Inspection on 02/11/06 for Bury Metro - Spurr House

This inspection was carried out on 2nd November 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

Bury Metro - Spurr House 07/05/08

Bury Metro - Spurr House 21/03/06

Bury Metro - Spurr House 15/11/05

Bury Metro - Spurr House 19/01/05

Bury Metro - Spurr House 11/08/04

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

CARE HOMES FOR OLDER PEOPLE Bury Metro - Spurr House Spurr House Residential Care Home Pole Lane Unsworth Bury Lancs BL9 8SA Lead Inspector Stuart Horrocks Key Unannounced Inspection 2nd November 2006 09:00 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 Bury Metro - Spurr House DS0000008468.V310435.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. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bury Metro - Spurr House Address Spurr House Residential Care Home Pole Lane Unsworth Bury Lancs BL9 8SA 0161 253 7505 0161 2536106 c.hesketh@bury.gov.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Bury M.B.C. Mrs Christine Hesketh Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 36 service-users to include: Up to 36 service-users in the category OP (Older People, who do not fall in to any other category). The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 21st March 2006 Date of last inspection Brief Description of the Service: Spurr House is owned by Bury Council and is run by the Social Services Department. The home provides residential care for up to 36 older people. Within this number respite care can be provided for up to 7 residents at any one time. A day care service is also provided for up to 10 older people each day. The home is situated in Unsworth and is close to local shops and offers easy access to the local motorway system. Car parking facilities are available. The home is a single storey building with ample wheelchair access. The building is divided into four units; each unit has its own lounge, dining room, bathroom and kitchen where residents and visitors to the home can make drinks and snacks. The home also has a conservatory and a large lounge with wide screen TV, video facilities, and a CD music system. Thirty-six single en-suite bedrooms, four assisted bathrooms and two assisted showers are provided. Hoists, aids and adaptations are available for residents’ use. A Service User Guide (Residents Information Guide) describing the home’s services is available and the provider gives other information about the home to new and prospective residents and their families verbally. A copy of the latest inspection report is available in the entrance area of the home. At the time of writing this report the basic charge for accommodation and services is £305:00 per week with this being subject to negotiation to allow for individual circumstances. Additional charges are made for hairdressing, personal newspapers, preferred toiletries and outings. Bury Metro - Spurr House DS0000008468.V310435.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 key inspection, which included a site visit that was started at 9:00am on the 2nd November 2006. It took place over one day and it lasted for about seven hours. The time was split between talking to the Manager and checking records, looking around the home, watching what was happening and talking to residents and other staff. Three residents and four staff were spoken with. A completed pre-inspection questionnaire was received along with five feedback surveys from relatives and two from doctors. The care services (case tracking) provided to three specific residents were used a basis for the process of the inspection. What the service does well: The residents said that they were well looked after by the staff who they described as being “helpful”, “caring”, “friendly” and “easy to get along with”. The residents looked well cared for and the paperwork kept for each person showed that their health, personal and social care needs were being met. During the inspection the staff were seen to deal with the residents in a comfortable, caring and natural manner. Good food is provided with choices being offered and when necessary special diets are offered. Before admission to the home new residents needs are properly checked so that the home can be sure that these people can be properly cared for. The home has a good activities programme that the residents said that they enjoyed that helped to keep them stimulated and motivated. The home is well run with a natural and friendly and homely feel about it with staff spending time talking to the residents. The residents are treated with respect and their privacy and dignity is upheld and they are helped to make choices and decisions. Visitors are welcome and the residents have choice about their daily routines, spending their time doing whatever they prefer. The staff are properly recruited and they are offered a good range of training so making sure that a good standard of care is maintained. Spurr House provides safe, clean, comfortable and homely and friendly surroundings for the people living there. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 7 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 Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are properly assessed before admission so that all parties are assured that that identified needs can be met by the home. The home does not provide intermediate (rehabilitative) care so this Standard (6) does not apply. EVIDENCE: The care files of three recently admitted residents were checked for the required pre-admission needs assessment information. Such assessments were seen to be in place that showed the admission procedure was thorough and checking of the above records showed that a full assessment of these residents care needs had been completed prior to their admission to the home. From this information the home is then able to assess whether these people’s needs can be met and a care plan and a range of other care delivery information is then put together. The manager said that new residents and their families are welcome to visit the home where they can spend some time, meet the residents and the staff, Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 9 and have a meal before deciding to live there. A senior member of the staff usually visits new residents either at home or in the hospital as a part of the pre-admission needs assessment process. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. 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. Proper arrangements are in place that ensures the residents health care needs are monitored and met. Individual care plans are also in place, which were up to date, regularly reviewed and provided the staff with the information needed to give a good standard of care. The home’s medication systems are satisfactory in ensuring that residents received medication as prescribed and care practices in the home ensure that the residents are treated with respect and their privacy and dignity is upheld. EVIDENCE: The care files of the three case tracked residents were looked at. These contained detailed care plans that had been kept up to date monthly as is required. The care plans are well laid out and they are easy to read and follow. Each plan contained details of health, personal and social care needs for the resident. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 11 The staff said that they knew each residents needs by reading the care plans, which are readily available to them. Talking to residents, the manager and the staff and looking at records showed that the resident’s health care needs are taken care of and that when necessary health workers such as doctors, nurses and opticians are called. A number of risk assessments were in place. These included an up to date and regularly reviewed moving and handling assessment and a nutritional screening tool that is used as and when necessary. Nutritional wellbeing is also assessed by direct observation and by regular and up to date weight checks. Pressure area condition is also checked by direct observation with a record kept. The home has a number of bed safety rails in use with risk assessments completed and with the safety and condition of this equipment being regularly checked and recorded. The use of this equipment is also entered in the residents’ care plans. All medicines are safely and securely stored. The residents’ medicines are provided in pre-filled blister packs with pre-printed prescription/recording sheets also provided. These records were found to be properly completed and to be up to date. The medications supplied are checked in to the home , and medicines returned to the pharmacy are also recorded. Identification photographs of each resident are kept with the medication administration records. Those staff that give out medicines have been given the necessary training for this task. The home has a satisfactory draft medicines policy and procedure that includes guidance for the self-administration of medicines and the use of homely remedies. No resident was dealing with their own medicines at the time of this visit. The homes Service User Guide and Statement of Purpose and various other documents reinforced the importance of staff treating residents with respect and dignity. Residents spoken with were all complimentary about how staff assisted them with personal care tasks and felt their privacy and dignity was respected at all times. This was also observed during the inspection. The care assistants interviewed were able to give good examples of how they promoted privacy and dignity in their daily care routines, for example knocking on bedroom doors before entering. The residents said that the staff had a “kind and considerate” manner and that the staff spoke to them in a “civil and polite” way. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13.14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The activities offered within the home mean that residents have opportunities to participate in stimulating and motivating activities. Residents have choice about their daily routines, and mealtimes are satisfactory. EVIDENCE: The home employs a part time activities organiser who organises and implements a programme of social and recreational activities for the residents. A wide range of both individual and group activities are offered at the home including manicures, games, crafts, quizzes, sing-alongs, reminiscence sessions, exercises and baking. In addition, musical entertainers visit the home and outings are arranged to various venues. The activities programme is displayed, which those residents spoken with were well aware of and they chose to join in as they pleased. A record is kept of each session and of who participated in them. The activities organiser also offers individual activities to residents and in discussion it was apparent that this worker knows the residents well. From talking with residents and staff the inspector confirmed that the visiting arrangements are flexible with these being described in the resident’s information guide. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 13 Those residents spoken with said that they “were free to see their visitors wherever they wanted to”. They described taking visitors to their bedrooms for privacy or seeing them in the main lounge. The residents said that visitors are made welcome and they said that their visitors are offered refreshments. Issues regarding residents choice are described in a variety of documentation including the home’s Service User Guide and Statement of Purpose. Residents said that they had choice about such things as going to bed and getting up times, which clothes to wear, which lounge they sat in, how they spent their day and whether or not to participate in activities. For those residents who may have a limited ability to make decisions and choices about their day-today living arrangements the staff said that they try to assist the them with this by offering choices about such things as what clothing to wear, when to rise and retire and helping to choose from the menu. The residents are able to, and do bring personal items in to the home such as televisions, radios, photographs, pictures and ornaments. The home has a four weekly menu that offers a choice of good nourishing food with the main meal served at lunchtime and a lighter meal at teatime. Warm food is always offered at midday and a warm choice is usually available at teatime. The residents praised the food served generously saying that the food was “good”, “appetising”, that “you get enough to eat” and that “you can have something else” if you don’t want what is on the main menu. The residents also said that drinks and snacks were available at most times if the day. The inspector had a meal at lunchtime with the food found to be well presented and to be to a good standard. Meals were seen to be presented in an appealing manner with good portions offered. They are eaten in comfortable and attractive dining rooms that are situated in each of the four living units. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 14 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 inspected at least once during a 12 month period. 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. The home has a clear complaints system that ensures that concerns are speedily dealt and a protection of vulnerable adults procedure is in place that ensures a proper and prompt response to any suspicion or allegation of abuse. EVIDENCE: Complaints information is displayed in the home and this information is also included in the Service User Guide (residents’ information guide). The home also has a Bury Metro Boro Complaints/Comments/Compliments leaflet that advises on the steps to be taken when someone wishes to make a complaint. The home has a proper record for writing down complaints. Two complaints have been made to the home since the last inspection in March 2006. Both of these have been properly recorded and fully dealt with by the home. No complaints have been made to the CSCI during the above period. Discussion with residents showed that they were aware of the home’s complaints process and they said that they would have no hesitation in making their concerns known to the staff or the manager. Talking with staff showed that they would know what to do if a resident made a complaint. A number of staff said that if “they couldn’t sort things out at the time” then they would inform the manager about the problem. A number of letters and cards from families praising the care and services provided by the home were on display. One of these said, “I think you (the Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 15 staff) are all fantastic” whilst others thanked the staff for their “care and kindness”, “the loving care” and the “care and attention”. There are written procedures and policies covering whistle blowing, the none acceptance of gifts, borrowing money and legacies and the home has a full copy of the Bury inter-agency adult protection policy and procedure. Looking at records showed that many staff had been given training in adult protection procedures. In discussion the staff confirmed that they had received such training and they were aware of the different sorts of abuse and they also understood what they should do if they suspected that someone was being abused. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Following a major refurbishment the standard of furnishing and fittings within the home is good providing a homely, safe, well adapted, clean and comfortable environment for residents. EVIDENCE: Spurr House is well maintained both to the inside and to the outside. Most areas of the home have been fully refurbished during the last year; this work includes re-roofing of the building with new window frames and doors fitted. Nine bedrooms are in the process of being refurbished and the corridors have been redecorated with the ceilings being replaced, new lights fitted and new carpets laid. Two bathrooms and two shower rooms have been fully renovated. A central sensory garden is presently under construction that will be easily accessible from the main building. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 17 The three case-tracked resident’s bedrooms were checked. All were found to be properly decorated, furnished and equipped and these residents were satisfied with the standard of the accommodation provided. There is good accessibility around the building with ramps,assisted baths and other equpment provided. Aids and adaptation are provided in bedrooms, bathroom and toilets. The home has a properly equipped laundry and information regarding the control of infection is available. The building was clean and tidy throughout and was free from any offensive odours therefore providing a pleasant place to live. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff training is satisfactory but staffing levels should to be reviewed therefore ensuring that the assessed needs of the residents can be met. Staff recruitment (Standard 29) could not be checked as Bury Council does this work centrally therefore no staff recruitment records are kept at the home. The outcome for this Standard was therefore not assessed. However the CSCI undertook a random sample of staff personnel files in the spring of 2006 to check on the vetting arrangements for care staff working in regulated services. The findings of this sample were that Bury Local Authority’s recruitment procedures were robust and safe, and promoted equality and diversity. Discussions with the staff showed that they had been properly and safely recruited. EVIDENCE: Looking at staff rotas showed that as well as employing care staff, the home also employs domestic, laundry, catering and maintenance staff. Staff moral appeared to be good with staff saying that “there is a good atmosphere” and that “we work together well as a group”. The residents said that the staff are “kind”, “happy to help” and that they were “patient and considerate”. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 19 The manager said that six staff are usually on duty in the morning period and five staff in the afternoon and the evening (these figures include a senior member of staff). Two staff cover the night time period with on call support being provided. Looking at staff rotas for a four-week period during September and October 2006 showed that the above figures are usually achieved although this sometimes requires overtime working and the use of agency staff. In discussion some of the staff felt that five staff in the afternoon and evening would be beneficial in ensuring that the residents care need would be fully met. Three of the relatives that returned survey questionnaires also commented that in their opinion there wasn’t always sufficient numbers of staff available. In view of the comments made by both relatives and the staff the inspector recommends that afternoon and evening time staffing levels be reviewed in order to ensure that the assessed needs of the residents can be met. The home is required to have 50 of the care staff with NVQ level 2 qualifications or above by the end of 2005. Of the 30 care staff employed at the home 15 have got a National Vocational Qualification at Level 2 or above with seven other staff presently undertaking NVQ assessment at Level 2. 50 of the staff are therefore trained to the required level with the above target being met. Discussion with the staff and the manager and looking at records showed that there is a strong commitment to staff training within Bury Local Authority. The staff gave examples of the wide range of training that they had done. This included induction to the job training, NVQ assessment, the giving out of medicines, safe moving and handling, food hygiene and first aid. The provision of this training was confirmed when looking at staff training paperwork. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager of the home provides leadership and support for the staff to ensure that the residents receive a satisfactory standard of care and the home consults the residents and their families about the way that the service is run so that both improvements can be made and problems can be dealt with. EVIDENCE: The home manager (Mrs C Hesketh) has been approved and registered by the CSCI and she has suitable and extensive experience of working within the field of caring for the elderly. Mrs Hesketh has achieved required the NVQ Level 4 Registered Managers Award. The home is well run and residents and staff said that Mrs Hesketh is “easy to talk to” and that she “listens and is approachable”. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 21 A requirement of Standard 33 is that care homes must use quality assurance systems that are largely based on seeking the views of residents to measure their success in meeting the home’s aims and objectives. In the first half of 2006 the home sought the views of residents, their families and the staff by the use of survey questionnaires. 36 survey forms were returned with most of them scoring positively for the questions that asked about how well the home is meeting the residents’ and the staffs’ needs. These results were then analysed with action being taken to deal with any issues raised. The manager told the inspector that this survey is regularly repeated at six monthly intervals and that these also included information obtained from GP’s, nurses and social workers. A number of survey questionnaires were also sent out to the residents, relatives and health workers (GP’s, district nurses etc) by the CSCI before the inspection. These questionnaires give these people the opportunity to comment upon various aspects of the services provided by a care home. At the time of writing this report seven questionnaires had been returned; the bulk of these were generally complimentary about the accommodation, the services and the care provided at Spurr House, although as mentioned previously a number of people said that in their opinion that there was not always sufficient staff on duty. One person said that this is an “excellent home, best in Bury” and another described “a happy, warming and glowing atmosphere” and a feeling of “home from home”. The home holds money for a number of residents for safekeeping. This system was checked with the details found to be properly written down and with the correct amounts of money kept. Secure storage is available for the safekeeping of money and of any valuable items. Information obtained from the pre-inspection questionnaire showed that the homes fixtures, fitting and equipment is properly maintained and regularly serviced. The home is therefore safely maintained with fire precautions tests done weekly and the details of accidents are properly recorded. Examination of paperwork and conversations with staff also confirmed that they had been provided with most of the required mandatory training although some staff need fire safety instruction. Various health and safety requirements that were made at the time of the last inspection have all been addressed. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 23 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 OP38 Regulation 18 Timescale for action The Registered Person must 31/12/06 ensure that all staff are provided with fire safety training. Requirement 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 OP27 Good Practice Recommendations The inspector recommends that the adequacy of afternoon and evening time care staffing levels should be reviewed in order to ensure that the assessed needs of the residents can be met. Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG National Enquiry Line: 0845 015 0120 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 Bury Metro - Spurr House DS0000008468.V310435.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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