln. The home has its own minibus which is adpted for use and a number of residents been supported to register with Lincolnshires dial a ride service in order to access the community independently when they wish to do so. Residents were observed enjoying breakfast and lunch during the inspection visit. Residents were able to make individual choices for breakfast and lunch whilst also being given two main choices. Some residents said they chose to eat at different times and were supported to this. Supper is provided as part of the additional menu choices. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 14 Residents said the food is consistently good and one resident said I cant fault the food here with another adding Im a big eater and I find Im always full, the meals are good. The cook provided printed copies of the menu plans which showed a range and variety of choices that residents said they liked. The cook said the menu had been put together after listening to what residents said they like and that it had evolved to meet the current resident group need. Care plans showed nutrition assessments and special dietary and cultural meal needs were supported by charts in the kitchen which one of the staff said are used to, make sure everyone gets the food they should have as well as what they want. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health, emotional and personal care needs are met in the way described in care plans and in the way residents wish them to be. The manager has policies and procedures in place, which staff follow in order to support residents with their medication needs. EVIDENCE: The manager said that she uses the assessments and reviews completed individually and with family carers to encourage residents to be as independent as possible with support. The manager also provided information to show that support is provided for residents when taking medication where appropriate. During this inspection the manager confirmed that all residents needed some level of additional support to manage and take medication. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 16 Medication is stored in a locked cabinet within the home and the manager confirmed that only senior staff who had received training are allowed to support residents with medication. Care plans provided details regarding the medication need of residents and during the visit one senior member of staff was observed supporting some residents to take their medication at the time prescribed. Records available were up to date showing what time support was given and by whom. Three family carers who were visiting during the inspection made positive comments about the support provided to their sons. One family member said Its his home and he knows how he likes to be cared for, if there were any problems he would always tell us. Another family carer said, We come here every other day. We are always around and its a really good home. They look after the residents well and we want for nothing. Its open and welcoming and the care given is second to none. The staff are excellent. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and care team take complaints seriously and wherever possible involve residents and carers in resolving issues as soon as they are raised. The care team are trained and are able to take action in order to protect residents from abuse. EVIDENCE: The manager has a “compliments and complaints” policy and procedure, which is detailed in the statement of purpose and made available for residents to use if they wish. Residents said that they felt the manager is easy to approach regarding any concern and that they are happy to raise issues direct whenever they occur. The manager confirmed that she has received several informal concerns since the last inspection, which she has responded to directly in the first instance and by seeking the support of the home owner to meet with residents when this has been needed. The concerns raised have been addressed in this way and resolved by the manager. The manager confirmed she has copies of the adult protection policy and procedure for Lincolnshire and that the staff team had received training, either through direct training sessions or NVQ training in order to understand their Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 18 responsibilities so that they are able to take action to protect residents from abuse when needed. Since the last inspection there have been two adult protection incidents at the home, which the manager and staff team have reported directly to Social Services and the police so that to ensure procedures were followed and investigations could be carried out and completed. During both incidents the manager provided information and attended meetings to confirm that both she and the staff team have provided support to ensure residents are safe from harm, using care plan information, risk assessments and communication with professionals and family carers as part of this process. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, safe and comfortable, environment. EVIDENCE: Since the last inspection two further random inspection visits have been made by an inspector, which identified that some progress had been made by the manager to commence and complete an environmental audit in order to identify the ongoing environmental needs of the home. The manager provided some written information showing areas that have been improved since the last inspection. An example of specific work completed during the last year was the full upgrading of call systems in one of the centres to enable residents to call for help when needed. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 20 The home owner has provided monthly reports to the Commission, which stated that the equipment used to support residents with their needs is maintained and serviced regularly. The home-owner has also used the reports to state that he is in the process of replacing the carpets in the main living areas of the home. The manager said that this work is due to commence in May 2007. The manager also confirmed that she employs a full time maintenance person to ensure that all immediate environmental repairs are carried out when needed. Since the last inspection the manager has provided information to confirm that there have were some problems with the water heating system, which meant that additional plumbing work was needed to repair the problems during February 2007. The lack of consistent hot water for residents at the home meant that residents living downstairs had to be moved upstairs for support with showers and baths. This action was planned and taken by the manager and care team, with residents and family carers informed of the need to take action to ensure individuals could be supported safely while the repairs took place. The manager confirmed during this inspection visit that the system is now fully operating and residents said they are happy with the hot water system now that it has been repaired. During the visit the home was observed to be clean, well maintained and tidy. The communal areas were free from clutter and cleaning equipment was being used safely by the cleaners working on the day shift. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 32,33,34 and 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are currently sufficient numbers of safely recruited care staff available at the home with appropriate training and skills to meet the needs of residents. EVIDENCE: Since the last inspection two further random inspection visits have been made by an inspector to check on progress made by the manager regarding staff training and the monitoring of staffing levels to make sure residents needs are met safely. Residents sent comments to the Commission before the inspection visit, which ranged from “There are usually enough staff around when you need them” to “They are very good but I feel there has not been enough staff at night to meet all our needs”. The manager was asked to provide written information to confirm current staffing levels at the home for April 2007 and how any gaps in staff availability are covered. The manager said that she had recently experienced difficulties Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 22 covering some night shifts because of sickness but that she had continued to make arrangements to ensure residents needs could be met by monitoring and adjusting the staff team, and through the use of an action plan, which included an agreement to use the organisations domiciliary care agency staff as additional cover when needed in an emergency. This inspection visit was used to meet the night care team and to observe the change over from night to day shift. Members of the night care team said that there had been some difficulties covering staffing due to sickness and that when this occurred it had been difficult but that they felt they currently had enough staff available at night to meet the needs of residents safely. The rota for the shift covered showed that there are currently staff in sufficient numbers to meet residents needs. During the inspection visit residents said they felt that enough staff were available. One resident said, The staff here are really good, they give out lots of support and I like the way they help me a family carer said There is always someone around and they always make time for us and make sure they look after our needs. The manager said that she would continue to ensure staffing levels are monitored and that additional staff would be used when needed using the arrangements in place to make sure cover is available. The staff team said that they meet together every morning to make sure the staff team could meet any needs identified during the night consistently during the day. During the inspection visit the manager provided information on staff files to show that recruitment for new staff is completed in a safe way using proper checks and getting references. One new staff member said, “They are a great team and I have been well supported. I’m still on induction and this has helped me to feel confident about what is expected of me and to use my experience in the right way” Staff files also showed information regarding induction and training courses attended, which had also been recorded on a training plan developed by the manager showing a range of courses available for staff to attend. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a competent and committed Registered Manager who understands the needs of each individual resident. Resident’s benefit from the support given to staff by the manager in maintaining residents physical, emotional and social needs at the centre of the care giving process. EVIDENCE: The Manager was registered with the commission to undertake the role of Registered Manager since January 2002. The Inspector observed that the Manager has a “hands on approach” which residents responded to positively, and the care team confirmed that the manager is always available to support them in their duties. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 24 Residents said that the manager is always ready to listen to them if they want to discuss any issue and residents said that the manager and owner had met with them together at the last residents meeting and one resident said “It was good to meet the owner and hear what he had to say, it has given us all hope for the future and that things will continue to improve”. The manager said that she had recently asked residents to provide information on a questionnaire about the quality of care provided. The manager showed that she has recently produced a more detailed questionnaire, which is soon to be circulated with the next copy of the home magazine. One family carer who was visiting the home said I come every other day and the manager is great they look after our son really well Another family carer said. This feels like home to me when I come in. Nothing is too much trouble for the staff and I always feel welcome. The manager is like a family member. Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 26 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. 1. 2. Refer to Standard YA6 Good Practice Recommendations It is strongly recommended that the manager ensures that care plans are signed by residents wherever possible to show that they agree with them. It is strongly recommended that the manager continues to monitor staffing levels, and take action when needed to ensure that there are sufficient numbers of trained staff in place at all times to meet the needs of residents consistently. YA33 Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Blenheim Care Centre DS0000067472.V335707.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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