Inspection on 06/09/05 for Friars Mead

This inspection was carried out on 6th September 2005.

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

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

Other inspections for this house

Friars Mead 27/06/07

Friars Mead 23/01/06

Friars Mead 10/02/05

Friars Mead 15/06/04

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

CARE HOMES FOR OLDER PEOPLE Friars Mead Rockliffe Avenue Kings Langley Herts WD4 8DR Lead Inspector Tom Cooper Unannounced 06 September 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Friars Mead Address Rockliffe Avenue, Kings Langley, Hertfordshire, WD4 8DR Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01923 270 304 01923 270 324 Abbeyfield Hertfordshire Residential Care Society Limited Mrs G Hockey CRH Care Home 27 Category(ies) of OP-27 registration, with number of places Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home may accommodate a maximum of twenty seven service users over the age of sixty five years in need of personal care. Date of last inspection 10 February 2005 Brief Description of the Service: Friars Mead is located in a residential area of Kings Langley at the end of a culde-sac, adjacent to a sheltered accommodation complex. Local shops are nearby, with Watford and Hemel Hempstead town centres only short bus rides away. The home, owned and operated by the Hertfordshire Abbeyfield Society, offers personal care and accommodation for up to 27 elderly people. It is not registered to care for people with dementia. The home was purpose-built in 1991 and provides acommodation on two floors served by a lift. All bedrooms are singles with ensuite facilities although one is sufficiently large to be used a a double and some of the other bedrooms have interconnecting doors, making them particulalry suitable for married couples. there are two lounge/dining rooms on the first floor and a larger lounge/dining room on the ground floor. Each floor has a small domestic style kitchen for the use of service users and relatives or friends for making light refreshments. Limited car parking is available to the front of the building and an enclosed garden with sheltered patio areas to the rear. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a weekday afternoon and early evening. 24 service users were in residence and were observed relaxing, eating and engaging in an afternoon activity. Interviews were conducted with service users and staff as well as the registered manager. Documentation checked included four care plans, medication records, accident records and food menus. In addition the inspector conducted a brief tour of the building and grounds. There were 24 residents in the home on the day of the inspection. Service users were very well presented physically and appeared to be well cared for. In conversation all service users said they liked the home commented favourably on the attitudes and skill of staff. The staff team is experienced and stable. Staff spoken with said they enjoyed working in the home felt well supported and praised the training opportunities provided by the company. The inspection indicated that Friars Mead continues to run smoothly with contented service users and well-trained and motivated staff. What the service does well: Service users are well cared for by knowledgeable, well-trained and committed staff. The physical care of service users is good and they were well presented, dressed in clean and comfortable clothing, with tidy hair and fingernails. Individual care needs are well known to staff and documented adequately in individual care plans. All examples examined contained details of care needs, with clear instructions and helpful hints for staff on how to meet them. Service users expressed confidence in the abilities of staff to look after them in the way they would wish. All service users consulted said they were content in the home. They appeared to enjoy positive and friendly relationships with staff. Several service users commented that they felt the pace of life in the home suited them well. Numerous appropriate activities are organised by a specifically designated member of staff, according to a four-week activities timetable, devised and changed periodically following consultation with service users. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 Page 6 Past inspections have revealed that the system for storage, administration and recording of medication is very well organised and operated and this was found to be the case once again, despite one signature gap noted on a Medication Administration Record (MAR) sheet. All service users spoken with said the food provided was to a high standard and there was always a choice of meals available. The four-week rolling menu demonstrated a well-balanced and nutritious diet. The kitchen was clean and tidy and well equipped. The small domestic kitchens on each floor provide an excellent facility for residents and visitors to use independently of staff. Staff spoken with said that they enjoyed their jobs and felt they had good training opportunities. Teamwork and communications in the home were described as good, with effective systems in place to promote this such as regular supervision, team meetings and communications books. Most of the care staff have achieved NVQ qualifications in care. Personnel records examined demonstrated that proper recruitment procedures were being followed, with references and CRB disclosures taken up prior to employment as required. What has improved since the last inspection? What they could do better: In general, the home already provides a high quality service much appreciated by service users. Some external paintwork is beginning to look worn and would benefit from restoration. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 Page 7 A group of service users interviewed said that they would like more chairs to be available in the ground floor lounge. This may be difficult to achieve safely given the relatively small amount of space in this room. 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. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, 5 Prospective service users have access to adequate information about the service provided to decide whether it will suit them. All service users are given copies of the terms and conditions of occupancy. All admissions are made on the basis of a thorough assessment made by a senior member of staff. Service users have confidence in the ability of staff to meet their needs. Service users are given the opportunity to visit the home prior to admission to assess the atmosphere and quality of the service. EVIDENCE: The statement of purpose and the service user’s guide contain the required information and are available in large print. In addition there is a monthly newsletter (with contributions from service users themselves) that details Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 Page 10 events in the home. Copies of the last inspection report and the home’s complaint procedure were available in the entrance lobby. On admission, new residents are given a copy of the terms and conditions of occupancy, detailing the care and services to be expected, the room to be occupied, fees payable, the rights and obligations of the service user and so on. New service users are only admitted after a senior member of staff has made a full needs assessment, taking into account information from medical professionals and, where relevant, relatives. The manager uses this assessment to determine whether the home can meet the person’s needs, also taking into account the individual’s likely compatibility with the existing group of residents. The staff team is stable, experienced and well-trained, with many staff employed for over ten years. All service users spoken with were very positive about the care they received. Observations of staff working with service users indicated a caring and respectful approach with good teamwork. Many staff have attended relevant training courses such as dementia awareness and care of the dying and this has equipped them with extra skills to ensure that they can meet service users’ needs. Prospective residents and their relatives if appropriate, are invited to visit the home as many times as they wish prior to making any decision about moving in. The manager encourages such visits as they also facilitate the preadmission assessment process. The home does not accept emergency admissions and does not offer intermediate care. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 Service users’ care plans contain regularly updated detailed information regarding their health. personal and social care needs, that enable care staff to monitor and record individual progress and provide a consistent standard of care. Staff monitor individual service users’ health and involve specialist health professionals as necessary. The home operates a safe and very well organised system for handling, storing, administering and recording medication. Service users feel they are treated with respect and enjoy positive relationships with staff. Staff promote individual privacy and confidentiality. EVIDENCE: Four care plans examined contained good details of the assessed needs of service users and how they should be met. Individual personal preferences were noted as well as useful tips for staff on how to proceed. Relevant risk assessments had been completed, for example regarding moving and handling Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 Page 12 and falls. Daily notes filed were objective and meaningful. As a result the care plans seen provided effective working tools for staff that took into account the individual circumstances of the service users. The home retains a local GP who regularly holds surgeries on the premises. New service users may choose to register with this GP or retain their former doctor if they previously lived locally. Staff continuously monitor service users’ condition and documentation seen demonstrated that specialist health professionals including community psychiatric nurse, dietician, continence advisor, optician etc are involved as necessary. Staff also encourage service users to remain active and will accompany individuals for walks in the garden as well as on outings. Regular music and movement classes are also held. The home operates a very well organised and controlled system for the storage, handling, administration and recording of medication. A room is set aside for storage, containing a fridge and lockable cabinets as well as the medication trolley. A blister pack daily dosage system is used for administration. The manager and all staff are very keen to operate the system safely. One team leader has delegated responsibility for medication matters and has an impressive knowledge of procedure and practice. All the team leaders have been trained to administer medication and relevant training certificates for various members of staff who had attended courses were available for inspection. On the strength of the level of training and the practical application of their knowledge by the staff involved the home has been awarded the ‘commendable’ 4 rating for this standard at previous inspections. However on this occasion, despite an otherwise excellent level of recording, one signature gap was noted on a MAR sheet therefore the 4 score has been reduced to a 3 as all medication administered must be signed for. Service users would be able to self-manage their medication subject to satisfactory risk assessment however none was doing so at the time of the inspection. Service users spoken with all said that staff were very kind and understanding, treated them with respect and helped them maintain their dignity and privacy, especially with regard to carrying out personal care tasks. Staff were observed interacting positively with service users, talking to them in a relaxed and conversational manner and evidently maintaining good quality relationships. All these matters are covered in the home’s policies and procedures, reinforced via the induction and training policies of the company. Residents said that staff generally knocking and waited at their bedroom doors prior to entering. The manager has a clear understanding of confidentiality and its importance and ensures that staff are similarly aware. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 Service users are able to lead the lifestyle that suits them and have opportunities for stimulation and recreation. Staff regularly consult service users regarding the activities to be provided. Service users are able to maintain external family and social contacts as they wish. Staff support service users to make decisions for themselves and to control their individual lifestyles. Service users are satisfied with the food provided and have a good level of choice. The four-week rolling menu is well-balanced and nutritious and reasonably varied. EVIDENCE: Activities are organised and delivered by specifically designated members of staff and something takes place every afternoon, following a four-week timetable that is well publicised on the notice board. The activities programme is reviewed every six weeks by the manager in consultation with service users at residents’ meetings. All service users spoken with confirmed that there was a good variety and that their preferences were accommodated. Trips out are arranged frequently, especially in the summer, to places such as Southend, Kew Gardens, or for pub lunches, canal boating. Regular exercise classes take Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 Page 14 place in the home and some service users contribute to the monthly newsletter, which contains details of activities occurring. Individuals who have no desire to participate in activities are free to opt out as they choose. Many service users are taken out regularly by relatives and friends. Service users confirmed that their visitors were always made welcome. A group of volunteers visits regularly to provide extra social contact and companionship to residents. Service users’ bedrooms are newly decorated prior to admission and they may bring personal items into the home. Many rooms contained small items of furniture, pictures and ornaments. Service users are encouraged to continue to handle their financial affairs themselves for as long as possible, although the home holds some service users’ money for safekeeping. The relevant records were not checked at this inspection, although previously had been found to be satisfactory. The four-week rolling menu describes a well- balanced diet. Staff ask residents the day before for their selections of main meal, which is lunch. Alternative meals are always available if they change their minds. Service users were unanimously positive about the food provided and confirmed they had a good level of choice. The kitchen was clean and well equipped and appropriate hygiene controls were observed in practice. The cook is aware of any special dietary requirements, for example one service user had diabetes, controlled by diet. Staff support service users to ensure that mealtimes are relaxed, social events. Service users may take meals in their bedrooms if they prefer. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 Service users feel that their views are taken seriously and any complaints will be listened to and acted upon. Service users are protected from abuse by means of the home’s policies and procedures and staff training. EVIDENCE: The complaints procedure contains the required elements to meet the standard. Any complaint received would be responded to within 28 days with details of the action taken in response communicated to the complainant. Service users consulted had a fair understanding of how to go about making a complaint should they so desire. No complaints had been received at the home since the last inspection. The home has a policy and procedure in respect of adult protection and whistle blowing. All staff receive training on this topic. The Hertfordshire inter agency adult protection guide is available in the home. Staff spoken with were aware of adult protection issues. The subject is covered during induction and in the NVQ training that many staff have undertaken. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 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 standard(s) 19, 20, 21, 22, 23,24, 26 The premises are suitable for the needs of elderly people who may have restricted mobility and are well maintained and safe. Adequate communal space is provided on each floor and there is a safe, accessible and attractive garden. These facilities mean that service users have a good choice of where to spend time outside their bedrooms. Adequate bathing facilities, including assisted baths, and sufficient toilets are provided. Suitable aids and adaptations are fitted or available to meet any special needs of service users. Service users’ single bedrooms are comfortable, well decorated and homely and contain personal possessions. The premises are kept clean, tidy and free from unpleasant odours. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 Page 17 EVIDENCE: The building has wide corridors and doorways, and provides level access throughout. There is a lift and a stairlift. All areas seen were well maintained. There is a planned programme for maintenance and redecoration. Fire doors have been fitted with magnetic clasps that are released upon activation of the fire alarm. The part time gardener maintains the garden to a high standard and service users can safely walk around the perimeter on the concrete pathways. Pretty flower displays lend colour and aesthetic appeal. The home has external security lights and all entrance doors are alarmed. There is a ground floor lounge and a separate dining room and two smaller lounges on the first floor. There are also various small sitting areas around the building and two sheltered patios. The home is comfortably furnished with domestic type items suitable for the use of elderly people and the décor is understated and non-institutional, providing an attractive and homely environment. All service users’ bedrooms have en-suite facilities that include walk-in showers. There are also three separate bathrooms, two with assisted baths. Handrails are fitted along corridors to aid mobility. Each bedroom and communal room in the house has an alarm call point so that service users can summon assistance. All bedrooms seen met the requirements of the standards. Furnishings were robust and comfortable and service users had made the rooms more personal by introducing numerous personal items such as photographs and paintings, televisions, radios and ornaments. All bedroom doors have locks and each room has a lockable storage space for valuables or medication. Adequate lighting and power points are provided. All areas inspected were clean and tidy with no unpleasant smells evident. Service users praised the domestic staff and said that high standards of cleanliness were always maintained. The manager said she was particularly keen to preserve a homely environment and thus promote residents’ dignity and self-esteem. Health and safety, fire safety and infection control notices were displayed where required around the building. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 Adequate numbers of well trained and competent staff are on duty at all times available to meet the needs of service users. A high proportion of care staff have achieved relevant qualifications to enable them to provide a high standard of care, in accordance with the company’s policy. The home operates a thorough recruitment process that safeguards service users’ interests through rigorous vetting procedures. EVIDENCE: During the inspection three care assistants plus one team leader were on duty and the staff rota showed that this was generally the minimum number of staff on duty from day to day. At the start of the inspection the manager and deputy manager were also present. Service users spoken with all felt staffing levels were adequate and expressed confidence in their skill and knowledge. Staff coming on duty benefit from detailed handovers between shifts, at which each service user’s status is discussed and the priorities for the shift determined. Thus every member of staff is well informed of current developments. Staff commented that communication systems in the home were effective and felt the company provided them with good training opportunities. The staff team remains stable, with several individuals who have worked at the home for many years. In line with the company’s policy all new recruits are Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 Page 19 expected to undertake NVQ training to at least level 2 and the manager reported that over 80 of care staff had achieved this, with several qualified to level 3 or above. This has equipped staff with essential skills and a noticeable air of confidence in going about their duties. It has previously been established that the home’s recruitment policies and procedures meet the requirements of the standard. The personnel file of the newest member of the team was examined and found to contain all the required details such as two positive references, Criminal Records Bureau disclosure, identification evidence and so on. The manager had a clear understanding of recruitment priorities and the company’s expectations of the minimum capabilities of anyone employed at the home. A comprehensive checklist is used to ensure that all information and documentation required are obtained before a candidate starts work. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 36, 38 The registered manager is very experienced and well qualified. The manager and senior staff provide effective leadership, creating a caring ethos that corresponds to the aims of the home to provide a consistently high quality of care to service users. Staff at all levels benefit from regular supervision that is formally recorded. This makes staff feel supported and aids their development. The home has robust health and safety policies and working practices that promote and protect the safety of service users and staff. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 Page 21 EVIDENCE: The manager has had long experience in the care of the elderly, including management posts for at least the last ten years. She has NVQ4 and the Registered Manager’s award. She continues to attend training courses to maintain and improve her knowledge of modern care practice. The manager expressed a strong commitment to maintaining high standards and said she was prepared to offer firm guidance to staff where necessary. She holds regular meetings with service users and relatives to ensure that good communication is achieved. Full team and senior team meetings are held monthly. Staff and service users reported that these meetings were constructive. The home’s management committee also meets regularly with service users to elicit their views. Service users said that they felt involved in the running of the home and that their views were taken seriously. Staff described the management team as mutually supportive and approachable. As a result service users have a high degree of confidence in the home and feel content and secure. All staff, including the manager and deputy receive regular formal supervision. The home’s management committee supervises the manager and deputy, with supervision responsibilities for other staff delegated to the senior team. Sessions take place every two months and are formally recorded on a standard format. Records were available for inspection and examples seen covered practice matters, philosophy of care in the home and career development needs as specified in the standard. Staff confirmed that they found supervision valuable. A new member of staff confirmed that she had been given a thorough induction when she started work and was working through her foundation training. It has previously been confirmed that the home has the correct policies and procedures in place to ensure that the health, safety and welfare of service users are safeguarded. Mandatory training to promote safe working practices (in moving and handling, fire safety, food hygiene, first aid, health and safety) is ongoing through the year and staff spoken with confirmed it takes place. Hazardous substances are stored in accordance with COSHH regulations. Risk assessments were in place in service users’ files inspected. Baths, hoists and fire extinguishers had been serviced within the last year. Low surface temperature radiators are fitted throughout the home. All accidents are recorded on official forms. Accident forms seen had been documented properly. The manager is aware of when to notify the Health and Safety Executive under the RIDDOR rules. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 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 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x x 3 x 3 Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 Page 23 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 Regulation Requirement There were none. 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 Good Practice Recommendations There were none. Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Hertfordshire Area Office Mercury House, 1 Broadwater Road Welwyn Garden City, Herts AL7 3BQ 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 Friars Mead I52 s19391 Friars Mead v247300 060905 stage 4.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!