Inspection on 07/12/06 for Edenhurst Care Home

This inspection was carried out on 7th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Edenhurst Care Home 29/11/05

Edenhurst Care Home 08/03/05

Edenhurst Care Home 02/06/04

Edenhurst Care Home 10/07/02

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Edenhurst Care Home 11 Denmark Grove Alexandra Park Nottingham NG3 4JG Lead Inspector Linda Hirst Key Unannounced Inspection 7th December 2006 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 Edenhurst Care Home DS0000002197.V323022.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. Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Edenhurst Care Home Address 11 Denmark Grove Alexandra Park Nottingham NG3 4JG 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) 0115 960 6595 0115 847 7160 Mrs Kerry Bradley Mr Russell Bradley Mrs Kerry Bradley Mr Russell Clive Bradley Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within the total number of beds one bed maybe used for a named individual with mental health needs in the category of MD(E). Please refer the Minor Variation application V8302 and dated 24/02/2004. In the event that the placement of the named individual is terminated, the registration will revert to Older People (24). 29th November 2005 2. Date of last inspection Brief Description of the Service: Edenhurst Rest Home is situated in Alexander Park approximately two miles from Nottingham city centre. It is registered to accept up to 23 people within the category of old age and one named resident with a mental health need. This condition of registration is still valid. The accommodation comprises two separate houses that have been linked together. All areas of the home are accessible to service users. The accommodation is on two floors and is serviced by a vertical lift. The bedrooms are mainly single rooms, two of which have en-suite facilities. There are also two double rooms and a visitor’s room. There are three lounges, including one smoking lounge, two kitchens and two dining rooms. The gardens are well maintained and are also accessible to service users. There is on street car parking and local transport is available a short walk away, although this is accessed by a steep hill. Shops and local amenities are a five minute car journey away. The fees range from £272.58 to £283, depending on whether the placement is funded by the City or County. The fees do not include hairdressing and chiropody. Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (Commission for Social Care Inspection) is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection involved one inspector; it was unannounced and took place over 6 daytime hours, including lunchtime. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. One resident refused to be interviewed as part of the inspection and her wishes were respected. Two members of staff and one relative were spoken to as part of this inspection, documents were read and medication inspected to form an opinion about the quality of the care provided to residents. A partial tour of the building was undertaken, all communal areas were seen and a sample of bedrooms to make sure that the environment is safe and homely. 17 residents returned questionnaires before the inspection took place and these were overwhelmingly positive about the care and service provided. What the service does well: Residents are properly assessed before they go to the home to make sure their needs can be met there. They can visit the home free of charge to see if they will be happy at the home before they decide to go there permanently. The care plans tell the staff how to help the residents with their needs, and the residents help to write the plans. Health care is properly assessed and provided for at the home and the residents are well and healthy. The arrangements for medication are safe and secure and the residents get their medicines as prescribed by their Doctor. The residents are treated well by staff and their dignity and privacy is respected. Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 6 Lots of activities are provided at the home and in the community to make sure that the residents are occupied and entertained. Residents are encouraged and supported to maintain their links with family and friends to make sure they don’t feel isolated or lonely. Routines are flexible, relaxed and revolve around the residents’ wishes and preferences. The meals are varied, plentiful and of good quality. The residents can have whatever they want to eat. The residents and relatives know how to complain and they feel confident that their concerns will be investigated and acted upon. Residents feel safe at the home, and the staff know what action to take to protect them from harm or abuse. The home is comfortable, safe, clean and well maintained and offers a high standard of accommodation to the people who live there. There are lots of staff on duty, so there is time for residents to chat, relax and spend time with the staff. The staff are well trained and good at their jobs, they know the residents very well. The home is very well run and the main focus is to make sure the residents are well and happy. The residents and their relatives are asked for their views to help with this process. There are regular checks on safety equipment to make sure the residents and staff are protected from harm or injury. The home is safe. What has improved since the last inspection? No requirements or recommendations were set after the last inspection, and only one recommendation has been set following this visit. This suggests that the quality of the service provided at the home remains good. Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Edenhurst Care Home DS0000002197.V323022.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 Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Potential residents are assessed before admission and can also “test drive” the service with regular visits free of charge to make sure their needs can be met and to enable them to make informed choices. This practice exceeds the standard required and offers an excellent service. EVIDENCE: The last person to be admitted to the home was selected for “case tracking” to make sure that she was fully assessed before she came into the home to check her needs could be met. There is evidence in her file of a full pre admission assessment dated before her admission date. The manager and staff confirmed that any potential resident is invited to the home for a look around and then assessed in their current setting to make sure the home is suitable for their needs. The manager (who is also the owner) then suggests they come for a Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 10 few days, free of charge and spend the day with staff and residents at the home. This is so that staff can get to know them and see how they manage in a new setting, and the person can make an informed decision about admission. This practice exceeds the standard required and offers a positive service to residents. The staff said this is a positive process which works well and avoids inappropriate admissions. During this inspection a person had come in to spend the day with a view to a future admission. The resident who was interviewed said she could not remember how she came to choose the home but said that from the moment she arrived she has loved being there. Intermediate care is not provided at the home and this standard is not applicable. Edenhurst Care Home DS0000002197.V323022.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans give sufficient guidance to staff on how to meet the needs of the residents. Residents are involved in the care planning process so they are clear about how staff will help them. Health care is properly assessed, provided for and managed. The arrangements for medication are safe and ensure that residents get their medication as prescribed by their GP. Residents are treated with dignity and respect. EVIDENCE: The care plans of “case tracked residents were inspected to ensure they offer good guidance to staff about how to meet needs. The format for care plans is easy to read and staff said they found the information easy to access. The plans could possibly have more detail but the staff feel they have enough Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 12 information to offer good and consistent care to residents and the comments from residents, relatives and observations confirm this. The resident and relatives spoken with knew about the care plans and there was evidence that residents had signed their plans. There is good evidence from care plans that residents’ healthcare needs are properly assessed and provided for (E. g. nutritional risk assessments are done as staff have been trained in this area, weight records are maintained, equipment is provided for the prevention of pressure areas.) Staff said that if a health need is identified, the matter is referred to the appropriate professional, one person sees a Physiotherapist, another has been referred to a Dietician, several people are seen by Community Nurses and District Nurses and the support from GPs is reported by staff to be very good. The resident who was interviewed said her health is well looked after, she said the manager/owner takes her to Hospital for her outpatient appointments and stays with her. A relative commented how staff know when his wife is becoming unwell and they access advice and treatment quickly to make her comfortable. He feels that the staff look after her very well. Medication arrangements were inspected to make sure they are safe and that medicines are given to residents as prescribed. The storage arrangements are safe, secure and appropriate. The records of administration, receipt and returns are very well kept, and there is clear evidence that staff check the dosage and quantity of medication sent by the pharmacist in the “near misses” book. Controlled Drugs are correctly stored, administered and recorded and the countdowns tally with the remaining medication. Medication Administration Records contain a photograph of the resident and they also detail how people like to take their medication. The medication round was observed and the evidence indicated that medication given out safely. The resident and relative said that medication is given on time, and in the manner residents prefer. The staff who were interviewed said they have received training in medication and talked through safe practice. It was clear they understood how to store, record and administer medication safely. The resident who was interviewed said the staff treat her with respect and dignity and are lovely to her. She likes her privacy and said staff always knock before they come into her bedroom. (This was observed to be true throughout the inspection.) She said the staff and manager treat her like part of their family and she loves them as if they were her family. The relative said that staff always treat the residents properly, even when they can be difficult and he said they treat his wife in a lovely way. Staff who were interviewed gave good examples of how they treat residents with dignity, talking about treating them in an understanding and compassionate way and ensuring they are helped discreetly and sensitively. They confirmed they always knock on doors before going in rooms. Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 13 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): All of the above standards were assessed. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents have a good range of activities provided to keep them occupied and entertained and the are encouraged to maintain contact with their family, friends and the local community. Routines are flexible and residents are given choices in all areas of their lives, these are upheld by staff. The meals are varied, nutritious and the residents get what they would like to eat. These provisions exceed the standards expected and greatly enhance the quality of life the residents enjoy. EVIDENCE: The arrangements for activities were inspected to make sure that residents have the chance to be occupied and entertained both in the home and the community. The current plans for activities include a fashion show, an entertainer is visiting, Holy Commmunion and a carol service at the home, a Christmas meal out at a restaurant, and a Christmas Fayre. The activities are provided at no extra cost to residents and any special events are advertised on Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 14 the entrance door so that relatives can come if they wish. The resident and relative who were interviewed confirmed that regular activities are provided. The resident said she chooses whether to join in or not. She does like her own company and enjoys having a lie down on her bed. The staff feel the residents have plenty of activities and entertainment provided. They also feel that there is a good balance between relaxation and activity. The relative and resident both confirmed that there are no visiting restriction and visitors can come whenever they wish. One resident said se gets lots of visitors; both her own family and Russells relatives come up for a chat. She said visitors are always made welcome and offered drinks and biscuits. The relative said the staff are always very kind and he feels well informed about his wife’s care. All of the residents are registered to vote, some who prefer to vote in person are taken to cast their votes by the manager, the others use postal votes. A few of the residents have solicitors looking after their affairs who have no relatives to do this. The resident and staff who were interviewed said that routines in the home are flexible and revolve around the wishes of residents. Some people have their meals in their bedrooms and one resident said she can get up and go to bed whenever she likes, but she prefers to have her own little routine. The resident said the meals are lovely, lots of variety and that if you dont like what is on offer the staff will provide an alternative. The staff confirmed that on most days there are four choices on offer, (two cooked by each kitchen) and staff were heard offering residents three choices for tea during this inspection. The staff and resident confirmed that the owner/manager tells residents to do a shopping list for him if they particularly want anything and he purchases these things himself. (Staff gave an example of one person who likes Carnation Milk and another who likes lager, both are provided. The relative interviewed said the staff provide him with a meal every day to take home. The staff said that the residents get “whatever they want.” Lunch was observed and residents were assisted to eat in a supportive and encouraging way by staff sitting beside them and chatting to them. The staff gave people a choice, even when this was difficult to determine and had very positive attitudes towards them. These extra provisions more than exceed the standard required and provide the residents with a good quality of life. Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 15 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, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is simple and accessible to residents and their relatives. They know how to complain and have confidence that their concerns will be responded to promptly and properly. Residents feel safe at the home, and they are well protected by staff who have good levels of awareness of protection issues. EVIDENCE: There have been no complaints about this service since the last inspection, although the complaints procedure is displayed prominently in the home so residents and relatives can make complaints if they wish. The resident and relative interviewed both knew how to complain, but neither ever had as “there’s nothing to complain about.” They said, however that they would feel confident taking any concerns to the owner/manager as he would address them straight away. The staff who were interviewed had never dealt with any complaints, but they were clear about the process for reporting complaints and knew where the complaints book was kept. They said they had utmost confidence in the owner/manager to sort out any complaints. There have been no allegations of abuse since the last inspection. Six staff have attended training delivered by the Adult Protection Unit, and this training has been cascaded to all staff. The staff who were interviewed showed a good Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 16 understanding of abuse and whilstleblowing. They were clear about their obligations to report poor practice and to keep residents safe. They said they would report any abusive practice to the owner/manager straight away and said he would not stand for any abuse of the residents. The resident who was spoken with said she feels very safe at the home and said the staff repond to difficult situations with patience and respect. She has never seen anyone react in a negative way. Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, cosy, comfortable and well maintained throughout and offers a high standard of accommodation to the residents living there. EVIDENCE: The accomodation provided to residents is cosy, homely and well maintained. There are two lounges, two dining rooms, two kitchens and two laundries. Bedrooms are personalised with items the residents bring in themselves. The staff said that any repairs are reported to the owner/manager, and he sorts them out straight away. They feel the home is cosy, comfortable and kept really clean. They take pride in the home. The residents and relative interviewed said the home is clean and homely and one person said she loves her room, the view it gives her and sitting watching the sunset. Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 18 The home was clean, tidy and fresh smelling throughout. The last visit from the Environmental Health Officer resulted in only minor recommendations which have been attended to. Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staffing levels are high, and well over the minimum standard required to ensure that staff have the time to meet residents’ needs, sit and chat and relax with them. The staff are very well trained and supported and are competent in how they meet the residents’ needs. The recruitment procedures in place offer good levels of protection to residents and protect them from potential harm and abuse. EVIDENCE: The staff rota was inspected to ensure there are enough staff on duty to meet the needs of the residents. There is a minimum of four staff on duty at all times, on one shift a week there will be six staff on duty so that bedrooms can be fully cleaned. The staffing levels are well above the minimum requirements and comments from staff, residents and relatives suggest they more than meet the needs of the residents. Staff said they have time to sit with the residents, chat, do one to one activities and they can take their time in helping each individual. These staffing levels are well over the minimum required. Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 20 The training records provide evidence that the home has already met its target of 50 of staff trained to National Vocational Qualification level 2. One member of staff who was spoken with confirmed she is doing her training at the moment, and feels she has got a lot from the training. The staff files of the newest member of staff, one long standing member of staff who worked for the previous provider and one member of staff who has worked at the home for a number of years were inspected to check that they contained all of the required documents and information. The files for the two members of staff employed by the current owner/manager met the legal requirements. However, the longest serving member of staff had no completed application form, nor written references, although all other key documents were in place. She has worked at the home for over twenty years, but it is recommended that she complete an application form and two written character references be obtained to make sure her file meets the legal requirements. Staff who were interviewed confirmed that they have received Criminal Records Bureau checks. The evidence indicates that all of the training staff receive is provided by an external trainer. He has worked with the providers over a number of years and informs them when they need to update their statutory courses. Evidence indicates that four staff have attended training on understanding Dementia and supporting people with challenging behaviour. These training courses have been cascaded to all staff. In addition there is evidence on care plans that some training has been provided by the District Nurse. The staff interviewed said they get lots of training, the owner/manager is open to suggestions regarding training and he will provide information, training and support for any areas of need. The resident who was interviewed said she feels the staff are well trained and competent. She loves the staff and thinks they are wonderful. The relative said the staff are very good and attentive. He said the staff really care about the residents and are very approachable. He thinks the staff make the home what it is. He feels they are very competent and able. Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The registered manager is experienced, competent, approachable and caring and makes sure that the home is well managed and that the staff are well supported. Quality assurance audits are undertaken regularly to make sure that the residents and their relatives are happy, and that the service provided is of a high quality. The health and safety checks and servicing are done promptly and all records are up to date to ensure that residents and staff are safe at the home. EVIDENCE: Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 22 The registered manager has obtained the Registered Manager’s Award and National Vocational Qualification Level 4. He has been registered as a manager for eighteen years and more than meets the experiential requirements. The resident praised the owner/manager as “lovely,” she said he is like a son to her and will do anything he can to improve residents lives. The relative who was spoken with said he loves the home and feels his wife could not be in better hands. The staff and relative both said the manager is lovely, approachable, laid back but will do anything for the residents or staff. They said he is an excellent boss, really supportive. The management of the home is excellent and exceeds the standard required. Quality Assurance Audits are done once a year, to check on the quality of care provided and to make sure that the home is being run in the best interests of the residents. The last audit responses (from January 06) were inspected. Comments included, I have been living at the home for 5 years and cannot speak too highly of everything. The home is very well maintained. This is a very friendly environment with caring staff. Its a lovely place. There were no real issues of concern raised throughout. The service user questionnaires received before this inspection were also overwhelmingly positive, suggetsing the quality of care and of life provided at the home is very high. The resident who was spoken with confirmed she is asked for her views and she said she is always full of praise for the home. The relative and staff who were interviewed confirmed that residents are asked for their views. There are no financial records in respect of residents at the home as no money is kept on the premises for the residents. The provider pays for everthing and then bills the individual or their representative. The records of health and safety servicing and testing were inspected to check that the home is properly checked and safe. These records provide good evidence that servicing and tests are all conducted at the required intervals and are all up to date. There are no concerns in this area. The staff feel their health and safety is well protected. Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 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 4 28 3 29 2 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X N/A X X 4 Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 24 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 OP29 Good Practice Recommendations An application form and two written character references are required for employees who have been employed for many years. Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Edenhurst Care Home DS0000002197.V323022.R01.S.doc Version 5.2 Page 26 - 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!