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Inspection on 06/09/05 for Cooksditch House Nursing and Residential Home

Also see our care home review for Cooksditch House Nursing and Residential Home for more information

This inspection was carried out on 6th September 2005.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service provides a homely environment for those that live there. The home addresses people`s social needs and employs an activity organiser who works flexi- hours so that activities can be arranged to include evenings and weekends.

What has improved since the last inspection?

The home has updated its service user guide to reflect the changes in registration. Together with people who require residential care, the home is now registered to care for up to 35 people with nursing needs. The home has purchased good quality electronically controlled beds. This will enable staff to raise the bed by operating a handset, and will enable people using them to sit themselves up or move themselves into different positions by operating the handset. The home has purchased additional electric hoists to assist with possible additional manual handling needs. This will enable staff to assist people in the home to transfer safely. Storage areas for equipment have been created, so as to ensure health and safety. The home has improved the medication room, with built in lockable cupboards and temperature control. The home has created a purpose built oxygen store. There is now new carpeting to areas of the ground floor hallways. Some rooms have been altered so that they have become en-suite. These have been refurnished and decorated to a good standard. Some of the rooms identified for people with nursing needs have been redecorated, re-carpeted or refurnished. The home has purchased a new Parker Bath and a new Mermaid hoist to assist people that live in the home with ease of bathing. The home has installed two macerators that will macerate bedpans and urinals once used. One macerator also macerates clinical waste. This means clinical waste can be destroyed immediately.

What the care home could do better:

One ground floor bathroom needs to be redecorated. The home should give the people who live there some guidance regarding contacting outside advocates if they need to. Signs on doors should give correct information.

CARE HOMES FOR OLDER PEOPLE Cooksditch Residential Home East Street Faversham Kent ME13 8AN Lead Inspector Tina Thomas Announced 05&06/09/05 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 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. Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Cooksditch Residential Home Address East Street, Faversham, Kent, ME13 8AN Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01795 530156 Mrs Gillian Heather Ilsley Registered Care Home 55 Category(ies) of Care Home for Older People, 19, Service Users registration, with number with a Learning Disability, 1, Service Users with of places Nursing Needs, 35 Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11/03/05 Brief Description of the Service: Cooksditch House is a large detached property situated in the centre of Faversham. The original house is a grade 2 listed building. It offers care to up to 55 people. This includes up to 35 Older people with nursing needs, 19 Older people and One Service User with a learning difficulty. The home is currently applying for 6 of the older people to be registered in the Dementia category.The Home is about one third of a mile from Faversham mainline station and buses stop outside the Home. There is a local park and church within a few minutes walk of the Home. The Home has two lifts to enable access to all the areas. Accommodation is provided in both single and double rooms many of which offer en-suite facilities. All bedrooms have a call bell system and television point in situ. Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was conducted over a one and a half day period. The Inspector spoke with Tina Blackmore who is the newly appointed Manager, the representatives of the Registered Individual, Mr Simon Illsley and Mr Martin McKnight, Staff and Service users. The Inspector viewed documentation including Service users care plans, staff files, and policies and procedures. The home had a variation to its registration on the 01/09/05 so that in addition to the category of older people, it can also provide care for up to 35 people with nursing needs. The Home has facilitated a number of changes to achieve this variation. The home intends to continue to meet the needs of, and care for, all the people who currently live in the home on a residential basis, taking in people with nursing needs as rooms become vacant and available. The home is also undergoing an ongoing programme of improvement. A number of rooms have been altered so as to include en-suite facilities. These have been decorated and furnished to a very good standard. What the service does well: What has improved since the last inspection? The home has updated its service user guide to reflect the changes in registration. Together with people who require residential care, the home is now registered to care for up to 35 people with nursing needs. The home has purchased good quality electronically controlled beds. This will enable staff to raise the bed by operating a handset, and will enable people using them to sit themselves up or move themselves into different positions by operating the handset. The home has purchased additional electric hoists to assist with possible additional manual handling needs. This will enable staff to assist people in the home to transfer safely. Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 6 Storage areas for equipment have been created, so as to ensure health and safety. The home has improved the medication room, with built in lockable cupboards and temperature control. The home has created a purpose built oxygen store. There is now new carpeting to areas of the ground floor hallways. Some rooms have been altered so that they have become en-suite. These have been refurnished and decorated to a good standard. Some of the rooms identified for people with nursing needs have been redecorated, re-carpeted or refurnished. The home has purchased a new Parker Bath and a new Mermaid hoist to assist people that live in the home with ease of bathing. The home has installed two macerators that will macerate bedpans and urinals once used. One macerator also macerates clinical waste. This means clinical waste can be destroyed immediately. 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. Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5 People choosing to move to the home have the information they need to make an informed choice. Each person living in the home has a contract. The needs of people who live in the home are carefully assessed prior to them going to live at the home, to ensure that the person moving there and their representatives know that their needs can be met. People who may like to move and their representatives can view the home to assess the suitability. EVIDENCE: The home has an updated Statement of Purpose and Service Users Guide, which reflects current changes at the home and fully describes what a person considering moving into the home, or their representatives may expect. Each person living in the home has a statement of terms and conditions, which discusses items including, a trial period, notice period, alcohol, smoking and visiting (no restrictions), and insurance. People only move into the home after having a comprehensive, holistic assessment, conducted by the Manager (for people requiring nursing care) or the Head of Care or Manager for people requiring residential care. The Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 9 assessment addresses physical, psychological, social and religious needs. The home does not admit people to the home without first conducting an assessment. People choosing to live at the home are encouraged to spend a day at the home, to see their room, meet other people living at the home and to have a meal. The home does not offer intermediate care as described in Standard 6. Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 Care plans describe people’s health, personal and social care needs. Care needs are fully met. The homes policies and procedures are appropriate for dealing with medication. Service Users are treated with dignity. EVIDENCE: A number of care plans were viewed. They were well written, well reviewed, held appropriate information to enable staff to care for the people who live in the Home. Suitable risk assessments are in place to ensure as far as reasonably practicable the safety of people living in the home. People who live in the Home have not signed agreement of their care plans. The head of care explained to the inspector that people had in the past signed their plan. However, following a previous inspection, the home believed it was not necessary for Service users to sign care plans and had suspended this practice. The inspector explained that this was a method by which the home could evidence that the service users had been involved in the planning of their care. A good practice recommendation has been made regarding this matter. (Recommendation 1 Part A) Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 11 Care needs of the people living in the home are being met and needs are regularly reviewed and monitored. The home is currently seeking a variation in the registration as six people that live in the home have developed dementia. The home has altered its medication room, which is fitted with a sink, fitted lockable cupboards, and is temperature controlled by a cooling system. The home has a purpose built controlled drugs cupboard. The home has a suitable medication policy. All staff administering medication are either trained nurses (for people with nursing needs) or care staff with medication training. Care staff obtain medication training with West Kent College. The manager checks their competency by supervising carers on a minimum of five medication rounds. The home has medication delivered by Boots the Chemist in monitored dosage systems. The home has created a purpose built oxygen store. The inspector spoke with people that live in the home. They expressed that carers were all very polite to them, and respected their privacy and dignity. They said that staff always knocked on the door before entering their room. Each room has a lockable drawer where people can put their private things if they chose. One person that had not been living in the home for long told the inspector that staff had asked what she preferred to be called. There is a communal pay phone in the home that people can use or if they prefer they can have their own phone lines installed. Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 Service Users cultural, social, and religious needs are considered and met. Service Users maintain contact with people they chose to. Meals are wholesome and appealing. EVIDENCE: The Home has an activities co-ordinator who works 25hrs per week. The activities co-ordinator works flexible hours, so that some of her work hours can be used to engage people in meaningful activities, of an evening or weekend if appropriate. The home had recently enjoyed a visit by Morris dancers during the hop festival; many of the people that lived in the home discussed this. Other activities enjoyed are: beer nights, wine and wisdom, trips on a mini bus, trips to the garden centre, painting, making cards, making lavender pot pouri, knitting (including the men), bingo and board games. Staff commented that they felt the people in the home had plenty of activities and they also commented that they felt they had enough time to engage with people who live in the Home. The Inspector observed from the visitor’s book that people in the Home have visitors at a selection of times. The inspector was present while a relative of a lady who had been in the home for a short period, expressed how happy their mother was and how pleasant it was to see her chatting and laughing with Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 13 other people again, now she was with people of her own age. He said his mother had described Cooksditch as ‘like a hotel.’ The home has meetings for the people that live in the home, so that they can influence the way in which they live. Meetings are recorded and actioned. People that live in the home have their preferences regarding the way they live recorded in their care plan. People can bring their own possessions into the home, and some furnishings subject to health and safety requirements. One person showed the inspector items of her own furniture that she had bought with her to the home. The home looks after a small amount of pocket money for some people that live in the home. Transactions are audited regularly by the homes administrator and then subject to a second audit by the representatives of the Registered Individual. The Inspector viewed the policy regarding this matter and found it to be robust. The inspector also viewed records and found them to be well maintained and well documented. The inspector viewed the homes menu rota for three weeks and found it to be appealing. The inspector viewed the homes kitchen and found that it was well organised. The dry food store held stores of good quality food and tinned fruit. Meat is bought from a local butcher and the inspector observed that there were a good quantity of fresh fruit and vegetables available, which are delivered to the home twice a week. People that live in the home have breakfast (cooked if chosen.) They have a cooked dinner and can then choose from a hot or cold tea. The catering staff cooks fresh cakes daily. The inspector spoke to one member of the catering staff who had NVQ Level 2 in catering. Two members of the catering staff have attended courses regarding diet and nutrition. Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Complaints are dealt with in an appropriate manner. EVIDENCE: The Home has had six complaints in the last year. All complaints including minor complaints are recorded and dealt with through the homes own complaints procedure. The Commission has received only one complaint regarding this home since the last inspection and this was dealt with appropriately through the homes own complaints procedure. The inspector viewed the homes complaint procedure and found it to be suitable. People that live in the home have a copy of the complaints procedure in the Service User Guide. All complaints were dealt with and recorded in an appropriate manner. People that live in the home have access, on a daily basis, to a number of senior staff, including the trained nurses, the Manager, administration staff and representatives of the Registered individual. Therefore any minor problems can usually be dealt with at source. Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26 Service Users live in a safe and well-maintained environment. People have access to safe indoor and outdoor communal facilities. Washing ad toilet facilities are suitable. Specialist equipment to promote independence is in place where necessary. Individual rooms meet people’s needs. The Home is clean pleasant and hygienic. EVIDENCE: The lay out and location of the home is suitable for its stated purpose. Most of the people that live in the home are from or have links with Faversham. Some of the people that live in the home expressed that they were glad that they had been able to stay local to the Faversham area. The Home is accessible and well maintained; the grounds are accessible to wheelchair users and are kept tidy, attractive and safe. The home has an ongoing programme of improvement and a large amount of work has been completed since the last inspection. Some rooms have been Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 16 altered so as to become en-suite. The decoration and furnishings of these rooms is to a very good standard. Bedrooms that have been identified as rooms for people with nursing needs all have good quality electronically controlled beds. This will enable staff to raise the bed by operating a handset, and will enable people using them to sit themselves up or move themselves into different positions by operating the handset. Many of the rooms have been redecorated, re-carpeted or refurnished. The downstairs hallway has also been re-carpeted. The home complies with the requirements of the local fire service and the homes fire risk assessment has been updated taking into account its newly registered service user group. All doors have self- release mechanisms. The home has a number of communal areas, including three sitting rooms that are all domestic in nature. The home has a sun lounge, which leads to the courtyard. The inspector observed a number of people enjoying this area. Both dinning areas are attractive and inviting. The home has an activities room. Space has been created for the suitable storage of wheel chairs, hoists and other aids. The home has a number of bathrooms and toilets that are in suitable order. They have aids an adaptations such toilet raisers to assist the people in the home to remain independent. Bathroom and toilets were clean and uncluttered. All bathrooms have suitable locks. All toilets were equipped with liquid soap and paper towels inline with infection control procedures. The home has suitable equipment including mobile hoists to maximise Service Users independence. The home has recently installed a new Parker Bath, for ease of bathing for those who live in the home. The home has also purchase a new Mermaid bath hoist to assist with dignity those who cannot bath independently. The inspector viewed one bathroom with an assisted bath that requires some redecoration. It was agreed with the Providers representatives that this would be achieved by 01/03/05. Requirement made regarding this matter. Requirement 1 Part A The home has suitable equipment including mobile hoists to maximise Service Users independence. The home has two shaft lifts that enable people to access all parts of the communal space. The inspector observed that some of the signs on doors are incorrect, although some of this is due to the re-alterations. This could confuse some people that live in the home. The Providers representatives have agreed that all signs will be correct by 01/12/05 Requirement 2 Part A. All room sizes meet with the requirements of the Standards for pre existing care homes. Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 17 The Inspector viewed a number of people’s own rooms and found them to be clean and personalised. Some people had bought items of their own furniture to the home and have items such as pressure relieving mattresses to meet their needs. One person had bought to the home their own double bed. Screening is proved in double rooms. The inspector observed that all radiators have covered so as to limit the risk of scalds and burns. Emergency lighting is proved throughout the home. Water was randomly tested by the inspector from bath taps and sink taps. The water was of an appropriate temperature. The home throughout was clean and free from offensive odours. Procedure in the laundry has been altered so as to promote best practice and infection control. Hand washing facilities are in all areas where clinical waste or infected material may be handled. The home has recently installed two macerators, so that bedpans and urinals will be macerated once used. One macerator is also suitable to macerate clinical waste. This means that clinical waste can be destroyed immediately. Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,30 The home is adequately staffed. People that live in the home are in safe hands at all times. The numbers and skill mix of staff enables the needs of those that live in the home to be met. Staff are trained and competent to do their jobs. EVIDENCE: On the day of inspection the home had 42 people living there. At the time of the inspection the home was particularly well staffed in order to meet the needs of the people living there. The home has employed six trained nurses who have been inducted and are awaiting the admission of some new people with nursing needs. The nurses are currently working on rota. The home has planned to have three carers on night duty with one trained nurse. All staff providing personal care to Service users is over 18. Four domestic staff are on duty daily. The home has endeavoured to meet the target that 50 of all care staff will be trained to NVQ Level 2 by 2005. Currently 5 staff are trained to NVQ Level 2 4 care staff are trained to NVQ Level 3 and seven are currently completing their NVQ Level 2 qualification. Trainees all complete an induction and foundation training which is in line with TOPSS (now skills for care) The inspector viewed a completed induction book. All staff receive a minimum of three days paid training. Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,36,37,38 The home is adequately staffed. The numbers and skill mix of staff enables the needs of those that live in the home to be met. Service users Staff are trained and competent to do their jobs. EVIDENCE: The newly appointed Manager, Tina Blackmore is a Level 1 registered nurse. She has completed N.V.Q Level 4 in Management has achieved the Registered Managers Award. She has attained the ENB 931 palliative care certificate. Tina has completed dementia training facilitated by the Alzheimer’s society. She is currently in the 2nd year of a social care and welfare degree. She intends to apply to the Commission for registration as the Manager of Cooksditch. The registered manager ensures that the management approach of the home creates an open, positive and inclusive atmosphere. There are regular meetings that are recorded and actioned for the people that live in the home Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 20 and staff. The Inspector spoke with staff who expressed that they felt able to approach the manager with concerns or ideas. The home has an effective quality assurance and quality monitoring system. The home will shortly be issuing an annual quality assurance, as previously mentioned the home has staff and resident meetings. Staff have suitable and regular supervision. The home has an annual development plan. Policies, procedures and practices are regularly reviewed. The Providers representatives confirmed that the home is financially viable. The inspector observed that the home has current insurance cover. The home has a business and financial plan. Staff within the home are appropriately supervised. The inspector observed that there is a regular programme of supervision. The home does not have volunteers. The inspector observed that all records were well maintained, well recorded and up to date. People in the home have access to their own records. All records are kept secure. The Inspector observed that the Home is kept in a secure manner. The Manager as far as reasonably practicable ensures compliance with relevant legislation to ensure that the health, safety and welfare of Service User and staff is promoted and protected. The inspector viewed a robust health and safety policy. The home has suitable environmental risk assessments, and fire assessments. All assessments seen by the inspector were suitably updated and reviewed. The inspector viewed a file which contained certificates to show that the home has suitably dealt with the control of waste, fire detection, annual alarm system checks, emergency lighting checks, patient lifting hoist checks, lift servicing and gas safety record. The inspector also viewed the homes accident book and found it to be well maintained. Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 x 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 3 3 2 2 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 2 3 3 3 x 3 3 3 Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. Standard 21 22.6 Regulation 23 23 Requirement One identified bathroom must be suitably redecorated All door signs must be accurate Timescale for action 01/03/06 01/12/05 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 7 Good Practice Recommendations Service Users should sign agreement of their care plans Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Cooksditch Residential Home H56-H05 S23399 Cooksditch V238130 050905 Stage 4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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