Inspection on 13/10/05 for Carrington Court

This inspection was carried out on 13th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Carrington Court 28/06/07

Carrington Court 07/02/06

Carrington Court 16/11/04

Carrington Court 05/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Carrington Court Darby Lane Hindley Wigan Lancashire WN2 3DU Lead Inspector Lindsey Withers Unannounced Inspection 13th October 2005 08.45 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 Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 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. Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Carrington Court Address Darby Lane Hindley Wigan Lancashire WN2 3DU 01942 526220 01942 526260 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) Southern Cross Healthcare Services Limited Ms Marie Wall Care Home 48 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (48), Physical disability (2), of places Physical disability over 65 years of age (5), Terminally ill over 65 years of age (5) Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 48 service users to include:up to 48 service users in the category of OP (Older People) up to 5 service users in the category of TI(E) Terminal Illness over 65 years of age up to 5 service users in the category of PD(E) Physical Disabilities over 65 years of age up to 2 service users in the category of PD Physical Disabilities under 65 years of age The service should employ a suitably experienced and qualified manager who is registered with the CSCI. One named service user (KB) in the category of PD (Physical Disability under 65 years of age) may be accommodated within the overall number of registered places. The Home`s categories of registration must revert back once KB reaches 65 years of age, or is no longer accommodated at the Home. One named service user (TD) in the category of DE (Dementia under 65 years of age) may be accommodated within the overall number of registered places. The Home`s categories of registration must revert back once TD reaches 65 years of age, or is no longer accommodated at the Home. 16th November 2004 2. 3. 4. Date of last inspection Brief Description of the Service: Carrington Court is situated close to Hindley Town Centre, on the main road from Atherton to Wigan. The Home is close to shops, pubs, a library, a dance hall, and other community and social amenities. Carrington Court, part of the Southern Cross group of care homes, is registered to provide nursing and personal care services to male and female residents over the age of 65. Additionally, the home may accommodate 2 people under 65 years of age who have a physical disability, 5 people who are over 65 years of age who have a physical disability, and 5 people over 65 years of age who are terminally ill. The total number of people who can be accommodated is 48. Carrington Court is a purpose-built care home. Accommodation is provided over two floors. There is ample communal space. All private accommodation is provided on a single occupancy basis. All bedrooms have en suite facilities. Car parking for visitors is provided at the front of the home. Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 7 hours on one day and was unannounced. Part of the time was spent in the office looking at the paperwork that the home needs to keep to show that it is being properly run. Part of the time was spent looking around the premises, observing day to day activities involving staff and residents, talking to staff and residents, and looking at how the kitchen and laundry services are managed. What the service does well: What has improved since the last inspection? What they could do better: An immediate requirement was made for the bain marie (the hot food trolley) to be repaired within a week of the inspection so that hot food could be delivered to residents without it becoming cold or unpalatable. The storage of dry food such as flour, pastry mix, etc. needs to be reviewed so that there is less risk of contamination, and so that the product is used within the appropriate time period. The kitchen assistant needs to attend training in the Control of Substances Hazardous to Health because she deals with such Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 Page 6 products during her work. The floor in the kitchen’s external food store should be cleaned more often than once per week, particularly as vegetables are stored here. Consideration should be given to providing additional staff at meal-times in order for there to be enough help to residents who need assistance with eating and drinking. 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. Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 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 Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 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 and 4 Residents can be assured that, prior to admission, a full assessment of their needs will be undertaken by a person who is competent to do so. Residents can be confident they would only be admitted to Carrington Court if their needs can be met. EVIDENCE: Residents who come to live at Carrington Court do so because they need nursing care. Nurses are responsible for assessing a person’s needs before he or she is considered for admission to the home. Families or other supporters of the prospective resident are included in the assessment process. A sample of three assessment documents were looked at, which showed that detailed information about the person’s health care needs had been recorded, together with a medical and social history. Before admission is confirmed, staff discuss what extra help a person may need, and so far as possible, this is arranged so that it is available at the time of admission. Most often, this will be a particular type of bed or chair, but can include a piece of medical equipment, or refresher or awareness training for staff who will be delivering the care. Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 Page 9 In making a decision about whether or not to admit a person, the Manager has a discussion with members of her staff to consider the dependency levels of the existing resident group, and the skills and experience of staff. This is to prevent unnecessary disruption to the dynamics of the home, and to prevent excessive stress on staff delivering the care. Services offered by the home, outside of general nursing care, includes the care of people who are terminally ill. Palliative (calming, pain-relieving) care is provided by staff who have been properly trained and who have a genuine interest in delivering this special type of care. There are good links with the MacMillan Nurses and other organisations and consultants in relation to terminal conditions other than cancer. Specialised services not offered by Carrington Court are arranged, usually via the GP. Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 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, and 10. Each resident has a plan of care that is individual to them. Care plans are drawn up with help from the resident and their supporters. Residents can be assured their health care needs will be met. Residents can be confident they will be treated with respect and that their dignity will be maintained. Residents can expect to retain their right to privacy. EVIDENCE: Each resident has a written plan for their care (the “care plan”) that uses the pre-admission assessment as the starting point. New paperwork was being introduced at the time of this inspection and files were being transferred over. Although there is a core care plan that is relevant to each resident, additional elements can be added that are relevant to the individual. Care plans can be complex for people accessing nursing care, but the three that were looked at during this inspection were organised and well-maintained. Recording in care plans was clearly written, detailed, factual but jargon-free. This means that the resident (or supporter) would find their care plan relatively easy to read. There was evidence to show that families had been involved in developing the care plan: indeed, one relative had written a care plan specific to one area of care. Nursing staff said that this was because the relative had been the person who best knew how the care should be provided, with minimum upset to the Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 Page 11 resident. At each annual review – usually involving a nurse, the resident and his or her supporter - the care plan is discussed, possible or essential changes agreed upon, and signatures obtained. In-between times, care plans are reviewed on at least a monthly basis, and changes are made that reflect the resident’s current needs and objectives. In each care plan, risks to the health, welfare and safety of the resident had been identified and assessed. Some risk assessments were relevant to all residents, for example, risk of falls, skin tissue viability checks, moving and handling needs, and some had been written that were specific to the individual, for example, safe use of a wheelchair or bed rails. Again, signatures of the resident’s supporters to confirm their acceptance of the arrangement were in evidence. In one review, a relative had expressed her satisfaction with the service provided by Carrington Court, and said that her relative was happy. Residents coming to live at Carrington Court for a short time (for example, for respite care) have a reduced care plan that is comprehensive, but which focuses on current and short term needs, rather than long term goals. There was good evidence in the care plans looked at on this occasion to show that residents had access to a range of health and social care professionals. Equipment had been arranged that was necessary to providing appropriate care. Appointments had been made with family health and community services or hospital consultants, according to need. There was also good evidence in the care plans to show that staff had identified potential problems. Clear instructions had been left for other staff to observe and for them to make referrals, if appropriate. At all times during the course of this inspection, residents were seen to be treated courteously and with respect. Residents are encouraged to express their individuality, and assistance is given so that residents live as independently as they would wish. To have high self-esteem is seen as essential to good mental and general health, and staff try hard to foster feelings of self-worth in a resident who is feeling low in morale. Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 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, and 15. Residents are given choices about the way they live their lives, are encouraged to make those choices, and are supported in their decision. Residents maintain good contacts with their families and friends. Food is provided that is properly cooked, is appropriate to the resident’s needs, and is served as the resident wishes. Repairs to equipment must be made quickly in order to achieve this outcome. Staff numbers should be increased at meal-times if sufficient assistance is to be given to residents needing help with eating and drinking. EVIDENCE: From observations, it was clear that, wherever possible, residents are encouraged to make choices for themselves so that they live their daily lives in a way that is suitable for them. This might be what time they get up or go to bed, what they have to eat, where they want to sit, whether they would like to go out, or who they would like to spend time with. An Activities Co-ordinator is employed for 30 hours per week (recently increased from 20), which she uses over the Monday to Friday working week, but at different times of the day. She has attended training courses that help her to do her job better. She has a small budget and arranges fund-raising events to raise money for the residents. Whatever she raises, the organisation will match. With the generosity of relatives, staff and supporters of the home, Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 Page 13 she has raised enough money this year to purchase a summer house for the residents. Residents have said how they would like it to be decorated. Heating will be installed so that it can be used for activities year-round. The activities programme is varied and innovative, ranging from arts and crafts, prize bingo, baking, a weekly quiz (with trophy), and reading aloud, to pub lunches, visits to the dance hall, a walk to the shops, excursions and quiet, one-to-one time (particularly relevant to those who are nursed in bed). Relatives are welcome to join in with all activities, and some are regular participants. Residents have good contacts with their families and friends, and visitors are welcome at any time. Visitors will be offered drinks, and arrangements can be made for visitors to join their relative for a meal or snack. Residents received visitors in their own rooms as well as in the communal areas. Relationships between staff and visitors were seen to be good. In a conversation with the Inspector, a member of staff suggested that it might be nice for residents to have a formal religious service on special days – at Christmas, Easter, Remembrance Sunday, etc. as she felt a number of them would benefit from and enjoy the experience. This suggestion was put to the Manager for her to consider. Looking around the home, it was evident that residents had brought in to Carrington Court personal items that would help them to feel more comfortable. For some, personal possessions included items of furniture, a TV or radio. Others had chosen to bring photographs, ornaments or pictures. A record is kept in the resident’s file of their personal possessions, which can be referred to in the event of loss or damage. The majority of residents have handed over the responsibility for their financial affairs to their relatives or other supporters. The Inspector met with the day’s cook and kitchen assistant in the kitchen to look at menus, food stocks, equipment, cleanliness and hygiene control. With the exception of the floor in the external food store, the kitchen was clean and there was good attention to hygiene control. The menus were varied and reflected local tastes. The cook had introduced new recipes which residents had enjoyed. The cook emphasised that Carrington Court was the residents’ home, and so far as he was able, he would provide what they wanted to eat and drink. So, if someone wanted to have something specific, he could make it. He spoke about the importance of the nutritional content of meals, and about providing meals that were of good quality and that provided variety, and that were served in sufficient quantity. Residents are offered a choice from a good, substantial breakfast range, a choice from a minimum of two meals at lunch and dinner, and a supper time snack that could be biscuits or a sandwich, depending on the resident’s choice. The cook also emphasised his belief that residents with special dietary meals Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 Page 14 should receive no less variety or quality as those receiving a regular diet – “Why should they be any different?”. With this in mind, he will offer diabetic or pureed diets that reflect the main menus, but with sugar-free or enriched alternatives, according to the need of the resident. The cook said the kitchen team plans ahead so they bake and freeze cakes and fruit pies that can be used as a treat for afternoon tea or for special occasions. It was noted that one of the two bain maries used for transporting hot food to the residents’ dining rooms had been out of order for almost three weeks. There was the potential for residents to receive food that was not hot enough, and that was unappetising. An immediate requirement was made for this piece of equipment to be repaired within the week. All other equipment in the kitchen was reported to be in good working order. Staff serving meals to residents knew what each person had ordered and whether they needed a special diet. They were clear familiar with residents’ individual preferences, and checked and re-checked that they were serving the right choice of meal to residents. Carers said they kept food diaries for certain residents. This information was passed to the nurse in charge for inclusion in the care plan. Assistance was provided but, observing the lunch-time serving on the first floor, staff were rushed and unable to provide as much time assisting residents as would have been appropriate. There was the potential for residents’ plates to be removed before they had eaten sufficient as the phrase “Have you finished?” was used, rather than “Would you like to eat some more?” Furthermore, residents who liked to get up and walk around ran the risk of not eating sufficient food. This was discussed with the Manager and the nurse in charge on the first floor and both confirmed that this was an issue they had already identified; the minutes of a meeting confirmed that this was so. The different options to resolve the matter were explored, and the Manager agreed to consider employing an additional carer, specifically to assist at meal-times. With this additional person on duty, staff would be less rushed and would have more time to spend with residents. Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 Page 15 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): Not assessed on this occasion. EVIDENCE: Not assessed on this occasion. Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 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, 22, 24 and 26. Carrington Court is clean and well-maintained. Residents can expect to live in comfortable surroundings, and have a bedroom that suits their needs and in which they can keep their personal belongings. Staff training and good infection control procedures mean that the risk of spreading infection is minimised. EVIDENCE: The general impression, gained from looking around the home, is that Carrington Court is clean, kept free from unpleasant odours, and is generally well-maintained. A handyman is employed who makes sure that reported repairs are attended to, general maintenance tasks and servicing are kept up to date, and keeps the decorating to a good standard. The Manager and her staff team are constantly striving to improve the gardens so that residents get the opportunity to sit in pleasant surroundings during the better weather. The foundations had been laid for the new summer house, which residents had said they would like decorated in the style of a beachhouse. Residents had also requested wind chimes and a water feature. Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 Page 17 Communal space is ample and offers residents a variety of places, outside of their own room, where they can sit and spend time. One or two residents like to sit in comfortable chairs on the corridors where they can watch what is going on. So far as possible, residents are invited to join together for social events, for meals, etc. and communal lounges and dining rooms are spacious enough to accommodate this. A variety of seating is provided, including a domestic sofa, fireside chairs, and specialist chairs. Domestic style lighting, soft furnishings, silk flowers, and ornaments help to make communal areas as homely as possible. Residents’ individual bedrooms were clean and appeared comfortable. Bedrooms were individually decorated, and residents had taken the opportunity to bring in items that were personal to them, to help them feel more at home. Bedroom doors clearly display the resident’s name. Each now has a door-knocker. In the laundry, all equipment was in good working order. A new ironing/steamer system had recently been delivered. The laundry assistant had received training so that she could use it properly and safely. The member of staff was clear about the safe use of the remaining equipment as well as detergents and other cleaning agents that are used in the laundry. She said that there are regular audits by the home and by staff from Southern Cross. She said she was supervised periodically as she does her work. There is a good system for managing the control of infection. The laundry assistant was able to relate how she dealt with infected or soiled linen and clothing. She said that if any resident had an infectious condition, she was kept informed so she could handle laundry appropriately. Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 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 Skilled staff, in sufficient numbers, are employed on a daily basis to make sure that the needs of residents are met. EVIDENCE: A copy of the staff rota was looked at for the week of the inspection. The Manager, who is a nurse, is supernummary to the rota. There is a Registered General Nurse on duty on each floor at all times, each supported during the day by a team of three care staff plus an additional carer who works between the two floors. At night there is a nurse and a carer on duty on each floor, plus an additional carer who works between the two floors. These numbers are maintained on a daily basis, and are increased if residents’ needs dictate. As noted earlier in this report, consideration should be given to including an additional member of staff to assist residents with their meals. Extra staff are brought on duty to escort residents to hospital or other appointments if family members are not available to do this. Sufficient numbers of staff are employed so that catering, cleaning, laundry, and maintenance requirements are met. Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 Page 19 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): 38 With two minor exceptions, residents and staff at Carrington Court can be sure they will be kept safe from hard by the home’s positive approach to safe working practices. Minor shortfalls in the kitchen need addressing in order to maintain good safety standards. EVIDENCE: Staff attend training and update sessions in safe working practices, such as fire safety, moving and handling, food safety, etc. A recent recruit said that safe working practice is also discussed during the induction period. Staff spoke about having attended training and awareness sessions. The kitchen assistant had not attended any training in relation to the Control of Substances Hazardous to Health (CoSHH) and the Administrator immediately made arrangements for training to be scheduled. Also in the kitchen, stocks of dry goods were generally stored appropriately. However, some thought needs Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 Page 20 to be given to the way in which items such as flour, pastry mix, etc. are stored so that the opening and sell by date are known. Dry goods should be stored in appropriate, lidded containers to avoid contamination. This finding is disappointing given that the cook who was on duty has just re-newed his food hygiene certificate. Individual members of staff are responsible for ensuring the daily, weekly, monthly checks are made on the systems and services used within the home, and for keeping records. The records were not looked at during this inspection. However, there are regular audits by staff from Southern Cross and relevant information is made available to CSCI. The Manager ensures compliance with current legislation, for example, relating to moving and handling, reporting of incidents and accidents. Again, these are audited by staff from Southern Cross. In order to further improve standards relating to health and safety, the Manager and the Administrator have enrolled on a health and safety course through North Trafford College. The training will be provided in-house so that it will be relevant to Carrington Court. Risk assessments are drawn up so that staff are working safely. A good example of this was noted during the inspection when the handyman was using a new piece of powered equipment. Protective clothing had been purchased, the instructions had been read, and the potential hazards identified. Staff were seen to be ensuring the safe use of equipment used to assist residents, for example, ensuring residents in propelled wheelchairs had foot rests in place, and the manufacturer’s fitted lapstrap was used for a resident being nursed in a special (KBII) chair. Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x 3 x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x 2 Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 Page 22 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 2 3 Standard OP15 OP38 OP38 Regulation 16 16 18 Requirement Timescale for action 21/10/05 The bain marie that has been broken for almost three weeks must be repaired. Immediate. Dry food must be properly stored 01/11/05 and labelled when decanted. The kitchen assistant must 01/12/05 receive COSHH training. 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 OP15 OP15 Good Practice Recommendations The floor in the external kitchen store should be mopped more often than once per week. Additional staff should be employed to assist residents at meal-times. Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 Page 23 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 Carrington Court DS0000005675.V258311.R01.S.doc Version 5.0 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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