Inspection on 23/02/09 for Cleveleys Park Rest Home

This inspection was carried out on 23rd February 2009.

CSCI found this care home to be providing an Good service.

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

Cleveleys Park Rest Home 16/06/08

Cleveleys Park Rest Home 13/08/07

Cleveleys Park Rest Home 05/07/06

Cleveleys Park Rest Home 04/01/06

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 19/06/2009.

CARE HOMES FOR OLDER PEOPLE Cleveleys Park Rest Home 2 Stockdove Way Cleveleys Blackpool Lancashire FY5 2AP Lead Inspector Christopher Bond Unannounced Inspection 23rd February 2009 10:00 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 Cleveleys Park Rest Home DS0000065275.V374174.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. Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cleveleys Park Rest Home Address 2 Stockdove Way Cleveleys Blackpool Lancashire FY5 2AP 01253 821324 01253 821324 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) Ms Sonal Solanki Manager post vacant Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (14), Physical disability (1) of places Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 15 service users in the category of OP (older persons over the age of 65 years) and one service user in the category of PD (Physical Disability). Only 1 named service user in the category of PD over the age of 60 years may be accommodated within the overall number of registered places. 16th June 2008 2. Date of last inspection Brief Description of the Service: Cleveleys Park Care Home is situated close to Cleveleys town centre. The shops and other local amenities are quite close by and local bus and tram services operate from outside the home. There is a doctors’ surgery in the town centre. The service does not have a car park. There is adequate parking in the street close to the home. There are nine single bedrooms and three shared bedrooms. The shared rooms are quite large. Four of the bedrooms have en-suite facilities. There are sufficient bathing and toilet facilities to meet the needs of the residents accommodated. There is a passenger lift to assist residents to move between the ground and first floor. There is a Statement of Purpose/Service User Guide, which is available for persons making enquiries about the home. There is also a copy in each bedroom for residents and their relatives to refer to. The written information explains the care service that is offered and what the resident can expect if they decide to live at the home. A copy of the most recent inspection report is located in the hallway for residents and visitors to read. Information received on the visit confirmed that the fees for care at the home are from £365.00 to £390.00 per week and this includes hairdressing and chiropody. Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. As part of the inspection process an unannounced visit took place over a total of 5 hours on the 23rd February 2009. A tour of the home was carried out, which included bedrooms, lounge, dining areas, and bathrooms. All areas were clean and hygienic. The residents’ personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication records for the home were also examined. The manager, residents and care staff were spoken to during the inspection to find out their views of the service. The Commission for Social Care Inspection also sent out surveys to service users to gather their views about the service they receive. A number of these were sent back to us and the results have been included in this report. We also sent out surveys to the care staff of this home to tell us about their experiences of working at Cleveleys Park. We have used the results from this survey within the body of the report. Every year the Commission for Social Care Inspection sends out an Annual Quality Assurance Assessment for the owner or manager of the home to complete. This tells us about important aspects of the home and how it runs. From this we can also find out the things that have been happening within the service and what plans there may be for the future. The contents of this assessment have been used in the finalisation of this report. What the service does well: The manager has worked hard to help ensure that standards at this home have improved. There has been a lot of improvement since our last key inspection and the residents are experiencing better outcomes and a positive standard of care. The residents’ care is well planned and reviewed regularly to promote positive outcomes. Health matters are dealt with properly and professionally. The care Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 6 plans are detailed and informative and are used on a daily basis. The care staff were comfortable in contributing to the plans. All of the residents that were spoken to during the inspection were pleased with the service that they received. One resident commented, “Yes, I like it here, I like the way I’m looked after. The home is very comfortable.” The catering arrangements are good and all of the residents that were spoken to said that they liked the food and looked forward to mealtimes. The people who use this service have a nutritious and wholesome diet. People told us that they looked forward to mealtimes. Health matters are dealt with properly and there is lots of evidence to show that health care professionals were being asked for help and advice where this was appropriate. There is an activities coordinator who helps to ensure that there are a good variety of things for the residents to do during the day and in the evenings. Activities were available both within the home and outside in the community. What has improved since the last inspection? The general standard of care has improved and the manager and care staff are more aware of the residents needs. Good care planning has contributed to this, the care plans have been re-designed and the carers said they were easier to follow. People with complex care needs are looked after properly because the staff are better prepared and managed. The manager reviews the care plans regularly and care staff are more professional about how they go about their daily tasks. The administration of medication has improved a lot. Care is taken to ensure that people are not put at risk by poor practice: regular checks by the manager help ensure that the medication is handled properly. The staff are trained in medication awareness to promote good practice. There have been several training events since the last inspection. There is a good training programme to ensure that the care staff are able to improve their skills and learn new ways to care for people. Staff are supported properly, and new staff have a proper induction to the service. This means that they are better prepared to do their jobs more successfully. One of the bedrooms has had a new carpet fitted since we last visited the service. Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 8 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 Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 3 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information is available for prospective residents and their family to read before they make a decision as to whether the home is right for them. People’s needs are assessed properly to help ensure that the home can meet their health and social requirements. EVIDENCE: The manager had recently updated the information available about this home. She showed us the ‘Service User Guide’ and ‘Statement of Purpose’ for the home and these documents explained the services that were available and what people could expect if they chose to use this service. The information was clear and easily understood. The manager also explained the process of admittance and how she visited people in their own homes to assess their needs before the decision was made that the home was right for them. Things such as mobility, healthcare needs Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 10 and social needs were looked at. Peoples’ health and social needs were written down clearly and precisely. This information helped the manager to decide if the home had the facilities to care for the person properly. The residents’ care could be planned properly using this information. One of the people who used the service told us how her and her family were able to look round the home before they made the decision that the service could meet their needs. This service did not supply intermediate care and this standard has not been assessed. Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9, and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s care is planned properly, and their needs are being met because of this. The residents are treated with respect and are looked after properly. EVIDENCE: We spoke to three people who were living at the home. They told us that the service met their needs and they felt that they were being cared for properly. One resident told us, “It’s a nice place to live and the girls are really helpful.” Everyone who lived at this home had a care plan. These plans had been redesigned since we last inspected this service. Lat time we found that the plans weren’t what they should be, and information was sometimes confusing or wrong. We looked at six care plans and looked at the information that was available about each person. This included information on mobility, personal hygiene, health needs, social needs and nutrition. The plans also explained clearly the individual attention that people needed. For example one person needed help Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 12 because they had a pressure sore. The plan gave information about how often the district nurse came to tend to this, and what action she was taking. There were also instructions to the care staff about what aids this person needed and how often they needed to be turned in the night to relieve pressure. There were pressure relieving pads to be used, and other specialist equipment available. The plan also explained that the person had a catheter fitted, and how the staff should help care for this properly. There was also information within each plan about individual likes and dislikes. The manager had recorded information such as how many pillows they liked to have when sleeping. The staff could also read about what the person did before they came to live the home and what their job used to be. Such information is important when ensuring that people feel comfortable and ‘at home’ within a caring service. Each care plan was reviewed properly by the manager every few weeks to ensure that the information that was held was clear, accurate and consistent and explained current need. Each resident had a ‘key’ worker who also reviewed the care plan and wrote down the significant things that had happened during the month. Good information and accurate recording is essential when ensuring someone’s needs are fully met. Some of the residents had medication that was prescribed for them by a doctor. There were proper policies and procedures available to guide the manager and staff when administering medication. Every time that the person was given medication this was signed for, and if it wasn’t given there was an explanation given for this. The manager checked these records regularly to ensure that things were done correctly. The storage for the medication was good and secure. One of the residents also received a form of medication that was ‘controlled’ because of its content or strength. This was stored properly and accurate records were kept when this was administered. There had been a lot of improvements made since we last looked at the medication processes at this home. This is important because it means that the residents live in a safer home. We also saw that the care staff had been given training in medication awareness by a recognised pharmacy trainer. We observed the care staff whilst they worked and spoke to them about their roles and responsibilities. All of the carers were polite to the residents and very respectful. They told us that the training was good at the home and that they felt valued because the manager and owner had helped to improve their knowledge and skills. Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s social needs are being addressed and activities are available to help enhance people’s lives. Catering arrangements are good, meaning that people look forward to mealtimes. EVIDENCE: There was a good programme of activities available at this home. Last time that we visited the service we found that there were few, if any, activities planned on a daily basis to stimulate the residents and to help keep people active. The current manager has introduced a daily schedule of activity. One of the care staff has been given the responsibility of developing interests, pastimes, and activities outside the home. A list of events was available and the carers wrote down when the residents did something, so that things weren’t duplicated. We saw that things such as crosswords, ‘hangman’ games, sing-a –longs and current affairs discussions were regular events. Some of the residents also enjoyed walks out, supported by staff. There had also been a recent trip to Blackpool Tower and the ballroom. A trip out to a local hotel had been planned for a social event. Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 14 The residents also enjoyed ‘pamper’ sessions where their nails were done. A hairdresser visited the home regularly. There were no relatives visiting the home at the time of our inspection. Two of the residents were able to tell us that they had regular visitors. The manager said that visitors were always encouraged. This helped to enhance the residents’ well being and enhance relationships. We spoke to the cook and viewed the menu’s that were available. There were regular deliveries of fresh meat, vegetables and fish and there was plenty of variety available. Information about the residents’ likes and dislikes were recorded and the cook had built up a good knowledge of people’s preferences. He also told us about his knowledge of special diets. One person had diabetes and this was controlled via their diet. The residents that we spoke to told us that the food was generally very good. One person commented, “The food isn’t always to my liking but most of the time it’s fine.” Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Concerns and complaints are taken seriously, meaning that people feel that they are listened to. Good training and staff knowledge means that people live in a safer home. EVIDENCE: The manager of this home had ensured that training was available to help ensure that people are protected from harm. Both of the care staff that we spoke to said that they had undergone this training. Other care staff had covered this whilst undertaking a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). There were robust policies and procedures available to instruct the care staff in safeguarding issues. The manager was fully aware of her responsibilities regarding reporting incidents of a safeguarding nature, should they occur, and aware of the role of the local authority in helping to ensure people are protected from harm. The home had a clear and understandable complaints procedure. The manager told us that people were encouraged to voice their views on the service they received. Two of the residents that we spoke to were aware of whom to speak to should they be unhappy about anything at the home. The instructions about making a complaint were clearly displayed on the wall of the home. They were Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 16 also written down in the information they gave out to prospective residents and their families/ carers. Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People live in a home that is in need of modernisation and redecoration. EVIDENCE: We had a look around this home to find out what it was like for the people who lived there. The main issues that were clearly evident were how the home looked. The decoration inside the home looked tired. Most of the home looked like it needed to be redecorated and a lot of the woodwork was scratched or damaged and needed re-painting. We also found that some of the furniture around the home was in need of replacement because of its age. Some bedrooms, however, had fitted units that looked quite nice; other ‘free standing’ furniture in other rooms did not match and looked quite worn. One lady that we spoke to had brought quite a bit of furniture, and her bed, from her own home. She had recently had a Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 18 carpet fitted in her bedroom. Her room looked quite nice, and she had personal pictures, photographs and craft work in her room. She told us that she liked living at the home and was pleased that she could bring her own belongings with her to make her room more homely. Some of the beds were very narrow and worn. We told the owner about this last time we visited the home. These should be replaced. It is important that people live in pleasant surroundings, with nice things around them. A pleasant environment contributes to people’s well being. The owner of the home had ensured that most of the radiators had covers fitted to prevent people injuring themselves on hot surfaces. We asked that this happen during our last visit to the service. There were still two to complete and these were in areas that weren’t hazardous. There is still, however, a need to cover them as low temperatures could not be guaranteed regarding the central heating system. There was a bathroom on each floor, in easy reach of the bedrooms, lounge and dining area. One of the bathrooms had a shower that wasn’t being used. It would be nice for this to be repaired, as some people like to have the choice of a shower or a bath. This was currently being used as a storage area and didn’t look very nice. The lounge area looked less cluttered and there was plenty of room for the residents to walk round in. The manager told us that there were plans for a small seating area to be built at the front of the home, with a garden area. At present there was a small seating area to the side of the house for people to sit out when the weather was fine. A domestic was working in the home whilst we were there. The home was clean and smelled fresh. Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were protected by good staffing numbers and well trained care staff. Good recruitment practices helped to make sure that only suitable people are employed to work at the home. EVIDENCE: There were enough care staff on duty during the inspection to ensure that the assessed needs of the residents were adequately dealt with. The staff rotas showed that staffing was good and that there were plenty of staff on each shift to ensure that people were being properly looked after. The rota also showed that the residents were being properly supported at night. Most of the care staff had achieved a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). Those that had not yet achieved this qualification had been enrolled. There was also a good training programme to ensure that the care staff were able to improve their skill and learn new ways to care for people. There had been a number of training events at the home since we last visited. The manager had a training matrix to show which staff had been trained in certain areas. Certificates were also available on file regarding completed training events. Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 20 Two of the care staff were spoken to during the inspection and it was clear that they had the knowledge, skills and abilities to provide a good standard of care for the residents of the home. Both told us that they were pleased with the amount of training that was available and both felt that this had improved their caring skills. There was a good induction process for new care staff ensuring that staff were taught how the care home operated before starting to care for people and being included on the rota. The staff are taught how to help move people who may have mobility issues. There had been regular moving and handling training to ensure that people were assisted to move the residents safely and professionally. Staff records showed that new carers had been properly checked before starting their jobs, including obtaining Criminal Records Bureau disclosures. This helped to make sure that the residents were safer by ensuring that suitable staff are employed. There was evidence within the care staff files to show that the correct information had been gathered prior to employment. Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home is managed well and is run in the best interests of the people who live there. The residents live in a safe home where the care staff are aware of health and safety matters. EVIDENCE: The current manager of this service was in the process of being registered with the Commission for Social Care Inspection. She has eight years managerial experience in managing a care service. She also has a recognised qualification in care management (National Vocational Qualification level 4 and the Registered Managers Award). The manager had made several positive changes to the home since commencing her employment. The care staff that we spoke to were very positive about how the home was being run. They confirmed that Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 22 the home had a good atmosphere and that the residents felt ‘at home’. A positive atmosphere is good for the well being of the people who use the service. One of the residents also told us that the atmosphere in the home was very relaxed and that the manager was very approachable and caring. Good records were being kept of safety checks within the home. These showed that professional trades people were checking the lift, electric and gas equipment and the fire alarm system regularly. This helped to ensure that the residents lived in a safe home. Trained maintenance people were also checking the lifting equipment in the home on a regular basis. Staff were being instructed in safety aspects within the service. They were being shown how to move those residents, who had difficulty in supporting their own weight, safely and respectfully. Other safety training included fire safety awareness, food hygiene and health and safety. All of the care staff that were spoken to were able to confirm that they had received safety training. There was evidence on the carers’ personal files to show that everyone was being supervised properly. Time was set aside for regular one to one meetings with the staff to ensure that they were happy and doing there jobs successfully and professionally. Staff were able to discuss their performance and training needs. There were several quality checks undertaken by the manager on all aspects of the running of the home. The medication records were checked thoroughly on a regular basis. These checks helped to ensure that the people who used the service lived in a safe and clean environment. The information that was currently available about the functions and services that the home provided (the Service User Guide and Statement of Purpose) had recently been reviewed and updated. This meant that only current information was available about the home, which ensured everyone had good information. The policies and procedures of the service had also recently been reviewed and updated, which meant that the manager and care staff had good, current information available to help them provide a good service. Small amounts of money were kept by the service for the residents. The manager checked this monthly to ensure that this was being handled properly and safeguarded. Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 23 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 3 X 3 X 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 3 3 2 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 24 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 Standard OP19 Regulation 16 (2) Requirement A planned programme of maintenance, refurbishment and redecoration of the home should be carried out to ensure that the residents live in a wellmaintained, pleasant and homely environment. Timescale for action 31/07/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area office 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Cleveleys Park Rest Home DS0000065275.V374174.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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