CARE HOMES FOR OLDER PEOPLE
Compton House 40 Compton Road Lindfield Haywards Heath West Sussex RH16 2JZ Lead Inspector
Mr D Bannier Unannounced Inspection 10:00 15th May 2007 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 Compton House DS0000024131.V336210.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. Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Compton House Address 40 Compton Road Lindfield Haywards Heath West Sussex RH16 2JZ 01444 482662 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) Lindfield Christian Care Home Post Vacant Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 17th October 2005 Brief Description of the Service: Compton House is a care home which is registered to accommodate up to twenty seven residents in the category (OP) old age, not falling within any other category. It provides personal and nursing care. Compton House is a detached two storey property which provides accommodation in two shared and twenty three single bedrooms located on the ground and first floors. A vertical passenger lift provides access to all floors. A dining room and lounge are located on the ground floor. The property is located in the village of Lindfield. The fee levels range from £625 to £775 per week. Additional charges are made for the following services: chiropody, hairdressing, dentist, optician, telephone, and newspapers. The registered provider is Lindfield Christian Care Home, who has appointed Mrs Christine Corbett Taylor to be the Responsible Individual and to supervise the overall management of the care home. The post of registered manager, who is responsible for the day to day running of the care home, is currently vacant. Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection report has been written using methods introduced on 1st April 2006. Some evidence used to assess standards has been gathered before this visit took place, during the visit and afterwards. For example, information has been used from the previous inspection report; comments made by residents at the time of the visit have been noted; the registered manager has also supplied further information on request that has been considered after the visit took place. The registered provider has also completed a pre inspection questionnaire providing information about the way the home has been run. This has also been taken into consideration. The Commission sent out surveys entitled “Have Your Say” to residents and to relatives and friends of residents. Some comments from returned surveys have also been used. This visit was unannounced and started at 10.00am. It took place over approximately six hours. The inspector spoke to six of the twenty five residents who are currently being accommodated at this care home. the inspector also spoke to the relative of a resident. This enabled to inspector to form an opinion about how it was to live there. The inspector also spoke to all of the staff who were on duty. They told the inspector about their jobs within the care home and the training they had received in order carry out their duties. Some records were also examined. The inspector looked at those standards that are about how new residents are admitted to the care home; how residents are cared for; the daily life and social activities provided for residents; how the care home deals with complaints and how they protect residents from abuse; the environment in which residents live; how staff are recruited and trained; and how the care home is managed. All the staff on duty made themselves available and kindly assisted the inspector with his enquiries. What the service does well: Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 6 This is a care home where older people continue to be well looked after. It has a competent staff team who understand the needs of the elderly people living there, including their nursing needs. Staff have been provided with appropriate training to ensure they have the necessary skills to provide good quality care. Where possible residents are encouraged to make decisions and choices about their lifestyle. The registered provider has ensured a range of activities, outings and entertainment is regularly provided for residents to enjoy. The residents who were spoken to said they liked living in the care home. They also said that staff are very caring and considerate and the atmosphere was very homely. One resident said, “ This a friendly home. I would recommend it to anyone.” 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
Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Compton House DS0000024131.V336210.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 Compton House DS0000024131.V336210.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs have been assessed before they move into the care home. This care home does not provide intermediate care. EVIDENCE: The inspector examined the records of two residents who had been identified for case tracking purposes. Records confirmed that either the manager or deputy manager had carried out an assessment of each resident’s needs prior to admission. Assessments were comprehensive and covered such as areas as physical and nursing care needs, social needs and risk assessments. Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 10 One resident told the inspector, “Compton House is marvellous. The cleanliness, the care and attention, the food. I couldn’t wish for anything better.” Another resident said, “I am looked after very well.” The inspector spoke to care staff on duty, including trained nurses and nursing assistants. They were able to tell the inspector in some detail about the care needs of individual residents. Compton House DS0000024131.V336210.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): 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. Staff have appropriate information to ensure they are able to meet residents’ needs. Residents’ have been consulted with regard to making choices about how their needs will be met. The registered provider has ensured residents’ health care needs have been fully met. The registered provider has ensured residents are protected by the home’s policies and procedures for dealing with medicines. Current care practices have ensured residents feel they are treated with respect and their right to privacy has been upheld. EVIDENCE:
Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 12 Care plans have been drawn up from the information gathered when residents’ needs were assessed. Care plans are informative and include appropriate information and instructions which staff are expected to follow. This will ensure residents’ care is provided in a consistent and continuous manner. Records seen also demonstrated that care plans and assessments are reviewed on a regular basis to ensure they are up to date. The notes of such reviews have been signed by the resident concerned, or a family member, and also include their wishes and personal preferences. This demonstrates the resident, or their relative, has been consulted as part of the process. From direct observations, residents appeared to be relaxed when talking with staff and very well cared for. One resident told the inspector, “Nothing can be 100 , but everyone does their best.” Another resident said, “The staff are very good and very kind.” A third resident said, “People are so kind, it’s like home from home.” Care plans included a record of nursing interventions and visits made by GP’s to provide residents with medical treatment. A visiting doctor told the inspector, “My patients are extremely well looked after, nursing standards are exceptionally high.” Some residents, who had completed satisfaction surveys, said they always receive the care and support they need. Comments made included, “They are very good,” and “I have stated many times, that very few, if anyone could be cared for better than me.” Relatives and friends of residents had also completed satisfaction surveys. Comments made included, “My relative has extensive needs and they are always met. It is only due to the exceptional nursing care that their quality of life is maximised.” One relative commented, “Staff shortages/illness appear frequent causing inevitable delays in dressing and bathing.” The inspector examined staff rotas and concluded that there is sufficient staff on duty to meet the current care needs of residents. Where necessary appropriate action has been taken to cover shifts when staff have been unable to work as a result of illness. Further details about staffing at Compton House can be seen in the relevant section of this report. The inspector examined medication records, including the controlled drugs register. Records had been well maintained and were up to date. Some small errors were identified and addressed by the nurse in charge at the time of the inspection. The inspector was advised that the current practice is for medication to be given to residents directly from packs and containers marked by the dispensing chemist, with the name of the resident the dosage and strength and time the medication is to be given. Whilst supporting documentation was not seen, the nurse in charge confirmed that unused medication has been disposed of appropriately. There were no residents administering their own medication at this time.
Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 13 From direct observations the inspector noted that staff treated residents with respect. Care practices also ensured residents’ right to dignity have been upheld. The inspector also spoke to the relative of a resident, who said, “The quality of care at Compton House is absolutely second to none. Each and every resident is treated with dignity and respect to maximise and give them the highest quality of life possible.” Compton House DS0000024131.V336210.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 good. This judgement has been made using available evidence including a visit to this service. The registered provider has ensured the lifestyle residents experience in the care home matches their expectations and preferences, and satisfies their social, religious and recreational interests and needs. Residents are able to maintain contact with family and friends as they wish. Residents are helped to exercise choice and control over their lives. The registered provider has ensured residents receive a wholesome appealing and balanced diet. EVIDENCE: Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 15 Residents’ social, religious and recreational interests have been recorded in individual care plans. Residents spoken have confirmed they enjoyed the programme of activities provided at Compton House. Activities were displayed on the residents’ notice board and include art classes and musical exercises. The inspector saw a selection of residents’ artwork on display in the lounge. In addition coffee mornings, church services and outings to local places of interest have also been arranged. The care home has a large number of volunteers who visit to carry out a range of tasks that are designed to ensure residents enjoy a good quality of life. For example, they help to organise outings for residents, they serve afternoon teas and they work in the garden to ensure it is attractive for residents and also ensure fresh flowers are provided throughout the premises. The inspector was advised that, although Compton House is a Christian nursing home, residents do not have to be Christian to live here, nor do they have to take part in church services if they do not wish to. A resident told the inspector, “People are so kind, it’s like home from home. The surroundings are lovely. I do like the atmosphere her, especially the Christian aspect.” A television and a music centre has been provided in the communal lounge. There is also equipment available for residents to play board games such as scrabble and dominoes. A bookshelf in the lounge was well stocked with paperbacks for residents’ use. Residents’ care plans include a record of residents’ families and the contact they have with them. One resident said, “ I have a loving family who often come to see me.” Another resident said, “I have lots of friends in the village, there is always someone visiting me. This a very friendly home.” Residents told the inspector that they are afforded choice and control over their lives. Residents are not expected to get up if they do not wish to, nor are they required to go down to the dining room for their meals. Residents are also encouraged to bring in their own possessions to make their rooms personalised. Residents’ personal wishes and choices have been recorded in individual care plans. Residents are afforded a choice of cooked meal for lunch and supper. Residents can also have a cooked breakfast if is ordered the day before it is required. On the day of his visit the inspector noted that the choice of the lunch time meal was between moussaka, potatoes, carrots and peas, steamed fish or ham salad. Most residents spoken to had chosen the moussaka and told the inspector it was very tasty. From direct observation, the inspector noted that meals were attractively presented, including the liquidised meals, and looked very appetising. There were sufficient staff on duty during the mealtime to ensure residents who need help with eating get the assistance they require. Menus seen demonstrated that residents have been provided with a varied, wholesome and balanced diet.
Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 16 The inspector spoke to a small group of residents who were sitting in the lounge just before lunch. Those that wanted it had been served a glass of sherry. One resident had chosen to enjoy a bottle of lager. Residents told the inspector they like to meet to together each day to enjoy a drink before lunch. One resident told the inspector, “The meals are very good altogether.” Another resident said, “The meals are very good, they are plentiful and very tasty. Staff are always coming round with cups of tea and coffee.” The inspector toured the premises before lunch and noted that dining room tables had been laid in readiness for the mealtime. Tables had been covered with fresh, clean linen tables clothes and attractively decorated with small vases of fresh flowers. Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 17 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. Residents and their relatives know that their complaints will be listened to, taken seriously and, where necessary, acted upon. The registered provider has ensured that residents are protected from abuse. EVIDENCE: The inspector asked one resident what they would do if they wished to make a complaint. The resident replied, “If I had a complaint I would speak to the head of the department.” The resident also told the inspector they were satisfied they would have the management’s full attention. A relative who completed a satisfaction survey, commented, “Instructions are clearly provided.” Whilst the inspector did not look at the complaints record on this occasion, it has been noted in previous inspections that the registered person does have a means of recording complaints about the conduct of the care home. Information supplied by the registered provider prior to this visit indicated there have been no complaints received since the last inspection. The inspector also noted that the home’s complaint procedure is included in the Statement of Purpose, which has been made available to residents. Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 18 Residents spoken to told the inspector, “The staff are very good and very kind,” and “I am looked after very well.” According to records seen training provided to all staff includes training in Adult Protection procedures. It was also noted that the registered provider has a copy of the Adult Protection procedures published by West Sussex Local Authority. Staff on duty were able to tell the inspector about different types of abuse and to whom they should report any instance they may find. Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 19 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has taken appropriate steps to ensure residents live in a safe, well-maintained environment. Appropriate action has been taken to ensure the home is clean, pleasant and hygienic. EVIDENCE: The inspector toured the premises accompanied by the nurse in charge or a member of staff. It was noted the premises were very clean, tidy and well maintained in a homely manner. The inspector viewed a number of bedrooms, the lounge and the dining room. These were very clean and tidy, well
Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 20 maintained, furnished and decorated to a high standard. Residents have been able to personalise their own rooms by bringing small items of furniture, pictures, ornaments and family photographs. One resident said, “I have a nice room, it is lovely and clean. It makes a difference when you have a nice room.” Information supplied by the registered provider prior to the visit indicated that the premises has been visited by the Fire Officer and Environmental Health officer to ensure it is safe and meets requirements in terms of fire safety and health and safety regulations. The registered provider has also confirmed that any shortfalls identified have been rectified. Equipment such as gas installations, electrical wiring and equipment have been regularly checked and maintained to ensure they are safe to use. Several bathrooms and WC’s seen were clean and maintained to a good standard of hygiene. Some bathrooms have been fitted with bathing aids to assist residents in getting in and out of baths. Toilets seen have also been equipped with appropriate aids such as toilet seats and grab rails to assist residents. There were two sluices, one on each floor. It was noted that they had been fitted with stainless steel racking and shelving on which commode pots and urine bottles can be stored. Wall and floor finishes were easily cleaned to reduce the risk of cross infections. A wash hand basin, stocked with anti bactericidal soap and paper towels was available. A good stock of plastic aprons and gloves were available for staff to use to reduce the risk of cross infections. The laundry room was also seen. The laundry room has been equipped with washing machines, which have a sluice facility to wash soiled linen and clothing and appropriate temperatures to prevent cross infections. This area had been kept to a good state of cleanliness. Wall and floor finishes were easily cleaned to reduce the risk of cross infections. A wash hand basin, stocked with anti bactericidal soap and paper towels was also available. This means that staff can wash their hands immediately after handling soiled clothes or bed linen. Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 21 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 good. This judgement has been made using available evidence including a visit to this service. The registered provider has ensured there are adequate staffing levels to ensure residents’ needs are met by the numbers and skills mix of staff. The registered provider has ensured residents are in safe hands at all times. The registered provider has ensured residents are supported and protected by the home’s recruitment policy and practices. The registered provider has ensured staff are trained and competent to do their jobs. EVIDENCE: On the day of the inspection, the inspector noted that two trained nurses were on duty supported by a team of five nursing assistants. A third trained nurse had been designated to work on care plans and was not required to provide nursing care to residents. Another member of staff was also on duty. This person is a member of the care team, but is allocated two days per week to operate as training officer. The inspector noted that, at the time of his visit,
Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 22 this person was preparing material for forthcoming training sessions. In addition there were house keeping and catering staff to ensure the premises are kept clean and residents are provided with cooked meals, snacks and drinks throughout the day. According to the staff rota there are two trained nurses supported by a team of four nursing assistants from 8am to 2pm each day. A fifth care assistant works from 9am to 1pm each day. From 2pm to 8pm each day there is one trained nurse supported by three nursing assistants. A fourth care assistant works from 5pm to 8pm each day. The inspector concluded there were sufficient trained nurses, care assistants and ancillary staff to meet the needs of residents accommodated. This also ensures staff are in safe hands at all times. Residents told the inspector they were very happy with the care and services provided. The inspector examined the records of two staff recruited since the last inspection. Records seen were well maintained and were up to date. The information seen included references, criminal records checks and evidence which confirmed the identity of the member of staff. The inspector concluded that the manner in which staff are recruited ensures appropriate checks are carried out to confirm the applicant is appropriate to work with vulnerable residents. Residents spoken to confirmed they feel safe and are satisfied with the quality of care provided. The training officer manager confirmed that all staff have undergone a structured induction programme. The model currently used has been devised by Skills for Care and follows the basic principles of good quality of care including understanding how to provide care in a manner which respects residents’ rights of choice, privacy, dignity, independence and being treated as an individual. Records of training provided were also examined and demonstrated that training for all staff has included mandatory training such as fire safety, food hygiene, adult protection and health and safety. It also demonstrated that trained nurse have received additional training with regard to dementia, catheter care, infection control and care planning. According to information provided before the inspection took place, one nursing assistant hold the National Vocational Qualification (NVQ) in Care at Level 2, whilst two nursing assistants hold the same award at Level 3. Satisfaction surveys completed by residents and their relatives confirmed the view that staff have the right skills and experience to look after people properly. Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 23 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, 25 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 provider has taken appropriate action to ensure Compton House is being well managed. The home is being run in the best interests of the residents. Residents’ families handle financial affairs on their behalf. The registered provider has taken appropriate action to ensure the health, safety and welfare of residents and of staff. EVIDENCE:
Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 24 The post of registered manager has fallen vacant since April 2007. since the completion of this inspection the registered provider has advised the Commission that it has appointed a person with the necessary skills and experience to manage Compton House. During the process of recruiting a manager the deputy manager had been asked to take on the role in an acting capacity. There was no evidence to demonstrate that, during this period, the day to day running of this care home has been affected. Residents spoke very highly about the care and services they receive. Comments made by residents and their relatives or friends in completed surveys were also very positive and complementary about the running of the care home. Whilst records were not examined on this occasion, information supplied by the registered provider before this visit took place indicated that an annual development plan for quality assurance is in place. The keeping and recording of residents’ monies was not examined on this occasion. However, information provided before this visit indicated that residents’ financial affairs are dealt with by family members or other agents. Some satisfaction surveys returned to the Commission by relatives indicated that they have been awarded Power of Attorney. The premises have been well maintained, ensuring a safe environment in which residents can live and staff can work. The registered provider has supplied information that indicates equipment such as boilers, other gas installations and electrical equipment have been regularly serviced and maintained. Residents have told the inspector that they are very satisfied with the accommodation and services provided. According to training records staff have been provided training in such subjects as moving and handling, food hygiene, infection control, health and safety. Staff on duty, who were spoken to confirmed the training they had received. Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X 3 X 3 X X 3 Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Compton House DS0000024131.V336210.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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
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