Inspection on 12/09/05 for Carlton Manor Care Home

This inspection was carried out on 12th September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Carlton Manor Care Home 25/02/09

Carlton Manor Care Home 22/02/07

Carlton Manor Care Home 17/01/06

Carlton Manor Care Home 29/09/04

Carlton Manor Care Home 27/04/04

Similar services:

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Snydale Care Home

Larchfield Manor

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Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Carlton Manor Parkfield House 23 Parkfield Road Bradford BD8 7AB Lead Inspector Kathleen Firth UNANNOUNCED 12th September 2005 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 Older People and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Carlton Manor Address 23 Parkfield Road Bradford BD8 7AB 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) 01274 544374 01274 491985 Carlton Nursing Homes Ltd M Holstead Care Home 33 Category(ies) of Physical disability (11) Physical disability - over registration, with number 65 (24) Old age (24) of places Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection September 2004 Brief Description of the Service: Carlton Manor Care Home was originally built as a private residence and later used as a Convent. The home has retained many of the original features including a very impressive dining room. It is situated in secluded grounds, ideally located for easy access to Bradford City centre. There are regular bus services to many local amenities and there is ample parking for visitors. Care is provided for up to thirty three residents with physical disability, twenty four of these places being for people over 65 and the rest for people under this age. There is a mixture of single and double rooms mostly with en suite facilities. All rooms can be accessed by a passenger lift. The home has three lounges one of which is used for smoking. There is a large dining room that easily accommodates all of the residents. Ramped access is available for the less mobile at the rear of the building. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over four hours by one inspector on Monday 12th September 2005. The inspector looked around the building, spoke with residents, staff, management and visitors, examined residents’ records including care plans, menus, staff rosters and the Service User Guide. Staff, visitors and residents were very helpful throughout the inspection and were happy to join in. Seven staff, ten residents and one visitor were spoken to. What the service does well: The home encourages independent lifestyles within a risk management framework. Residents are treated with respect and live in a homely environment. The home tailors admissions to meet the individual person’s needs and choices and they take as long as required. Residents have very comprehensive care plans in place that they are involved in drawing up. Their needs are clearly identified with the tasks staff need to do in order for these needs to be met. The plans are reviewed on a regular basis. Communication amongst the staff team is very good and they all showed a good understanding of the residents’ needs. Staff, residents and a relative said that they receive excellent support from the manager and are able to approach her if they have any concerns or worries. One relative said that he is happy to go away, confident that staff will contact him if necessary. Residents said that they feel well cared for and that staff treat them with respect at all times. Religious ministers are welcome at the home to provide spiritual guidance to the individuals who choose this. There are a range of activities offered by the home and a new activity organiser has been recruited. Young Adults are encouraged to continue with their studies. Trips out are organised and risk assessments are in place as appropriate. Residents are encouraged to maintain contact with family and friends and a cordless phone is available for them to use if they need to. The local healthcare team offer good support to the residents and specialised services can be accessed if needed. There was evidence that a Physiotherapy care plan has been put in place for one particular resident. An excellent diet is offered at the home that includes plenty of fresh food. There is a commitment to training at the home and staff confirmed that they have access to relevant courses. All care staff have completed or are working towards an NVQ (National Vocational Qualifications). Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 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. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 5, 6, OP 1, 2, 4, 5, YA Prospective residents and their carers can be sure that the home will meet their needs and aspirations. They are able to make an informed decision about the home from the written information they receive and what they see when they visit. EVIDENCE: A copy of the service user guide plus a general information leaflet about the home given to all prospective residents was seen and found to contain sufficient information to help the person make an informed choice about coming to the home. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 9 The manager or her deputy carries out a full assessment on people wishing to come to the home, copies of these are kept in the resident’s file. When the person is a Young Adult the assessor also looks at education needs. Anyone wishing to come and live at the home is invited to visit and spend some time there talking with residents and staff. People visit as many times as they wish and stay as long as they choose to. Every resident has their own contract containing the terms and conditions of the home. These are stored in the office at the home but a copy is given to the resident or their family. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 OP 6, 9, 16, 18, 19, 20 YA Good communication makes sure that the residents’ needs are met. Residents are treated with dignity and their privacy is maintained at all times. EVIDENCE: All residents have a comprehensive care plan that gives information about their needs. There was evidence that the residents are involved in drawing up the plans and sign to say that they agree with what is in the plan. Regular reviews of the plans are carried out and any necessary changes made. Risk assessments are in place with the relevant coping strategies. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 11 Most of the residents are registered with one GP practice who offer good support to them and the staff at the home. The Diabetic nurse offers support as and when required, as do the District nurses. The Tissue Viability nurse visits the home if requested to do so. There was evidence that arrangements are in place for residents to receive services from Opticians, Podiatrist and Dentists. Two members of staff have been trained to cut toenails. There was evidence throughout the inspection that showed the residents are treated with respect and their dignity is maintained at all times. Personal support is given in the privacy of the resident’s own room or bathroom. No one looks after their own medication at the home and there is a comprehensive Medication policy and procedure in place to do this. The home uses the Boots system with different coloured packs for various times of the day. All records were up to date and maintained correctly. Only the Nurses at the home handle the medication. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with asssistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 OP 12, 13, 15, 17 YA Appropriate activities are arranged for the residents. They are encouraged to be part of the decision-making process and make choices about their lifestyle. Residents are supported to keep contact with family and friends. A good, varied and nutritious diet taking into account individual choices is provided. EVIDENCE: A new activities organiser has just been appointed and is working with all the residents to make sure that individual choices are taken into account. Within the home residents enjoy card games, dominoes, trivial pursuits, exercise classes amongst other activities. One resident helps in the garden, as this is Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 13 something he enjoys doing. The residents also enjoy pub trips and going out for meals. The manager is trying to enrol one young person at the local college. Staff and residents were planning to attend the Saltaire Festival due to take place the weekend after the inspection. A sponsored walk to raise funds was also being planned. One resident said that there was not enough to do but staff and other residents said he refused to join in things. A priest or nun visits to give communion to the catholic residents. Other ministers are welcome to visit if they choose to. Support is offered to the residents to make sure that they can keep in contact with their family and friends. People are welcomed at the home and one visitor said he felt very much at home there. He said that staff were very supportive to him. Integration into the community is difficult due to the geographical location. However any resident who expressed a wish to be involved in the community would be supported in this. Residents spoken to said that they are able to go to bed and get up at the times they choose. Staff take residents shopping for clothes and also hold clothes parties at the home. One resident has insisted that the bed be removed from her room and she sleeps in a suitable chair now. A written record of this was made and the resident and her family have signed this. Evidence was seen that the home uses fresh produce to prepare meals and the menus confirmed that the food offered is varied and nutritious. Everyone’s likes and dislikes are taken into account and one resident described the food as “fantastic”. The meal offered at the time of the inspection was seen to be nicely presented and well balanced. Staff were seen to be offering support to the residents as required, ensuring that they were able to enjoy their meal. Plate guards were in use to enable the residents to retain their independence when eating. Residents said they are able to swap their lunch and evening meals if this is their choice. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17, 18 OP 22, 23 YA Residents and their representatives have their views listened to, taken seriously and action is taken to resolve any issues. Residents have their rights protected and are protected from abuse. EVIDENCE: The appropriate policies and procedures were seen to be in place and the manager confirmed that staff have had Adult Protection training. She is confident that staff are able to recognise the signs of abuse and know what to do if this happens. There is a complaints policy and procedure in place and this is contained in the Service User Guide. The manager will place a copy in the foyer containing the CSCI telephone number so that visitors have easy access. The manager is confident that residents and their relatives feel able to approach her or the staff if they have any concerns or worries. The residents and relative spoken to confirmed these views. There is a Whistle Blowing policy in place at the home. Everyone is registered to vote and is able to use the postal system or go to the polling station. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 21, 23, 24, 26 OP 24, 25, 26, 27, 30 YA The home offers a safe environment for the residents and provides them with suitable accommodation. EVIDENCE: The home is suitable for its stated purpose and is well-maintained offering a safe comfortable environment to the residents. It is clean and tidy throughout with no offensive odours. There was evidence of recent redecoration and the dining room décor is of a particularly high standard suited to the age and style Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 16 of the building. The communal rooms are very comfortable, offering sufficient space for everyone and there are ramps throughout the home to ensure easy access to all areas. There is one area that residents can use if they wish to smoke. There are only two rooms without en suite facilities and assisted bathing facilities are available. Sufficient toilets are available for the residents’ use and soap and towels were seen. Staff said that they would like to have more adjustable beds in the home. Evidence was seen that residents are encouraged and enabled to bring their own possessions with them when they move into the home including furniture. Electrical things have to be tested before being allowed in the home. There is a lockable space in each bedroom to make sure residents can store any valuables safely. There is a control of infection policy in place with all staff having training in this area. There is a laundry assistant employed at the home who takes responsibility for all the washing done at the home making sure that everything is washed at the correct temperatures. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 OP 31, 32, 33, 34, 35 YA Residents are supported and protected by recruitment procedures in place. Staffing numbers and skills makes sure that the residents’ needs can be met. EVIDENCE: The staffing numbers and skill mix were appropriate at the time of the inspection and staff, residents and the rosters confirmed that this is the normal way of working. The manager is supernumerary on most days and the staff team is made up of a qualified nurse and support workers. Almost all of the staff have achieved or are working towards an NVQ. Staff spoken to during the inspection said that they have easy access to training and that staffing numbers allowed people to attend appropriate courses. There is a good understanding of each other’s roles amongst the staff team and they work well together. They all stated that they receive excellent support from the manager and that there is sufficient staff on duty to be able to meet the residents’ needs. One new member of staff said that he had been made welcome by the rest of the staff and they had offered good support. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 18 Recruitment is carried out to comply with equal opportunities. Two written references plus CRB (Criminal Records Bureau), POVA (Protection of Vulnerable Adults), Visa and identity checks are carried out before anyone is allowed to start working at the home. Qualifications and gaps in employment history are checked at interview. Staff files contained all the required information. Staff meetings are held two monthly with the agenda and minutes made available to everyone. The manager tries to hold the meetings at varying times to make sure everyone has a chance to attend. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s polies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 33, 35 and 38 (Older People) and Standards 23, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35, 36, 37 38, OP 8, 10, 23, 37, 39,40, 41, 42 YA The home is well managed, the interests of the residents are seen as important to the manager and staff and are safeguarded at all times. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 20 EVIDENCE: There is strong leadership at the home with the manager being qualified and experienced in this field of work. She is a qualified nurse and has recently completed the work for the registered manager’s award and is awaiting the result. All records were properly maintained and safely stored. Policies and procedures are updated as required. The manager holds meetings with the residents every three months although she said that little interest is shown in these. Residents are made aware that they can have access to their records if they so choose. Staff supervision sessions with written records are in place and staff confirmed that these take place as required six times per year. The manager takes responsibility for Health and Safety issues with all staff receiving training in this area. There is a call system throughout the building and evidence was available that staff have manual handling training. Fire bells are tested weekly with fire practice sessions every three months. Nothing was seen during the inspection that could cause a hazard to residents, visitors or staff. One person manages his own financial affairs with families taking care of the rest. Staff take responsibility for individual personal allowances and records pertaining to these were correct. Receipts were available for any purchases and regular counts of monies take place. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 21 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 3 2 3 3 3 4 x 5 3 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 x 3 x 3 3 3 3 Score Standard No 7 8 9 10 11 Score 3 3 3 3 x Standard No 27 28 29 30 3 3 3 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 3 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 x 33 3 34 x 35 3 36 3 37 3 38 3 Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 22 YES 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 OP34 YA43 Regulation 25 Requirement The registered provider must make sure that any information reasonably required for the purpose of inspection, is available on the premisies. (Previous timescale of immediately on receipt of draft report not met) Timescale for action On receipt of draft inspection report. 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 OP30 YA35 Good Practice Recommendations The manager should develop a written training and development programme. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 23 Commission for Social Care Inspection Aire House Town Street Rodley LS13 1HP 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. Carlton Manor 20050912 Carlton Manor UN Stage 4 S33997 V245992 J52.doc Version 1.40 Page 24 - 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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