Inspection on 06/12/06 for Burnside Court Care Home

This inspection was carried out on 6th December 2006.

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

Burnside Court Care Home 04/11/09

Burnside Court Care Home 06/01/09

Burnside Court Care Home 13/11/07

Burnside Court Care Home 16/03/06

Burnside Court Care Home 04/10/05

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Burnside Court Care Home Burnside Court Care Home 104-106 Torquay Road Paignton Devon TQ3 2AA Lead Inspector Susan Samways Unannounced Inspection 11:00 6 December 2006 th 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 Burnside Court Care Home DS0000063855.V310170.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. Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Burnside Court Care Home Address Burnside Court Care Home 104-106 Torquay Road Paignton Devon TQ3 2AA 01803 551342 01803 551342 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) ABC Carehomes Ltd Miss Emma Zoë Hume Care Home 21 Category(ies) of Dementia - over 65 years of age (21), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (21), Old age, not falling within any other category (21), Physical disability over 65 years of age (21) Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th March 2006 Brief Description of the Service: Burnside Court is a large, three storey, detached property situated on the level and easily accessible to local facilities including the library, park and local shops. The home is registered to provide long term care for 21 elderly people who may also have a degree of mental and/or physical infirmity. The home is furnished and decorated in a homely way and the home benefits from a passenger lift which provides Service Users with access to all areas of the home. Externally there are very pleasant gardens for Service Users and their visitors to use. Fees range from £316 to £400 per week. Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which lasted for six hours. The registered manager was on duty throughout the inspection. An off duty member of staff, at the home to meet with an NVQ assessor, stayed to assist staff over the lunchtime period which enabled the manager to concentrate on the inspection. A pre-inspection questionnaire had been received by the Commission for Social Care Inspection which provided up to date information regarding the home, the residents and the staff. A comment card had also been received from a visiting professional and a survey form from a member of staff. The relatives of three residents were spoken to by telephone. Most of the residents were seen during the inspection, some were spoken to individually and others in passing and lunchtime and part of an activity session were observed. As part of this unannounced inspection the quality of information given to people about the care home was looked at. The information included the Service User’s Guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. Residents were spoken to about this but none were able to answer any questions. One resident said that their son dealt with things like that and to ask him. Consequently the relatives of three residents were contacted. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. Further information on this can be found on our website www.csci.org.uk. What the service does well: Burnside Court provides a comfortable and homely environment for residents who can be confused and disorientated. A comprehensive pack of information about the home is given to each resident or their relatives which the relatives contacted said was helpful. The manager and her deputy take time to complete as detailed an assessment as possible of any prospective resident to ensure that the home can meet their needs and that the staff have a good understanding of them and the care that they require. This includes their likes, dislikes, their religion if any and what upsets them as well as information about their past. Care plans and risk assessments are well written so staff are clear about the assistance each resident requires. Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 6 Staff were observed to treat residents with respect, to explain, often more than once, what they were going to do, and the residents appeared to be comfortable with them. Staff were also observed to be giving residents encouragement to participate in activities, a wide range of which is provided, but also to accommodate those who did not wish to join in. Meals and mealtimes were seen to be good. The cook is very enthusiastic about her job and goes out of her way to provide nutritious meals presented in a way that encourages residents to eat healthily, well and as independently as possible. Residents clearly enjoyed their meal on the day of the inspection as very little food was left. The cook has also started to do small cookery groups with residents which are proving to be popular. Relatives contacted said that they were happy with the care provided and said that they were kept well informed by the manager and other staff about their relatives well-being. They also said that they were always made welcome when visiting the home. The manager has an open style of management. Staff commented that they felt able to make suggestions about possible improvements and that these would be listened to. Staff training is a priority and many of the staff have achieved qualifications in care. Staff recruitment procedures, in place to safeguard residents by ensuring that only suitable staff are employed, are followed. Safe working practices, supported by staff training and health and safety checks, are in place. A visiting professional described the home as friendly and professionally run with an excellent manager and a team of staff that work well together. What has improved since the last inspection? Two volunteers from the Alzheimer’s Disease Society are now visiting the home on a weekly basis to provide a music and sing-song session. This is obviously proving to be popular as it was well attended and two residents had asked to be reminded when it was about to start so that they would not miss it. The volunteers have said that they will assist with outings when the weather is suitable. The manager has also arranged for simple keep fit sessions to start in the near future. The home now provides a wide range of appropriate activities. The company’s Responsible Individual is now providing reports of his monthly visits to the home on a more regular basis. Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 7 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. Burnside Court Care Home DS0000063855.V310170.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 Burnside Court Care Home DS0000063855.V310170.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): 1,2,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives are provided with sufficient information about the home to assist them in deciding whether the home is suitable. Comprehensive assessments identify prospective residents needs and abilities and whether the home can provide the care required. EVIDENCE: The registered manager was asked about the information provided to prospective residents or their relatives. She produced a folder printed with details of the home into which she could insert information sheets about the home, examples of which were included. She explained that most of the Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 10 information was held on the home’s computer so that it could easily be updated and printed of when information was requested. The information includes the client group for whom they provide care, the staff and their qualifications, the accommodation provided and a copy of the complaints procedure. Relatives contacted confirmed that they had been given sufficient information and that it, along with visits to the home, discussion with the manager and for one person, word of mouth, had enabled them to make a decision about the suitability of the home. The registered manager was also asked about assessments of prospective residents. She stated that, wherever possible, assessments are carried out jointly by herself and her deputy in the persons home, in hospital or other suitable place. She also stated that information is obtained from all those concerned with each prospective resident in order to obtain as full a picture as possible of their individual needs and abilities. This was confirmed by the relatives spoken to one of whom said that the full time carer employed to look after their mother at home had spent time discussing her care with the staff of the home. The files of four residents were examined, three of whom had been admitted since the last inspection. All were found to have comprehensive assessments completed by the manager or her deputy. These included information about the residents’ family history, medical history, likes and dislikes as well as information about the degree to which they are able to care for themselves and what assistance they require. Residents who are self-funding have contracts with the home copies of which were seen on file. These were mostly up to date but one needed to be renewed as the resident had changed room (the relative confirmed that the move had been discussed and agreed prior to the change being made) and another had not yet been signed and returned by the relative. Burnside Court Care Home DS0000063855.V310170.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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed care plans ensure that staff are aware of residents’ care needs and that these are met. Care is provided in a way that respects residents’ privacy and dignity. Good medication procedures are in place and are followed by the staff responsible. EVIDENCE: The care plans for four residents were examined three of whom had been admitted since the last inspection. All were found to be very detailed covering all areas of the residents’ lives. As many of the residents find it difficult to give Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 12 information about themselves it is important for staff to know as much about them as possible from others who know them well. This ensures that as good a level of care as possible is provided. All the care plans had been signed, one by the resident themselves and the others by relatives on the residents’ behalf. This ensures that care plans have been discussed and agreed. The records included details of visits by GPs and other health care professionals and showed that the relevant professional was contacted promptly when required. All the care plans examined included an assessment of residents’ vulnerability to developing pressure ulcers. These had been reviewed at least monthly. Residents requiring pressure-relieving equipment had been assessed by the district nurses who had then provided the equipment. The daily records for each resident had been completed with important information, e.g. visit by a GP, change in treatment or care, highlighted to ensure that all staff were made aware. Risk assessments had also been completed for problems such as the risk of falling. Each care plan also includes a manual handling assessment. The care plans include information about residents’ likes and dislikes e.g. food preferences, activities and colours. Religious observances are also recorded including for one resident the fact that they were non-practicing. Each care plan had been reviewed at least monthly. Relatives spoken to said that the care provided was good and that they were happy with the way that the staff treated the residents. Staff were observed to treat the residents with respect and to provide assistance in a sensitive way. The home uses a monitored dosage system for the administration of medication. No residents manage their own medication but the home has a policy in place should this ever be the case. All records regarding medication seen were up to date and fully completed. Only named staff, who have undergone training, are responsible for administering medication. Medication is stored in a cupboard within a locked room, controlled drugs are kept in a locked cupboard within the locked room. There is also a refrigerator used specifically for the storage of certain medicines. Burnside Court Care Home DS0000063855.V310170.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): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A good range of suitable activities provides a stimulating environment for residents. Residents’ religious needs are acknowledged and accommodated. The standard of meals provided is very good with the dietary needs and preferences of residents being met. Assistance at meal times is provided in a discreet and sensitive way. EVIDENCE: A member of staff commented that since there had been a change of manager the staff had been able to do a lot more activities with the residents and that the manager encourages the staff to come up with new ideas and try them Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 14 out. The range of activities includes include skittles, basketball, ‘magic’ painting, karaoke and simple cookery. Activities are modified as required to enable residents to participate. The manager said that the sunflower challenge in the summer (whose sunflower would grow the tallest) had been very successful and prompted interest from residents, visitors and staff. Two volunteers from the Alzheimer’s Disease Society now visit each week to provide a music session with a sing-song. This took place during the inspection and was observed to be popular with the residents with staff providing encouragement and assistance if required. The manager said that particular attention is paid to a resident who is blind to ensure that they can participate in activities or be aware of what is going on. The manager has also arranged for simple keep fit sessions to start in the near future taken by someone who visits other care homes so has relevant experience. Records are kept of all activities including all who have taken part – residents, staff and visitors. Members of local churches continue to visit regularly and on request with the Church of England holding a communion service once a month and the Catholic Church once a week. Care plans examined showed that residents religion, if any, had been noted and whether they wish to be involved in religious services. Relatives spoken to said that they are made welcome when they visit the home and that the staff are always helpful when they want to take a resident out. They also said that they are kept well informed about their relative’s health and welfare. Meals continue to be of a high standard. The cook is very enthusiastic and clearly enjoys her job. She also works some hours as a carer so knows all the residents well. She takes a pride in providing good food, made from primarily fresh ingredients, which the residents like and are able to eat. She makes her own soups, burgers and cakes. She encourages residents to eat fresh fruit by always having fruit readily available. She also includes it in puddings and other dishes such as on the day of inspection she had added sliced apple to the cabbage for lunch. The cook stated that most of the residents are able to make a choice about what they would like to eat. She serves the food herself from a heated trolley which is stationed just outside the dining room door. This enables her to cut up food for some residents discreetly, out of sight of the other residents, which preserves their dignity and enables them to maintain a degree of independence. Four residents need to have their food as a soft diet. They have the same food as the other residents but blended to a soft consistency. One resident can feed herself with a soft diet but needs assistance or may refuse altogether if the meal is presented in the normal way. Most of the plates retuned to the kitchen on the day of the inspection were empty – a compliment to the cook. Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 15 The cook has been on the ‘Safer Food, Better Business’ course and has been visited by the course tutor. She stated that she has acted on the suggestions that the tutor made. She said that she dates everything and has stickers she puts on food to be used first to aid staff who prepare the evening meal for residents. The cook has started to do cookery sessions with some of the residents. She uses a table in the dining room and provides residents with disposable aprons to keep their clothes clean. She said that so far jam tarts have proved to be very popular. She is planning to try fairy cakes next. Burnside Court Care Home DS0000063855.V310170.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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear complaints procedure which is given to all residents and/or their relatives. Residents are safeguarded by staff being made aware of adult protection procedures. EVIDENCE: The home has a clear complaints procedure which is included in the pack of information provided to all residents and/or their relatives. This was confirmed by the relatives contacted. Since the last inspection a concern regarding one resident had been raised by the hospital admitting the resident and by their relatives. A meeting was held with the manager, deputy manager, social services, the liaison nurse who assesses patients for on-going nursing care and the Commission for Social Care Inspection. Although it was not possible to establish whether anything untoward had occurred or that the home had failed in their duty of care to the resident, some suggestions regarding staff training were made which the manager stated were already in hand. During the inspection records were examined which showed that all staff had received the relevant training. Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 17 All staff are expected to undertake training in the protection of vulnerable adults by distance learning and by attending, when available, day courses. It is also included in NVQ level 2 in care which most of the staff have either completed or are currently working towards achieving. Burnside Court Care Home DS0000063855.V310170.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): 19,20,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Burnside Court provides a homely and comfortably furnished environment which is clean and hygienic. EVIDENCE: The home is suitable for its stated purpose. It is comfortable and homely with attractive gardens which are easily accessible when the weather permits. There is a large lounge/dining room which is also used for activities. In addition there is a small lounge which is used by residents when they do not wish to participate in activities, where they can meet with their visitors or where they can go just to be quiet. The home employs a full-time member of staff responsible for maintenance. The home was found to be clean, hygienic and free from offensive odours. The home has an infection control policy and Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 19 records show that several of the staff have undertaken training in infection control and others were due to start distance learning courses. Burnside Court Care Home DS0000063855.V310170.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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff recruitment procedures and training programmes safeguard Service Users and provide consistent good levels of care. EVIDENCE: At the time of the inspection the home was fully staffed, two new staff having recently started. The files for those new staff were examined. The home’s recruitment procedure had been followed. Both had completed application forms and two references had been obtained for each of them. As part of the police checks, which have to be made for all new employees, the manager had ensured that neither candidate was on the protection of vulnerable adults register which would have barred them from employment. The full police checks had not yet arrived but the manager stated that they were only working under close supervision until she received clearance for them. Induction training had been completed by one of the staff, the other had just commenced it. All personnel working at Burnside Court, including volunteers, have had police checks which safeguards the residents. Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 21 Staff training is a priority at Burnside Court. Most of the staff have NVQ level 2 in Care or are undertaking it and seven have NVQ level 3. In addition staff are expected to complete distance learning courses in topics such as administration of medication, infection control, dementia and food hygiene and attend day courses run by the local authority. Burnside Court Care Home DS0000063855.V310170.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): 31,32,33,35,36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management style is open and receptive to the views of all those involved with the home. Safe working practices provide protection for residents, staff and visitors. The quality monitoring system needs to be implemented on a regular basis to ensure that the good standards of care are maintained and improved. EVIDENCE: Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 23 The registered manager has nearly completed NVQ level 4 in care and management and has some parts of the registered managers award to finish. She was observed to have an open style of management which staff and residents responded to well. Staff contacted said that they liked the way the home was run and that their ideas were listened to and taken seriously. Relatives were also happy with the manager as they said that they were kept well informed. The home is owned by a limited company. The manager reported that she has a good working relationship with the company’s responsible individual who she speaks to most days that she is on duty. The responsible individual visits the home at least monthly and is open to and acts upon ideas and suggestions as to how the service provided can be improved. The manager has been reviewing the way in which the views of residents, relatives and other interested parties can be ascertained. This needs to be actioned and all aspects of the running of the home audited in order to produce a development plan for the home. The manager and another member of staff are due to attend a course on auditing in the near future. The financial affairs for all residents are managed either by their relatives or their solicitors. Detailed records are kept of any financial transactions carried out on behalf of a resident. The home has a safe for the safekeeping of any valuables if required with records kept. Regular staff supervision sessions are in place. They are held at least every two months and the topics discussed and the outcomes agreed are recorded. The manager undertakes most of the supervision but the deputy manager has started to take responsibility for some sessions. Staff meetings are also held every two months and at varied times to enable as many staff as possible to attend. The home emphasises the need to adhere to safe working practices. Basic staff training includes manual handling, infection control, food hygiene and first aid. Formal fire safety training is reinforced by the weekly fire alarm tests being done from a different point each week, the staff responses being monitored and instruction given if required. The maintenance person is responsible for fire alarm and emergency lighting tests, the records of which were seen during the inspection, portable appliance testing and water temperature checks for the prevention of Legionella. He calls in specialist personnel as required and ensures that maintenance and servicing of equipment takes place at the required intervals. The hoist was serviced 28/07/06, the bath hoist 17/07/06 and the passenger lift 05/09/06. Health and Safety checks of the building are completed monthly including testing the call bell system. All radiators have guards and windows have been fitted with restrictors. Gas checks and servicing were carried out 06/09/05 and were due to be done again. Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 24 Burnside Court Care Home DS0000063855.V310170.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 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 3 2 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 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 x 3 3 x 3 Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 26 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 3 Refer to Standard OP2 OP7 OP33 Good Practice Recommendations The registered provider should ensure that a new contract is issued as soon as a change affecting the contract occurs. The registered provider should consider revising the paperwork used for residents’ care plans to make them clearer and easier to use. The registered provider should ensure that the review of the quality monitoring system is completed and implemented as soon as possible. Burnside Court Care Home DS0000063855.V310170.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Burnside Court Care Home DS0000063855.V310170.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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