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Inspection on 27/07/06 for Charterhouse Residential Care Home

Also see our care home review for Charterhouse Residential Care Home for more information

This inspection was carried out on 27th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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 is presently presented and the residents rooms have been personalised with items of their choice. The home also benefits from extensive coastal views from the gardens and some of the residents rooms. The grounds and the gardens are attractively presented with a variety of flowering plants and shrubs. All the residents asked said they really appreciated the garden and the views. The staff team observed during the inspection appear to have a genuine rapport with the residents they cared for. The residents are encouraged to maintain as much independence as they are able

What has improved since the last inspection?

The way medication is managed has improved and the requirement made at the last inspection has been met. The programme of repairs, decoration and renewals has continued since the last inspection. New lighting has been provided in the communal corridors and reception area of the home.

What the care home could do better:

The inspector acknowledges that a varied nutritionally balanced diet is provided, and activities are arranged for the residents. However five residents commented that they would like more varied activities and different choices of meals. The manager should continue to ensure that the residents are consulted and encouraged to choose activities that they can take part in and influence the meals provided. The residents have also commented that the staff whose first language isn`t English doesn`t always understand them. The manager should ensure that the foreign staff appointed have a good command of spoken and written English to ensure the residents have confidence in all the staff who are caring for them. Not all information listed in schedule 2 (Information to be held for staff working at the home) was provided at the visit to the home. Although this was provided prior to the draft report. The manager should ensure that all staff have copies of the documents listed in Schedule 2 in their staff files prior to them starting work to ensure residents are protected from unsuitable staff.

CARE HOMES FOR OLDER PEOPLE Charterhouse Residential Care Home Second Drive Dawlish Road Teignmouth Devon TQ14 8TL Lead Inspector Rachel Proctor Unannounced Inspection 27th July 2006 10:30 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 Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Charterhouse Residential Care Home Address Second Drive Dawlish Road Teignmouth Devon TQ14 8TL 01626 774481 01626 774481 margaretbrett@btinternet.com 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) Margaret Louise Brett Stephan Barry William Brett Margaret Louise Brett Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (20), Old age, not falling within any other category (20), Physical disability over 65 years of age (20) Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2005 Brief Description of the Service: Charterhouse Residential Home is a registered Care Home that provides personal care for up to 20 people over the age of 60. It is able to accommodate elderly people and those with a physical disability such as mobility problems perhaps through arthritis or as a result of a fall. The home also has the category of DE (Dementia) so as to meet the needs of those with minor memory problems. The home is not registered to provide nursing care. The home is a large detached property situated on a quiet road about half a mile from the centre of the Devon seaside town of Teignmouth. It has been adapted to cater for some disabilities having a shaft and stair lift to aid residents to move freely between each floor. There are also assisted bathing and toilet arrangements using mobile hoists. The home has mainly single room accommodation with en-suites. Although there are two double rooms, both with en-suites, available for those who prefer to share. There is a lounge, a conservatory (sun room) and a separate dining room that are used daily by the residents. The Home has well kept grounds and being in an elevated position enjoys good views of the town, sea and surrounding countryside. There is a resident pheasant and squirrel in the grounds that provide visual entertainment and relaxation when they feed on the patio. Fee levels are from £363, the actual fee depends on the assessment of individual residents and room occupied. Additional charges include chiropody £12, Hairdresser from £6.50 and paper/magazines at price charged. Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection, which has taken into account information received since the last inspection and comments cards received from residents and GP. A site visit included a tour of the home. Some records were inspected. Staff and residents were spoken to during the visit to the home. The supply pharmacist was visited to discuss the homes medication returns practices. What the service does well: What has improved since the last inspection? What they could do better: The inspector acknowledges that a varied nutritionally balanced diet is provided, and activities are arranged for the residents. However five residents commented that they would like more varied activities and different choices of meals. The manager should continue to ensure that the residents are consulted and encouraged to choose activities that they can take part in and influence the meals provided. The residents have also commented that the staff whose first language isn’t English doesn’t always understand them. The manager should ensure that the foreign staff appointed have a good command of spoken and written English to ensure the residents have confidence in all the staff who are caring for them. Not all information listed in schedule 2 (Information to be held for staff working at the home) was provided at the visit to the home. Although this was provided prior to the draft report. The manager should ensure that all staff have copies of the documents listed in Schedule 2 in their staff files prior to them starting work to ensure residents are protected from unsuitable staff. Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 6 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. Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The quality of the outcomes for service users in this outcome area is good. The way residents care needs are assessed on a regular basis and prior to admission by the manager or deputy manager should ensure that residents receive care that meets their needs. EVIDENCE: Three residents were case tracked during this inspection. Each of these residents had a plan of care, which included an assessment of their care needs. Where social services have provided an initial assessment for the residents these were available with the residents care plan. The manager continues to use computer-generated assessments and care planning for the residents. Risk assessments are an integral part of the residents care plan. The manager advised that where changes occurred a new assessment would be completed. One resident told the inspector that the staff had helped them to settle in and were always pleasant and kind to them. This residents care plan reflected their personal preferences and choices, which included how they like to be addressed. Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 The quality of the outcomes for service users in this outcome area is good. The way individual care needs are recorded in the resident’s plan of care provides good information for staff to enable them to provide the care that meets the individual residents assessed needs. EVIDENCE: The three care plans for the resident’s case tracked provided clear information for staff regarding their individual care needs, preferences and choices. One resident commented that staff enabled them to maintain as much independence as they were able and only assisted with the things they were unable to do themselves. Care planning included guidance for staff on how to promote independence for individual residents. The information contained in the residents care plans indicated that they had been asked about the care, personal choices and preferences. All the residents spoken to during the inspection said the staff friendly towards them. Each resident had their photograph attached to their plan of care. The residents at Charterhouse are of varying abilities; all appear to be interacting well together and with the staff team during the inspection. Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 10 There is a locked medication trolley, which contains the resident’s medication. The assistant manager advised that there is the system in place for residents to be assessed to manage their own medication. An example of this assessment was seen in one of the residents care plans. The medication records and medication available for two residents was checked during the inspection. These had been completed as required. One resident whose medication was being recorded as a controlled drug had the records signed and dated each time the medication was given. The number of tablets left tallied with the amount recorded. The manager advised that she had ordered a printed controlled drugs record book and was awaiting delivery. She confirmed that none of the residents at Charterhouse are currently taking controlled drugs. The supply pharmacist was visited as part of the inspection to review the medication returns information. This had been completed and signed as required. The pharmacist advised that the homes staff regularly contact him for advice and support regarding the resident’s medication. Five comment card were received from residents. This indicated that they didnt always feel staff listen to them. Two commenting that the foreign staff are sometimes difficult to understand and they dont always appear to understand what theyre saying to them. During the inspection the foreign staff on duty appeared to be relating well with the residents they were caring for. The manager advised that two of the foreign carers on duty had only recently started at the home and youre in the process of completing their induction. Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 11 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): The quality of the outcomes for service users in this outcome area is adequate. The varying needs and preferences of the residents may make it difficult for all to be able to participate in the activities they prefer on a regular basis. EVIDENCE: At the previous inspection the manager had attached a suggestion lists to the notice board asking residents for suggestions regarding the activities they would like to undertake. Two of the residents asked said they were satisfied with the activities provided, however they did say they would like the opportunity to go on trips outside the home more often. The five comment cards received from residents indicated that the activities provided at the home didnt always meet their needs. One commented that some of the activities listed in the information about the home haven’t been provided in the last 12 months. Discussion with the manager revealed that she had arranged a trip out to see a flower show. Initially several residents had said they would like to go. On the day of the trip only one resident took part. The manager advised that during the hot weather the residents had declined several of the activities preferring to stay in their own rooms or in a shaded area of the lounge where it was cooler. The deputy manager advised that the residents usually enjoyed gentle exercises using balloons, which the staff arranged. She also advised that visiting entertainers had been arranged and that not all the residents had Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 12 wanted to take part. The manager told the inspector that the donkey Sanctuary had brought a donkey to the home, which the residents appear to have enjoyed. This was commented on in one of the comment cards received prior to the inspection. A copy of the three-week rotational menu plan was provided for inspection. The manager advised that this had recently been reviewed following discussion with the staff and the residents. This showed a varied diet for the residents. The menus provided indicated that each Sunday at traditional roast meal is provided. Two of the residents told the inspector that they were not very keen on sausages and they seem to be having these a lot. The three-week menu provided showed that sausages were available each week with mashed potato and vegetables. Although choice for the main meal of the day isn’t given on the menu, the manager confirmed that if a resident didnt like what was on offer an alternative would be provided. The inspector overheard one of the staff organising a different desert for one of the residents who didnt like what was on offer. The five comment cards received from the residents indicated that they didnt always like the food on offer. These were received towards the end of May 2006. The lunchtime meal on the day of this unannounced inspection was attractively presented, this included sausages mash and fresh vegetables. Very little wastage was seen at this meal and one of the residents was overheard telling a staff member how much they had enjoyed lunch. At the last inspection the manager had advised that the menus for the residents had been changed and some of the choices previously available had been restricted. Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The quality of the outcomes for service users in this outcome area is adequate. The residents can have confidence that the management team will listen to any concerns they raise. However not ensuring all the documentation is provided for the staff employed in the home prior to them starting work may put the residents at risk from unsuitable staff. EVIDENCE: The residents spoken to told the inspector that they knew who to speak to if they had any concerns. However the comment cards received indicated that the residents did not have confidence that the foreign staff employed could understand their requests on every occasion. The complaints procedure is easily available in the reception hall of the home this includes the name and address of the Commission. The manager confirmed that residents could be given their own copy of the service users guide, which contains a copy of the complaints procedure. Four staff files were viewed. Not all had a completed application or copies of police checks from their country of origin. The manager advised that she was using a new agency that supplied staff from abroad and they complete all the pre employment checks, which include obtaining a police check and a C.V. Following the visit to the home copies of staff references supplied by the agency were provided for the commission. The manager confirmed that she had spoken to the agency concerned and they would ensure she had all the relevant documentation for the staff working in the home. Two of the staff had student visas in their staff files. The manager confirmed that they had enrolled Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 14 on an NVQ care course, which was due to start soon. The manager also commented that she had had difficulty recruiting suitable staff who lived locally. She advised that the foreign staff she had employed were hard workers and had been able to learn easily. One of the comment cards received from a residents said all the staff work very hard. Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 The quality of the outcomes for service users in this outcome area is good. The residents at Charterhouse have a pleasantly decorated and wellmaintained environment to live in. EVIDENCE: Charterhouse has been adapted from a large private detached house. It is set with in it’s own grounds. The front rooms of the home have views towards the sea. The home is attractively presented and was fresh and clean during the inspection. The residents asked said the home is always fresh and clean. A cleaner was cleaning the resident’s rooms and bathrooms during the inspection. The manager advised that new cleaning staff had been appointed since the last inspection. Redecoration of individual residents rooms has continued since the last inspection. New lighting had been provided in the communal hallway of the home. The home has been adapted over several years to provide accommodation for older people would require care. A shaft lift and stair rider is provided for residents who are unable to use the stairs. The adaptation is provided in the Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 16 home appears to be meeting the needs of the residents living at the home at the time of the inspection. The manager confirmed that locks had been fitted to all residents’ rooms since the last inspection. A checklist indicating which residents had been offered keys was provided. The checklist indicated that at the time of the inspection none of the residents who were able had wanted a key to their rooms. The owner advised that risk assessment had been completed for all radiators accessible to the residents. An example of this was provided for inspection. The inspector was told that the risks are reviewed on a six monthly basis or sooner if the resident’s needs changed and the intension was to cover the radiators on an as needed basis. During the inspection the residents were using both lounge areas and the dining room. The patio area accessible from the sun lounge had been enclosed to allow the residents to walk freely onto the patio to look at the garden. The garden area had been planted with colourful border flowers. Two of the residents said they liked watching the birds in the garden and the occasional squirrel. The small laundry area remains the same and is set away from the resident’s rooms. The laundry flooring is made of concrete that has been painted. The owner advised that plans to extend the laundry area and give staff more room to work were moving forward slowly. He advised he was awaiting building control to approve the plans before starting work. The manager confirmed that a new washing machine has been purchased. However the manager advised that this would be fitted when the laundry area had been updated. Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 The quality of the outcomes for service users in this outcome area is adequate. The residents are cared for by a friendly supportive staff team. However the manager should ensure that staff whose first language isn’t English have access to training to improve their English to enable them to speak to the residents in a way they can understand. EVIDENCE: The manager advised that she had had some difficulty recruiting suitable staff to work at the home. For this reason and employment agency, which sources staff from abroad, has been used and several employees have now joined the team from other countries. The manager keeps staff rotas showing which staff are on duty at any time of the day and night and in what capacity they are employed. The rota showed that more staff were employed during peak periods. During the inspection too recently appointed carers were working alongside experienced carers as part of their induction. The home was fresh and clean and well presented in all the areas the residents have access to. The cleaner was cleaning the rooms during the inspection. The manager advised that the cleaner had recently left and the new cleaner appointed was working well in the home. The Pre inspection questionnaire indicated that four ancillary staff are employed to support the carers in the home, these include domestic staff. Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 18 The manager advised that three of the carers recently employed were employed through the recruitment agency as students. They had been enrolled on an NVQ course to start within the next few months. The information provided with the Pre inspection questionnaire indicated that five of the nine care staff employed had completed an NVQ level 2 or above. The manager has provided a recruitment procedure and policy for the home. Three staff files seen during the inspection did not have all the information required. However the manager provided these prior to the completion of this draft report. Two of the staff files for staff who had been employed through a recruitment agency did not have copies of the police checks from the country of origin or copies of the references supplied as part of the application to the agency. Both had copies of work permits from the Home Office that were relevant and a copy of the visa. Copies of contracts and statements of terms and conditions were available. The deputy manager provided a list of training that staff had received since the last inspection. This included the mandatory training for fire protection. The inspector was also advised that first aid and manual handling training was due to be provided again for staff who needed updating or new staff appointed since the last training. The deputy manager advised that she was in the process of completing an NVQ level 4 in management. Four of the five comment cards received from residents indicated that staff don’t always listen to them. Two went on further to say they had difficulty understanding some of the foreign staff employed and the foreign staff did not always understand what they were asking them. Both of these further commented that the staff are friendly and work very hard. The manager confirmed that the staff employed work hard and they appeared to be getting on well with the residents. Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 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): 31,33,35,38 The quality of the outcomes for service users in this outcome area is good. The way Charterhouse is managed continues to ensure that the resident’s best interests are safeguarded. EVIDENCE: The manager is a registered nurse with several years experience. There are clear lines of accountability with in the home. New staff have been recruited since the last inspection, some of these have been from abroad and supplied via a recruitment agency. The deputy manager confirmed that each new member of staff receives an induction, which includes safe working practices such as manual handling. Copies of the induction programme used were available. Risk assessments are an integral part of the care planning system for the residents. These include manual handling and the residents use of hot water in the hand basins in their rooms. Lockable doors have recently been provided to all the residents’ rooms however at the time of the inspection none Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 20 of the residents had wished to take up the option to have the key for their room. The manager provided a checklist indicating which residents had been assessed and offered a key to their room, a checklist indicated that all had declined a key. Several letters received from relatives were contained in a folder with the statement of Purpose in the reception area of the home. There is a system in place for monitoring quality of care provision at Charterhouse. The deputy manager advised that she was in the process of developing a resident’s questionnaire. She also advised that residents meeting are set up to discuss topics important to them. The shop had been set up as a result of a previous residents meeting. Three residents spoken to during the inspection said the manager and Deputy are always very helpful and they liked living Charterhouse. Four of the comment cards received indicated that they would like more varied activities at the home especially more trips out. The manager advised that she had set up the visit to a flower show and had expected several residents who had expressed an interest previously to go. She said she was disappointed when only one resident wanted to go on the day. She confirmed that she continues to try to find activities that are suitable for the residents to take part in and will continue to ask for suggestions at residents meetings and in discussion with individual residents. The records of money held for one resident tallied with the amount of money held. The manager advised that receipts are kept of amount spent and kept with the resident’s financial information. Each resident’s room has a lockable door, for which they can have a key if they wish and are assessed as able. Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 X X X X X x 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard OP12 OP18 OP26 OP29 OP30 Good Practice Recommendations The manager should continue to ensure that the residents have the activities made available to them that meet their needs as far as reasonable. Copies of all information list in Schedule 2 should be provided for staff prior to them starting work at the home. On replacement of the washing machine this should have the specific programming ability to meet disinfection standards. The laundry floor should be easily cleanable. The manager should ensure that copies of all information required for staff are provided by the recruitment agency prior to the staff member starting work. New staff who’s first language isn’t English should be given training to improve their spoken and written English to ensure they are able to understand the residents and written instructions. Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Charterhouse Residential Care Home DS0000053232.V293194.R01.S.doc Version 5.2 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. 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!