Inspection on 05/03/07 for Cliftonville

This inspection was carried out on 5th March 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Cliftonville 21/02/09

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Cliftonville 2 Essex Street Rushden Northants NN10 0LG Lead Inspector Mrs Linda Clarke Key Unannounced Inspection 5th March 2007 09:30a 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 Cliftonville DS0000064339.V321532.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. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cliftonville Address 2 Essex Street Rushden Northants NN10 0LG 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) 01933 353028 01933 353028 Grey Ladies Ltd Mrs Sandra Margaret Bishop Care Home 20 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (20) of places Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No one falling within the category DE(E) may be admitted into the home where there are 10 persons of category DE(E) already accommodated within the home. 20th September 2005 Date of last inspection Brief Description of the Service: Cliftonville is a care home providing personal care and accommodation for up to 20 persons with Old Age, who may in addition have an associated condition of Dementia. There are eight single bedrooms, and six shared bedrooms all being with ensuite facilities. Bedrooms are located on the ground and first floor with access to the first floor being via the stairwell or the passenger lift. Communal areas are located on the ground floor, and consist of two lounge/dining areas and one lounge. Cliftonville has a large garden to the rear of the property. Information is located on site detailing the range of services offered, which includes the Statement of Purpose, Service User Guide and a copy of the Commission for Social Care Inspections, Inspection Reports, which are located in the office. The weekly fee falls in the range of £348.00 - £360.00, which was detailed within the pre-inspection documentation provided prior to the site visit. There are additional costs for individual expenditure such as Chiropody and hairdressing services, and the fee will depend on the services received. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, reviewing the last inspection report and the reviewing of the Pre-Inspection Questionnaire, Comment Cards/Surveys distributed to service users/relatives and staff by the Commission for Social Care Inspection (CSCI) along with the reviewing of significant events. The unannounced site visit commenced on the 5th March 2007 and took place over 1 day. The focus of the inspection is based upon the outcomes for the service users. The method of inspection was ‘case tracking’. This involved identifying service users with varying levels of care needs and looking at how these are being met by the staff at Cliftonville. Four service users were selected and discussions were held with two of them and two service users who were not part of the case tracking process. In addition two relatives visiting at the time of the site visit were spoken with. The method of case tracking included the review of service users’ individual care records, discussions with staff of various delegated responsibilities within the home and reviewing the records, training records and the minutes of service user and team meetings. The CSCI sent out seventeen Comment Cards to service users, of which 76 were returned, seventeen Comment Cards were sent out to relatives/visitors of which 35 were returned and five General Practitioner Comment Cards were sent out of which 60 were returned. The majority of the comments received were complimentary about the service. Comments incorporated within Service User Comment Cards included: • • Have entertainment quite frequently. Not happy sharing a bedroom. Verbal comments received from Service Users included: • • • • “Can’t grumble at anything all the care staff are good.” “Meals are very good and are homemade.” “I like to go into the garden in the summer.” “I don’t get offered a drink when I wake up.” Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 6 • “I don’t have any concerns, but if I did I know who to speak to, and know I would be listened too.” Comments incorporated within Relative/Visitors Comment Cards included: • Would like to see more activities to stop boredom – but then for that to happy there would need to be more staff, the staff at the home are excellent and do what they can. Verbal comments received from Relatives/Visitors included: • • “Happy with the care my mum receives.” “I have never made a complaint, if there are any issues I think need discussing I bring these to the attention of the Manager, which are then dealt with.” “I feel the staffing levels are adequate.” “It’s safe and homely.” “Staff are polite and courteous to service users and visitors.” “I receive a revised care plan regularly, if I am unhappy with any part of this I discuss with the Registered Manager who makes alterations.” • • • • What the service does well: Cliftonville offers a warm and homely atmosphere, visitors are encouraged to visit their relatives and friends, and speak with staff and the Registered Manager about any issues affecting the care of individuals. Cliftonville continues to provide a consistent staff team, who have worked within the home for a considerable amount of time. Care plans provide detailed information as to the physical care needs of service users identifying the needs of the individual and how staff are to offer support and guidance. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 7 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. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 8 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. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 9 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 Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 10 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): 1, 2 and 3. Standard 6 is not applicable at the service does not offer Intermediate Care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with information as to the services offered by Cliftonville, enabling individuals to make an informed choice as to where to reside. Service user care needs are well assessed before they move into the home to ensure their needs can be met. EVIDENCE: Individuals considering a residential placement at Cliftonville, can contact the Registered Manager, who will provide them with a copy of the Statement of Purpose and Service User Guide, which provides information as to the services offered by Cliftonville, which includes staffing arrangements, environmental details, the admission process, information on activities and hobbies supported Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 11 by procedures regarding fire and raising complaints. The Service User Guide could be improved by incorporating results of the homes own quality assurance process, and the views of service users. The Registered Manager confirmed that prospective service users are provided with a copy of the most recent Inspection Report, undertaken by the Commission for Social Care Inspection (CSCI). Four service users were ‘case tracked’, which involved viewing their records, records confirmed that service users have a contract with Cliftonville, which details the fees and room to be occupied. Service Agreements are in place between Northamptonshire County Council and Cliftonville where the Local Authority funds service users. Records of one service user recently admitted as part of the ‘case tracking’ process was viewed, an assessment of need had been undertaken by a member of the Care Management Team of Northamptonshire County Council and the Registered Manager of Cliftonville. The assessment identified the needs of the individual, and how in the view of the Registered Manager the staff of Cliftonville could meet these. The assessment of individuals could be further developed to encompass information as to their lives, for example their family, work and social history. Additional information would enable a comprehensive care plan to be developed which focused on preferred daily routines of living, which is particularly relevant to service users with Dementia. Information on social and family history enables activities and recreational pursuits to be put into place, which reflects the individual’s lifestyle. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 12 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): 7, 8, 9, 10 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are well cared for having their tailored health and daily care needs met, which is achieved by the their involvement in the development of a care plan. EVIDENCE: The care plans and records of four service users were viewed as part of the ‘case tracking’ process. The care plans were detailed and highlighted all aspects of personal care, and the role of staff in offering the appropriate support. Care plans provided information as to the service users abilities, which ensures that service users are supported to maintain their independence, whilst appropriate support is provided in the way the service user prefers. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 13 Care plans could further be improved by detailing services users preferred daily routines, for example what time they wish to get up or go to bed, whether they prefer baths or showers and there frequency. For Service users with Dementia additional information as to their care needs and the role of staff in offering support would promote the care of service users, consistent with their condition and lifestyle. Care plans are regularly reviewed, and are signed by the service user or their relative. Relatives spoken with confirmed that if they have any concerns as to the content of care plans, they discuss these with the Registered Manager. Records evidence that service users have access to health care, such as General Practitioners, District Nurses, Community Psychiatric Nurses, Specialist Consultants, Opticians and Dentists. Service users who are at possible risk of the development of pressure sores, or who have a poor appetite, are assessed to ensure that their health and well being is maintained. The minutes of team meetings were viewed, which identified that the Registered Manager was concerned that service users on occasions were not being supported to make choices with regards to what time they wished to get up or go to bed. Discussions with the Registered Manager highlighted that the reviewing of staffing levels and the inclusion of service users preferred daily living routines within care plans would support service users in their decisions. A service user spoken with advised that she determines the time she goes to bed and gets up, and although some service users go to bed earlier than her she believes this is at their request. Medication and medication records of the four service users were viewed as part of the ‘case tracking’ process; the administration of medication is the responsibility of members of staff who have received the appropriate training. Service users and visitors confirmed that staff are polite and courteous, and are respectful. Either the service user or a relative manages Service users mail. Service users have the opportunity to record their wishes with regards to health deterioration and final arrangements, in such instances these are recorded within the care plan. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 14 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): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from activities provided, additional opportunities could be provided through planning and the provision of additional staffing. EVIDENCE: Service users have the opportunity to access various recreational events, for example a Holistic Therapists visits once every three weeks, singers and musicians visit the home, and parties are organised to celebrate specific calendar events such as Halloween and Bonfire Night, Christmas and New Year. Service user records detail activities, which service users participate, however staff do not always record this, it was suggested to the Registered Manager that when activities and recreational pursuits are offered to service users, and they decline this is also recorded. Records indicated that service users, when they so choose visit the local Church. The Inspector spoke with the Holistic Therapist, to ascertain her views as to her observations of the care service users receive. They stated that service Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 15 users were treated with respect and dignity and that staff were courteous and polite. The Holistic Therapist advised that she spent time with service users providing a massage service and talking with them. Staff spoken with confirmed that wherever possible they spend time with service users encouraging them to engage in activities, although with two members of care staff on duty time is limited. It was suggested to the Registered Manager that staffing levels could be looked at with consideration being given to developing further opportunities for service users to engage in hobbies and interests. A visitor engaged her relative in a game of dominoes, whilst one relative spoken with said that the quarterly newsletter details the activity events organised, these however are cancelled on occasions, but was uncertain as to the reason why. This was discussed with the Registered Manager who stated that the entertainers themselves do occasionally cancel. A mini-bus has recently been purchased following recent fund raising, which will provide service users with the opportunity to access community resources. Service users spoken with confirmed that they enjoyed the meals provided, which were homemade, specialist diets are provided for where necessary for example for those with diabetes. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 16 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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by a robust and accessible complaints procedure and by staff trained in safe guarding adult processes. EVIDENCE: Service users when asked were confident that should they have any concerns, whom they should speak with, in addition there is a written complaints procedure. Care staff and managers spoken with had a good understanding of their responsibility and procedures to follow in relation to safeguarding adults and were confident to whistle blow on poor or bad care practices. Staff files examined contained evidence to show that staff have received training in safe guarding adults as part of the home’s induction training, and as part of attaining a National Vocational Qualification (NVQ) in Care. The Complaints Record was viewed, which evidenced that the home has not received any complaints since the last inspection; the Commission for Social Care Inspection has not received any expressions of concern with regards to Clintonville. Cliftonville DS0000064339.V321532.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): 19, 20, 24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comfortable, safe and well maintained standard of accommodation is provided for service users including a garden area, which individually and collectively meets service user needs. EVIDENCE: Cliftonville is well maintained, decorated and furnished to a good standard, providing a comfortable and homely environment. Records are available which detail the redecoration and replacement of furnishings and fixtures. Communal areas are provided on the ground floor and consist of two lounge/dining areas and a lounge. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 18 Bedrooms are located on the ground and first floor, with access to the first floor via the stairwell or passenger lift. Bedrooms are either single or shared and are without en-suite facilities, with bathroom facilities being located on the ground and first floor. Cliftonville provides a laundry for the laundering of service users clothing. Cliftonville DS0000064339.V321532.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): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Trained and qualified staff are employed following robust recruitment checks. Staffing levels need to be reviewed to ensure that the care and social needs of service users and being met and their choices and decisions are promoted. EVIDENCE: The previous Inspection identified that the staffing levels at Cliftonville should be reviewed this has not taken place. Discussions with the Registered Manager with regards to the further development of care plans to incorporate the views of service users, and their relatives in relation to preferred daily routines, the development of care plans for service users with Dementia, and the specialist support they require, and the need to ensure that service users are provided with sufficient mental and social stimulation, would necessitate a need for the reviewing of staffing levels. The minutes of the recent team meeting supports this, where service users are not in all instances receiving a tailored approach but an approach reflective of staff expectations. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 20 The Registered Manager advised that there are two members of care staff on duty at all times, supported by a Cook. Ancillary staff that perform domestic duties work only during the week, it was put to the Registered Manager that the needs of service users including the management of the home are consistent throughout the week. Cliftonville employs nine members of care staff, of which four have completed a National Vocational Qualification in Care at level 2 representing 41 of the staff group. Cliftonville has not recruited any staff since the last Inspection; the staff files of the keyworkers to the service users ‘case tracked’ were viewed. The recruitment and selection procedure in place is robust. All files contained thorough pre-employment checks including the obtaining of a Criminal Record Bureau disclosure and protection of vulnerable adult check, a completed application form and two written references. Staff files contained the individual training undertaken by staff; a training plan was also in place. Staff spoken with confirmed the training they had received, which included moving and handling, Dementia care, infection control, and food hygiene, medication and risk assessment. Cliftonville DS0000064339.V321532.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): 31, 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. The Registered Manager demonstrates a clear sense of leadership with regards to day-to-day management. Quality assurances processes do not provide an opportunity for service users to contribute and comment on their care provision. EVIDENCE: The Registered Manager Mrs Sandra Bishop has been in her current position since June 2004, prior to becoming the Registered Manager; she managed the service for four years. Mrs Bishop has attained a National Vocational Qualification at level and the Registered Managers Award. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 22 Cliftonville operates a quality assurance process, which involves ascertaining the views of service users relatives on an annual basis through the distribution of questionnaires. It was discussed with the Registered Manager that the quality assurance process could be further developed in several areas. In order to ascertain the views of the service provided by Cliftonville questionnaires could be developed for service users, and health and social care professionals. Questionnaires, which are completed, could then be analysed and a report produced of the findings, the report to include an action plan as to how Cliftonville will address any issues identified, a copy of the report to be incorporated within the Statement of Purpose and Service User Guide with a copy being sent to those who were consulted as part of the quality assurance process. Within the quality assurance questionnaires sent to relatives by the Registered Manager of Cliftonville additional comments were recorded, comments included: • • • • • • My wife feels safe in her surroundings and often says the care she receives could not be beaten. Homely atmosphere, I am satisfied with the care she is receiving, I feel that any concerns I have would be treated sympathetically. More could be done to keep residents occupied. I am confident in the care the home gives my mother, I am happy with the quality of service and all the staff are very caring. All round confidence in staff and friendly feeling of home. Friendly staff, you are always made welcome and the home has a homely feel and really welcoming. The introduction of service user meetings should be considered, which would provide an opportunity for service users to contribute to the day to day running of Cliftonville. It is required that a person nominated by the company, who is not in day to day charge of the home, visits the home each month unannounced and interviews, with their agreement service users and any visitors, speak with staff and view the premises and records within the home. A copy of the report should then be kept within the home and be available to Inspectors of the Commission for Social Care Inspection. The most recent report available being February 2005, the Registered Manager advised that a representative of the company visits regularly, and was on the day of the site visit visiting, however a record of their visit is not kept. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 23 A quarterly newsletter is circulated to all relatives and service user representatives, the newsletter is used to inform of activities and events at Cliftonville, supported by photographs, details issues regarding staffing, fundraising etc. The Registered Manager advised that service users money is managed either by the service users themselves or their representative, which may be a formal or informal arrangement, in some instances items are purchased by the home for individual service users, and their relatives are then invoiced for monies owed. Staff spoken with confirmed that supervisions do not take place on a regular basis, one member of staff being uncertain as to what supervisions were. Although monthly staff meetings take place, opportunities for the Registered Manager to discuss a variety of topics with individual staff is essential as part of the quality assurance process. The Pre Inspection Questionnaire submitted prior to the CSCI prior to the site visit detailed the regular maintenance of health and safety systems within the home, including fire systems and equipment, environmental health visits, central heating systems and emergency call systems. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 24 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 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 3 3 X X X 3 X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 3 Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 OP27 Regulation 18(1) Requirement The Registered Person to review the level of staff employed ensuring that the care and social needs of service users are being met, and that service users choice and preferences are promoted. The Registered Person to visit the home, on a monthly basis, unannounced, and write a report as to their findings, and is kept within the care home and is available for Inspection. Timescale for action 01/05/07 2 OP33 26 01/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Care plans could be further developed by including information as to a service users life prior to receiving residential care, to include family, work and lifestyle choices enabling the development of care plans reflective DS0000064339.V321532.R01.S.doc Version 5.2 Page 26 Cliftonville 2 OP7 3 OP33 4 4 OP33 OP36 of an holistic approach to care, and the promotion of service users individualism, choices and preferences. Care plans could be further developed by including service users preferences for daily living arrangements and by including information as to hobbies, interests and recreational pursuits. Participants of the quality assurance process should be advised as to its outcome in a report, which should include any action being taken to improve the service offered, addressing any issues raised. The quality assurance process could be improved by seeking the views of service users and health and social care professionals. Staff should have the opportunity to discuss care practices, including service user welfare, staff training needs etc. within the arena of a supervision. Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Cliftonville DS0000064339.V321532.R01.S.doc Version 5.2 Page 28 - 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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