Inspection on 28/06/06 for Darlington Manor Residential Care Home

This inspection was carried out on 28th June 2006.

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

Darlington Manor Residential... 03/07/07

Darlington Manor Residential... 09/11/05

Darlington Manor Residential... 06/10/04

Darlington Manor Residential... 12/05/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Darlington Manor Residential Care Home Darlington Manor 70 Falmer Road Darlington Durham DL1 4AZ Lead Inspector Jean Pegg Unannounced Inspection 28th June 2006 09:30 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 Darlington Manor Residential Care Home DS0000000806.V298633.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. Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Darlington Manor Residential Care Home Address Darlington Manor 70 Falmer Road Darlington Durham DL1 4AZ 01325 361166 01325 487600 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) Manor Care Home Group Samantha Louise Gibson Care Home 63 Category(ies) of Dementia - over 65 years of age (31), Old age, registration, with number not falling within any other category (32) of places Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 6 people over the age of 55 years may be accommodated in the home. Residency may be in either the general residential unit or the dementia care unit. 9th November 2005 Date of last inspection Brief Description of the Service: Darlington Manor provides residential accommodation for up to sixty-three older people including thirty-two people within the dementia care unit. The home is in a residential area of Darlington and is situated just outside of the town centre. The home is a two-storey building that overlooks Eastbourne Park. The home stands in it’s own private gardens with an ornamental fountain. The gardens are very well kept. There is also adequate car parking available for visitors. Inside, the home has fifty-eight single bedrooms and five double bedrooms. Twenty-seven bedrooms have full en-suite facilities; the remaining bedrooms have private wash hand basins. The home has two passenger lifts, five lounge areas including a lounge for those that choose to smoke and two dining rooms. A bus stop and the railway station are within walking distance of the home. Darlington Manor aims to be part of the local community and works hard to get involved in lots of community activities. The home also has a variety of pets that live there. The home charges the following fees. General residential fees are £355 and Dementia care fees are £360 per week. These fees include food, accommodation laundry and staff on duty twenty-four hours a day. Additional charges are made for some entertainments, hairdressing and chiropody, newspapers and other personal items. Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over three days and lasted for thirteen hours. During this time four service users and four staff members were interviewed. Six service users, seven relatives and two health care professionals completed and returned comment cards. The results of these surveys and examples of comments made by individuals will be included in this report. What the service does well: Information is available to help service users decide if the home is suitable for them to live in. Service users are given written contracts so that they know what they are paying for and what services are included in that payment. The manager or one of her senior staff assesses service users before admission, to make sure that the home can meet the service user’s needs. Care plans describe the range of different needs that individuals’ may have including health, social and financial needs. Individual likes and dislikes are also recorded so that staff know how to make people comfortable and happy. A range of different health care professionals meet service user health needs. The home has adequate systems in place to manage service users’ medication. Service users feel that they are treated with respect and that their right to privacy is upheld. “I can come and go as I please. They are carers not warders!” Service users are generally very satisfied with the way of life at the home. Contact with the local community is maintained and visitors are made welcome. Service users are encouraged to make choices and keep control over their lives. Meals are taken in pleasant surroundings and every effort is made to cater for individual tastes and preferences. “Yes choice is given, it is not to my choice but they are happy to cook something for me.” The home has a complaints procedure that has recently been sent out to all relatives and staff know what to do if they suspect abuse is occurring in the home. The home has enough staff on duty to meet the needs of service users. 75 of staff are trained to at least National Vocational Qualification (NVQ) level 2. Recruitment checks are carried out on staff before they are allowed to start working at the home and staff are provided with adequate training to help them do their jobs. Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 6 The manager is showing that she is able to manage the home in a professional manner and in the interests of service users. As far as practicable, the health, safety and welfare of services users and staff is looked after. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 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 the following standard(s): 1, 2 & 3 Quality in this outcome area was adequate. This judgement has been made using available evidence including a visit to this service. Information is available to help service users decide if the home is appropriate for them and service users are provided with written contracts stating the terms and conditions of residency. Preadmission assessments are completed before service users are admitted to the home and senior staff are involved in deciding if the home is appropriate to meet the service user’s needs. EVIDENCE: An updated copy of the home’s Statement of Purpose and Service User Guide had been sent to the Commission as part of the home’s application to increase the number of dementia care beds within the home. The guides contained all of the information that is required to enable people to make an informed choice about where to live. Five service users indicated that they were given enough information about the home before they decided to move in. The manager said that the home was working on developing the service user guide to provide a user-friendlier format. Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 9 Four service users indicated on their comment cards that they had been given a contract when they were admitted to the home. Four service user files were checked and copies of contracts were seen that had been signed by either the service user or their representative. Pre admission assessments are carried out before service users are admitted to the home. Staff interviewed, confirmed that either the manager, her deputy or unit supervisors completed those assessments. And in the majority of cases, those assessments were discussed with the senior staff team to agree whether or not the home would be able to meet the assessed service user’s needs. The manager confirmed that she hoped that consultation with senior staff following assessment would become normal practice within the home. Staff spoken to said that they are given sufficient information about new service users before they are admitted to the home. This information enables them to know what their needs are and how they will be met. “They tell you about the person so that you have a rough idea about what they like and then you talk to them yourself when they come in” and “We get told (about assessments) during handover.” Service users are also encouraged to visit the home before they decide to move in. Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9 & 10 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Care plans describe the range of different needs that individuals’ may have including health, social and financial needs. Individual likes and dislikes are also recorded in detail. A range of different health care professionals meets service user health needs. The home has adequate systems in place to manage service users’ medication. Service users feel that they are treated with respect and that their right to privacy is upheld. EVIDENCE: Four service user care plans were looked at. All care plans were clearly written and personalised. Information in the care plan covered a range of different areas over and above what is required. For example the home asks service users to provide information about favourite colours, smells, flowers, music etc that make them feel happy when they are unwell. Whether or not they want to participate in social events that have to be funded separately, if they want to have ice creams purchased for them when the van visits, if they want to self medicate, have a lockable drawer etc. etc. Financial care plans are also being written for each service user. The care plans are reviewed regularly and daily Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 11 reports are quite detailed particularly about health matters. Some service users said that they had seen their care plans and some were not sure. All of the staff spoken to were able to talk about what individual care plans said showing that they were familiar with them. Records showed that service users health needs were being met. Five service users said on their survey forms that they always or usually received the care and support they needed. One service user confirmed that the District Nurse visited each day to give them an injection. The home sent twenty two surveys out to GP’s and other health care professionals as part of their quality assurance process. Fourteen responses were received and the comments made were generally very positive about the home. The system for administering medication was checked and some minor problems were noted in the recording system being used. The manager agreed to take action to put this right and a second visit showed that an improvement had been made. The manager said that she would continue to audit the system to make sure that staff follow procedures correctly. Arrangements have also been made for the pharmacist to provide some refresher training for staff. All medication administered by staff could be accounted for. Staff were seen being friendly and polite to service users. When asked if staff showed respect towards them, all service users spoken to said “Yes” one said “Yes they are very polite” All seven relatives said that they could visit their relative in private and six said that they were made to feel welcome by staff at the home. The health professionals that completed comment cards said that they could visit their patients in private and that the home worked in partnership with them. Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14, & 15 Quality in this outcome area was excellent. This judgement has been made using available evidence including a visit to this service. Service users are generally very satisfied with the lifestyle they experience in the home. Contact with the local community is maintained and visitors are welcome within the home. Service users are encouraged to make choices and keep control over their lives. Meals are taken in pleasant surroundings and every effort is made to accommodate individual tastes and preferences. EVIDENCE: The home employs two activities coordinators who provide a full and varied activities programme including one to one and group activities. The activity coordinators provided a written report for the inspection, which detailed all activities undertaken since the last inspection. The report shows that the home continues to maximise the use of external agencies library services to enable a range of different board games within the home. For an additional cost, to cover materials, service users can also take part in flower arranging, baking and video nights. Other activities that incur an additional charge are visits from the hairdresser, the musical movement tutor and entertainers. The home has recently purchased an allotment space (jointly with the Banktop Community Partnership) that is being used to grow flowers and vegetables. Service users who returned comment cards indicated that five felt that there were usually or always activities arranged by the home that they could take Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 13 part in. One service user wrote “I do not wish to be included. There are numerous activities.” When asked about activities service users said “ There are plenty of activities but I can’t pretend that any are to my liking. I am happy with my own company.” “ The last couple of weeks myself and xxx have been putting flower beds up and I have been assisting.” “Bingo, dominoes, what else do we play…skittles.” Service users spoken to indicate that they can make choices and that routines were sufficiently flexible to suit their needs. One service user commented, “I can come and go as I please. They are carers not warders!” Visitors are encouraged within the home. The home tries to maintain contact with visitors through letters. The manager showed examples of letters recently sent out informing people of the proposed changes to the home, along with information about making complaints and the Easter party. And a copy of the chef’s letter introducing him and describing how he and his staff will try to accommodate different dietary needs and tastes within the home was also seen. The manager said that they were currently trying to develop a welcome pack for relatives. Discussion with service users and other written records showed that service users were able to access the local community as they wished. Six relatives indicated that they were made to feel welcome in the home and seven said that they were able to speak to their relative in private. The ability to manage personal finances is different for each service user. The home is introducing care plans that describe how each service user prefers to have their finances managed. This is seen as good practice. Service users are encouraged to personalise their bedrooms and this was evident during a tour of the building. The home has policies and systems in place to protect service user personal information. During the inspection visit a birthday celebration was taking place, which involved the presentation of a birthday cake, flowers and gift during the lunchtime meal. Staff were writing down comments made by service users in the special comments book for meals. This book is completed after most meals and records what service users like or dislike. Comments are both positive and negative. Although a menu is provided, the chef does say that he will make every effort to prepare meals that are not on the menu, if he is given 24 hours notice. When asked about variety and choice, a service user spoken to said that “Yes choice is given, it is not to my choice but they are happy to cook something for me.” Special diets are catered for and the chef confirmed that he was notified of any special dietary requirements following a service users admission to the home. The chef also goes around the home speaking to service users and taking orders for meals. The manager said that they were working on new menus and new ways of presenting menus to service users. The dining rooms are nicely furnished and decorated making them pleasant places to dine. Some service users said that they preferred to eat in their own rooms and meals were seen being delivered to service user bedrooms in accordance with their wishes. Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 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 the following standard(s): 16 & 18 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure that has been widely distributed and staff know what to do if they suspect abuse is occurring in the home. EVIDENCE: In February 2006 a serious incident occurred involving a service user falling against a radiator. This incident resulted in a complaint being made to the Home. As a result the Social Services Contracts Department and the Development and Environment Department were also involved. Enforcement action was not considered appropriate, but the home was asked to review their risk assessments and tailor them to individual service users needs. Advice was given as to how access to the inner hot plates of the low surface temperature radiators could be prevented. The home have since provided guards to all radiators in the dementia care unit of the home. And all service users in the general residential unit were given the option of having a guard installed. The family also kept the Commission for Social Care Inspection informed of their concerns. The home has a complaints procedure in place that meets the national minimum standard. Copies of this procedure have been sent out to relatives. The way the procedure is presented does not take into account different service user physical or cognitive abilities. As a response to one of the issues raised in the complaint made in February, the home has introduced new complaint and compliment forms that are available in the entrance hall for Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 15 people to take and complete. Service users indicated on their comment forms, that they knew how to complain and who they would complain to. Six relatives said that they were aware of the home’s complaints procedure and two said that they had made a complaint. The home has policies and procedures in place to help protect service users from harm. Staff receive training in the Protection of Vulnerable Adults. When asked, staff were able to say what they would do if they thought any service user was at risk from harm. The manager confirmed that she had recently checked with the appropriate agencies and updated the contact numbers for making adult protection referrals in the area. Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 19 & 26 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. The home is a clean, well-maintained and homely with a lived in feel to it. EVIDENCE: Since the last inspection the home has made application to change it’s registration increasing the number of dementia care beds and reducing the number of general residential beds. To achieve this the home has had some alterations made to the premises. The alterations have ensured that the home remains fit for purpose with minimum space requirements still being maintained. Internally the home is reasonably well maintained and there is evidence of some investment being made in the purchase of new furniture and soft furnishings in the home. Carpets should be checked as some were noticed to be showing signs of wear and not fitting correctly which may be hazardous for some service users. Recommendations made by the Development and Environment Department have been followed. Service users in the general residential unit have been offered the choice of having a guard fitted to the low Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 17 surface temperature radiators fitted in bedrooms. All bedrooms in the dementia care unit have had guards fitted over the low surface temperature radiators. Outside the home has very well maintained grounds and gardens that have been planted with lots of wild flowers providing a range of different colours. The home is clean and well cared for. The housekeeper contributes towards the quality assurance system by carrying out audits and setting standards for preparing rooms for new service users. Every month a certain number of rooms are audited by the housekeeper to make sure that standards are being maintained. All laundry and housekeeping staff are trained in topics such as Health and Safety and Infection Control. Domestic staff are also encouraged to complete the appropriate National Vocational Qualification (NVQ) award. Although the home is clean and tidy it still retains a homely and lived in atmosphere. Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. The home has sufficient staff to meet the needs of service users and 75 of staff are trained to at least National Vocational Qualification (NVQ) level 2. Recruitment checks are carried out on staff before they are allowed to start working at the home and staff are provided with adequate training to help them do their jobs. EVIDENCE: The home continues to provide staffing levels that are sufficient to meet the needs of current service users. Relatives indicated that they felt that there was sufficient staff on duty. When asked service users said that they thought there were “plenty of staff on duty”. Rotas show that there are usually five staff on duty from 8am – 1pm and six from 1pm – 9pm. The home has a system of supervisors and senior care staff on duty to support care staff each day. The home also has dedicated activity staff, cleaning, catering and maintenance staff on duty each day. The home has over 75 of staff trained to at least National Vocational Qualification (NVQ) level 2. This is more than the national minimum standard. The home continues to make sure that all checks required by regulation, before staff are allowed to start working in the home, are carried out. The records of all staff new to the home since the last inspection were checked. Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 19 New staff follow the recommended National Training Organisation training specification for induction. Staff confirmed that training was ongoing and were able to talk about training they had recently undertaken. Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. The manager is showing that she is able to manage the home in a professional manner and in the interests of service users. The management of service user finances could be less complex and receipts must be kept of all transactions made on behalf of the service user. As far as practicable, the health, safety and welfare of services users and staff is promoted. EVIDENCE: The manager was first registered in February 2006. She currently holds the National Vocational Qualification (NVQ) level 2 and has recently successfully completed the Registered Managers Award. From talking to staff and service users, it is clear that staff are supportive of the manager and are clear about her lines of responsibility and accountability. “A really good manager, quite Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 21 fair.” And “She’s done a grand job.” One relative commented, “In my opinion, the standard of the home has improved since the new matron has taken over.” Although the manager has made a positive impression within the home it is recommended that she continue to study for and achieve the National Vocational Qualification (NVQ) level 4 in Care. The home has implemented a lot of different things to try to make sure that quality within the home is maintained. A stakeholder survey has recently been completed and analysed. The survey included service users, other health professionals and relatives. The results have been analysed and a report written showing how the home is going to respond and make improvements. The domestic staff complete their own quality audits and opinions about food are sought. The activity coordinators also hold a regular meeting where the views of service users are sought. This was confirmed by reading the minutes of meetings and by service users confirming that this happens. Some service users look after their own finances and some ask the home to look after their finances. The home does hold money on behalf of service users in a pooled account that does not earn interest. Service users and their families are informed of this in the home’s information and encouraged to open individual accounts for large sums of money. The financial records kept for service users that detail how and when money is spent, were checked. The system for recording transactions was messy and more complicated than it needed to be. Receipts were not kept for every transaction. By the time that the second visit had been made, the manager had introduced a new system for accounting for service user finances. Random checks were made on maintenance records to confirm that the records were accurate. All were satisfactory. General work risk assessments are carried out and updated and accident reports are completed. Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 4 X 2 X X 3 Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations It is recommended that the manager continues to develop the format and style of service user’s guide so that it is contains relevant up to date in formation in a format that is interesting and easy to understand. The complaints procedure should be produced in different formats that take into account the range of service user physical and cognitive abilities. Carpets should be checked to ensure that they fit correctly and are not hazardous for service users. The manager should work towards achieving the National Vocational Qualification Level 4 in Care. It is recommended that written records of all transactions are maintained and appropriate records and receipts are kept. 2 3 4 5 OP18 OP19 OP31 OP35 Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Darlington Manor Residential Care Home DS0000000806.V298633.R01.S.doc Version 5.2 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!