Inspection on 11/08/06 for Heritage Care Centre

This inspection was carried out on 11th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Heritage Care Centre 22/11/05

Heritage Care Centre 06/04/05

Heritage Care Centre 03/10/04

Heritage Care Centre 01/06/04

Heritage Care Centre 04/05/04

Heritage Care Centre 13/01/04

Similar services:

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Henry Nihill House

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

CARE HOMES FOR OLDER PEOPLE Heritage Care Centre 30 Gearing Close Tooting London SW17 6DJ Lead Inspector Janet Pitt Unannounced Inspection 11th August 2006 10:00 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 Heritage Care Centre DS0000031140.V307878.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. Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heritage Care Centre Address 30 Gearing Close Tooting London SW17 6DJ 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) 020 8682 9050 Lifestyle Care PLC Praxedes Priscilla Chibanda Care Home 72 Category(ies) of Dementia (35), Old age, not falling within any registration, with number other category (37) of places Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Staffing levels on the Ground Floor AM: Two qualified nurses and six care staff PM: Two qualified nurses and five care staff Night: One qualified nurse and three care staff Staffing levels on the First Floor AM: Two qualified nurses and five care staff PM: Two qualified nurses and five care staff Night: One qualified nurse and three care staff The above staffing levels are to be implemented once the home is fully occupied. The inspector has agreed with the organisation an incremental scale of increasing staffing levels as service users are admitted to the home. Ancillary Staff Administrative Staff 40 hours per week Domestic Staff 2 hours per resident per week Cook/Chef 40 hours and 16 hours at weekend Kitchen Assistant(s) 105 hours per week Laundry Staff 1 hour per resident per week Activities Co-ordinator 40 hours per week Maintenance 40 hours per week The number and distribution of nurses, care staff and ancillary staff must be reviewed at regular intervals by the registered owner. If at any time, the evidence indicates that there is insufficient staff of any category available to meet the assessed needs of service users, the NCSC will require additional staffing as appropriate. Date of last inspection 21/11/2005 2. 3. Brief Description of the Service: Heritage Care Centre is a purpose built home comprising of three storeys. The ground floor and first floor have the communal areas and bedrooms of service users. The second storey has the kitchen, laundry and staff areas. Accommodation is provided in single rooms with ensuite facilities. All rooms conform to the space requirements of the Standards. Service users are encouraged to bring in personal possessions. The home is arranged in four discreet units. Nursing care is provided for service users and there is a separate dementia unit. All service users have access to a safe level garden, where seating is provided. There is a passenger lift available. Heritage Care Centre is situated on the site of the Old Tooting Bec Hospital within a housing Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 5 complex and is accessible by public transport, which is approximately ten minutes walk from the home. The home has adequate parking spaces for visitors. Fees payable at the time of the inspection range from £573-£800, depending on care required. Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors undertook this unannounced inspection. Records relating to staff training and recruitment, care documentation and medication records of residents were examined. Surveys were sent to thirty residents, eight care managers and three health professionals. The response rate was good with a total of twenty-four completed surveys received from across the range of people surveyed, the majority being residents. Comments from these surveys have been included in this report. Discussion during the site visit took place with residents, visitors, staff and the manager. The site visit lasted a total of eight and a half hours. What the service does well: The following comments have been taken from surveys received from residents, indicating what they think the home does well: ‘because I was in hospital [my family] visited the home and were very well informed and impressed and acted on my behalf. I agreed.’ ‘Receive excellent care at all times.’ ‘Always activities arranged. Even residents who are less able are considered and the home go to great lengths to ensure everyone is considered.’ ‘The food is very much ‘home cooking’ and the dining area is always laid with flowers on tables and always looks nice.’ ‘The home always smells fresh, and the cleanliness is excellent.’ ‘Flexibility is the key word. They make themselves available to the needs of all; are observant and respond to situations quickly.’ ‘My [relative] has resided in the home for the last two years, in that time the family have been made very welcome. The staff are excellent, caring and friendly and the standard of the home is on a par with a four star hotel. Nothing is too much trouble, and we are kept well informed. We strongly believe that all nursing homes should be modelled on this one…….I cannot thank them enough for making my [relative’s] ‘quality of life’ so much better. I end by saying ‘congratulations to the staff for all their hard work.’ ‘Ten out of ten Heritage try to provide a caring comfortable environment where each client matters. Visitors are welcomed and their families are also included in the care. We looked extensively for a home like this and used the criteria- Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 7 would we want to live here- This environment was the only place we felt met physical and emotional needs and we are delighted with it.’ 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. Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Admissions are not made to the home until a full needs assessment has been undertaken. Evidence confirms that the assessment is conducted professionally and sensitively and has involved the family or representative of the resident. EVIDENCE: Residents’ surveys indicated that the majority of them had received a contract and had sufficient information prior to moving into the home. One comment on a survey stated that: ‘The home’s standards were immediately evident upon visiting. It was its own best advertisement.’ Another two people said: ‘Visited home without appt. Was made very welcome by all staff.’ and ‘I was given a tour around the place which helped me to make up my mind and was very pleased with what I saw.’ The surveys which indicated that they had not received information or a contract did not give further details. It can be assumed from the positive responses, that it is not because the information is not available, efforts are Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 10 made by the home to make sure potential residents are able to visit and made to feel welcome. Residents’ needs are assessed prior to an on admission. Documentation examined evidenced that a full and comprehensive assessment is undertaken on admission. Aspects of social care were included; such as significant dates. There were details of religious and dietary needs. There was information on preferred bedtimes and waking times. One relative commented that they had recently celebrated their fiftieth wedding anniversary and a function was arranged for family at Heritage Care Centre, as their spouse is a resident. There was some information on sexuality needs of residents, but this requires further development to make sure that residents are able to maintain significant relationships. Residents are protected from harm by individualised risk assessments being in place. These included moving and handling, skin integrity and nutritional needs. All assessments examined were noted to be completed fully and involved the resident or their representative. Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a site visit to this service. The service has a strong belief that it is essential to involve residents in the planning of care that affects their lifestyle and quality of life. Residents have a plan that has been agreed with them. The plan is easy to understand and includes a risk assessment. Key workers build up a special relationship with residents and work on a one to one basis. The home works to an efficient medication policy supported by policies and procedures and practice guidance. EVIDENCE: Residents care plans were noted to lead from identified care needs in the assessments. Specific detail of how care is to be carried out was present in care plans. One example, which indicates good practice, relates to a care plan where the resident was declining to eat adequately. The care plan had good details and included information of food and fluids taken. Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 12 The home has an effective key worker system in place. Staff spoken with at the site visit were keen to demonstrate their knowledge of their resident group. There has been improvement in monitoring of wound conditions and it is now clear what treatment has been used and there are details of wound appearance are present in the care documentation. Involvement of appropriate health professionals such as the tissue viability nurse, opticians and the general practitioner has been detailed in the care documentation. The home sources appropriate pressure relieving equipment to assist in maintaining skin condition. The dietician is contacted if a resident loses weight and appropriate measures are implemented. Comments received from surveys on care included: ‘it is very good’ [care and support], ‘I am very comfortable and always have my needs met. It is excellent.’ and ‘All staff always place themselves at our service. They leave what they are doing to make themselves available. They are always busy and nothing is too much trouble.’ A health professional commented: ‘having just reviewed [the resident] a year after a long and difficult hospital admission. I am very impressed with the level of care. [The resident] gained weight and their overall physical health has improved significantly.’ Surveys received indicated that residents and their representatives are involved in care plan reviews: ‘We have regular care plan reviews and staff are always very friendly when we talk with them. We have a good relationship with the staff.’ Daily records were noted to include specific details of care given. There were charts detailing food and fluid intake if this had been noted, as a care need. Residents’ personal care, such as when they had baths or showers was also noted. Residents’ privacy and dignity is respected, as shown in the following comment. ‘I am happy and satisfied that the care/welfare of [the resident] is good and that I am kept informed re, their health etc. On my twice weekly visits, the staff are pleasant, efficient and courteous and [the resident] is very well looked after.’ Staff were observed to address residents by their preferred name, knocked on doors and waited for permission to enter. Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 13 Religious needs are noted on admission, but there needs to be clarity on whether the resident is practising and how these needs can be met. One resident was noted to have a religion, which requires specific knowledge, as there are restrictions on celebrating events, and health measures that are acceptable. It is important that staff make themselves aware of how religions such as these can be continued to be practiced within the care home environment. End of life care and death are discussed and residents’ wishes are noted. Medications were inspected and it was seen that there is a clear audit trail, medicines are stored correctly. The recommendation for the pharmacist to put the correct date of dispensing on the medicine label has been actioned. Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 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, 13, 14, and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a site visit to this service. The home has an activities co-ordinator who is responsible for creating meaningful activities and experiences both in the home and the wider community. Residents are actively encouraged to keep contact with family and friends. Visitors are welcome at any time and facilities are available for them to have a drink or meal with the resident. Food is considered to be highly important and meal times considered a social occasion. The chef is an important member of the care team and is well aware of the recorded dietary and cultural needs of each resident. She is committed to involving residents in menu planning and making sure that they are able to enjoy the food they prefer and like. EVIDENCE: Residents’ interests are noted on admission and the home works hard to make sure that resident are able to continue with their interests. It was seen on one plan that the resident liked to watch sport on television and reading a particular newspaper. One inspector spoke with the resident who confirmed that they received the newspaper of their choice each morning. Their daily records indicated that staff had spent time watching sporting events with the resident on television. Comments from surveys regarding activities within the home included: Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 15 ‘There are [activities] but I am contented to watch my sport, politics on television in my own room.’ ‘staff (and [the resident’s] key worker in particular) provide a high level of one to one’, (the resident being unable to participate in organised activities.) ‘I was able to join [my relative] on a recent trip to Kew Gardens. The manager informed the inspectors that a life storybook is being piloted on the Dementia Unit. The book includes photographs and details of significant events in the residents’ life, which will help staff to engage in conversation and learn more about the person they are caring for. One visitor spoken with said that they were given private time with the resident who is their spouse and was content with the care received. However, as stated previously this should be the norm for all resident who wish to maintain significant relationships. Visitors spoken with on the day of the site visit stated that they were made welcome and included in caring for residents. Lunch was observed in two units. The atmosphere in both units was calm and relaxed, a significant feature throtught the whole of the site visit. Tables were attractively laid and condiments were available. Comments received on meals served were: ‘Not enough fresh fruit. An occasional glass of wine would be nice.’ and ‘They get to know clients’ likes and dislikes and try to meet their needs.’ The chef continues to work hard with her team to make sure that residents’ dietary needs are met and residents are consulted on choice of menu. The inspectors were invited to take lunch with the residents. It was noted that the meal took over an hour, to allow time for residents to enjoy their meal. The meal was well presented, hot and of sufficient portion size. In one unit it was noted that staff encouraged residents to eat, if they seemed reluctant. One member of staff explained that a resident was quite new to the home and they were still ascertaining their food likes and skills. Staff were observed to assist residents discreetly if required and it was noted that residents were enabled to maintain independent eating skills, with staff offering support. Wine was offered with the meal and tea and coffee afterwards. There were adequate soft drinks available throughout the meal. Staff made sure that resident choice was maintained and checked that they were satisfied with their meal choice. Residents are able to choose to eat in their own rooms. ‘Finger food’ continues to be available for residents on the dementia unit. One resident was seen enjoying some chocolate and they knew where to go to make sure they got their chocolate. Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Residents and others state that they are very satisfied with the service provision, fell safe and well supported by an organisation that has their protection and safety as a priority. EVIDENCE: Heritage Care Centre has an open approach to concerns and complaints. A record is maintained of any issues raised and appropriate actions are taken. Comments from surveys confirmed this: ‘All queries have been responded to. Items have been located or replaced; medical queries have been followed up or investigated. Key workers are completely au fait with the needs of the service user and information is shared with others who need to know it.’ and ‘As a relative, I know who to speak to. The service user can speak to any worker who would respond quickly or refer the matter to a key worker.’ The CSCI has not received any complaints or concerns regarding Heritage Care Centre since the previous inspection. Residents are protected from harm by staff awareness of Adult Protection procedures and their ability to correctly inform the relevant authorities in a timely manner. There have been two Protection of Vulnerable Adults investigations since the previous inspection, which was dealt with in a satisfactory manner. Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a site visit to this service. The management and staff encourage residents to see the home as their own. It provides a very well maintained, safe, comfortable, attractive home, which has all the specialist equipment and adaptations needed to meet individual resident’s needs. There is a selection of communal areas, enabling residents to have a choice of somewhere to sit quietly, meet with family or friends or be actively engaged with other residents. EVIDENCE: Residents live in an environment, which is well maintained, and attention is given to making sure that it meets their needs. A tour of the premises was undertaken. Residents are able to personalise their rooms and staff are making excellent efforts to provide a homely environment. Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 18 The quiet lounge on the ground floor has undergone a makeover and is an inviting and comfortable place for residents and their relatives to meet. The manager stated that there are plans to buy some toys and videos suitable for children, in order that they are able to visit easily and have an activity to do if necessary. One member of staff has commenced painting murals on the bathrooms walls. So far the ground floor bathrooms have been painted. In one bathroom there is a picture of a whale, set in a porthole frame and in the other there is a heron by a lake. The member of staff stated that they come in on their off duty time and the paintings provide a talking point when residents have their baths. Comments on the environment in the surveys included: ‘The addition of exotic plants is a lovely addition to the home. Local old photographs are good reminders of the area.’ It was noted that the home has purchased oil paintings, which add colour to the corridors in the home and are interesting to look at. Residents live in an environment that is clean and free from offensive odours. This was confirmed by comments received: ‘Always very clean.’ ‘Excellent cleaning staff’ and ‘It is excellent’. [Clean and fresh]. On the day of the site visit it was noted that some carpets in the ground floor corridors appeared worn, on closer examination, it was noted that the carpets were not worn. The way the pile of the carpet lay, the colour was altered so it looked faded. This was discussed with the manager and she confirmed after the site visit that these carpets are due to be replaced in the autumn. Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a site visit to this service. Residents and other associated with the service report that staff are very skilled in their role, and are able to meet the needs of residents. There is active encouragement to engage residents, their representatives and staff in the day-to-day running of the home. EVIDENCE: Residents are supported by sufficient numbers of staff that are trained to undertake the work they are to perform. One member of staff is responsible for making sure that training needs are met and they maintain records of training undertaken. Communication between staff and residents requires some improvement as comments from surveys indicated that residents are not always confident that they are understood, as the staff do not always have full command of the English language. This was discussed with the manager and she agreed that training on British Culture and language would be introduced, in order that staff are competent. As mentioned previously training on specific areas such as meeting religious needs and sexuality must be undertaken to enable staff to meet the holistic needs of residents. Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 20 The home has good recruitment practices in place, with appropriate checks being made prior to the employee commencing work. Evidence from previous inspections when staff files were examined confirms this. Heritage Care Centre DS0000031140.V307878.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a site visit to this service. EVIDENCE: Residents and their representatives are able to participate in the running of the home and can be confident that their views will be listened to and acted upon, if relevant. This was confirmed in comments received on surveys: ‘Staff work closely with residents and family.’ ‘I find the staff very kind, very helpful and always ready to listen.’ and ‘The home is well run with very kind, sympathetic and enthusiastic staff.’ One comment regarding relatives meetings showed the level of commitment the staff have to the smooth running of the home: ‘Relatives meetings are held when we are all able to meet the staff and talk about anything and everythingHeritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 22 tea/coffee and lovely cakes are served. Many staff stay late to attend these meetings.’ It was noted on the day of the site visit that staff looked happy and involved in their work. One member of staff had come in on their day off to do some activities with residents. The manager has a positive and proactive approach to running the care home and staff are able to discuss improvements that can be made with her. The surveys received from other health professionals had no negative comments and all agreed that they were able to work with the home in the best interests of the residents. Residents are protected from harm by good procedures for maintaining personal allowances, whereby an individual account is kept for each resident who needs assistance. There were no issues relating to health and safety identified during the inspection. Heritage Care Centre DS0000031140.V307878.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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 X X 3 Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP30 Regulation 18 (1) (c) Requirement The registered person must ensure that specific training is given in meeting religious needs, sexuality, British Culture and language, and this training is put into practice. Timescale for action 30/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Heritage Care Centre DS0000031140.V307878.R01.S.doc Version 5.2 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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