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Inspection on 01/08/05 for Calder View

Also see our care home review for Calder View for more information

This inspection was carried out on 1st August 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home had a well-motivated, experienced and qualified staff team to support the residents and promote independence. Residents said that they liked and got on well with the staff. Residents thought that their views and opinions were listened to and acted upon. They said that they liked living at Calder View and thought that the support that they had from the staff team was very good. Each resident had a detailed individual plan of care, so that all the staff knew what each person`s needs and wishes were, and how these were to be met. The house was `homely` and spacious and residents commented that they felt safe.

What has improved since the last inspection?

The risk of harm to residents from Legionella had been minimised by the home conducting hot water tests. Risk had also been minimised by staff attending general health and safety training. The registered manager had added to his knowledge and skills by completing his NVQ level 4 in care and management, so promoting the welfare of residents. Residents had an opportunity to comment on and influence improvement at the home by completing a service user satisfaction questionnaire.

What the care home could do better:

In order to provide a safe environment the landing should be cleared of obstacles, as should the shower room; the damaged upstairs toilet floorcovering should be replaced; an appropriate floor covering should be provided in the laundry and a better place to store recycling rubbish found. To ensure residents health, safety and well being, the manager should ensure that the back garden is tidied and made a pleasant place for residents to use. An inventory of replacement of soft furnishings in all bedrooms should be carried out and residents assisted with `spring cleaning` of bedrooms. The date of the most recent fire drill should be recorded in the fire log and to avoid confusion, old policies and procedures (for example the adult protection policy which contradicts the new policy) should be removed from the office. To encourage innovation and management planning for improvement for residents, the manager should arrange regular management meetings. The management team may wish to consider technologies such as e-mail, to improve communication and keep up to date with care practices. It may also be helpful for the residents` information (e.g. service users guide) to be simplified and made available in plainer language.

CARE HOME ADULTS 18-65 Calder View 6 Keighley Road Colne Lancs BB8 0JL Lead Inspector Keren Nicholls Unannounced 1st August 2005 10.50 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 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 Stationary 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. Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Calder View Address 6 Keighley Road Colne Lancs BB8 0JL 01282 868077 01282 868077 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Pendle Residential Care Limited Mr Thomas Hanna Care Home 6 Category(ies) of MD Mental Disorder, excluding learning registration, with number disability or dementia 6 of places Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mental disorder excluding learning disability or dementia at Calder View 6 Keighley Road, Colne BB8 0JL 2. The service employs a suitably qualified and experienced person who is registered with the Commission for Social Care Inspection as manager of Calder View, 2 Broken Banks and 284 Burnley Road, Colne. Date of last inspection 27th October 2004 Brief Description of the Service: Calder View is the “core” house of a residential homes’ scheme comprising the core house and two smaller houses in Colne. The registered manager has responsibility for all three houses. Calder View provides 24-hour care, support and accommodation for 6 younger adults who have a mental health problem. Calder View is a large mid-terrace house located near to Colne town centre. Shops, market and community facilities are within walking distance. There are six single bedrooms on the first floor, a spacious ground floor lounge and lounge/dining room. Service users have access to the large kitchen and the laundry. There is on-street parking and a small garden at the front. There is a larger private garden at the back with parking for one car. There are good local bus and rail transport links nearby. Transport is also provided for service users in staff cars. Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place over one day. A total of 5.10 hours were spent on the premises. During this time the inspector spoke with five people who live at the home and two service users who were visiting. Written information, including records were examined. The inspector talked to the manager of the home and the staff on duty, looked at communal rooms and with the permission of residents, some bedrooms. At the time of inspection 6 people were living in the home. Additionally, 3 comments cards were received from residents. What the service does well: What has improved since the last inspection? What they could do better: In order to provide a safe environment the landing should be cleared of obstacles, as should the shower room; the damaged upstairs toilet floor Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 6 covering should be replaced; an appropriate floor covering should be provided in the laundry and a better place to store recycling rubbish found. To ensure residents health, safety and well being, the manager should ensure that the back garden is tidied and made a pleasant place for residents to use. An inventory of replacement of soft furnishings in all bedrooms should be carried out and residents assisted with ‘spring cleaning’ of bedrooms. The date of the most recent fire drill should be recorded in the fire log and to avoid confusion, old policies and procedures (for example the adult protection policy which contradicts the new policy) should be removed from the office. To encourage innovation and management planning for improvement for residents, the manager should arrange regular management meetings. The management team may wish to consider technologies such as e-mail, to improve communication and keep up to date with care practices. It may also be helpful for the residents’ information (e.g. service users guide) to be simplified and made available in plainer language. 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. Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 and 5 Residents had been consulted about needs and wishes prior to admission. They had visited and been given written information about the home, which had enabled them to make an informed decision about whether Calder View was the right place for them to live. Trained people had helped to assess needs, to ensure that they could be met by the home. Individual contracts had been made with each resident, to ensure that both parties’ rights and responsibilities were protected. EVIDENCE: Residents had been given their own copy of the ‘service user’s guide’, which explained the aims and objectives of the home and relevant information about complaints, the premises and staff team. The home’s ‘Statement of Purpose’ and the service user’s guide were available in the hallway for everyone to read. These were very detailed and might be simplified for easier understanding. Residents said they were involved in their assessments through the mental health Care Programme Approach (CPA) arrangements. Needs had been properly and fully assessed by trained persons under CPA and copies of these assessments were kept in personal files. Residents said that part of the assessment was deciding whether Calder View would meet their needs and wishes and they had the opportunity to visit and stay for a trial period. Each person had an agreed contract/terms and conditions of residence. These were in two parts: a standard contract and a personalised section. Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9 and 10 The arrangements to regularly review care plans with residents, as part of the Care Programme Approach, were good. Residents were properly consulted about and participated in all aspects of life at the home and were enabled to take responsible risks. Staff supported residents to be independent. Confidentiality was understood within a risk assessment framework and was respected by staff. EVIDENCE: Residents said they were involved in their assessments and care planning through CPA arrangements. One person explained how the manager helped him with CPA meetings and reviews. Residents said they understood the care planning process, the impact of the plan on their daily living and lifestyles and the support needed from staff. Aims for care were explicit in care plans, as were any limitations, risk assessment and the reasoning behind this. The way of life at Calder View promoted independence and residents said they made their own decisions about how they occupied their time and about the staff support they needed. Residents were knowledgeable about the running of the home. Everyone spoken with said that they were happy with the home and the way in which it was run, and felt that their views were taken into account in decision-making. Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 10 The home had a policy regarding confidentiality and copies were kept in resident’s files. Staff respected confidentiality within the boundaries of the policy. Residents’ files and other confidential information was kept locked away safely and securely, but residents knew they could look at their files if they wanted. Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 and 17 The home had created a supportive environment for residents to lead fulfilling lives, and participate fully in appropriate leisure and social activities of each person’s choosing. Staff respected everyone’s rights and helped residents with personal development, community and family links and social inclusion. The home promoted healthy eating and supported service users with cooking skills. EVIDENCE: Residents said that staff helped with problem solving and with practical skills such as shopping, cooking and household chores. Staff enjoyed time with service users, giving support to build confidence. One resident explained that there was access to community psychiatric nurses, mental health social workers, out patient and psychology services for therapy interventions. Staff accompanied service users to such visits to give support. Residents knew who their social workers were and how to contact them. Work, education and occupation were discussed with residents who said that they attended college and occupational activities. For example, the ‘Into Work’ project, college for English and IT. The local resource and day centres are Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 12 available for those wishing to attend. One resident had returned home from an enjoyable holiday with another service user and others described a wide variety of individual hobbies and leisure activities they enjoyed. These included listening to and playing music, watching TV and sports, going to the pub, playing pool, having a bet, going to the gym, swimming, caring for pets, clothes shopping, reading, trips out with staff, playing darts and walking. Residents said they kept in close touch with friends and family. Visitors were made welcome and one person said he had recently cooked a meal at the home for his family. Care plans noted that family and friends are included in aspects of residents’ lives, as far as that person wishes. The general house rules were explained in the service user guide (i.e. in respect of general behaviour towards the property and others, smoking, drugs, alcohol etc.) and where appropriate were agreed as part of a care plan. Restrictions on lifestyle choices were noted as part of each person’s CPA and understood by the residents spoken to. Residents explained that they made their own choices regarding friendships and personal relationships with others. Everyone had their own bedroom door key and could be alone and undisturbed in their rooms when they chose. There was choice and variety of meals and residents commented that they liked the food. They helped with food shopping, preparation, cooking and washing up and meals that respected resident’s cultural and religious needs and wishes were provided. Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Personal and healthcare support was provided in a flexible and individual manner, which respected residents’ dignity and independence. There were good systems for safe administration and resident’s self-administration of medicines. EVIDENCE: Everyone’s appearance reflected their choice and personality and residents made their own choices about personal routines, such as getting up/going to bed times, bathing, clothes choice, going out etc. Healthcare needs were monitored by staff observation and service users own assessments of need. GP, outpatient and other medical check visits were recorded in residents’ care plans. Residents explained that appropriate professionals oversaw mental healthcare needs. Residents said that staff accompanied them to hospital and other appointments (such as routine checks by dentist, optician, chiropodist etc.) or they go alone if they prefer. There had been difficulties in accessing dental care, but a new local service had been identified. Service users consent to medication was recorded as part of their CPA and self-administration was risk-assessed and agreed with residents. There were safe medication storage and administration policies and procedures, which were followed by staff who had accredited training. Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Complaints were taken seriously and Calder View had a robust complaints procedure, which was followed. This ensured that complaints were acted upon within reasonable timescales and residents could be confident that their concerns, no matter how ‘minor’ were listened to and properly investigated. Procedures were in place to respond quickly to suspicion or evidence of abuse, although having two different procedures was confusing. Staff had a good understanding of how to protect residents and to respond to allegations of abuse. EVIDENCE: Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 15 The home had a detailed complaints procedure in the service user guide and policies file. The complaints procedure was also available in Urdu. All the residents and staff had signed the procedure to indicate their understanding. Throughout the inspection residents freely voiced their opinions. Comments and requests were listened to and acted upon by staff. Residents stated on comments cards that they knew who to speak to if they had any concerns about their care. There had been no complaints since the last inspection and residents said that they had no complaints or concerns about the home at present. The home had an adult protection procedure and a copy of “No Secrets in Lancashire”. These documents were available to staff and residents and set out the response should there be any allegations or evidence of abusive practice. Staff said they had received training in protecting the residents and through discussion showed they had a good understanding of the procedure and the action they should take. However, having been reviewed and amended there were two sets of policies and procedures, which were contradictory. To avoid confusion, the older set should be removed. Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 to 30 The house was non-institutional and suitable for its stated purpose of supporting younger adults who have a mental health problem. The house was comfortable and had a generally satisfactory standard of décor and cleanliness. In order to ensure that the home is safe, hygienic and respects resident’s dignity, several recommendations were made about maintenance, upkeep and removing obstacles. EVIDENCE: The house is spacious and near to local transport, shops and other amenities and is in keeping with other houses in the locality. The furniture, fittings and decoration were domestic in style and of acceptable quality. There was a planned, written maintenance and renewal record. The registered provider visited once a month in accordance with the requirements of legislation and ensured that the premises were satisfactory. Maintenance, renewal and refurbish requirements were generally carried out in a timely fashion. The residents said that they shared with staff in helping to keep their home clean and they were responsible for tidying and cleaning their bedrooms. Communal rooms were bright, comfortable and had a good standard of cleanliness. Residents said that everything in the house worked properly (such as the laundry and kitchen equipment) and they liked the house. Records Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 17 showed that maintenance checks were up to date. There was no assessed need for aids or adaptations for the current residents. Every service user had a single bedroom and three residents showed the inspector their rooms. These were suitably and appropriately decorated, and furnished and personalised with the occupant’s belongings. Every bedroom had a door lock. There was adequate and controllable ventilation and heating. Rooms had a hand basin but no en-suite. A range of house bathroom facilities provided choice of bath or shower. Residents said that their rooms had been redecorated as needed and thought their bedroom accommodation was satisfactory. It was recommended that the manager should conduct an inventory of the soft furnishings (e.g. duvets, pillows and bedding, curtains, carpets etc.) to ensure they are replaced as necessary and staff should assist residents with bedroom ‘spring-cleaning’. In order to ensure that the home is safe and hygienic further recommendations were made about keeping the landing and shower room clear of obstacles. The damaged floor covering in the upstairs toilet should be replaced and a suitable floor covering provided in the laundry. The rubbish for recycling should not be stored in the laundry and the back garden should be tidied, to make it a pleasant place for residents to use. Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 and 36 Robust recruitment policies and procedures had been followed when appointing staff. This resulted in a workforce that had been properly vetted and care workers who were suitable to work with vulnerable adults. Staff had undertaken NVQ courses and in-service training in order to meet the individual needs of residents. Residents’ personal development was promoted and protected by a good programme of staff supervision and appraisal. Staff morale was high, resulting in a staff team committed to improving service user’s quality of life. EVIDENCE: ‘Case tracking’ of staff files, records and other documents and discussion with staff showed that full and satisfactory information was obtained about staff prior to their appointment (such as references and Criminal Records Bureau checks). Staff had been issued with job descriptions. The new deputy had not been given a contract (terms and conditions of employment) and although familiar with the principles contained in the code, had not been given a copy of the General Social Care Council (GSCC) codes of practice. Staff related well to residents’ personal interests and residents said they liked and got on well with the staff team. There were adequate numbers of staff on Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 19 duty to meet the needs of the residents and the staff team mix reflected the service user population in respect of age, gender and cultural background. Residents said that staff were “helpful” and thought they had good attitudes. Staff members had a pleasant manner and good understanding of residents needs, with consequent positive relationships. Residents said the staff were approachable and remarks from comments cards noted that residents felt well cared for and thought their privacy was respected. One person highlighted a problem with one staff member and this was referred to the deputy manager, for further enquiry. Training was seen as important at Calder View, so that staff could satisfactorily meet the needs of residents. Three quarters of the staff team had completed NVQ2 training. All the staff had undertaken induction, foundation and on going training in care practices, mental health and health and safety topics. The manager carried out regular formal staff supervision and appraisals, to ensure that staff carried out their jobs properly. Staff had access to policies and procedures regarding grievance and disciplinary matters and those relating to the safety of residents. These underpinned care practices. Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 41 and 42 A qualified and experienced registered person, who ensured that the home was run in the best interests of the residents and who provided appropriate leadership for the staff team, was in charge of Calder View. The systems for service user consultation were good and encouraged and enabled residents to express their views and opinions. Sound and comprehensive policies and procedures underpinned care and health and safety practices, ensuring that risks to service users were minimised. EVIDENCE: The registered manager was experienced and qualified and the residents and staff had confidence in his knowledge and skills. Residents said they also had opportunities to put their views to the registered provider, who visited regularly. Residents were encouraged to read and comment on the policies and procedures and were involved in discussions about the running of the home. Everyone spoken with was satisfied that his views and opinions were listened Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 21 to and acted upon. The service’s quality system included the ‘Investors in People’ award in respect of valuing staff training and development. Residents had completed a service user satisfaction survey this year and the results were displayed in the hallway. The action that was being taken in response to the replies was discussed with the deputy manager. The residents said that they got along with and supported each other. They were knowledgeable about the home and the way it operated. They were well informed of care plan arrangements and content of records. “Case tracking” of records and discussion with residents showed that records were well kept and up to date. Staff had received proper training in safe working practices and had helped residents to be knowledgeable about health and safety issues, including food hygiene and security of the building. Fire procedures were understood. Residents and staff confirmed record content, which showed that all equipment in the home was in good working order and was replaced as necessary. To improve the management planning and encourage innovation, it was recommended that in addition to the staff and residents meetings, the management team of the company (registered manager, deputy, registered provider and registered manager of related homes) meet regularly to discuss progress and forward planning. It may be helpful to consider technologies such as e-mail, to improve communication and keep up to date with care practices. Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 2 3 2 N/A 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Calder View Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 2 3 3 3 3 x F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 23 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. 1. Standard Regulation Requirement There were no requirements from this inspection 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 23 24 Good Practice Recommendations The manager should ensure that there is only one set of up to date policies and procedures about the protection of vulnerable adults available to staff and residents (23.2) The manager should ensure that the home is made safe by removing the obstacles from the upstairs toilet, the shower room and landing and the recycling rubbish from laundry. The manager should also make sure that residents have assistance to keep bedrooms in a clean condition (24.6) The manager should ensure that bedding, carpets and soft furnishings in all bedrooms is in a good, safe, clean condition (26.2 vi) The back garden should be tidied, to make a pleasant space for residents (28.1) A floor which is impermeable and readily cleanable should be provided in the laundry (30.4) All new staff should be given GSCC codes of conduct(34.5) and a statement of terms and conds of employment (34.6) In order to promote forward planning and innovation, the management team should meet regularly (38.5) F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 24 3. 4. 5. 6. 7. 26 28 30 34 38 Calder View Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Unit 4 Petre Road Clayton-le-Moors Accrington BB5 5JB 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 Calder View F57 F07 S9604 Calder Vw V228222 3.8.05 Stage 4.doc Version 1.30 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!