Inspection on 22/06/07 for Crest House Care Home

This inspection was carried out on 22nd June 2007.

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

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

Other inspections for this house

Crest House Care Home 03/05/06

Crest House Care Home 01/12/05

Crest House Care Home 19/07/05

Crest House Care Home 23/01/05

Crest House Care Home 18/11/04

Crest House Care Home 02/03/04

Similar services:

Springfield House

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Crest House Care Home 6-8 St Matthews Road St Leonards On Sea East Sussex TN38 0TN Lead Inspector Elizabeth Dudley Key Unannounced Inspection 22nd June 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Crest House Care Home DS0000021080.V338878.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. Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crest House Care Home Address 6-8 St Matthews Road St Leonards On Sea East Sussex TN38 0TN 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) 01424 436229 `F/P` 01424 436229 cresthouse@tiscali.co.uk Mrs Josephine Crawford Mrs Josephine Crawford Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is twenty-five (25) Service users must be older people aged sixty-five (65) years or over on admission 3rd May 2006 Date of last inspection Brief Description of the Service: Crest House is a care home registered to accommodate a maximum of 25 older people. The premises are a detached property set in its own grounds in a quiet residential area of St. Leonards on Sea. Local shops are nearby and bus routes run close to the Home. The nearest railway station is approximately half a mile away. The Home provides seventeen single bedrooms and four double rooms, currently used as singles, all rooms have en-suite facilities. The Home has steps up to the front entrance but there is also a sloped pathway and level access throughout the building, enabling wheelchair access. There is a passenger lift to all floors. Two conservatories, and a sitting room provide communal space. There is also a garden to the front of the Home and a paved area with raised flowerbeds, accessible from the conservatories. The Home welcomes prospective residents or their representatives to view the premises and discuss their needs with the Manager. Weekly fees, as at 3/05/06, range from £380 - £475. The fees include residents UK telephone calls but exclude hairdressing, chiropody, and any sundries. Information about the service, including the Commission’s inspection report, is available from the Manager on request. Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Key Inspection took place on the 22nd June 2007 over a period of six hours. It was facilitated by Mrs J Crawford, home owner and manager and the deputy manager. During the course of the inspection a tour of the home took place and ten residents, two visitors to the home and five members of staff were spoken with. Documentation, which included care, plans; medication records, catering and health and safety records and staff records including personnel files were examined. Prior to the inspection ten questionnaires had been sent out to residents in the home and ten to visitors, of which six of the resident questionnaires and ten of the visitor questionnaires were returned. All made positive comments about the home. Two questionnaires were sent to health care professionals and one returned, this was also very positive regarding the home. Comments received from residents included: “ The staff are very helpful always”. “I don’t need much help but am always looked after when I ask for it”. “ Food is excellent and always willing to provide an alternative if necessary.” “Staff listen to what I say- today I asked a member of staff to sort my radio out and she got it to work and explained to me how to do it. Someone is always around to help, I enjoy my meals and the activities and I am content here”. “ I enjoy the activities especially the open days, outings and the pantomime”. Relatives and visitors stated “Relative wonderfully cared for in every way, I am updated regularly by the home about my relatives condition .The home exceeds expectations”. “Homely atmosphere with continual contact between staff and residents Good standard of food offered and recreational activities provided regularly”. What the service does well: Residents are able to take part in a variety of activities, are consulted with regard to their choices in aspects of daily living and are able to make their opinions and views known with these being respected and used to inform the service offered by the home. Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 6 The standard of catering is good with all residents saying they enjoyed the food, have a choice of menu and that all meals are home cooked with fresh fruit and vegetables used. Residents and visitors were very positive about the staff and the atmosphere in the home, saying that the manager is always involved with all the residents and that the management and staff were friendly, happy and polite and ‘ would do anything for us’. Visitors are welcomed at any time and relatives of residents are kept informed of their progress and any concerns. The home is pleasantly decorated and has a shaft lift, which serves all floors, there is also easy access to a secluded garden, although residents said that they preferred to sit one of the two conservatories to see the garden rather than go out into it. What has improved since the last inspection? What they could do better: The manager must ensure that all safety precautions are in place and risk assessments address any risk to residents and staff. Window restrictors or Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 7 relevant risk assessments were not in place on the first floor, and water temperatures to residents’ baths and washbasins have neither been checked nor monitored. Some staff have not received updating in moving and handling training, and personnel files did not include all documentation as required by the regulations to protect the residents. The return of documentation including action plans and self-assessment quality monitoring forms to the CSCI has not been within the timescales required and some requirements made at the last inspection have only recently been complied with. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Crest House Care Home DS0000021080.V338878.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 Crest House Care Home DS0000021080.V338878.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): 1.2.3.4.5.6. People who use the service experience good outcomes in this area. The recent completion of documentation about the home will enable prospective residents to be fully informed about the home. A thorough assessment of residents needs prior to their admission ensures that the home only admits people whose needs can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager and the deputy manager have updated the statement of purpose and service user guide to comply with the regulations and to reflect current Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 10 practice and services offered within the home. This will now be made available to residents and visitors to the home. The updated service user guide is currently being made available to residents in the home. The terms and conditions of residence has recently been reviewed and updated and this will be given to all residents. Completion of this documentation had been a requirement over several previous inspections, this now adequately reflects the services offered by the home and will enable prospective residents to be able to make an informed choice over whether they wish to live at the home. The manager assesses all prospective residents prior to their admission to the home and the completed record of assessment forms the basis of the care plan. Prospective residents and their representatives are encouraged to visit the home to meet other residents and staff and to have tea with them. Relatives of residents and residents spoken with said: ‘ I was invited to come and look round and have tea and the manager was very thorough with giving me the information and asking me about how I like things. ‘ When the manager first came to see my relative she told us about the home, showed us the brochure and other papers and spent a long time finding out about the way he wants to live his life, what he likes to do and what time he likes to get up, it was very in-depth’. The manager said that residents receive confirmation in writing of their proposed admission to the home and are admitted for a month’s trial period. Two members of staff (14 ) have the National Vocational Qualification level 2 in Care and a further three have commenced study for this qualification. Staff will be undertaking further training in end of life care and other training relevant to the care of residents, to enable them to continue to meet the needs of the residents admitted to the home. The home admits people for respite care but not for intermediate care. Crest House Care Home DS0000021080.V338878.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): 7.8.9.10.11 People who use the service experience adequate quality outcomes in this area. Residents are supported by care plans that identify assessed and current needs and are consulted in the formation of these plans of care. Lack of risk assessments and some aspects of medication administration do not fully safeguard the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents have a plan of care, which is commenced on their admission to the home from information gained at the preadmission assessment. Four care plans were examined in depth, these reflected the personal and social care Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 12 needs of the resident with clear directions to the care staff on how to meet these needs. Information regarding the resident’s health care needs and treatment received and appointments due were written in the care plan, and a daily diary in place. Care plans had been reviewed on a regular basis, although not all parts had been reviewed monthly, and had been formed following consultation with the resident or their representative. The manager said that where residents were judged to be at risk of pressure damage the district nurses were consulted. Individual risk assessments were not included in the care plans examined. Residents were seen to be treated in a dignified and friendly manner by care staff, with residents describing the staff as ‘ friendly’, ‘ always smiling’. They said that medical and nursing treatment takes part in their own rooms and chiropody in the hairdressing rooms. They said that their clothes always come back clean from the laundry and that they are able to choose what they wear. All staff have medication training and there are policies and procedures relevant to current accepted practice including a self medication procedure and risk assessment. No residents in the home self medicate at present, a lockable facility is provided for any residents who wish to do so. Some amendments are required to the self-medication risk assessment to ensure the safety of the resident. Medication is currently provided in ‘blister packs’ which are designed to be taken to the resident in the pack, however at some times of day this is dispensed into medicine pots prior to be taken to the resident. This can have implications on resident safety and was discussed with the manager. All medications were stored and recorded correctly and are audited by the local pharmacist four monthly All residents can stay in the home if terminally ill, with the Community Nursing team providing nursing care; the care plan examined reflected the care being given, and the continuing care given by the staff after the team’s daily visit. The manager is arranging some training for staff in end of life care. The home holds funeral or memorial services in the home following death, if relatives are in agreement. Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 13 Crest House Care Home DS0000021080.V338878.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): 12,13.14.15. People who use the service experience good quality outcomes in this area. The scope of the activities and the varied menu provide a good lifestyle for residents living at the home, with resident’s choices being encouraged and respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A variety of activities are provided which includes board games, outings and visiting entertainers, a pantomime at Christmas, birthday teas for residents and open days. Residents are consulted about the activities to be offered and encouraged to pursue previous interests. Residents spoken with said that they enjoyed the activities provided and that they had the choice over whether to participate. These choices were extended to all areas of daily living including their times of rising and retiring. Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 15 There is an open visiting policy, with visitors being able to spend the whole day at the home and have an overnight stay if they wish. Two visitors spoken with said that they were always made welcome at any time of day. The local vicar and primary school children visit the home and there are ‘open days’ held during the summer. The home will book taxis for those residents who attend churches and local clubs and will help residents to consult legal and financial advisors. Residents are able to bring in personal possessions with them to the home and were aware of, and able to access, their care plans. All residents said that the food was good, that they are made aware of the choice of menu the night before and that there were always two choices at mealtimes with an option of anything else if they did not like the menu. Meals, including cakes and puddings are homemade, and there are fresh fruit and vegetables served at meals or given between meals. The kitchen was clean; all staff in the home have the ‘ Food hygiene certificate’. The cook keeps records of residents who have choices of meal, which differ from the main menu and all other records as required by the Environmental Health Authority, are in place. Breakfast is served between 7-7.30 in residents’ rooms; other meals are taken in a pleasant dining room or in resident’s rooms, according to the resident’s choice. The cook has knowledge of special medical and religious diets. A relative of a resident said that prior to the residents’ admission to the home the manager gained knowledge of all the residents food dislikes and likes and this information was given to the cook. The home provides alcoholic drinks on “ any occasion that is special and we manage to find a special occasion most days, and always at Sunday lunch time”. Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16.17.18. People who use the service experience good quality outcomes in this area. Residents and their representatives are confident that any complaints or concerns that they may have will be addressed in a fair and transparent manner. Residents are safeguarded by the staff’s’ awareness of their responsibilities towards those in their care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is displayed in the main reception area and also in the Service user guide and Statement of purpose. The home has received no complaints over the past year and there were only minor concerns, which have been addressed by the manager. Residents and relatives spoken with said that they knew who to go to if they had any complaints and that they felt comfortable about making their concerns known. One comment card from a relative of a resident said that ‘‘ I believe there is a notice inside the entrance to the home so I can find out how to make a Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 17 complaint if necessary, in the past 3 years I had to voice concern and this was dealt with immediately so I fell confident that any matters causing concern will be taken seriously’. Records of concerns and action taken were seen. All staff have received training in the safeguarding of the older person and no safeguarding referrals have been made in the home. Residents said that they vote by postal votes and that the manager will help them to access solicitors or financial advisors. Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 18 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): 19.10.21.22.23.24.25.26 People who use the service experience adequate quality outcomes in this area. Attention to décor and cleanliness provides a pleasant home for those who live there. Resident’s wellbeing is at risk due to maintenance and safety issues in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An attractive and homely environment for residents is provided over three floors. This includes two lounges and conservatories and a dining room, which lead out onto a secluded rear garden. Extra garden space is available by way of a large front garden. A shaft lift serves all areas of the home. Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 19 The standard of ongoing maintenance around the home is generally good although parts of the stair carpets and carpeting in the entrances to some rooms are taped together with the carpet tape, which is now coming away and could be a safety risk. Residents’ rooms include an ensuite bathroom with bath or shower and washbasin and toilet. An assisted bathroom is available which has a bath hoist. There has been no monitoring of water temperatures and this was discussed with the manager, the water heater used to have a self monitoring device onto it which gave the water temperature of water delivered – however this was for the whole home and there is no evidence that it only delivered water to residents outlets at the correct temperature. Some window restrictors are not in place in rooms on the first floor and there are no risk assessments to address this. The manager gave assurances that the water temperatures and window restrictors would be addressed the week following the inspection. Residents are encouraged to bring in personal possessions; lockable doors and a lockable facility in rooms are available to those residents who wish to have these. Radiator covers are now in place in all rooms, as are self-closing devices on doors, which will activate in the event of fire. One resident had an electric portable radiator in their room, this was neither guarded nor risk assessed. Grab rails and a bath hoist are in place. The home has not been assessed by a suitably qualified person. The home is clean and free from offensive odours, with staff having received training in infection control. Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 20 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): 27.28.29.20 People who use the service experience adequate quality outcomes in this area. There are sufficient number of staff on duty over a twenty-four hour period to meet the assessed needs of the residents. All staff receive mandatory health and safety training, although in some areas this is not updated sufficiently to ensure safety of residents and staff. Staff personnel files require some further information to completely ensure the safety of the residents This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty roster shows that staff are employed in sufficient numbers to meet the needs of the residents, with staff, residents and relatives stating that in their opinion there are enough staff on duty over a twenty-four hour period. Night staffing consists of one sleeping and one waking staff and the manager or deputy manager is in the home during daytime hours. Care staff are supported by domestic and catering staff. Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 21 Most staff have undertaken the homes own induction course, but the manager is now implementing a recognised induction course, which is relevant to the National Vocational Qualification in Care course. Two staff (23 ) have completed National Vocational Qualification level 2 in care, with a further three staff wishing to undertake this, and one member of staff interested in studying for level 3. All staff have had mandatory training, but some staff require their moving and handling training updating. The manager should be keeping informed of the recommended updating times for mandatory training. The domestic staff have not received moving and handling training. Some staff have attended study days in subjects relevant to the care of the older person. However in general there was a lack of core cares skills training, although most staff were experienced in the care of the older person and were therefore delivering a satisfactory standard of care to residents Most training is done from distance learning within the home including some of the manual handling training and fire training. Four staff files (33 ) were examined. Staff files contained most of the information as required by the regulations, although not all files contained proof of identity and one member of staff did not have a Criminal Records Bureau check or Protection of Vulnerable Adults. There is a staff handbook, which includes all policies and procedures relating to the home, and staff receive the General Social Care Code of Conduct handbook. Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 22 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): 31,32.33.35.36.37.28. People who use the service experience adequate quality outcomes in this area. Whilst residents and staff benefit from the homely atmosphere and the managers close involvement in ensuring their wellbeing, management systems within the home do not ensure that documentation or actions to ensure resident’s safety are put in place in a timely manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 23 The manager/provider and the deputy manager both have a City and Guilds advanced management course, with the deputy manager having a trainer qualification, which allows her to undertake the moving and handling training within the home. Residents, staff and visitors to the home said that there was a friendly and homely atmosphere in the home and that the manager/ provider was aware of the needs of the residents and always available to talk to visitors. A quality monitoring is in place with both themed questionnaires i.e. regarding food or other services offered by the home being given to residents and relatives at 6 monthly intervals. Results of these are used to inform the services offered by the home. The extension of the quality monitoring system by sending questionnaires to health and social care professionals was discussed with the manager. The CSCI agreed to give further time for the manager to complete the Annual Quality Assurance Assessment required by the CSCI due to a period of annual leave, but at the time of writing this report, this has not yet been returned. All of the requirements from the last inspection had been complied with, but the statement of purpose and service user guide was not completed and given out until the day of inspection, some staff have not had updating of moving and handling and some safety elements such as window restrictors or risk assessments had not been completed. The action plan required from the last inspection for August 2006 was not received until October 2006. Policies and procedures relating to practice within the home have recently been reviewed. The manager does not act as appointee for residents but keeps money for them as required, all receipts and records were in place and up to date. Staff meetings are held at intervals and staff receive supervision within timescales as directed by the National Minimum Standards. Evidence of regular servicing of utilities and equipment was seen to be in place. All residents’ rooms are protected by a system, which allows automatic closure of doors in the event of fire. Window restrictors, hot water temperature monitoring and updating of staff in moving and handling are not in place; domestic staff have not received any moving and handling training. Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 24 There is a freestanding radiator in one room which has not been risk assessed. Few risk assessments were in place around the home and did not refer to associated risks i.e. windows, water temperatures, a free standing radiator and floor covering on stairs which could be a trip hazard. Crest House Care Home DS0000021080.V338878.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 3 3 3 3 2 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 2 3 3 2 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 1 2 Crest House Care Home DS0000021080.V338878.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. 1 2 Standard OP29 OP33 Regulation Reg 19 Sched 2 Reg 24(1)(2) Reg 13.4 Requirement That personnel files contain documentation as required by amended Reg 19 and Sched 2 The registered provider will make the Annual Quality Monitoring Assessment available to the commission That the home addresses safety issues identified in the main body of the report which including window restrictors or risk assessments for these, safety of carpets and maintaining a safe water temperature and ensuring that training in health and safety measures for staff are updated as required by the relevant authorities. (This was a previous requirement August 2006) Timescale for action 30/07/07 10/07/07 2 OP38 30/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 27 No. Refer to Standard Good Practice Recommendations Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Crest House Care Home DS0000021080.V338878.R01.S.doc Version 5.2 Page 29 - 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!