Inspection on 25/07/07 for Hazeldene Care Home

This inspection was carried out on 25th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hazeldene Care Home 06/06/06

Hazeldene Care Home 18/10/05

Hazeldene Care Home 05/05/05

Hazeldene Care Home 08/09/04

Hazeldene Care Home 26/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hazeldene Care Home 49 Ribchester Road Clayton-le-dale Blackburn Lancashire BB1 9HU Lead Inspector Mr Graham Oldham Unannounced Inspection 25th July 2007 09:30 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 Hazeldene Care Home DS0000022480.V340704.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. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hazeldene Care Home Address 49 Ribchester Road Clayton-le-dale Blackburn Lancashire BB1 9HU 01254 240360 01254 240360 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) Sage Care Homes (Hazeldene) Limited Mrs Teresa Maria France Care Home 59 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (39) of places Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The manager must gain qualifications in dementia care. The home is registered for a maximum of 60 users to include: Up to 39 service users in the category of OP (over 65 years of age not falling within any other category). Up to 21 service users in the category of DE(E) (Dementia, over 65 years of age) Date of last inspection 6th June 2006 2. Brief Description of the Service: Hazeldene is a traditional detached building with a purpose built extension to provide upgraded facilities. The home is set within its own grounds with garden areas available for residents to utilise. It is located in the semi-rural village of Wilpshire approximately three miles from Blackburn. Care is provided for residents who are elderly with a a separate dementia unit. There are a variety of lounges, dining rooms and most bedrooms are equipped with en-suite facilities. A statement of purpose and service users guide is available for residents or their families to be informed of the facilities and services the home provides. The fees for Hazeldene range from £323 - £390. Residents or their families have to pay for hairdressing, newspapers or periodicals, personal toiletries and outings. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection, which included a visit to the home, took place on the 25th July 2007. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. People living within the home allowed the inspector to call them residents. Two residents from the residential unit and two residents from the dementia unit were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking their plans of care, other documentation and talking to staff about the care they gave each resident case tracked. Residents were then asked if the care they received was what they needed. One resident did not want to co-operate. Two staff members were questioned about the care of the residents case tracked and the training they had undertaken. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted on the day of the inspection. Nine residents returned questionnaires to the Commission for Social Care Inspection (CSCI). • Seven residents had been issued with a contract. • Seven had received enough information to decide to move to the home. Two that did not said, I was in hospital and my husband dealt with it and my daughter dealt with it. Two others commented, I read the brochure and I had been here for a fortnight for a complete rest on doctor’s orders. • All nine always received the care and support they needed. • All nine thought staff listened to them. • Seven thought staff were always available when needed and two usually. • All nine received the medical support they needed. • Five thought there were enough activities, three usually and one sometimes. Residents listed activities such as bridge, dominoes, singing, skittles, films music and decorating cards. Two residents commented, I prefer to entertain myself with reading, puzzle books, radio and television in my own room. We have a bookcase full of books in the lounge and I can join in when I want. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 6 • • • • • • Eight always liked the meals and one usually. Eight knew how and whom they could complain to. One resident said, I have no reason to complain. All nine thought the home was always fresh and clean and one usually. Comments to - is there anything else you would like to tell us included, I am very happy at Hazeldene, staff are grand – they are marvellous, all the staff are very kind and I am pleased with everything at the moment. 3 residents were aged between 70 – 79 and 6 residents were aged over 80. 1 resident was male and 8 female. 8 Residents were British and one resident was Czekoslovachian (her spelling). 9 residents were Christian. 8 Residents considered themselves disabled. 7 Residents said they were heterosexual, 1 said normal and 1 did not answer. All 9 filled in the forms themselves. No residents wished to speak to the inspector. The survey forms returned to the Commission for Social Care Inspection were very positive and demonstrated care was good for those who returned the questionnaires. One form was returned from a professional and supplied the following information. • The home always took advice to manage and improve health care needs. • Each individual’s health care needs were always met at the care service. • The care service always respected the privacy and dignity of residents. • The care service always managed medication correctly. • The care service always supported individuals to live the life they choose. • The care staff usually had the right skills to care for residents. • Commented to the care service responding to the different needs by saying I do not know but maybe always. • The care service always responded if any concerns were raised about care. • The care service always did well and commented absolutely. The professional who returned the questionnaire was very satisfied with the services offered at the care home. Three survey forms were returned to the commission from relatives. • • • • • • • Two relatives thought they always had enough information from the home and one thought usually. All three thought the care home always met the needs of residents. Two thought they were always helped to keep in touch and one added N/A because they suffer from Alzheimer’s disease. Two thought they were kept up to date with important issues and one usually. All three always thought residents were well supported. Two always thought staff had the right skills to look after people properly and one usually. All three thought the different needs of residents were met. DS0000022480.V340704.R01.S.doc Version 5.2 Page 7 Hazeldene Care Home Two knew how to make a complaint and thought the home always responded appropriately to any concerns. One relative who did not answer said he had forgotten the complaints procedure and he had never had to raise a concern. • All three thought the residents were supported to live the life they chose. • Relatives said the home performed well and said, “They feel at home”, “they do most things well” and “I think the home does it’s best for the people they car for” • Two commented on what the care home could do better by – It is difficult to say how they could improve. My brother is in much better health and is happy there and I think they are doing a good job. • No relatives wanted to speak to an inspector. The very good responses of relatives demonstrated the care home was functioning at a good level for those who answered the questionnaire. • What the service does well: A visitor spoken to during the inspection said, “I feel on first impression, there was very little space to park. Not enough signs, I did not know which way to go to gain entrance. Once in the Home I asked staff which way to go. They were very accommodating and friendly; I was asked would I like a drink, which was great. Resident’s case tracked said, “My daughter can visit when she wants. They would let me go to talk privately” and “Staff are nice with visitors and its open”. Visiting was unrestricted and this allowed residents to socialise with families and friends. Twelve residents sat taking their lunch said the food was generally good and they would say something if it wasn’t. There was very good choice offered at mealtimes. Resident’s case tracked said, “The food is good”, “The food is good - very nice” and “The food is all right”. The food served at the care home was satisfactory to the tastes of residents. Resident’s case tracked said, “It’s alright here and the rooms nice”, “My room is nice I have some of my own things in it” and “I have a nice comfortable room. It’s warm and clean”. Bedrooms at the home were nicely decorated and furnished to provide pleasant private space. Resident’s case tracked said, “I bath myself. There are no problems with privacy issues”, “The help I get is private” and “The care is private and the girls are kind”. The professional attitude of staff allowed residents to retain their dignity. Resident’s case tracked said, “They look after us”, “I can’t grumble about my care. I only have to press the button and they come. I feel care is good and cannot grumble” and “The care is alright and the girls are very nice”. The atmosphere at the care home and attitude of staff allowed residents to feel comfortable with their personal care. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 8 Resident’s case tracked said, “I feel safe – they are polite”, “I feel safe here. I would complain to a Carer” and “I would complain to a nurse or manager”. Residents felt free from harm and able to tell staff if they had any concerns. The good assessment of residents prior to admission ensured staff could meet the needs of residents. Residents were able to access specialists to ensure their health care needs were met. Medication policies and procedures helped protect residents from possible harm. Leisure activities and a choice within the daily routine helped residents retain some independent living. Quality assurance systems acquired the views of all concerned with the home and allow management to react to the changing needs of residents. What has improved since the last inspection? The statement of purpose and service user guide had been updated to ensure residents and their families were informed of the facilities and services they could expect at Hazeldene. The garden area had been improved to allow access for residents with dementia to enjoy. The systems for cleaning and undertaking maintenance had improved to provide a better and safer environment for residents. A new member of staff had been employed to undertake stimulating activities for residents to enjoy. Advice had been taken on the type and placing of plants for the garden in the dementia area and when work has been completed will provide a safe and enjoyable area for residents. Areas of the home had been upgraded to provide better facilities for residents. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 9 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. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 10 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 Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 11 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP1, OP3 and OP4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The statement of purpose and service user guide informed residents and their families of the services and facilities provided. The assessment process enabled staff to plan and deliver effective care to residents. Each resident was issued with a terms and conditions document and received confirmation their needs could be met at the care home. EVIDENCE: The statement of purpose and service user guide had been updated to include details of the dementia unit and provided good information for residents and their families. Four residents were case tracked. Assessment documentation was contained within the plans of care. There was either an assessment from social services or health care professionals. A member of staff had carried out a pre- Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 12 admission assessment to ensure a residents needs could be met at the home and a plan of care developed. Intermediate care was not provided. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 13 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): OP7, OP8, OP9 and OP10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Plans of care and healthcare assessments contained sufficient information about each individual to inform staff of each residents needs. Medication policies, procedures and staff training protected the health and welfare of residents. The attitude of staff protected the privacy and dignity of residents. EVIDENCE: Four residents involved in the case tracking process had a plan of care. Not all plans showed evidence they had been developed with a resident or family member. Plans of care had been regularly reviewed. Two staff members were able to accurately describe the care of resident’s case tracked. Three residents involved in the case tracking process agreed the level of care was what they expected. One resident declined to join in the process. Plans of care were detailed although areas for improvement were to more accurately describe specific care needs. Risk assessments were satisfactory but it would help staff to have a strategy to follow for certain steps in the scoring system for nutrition and pressure area care. Both recommendations made to this effect call for best practice. Plans of care contained sufficient information for staff to deliver effective care. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 14 Plans of care contained details of attendance to health care professionals and specialists. Residents case tracked said they were able to access health care specialists such as dentists, opticians, chiropodists and attend hospital appointments. Access to specialists was arranged to ensure their well-being was maintained if possible. Trained care staff administered medication. Policies and procedures for the administration of medication had been reviewed using the Royal Pharmaceutical Societies Guidelines. There was a controlled drug cupboard and register. There was a dedicated fridge to keep medication cool. The medication administration charts had been maintained accurately. An up to date British National Formulary was available for staff to use for reference to medication issues. The registered manager said the new pharmacist was giving a much better service and regularly audited their systems. Medication policies, procedures and staff training helped reduce the risk of any medication errors. Staff were observed carrying out personal care to residents. Staff were pleasant to residents and ensured their privacy was maintained when delivering care. Resident’s case tracked said care was given privately. The demeanour of staff ensured residents were comfortable with the personal care they received. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 15 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): OP12, OP13, OP14 and OP15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Leisure activities provided were suitable to resident’s tastes and helped provide a fulfilling life. Visiting was open, unrestrictive and encouraged socialising with family and friends. Residents were able to exercise choice to retain some independent living. Food served at the home met residents nutritional needs. EVIDENCE: The registered manager had employed a member of staff to concentrate on leisure activities to try to provide residents with more entertainment. The activities will concentrate on providing a motivational therapy programme to stimulate memories, encourage physical activity and includes music and relaxation. Residents case tracked were satisfied with the activities on offer. Resident’s case tracked said they had a choice within the daily routines, with food or attending activities if they wished. Residents were allowed choices to help them retain some control over their lives. One visitor said staff were very accommodating and friendly. Three residents case tracked said visiting was unrestricted and they got to see whom they wished. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 16 Residents case tracked said food was good, as did twelve other residents observed taking a meal. Residents were observed being fed in an individual and discreet manner. There is a choice of food served at every meal and residents can have something else if they do not like what is on offer. The kitchen was clean and tidy. The cooks hold relevant qualifications and environmental health checks had been undertaken. Residents were satisfied with the choice and quality of food at mealtimes. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 17 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): OP16 and OP18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and staff training help protect residents from harm and abuse. Residents and their families were able to voice their concerns. EVIDENCE: There was a complaints procedure, which met current timescales and satisfied the requirements of the CSCI. No complaints had been made to the service or the CSCI during the year since last key inspection. Questionnaires returned to the CSCI showed residents were able to voice their concerns. Resident’s case tracked were satisfied they could complain and complaints would be addressed to their satisfaction. The home is situated on the boundaries of Blackburn with Darwen and Lancashire County Council. The adult abuse procedures of both are available to follow a local initiative. There is a copy of the ‘No Secrets’ document, a whistle blowing policy and procedures and guidance for the protection of vulnerable adults. Resident’s case tracked felt safe during their stay at Hazeldene. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 18 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): OP19 to OP26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents lived in a clean, tidy and safe environment. The facilities provided a comfortable setting and met resident’s environmental needs. EVIDENCE: A tour of the building was conducted on the day of the inspection with all communal areas and many bedrooms visited. The home was warm and clean with no offensive odours. There is a system of routine maintenance and many new or improved areas. The home was much better state of repair in general now they have the new handyman. The registered manager said there were new boilers; new carpets and many newly decorated rooms. All communal areas visited had good levels of domestic furniture. Bedrooms visited tended to be larger than the norm and contained levels of equipment and furniture. Rooms visited had been personalised to suit resident’s own tastes. One room was full of videos and all had televisions. Radiators were had a device fitted to regulate the temperature in each room. Wheelchairs had dedicated storage Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 19 areas. There was good equipment for mobility such as hand and grab rails. Baths were suitable for the disabled or had hoisting facility. The dementia garden was out of use due to building work, which was soon to be completed. The residential garden was very nice and has good levels of equipment and is accessible. Lighting was good and widows had a safety device. The hot water outlets continue to pose a threat to the health and safety of residents but it was planned to fit a temperature controlling device. The facilities and décor of the home was being improved to provide a better living environment for residents. The laundry was very well equipped with two industrial washing and gas drying machines. There were infection control policies and procedures for staff to use to protect themselves and residents. Hand washing facilities were present in areas of clinical waste such as sluices and the laundry. There was a member of staff solely in the laundry. There was a contract for the removal of clinical waste. Infection control policies, procedures and staff training helped protect the health and welfare of residents. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 20 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): OP27, OP28, OP29 and OP30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were sufficient numbers of qualified and experienced staff to meet the needs of residents. The recruitment procedures protected residents from possible abuse. EVIDENCE: The staffing rota showed there were sufficient numbers of staff on duty on the day of the inspection. Resident’s case tracked said staff were very good. Questionnaires were positive about the way staff responded and listened to them. Staff received recognised induction training. Two staff files demonstrated training was ongoing. Both staff members involved in the inspection process confirmed sufficient training was offered and they were encouraged to improve and provide a better service to residents. Two staff files examined during the inspection demonstrated the recruitment procedures were robust and ensured staff were fit to be employed at the care service. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP31, OP33, OP35 and OP38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The views of residents, staff and stakeholders had been obtained to assist the manager to react to the changing needs of residents. There was a safe system to protect residents from possible financial abuse. Health and safety policies, procedures, staff training and the regular maintenance of equipment helped protect the health and welfare of residents and staff. EVIDENCE: The registered manager was a qualified nurse with a certificate in management studies. She had updated her knowledge since the last key inspection by completing courses on courses relevant to the role she undertook. There was a suitably qualified and experienced manager to provide guidance to staff. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 22 The systems used to handle any residents finances were safe and protected residents from possible financial abuse. There was a business plan. The manager held recorded meetings with residents and staff. Quality assurance questionnaires had been issued to residents, relatives and relevant professionals. There was a system to audit the homes progress. The registered manager was waiting for the closing date for the questionnaires to be returned before completing a summary. The quality assurance system used enabled management to react to the changing needs of all concerned with the home. There was a health and safety policy. Staff spoken to said they had undertaken health and safety related training. Electrical and gas appliances and installation had been maintained to a good level. Fire alarms and other safety related equipment had been maintained. The responsible person was aware of health and safety related issues. Health and safety policies, procedures and staff training helped protect the health and welfare of residents. Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 3 3 3 3 3 2 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 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. Standard OP25 Regulation 12(1) Requirement The registered manager must ensure hot water outlets do not pose a threat to the health and safety of residents. (brought forward from 30/03/07) Timescale for action 30/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP7 Good Practice Recommendations The registered manager should perform a review of plans of care to ensure residents or their families have been involved in their development The registered manager should ensure all care plans give precise actions and risk assessments contain a scoring system to enable staff to formulate a plan of action for any problems highlighted. The registered person should undertake to mark parking spaces and put up signs, which direct relatives and professionals to the right entrances. 3. OP19 Hazeldene Care Home DS0000022480.V340704.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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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