Inspection on 22/05/07 for Grizedale

This inspection was carried out on 22nd May 2007.

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

Grizedale 14/04/09

Grizedale 22/11/05

Grizedale 13/07/05

Grizedale 22/03/05

Grizedale 09/09/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Grizedale Pont Head Road Leadgate Consett Durham DH8 6EL Lead Inspector Jean Pegg Unannounced Inspection 22nd May 2007 09:30 Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grizedale Address Pont Head Road Leadgate Consett Durham DH8 6EL 01661 844140 01661 844140 newlife.care@btinternet.com 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) Newlife Care Services Limited (wholly owned subsidiary of Minster Pathways Limited) Mrs L A Ross Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2005 Brief Description of the Service: Grizedale is a registered care home that provides accommodation for seven adults with learning disabilities. Most of the people who live there have been at the home since it opened. Grizedale is a large detached house situated in Leadgate. The house is surrounded by colourful well-kept gardens and is within easy walking distance of all the local shops and amenities. The original building has been extended and adapted to provide five single bedrooms and one double bedroom. The home also has a large comfortable lounge, dining room and kitchen with one ground floor bathroom and one first floor bathroom and shower. There are also two additional toilets. Ramps provide access to the house for wheelchair users. Both inside and out, the house is well maintained and homely. To stay at this home it would cost from £378:50 to £729:25 a week. Fees are negotiated on an individual basis and are reviewed every six months. The following additional charges are made: Aromatherapy sessions £11:50 Chiropody £7:50 Haircuts, personal items and some outings are also charged for. These fees are current at the time of this report. Up to date fees or charges should be checked with the manager. Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on Tuesday 22 May and Wednesday 23 May 2007. The two visits lasted for ten hours. As well as visiting the home and talking to the people who live and work there, we also got information from the manager before our visit. Four relatives of the people who live there returned survey forms to us. We also sent surveys to some other health professionals who have contact with the home and one has been returned to us. While we were at the home we looked at lots of different documents and files and had a good look around the building to make sure that things were o.k. What the service does well: The home has information to give to people who may be interested in living there. People are assessed before they are admitted to the home to make sure that the home can meet their needs. People who would like to live at the home are offered a trial visit to help get to know if the home is right for them. Contracts are given to people that describe the terms and conditions for living at the home. Everyone has a care plan that describes how his or her needs will be met. These care plans include information about risks and the help that people might need to make decisions in their lives. These are some of the things that relatives told us about the care given at Grizedale, “Grizedale staff give every care to my relative.” Another relative we spoke to during the visit said that having their relative live at Grizedale had “altered my life, it has given me peace of mind.” The people living at the home are helped to live a life that suits their needs and wishes. One relative told us “XXXXX loves Grizedale and the staff. She has regular outings and the care is wonderful.” The people who live there said nice things about the food they got “Pears is nice and trifle and Yorkshire puddings on a Sunday” “I like to have custard creams with my coffee, Mars bars are nice as well.” People are cared for in a way that they are happy with. The staff at the home make sure that people have regular health check ups. The care staff know how to look after medicines safely. The home has procedures in place to manage complaints and keep people safe. One relative said “I don’t need to raise concerns about the care at Grizedale as my relative is well looked after by the staff.” and another said “I have never had concerns.” The home is very well looked after, comfortable and homely. The home is also very clean. Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 6 The staff working at the home have been through a proper recruitment process to make sure that they are suitable to work at the home. They are trained to do their jobs and they receive regular supervision from the manager so that they know what is expected of them. One relative said “I have no complaints with the staff at Grizedale. They are very efficient.” The home is managed by an experienced person who works with staff to ensure that the home is run in the best interests of the people who live there. Health and safety checks are carried out and training and protective clothing and equipment are provided to make sure that no one is put at any risk from harm. 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 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has information available for new people who may be interested in the home, however this information does need to be updated and presented in a way that people with communication difficulties would be able to understand. The home does assess people before they are admitted but the recording of this assessment could be improved to ensure that up to date information is held. New people to the home are offered a trial visit to help get to know if the home suitable for them and contracts are given to people that describe the terms and conditions for living at the home. EVIDENCE: There is information available about the home however; it does need to be updated to reflect the recent change of ownership and key people to contact. The information seen tended to be written for someone who would have advanced reading skills and although the information is good an alternative version should be produced for those who may have reading difficulties, sight problems or who may not use English as a first language. The information recognised equality and diversity issues and had ‘social inclusion’ as an objective. The information booklet also described how the organisation undertakes to train staff in the use of Makaton if it is needed to meet the Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 9 needs of anyone who may live there. Advocates are also available to help people to express their views if required and numbers of staff on duty are determined by the needs of the people who live there. There is also a charter of residents’ rights. When we asked relatives the question ‘Do you and/or your friend or relative get enough information about the care home or agency to help you make decisions?’ All four said ‘always’. The statement of purpose indicates that there is an open referral system for new admissions and that an independent assessment of a person can be made before a trial period begins. The home also says that it will visit people in their own homes to make that assessment. The trial period offered to new people consists of visits to the home for tea, an overnight stay and an agreed length of time for a trial stay. The records for someone who had recently been admitted to the home were checked. The pre admission information kept on that person was mainly from the Local Authority Care Manager. Staff working at the home did confirm that they had access to information from other agencies involved and were given the opportunity to discuss the needs of the new person before they were admitted. They also had the opportunity to get to know the new person during trial visits. When we asked staff about who has responsibility for assessing the needs of new service users one said “ I imagine the social worker, or a joint thing, not one persons decision. People who worked here had an opportunity to meet xxx and xxx asked our opinion as to their suitability.” The trial period offered to new people consists of visits to the home for tea and an overnight stay. There was evidence from the written daily records seen that the trial visits had taken place. The information pack seen contained a copy of the written terms and conditions that are in place for people. It states that fees are negotiated with the placing authority and are dependant on need. Fees include personal care and meals and are reviewed every six months. The contract provided a lot of information that would be useful to people to help them understand what they were paying for and what they would be responsible for. Copies of signed contracts were seen. Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Everyone has a care plan that describes how his or her needs will be met. These care plans include information about risks and the help that people might need to make decisions in their lives. EVIDENCE: On the day of the visit, we looked at different care plans and noticed that one had not been completed in full. This concern was raised with the manager who was aware that this was the case and agreed to make sure that it would be completed by an agreed date. This was achieved and confirmed by the manager. The other care plans we looked at were up to date. The care plans are written from a person centred viewpoint and cover a range of diverse areas so that a whole picture of that person’s needs can be seen and understood. For example this was written in one plan: ‘I sometimes attend special services at the church during Christmas festivities’ When we asked relatives if they felt that the care home met the needs of their relative, all four said yes. One Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 11 person added “ Grizedale staff give every care to my relative.” Another relative we spoke to during the visit said how having their relative live at Grizedale had “altered my life, it has given me peace of mind” The staff spoken to were also able to tell us that they had access to the care plans and could describe the things that were written in them. They also confirmed that the care plans are reviewed each year. The ability to make decisions varies from person to person. Any restrictions or barriers to decision making are known by staff and are highlighted in the care plans. It was noticed that at different times during the day people were given the opportunity to make choices and were consulted on a number of different everyday things. The staff help the people who live at the home to manage their finances and this is also covered in their care plan. Staff were able to describe the processes that have to be followed to ensure that money held on behalf of people is kept safe. From reading the care plans we were able to see that risks and risk management strategies are included. Again a narrative form from the person’s point of view is used to describe how risks are to be managed. For example: ‘I do not understand the dangers of fire and heat therefore I do not use any of these without supervision.’ Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at the home are helped to live a life that suits their needs and wishes. People are given the things they like to eat. EVIDENCE: When we arrived at the home we found that people were all doing different things, for example, one person was sat at the dining table doing a jigsaw, another person was sat in the garden enjoying the sun and another person was in the lounge watching day time television. One person was upstairs in their room listening to music and two others were out in the community, one at a day centre and the other at work. When we asked staff about the things that people liked to do they were able to talk about each person in detail. Our observations of and chats with the people who live there along with entries made in the daily records confirmed the things that the staff had told Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 13 us. During the afternoon, the aroma therapist visited and it was obvious that this was an experience that everyone enjoyed. We noticed that the staff take the time to try and help people to take part in the activities that they enjoy. During our visit people were coming and going, for example, someone had a doctors appointments in the village, two people had hair appointments at different times during the day and another person went to the post office with one of the staff. The staff also told us about various outings that they go on for example shopping for new clothes and furniture at the Metro Centre, visits to Redcar, Whitby and York and pub lunches. One person likes to play the lottery. We were told that the people living at the home attended Christmas and birthday parties outside of the home. We asked relatives if the care home supported people to live the life they chose, Four said ‘always’ and one added “XXXXX loves Grizedale and the staff. She has regular outings and the care is wonderful.” One persons mother and sister visited while we were there. Another person told us that he went to his mother’s funeral and another said that his sister visited “the Twix bars are mine, my sister brings them.” We asked relatives if the care home helped their friend or relative to keep in touch with them, three said ‘always.’ “I visit Grizedale regular and the staff would inform me of any changes.” We noticed that the atmosphere in the home was very relaxed. We also noticed that the pace of life was in line with the needs of the people who lived there. People seemed to be relaxed with each others company and people were either joining us for a chat or taking themselves off to a quiet space of their own. When asked about helping with household chores one person told us “I help XXX to dry the dishes.” We were also told that another two people liked to help wash the pots. When we asked staff about respecting the people who live there one said “They need privacy and they are given choices, however much they are involved during the day it is not regimented, we wait for them.” There is a menu that is generally followed for each day. The menus are based on what the people who live at the home like to eat. There are always alternatives that can be offered if someone does not want what is being prepared that day. We joined everyone for lunch; we had egg sandwiches, cheese puffs, yoghurt and juice. We were told that it was lasagne and chips for tea. One person refused juice and asked for water instead. Everyone ate at their own pace and people talked about the food they liked. “Pears is nice” “Trifle and Yorkshire puddings on a Sunday” “I like to have custard creams with my coffee, Mars bars are nice as well.” When everyone had finished eating, someone cleared the placemats away. Tea and coffee was available throughout our visit. Staff said “With food we tend to know what their individual preferences are.” Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are cared for in a way that they are happy with. The staff at the home make sure that people have regular health check ups. The care staff know how to look after medicines safely. EVIDENCE: The way that people like to be cared for and the amount of help they need is written in their care plans. The people who live at the home and the people who work at the home have been together for such a long time that people are very familiar and knowledgeable about each other’s needs and preferences. We asked relatives if the care home gave the support or care that they expected to their relative, again all four said ‘always.’ Additional comments made included “Wonderful caring staff.” and “My relative is very happy at Grizedale, the staff are wonderful.” Another relative explained “Having spent nearly ten years in a supported environment it was rather a wrench to be looking elsewhere for accommodation. It was heart breaking thinking that my relative was going to be placed somewhere totally unsuitable, however, to my delight Grizedale came up and fortunately my relative is settling really well.” Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 15 From the records we looked at we could see that people were having their health needs met. As stated in an earlier section of this report, someone had just returned from a doctor’s appointment while we were there. There was also evidence of regular outpatient appointments being kept, chiropody visits and eye examinations. We asked relatives if they were kept up to date with important issues affecting their relative (for example if they have been admitted to hospital or had an accident etc.) all four said that they were ‘always’ kept informed. The care plans that we looked at confirmed that no one was able to administer and control their own medication. Only a small amount of medication is used in the home and this is kept and managed in an appropriate manner. We checked the medication and records while we were there and everything was as it should be. We also noticed that the staff at the home were very diligent in seeking advice about medication for example, written diary entries told us that when there was some uncertainty about the instructions given for the administration of someone’s medication, the staff had contacted the consultant concerned and requested explicit guidance as to how this medication should be used. This information was then given to all staff. The manager confirmed that all staff had been trained in administering medication. Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has procedures in place to manage complaints and to keep people safe, however, these procedures need to be updated to include the up to date contact details for people to use. EVIDENCE: We looked at the procedures file and noticed that some procedures were out of date and still refer to the National Care Standards Commission rather than the Commission for Social Care Inspection. These procedures need to be updated and the complaints procedure needs to have the up to date contact details for complaints included. There is a pictorial complaints procedure on display in the kitchen. Relatives were asked if they knew how to make a complaint about the care provided about the care home. All four said that they did. We then asked if the care home responded appropriately if any concerns had been raised. Two said ‘always’ and the following comments were added. “I don’t need to raise concerns about the care at Grizedale as my relative is well looked after by the staff.” and “Never had concerns.” The procedure for staff to follow (if they suspect abuse is occurring in the lives of the people who live at the home) says that they must contact the police or social services, although this is the correct procedure to follow, the contact numbers should be updated. The staff spoken to knew the correct procedure to follow if they needed to. Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is very well maintained, comfortable and homely. The home is also very clean. EVIDENCE: The house continues to be well maintained internally and externally. The gardens are tidy and the borders have pretty plants in them. The home has bought some new furniture for the lounge and plans to buy a new dining room carpet in the near future. As one service user said “The carpets rotten”. There has also been a new gas boiler fitted to improve the water and heating supply. The roof is being repaired and they are getting estimates for solutions to the damp problems. The double bedroom has been redecorated and the people who live there have bought new furniture for their rooms. The home is cleaned every day and there were no unpleasant smells or dirty surfaces noticed. Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff working at the home have been through a proper recruitment process and are trained to do their jobs. They receive regular supervision from the manager so that they know what is expected of them. EVIDENCE: Relatives were asked if the care staff had the right skills and experience to look after people properly. All four said ‘yes’ and one person said “I have no complaints with staff at Grizedale. They are very efficient.” The manager confirmed that 50 of care staff have a National Vocational Qualification at Level two in Care (NVQ 2.) She also said that one person was waiting to enrol on to their National Vocational Qualification Level two (NVQ 2) and one was waiting to do their National Vocational Qualification level three (NVQ 3). The rotas for the home show that there are two staff on duty every day from 8am – 10pm then one member of staff who sleeps over. A domestic is also employed from 8am–12:15pm for five days a week. The staff that we spoke to confirmed this and one added, “Sometimes there are three staff and the Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 19 cleaner. There is only one on at night, we are only here for emergencies.” No one expressed any concerns about the staffing levels in the home and it was evident that staffing arrangements did not prevent social activities and outings from taking place. The recruitment procedures that the home follows include an equal opportunities statement. There have been no new staff employed at the home since the last inspection. Previous inspections have found that the recruitment procedures followed have been satisfactory and there is no reason to suggest that this has changed. The manager told us that the home has a new training provider who trains staff on the premises. This arrangement is seen to be more convenient for everyone. Training is planned for staff and all staff have an individual training record. The manager showed us records that confirmed that everyone had had an appraisal and that supervision sessions were being held. We saw the minutes of the staff meetings that are held every three months. Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by an experienced person who works with staff to ensure that the home is run in the best interests of the people who live there. Health and safety checks are carried out and training and protective clothing and equipment are provided to make sure that no one is put at any risk from harm. EVIDENCE: The registered manager is also a registered nurse and she has the registered managers award. She keeps her mandatory training up to date and during the last year has been adapting to her role with the new company for example implementing new procedures and paper work, developing a business plan and producing a newsletter, which is to be sent bi annually to relatives and care managers. Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 21 The home sends questionnaires out each year to relatives and other professionals as part of their quality assurance process. The area manager completes an internal audit of the home and records each month. General safety checks are carried out each day by staff. Resident meetings are also held for people to talk about different things. When we asked staff about if they were encouraged to make suggestions about improving the home they said “We would bring things up anyway she (the manager) is very receptive.” And “(the manager) is open to suggestions, she asks for our views and will discuss anything.” Health and safety training is provided for staff and regular maintenance checks are carried out. The manager said how she had requested a visit from the fire officer in March, for some advice about smoke alarms. She has since implemented the fire officer’s recommendations. Certificates showing that portable electrical appliances had been tested were seen. We also saw records showing that hoists had been serviced and that the home had current electrical and gas certificates. We noticed that staff had access to protective clothing and that the kitchen was equipped with items that showed that food hygiene guidelines were being followed. Grizedale DS0000007474.V339837.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 2 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. 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 3 Refer to Standard YA1 YA1 YA2 Good Practice Recommendations The Statement of Purpose and Service User’s Guide should be updated to reflect the changes in ownership of the home and the details of the new people to contact. The Service User’s Guide should be available in a format that can be understood by the people who live at the home or who might want to live at the home. The registered manager must obtain an up to date written assessment of a person’s needs before they are admitted to the home. This needs assessment should cover all of the areas recommended by the National Minimum Standards. The Complaints Procedure must be updated to include the new names of the people to contact as part of the complaints process. The up to date contact details for Social Care and Health and the Police should be included in the Adult Protection Procedure. 4 5 YA22 YA23 Grizedale DS0000007474.V339837.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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. 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