Inspection on 13/08/07 for Green View House

This inspection was carried out on 13th August 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Green View House 18/08/06

Green View House 24/11/05

Green View House 09/08/05

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

CARE HOMES FOR OLDER PEOPLE Green View House 34 Greenhead Road Huddersfield West Yorkshire HD1 4EZ Lead Inspector Tracey South Key Unannounced Inspection 13th August 2007 09:10 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 View House DS0000064138.V347964.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 View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Green View House Address 34 Greenhead Road Huddersfield West Yorkshire HD1 4EZ 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) 01484 306633 01484 300066 Green View House Limited Care Home 33 Category(ies) of Dementia - over 65 years of age (33), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (33) Green View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can accommodate one service user under 65 years of age - category DE 18th August 2006 Date of last inspection Brief Description of the Service: Green View House is a care home with nursing. The home has the provision to accommodate 33 older people with mental health care needs. It is a large Victorian building, which stands within its own grounds, with a driveway and car park to the front. There is wheelchair access to the front of the home. There is a frequent bus route to Huddersfield town centre. There are two lounges and a very spacious dining room on the ground floor. The home has 6 bedrooms on the ground floor all of which have ensuite facilities. There are 10 bedrooms on the first floor, three of which are double rooms all have ensuite facilities. Twelve bedrooms are located on the second floor, 4 of which have ensuite facilities. There is a passenger lift, which serves the ground, first and second floor. The current charges at the home range from £358.80 to £515.48 per week. Additional charges are made for hairdressing, toiletries and chiropody. Information about the home and the services provided are available from the home in the statement of purpose and service user’s guide. Green View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit carried out to the home by an inspector on the 13 August 2007. The visit commenced at 09.10am and the inspector left the home at 5.15pm. The inspector was unable to establish people’s views about what it is like to live in the home due to their complex needs, however time was spent observing interactions between staff and people living at the home and general care practice. The inspector spoke with some of the staff, a visiting relative and the home’s manager and deputy manager. Care records were examined and the inspector audited a sample of medications, reviewed staff recruitment records, and carried out a brief tour of the home. The staff at the home also completed a self-assessment questionnaire that was requested by CSCI (Commission for Social Care Inspection) about people who live at the home, the staff that work there, the service provided and any incidents or accidents that have occurred. Prior to this visit surveys were sent out to obtain the views of people who live at the home, their relatives and people’s doctors. Ten surveys were sent out to people living at the home, none were returned. The reason for the nil return could be attributed to people’s frailty. Ten surveys were sent out to relatives, five were returned. Five surveys were also sent to people’s doctors – two were returned. The inspector would like to take this opportunity to thank everyone who participated in the inspection process. What the service does well: Excellent progress has been made in providing people at Green View House with a homely and comfortable place to live. A number of people’s bedrooms have been redecorated to a very good standard; this includes new carpets, new furniture and bedding. Although people were not able to comment directly about their life at the home it was clear from observing care practice throughout the day that people are well cared for. Staff were seen interacting well with people showing respect for them whilst providing care to them in a non-intrusive manner. Relatives were asked as part of their survey, what does the home do well? People’s responses include, “Always there if needed, you don’t have to go finding anyone”. “They look after their residents very well”. Green View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 6 A relative wrote, “When looking for a care home for my husband we looked at quite a few in the Huddersfield area, but picked Green View House because of its warm homely feeling and we’ve never regretted our choice in the two and a quarter years my husband as lived there. Whenever we go we get a warm welcome from all the staff and made to feel part of a warm caring family”. One person who was visiting the home said his relative is looked after very well. This visitor said he also receives kindness from staff and is able to have a meal with his relative if he wishes to. This person remains very much involved in his relative’s care and helps with their meal at least twice a week. If the improvement is sustained the home has the capacity to achieve some excellent outcomes in future. What has improved since the last inspection? There have been a number of improvements since the last inspection especially in terms of the accommodation. The home has implemented an activities programme in order to stimulate and occupy people each day during the afternoon. A ‘tea trolley’ has been introduced that includes a number of different refreshments as well as snacks that encourages people to eat healthily. The trolley is available at 7.30am, 11am, 3pm and 8pm. A plasma television has been installed with surround sound to support those who are hard of hearing. Three hospital beds including specialist mattresses and cushions have been purchased and are used to promote healthy skin for those people who may be prone to developing pressure sores. A seating area has been created in the dining room, which is a nice area for visitors to use. Outdoor tables, chairs and parasols have also been purchased. The home is now actively seeking the views of all people associated with the home in order to strive for better quality care. Newsletters are sent out to relatives and friends to keep them up to date with what’s happening in the home. Green View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Green View House DS0000064138.V347964.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 View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are properly assessed prior to moving into the home to ensure that their needs can be met. EVIDENCE: Information provided by the home prior to this visit indicates that peoples’ needs are thoroughly assessed before being offered a place at Green View House. The home requests a Community Care Assessment, which is undertaken by a social worker. Following receipt of this the management and/or nursing staff carry out a visit in order to meet with the person to gather more information about their individual needs. The same process is followed in respect of those people who are self funding, apart from the involvement of a social worker and a Community Care Assessment. Green View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 10 Evidence confirming that thorough assessments are carried out was seen whilst examining the care documents relating to one person who had recently moved into the home. Relatives and friends of those people who are thinking of moving into the home are invited to visit Green View House. The visit gives everyone the opportunity to meet the staff and other people living at the home. They can also have a look at the accommodation and facilities on offer. Relatives are also given a copy of the statement of purpose. The document includes detailed information about the home giving prospective residents and their relatives a good idea of what they can expect to receive. Surveys sent to relatives asked if they received enough information about the home to help them make decisions. One relative responded, ‘always’, one said ‘sometimes’ and one said ‘usually’. One relative wrote, “only if we ask”. Green View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s care plans are detailed and outline the level of support and care each person requires in ensuring their health and welfare needs will be met. Medication systems are well managed and people’s rights to privacy and dignity are supported by caring staff. EVIDENCE: Surveys sent to relatives asked if the care home gives the support or care to their relative that they expect. Two responded, ‘always’, one relative said ‘sometimes’ and wrote, “it is in our father’s care plan for his food to be cut up and if need be, be fed but we have been at the care home when this has not taken place”. One visitor who spoke with the inspector and said he was more than happy with the care his relative receives. He said he has no complaints about the home whatsoever. Green View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 12 Three peoples’ care documentation was examined and this included their individual care plan. All three care plans were of a good standard and described, in detail, the level of support and care each person required. One care plan, although informative, contained too much detail about the medical background of an illness and not enough about the person’s day to day requirements, for example there was very little written about that person’s social care needs and their preferred routines, such as what time they like to go to bed and how they prefer to spend their day. The manager acknowledged this and said she would make the necessary amendments. There was good evidence in place to confirm that care plans are reviewed on a regular basis to ensure that the plan reflects the individual’s current needs. Risk assessments have been carried out to identify any risks to the individual. Where a risk has been identified a care plan is produced to minimise the risk. Manual handling plans used to identify the support people require with their mobility describe in detail the assistance required so staff are clear about what is expected from them. There was good evidence in peoples’ care records to indicate that they are able access health care services, such as the dentist, chiropody, opticians and everyone living at the home is registered with a doctor. The two surveys returned by peoples’ doctors indicate that peoples’ health care needs are being met and peoples’ right to privacy and dignity is respected. One doctor wrote, “There seems to have been a big improvement in the past 12-18 months related to changed management. They are dealing with challenging clients”. The home has recently purchased three hospital beds with high profiling mattresses and pressure relieving cushions, which are used as a preventative measure for those people who are prone to developing pressure sores. Information provided in the self-assessment indicates that the home has built up an excellent relationship with the district nursing team who offer nursing support to those people who are not funded by the local PCT (Primary Care Trust). A sample of three people’s medication was checked during the visit. This showed there to be good systems in place for the recording, storing, administration and disposal of medications. The medication record sheets were neat, tidy and easy to follow. There were a couple of administrative errors that were pointed out to the manager during the visit in order for them to be put right. Green View House DS0000064138.V347964.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): 12, 13, 14, and 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at the home are offered a range of activities and appear to be able to make their own choices about how they spend their time. Meals provided are generally good, varied and served in a pleasant environment. EVIDENCE: Since the last inspection when a requirement was made to ensure that people living at the home received stimulating activities, an activities policy has been implemented and activities now take place on a daily basis. Staff who spoke with the inspector said there is hardly a day goes by when some sort of activity takes place. There was very little written evidence of this and the manager was advised to make sure staff record the actual care delivered to people including any recreational time spent with them. On the day of this visit a group of people were playing skittles, which they seemed to enjoy. Staff explained that they are currently working on a life history project. The purpose of this is to spend time with each person on a one to one basis to find out more about their life history. The staff said it has been a great success so far and that people have contributed much better than was anticipated. Information gathered as part of this will then be used to help determine Green View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 14 people’s preferences and will help staff to arrange activities that are geared towards the individual. Although it was not possible to get feedback from people living at the home as to whether they are able to make their own choices about how they spend their time, it was clear through observing care practice that people are free to walk around the home. And people were seen coming down for breakfast at different times throughout the morning. There was written evidence of this in the daily reports examined. Surveys sent to relatives asked if they felt that the care home supports people to live the life they choose. One relative responded ‘always’, one said ‘usually’ and one relative did not respond to the question. Visitors are welcome at the home at any reasonable time and the manager explained that relatives/friends are able to have a meal with their loved ones if they choose to. The inspector spoke with one relative who was complimentary about Green View House and said he is more than satisfied with the care his relative receives. He said that the staff are “real” and that the manager is always available should he need to discuss anything with her. The home has good links with the local community and children from nearby schools visit on regular occasions throughout the year to sing for the people living at the home. Two people, supported by staff are involved in a ‘Grow your own Veg’ project. And some people who served in the armed forces receive visits from the British Legion. Vast improvements have been made to the dining area, which has been redecorated and now includes a seating area that visitors can use. Staff were observed serving lunches to people and supporting those who need help with their meals in an appropriate manner. The atmosphere at lunchtime was relaxed and unrushed. The management team at the home recently attended the Healthy Choice Seminar run by Kirklees Metropolitan Council and as a result fruit juice, water, coffee and fresh fruit and snacks have been included as part of the ‘tea trolley’. People are offered three meals a day with both hot and cold choices available. Those people who require a liquidised diet are provided with a meal that is attractive and appealing in terms of texture, flavour and appearance. Green View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are protected from abuse and they can be confident that their complaints will be listened to and acted upon. EVIDENCE: Relatives who responded to the survey sent to them indicated that they are aware of how to make a complaint. The home has received seven complaints within the last twelve months. The complaints procedure is displayed in the front entrance of the home as well as in peoples’ own rooms. It is also available in the home’s statement of purpose. The manager keeps a log of any complaints received and there was good evidence that peoples’ concerns had been taken seriously and the appropriate action had been taken to resolve the matter wherever possible. The manager and deputy manager have been trained to provide support and training to staff about safeguarding matters (adult protection). The manager explained that staff are given a workbook to complete which provides information to staff about the different forms of abuse including the reporting of incidents of abuse to the relevant people. Those staff who spoke with the inspector said they found the training useful and that they were clear about safeguarding issues, such as when and why they should report poor care practice. The manager confirmed that the majority of staff have completed the workbook and a small number are currently working through it. Green View House DS0000064138.V347964.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home offers people a homely, comfortable and clean environment. EVIDENCE: Excellent progress has been made in terms of upgrading the home. Major refurbishments have been ongoing and rooms have been redecorated and recarpeted and new furniture has been replaced. Curtains, bedding, hand towels and cloths have been replaced in each room making them more personalised. A number of newly decorated rooms were seen during a tour of the home and the standard of décor was very good. Non-slip flooring has been fitted in the dining room and the top and middle floor landings have been refurbished and re-carpeted. Three of the bathrooms have been redecorated and one has been re-designed as a shower room. The Green View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 17 hairdressing room has undergone refurbishment making the room more accessible for those using wheelchairs. Extensive work in respect of the roof, fire safety, central heating boilers and the passenger lift has also taken place. A new stereo system has been purchased from proceeds raised by staff who took part in a bungee jump, so people can listen to music as an alternative to watching the television. A new home cinema system has been purchased and is situated in one of the communal lounges. The standard of cleanliness in the home is good and there were no unpleasant odours noted in any part of the home. The atmosphere on the day of the visit was warm and friendly and people looked comfortable whilst sitting in various parts of the home. The manager acknowledges that refurbishment needs to continue to bring all rooms up to a good standard. It is commendable the amount of work which has taken place within the last twelve months in providing better outcomes for people living at Green View House in terms of the environment. The home has been successful in gaining a capital grant from Kirklees Metropolitan. The grant is to be used to create a pleasant outdoor space where people can sit out and enjoy the flowers and shrubs in the enclosed garden area. Green View House DS0000064138.V347964.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s needs are met by trained staff who have undergone a thorough recruitment process before they are allowed to work in the home. EVIDENCE: Relatives’ surveys asked if the care staff have the right skills and experience to look after people properly. Two responded ‘always’, one relative said ‘usually’. Comments received include, “In general our father seems to be looked after in a relatively safe environment….” One visiting relative said he feels his relative is well cared for and has no complaints about the home whatsoever. The duty rota confirmed there to be one nurse and four care staff on duty during the morning shift, one nurse and three staff during the afternoon shift and one nurse and two care staff who work during the night. Care staff are supported by domestic, laundry and kitchen staff. There is 75 of the care staff who have either achieved or are working towards an NVQ (National Vocational Qualification) level 2 in care. The recruitment files of two members of staff were audited in detail and found to Green View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 19 contain the required information and recruitment checks. These checks are necessary to help protect people from potentially unsuitable staff. The manager explained that all new staff receive induction and mandatory training. All new staff work alongside more experienced staff as part of their induction. Induction records were examined and although there is evidence that new staff receive training about the principles of care etc, it is not as thorough as it should be. The manager explained that a meeting has been arranged with a training provider when the Skills for Care Common Induction standards will be discussed. “Skills for Care” is the National Training Organisation for care staff. The manager envisages that in future all new staff will take part in the new Common Induction standards within the first twelve weeks of their employment. Those staff who spoke with the inspector said there are good training opportunities at the home and they had recently undertaken movement and handling training, fire training, safeguarding adults and all three are working through dementia related workbooks. Green View House DS0000064138.V347964.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well managed and the health, safety and welfare of people living at the home and staff is promoted and protected. EVIDENCE: Ms Claire Detraux is the acting manager at Green View House. An application has been submitted to the CSCI for Ms Detraux to become the registered manager. She has a number of years experience of working with older people in both residential and nursing homes. Ms Detraux has a Certificate in Management Studies and is currently working towards NVQ level 4 in Care. Staff gave positive feedback about the manager saying she is approachable and supportive. Green View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 21 Ms Detraux has continued with her own personal development and has undertaken a number of training courses to enable her to provide support and education to care staff in the home. The manager and deputy manager have worked hard in developing a quality assurance system that actively seeks the views of people associated with the home. The manager explained how she is in the process of developing ‘friends of Green View House’ in the hope this will involve a number of different people who’s focus will be, better outcomes for people living at the home. The home recently produced an audit, which explained how the home has been developed over the past twelve months and gave details about phase two and three of the redecoration programme. The audit also includes information on how they have addressed issues as highlighted in the CSCI inspection reports about the home. Newsletters are also sent out to families and friends in order to keep people up to date with what’s going on in the home. Some people have small amounts of personal money that is held safely at the home by staff. Records are available to show when money is deposited on behalf of people. The records show the individual cash balance for each person and how their money is used on their behalf, including receipts for goods and items purchased. Three peoples’ finances were checked during the visit and were found to be correct. There is evidence of routine maintenance and servicing of equipment in the home. The home carries out weekly fire safety checks and these are recorded. It was not clear from the records in place whether hot water temperatures are being randomly checked. The manager was asked to look into this and to let the inspector know. Recommendations made as part of the homes own health and safety checks should be recorded when the work has been completed as it was difficult to ascertain this other than to go and check on each issue raised. As part of the last inspection a requirement was made to ensure that risk assessments were developed in respect of safe working practices. The manager explained that this has not yet been done and therefore the requirement is repeated as part of this inspection report. Green View House DS0000064138.V347964.R01.S.doc Version 5.2 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 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 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 Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 4 X 3 X X 2 Green View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP38 Regulation 23 Requirement Risk assessments must be in place referring to safe working practices. Timescale of 30.10.06 not met. Timescale for action 30/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Green View House DS0000064138.V347964.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 View House DS0000064138.V347964.R01.S.doc Version 5.2 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. 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