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Inspection on 10/05/05 for Crawshaw Hall Medical Centre

Also see our care home review for Crawshaw Hall Medical Centre for more information

This inspection was carried out on 10th May 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

A senior member of staff carried out a detailed assessment of the care needs of prospective residents prior to admission. Residents were treated with respect and personal care was carried out in private. Members of staff were described as, "very friendly" and " very caring". One visitor said, "I`m really impressed with the staff." A resident commented on the cleanliness of the home said, "There`s always somebody cleaning." A visitor said, " There are no smells." All the residents consulted considered the food to be good although one resident said that he would like fruit in the afternoon. Comments about meals included, "very good" and "always two choices, if you don`t like what there is they`ll do soup or toast" Staff morale was good and absence levels were low ensuring continuity of care for the residents.

What has improved since the last inspection?

Resident`s and their relatives were actively encouraged to become involved in planning and reviewing care. This ensured that care was delivered in a manner, which met the needs and preferences of each resident. All the required pre-employment checks were completed prior to employment. Enough staff had completed training in first aid to have a qualified first aider on duty for each shift

What the care home could do better:

In order to ensure that the care needs of residents admitted regularly for respite are fully met the care plan must be reviewed on each admission. Records relating to wound care must be kept up to date and give accurate information about the care and condition of a sore. If these records are not completed correctly the resident could be at risk of not receiving proper care and possible delayed healing of the sore. A record of all medication brought into and taken out of the home must be kept. This ensures that all medication is handled correctly in order to protect the residents.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Crawshaw Hall Medical Centre Burnley Road Crawshawbooth Rossendale, Lancashire BB4 8LZ Lead Inspector Susan Hargreaves Unannounced 10 May 2005 10:00 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 and Care Homes for Adults 18 – 65*. 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. Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Crawshawhall Medical Centre Address Burnley Road Crawshawbooth Rossendale Lancashire BB4 8LZ 01706 228695 01706 215670 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) Mrs Eileen Karoo Mr Adrian Mark Andrew Care Home with Nursing (N) 21 Category(ies) of Physical disability (PD) 21 registration, with number of places Old age, not falling within any other category (OP) 21 Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 Staffing for service users requiring nursing care will be in accordance with the Notice issed dated 7 December 2001. 2 The registered provider shall at all times, employ a suitably qualified and experienced person who is registered with the Commission for Social Care Inspection as manager of Crawshaw Hall Medical Centre. 3 Within the overall total of 21 a maximum of 10 service users requiring personal care who fall into the category of PD. 4 A maximum of 21 servcie users requiring nursing care who fall into the category of either OP or PD. 5 Within the overall total of 21 a maximum of 1 servcie user requiring personal care who falls within the category of OP. 6 The total number of sevrice users within these categories must not exceed 21 (Twenty one) Date of last inspection 15 September 2004 Brief Description of the Service: Crawshaw Hall Medical Centre is registered to provide either nursing or personal care for up to 21 residents. Older and younger adults may be admitted to the home. Accommodation is provided in single rooms on the ground and first floors. A large commual lounge with dining area is located on the ground floor. There is a smaller lounge on the first floor where smoking is permitted. A passenger lift facilitates access to all areas of the home. The home is a grade 2 listed building with extensive grounds. Crawshaw Hall is situated on the outskirts of Crawshawbooth with shops and a public house. There is a reasonable bus service to the area. Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5.75 hours. No additional visits have been made since the last inspection. A tour of the premises took place and staff files and care records were inspected. Four members of staff, nine residents and four visitors were spoken to. Discussions also took place with the manager regarding issues raised during the inspection. What the service does well: What has improved since the last inspection? Resident’s and their relatives were actively encouraged to become involved in planning and reviewing care. This ensured that care was delivered in a manner, which met the needs and preferences of each resident. All the required pre-employment checks were completed prior to employment. Enough staff had completed training in first aid to have a qualified first aider on duty for each shift. Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 6 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. Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Standards Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitablity of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 (Adults 1865) 3 (Older People) Admission procedures were thorough. Comprehensive pre-admission assessments were completed for each resident prior to admission. EVIDENCE: Individual records of 4 resident’s were inspected. Each contained a detailed pre-admission assessment of need. A senior member of staff visited prospective residents in hospital or their own home prior to admission. Information was also obtained from other relevant healthcare professionals. The assessment of need provided valuable information for the care plan. Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 (Adults 1865) 7 (Older People) Care plans were clearly written and addressed identified care needs. Residents or their relatives were involved in planning their care. EVIDENCE: The individual care plans of 4 residents were inspected. These clearly identified the needs of each resident and explained how these needs were met. Care plans were reviewed monthly. However, the care plan for a resident who regularly received respite care had not been reviewed on admission. Residents or their relatives were invited to be involved in reviewing care plans. One visitor said that they had seen the care plan about 3 weeks ago. Members of staff were observed attending to residents in a caring and professional manner. One resident said, “The care is very good.” The visitors of another resident said, “She gets well looked after.” Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experiencd in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) (Adults 18-65) 12, 13 and 15 (Older People) 14.15 and 17 The daily routine was flexible in order to meet the needs and preferences of residents. Social activities were well managed and visitors were welcomed into the home at anytime. The meals were varied and offered choice. Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 11 EVIDENCE: Residents and staff confirmed that the daily routine was flexible. One resident said that he got up and went to be when he wanted. Information relating to a resident’s hobbies and interests were recorded in the care plans. A member of staff explained that a variety of activities were offered, these included dominoes, cards, jigsaws, videos and trips to the shops and theatre. One resident said, “ I don’t want to join in activities I am happy to read.” Other residents were observed watching TV or listening to music. Members of staff were seen chatting to residents. The proprietor explained that at a recent resident’s meeting a request had been made for more trips out. A box for suggested places to visit had been placed in the hallway and a trip to Knowsley Safari Park was being arranged. Lunch served at the time of the inspection looked wholesome and appetising. Resident’s comments included, “food is very nice, can have anything”, “the food isn’t bad at all”. Members of staff were observed assisting residents to eat lunch in a patient and sensitive manner. Menus were varied and offered choice and rotated 4 weekly. Meals were discussed at the resident’s meeting and suggestions for the menu could be placed in the box in the hallway. Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 (Adults 18-65) 8, 9 and 10 (Older People) Care was given in a manner, which promoted the privacy and dignity of all residents. Records relating to wound care were inadequate. Medication was generally well managed promoting good health. EVIDENCE: Appropriate risk assessments including, moving and handling, falls, pressure sores and nutrition were in place. Records of the visits of other healthcare professionals e.g. GP, chiropodist, etc. were included in the care plans. Although details of dressing changes for one resident were recorded in the daily report the wound care chart had not been up dated since December 2004. Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 13 Personal care was carried out in the privacy of the resident’s own room. Discussions with four members of staff confirmed that promoting privacy and dignity for all residents was an important part of their care. All medication was stored correctly. However, a record had not been made of the amount of medication brought into the home by one resident. All other records for the management of medication were seen to be up to date. Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are sageguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 (Adults 18-65) 16 and 18 (Older People) Complaints were taken seriously and investigated. Members of staff had a clear understanding of adult protection issues, which protects residents from abuse. EVIDENCE: A comprehensive complaints procedure was in place. No complaints have been made to the home or the Commission since the last inspection. Policies and procedures relating to the protection of vulnerable adults were in place. This issue was discussed with four members of staff. They were aware of the procedure and said they would report any concerns immediately. Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26 and 30 (Adults 18-65) 19, 24 and 26 (Older People) The home was clean and well maintained. EVIDENCE: At the time of the inspection the home was clean, tidy and well maintained. This provided a safe and comfortable environment for the residents. To further improve the environment a new carpet was to be fitted to the ground floor corridor. The proprietor was advised to compile a plan for the routine maintenance and redecoration of the premises to ensure that standards were maintained and further improvements made. Residents had personalised their Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 16 rooms with ornaments, pictures, photographs etc. Locks were fitted to the bedroom doors on request from the resident. Information relating to this was included in the individual care plans. The laundry facilities were suitable for the purpose. One resident said, “Laundry is always nicely done.” Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 34 and 35 (Adults 18-65) and Standards 27,29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, and 35 (Adults 18-65) 27, 29 and 30 Staffing levels were appropriate to meet the assessed needs of the residents. Recruitment procedures were robust. Training for all members of staff was encouraged. EVIDENCE: Examination of the duty confirmed that a sufficient number of staff were on duty for all shifts to meet the assessed needs of the residents. The files of four members of staff were inspected. These contained evidence that all the required pre-employment checks to ensure protection of the residents had been completed. Four members of staff consulted during the inspection considered morale to be high. Their comments included, “ I love working here”, “One of the best homes I’ve worked in.” Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 18 It was evident from discussions with members of staff and the proprietor that training opportunities were provided. These included induction training, moving and handling, first aid and NVQ’s. Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 39 and 42 (Adults 18-65) and Standards 33,35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 (Adults 18-65) 33, 35 and 38 (Older People) A system for obtaining the views of residents was in place. Suitable accounting procedures were used to safeguard resident’s finances. Appropriate procedures were in place to promote the health, safety and welfare of residents. Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 20 EVIDENCE: The home had achieved the nationally accredited Investors in People award. Resident’s were encouraged to express their opinions about the quality of care and facilities at resident’s meetings and informally at anytime. A suggestion box had been placed in the hallway. The proprietor was advised to produce an annual development plan to help monitor the quality of the service and further improve outcomes for residents. The proprietor explained that residents were encouraged to manage their own finances if possible. Examination of records indicated that accounting procedures were thorough. The safety of residents was promoted by regular checks of fire alarms, emergency lighting and fire drills. A fire risk assessment had been completed. Safety notices were displayed in the home. Members of staff had received appropriate training in first aid and health and safety. Appropriately qualified personnel regularly serviced equipment and appliances. Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 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 Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 Score 3 3 Score ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x x x x x x 3 3 x 3 Standard No 24 25 26 27 28 29 30 STAFFING 2 x 3 x x x 3 Score 11 12 13 14 15 16 17 Standard No 31 32 33 34 35 36 x x x 3 3 x x x 2 x x 3 x Version 1.40 Page 22 CONDUCT & MANAGEMENT PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Crawshaw Hall Medical Centre Score 3 2 2 x 37 38 39 40 41 42 43 F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 6 19 Regulation 15(2)(b) 17(1)(a) Sch. 3(n) Requirement The registered person shall - (b) keep the service users plan under review. A record of the incidence of pressure sores and of treatment provided to the service user. The wound care chart must be kept up to date. the registered person shall make suitable arrangements for the recording, handling, safekeeping, safeadministration and disposal of medicines received into the care home. A record of all medication received into and taken out of the home must be kept. Timescale for action 24 June 2004 24 June 2004 3. 20 13(2) 24 June 2004 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 24.12 39.2 Good Practice Recommendations A plan for the routine maintenance and renewal of the fabric and redecoration of the premises should be produced. An annual development plan should be produced. F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 23 Crawshaw Hall Medical Centre Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 1st Floor, Unit 4 Petre Road, Clayton-Le-Moors Accrington Lancashire. BB5 5JB 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. Crawshaw Hall Medical Centre F57 F07 S22511 Crawshaw Hall Medical Centre V226025 100505 Stage 4.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!