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Inspection on 11/10/06 for Chirton Resource Centre

Also see our care home review for Chirton Resource Centre for more information

This inspection was carried out on 11th October 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 centre offers a variety of services to older people. Some come for one-off or regular respite stays to have a break or give their carers a break. Others have an emergency stay in times of crisis. The rehabilitation service helps many people to be able to return to their own homes. People who have stayed at the centre were complimentary about the service. They said they were happy and receive the care and support they need. Staff were described as being lovely and helpful. Service users said their privacy and dignity is respected during personal care. New service users have their health, personal and social care needs thoroughly assessed. This information is used to draw up care plans that show what the person can do independently and support they need from staff. Service users have a good level of support from medical professionals to meet their health care needs. Service users are provided with social activities and outings that they have chosen. Support is offered to maintain contact with relatives, friends and the local community. Service users are involved in how their care is planned and are encouraged to make choices and decisions. There is a good choice of nutritious meals and service users choose where and when they wish to eat. Service users said they enjoyed the food. Service users and relatives know how to make a complaint. Staff have training on protecting service users from abuse and procedures are in place. The centre safeguards service user personal finances.The centre provides comfortable and clean accommodation. The health and safety of service users is promoted. Service users benefit from good staffing levels to meet their needs. Staff are provided with training that is relevant to caring for older people and the majority have completed care qualifications. An experienced manager has been managing the centre for the last six months. There are good systems in place to monitor the quality of the service and check standards.

What has improved since the last inspection?

Action had been taken on each of the required improvements from the previous inspection. This had resulted in safer medication procedures to protect service users; more social activities being provided; keeping details of complaints; monthly visits by managers to check on the standard of the service; and regular fire safety tests.

What the care home could do better:

Staff need to continue to improve the range of social activities provided to give service users more choices. Feedback from service users should be included in the centre`s information guide. This will show other people what service users think of the quality of the service.

CARE HOMES FOR OLDER PEOPLE Chirton Resource Centre Headlam Way Byker Newcastle Upon Tyne NE6 2DX Lead Inspector Elaine Malloy Key Unannounced Inspection 09:30 11th October 2006 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 Chirton Resource Centre DS0000042084.V302760.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. Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chirton Resource Centre Address Headlam Way Byker Newcastle Upon Tyne NE6 2DX 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) 0191 276 2195 0191 224 1929 Newcastle City Council Social Services Department Mrs Andrea Mary Marshall Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 3 beds can be flexibly used to accommodate service users aged 55 to 64 years old, or service users over pensionable age. 10th February 2006 Date of last inspection Brief Description of the Service: Chirton Resource Centre is a registered care home for 20 older people. 3 beds can be used to accommodate people aged 55 to 64 years old. It is operated by Newcastle City Council Social Services. The centre is located within the Byker Wall in Newcastle upon Tyne. It provides short stays for community rehabilitation, respite care and emergencies. A range of health and social care professionals supplement the staff team. Accommodation is provided over two floors and a passenger lift is available. All service users have single bedrooms. There are no en-suite facilities. A guide to the centre’s services and inspection reports are readily available at the centre. The current weekly fee for respite care is £63.25. Fees for service users admitted for emergency stay are dependent upon an assessment of their finances. Service users admitted for community rehabilitation stays do not pay fees for the first six weeks. Fees after six weeks are dependent upon financial assessment. Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection. It was carried out by one inspector over 1 day and took 7 hours. A manager of the service completed a questionnaire on information about the centre. This was returned to the Commission before the inspection. Key standards were inspected through discussion with the two Team Leaders, staff and service users, examining the centre’s records and touring the building. Surveys were made available to service users and their relatives/visitors to get feedback on the service. Areas that needed improvement from the previous inspection were checked. What the service does well: The centre offers a variety of services to older people. Some come for one-off or regular respite stays to have a break or give their carers a break. Others have an emergency stay in times of crisis. The rehabilitation service helps many people to be able to return to their own homes. People who have stayed at the centre were complimentary about the service. They said they were happy and receive the care and support they need. Staff were described as being lovely and helpful. Service users said their privacy and dignity is respected during personal care. New service users have their health, personal and social care needs thoroughly assessed. This information is used to draw up care plans that show what the person can do independently and support they need from staff. Service users have a good level of support from medical professionals to meet their health care needs. Service users are provided with social activities and outings that they have chosen. Support is offered to maintain contact with relatives, friends and the local community. Service users are involved in how their care is planned and are encouraged to make choices and decisions. There is a good choice of nutritious meals and service users choose where and when they wish to eat. Service users said they enjoyed the food. Service users and relatives know how to make a complaint. Staff have training on protecting service users from abuse and procedures are in place. The centre safeguards service user personal finances. Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 6 The centre provides comfortable and clean accommodation. The health and safety of service users is promoted. Service users benefit from good staffing levels to meet their needs. Staff are provided with training that is relevant to caring for older people and the majority have completed care qualifications. An experienced manager has been managing the centre for the last six months. There are good systems in place to monitor the quality of the service and check standards. 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. Chirton Resource Centre DS0000042084.V302760.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 Chirton Resource Centre DS0000042084.V302760.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 and 6. Quality in this outcome area is good. This judgement has been made using evidence gathered both during and before the visit to this service. Service users have their care needs thoroughly assessed. The community rehabilitation service helps many service users to return home. EVIDENCE: The centre continues to complete ‘baseline assessments’ for each new service user. Assessments are also obtained from Care Managers and medical professionals, where relevant. The baseline assessment is updated for service users as they have return stays. Care plans are drawn up as a result of care needs identified from the assessments. Service users who stay at the centre for community rehabilitation are provided with intermediate care. They are supported by a team of health and social care professionals who supplement the staff team. Each service user’s stay is Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 9 tailored to their needs and there is a planned discharge process. In the past six months there had been 56 community rehabilitation service users. Following their stays 37 service users had returned to their own homes, 6 moved into care homes, 11 went into hospital, and 2 transferred to another Local Authority resource centre. Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using evidence gathered both during and before the visit to this service. Service users have plans that show how their care needs will be met. Service users receive good support from medical professionals to meet their health care needs. Service users are protected by improved medication procedures. Service user privacy and dignity is respected. EVIDENCE: A sample of care records was examined. Care plans that show how service user health, personal and social care needs are to be met were generally well recorded. Plans were also recorded which demonstrate how risks are to be minimised or managed, for example risk of falling. The plans are evaluated during or at the end of each short stay. Staff record day and night reports that correspond to care plans. Service users who are receiving rehabilitation have care reviews every week. Respite service users have six monthly reviews. A Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 11 review is held within 5 working days for service users admitted on an emergency basis. The ‘baseline assessment’ that is completed for all service users identifies medical information, and physical and mental health needs. It includes moving and handling, risk of falls, nutrition, and continence. There was evidence of additional assessments being carried out by the medical professionals who work at the centre. Care plans were in place for health needs, many of which were drawn up following advice from medical professionals. Wherever possible service users continue to maintain contact with their own health care professionals during their stay. Each person who completed a survey said they always or usually received the medical support they needed. There are arrangements with a local GP practice to visit service users if their own doctor is out of the area and the District Nursing Service provides input. A team that includes Physiotherapists, Occupational Therapist, and Dietician supports Service users who are receiving rehabilitation. A Geriatrician visits the centre each week. Mental health care professionals are accessed where necessary. From the last inspection there was an outstanding requirement to rectify deficits to medication recording. These were gaps to signatures/codes, unclear directions, lack of photographs of service users, and discrepancies to records. The centre had notified the Commission of 3 medication errors since the last inspection. The Team Leaders said additional measures were in place to make the medication system safer. Staff had been provided with extra training and competency assessments were carried out. Senior staff were also auditing records at each shift. The current medication records were examined. These had improved significantly and each area of the requirement was rectified. A risk assessment is completed for any service user who wishes to administer their prescribed medication. Medication is kept in locked storage. Personal care and any medical examination/treatment are carried out in the privacy of the service user’s bedroom. Service users are offered keys to their bedroom. There is a pay telephone or calls can be made or received in private on a portable phone. Service users are asked the name they wish to be addressed by and their preferred gender of care worker. During the inspection staff were seen to address service users in a courteous manner. Respite service users are asked to label their clothing to make sure it can be identified, and clothing is marked where necessary. Service users have individual laundry baskets and wash bags for tights/stockings/socks. Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using evidence gathered both during and before the visit to this service. Service users are being provided with a better range of social activities. There is support for service users to maintain contact with relatives, friends and the local community. Service users are encouraged to make choices and decisions in daily living. A nutritious and varied diet is offered to service users. EVIDENCE: From the last inspection there was an outstanding requirement to provide a varied social activities programme for service user stimulation, and maintain daily records of provision. Service users have weekly ‘unit meetings’ where activities are discussed. This is used to draw up a weekly programme of activities and details are entered into social diaries. Staff members are allocated to take responsibility for activities each day. The social diaries showed that improvements had been made to the range of activities provided. These included sing-a-longs, bingo, reminiscence, quizzes, films, and themed social/seasonal events. Staff need to make sure that they offer alternatives Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 13 when service users decline activities. There had been outings to the cinema, coast, Discovery Museum and Dalton Park. Each person who spoke to the inspector or who completed a survey said activities were always or sometimes arranged that they could take part in. The centre has an open visiting policy and service users choose who they wish to see. Visits take place in the service user’s bedroom or a small quiet lounge. Staff encourage service users to maintain contact with family, friends and the community. Support is provided with telephone contact, letter writing and assisting to visit. Links are established with a local community centre, and service users had attended a recent tea dance. Local clergy visit individuals and staff will support service users to go to places of worship. Visiting entertainers are arranged on occasions. The centre has a mobile library service. Service users bring in cash for personal spending during their stay. This can be kept in the safe or a locked drawer in their bedroom. Information is available to service users and their relatives on advocacy services. Some service users bring in small personal possessions to go in their bedroom. Service users are actively encouraged to be involved how their care is delivered. Assessments are completed with the service user and care plans are agreed and where possible signed by the service user. Personal care records can be accessed and are discussed at reviews with service users and their relatives. The centre has menus that are geared to meeting the nutritional needs of older people and offers good choice and variety of meals. Meals are discussed with service users at ‘unit meetings’. Each day service users are asked their choice of meals and records are completed. These also showed where alternatives to the menu were requested and provided. Service users can choose where and when they wish to eat. Service user nutritional needs are assessed and care planned where necessary. There is regular weight monitoring. A communication book was being introduced for staff to record information on individuals’ dietary needs to the catering staff. The centre benefits from the services of dietician and staff had received basic nutrition training. Eating aids are available and staff assist with cutting up food and prompting service users to eat independently. Special diets for medical or cultural reasons can be catered for. Each person who completed a survey said they always or usually liked the meals. Service users spoken with confirmed they are always offered choice of food. Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using evidence gathered both during and before the visit to this service. Service users and their relatives know how to make a complaint and any complaints received are investigated. There are procedures to protect service users from abuse and staff have had training. EVIDENCE: From the previous inspection there was an outstanding requirement for full details of action taken as a result of complaints to be kept. This had not been fully addressed, as there was no record of two recent complaints about the service that were under investigation. The Team Leader confirmed that a summary of the complaints had been made following the inspection, and provided a copy to the inspector. A copy of the centre’s Service User Guide is kept in each bedroom. This includes the centre’s complaints procedure. Each person who spoke with the inspector or completed a survey said they would know who to speak to if they were unhappy or wished to make a complaint. Positive feedback from service users and relatives is maintained. This includes cards, letters and comments from surveys. Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 15 The centre has policies and procedures on prevention of abuse, protecting vulnerable adults and ‘whistle blowing’ (informing on bad practice). All staff have had training on safeguarding adults and how to deal with challenging behaviour. The centre does not advocate use of restraint. There have been no allegations of abuse in the past year. Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using evidence gathered both during and before the visit to this service. Service users stay in a safe, clean, and comfortable environment. EVIDENCE: All parts of the building seen were clean and suitably decorated and furnished. Ventilation needed to be checked as this was not working in all areas. All bedrooms should also be checked to make sure that a bedside light is available. Two lounges had been redecorated and new floor coverings and kitchen units were fitted. Work was also completed to external balconies and awnings. Some rooms were being converted for alternative use. An office was to be used as the designated smoking room, the former smoking room was being redecorated and turned into a lounge, and a room was allocated for moving and handling equipment storage. Each person who completed a survey said the centre is always fresh and clean. Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 17 There are procedures on control of infection. Staff are given guidance on infection control at staff meetings. Supplies of disposable gloves and aprons are provided for staff use. Suitable hand-washing facilities are provided. The laundry and sluice are located away from kitchen and dining areas. The Manager is the link person for meetings on infection control that are ran by the local Communicable Diseases Unit. Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using evidence gathered both during and before the visit to this service. Good staffing levels are provided to meet the needs of service users. The centre exceeds the standard for the number of staff who have achieved care qualifications. New staff were being recruited to fill vacancies. Staff are provided with training that is relevant to the needs of the people they care for. EVIDENCE: The staff team consists of a manager, two team leaders, senior carers and carers. All care staff are aged over 18 and staff left in charge of the centre are over 21 years of age. Good staffing levels are provided. The rota showed that there are 3-4 carers plus the manager or a team leader across the waking day and 2 carers at night. The centre has high levels of domestic and catering staff hours. Each person who completed a survey said that they always or usually received the care and support they needed. They said staff listen and act on what they say, and are always or usually available when they need them. Service users Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 19 spoken with during the inspection said they were very happy and well cared for. They described the staff as lovely and helpful. The centre continues to exceed the standard of 50 of care staff who have achieved National Vocational Qualifications (NVQ) Level 2 in care. One team leader has NVQ Level 3 and both team leaders and three senior carers are studying for Level 4. All senior carers have completed NVQ Level 3. Seven carers have completed NVQ Level 2 or above. Four domestic staff have achieved NVQ’s in Housekeeping. No new staff have been recruited externally since the last inspection. One new member of staff had transferred from another resource centre. Recruitment was currently taking place to fill two night carer vacancies. All staff are recruited following Local Authority procedures and are subject to Criminal Records Bureau (CRB) checks being carried out. New staff undertake thorough induction training. All staff have personal development files with records of training completed and certificates. These were being checked to make sure they are up to date. The manager and a team leader have completed a ‘train the trainer’ course to enable them to cascade training to other staff. This has included training on care standards, equality and diversity, foot care, and falls prevention. All staff are provided with safe working practices training (fire safety, moving and handling, emergency first aid and food hygiene), and update training when necessary. Availability of training courses is sent out on the social services intranet. Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 and 38. Quality in this outcome area is good. This judgement has been made using evidence gathered both during and before the visit to this service. An experienced manager is temporarily managing the centre. There is a plan to show how the quality of the service is monitored and managers visit to check on standards. Service user personal finances are safeguarded. The centre complies with health and safety requirements. EVIDENCE: In May 2006 the centre’s Registered Manager had left to manage another resource centre. Ms Denise Fenlon has been the temporary manager since this time. She is suitably experienced and qualified. The Commission was awaiting Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 21 clarification about whether the Registered Manager will be returning or if a manager is to be appointed and proposed for registration. At the previous inspection a requirement was made that the Registered Person, or their representative must visit the centre at least monthly and prepare reports on the conduct of the centre. Copies of reports were to be submitted to the Commission each month. Visits and reports were now being completed monthly. Copies no longer need to be sent to the Commission. A recommendation was also previously made to include findings from service user surveys in the Service User Guide. This had not yet been done. A quality development plan had recently been drawn up. The centre aims to monitor the quality of the service by conducting surveys and holding meetings with service users, and carrying out a range of audits and checks. Standards are also set for comments and complaints, accidents/incidents, and staff supervision and training. Service user personal finances were checked. These were appropriately recorded and included two staff signatures to transactions. Service users sign entries where possible. Receipts are obtained for purchases. Two staff carry out daily checks of balances and cash. Records are also kept of valuables deposited for safekeeping. The centre has a health and safety policy and associated procedures. Risk assessments are devised for safe working practices and staff receive training. There was evidence of risk management plans according to individual service user’s vulnerability. Servicing and maintenance agreements are in place for facilities and equipment. At the previous inspection a requirement was made for the fire alarms to be tested weekly and recorded. This had been actioned. All other fire safety checks, tests and instructions to staff were up to date and recorded. Accident reporting was well recorded. Analysis of accidents is carried out to identify any patterns and more detail was being introduced to the analysis. Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 3 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 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard OP12 OP19 Good Practice Recommendations The provision of social activities should continue to be improved, including offering alternatives when service users decline activities from the weekly programme. (a) Ventilation should be checked to make sure it is working in all areas (b) All bedrooms should be checked to make sure that a bedside light is available. Findings from service user surveys should be included in the Service User Guide. (Outstanding Recommendation) 3. OP33 Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Chirton Resource Centre DS0000042084.V302760.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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