Inspection on 03/10/06 for Edgeview Nursing Home

This inspection was carried out on 3rd October 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Edgeview Nursing Home 22/07/08

Edgeview Nursing Home 29/11/05

Edgeview Nursing Home 25/05/05

Edgeview Nursing Home 03/02/05

Edgeview Nursing Home 28/09/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Edgeview Nursing Home The Compa Comber Road Kinver Nr Stourbridge Staffordshire DY7 6HT Lead Inspector Mrs Sue Mullin Key Unannounced Inspection 3 October 2006 11:30 Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 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 Edgeview Nursing Home DS0000022324.V307666.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Edgeview Nursing Home Address 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) The Compa Comber Road Kinver Nr Stourbridge Staffordshire DY7 6HT 01384 872804 F/P 01384 878980 edgeviewhomes@AOL.com Edge View Homes Ltd Mrs Julia Ann Jasper Care Home 24 Category(ies) of Learning disability (24), Learning disability over registration, with number 65 years of age (1), Mental disorder, excluding of places learning disability or dementia (24) Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 29th November 2005 Brief Description of the Service: Edgeview nursing home provides 24 hour nursing care to twenty-four adults aged 18 to 65 of both genders with learning disabilities, mental health problems, autistic spectrum disorders and associated physical disability, these may be further complicated by the presentation of behaviour, which challenges services. Edgeview is located in a residential area of Kinver, approximately one mile from the village centre in an area of outstanding natural beauty. Road links to nearby Stourbridge and Wolverhampton are good, with regular services. The Home is divided into three areas; the Main House accommodating sixteen residents and the Bungalow and the Stables, the latter two are semi dependent units, which provide accommodation for three and five residents respectively. Whilst at Edgeview, all residents are encouraged and supported by staff to develop their independent living skills, enabling some, in time, to move to environments of lesser support. Edgeview aims to provide a homely environment that will afford residents greater security, choice, independence and a good quality of life. This is achieved by maintaining a relaxed, friendly atmosphere where staff’s primary objective is to meet individual residents holistic needs, while maximising the services that the Home can offer to residents. Edgeview aim to offer the residents an exciting range of opportunities, both in house and through their onsite activity centre and as part of the community, which encompasses the essential human needs for stimulus and peace, work and leisure, occupation and relaxation, togetherness and solitude. All residents are encouraged to take an active role in life at Edgeview, and staff respect the right of residents to accept or decline such involvement, but they recognise their responsibility as professionals to ensure that residents do not isolate themselves through anxiety, obsession, challenge or lack of confidence. It is the Homes belief that residents will prosper in their care, where they will receive unconditional support, respect and understanding from a highly qualified, fully trained and dedicated staff team. Weekly costs are from £1245.00 up to £2300.00 other costs are levied for personal items. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection of Edgeview Nursing Home. The inspection methodology included pre inspection details, results of 16 residents, 8, relative and 4 healthcare professional questionnaires. Discussion with the GP and inspection of the environment. Care records and other pertinent documents were also examined. Discussions were held with the care manager, the operational manager and the company secretary during the inspection process. Residents were observed during the inspection coming in and out of the home, busy about the day’s events. During the afternoon, some residents were seen in the activity room involved in an organised exercise/fun session, all seemed to be enjoying themselves with much banter evident. No relatives visited during the inspection and interaction with the residents was limited due to some residents suffering with profound communication difficulties. The overall impression of the care of the residents was excellent. All were dressed appropriately and a great deal of attention was paid to personal hygiene requirements. Observations were made of staff and resident interaction, eye contact was maintained and there was a real feel of respect and affection. One of the healthcare professional questionnaires quoted ‘ This is a thoroughly professional organisation, with whom I have placed a number of residents. I visit regularly and am given open access to every aspect of care. Care plans are jointly written and agreed and regular reviews take place on a multidisciplinary basis.’ One relative quoted ‘ I am always welcomed at the Home and they make me feel at home. The staff fetch me from my home and take me back’. What the service does well: The home provides information for prospective residents regarding the type of service they can expect to receive, including facilities and terms and conditions of residency. Prospective residents have the opportunity to visit and stay at the home prior to making a decision to move in. Assessment information was detailed with evidence of professional, family and resident input. Care plans gave an accurate account of the identified care needs of the residents and the action required to meet those needs. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 6 Activities were arranged around occupational/educational sessions and there was evidence of frequent outings into the local community. Links with families and friends were maintained and meal times were flexible dependent on the planned activities of residents. The kitchen was inspected and was spotlessly clean and tidy. Stocks and supplies were seen and it was identified that there was a very good range of fresh fruit and vegetables. The Home operates a 4-week menu plan each day there was a choice of three hot meals. The cook had worked in the home for several years and knew the resident’s individual likes and dislikes very well. The cook also stated that residents could choose an alternative to the main meal and choices are actively promoted. Special dietary needs were met. Residents (where able) have free access to a satellite kitchen to make drinks. The cook explained that they have only the best of quality foodstuffs and this was reflected in the lunch served on the day of the inspection. There was either gammon with parsley sauce, steak pie or a vegetarian choice of cheese and onion tart. These were served with fresh vegetables including mashed potatoes, cauliflower, broccoli, carrots, and peas. There was a choice of desserts including individual ice cream tubs and fresh fruit salad made up with grapes, peach, banana, strawberries, oranges and kiwi fruit. The Home provides a very good ratio of care staff on all daytime shifts and at night there are no ‘sleeping’ night staff. All staff on duty are alert and ready to meet individual needs. The home benefit enormously from the support of several senior managers having daily input into the home. The care manager has several days as supernumerary to complete her managerial tasks. It was pleasing to note that the general ethos of the home was one of protection of the residents rights, for example; ensuring residents gave permission for the inspector to look into their rooms. Clearly the staff have a great deal of respect for their residents and every effort is made to provide excellent standards of care and to promote optimum levels of healthy, independent living. What has improved since the last inspection? The home has installed a ‘Snoezelen’ a sensory room with relaxing lighting and music where residents can spend time and enjoy peace and tranquillity. New office furniture, new beds, mattresses and headboards have been purchased. New carpets have been laid to office and both lounges downstairs. The activity lounge has had new non-slip flooring. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 7 Baths and showers have been refurbished with just one to be completed. A new freezer has been installed in the Bungalow and a new tumble dryer has been installed in the Stables. The home continues to provide an excellent standard of care to all residents in the home. Commitment to residents to improve their lifestyle is high on the agenda. 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. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is ‘good.’ Prospective residents are assessed prior to admission assuring that the Home can meet their needs. The homes Statement of Purpose and Service User Guide gives details of the services the home provides, enabling an informed decision about admission to be made. EVIDENCE: The Statement of purpose was seen on the last inspection and contained the relevant information for prospective residents and their representative with the detail they require, enabling them to make an informed decision about moving in to the home. No changes have been made to this document. A service user guide format was user friendly in pictorial, symbol and simple language for ease of use. There was evidence in pre inspection records seen, that some residents had the contents of the guide explained to them at the point of admission. The terms and conditions of residence were incorporated into the service user guide as well as in the contract between the service and the placing authority. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 10 Information in the sample of care records seen and from discussion, demonstrated that the service had an adequate pre admission assessment tool, and that every effort had been made to collate information relating to the prospective resident prior to admission, including meeting with the previous care provider, meeting the resident in the previous placement, offering the individual the opportunity to visit the home on a number of occasions prior to admission. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 Quality in this outcome area was ‘excellent’. There was a clear care planning system in place with evidence of regular reviews and residents involvement to ensure that the plans satisfactorily meet resident’s needs. Management of resident’s personal monies was very well controlled and maintained in their best interests. All monies were appropriately deposited and administered. EVIDENCE: Care plans sampled during this visit were reflective of the assessed needs of residents. There was evidence of reviews, risk assessments, preferred routines and personal inventories. The information in the care files demonstrated that social workers and health professional were regularly consulted about the care needs of residents and there was evidence that professional advice was recorded and acted upon. There was evidence of regular multi disciplinary meetings to ensure the care needs of residents were appropriately met, where significant challenges had been presented. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 12 Individual Person Centred plans had been started for all residents, giving an account of the individual aspirations and goals of each individual and the support they required to meet these goals. During the inspection of individual financial records it was identified that very good systems were in place to protect residents from any financial abuse. The Company Secretary explained the time consuming processes maintained to ensure that every penny was accounted for on an individual basis. Records were clear and receipts were kept. The Company Accountant audited the books every year. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area was ‘excellent’. The service provides plentiful opportunities for residents to engage in activities in and out of the home, which are identified in person centred plans and agreed with the individual. The provision of a varied menu was excellent. Residents are encouraged to exercise choice and control over their diet. Healthy eating was encouraged. EVIDENCE: Residents had opportunities to attend specialist day services and therapeutic session including, sensory stimulatory or relaxation sessions, during the week. Other activities included attending a range of recreational events; residents have opportunities to visit local towns and villages for personal shopping. There was some type of activity planned on a daily basis for each person that had been agreed as part of the Person Centred Planning approach. Appropriate levels of care staff are available during the daytime, which meets the various outings and activities. Individual programmes were interspersed with independent living skills, which meant residents were involved in assisting with the household chores, Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 14 maintaining their bedrooms, helping staff with cooking and other domestic routines. The home provides two vehicles for transportation. From observation, it was confirmed that in house activity is organised based upon the individual needs of residents. Activities included tabletop games, art and crafts, bicycles, exercise equipment, football table and lots more. The home employs a full time activity coordinator and purchase external therapeutic sessions. The kitchen was inspected and was spotlessly clean and tidy. Stocks and supplies were seen and it was identified that there was a very good range of fresh fruit and vegetables. The Home operates a 4-week menu plan each day there was a choice of three hot meals. The cook had worked in the home for several years and knew the resident’s individual likes and dislikes. The cook also stated that residents could choose an alternative to the main meal and choices are actively promoted. Special dietary needs were met. Residents (where able) have free access to the kitchen to make drinks. The cook explained that they have only the best of quality foodstuffs and this was reflected in the lunch served on the day of the inspection. There was either gammon with parsley sauce, steak pie or a vegetarian choice of cheese and onion tart. These were served with fresh mashed potatoes, cauliflower, broccoli, carrots, and peas. There was a choice of desserts including individual ice cream tubs and fresh fruit salad made up with grapes, peach, banana, strawberries, oranges and kiwi fruit. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area was ‘adequate’. The personal and health needs of residents were met with evidence of multi-disciplinary working taking place on a regular basis for the benefit of residents. The systems for the administration of medication were not fully in place to ensure resident’s medication needs are met. EVIDENCE: Personal support needs were recorded in individual plans and the staff were observed to seek residents agreement before offering assistance with specific tasks. All of the residents had bedroom door locks and it was noted that staff knocked on bedroom doors before being invited to enter. There was evidence of good rapport between residents and the staff. Each resident had a nominated key worker whose role was to assist residents with any difficulties they had, with personal care needs and independent living skills and to support them to maintain contact with family and friends. This inspection included a pre inspection discussion with the GP who was generally complimentary about the service but indicated that although residents were escorted by staff for appointments, not all staff were familiar with the health care needs of individual residents. This was discussed at length with the managers, who felt that this have been the case some time ago, but Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 16 now they ensure qualified staff escort residents to surgery and that communication in this regard had improved. Records showed evidence of health checks and access to community health services, such as dentists, chiropody and opticians. Specialist health services were involved with individual resident’s to monitor and advise on specific health related issues. There was a policy on the administration of medication and protocols were in place for the administration of as required medication. The service operates a monitored dosage system for administering medication. However it was disappointing to note that there were several gaps on the MAR sheets, where staff had not signed or entered a code. This was discussed and the care manager will commence regular monthly audits in future. A requirement was made during this inspection to ensure the home administers medication in line with NMC requirements. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area was ‘good’. The home has a satisfactory complaints system with some evidence that residents feel that their views are listened to and acted upon. Arrangements for protecting residents are satisfactory and all staff have received the protection of vulnerable adults training. EVIDENCE: Pre inspection fieldwork indicated that one complaint had been received by the CSCI since the last inspection, which had been not upheld. The service has a robust complaints procedure. Pre inspection feedback from residents was mixed with some residents unsure of how to make a complaint. The care manager informed the inspector that they would remind residents of their complaints procedure at the next residents meeting. Relatives who had completed and returned a pre inspection questionnaires indicated that they had access to the complaints procedure and knew who they could approach if they had any concerns. Training of staff in the area of adult protection is high on the agenda at Edgeview. Vulnerable Adults procedures were discussed and the staff were familiar with them. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area was ‘good’. Continual investment maintains the appearance of the home, creating a comfortable and clean environment for those residing/and or visiting. EVIDENCE: Three environmental requirements from the last report have been satisfactorily addressed. The home offers a comfortable and homely environment for residents to live. Communal spaces are plentiful. The activity centre provides adequate space for residents to engage in activities planned and those of their choosing. The home is not purpose built but access has been created throughout the home for those who have mobility difficulties. All bedrooms are for single occupancy and individual room sizes vary. All rooms have a hand washing facility. All bedrooms have bedroom door locks and most occupants had their own keys. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area was ‘excellent’. Staff morale was good resulting in an enthusiastic workforce that worked positively with residents to improve their whole quality of life. The levels of staff training were admirable and the home strives to ensure that all staff have the skills and knowledge to deliver appropriate care. EVIDENCE: The Home provides a very good ratio of care staff on all daytime shifts and at night there are no ‘sleeping’ night staff. All staff on duty are alert and ready to meet individual needs. There is a minimum of two qualified on the early shift with 9 care staff and one qualified and 8 care staff on the late shift. At night there is on qualified nurse and 3 care staff. The home benefit enormously from the support of several senior managers having daily input into the home. The care manager has several days as supernumerary to complete her managerial tasks. Ancillary staff is deemed sufficient to meet the demands of the home. External areas are included in the maintenance programme. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 20 Information provided in the pre inspection fieldwork showed that there had been a modest turnover of staff in the last 12 months. Since the last CSCI inspection 4 staff have left. The levels of NVQ trained staff were excellent with over 50 of the work force with NVQ 2 or above. The care manager reported that the organisation was committed to ensuring all new staff were encouraged to undertake NVQ training. Staff spoken to made positive comments about the induction they had received the opportunities for further and ongoing training. There was evidence provided that staff supervision was being undertaken on an ongoing basis. Staff recruitment is robust and the senior managers ensure the information required by regulation is received prior to appointment. This includes staff photographs, copies of birth certificates, formal identification and relevant police checks and two written references. Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42,43 Quality in this outcome area was ‘excellent’. The overall management of the home was dedicated and consummate. The managers pride themselves in promoting residents needs first and dedicating the rest of their time and expertise to continually improve the workforce skills. EVIDENCE: The pre-inspection questionnaire completed prior to this visit by the operational manager indicated that the Home and Health and Safety equipment are maintained appropriately. Further information in the pre inspection questionnaire provided by the operational manager indicated that fire safety records were up to date. Staff were involved in fire drills and had attended fire safety training. Training ongoing and undertaken for new staff since the last inspection included • Manual handling Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 22 • • • • • • • • • • Health and Safety Basic Food Hygiene Continence management First Aid Infection Control Non violent physical crisis intervention techniques Challenging behaviour awareness Offender awareness Manual Handling trainee training Non violent physical crisis intervention trainee training The senior managers of the home explained that further training would be undertaken • • Throughout the continued assessment of individual residents and potential residents As identified to meet the employees professional and development needs Edgeview Nursing Home DS0000022324.V307666.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 Adults 18-65 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 3 2 4 3 4 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X X X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 4 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 2 4 4 3 X X 3 4 Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13(2) Requirement The registered person must ensure that staff in the home administers medication in line with NMC requirements. There should not be any gaps on the MAR sheets. Timescale for action 03/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Edgeview Nursing Home DS0000022324.V307666.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Edgeview Nursing Home DS0000022324.V307666.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. 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