Inspection on 20/11/06 for Green Close

This inspection was carried out on 20th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Green Close 16/10/08

Green Close 19/10/07

Green Close 30/01/06

Green Close 09/08/05

Green Close 25/01/05

Green Close 24/05/04

Green Close 22/10/03

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

CARE HOMES FOR OLDER PEOPLE Green Close Drakes Avenue Sidford Sidmouth Devon EX10 9JU Lead Inspector Michelle Oliver Key Unannounced Inspection 20th November 2006 09.15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Green Close Address Drakes Avenue Sidford Sidmouth Devon EX10 9JU 01395 515050 01395 512815 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) http/www.devon.gov.uk/adoption.htm Devon County Council Mrs Frances Ella Lee Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23), Physical disability (23), Physical disability of places over 65 years of age (23) Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category PD Physical Disability must be over the age of 50 years 30th January 2006 Date of last inspection Brief Description of the Service: Green Close is a Care home providing accommodation and personal care people over the age of 50. There is currently only one long stay service user and the home does not intend admitting any further persons on a long stay basis. The home has three short stay beds, 3 recuperative care beds, and sixteen rehabilitation beds. The home is dedicated to helping people who may be ready to leave hospital but are unable to return home without further rehabilitation. The home can also care for those people who are struggling to remain at home. The rehabilitation service offers service users a stay of up to eight weeks, during which intensive therapy is provided by health and social care professionals. The service user is assessed throughout their stay and their needs are addressed so as to ensure a safe and appropriate discharge, tailored to meet their needs. The accommodation is on three floors, with a passenger lift between each floor. The access throughout the home is level, and the home has a good level of equipment to assist mobility including handrails, grab rails, and assisted bathrooms. There is a lounge and dining room on each floor. Outside there are lawns and flowerbeds and a pleasant courtyard with plenty of seating. Information received from the home indicates that there is no charge for those people admitted for Intermediate Care service. Those needing respite care are financially assessed. Services that residents pay for independently includes newspapers and magazines, hairdressing, continence aids and medical requisites, toiletries, chiropody, confectionery and stationery. Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on Monday 20th November over a period of 9.5 hours During the visit the inspectors case tracked residents, which helps us to understand the experiences of people using the service. Most residents currently living at the home were seen or spoken with during the course of the day. The inspector spent a considerable time observing the care and attention given to residents by staff. Prior to the inspection CSCI questionnaires were sent to 10 service users and four were returned. Staff surveys were sent to 19 members of staff and eight were returned. Seven staff were spoken with during the inspection, including the duty assistant manager. Additional information was gained from a questionnaire completed by the home prior to the inspection and the inspector appreciated the input of the assistant manager throughout this inspection. The inspector looked around the building and some records were inspected including care plans, medication records and procedures, staff recruitment files, service and fire safety records. The outcome of the inspection was discussed with the duty assistant manager who is keen to work towards the improvements necessary to ensure that all residents receive the care they need at Green Close. What the service does well: All new residents are given information about the home in a Welcome Pack” when they move to Green Close. Residents are provided with a friendly and comfortable environment where they are supported and encouraged to maintain or regain their health and Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 6 independence. Residents admitted for intermediate care are helped to maximise their independence and return home. Residents individual choices relating to most aspects of health, personal and social care needs, care goals and improvements they hope to achieve in their mobility and independence are identified in individual plans of care. Medication is generally well managed and staff support and encourage residents to look after their own medicines to promote their independence. Residents’ privacy and dignity are met and promoted by the staff and management at the home. Staff were seen treating residents kindly , addressing them as they wished and affording them privacy when assisting with personal care. The home and staff are to be commended for attaining the level of a nationally recognised qualification in care, which is excellent. All residents spoken to during this visit were very satisfied with the level of care given by staff at the home. Social needs and meals are generally well managed. A varied balanced diet is provided and served in a pleasant atmosphere. Residents are encouraged to maintain contact with their families or friends as they wish and to take control of their lives during their stay at Green Close. A high standard of hygiene is maintained at the home. What has improved since the last inspection? What they could do better: The manager was concerned that at times out of date, or insufficient, information was received at the home, particularly for emergency admissions. Two staff who completed questionnaires received before this visit, commented that there are occasions when people are admitted to the home with needs that they are not able to meet. The home must ensure that residents are not admitted to the home unless an assessment of their needs has been Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 7 undertaken which provides sufficient information to enable staff to be able to confirm that all needs can be met at the home. Information relating to individual medical needs are not clearly identified. For example a comprehensive record of treatment being administered was not being recorded. Details need to be recorded so that all staff are aware and that changes can be monitored. This will further ensure that individual, person centred care is a priority at the home. Newly recruited staff must receive training to ensure they are skilled and competent. During this visit a recently employed carer had not received fire prevention training, adult protection or manual handling training. The home must ensure that references from a persons last or most recent employer are received before their employment at the home is confirmed. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP1,3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive good information about the home on admission and benefit from good admission practice, which ensures that the home is able to meet their needs. Residents admitted for intermediate care are helped to maximise their independence and return home. EVIDENCE: The home has a welcome folder that is given to all new residents. This contains a range of useful and easy to read information about the home. The folder has been updated since the last inspection to include the home’s Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 10 complaints procedure and details of the regular activities provided in the home. Residents are generally admitted to the home for recuperation, rehabilitation or a period of respite, to allow their carers a period of rest. An assessment of individual care needs is undertaken for all residents admitted for recuperation or rehabilitation before they move to the home. Assessments are generally undertaken by health care professionals before a person is discharged from hospital, not by staff at Green Close. A copy of an assessment of a persons health and social care needs is forwarded to a coordinator at the home. The information is discussed within the enablement team and is then passed to a member of the management team. A decision is then made as to whether the assessed needs can be met by the staff, equipment, adaptations and environment at Green Close. Individual plans of care are developed based upon the assessments. The manager was concerned that at times out of date, or insufficient, information was received at the home, particularly for emergency admissions. Two staff who completed questionnaires received before this visit, commented that there are occasions when people are admitted to the home with needs that they are not able to meet. The inspector was told that people are often admitted to the home from hospital within a few days of the initial enquiry and some are admitted as “emergencies” within a short time frame. Residents are not always assured that their assessed needs can be met at the home before admission but receive confirmation on arrival. As part of this inspection three residents files were looked at in detail. All included pre admission assessments which were comprehensive and included sufficient information on which individual plans of care to be followed by staff had been written. This was confirmed by the assistant manager at the time of this inspection. Some of the residents spoken to at the time of this visit said that they had been given enough information about Green Close before they agreed to move to the home, others had not. Two questionnaires received from residents stated that they had not been given enough information before they agreed to be admitted. One commented “I moved in with confidence this was the right thing to do”. Another questionnaire stated “Communication very poor. No opportunity to visit prior to admission”. A resident spoken to during this visit said that their relative visited the home and had given them sufficient information on which to make a decision before moving to Green Close. Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Op 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual care plans have been developed for all residents and most aspects of health; personal and social care needs are identified. Attention is needed in one area. Medication is generally well managed. Residents’ privacy and dignity are met and promoted by the staff and management at the home. EVIDENCE: Care plans for residents admitted for rehabilitation or for respite care are generally comprehensive and provide information to enable staff to meet residents identified care needs. Information relating to individual medical Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 12 needs are not clearly identified. For example; a resident, assessed as being at risk of injuries due to the fragility of their skin, had sustained injuries which were being treated at the time of this inspection. No details relating to treatment planned, frequency, or effect, of treatment had been recorded in the plans of care for the resident. There was nothing to suggest that treatment was not being carried out efficiently and effectively. This was confirmed by conversations with the resident and the health care professional carrying out the care. Details such as these need to be recorded so that all staff are aware and that changes can be monitored. This will further ensure that individual, person centred care is a priority at the home. Several residents manage their own medication. Lockable facilities are provided in their rooms to ensure safe storage of their medication. Medicines kept on residents’ behalf are stored safely and only staff who have undertaken specific training in safe handling of medicines manage them. Residents’ privacy and dignity are met and promoted by the staff and management at the home. Staff were seen treating residents kindly , addressing them as they wished and affording them privacy when assisting with personal care. Four residents who responded to questionnaires sent by the CSCI before the inspection confirmed they always or usually received the care, support and medical support they needed. Three confirmed that staff always act on what they say , one stated “sometimes, short staffed most of the time”. All residents spoken to during this visit were very satisfied with the level of care given by staff at the home. Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social needs and meals are generally well managed. A varied balanced diet is provided and served in a pleasant atmosphere. Residents are encouraged to maintain contact with their families or friends as they wish and to take control of their lives during their stay at Green Close. EVIDENCE: Residents are supported by the rehabilitation service at the home which provides intensive support each day to help residents regain mobility. This includes physiotherapy and exercise sessions. Current residents spoke about routines, including exercises, planned to restore their health being regularly carried out. During this visit residents were enjoying chatting to each other, reading newspapers and books, watching TV programmes and listening to music of their choice. Books, including large print, puzzles and games are available in Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 14 the lounges. Daily activities at the home include individual therapy sessions, daily exercise sessions, occasional sing a longs, quizzes, bingo and indoor bowls. Residents said they did not have to take part if they chose not too. One resident spoke of how much they enjoyed playing bridge and the staff had “organised three others to make up a game”. Three residents, in response to questionnaires, stated that usually activities were arranged by the home that they could take part in. One resident commented “no occupational stimulation other than armchair exercises once a day. No provision for patients who are younger. Boredom a big problem”. Outings are not provided by the home. On the day of this visit one resident went out with their family for lunch and to look around a residential home, another was taken to hospital for a follow up visit. All residents spoken to were very satisfied with the standard of food at the home one saying the food is “very good”. Residents are offered a choice of meal at lunch time but if there is anything the resident does not like the cook will provide an alternative. Specialist diets are well catered for at Green Close including diabetic and vegetarian. Dietary needs of minority ethnic groups not catered for. Homely and comfortable dining rooms are provided on each floor where residents were seen enjoying their meal and socialising. A kitchenette is also available where residents may prepare their own meal if they choose. Residents are encouraged and supported to maintain their independence, however for those needing assistance this is provided in a sensitive way. One resident commented “meals are gorgeous, home cooked, beautiful, more than enough”, another “It’s like being in a hotel, if you want a drink at any time you only have to ask”. Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Op 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints process. Staff have a good knowledge and understanding of the forms of abuse thereby ensuring that residents are protected at the home. Attention is required to ensure that newly employed staff receive training. EVIDENCE: The home’s complaints procedure is displayed in the entrance hallway and a copy has been included in the welcome folder that is supplied in each bedroom since the last inspection. Four residents responding to questionnaires confirmed they were aware of how to make a complaint and always know who to talk to if they are not happy. All staff confirmed that they were aware of the procedure and where a copy of the procedure was available if asked by residents or visitors. There was nothing to suggest that residents are anything other than well cared for at Green Close. Residents said that they “always felt safe” and that “staff were very kind and gentle”. Staff have undertaken Adult Protection training since the last inspection and were able to discuss different forms of abuse. Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 16 They all said that they would not hesitate to report any suspicion of poor practice. One member of care staff recently employed had not received protection of vulnerable adult training and although able to describe some examples of what would be considered poor practice said that they felt they needed specific training to feel confident. Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 19 & 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a home that is very clean, fresh and where hygiene is very well managed. EVIDENCE: At the time of this unannounced inspection the home was exceptionally clean fresh and comfortable. Staff have access to protective clothing, hand washing facilities and hand cleansing gel. All but one returned questionnaires stated how clean the home is at all times. Comments on the one questionnaire stated “overpowering smell of disinfectant”, this was not noted at the time of the visit. Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 18 Laundry facilities were well organised and have been greatly improved. The original laundry room has been made in to two separate rooms, one dedicated to laundry and the other housing sluicing facilities. Both rooms were extremely clean. All residents were well dressed at the time of this visit and several said that their clothes were well looked after. During this visit a maintenance person visited the home with a list of minor repairs to be undertaken. The home has good procedures in place for reporting work needed to be undertaken. Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Op 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number of staff on duty throughout the day and night meets residents’ personal and health needs. Service users benefit from staff who are qualified and competent. Service users are protected by a generally robust recruitment procedure . attention is required in one area. EVIDENCE: The number of staff on duty throughout the day and night meets residents’ personal and health needs. The manager or an assistant manager is on duty at the home 24 hours a day. The manager aims to have 6 care staff on duty in the mornings, and 5 care staff on duty during the afternoons and evenings. The evening staff finish work at either 9pm, 9.30pm or 10pm. At night there are 2 care staff on duty from 9.30pm to 7.30am. In addition the home employs 2 cooks, [but currently has Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 20 one vacancy], five kitchen assistants,[ currently 3 vacancies] 2 domestics,[ currently one vacancy] a handyman and an administration assistant. The home employs contract cleaners. The rehabilitation team based at the home are not directly employed by Devon Social Services and therefore they are not included on the staff rota and their recruitment files were not inspected. Residents spoken with confirmed that their needs were met in a timely way. The inspector saw staff responding to residents’ bells swiftly throughout the day. Residents and relatives confirmed that staff were kind and helpful but “always busy”. One resident commented, in a questionnaire returned before this visit, “ short staffed most of the time”, another “I remember there are others to be cared for”. According to information received before this visit 85 of care staff have attained a nationally recognised qualification in care [NVQ training] which the home and staff are to be commended for. This will protect residents by ensuring that they are cared for by competent staff. Since the last inspection training undertaken by staff includes medication, fire safety, manual handling, risk assessment and Protection of Vulnerable Adults. Individual records are kept of training undertaken by staff ensuring that updates or gaps in training can be easily identified. Staff at the home are eager to undertake training and were able to highlight their individual needs during discussions. The home has a comprehensive plan of training to be undertaken during the next 12 months including diabetes, management of people who have suffered a stroke, skin care, catheter care and how to help people who suffer from short term memory loss. Two staff recruitment files were looked at during this visit. The documentation was generally consistent with evidence of a safe and robust recruitment process being carried out before a person is employed at Green Close. Two references, CRB and POVA checks have been carried out before new staff have been appointed. However, it was noted that one member of staff had been employed before a second reference has been obtained. The process must be robust and consistent to protects residents, to ensure that only people who have undergone this robust procedure will be employed to work at the home. Eight staff in response to questionnaires confirmed they had undergone a robust recruitment procedure before being employed at the home. All newly employed staff undergo a period of training when they start working at the home. New staff undertake a 2 day induction course and also ‘shadow’ an experienced member of staff for approximately 2 weeks. The time taken to complete this training will depend on past experience and individual ability. This was confirmed by a recently employed carer. This policy ensures that staff Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 21 are trained and competent to do their jobs. However, there was no evidence to confirm the training undertaken for two recently employed staff. The homes, record of induction training is not consistently used to record training. This was discussed with an assistant manager who stated that there isn’t always enough time to undertake this as management would wish. Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home is well managed, run in the best interest of service users, and their health and safety are generally properly attended to. EVIDENCE: Residents and staff benefit from the experience of the current manager and assistant managers. Comments received from both staff and residents included “she is very approachable and always listens” and “ the home is well run” and “ this is the best organised establishment I have ever worked in”. Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 23 The service provided by the home is checked by inviting residents to complete a questionnaire commenting on the quality of the service they have received when they leave the home. Results of these are audited by the manager and providers, the Local Authority. Results of resident surveys have not been made available to current or potential residents and any other interested parties including the CSCI. This was discussed at the time of this visit with the assistant manager. Residents’ records are securely stored and would be made available to them, or their representative with their consent. At the last inspection evidence to show that staff received fire prevention training at intervals recommended by Devon Fire and Rescue Service was not available and the home was required to provide this. Evidence of appropriate training undertaken by all staff except 2 over the course of February, March and June this year was seen during this visit. However, those staff who undertook training in February and March require an update as more than 6 months, which is the recommended interval between updates, has elapsed. A recently recruited member of staff said they had not received training in the prevention of fire since working at the home. This inconsistency in fire training potentially put residents and staff at risk . This was discussed with the assistant manager who agreed to ensure that all staff are trained at appropriate intervals. Most residents look after their own money and valuables during their stay at Green Close. However, in a few cases the home has agreed to hold small amounts of cash on their behalf. Records were seen of cash held by the home were found to be satisfactory. Records provided before this inspection indicated that all equipment in the home has been regularly maintained and serviced and is therefore safe and in good working order. Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 3 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 Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 25 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 OP18 Regulation 13(6) Requirement Timescale for action 21/01/07 2. OP30 18[c][1] The Registered person shall make arrangements by training staff to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. This relates to ensuring that all newly recruited staff receive appropriate training. 21/12/06 The registered person shall ensure that the persons regularly employed by the registered person to work at the care home receive training appropriate to the work they are to perform including structured induction training. This relates to induction training and ensuring that newly employed staff receive manual handling training. 3. OP33 24[2] The registered person shall supply to the Commission a report in respect of any review conducted by him for the purpose of reviewing and improving the quality of care DS0000039212.V300139.R01.S.doc 20/05/07 Green Close Version 5.2 Page 26 4. OP38 23[4][d] provided at the home and make a copy available to service users. The registered person shall after 21/12/06 consultation with the fire authority make arrangements for persons working at the care home to receive suitable training in fire prevention. 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 OP3 Good Practice Recommendations New residents should only be admitted to the home on the basis of a full assessment being undertaken on which the home can assess whether they are able to fully meet their individual needs. Details relating to specific treatment being carried out should be included in individual care plan. The home’s recruitment procedure must be consistent. This relates to ensuring that two references are obtained before a person is employed at the home. 2. 3. OP7 OP29 Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashburton Unit D1 Linhay Business Park Ashburton Devon EX4 3AY National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Green Close DS0000039212.V300139.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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