Inspection on 18/01/06 for Hanford Manor

This inspection was carried out on 18th January 2006.

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

Other inspections for this house

Hanford Manor 24/07/09

Hanford Manor 06/08/07

Hanford Manor 30/08/06

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

CARE HOMES FOR OLDER PEOPLE Hanford Manor 85 Church Lane Hanford Stoke on Trent Staffordshire ST4 4QD Lead Inspector Peter Dawson Unannounced Inspection 18th January 2006 09:00 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 Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 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. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hanford Manor Address 85 Church Lane Hanford Stoke on Trent Staffordshire ST4 4QD 01782 642144 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) Hanford Care Homes Ltd Mrs Claire Lovatt Care Home 24 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (24) of places Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st August 2005. Brief Description of the Service: Hanford Manor is a large detached Georgian property set in its own grounds in the village of Hanford. The home is on a ‘bus route with easy access to Stoke and Newcastle. There are good parking facilities. The building has been extended and provides accommodation for up to 24 people. Accommodation is on 3 floors and there is a shaft lift providing access to all floors. All bedrooms are for single use and 7 have en-suite facilities. There are 2 lounges overlooking the garden at the front of the building and other recessed areas also providing seating suitable to receive visitors. One room is the nominated smoking area. There is a large separate dining area and 13 bedrooms also on the ground floor, the remaining bedrooms are on the first floor and 3 on the second floor. There are adequate numbers of bathroom/toilet areas throughout the building. During the past 3 years most areas have been redecorated and refurbished, this includes communal areas and bedrooms. This process is ongoing. The grounds are large, pleasant, peaceful and private. There are patio areas surrounding the building used extensively in the summer months. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At the time of this unannounced inspection there were 21 people in residence. Most were seen and approximately 10 spoken to. A visiting relative was seen and spoken to, she had several matters she intended to discuss with the home and will speak directly to staff following discussions with the inspector. The matters related mainly to health care matters. There was an inspection of records relating to the inspection including sampling care plans, medication records, fire, staff files and other staffing records. The communal areas were inspected and a sample of bedrooms. Several visitors were seen arriving/departing during the morning of the inspection but time allowed only for discussions with one directly. The inspector was able to spend time in the lounge areas discussing the life and care at Hanford Manor, there were group and individual discussions and staff were not present for the most part. Residents commented favourably about the care provided and the positive attitude of staff and their commitment. There was a relaxed atmosphere and warm and positive relationships and engagement noted between residents and staff. Two requirements of the last report have not been acted upon: Staff recruitment procedures must be strengthened – this is the weak area of operation in the home. Appropriate telephone facilities must be made available for all residents, it is not satisfactory for the telephone to be located in the smoking area. Staff were see inappropriately moving and handling residents and training in this area must be provided for all staff as a matter of urgency. What the service does well: Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 6 The home seeks and supports the chosen lifestyles of residents. Many spend time in their bedrooms during the day from choice and service is provided to them in that situation if chosen. There is an excellent food choice tailored to individual needs and choices. All residents speak highly about food provision. There has been an excellent staff-training programme in the home. The home has character is warm and comfortable and resembles a homely country house setting although it is on the outskirts of the major towns. There is high staff awareness of health care matters and early action taken where there are concerns about health. Excellent support is provided to resident and relatives in the situations of dying and death. Two written cards/letters were seen following recent deaths in the home. The Comments were: “In the days of scare stories about old peoples homes it is wonderful to find a homely caring environment.” and “thank you for the care and kindness offered to my relative during the 2 years he was at Hanford Manor” – a donation was enclosed for the comfort of residents. A further letter was received by the Commission outlining the tremendous support to both resident and family prior to and following the death of a resident. What has improved since the last inspection? What they could do better: Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 7 The staff recruitment procedures must be strengthened. In relation to a recently appointed member of staff there was no CRB check and two written references had not been obtained. Additionally all items listed in Schedule 2 of the regulations must be provided for new and existing members of staff. Appropriate telephone facilities must be provided for all residents. It is not acceptable for the telephone used by residents to be located in the smoking area. A portable telephone facility is recommended allowing flexibility of access in bedrooms and all parts of the home. Moving & handling techniques were seen to be incorrect. All staff must receive updated training in Moving & Handling as a matter of urgency. The remaining changes/additions required by the Fire Officer on a phased introduction basis are in hand and will be completed soon. 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. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 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 Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1-5 The Statement of Purpose/Service Users Guide have been updated and contain all required information for residents to make a judgement about the suitability of the home prior to admission. Standards relating to Choice of Home were met. EVIDENCE: Following a requirement of the last report to update the Statement of Purpose/Service Users guide – this has been done and a copy given to all residents and the Commission. Further copies are available in the home. The new information is good and comprehensive, containing all the required information to current and prospective residents. The information is detailed but presented in very readable form. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 10 All funded residents have contract provided by the relevant Local Authority. Self-funding resident have contracts provided by the home. Assessments are carried out prior to admission by Care Management personnel and assessments are also carried out by the Manager/Deputy. Inspection of records of recently admitted residents contained this information as required. Prospective residents are always invited to visit the home prior to admission, although this may not always be possible (hospitalisation etc) it is the preferred option of the home. Relative are always involved in pre-admission procedures and visit the home. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 - 11 An excellent new care-planning format has been introduced in the home, which is detailed, concise and easy to use. This will greatly assist carers. The system for referral to health care professionals has been reviewed and is now closely monitored as required. The home understands the need for weekly weighing of certain residents. All residents are referred to the NHS chiropody service and this has been included in the revised statement of purpose following a request from relative at the time of the last inspection. Previous requirements relating to health care have been addressed. Recording of the medication returns system has also been strengthened as required and ensures a safe system of medication in the home. Standards relating to Health & Personal care were found to be met on this visit. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 12 EVIDENCE: The home has introduced a new care planning information system – the Standex system. This provides a clear but concise and easily accessible and readable document required to provide the required care to meet assessed defined needs. The new system has been introduced for all residents and is virtually complete – only a few areas seen require completion. It is an improvement on the former system in that it is more concise under clearly defined headings. Daily notes continue as part of the care planning information on the new system and the monthly reviews of all residents are an integral part of the new format. The new care plans contain precise information about health matters including diagnosed conditions, treatment plans and record of all interventions by health care professionals. A recommendation for residents/relatives to sign care plans was made in the last report and the new format allows for this input. The home intends to move towards residents, or where appropriate, relatives signing care plans. A requirement of the last report to review the system for referrals to health care professionals has been addressed. The Manager and Deputy have put into place a monitoring system to ensure referrals are made swiftly and further checks to ensure they are actioned. One resident presently has pressure area management needs monitored by the District Nursing Service. She has pressure area sores to both heels acquired whilst in hospital. The hospital did not supply any information concerning the pressure areas, but swift referral to the nursing service by the home has ensured early treatment. Another resident is provided with dressings for ulceration of legs by the nursing service. The resident and her relative prefer to attend the GP’s surgery/health centre weekly to receive the required dressings. There are assessments for all as required for continence management by the district nursing service. Annual checks are arranged for optical and dental care. Chiropody is provided by the NHS service and supplemented where chosen by a private service. Soft food diets are provided as required for several residents. Concerns for weekly weighing of residents with weight loss were expressed in the last report and related to a particular resident. Monthly weighing has been continued but there is some reluctance by the person for weekly weighing, staff will continue to try and monitor and record on a more frequent basis. (The person weighs only 5.6 stones), A dietician is involved with the resident. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 13 The medication system was not inspected on this visit due to time limitation. A requirement of the last report to list date, and list all returns of medication to the pharmacy has been actioned. The pharmacy countersigns returned medication. Regular checks are carried out by the Pharmacist in the home in relation to the medication system. The home is provided with GP services from several local surgeries and a good service reported. Regular reviews of medication are reported to be carried out. There was discussion with Managers about a resident sleeping constantly in the lounge area throughout the day. There may be some over-sedation and the home have requested a review of medication on the next visit by the GP. From observations during the inspection and from discussions with residents and visitors it was clear the principles of respect and dignity were being applied in the daily living situation in the home. Standards relating to dying and death were discussed/inspected. One letter and a card had been received by the home following recent deaths and were extremely complimentary to staff about the care and support provided to both resident and family. One stated “In days of scare stories about care homes it was wonderful to find one with a homely, caring environment” A card thanked staff for their kindness and caring attitude to their relative over the previous 2 years and enclosed a donation towards the comforts fund of the home. Additionally a detailed letter was sent to the Commission from the family of a deceased resident stating their total satisfaction with the care provided and support to the family in the difficult times prior to the death of their relative. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 - 15 There was evidence of chosen lifestyles being accommodated and contact with family and friends being promoted. Resident’s views are sought through discussions and residents meetings. Menus were good and satisfaction with food expressed by residents. Standards relating to Daily Life & Social Activities were met. EVIDENCE: There was evidence of chosen lifestyles being accommodated. This was confirmed in a group discussion with residents in the lounge area, that the Inspector had during the inspection. It was confirmed that rising, retiring and bath times were chosen by residents. This was also confirmed in information recorded in care planning information, stated times and choices were recorded, likes/dislikes etc. Several residents spend time in their bedrooms, some have meals served in their bedrooms and this is an option outlined in the service users guide. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 15 A resident with busy social schedule of letter-writing and receiving daily visitors, attends the dining room for meals does not wish to spend time in the lounge area and her chosen lifestyle is understood and facilitated a good example of chosen lifestyle, there are others. There is an activities programme posted in the home and known to residents, this includes the usual indoor activities with entertainment also arranged regularly in the home. Trips to local town/countryside are arranged in small numbers in staff cars. Relatives are encouraged to visit at any time and several seen arriving/departing at the time of the inspection, staff and other residents engaging in friendly and humorous exchanges with visitors. A relative who visits her mother virtually daily was seen and mentioned several matters she wished to discuss with staff. The issues were discussed with her but it was agreed that she would (as intended) speak to staff for clarification and responses to the matters. She has direct access to the Manager/Proprietor and also the Deputy Manager and will contact the Commission only if matters are not satisfactorily resolved. There is a choice of 2 main lounge areas and other small sitting areas. The garden area provides two thirds of an acre of garden/patio area which is extremely attractive and secluded and much enjoyed by residents during the summer months. Discussions with residents confirmed that the social and recreational activities provided and the service delivered was to their satisfaction. During the inspection 2 children arrived from St. Josephs College – a regular weekly visit to talk to residents and generally socialise – the visit seemed well received by residents. There was high satisfaction with food provision. Minutes of residents meetings confirmed food choices were discussed at those meetings. There was a decision to try a buffet breakfast, which would allow more individual choice of food for those people able to partake, others would assisted by staff. This will be trialled in the near future. There are 3 hot choices for main dish at lunchtimes, hot and cold choices with dessert at teatime and good supper menu also. Menus are on display in the home and indicated a good, nutritious varied and balanced diet. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 - 18 Standards relating to Complaints & Protection were found to be met. EVIDENCE: There is a complaints procedure in place and on display for residents and visitors. There is a copy of the complaints procedure in the service users guide recently given to all residents. The procedure complies with the requirements of Regulation 22. One complaint has been received by the home since the last inspection relating to domestic matters in the home. This has been satisfactorily addressed by the Manager and discussed in detail with the complainant. At the time of the last inspection a complaint was being investigated by the Commission. This has been completed and none of the aspects of the complaint were upheld. There have been no further complaints to the Commission since the last inspection. There is a policy/procedure concerning adult protection and there has been appropriate staff training on Elder Abuse. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 - 26 The environment is safe and well maintained. There have been many improvements to most areas of the home over the past 4 years. The provision of suitable telephone facilities in the home are required. Specialist equipment is in place to promote independence. Bedrooms sampled were clean, adequately furnished and well personalised. EVIDENCE: There has been a good ongoing programme of redecoration and refurbishment of the home over the past 4 years and most areas have been improved. Recently flooring in toilet/bathroom areas have been replaced and other scheduled for replacement. Most bedrooms have been refurbished with the exception of a few which will be included as they become vacant. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 18 The external areas are large and pleasant with grassed, patio and flower areas. Residents are involved in changes and have spent many hours in the garden area during the good summer of 2005. A greenhouse and paved area has been recently added. Access to the garden area has been improved. There are 2 assisted bathrooms with toilets. There are plans for a walk-in shower. This was discussed and permission given, if required in the future, to convert one of the two bathrooms into a walk-in shower area. There are hand/grab rails in appropriate areas of the home and suitable additional toileting aids. There is no registration for wheelchair users in this home. There is a shaft lift to all 3 floors and a hoist for use with lifting slings. A relative raised the matter of telephone access for residents on the last inspection and a requirement was made to review the telephone services in the home. The date for compliance has not been met and the matter still being considered by the proprietor. This relates to the fact that there is only one fixed telephone on the ground floor located in the smoking area. A nonsmoking resident spoken to objects to making/receiving calls in that area which also has to be used by staff to answer calls. The other fixed phone is in the office area on the first floor which is locked at nighttime. In additional to an appropriately located fixed phone - a portable phone is needed to provide a call facility in bedrooms if required and also for greater flexibility of phone access by day and night staff. All parts of the home were clean and hygienic and there were no mal-odours. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 – 30 The staffing levels have been increased since the last inspection. Moving & Handling training must be provided for all staff to ensure appropriate handling methods are used whilst moving residents. Staff recruitment and associated records are inadequate and must be strengthened. This was required in the last report. EVIDENCE: Staffing levels had been increased at the time of the last inspection to 440 hours per week. Staffing had been increased at the peak morning and lunchtime periods and the number of domestic hours doubled to 40 hours per week. Since the last inspection an additional carer has been provided from 6.30 – 9.30 each evening – increasing the number of carers at that time to 3. There are plans to provide 3 staff at all times throughout the daytime. Night staff (11 – 9) consists of 2 waking night care assistants. Senior staff can be contacted in the night in the event of emergency e.g. admission to hospital etc. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 20 The Manager will confirm in writing to the Commission the total number of weekly care hours at this time as time did not allow for computation. The numbers of staff in the home at this time appeared adequate for the number and dependency levels of residents. There are 3 Senior Carers (all NVA trained) and adequate numbers of ancillary staff to support the care process. Staff training in the home has been excellent over the past 3-4 years. All staff either have, or are working towards NVQ training. There are 18 care staff – 10 have completed NVQ training and the remainder studying or awaiting commencement of courses. The required 50 of NVQ trained staff by 2005 was exceeded at the time of the last inspection and this continues. The programme of statutory and other training continues in the home with repeat/updating training for existing staff. There is a new induction-training programme which meets required standards. Moving & Handling training is required for staff. There is a video which staff watch who then receive specialist training. A new member of staff seen inappropriately lifting a resident with another member of staff had not received such training. This highlights the need and the home will address this to ensure the safety of residents. Recruitment procedures in the home are poor. There was a requirement in the last report to improve the procedures but this has not been done. A new member of staff had commenced work without a CRB clearance and with only one reference – one requested from the previous employer had not been obtained. Documents required for all staff defined in Schedule 2 had not been provided e.g. photographs, copy birth certificates, proof of qualification etc. The latter applied to all staff. The home were advised that if CRB application is in process then POVA First check can be carried out and if satisfactory staff can commence work prior to CRB being received – but only in those circumstances. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 - 38 The home is well managed and there has been a vast programme of refurbishment and staff training. One area requiring action in relation to Health & Safety is urgent training for all staff in Moving & Handling. Other safety requirements are in place and provide protection for residents. EVIDENCE: The Registered Manager is also Proprietor and gives a positive lead in the home. She has made vast improvements in the home over the past 4 years including improvements to the environment and considerable input into staff training. The results are clear to see and with higher occupancy rates. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 22 The Manager is to commence the required Registered Managers Award early this year and is in the process of negotiation with local college. There is a 5-year business plan for the home (2002-2007) and all objectives have been achieved at this time with a further year to run. Staff are supervised on a 6-8 weekly basis and recorded (not seen on this visit). The number of administrative hours have been increased from 12 – 24 since the last inspection. This greatly assists the Manager allowing concentration upon care issues. Moving & Handling training is required for all staff as identified in standard 30 above. A requirement is made and the home will address the issue as a matter or urgency. Fire records showed that appropriate checks and testing had been carried out at the required intervals. The Fire Officer visited with the Inspector early 2005 and many requirements made for immediate and phased improvements to fire safety in the home. All immediate requirements were addressed and there remain 2 outstanding requirements which are presently in the process of being arranged – these are: Construction of Fire door in corridor area near the smoking lounge and Installation of extractor fan in the smoking area. The home have been keen to meet all the requirements of the Fire Safety Officer. In fact a private company were commissioned to carry out an audit of fire safety in the home and this has been completed and is available in the home. A fire risk assessment is included in this survey. All required notifications to the Commission under regulation 37 have been received. Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 23 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 2 Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 24 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 2 Standard OP19 OP29 Regulation 16(2)(a) 19(b) Sched. 2 Requirement Timescale for action 28/02/06 3 OP30 13(5) 4 OP38 23(4) Appropriate telephone facilities must be provided – Previous requirement not met. CRB checks and references must 19/01/06 be obtained prior to employment and all requirements under Schedule 2 met. Previous requirement not met. Moving & Handling training must 19/01/06 be provided for all staff to ensure appropriate handling methods for residents are used Complete final requirements of 31/03/06 the Fire Officer as planned 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 Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hanford Manor DS0000064913.V279404.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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