Inspection on 27/10/05 for Generals Meadow

This inspection was carried out on 27th October 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

Generals Meadow 12/02/07

Generals Meadow 04/11/04

Generals Meadow 10/06/04

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

CARE HOMES FOR OLDER PEOPLE Generals Meadow St Clare Road Walmer Deal Kent CT14 7PY Lead Inspector Chris Randall Unannounced Inspection 27 October 2005 : 09.40 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. Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Generals Meadow Address St Clare Road, Walmer, Deal, Kent,CT14 7PY 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) 01304 360965 Mr Robert Peacock Mrs Elizabeth Peacock Care Home (CRH) 19 Category(ies) of OP Old age - 19 registration, with number of places Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 01/06/05 Brief Description of the Service: Generals Meadow a large, detached house, built in the Dutch Colonial style by Herbert Baker, who helped to design the Imperial City of New Delh, is situated in a quiet residential area of Walmer and is close to Walmer Castle, the beach, and local shops. the towns of Deal and Dover are only a short drive away. The home is beautifully maintained and presented in keeping with the style of the house. Outside there is a short gravelled drive to the front door with a fountain and attractive planting in the front garden. At the rear there is an attractive garden and patio area on two levels. Inside the home has the ambiance of a hotel with wood panelling, flower arrangements, and muted music. Mr. & Mrs. Peacock, the providers, have owned and managed the home for many years. Mr. Peacock oversees the maintenance and takes a part in the day to day running of the home and Mrs. Peacock is the registered manager and takes overall responsibility for overseeing all of the care needs of the service users. Mrs. Peacock has an assistant manager and a dedicated team of care and ancillary staff to help her. Generals Meadow caters for older people who require a quieter lifestyle, with less organised activities. It is a non smoking home. Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 12 hours (6.85 hours in the home plus preparation time). The majority of standards were inspected earlier in the year and this visit focused on standards not yet covered and talking to service users and staff. As the manager was away on the day of the inspection the assistant manager took the lead for the home. The inspection comprised of a tour or the home; talking to most service users (9 in some depth), a visiting hairdresser, 8 staff and the assistant manager; observation of interaction between service users and staff and of a meal being served; inspection of medication procedures and storage; and examination of a variety of records. The home was clean and well maintained, service users and staff were happy, there was a nice atmosphere, the lunch was nutritious and appetising, medication storage, records and administration were appropriate, and records inspected were all in order. Service users commented, “everything is very nice”, “I am very happy here”, and “I could not wish for anything better”, staff members commented, “its nice, I like it here”, “the residents are lovely”, and “I feel quite proud to work here”. A person visiting the home commented, “I think it’s a wonderful place, by far the best. Everyone is so kind and pleasant. If ever I need to go into a home this is where I will come” What the service does well: The home is beautifully maintained in its original character and is kept very clean and odour free, and there is a very nice calm and friendly atmosphere. There is a very pleasant garden and patio area for service users to enjoy the fresh air and sunshine. For the third year running the home has achieved first place in the residential homes category of the Walmer in Bloom competition. A staff member commented, “I think it’s a beautiful home”. Visitors are made welcome, are always offered tea or coffee and may join the service users for a meal if they wish. The food served is good, nutritious and provides a balanced diet, it is attractively served, and there are choices at each meal. The home has again qualified for a “Clean Food Award”. A service user Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 stage 4.doc Version 1.40 Page 6 commented, “The food is excellent”, and a staff member said, “The food is very good, they are very lucky with the choices they get”. Service users needs and choices are well documented, independence is encouraged, privacy dignity and respect is maintained, and the standard of care is good. Service users commented, “I am still happy here, it’s what I want and it suits me”, and “I think it’s excellent”, and staff comments included “All of the staff treat the residents with respect”. A dedicated and well-trained staff team supports the service users, and there is a good team atmosphere amongst the staff. A service user commented, “the staff are very good”, and staff comments included “the residents are lovely”, and “we get support from everyone, the owners, Kerri and the girls – we are like a family”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 stage 4.doc Version 1.40 Page 7 contacting your local CSCI office. Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 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 Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 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 Information given to prospective service users, along with a thorough assessment process, ensures that service users will be accommodated in a home that is suitable to meet their needs and wishes. EVIDENCE: The home has a statement of purpose and service user’ guide which complies with the requirements of the regulations, and national minimum standards. A copy of these documents is given to all prospective service users and their representatives to ensure that they have sufficient information available to make an informed choice about admission to the home. Service users commented, “I chose the home myself”, “A friend found this place for me”, and “My daughter told me of the home” All service users sign a contract with the home. This contract includes details of the amount payable and what is included in the fees. It also indicates which services are not included and need to be paid for separately, and gives details of termination of contract. Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 stage 4.doc Version 1.40 Page 10 The manager carries out a comprehensive assessment of needs of for all prospective service users. In addition a joint assessment is obtained from the care manager for all service users who are admitted under the care management scheme. An individual care plan is drawn up taking into account the information gained during the assessment process. The home will not accommodate new service users unless they are confident that they have the necessary skills and equipment to meet their needs. Staff at the home undertake regular training to ensure that they are able to meet the needs of their service users. The home does not offer the service of Intermediate Care. Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 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, & 11 The health, personal and social care needs of service users are recorded and met by the home. Service users are treated with respect and their right to privacy and dignity is upheld throughout their lives at the home. EVIDENCE: The home produces a comprehensive care plan for all service users which includes general update notes, details of name, room, date of birth, G.P., allergies, and general notes; daily records with tick boxes and comment section for morning, afternoon and night; food charts; risk assessments; long term needs assessment. All care plans are reviewed monthly. Service users health care needs are met by the staff of the home supported by various professionals, G.P., district nurses, chiropodist, continence nurse etc. Service users weights are checked and recorded monthly and noticeable variations are reported to the G.P. Service users who develop pressure areas or ulcers are referred to the district nursing staff and they provide treatment, support and any necessary equipment. Where staff assist with personal care this is recorded in the daily record of the care plans. Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 stage 4.doc Version 1.40 Page 12 Service users commented, “the staff look after us well”, and “I am looked after well”. Staff commented, “the levels of care are good, it all depends on their needs”, “the care is good” and “we have high standards”. Service users are encouraged to undertake exercise to maintain their mobility, and a comment was made, “I go out in the garden when the weather is good”. Service users are able to register with a G.P. of their choice and a service user commented, “my daughter and I arranged for my new doctor”. The home has a medication policy. Most of the medication is supplied from a local pharmacy in Dosette boxes. Receipt, storage, administration and return of medication is all in order and the MAR sheets are properly completed. All staff that administer medication have been appropriately trained to undertake this task. Service users who need to keep medication in their rooms have locked storage space to ensure safety. Non-prescribed medication is only given subject to the signed approval of the relevant G.P. The privacy, dignity and respect of service users is a priority at Generals Meadow. All are called Mr., Mrs., or Lady, none currently choosing to use their first names. All service users have telephones in their own bedrooms. All service users wear their own clothes at all times and each has a separate area in the linen cupboard for their individual bedding and towels. During induction Mrs. Peacock or Miss Disney instruct staff in the art of respect, and they lead by example. Comments from service users included, “The staff treat me with respect”, “They always knock on my door and always call me Mr xxx”, and “they always treat me with respect”. Staff comments included, “we encourage independence”, and “we keep the residents as independent as possible”. When a service user comes to the end of their life they can be sure that the home will ensure that they die in comfort and with dignity. Following consultation with the doctor and the family, and as long as the needs of the service user can be fully met, they will be supported to complete their lives at home, in familiar surroundings, and with familiar people around to care for them. If the service user wishes the family are able to stay throughout the night and day and they are supported by staff throughout this time. When a service user passes away wherever possible representatives of the home will attend the funeral. Staff commented, “Residents stay until the end and die with dignity, the families are here day and night, and we support them with drinks and sandwiches”, and “we give a really good service when someone is dying” Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 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 lead the lifestyle that suits their needs and preferences; contact with families and friends is maintained and encouraged; they have choices in all aspects of daily life; and they receive an appealing balanced diet in pleasant surroundings. EVIDENCE: Choices are given in all aspects of daily life at the home. The majority of service users at Generals Meadow prefer to ‘do their thing’ and don’t enjoy too many organised activities. Staff spend time doing things on a 1:1 basis with service users such as chatting to them, manicures, foot spa and massage, and taking them out for walks or by wheelchair for coffee at the sea front. Group activities include scrabble, cards, and interactive crosswords. Service users commented, “We are not regimented”, “I go out in the grounds”, and “they don’t interfere, I can do what I like”, and staff commented, “There are enough activities to suit the residents who are here, “we take their preferences into account”, and “they have choices and rights and are treated as individuals”. Service users interests, likes and dislikes are recorded in their care plans, and staff work to ensure they are upheld. If service users wish special parties are held for birthday celebrations. Pleasant unobtrusive classical music is played in the entrance hall and communal areas. The home has two dogs, and the service users enjoy seeing them and giving them some attention. A service Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 stage 4.doc Version 1.40 Page 14 user commented, “there are two lovely dogs here, and they are beautifully kept”. The home also has a bird and he lives on the first floor landing. Families and friends are made welcome and are always offered a cup of tea or coffee and may join the service users for a meal if they so wish. The majority of service users choose to see their guests in their own rooms. Service users commented, “my son visits every week”, “my daughter visits, the staff always make her welcome”, “my daughter takes me out – I sometimes go out for lunch”, “my brother came to see me last week”, and “my friends are always offered a cup of tea or coffee”. A staff member commented, “Families are always made welcome” Service users or their families or powers of attorney handle their own financial affairs. They are able, and encouraged after the first trial period month, to bring personal possessions and items of their own furniture into the home with them to individualise their own rooms. Access to all records is in accordance with the Data Protection Act. The meals provided at the home are of a good quality, varied, balanced, nutritious and nicely presented. Meals are held either in the dining room or if the service user wishes, in their own bedrooms. Service users commented, “I normally have my meals in my room”, and “I have breakfast and supper in my room but go to the dining room for lunch”. Silver service is used for meals in the dining room. The majority of the food is freshly prepared; there is a fourweek menu, which is changed with the seasons. Three choices of main course are on offer on each weekday and two at weekends. A chicken or a fish dish is always available. Should a service user not like anything on the menu an alternative will always be provided. Service users commented, “Its good food, we have 3 choices at lunch times”, “the food is quite good, there is variety”, “If there is nothing that I like they give me something else” and “the food is excellent”. Staff comments included, “the food is very good, and the choices that they have”, and “its fantastic what they give them. The home is holder of the district councils “Clean Food Award” this has recently been reassessed and re-approved and the home is now waiting for the new certificate. Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 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 can be confident that complaints will be taken seriously and acted upon, and that they will be protected from abuse. EVIDENCE: The home has a clear and simple complaints procedure, all complaints, investigations, and outcomes are recorded in the complaints register. There have been no complaints recorded since the last inspection. A service user commented, “I have no complaints”, and staff said, “I am happy here, no problems”, and “I could not fault a single thing” Service users are protected from abuse. The home has an abuse and a whistle blowing policy. All staff are properly vetted at the recruitment stage and no new staff are employed in the home until 2 satisfactory references have been received, a CRB enhanced disclosure has been submitted, and a satisfactory POVA first check has been received. All staff are instructed about abuse during induction and many have also attended adult protection courses. Staff spoken to confirmed that, should suspect an incident of abuse, they would know what to do. The home has received the latest adult protection guidelines from Kent County Council. Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 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, 21, 23, 24, 25, &26 Service users live in a clean, hygienic, safe and well-maintained environment with comfortable homely bedrooms, and sufficient toilet and washing facilities to meet their needs. EVIDENCE: Generals Meadow is a very well appointed home which has retained its original style – Dutch Colonial – with panelled walls and polished floors in the spacious entrance and the communal rooms, and mullioned windows and original beams throughout. It is located in a quiet residential area of Walmer. Although in many ways it is reminiscent of a hotel, it is still comfortable and has many homely touches. Staff commented, “Liz likes things to look nice for the residents”, “I think its more like a hotel”, and “there is a nice atmosphere” The home is well maintained with Mr. Peacock, one of the providers, overseeing all aspects of maintenance, for which there is an ongoing programme. Since the last inspection the redecoration of bathroom areas on the first floor has been completed, anti slip flooring has been fitted in the Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 stage 4.doc Version 1.40 Page 17 downstairs toilet, 3 bedrooms have been redecorated, and a new carpet has been laid in one bedroom. The grounds are attractive and well maintained; at the front of the house there is a gravelled driveway, a fountain, and attractive planting. At the rear there is a patio area over two levels and a further attractive garden area for service users to enjoy the fresh air and sunshine. For the third year running the home has attained an award of ‘First’ in the residential homes category of the Walmer in Bloom competition. There are sufficient toilet, washing and bathing facilities provided and the majority of the rooms have en-suite toilets and washbasins with some also having en-suite baths. All of the bedrooms are of a good size, one service user commented, “I wanted my own furniture and some other places the rooms were not big enough”. The rooms are comfortable with suitable furnishings and fittings provided, although the majority of the service users prefer to bring in their own furniture. Service users commented, “its nice having my bits around”, and “we can have our own bits and pieces”. Each room has a call bell and all are fitted with a lock that can be overridden by staff in the event of an emergency. Service users commented, “my room is lovely”, “I like my room, it’s nice, and it’s clean”, and “I have a lovely cosy room” Standard 25 was not fully inspected but it was noticed that none of the pipe work and radiators have yet been guarded and no risk assessments have been undertaken to ensure that service users are not at risk from burns. A recommendation is added that this be addressed. The home is kept very clean, hygienic and free from offensive odours throughout. A service user commented, “it’s kept marvellously clean”. Since the last inspection red bags have been introduced into the home for soiled linen. Infection Control procedures are good. Alcohol gel hand cleaner is available in all communal and staff toilets, and protective gloves and aprons are available wherever needed. Several of the staff have attended infection control courses and more are planned. Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 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, & 30 Service users are supported by a sufficient number of well-trained and competent staff EVIDENCE: There are sufficient care and ancillary staff on duty to meet the assessed needs of the service users, and this is recorded on the staff rota. Currently there are 14 service users all of whom are fairly independent, and the staffing levels are appropriate. After midnight there is one member of waking night staff with the manager or her assistant on call and easily accessible. All staff providing personal care are over 18 and no one under 21 is left in charge of the home. Since the last inspection several members of care staff have completed their NVQ 2 training and the home has now achieved slightly above the 50 of care staff trained to this level that is required under the National Minimum standards. Staff comments included, “I passed my NVQ 2 in September”, “NVQ has made me a lot more aware”, “NVQ has changed my practice and made me more aware”, and “I am now going to do NVQ 3” Although recruitment was discussed no recruitment files were inspected at this time. The home has an ongoing programme of training for staff. Since the last inspection, in addition to the NVQ training reported above, the assistant manager has almost completed her NVQ 3, the manager is actively undertaking her NVQ4/RMA, and staff have attended training in Alzheimer’s & Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 stage 4.doc Version 1.40 Page 19 dementia, care planning, infection control, and risk assessment. Staff members commented, “I really enjoyed the infection control training” and “I am going on an infection control course”. The chef said that she is currently attending college once a week for two years to do her NVQ 2/City & Guilds catering course. Moving and handling training is ongoing; Mrs. Peacock is a Moving and Handling Trainer and ensures that all staff are trained at least once a year. All staff that handle food have undertaken basic food hygiene training. A staff member commented, “I did Basic Food Hygiene and learned a lot”. All staff have fire training at least once in every 12-month period. Other comments staff made about training included, “Challenging behaviour training has helped me”, “our training is always being updated”, and “I did not do NVQ because of my age but I attend all of the other courses”. General comments about staffing included from service users, “the staff are very nice indeed”, “the staff are nice”, and “the staff are very good, on the whole, very caring”; and from a member of staff, “we still have staff get togethers, they happen about every 2 months now, the next one is for Halloween.” Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 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, & 37 Service users can be confident that they live in a home that is well managed and run in their best interests. EVIDENCE: The registered manager has many years experience running this home and is currently working hard towards achieving her NVQ4/RMA certificate. The previous requirement that this training be undertaken has been changed to a recommendation that it is completed. An assistant manager who has almost completed her NVQ 3 helps the manager. Both the manager and her assistant regularly attend training to update their skills and knowledge. The ethos of the home is open, inclusive and positive. The manager and her assistant both communicate a clear sense of direction and leadership. The home works within the GSCC code of practice and has a commitment to equal opportunities. A service user commented “Kerri (assistant manager) is very good” and staff commented “its well run”, “we can go to Kerri any time with Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 stage 4.doc Version 1.40 Page 21 problems” “I could go to Kerri or Liz if I had any problems”, and “we get good support”. The home operates its own development planning system and are continually undertaking self monitoring of the service they are giving taking into account the views and comments of service users, visitors, staff and visiting professionals. Policies and procedures are regularly reviewed in light of changing legislation and good practice advice received. Service users, their families, or their powers of attorney deal with all of their own financial affairs and the home does not hold any money for service users. All fees are paid directly by standing order. All records are properly maintained and securely stored. Access to records is in accordance with the Data Protection Act. Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 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 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x 3 x 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 3 3 x 3 x 3 x Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 stage 4.doc Version 1.40 Page 23 Are there any outstanding requirements from the last inspection? One partially completed reduced to a recommendation. 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 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. 2. Refer to Standard 25 31 Good Practice Recommendations Pipework and radiators should be guarded or have guaranteed low temperature surfaces to protect service users from the risk of burns. The manager should continue and complet her NVQ4/RMA training. Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU 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 Generals Meadow 20051208 H56-H05 S23401 Generals Meadow V245137 131005 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. 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