Inspection on 07/11/06 for Highbeech Care Home

This inspection was carried out on 7th November 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 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

Highbeech Care Home 08/10/08

Highbeech Care Home 06/01/06

Highbeech Care Home 20/06/05

Highbeech Care Home 14/12/04

Highbeech Care Home 06/07/04

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

CARE HOMES FOR OLDER PEOPLE Highbeech Care Home 124 Dorset Road Bexhill On Sea East Sussex TN40 2HT Lead Inspector Debbie Calveley Key Unannounced Inspection 7th November 2006 09:15 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 Highbeech Care Home DS0000014054.V318315.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. Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highbeech Care Home Address 124 Dorset Road Bexhill On Sea East Sussex TN40 2HT 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) 01424 221034 Galleon Care Homes Limited Mr Ashdown Mrs May Care Home 27 Category(ies) of Dementia - over 65 years of age (27) registration, with number of places Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Only service users who have a dementia type illness are to be accommodated Service users should be aged sixty five (65) years or over on admission That no more that twenty seven (27) service users are to be accommodated That one named resident can be accommodated who is under sixty five (65) years of age. 6th January 2006 Date of last inspection Brief Description of the Service: Highbeech is a care home registered to provide support and care for 27 older people with a dementia type illness. It is owned by Galleon Care Homes, who also own two other homes in the area. The home is situated in a quiet residential area of Bexhill-on-Sea close to local shops, churches, pubs and other community facilities. The building was refurbished approximately three years ago and is purposely designed and planned for older people. It provides well-decorated, spacious and bright accommodation. Residents bedrooms are located over three floors, with the dining room and lounge on the lower ground floor. A shaft lift is provided which enables residents to access all floors. The home comprises of 21 single bedrooms and three shared. There is a large garden and patio to the rear of the property, which is well maintained and accessible to residents when the weather permits. Copies of inspection reports and the homes Statement of Purpose are made available on request. Fees charged as from 1 April 2006 range from £400 to £460, which does not include toiletries. Additional charges are made for hairdressing, chiropody, newspapers and outside activities such as visits to the theatre. Intermediate care is not provided. Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Highbeech care home will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home and follow up contact with resident’s representatives and visiting health and social care professionals. This unannounced inspection was carried out over 6 hours on the 07 November 2006. There were twenty-six residents living in the home on the day, of which six were case tracked and spoken with. During the tour of the premises ten other residents both male and female were also spoken with. The purpose of the inspection was to check that the requirements of previous inspections had been met and inspect all other key standards. A tour of the premises was undertaken and a range of documentation was viewed including the service users guide, statement of purpose, care plans, medication records and recruitment files. Six members of care staff, the cook & activity co-ordinator were spoken with in addition to discussion with the Registered Manager. The pre-inspection questionnaire was received back from the registered manager completed in full. Comment cards received from eight relatives were positive and indicated that both groups were satisfied with the services provided. Two comment cards were received from social and healthcare professionals. The information contained in the returned surveys has been incorporated into this report. What the service does well: Highbeech provides a good standard of individualised care within a friendly and homely environment. Residents and visitors expressed a high satisfaction with the care provided and their comments included ‘the home should be commended for its care’, ‘my relative is very happy and content here’ ‘ I am well looked after’. The care staff have a good understanding of the residents needs and preferences and respond in a considerate manner to these. Links with resident’s family and friends are actively encouraged along with any community link that a residents wishes to maintain. Residents receive a varied diet with meals being of good quality and plentiful. There are a range of suitable activities provided for the residents. Staff provision is well maintained with good recruitment practice being followed and appropriate numbers of staff suitably qualified working in the home. The Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 6 staff group on the whole is stable, both residents and their relatives spoke highly of all the staff saying ‘staff are always nice and kind’ ‘staff are helpful, approachable and are available to talk to’. The management structure of the home is competent and supportive to both the residents and their families and the staff. The training programme is comprehensive and provides pertinent training to ensure that the staff have the skill and knowledge to care for the residents living in the home. The environment is both clean and well-maintained. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 7 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 Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 8 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): 1, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives are provided with information about the home in order to make an informed choice about whether to live at the home The pre-admission assessment procedures ensure residents admitted can have their care needs met within the home by experienced staff. EVIDENCE: The Statement of Purpose and Service Users Guide were viewed and accurately reflect the services provided at Highbeech care home. Written contracts between the home and the residents detailing the terms and conditions of residency are in place. Prospective residents and their representatives are provided with information about the home in order to make an informed choice about whether to live at the home The pre-admission assessment procedures ensure residents admitted can have their care needs met within the home by experienced staff. The pre-admission Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 9 assessments of four residents were viewed and contained the necessary information. Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Generally care plans provide a good framework for the delivery of care, however these need to provide clear guidance to care staff on all the care needs of residents. The home was found to be meeting resident’s health and general needs with accessed additional community support when needed. Procedures and practice in the home allow for the safe administration of medicines and the privacy of residents to be promoted. EVIDENCE: The care documentation pertaining to six residents were reviewed as part of the inspection process. All residents in the home have a designated key worker who is responsible for the care plans, the monthly review and writing the daily entry. The care plan system used by the home is of a recognised care-planning format and contains risk assessments and tools for nutrition, skin viability and moving and handling. There was evidence of regular review. However the wording in some care plans were not identifying the needs and did not clearly Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 11 outline an appropriate outcome and action plan of how to meet the need. When discussed it was evident that the staff are very knowledgeable regarding the residents needs, but find that the care plan format does not work effectively for the support needs of the category of residents living in the home. The residents would benefit from a more individual focused format, as the identified needs of residents at this stage of their life is of a support role than a nursing. It would be of benefit to the residents and the staff to review the care plan format. Staff spoken to confirmed that they received a full report on each resident daily and read the care documentation that is kept in the staff room on the lower floor. The staff felt that their views were taken into account when planning resident’s care. Discussions with health care professionals confirmed that the home communicates well with other professionals as necessary with regard to the care of residents. Relatives spoken to were very satisfied with the care provided at the home one saying that the home ‘should be commended for its care’. Residents spoken to were also very satisfied comments included’ I am very happy and content here’ ‘ I am so well looked after’. There are policies and procedures in place for the storing, administrating, disposal and receipt of medication; these were last reviewed in April 2006. The clinical room was clean, tidy and well organised. The fridge is serviced and temperatures are recorded regularly. At present the home have insulin dependent residents and designated staff have received training to administer the insulin and record the blood sugars. There is evidence that staff are aware of the need to review medication with the G.P if the residents medical condition changes. One comment by a staff member is that they would benefit from further underpinning knowledge of the complexities of identified diseases such as diabetes. Staff were observed to be respectful and considerate to all residents and visitors. Each of the residents were addressed by their preferred term and dressed appropriately in well-laundered clothing. Attention had been taken with ensuring that residents are shaved and well dressed. During the inspection it was noted that residents could wander at will supervised discreetly by the staff. Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and meals continue to be creative and provide daily variation and interest for people living in the home. Residents are able to make a range of choices about their lives as well as maintaining links with friends and relatives. EVIDENCE: A full time activities coordinator is employed to work for Galleon Care and she shares her time between all three of the homes in the Hastings and Rother area. An assistant co-ordinator works alongside with her. An activity programme is displayed in the lounge area of the home, it demonstrated a variety of different activities, such as visiting musicians, art and craft, cooking, bingo and keep fit. Residents go out regularly for coffee mornings and walks by the beach and trips to shows, pubs and places of interest are arranged. The staff were observed interacting positively with residents during the morning, some residents were having their hair styled and nails polished, and in the afternoon residents were seen participating vocally in a word game. The interaction between the staff and residents was very positive. Comments from surveys included ‘ the staff are gentle and understanding’ Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 13 Two residents were taken out for coffee in the homes transport on the morning of the inspection. Feedback from surveys and visitors commented very positively of the provision of different activities for residents. One survey from a resident living in the home stated ‘ I enjoy going out in the minibus and have been to Pevensey Bay and Hastings recently, we also went out together for lunch. I also enjoyed listening to the singer recently’ Other comments included ‘ there is always something going on’ ‘ its difficult to keep my relative occupied, but the staff manage it very well’ ‘the residents are always busy ’. Visitors, staff and residents said that friends and relatives are always made to feel welcome at the home. There is open visiting and this was confirmed by talking to residents and visitors on the day of inspection. One relative said staff are always welcoming and friendly. One gentleman pops in daily to see his relative and says that the staff were great, very understanding and patient. The routines in the home were seen to be as flexible as possible, residents spoken with said that they could get up and go to bed when they wanted. Their preferred routines and choices are recorded within their care plans. It was noted that the home continue to use a bathing rota, this is a minimum and residents can choose to have baths/showers whenever they want and it is deemed necessary. The kitchen was clean and well organised. One full time cook, a supper cook and weekend cook are employed by the home. There is a four weekly rotational menu in place, which is changed on a seasonal basis. The cook is knowledgeable about the likes and dislikes of the residents, and discussion was observed between the care staff and cook about some changes to residents dietary requirements. The cook confirmed that staff inform her when residents do not eat or are poorly and she ensures that they receive fortified drinks and food. Alternative options are available on request such as sandwiches, omelettes or jacket potatoes. Menus are on display but it is acknowledged that not all residents pay attention to the menu and so staff explain the choices everyday. The meals were attractively presented and at present there is only one resident with a swallowing difficulty who receives a soft/pureed meal. This is kept under review and the community dietician is involved. The midday meal was observed and the residents are encouraged to dine in the pleasant dining area. The staff were seen assisting residents in a discreet and dignified manner, and the meal time was seen as relaxed and enjoyed by all the residents. Residents that have a particular problem with remaining still are managed by the staff in a competent and understanding manner. The cook and staff all demonstrate an awareness of the difficulties that can occur in ensuring that residents with a dementia-type illness maintain a healthy diet. Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures in the home ensure that complaints and any allegation or suspicion of abuse made would be managed appropriately. EVIDENCE: The home has a clear complaints procedure and a copy of this is readily available in the home. A system of recording complaints was demonstrated to the inspector during her visit to the home. There have however been no complaints received recently to be processed using this system. Relatives and visiting professionals spoken to confirmed that they were confident that any complaints or concerns that they had would be listened to and responded to effectively. The home has relevant guidelines on the protection of vulnerable adults and staff have received appropriate training. The management team has a clear understanding of adult protection guidelines and have initiated this procedure appropriately in the past. Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, clean and safe environment for those living there and visiting. Residents and their families are enabled and encouraged to personalise their room, and rooms are homely and reflect the resident’s personalities and interests. EVIDENCE: The home is situated in a residential area of Bexhill on Sea, it is an attractive well maintained building with a large garden and patio area to the rear. Highbeach Care Home provides a well-maintained, safe and comfortable environment for its residents and for those that visit. The standard of decoration and maintenance is good throughout the building. The resident’s bedrooms are situated on three floors and a shaft lift provides level access. The lifts have a security panel, which safeguards the residents. The bedrooms are comfortably furnished and pleasantly decorated with coHighbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 16 ordinating soft colours. There was evidence of residents being encouraged to personalise their rooms with their own belongings and bits of furniture. There are two lounge areas, one is used as a quiet lounge, whilst the other is busier due to also being adjoined to the dining area. There is also a small conservatory, which leads out to a patio area. There are adequate communal bathrooms and shower rooms in the home with specialist equipment, which enables frail residents and those with a physical disability to enjoy the facilities available. The lighting in the home is of domestic quality and the heating was of a comfortable temperature. Water temperatures are controlled and monitored monthly and a record kept. Random temperatures were taken and were of the recommended level. Polices and procedures for infection control are in place and are updated regularly. The home was clean and free from offensive odours on the day of the inspection. The surveys received from visitors and relatives commented on the high standard of cleanliness in the home, as did one health professional contacted by phone. The carpets and fabrics of the home are regularly shampooed to avoid malodours. Good practice by staff was observed during the day and there were gloves and aprons freely available in the home. Sluice and laundry areas were found clean and safe. The home provides a good laundry service. It was noted that the sluice room is kept locked and according to staff not used. However there are commodes in use and there are guidelines that need to be followed to ensure safe disposal of waste products and disinfection of the commode pots. This is an area that needs to be reviewed with advice sought from the Health Protection Agency. Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing arrangements are good and suitable and ensure the needs of the residents living in the home are met. Residents are protected by the home’s recruitment policy and practices. EVIDENCE: The staffing level at inspection was for five-care staff and the manager be on duty throughout the waking day. This is in addition to domestic and kitchen staff. This staffing level was sufficient to meet the needs of residents currently but must be kept under constant review to reflect any increased activity level in the home or dependency of residents. The staff group is stable both residents and their relatives spoke highly of all the staff saying ‘staff are always nice and kind’ ‘staff are helpful, approachable and are available to talk to’. The recruitment records for 3 staff members were reviewed in depth and were found to be full and contain the required information and demonstrated the appropriate induction training had been completed in respect of the job they were to undertake in the home. Staff interviewed confirmed a high satisfaction with the training provided and stated that the dementia training was most useful and interesting. Staff confirmed that they received regular formal supervision. Staff and records seen confirmed that they had undertaken compulsory training such as manual Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 18 handling, adult protection, first aid, food hygiene and fire safety. In addition specialist training in dementia care, challenging behaviour, epilepsy, medication, diabetes, nutrition and adult abuse had been completed. Further training is planned. NVQ training is available and staff are encouraged to complete this, at present 60 of staff have a National Vocational Qualification in care level 2 or above. Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is an effective management structure in place that provides clear leadership and ensures that the health and safety and quality monitoring systems are fully used to benefit the residents’ daily lives. EVIDENCE: The Manager has considerable experience in the care industry, and has relevant management qualifications including an NVQ level 4, the City and Guilds Advanced Certificate in Management and the Registered Managers Award. She is also a qualified NVQ Assessor. The manager continues to up date her knowledge and skills by attending relevant courses. The manager is directly accountable to the registered provider of Galleon Homes, with whom she meets on a monthly basis. Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 20 The ethos of the home concentrates on the well-being and contentment of the residents and from the interaction observed, the staff do this very well, the residents were comfortable with the staff. There are suitable formal quality assurance and quality monitoring systems in place that enable the management to objectively evaluate the service and ensure it is run in resident’s best interests. Feedback from relatives indicated that they felt supported by the staff at Highbeech care home and that they could share any concerns with them. The residents spoken with said the staff were ‘very nice girls’, ‘did very well’. There are no residents living in the home that are responsible for their own finances; relatives/representatives and solicitors support the majority of residents, while the home manager handles the financial affairs of one service resident. Documents used for recording items held by the home were viewed and found to be satisfactory with receipts provided for all items handed over for safekeeping. All staff receive regular supervision with the registered manager, and records are kept on their file. The accident book was viewed and evidenced action taken where necessary. Records were available to demonstrate that fire alarms, water temperatures and emergency lighting systems are regularly tested and fire drills undertaken. Testing of portable electrical appliances has been carried out. Certificates to demonstrate that bath hoists, gas appliances, electrical systems and appliances are safe were provided. Since the last inspection all staff have received further updates of mandatory training including moving and handling, medication and fire safety therefore safety for staff and service users is maintained. A risk assessment of the grounds and premises in respect of all safe working practices has been undertaken to enable the provider to identify areas of risk. The home was seen to be safe on the day of the inspection and good practice was observed in all areas of health and safety. Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 21 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 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 22 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 OP7 Regulation 15(1&2) Requirement That the care plans accurately reflect the needs of the service users in respect of their health, social and behavioural needs. That service users and/or their representatives are consulted regarding the formation of the care plans. 2 OP8 14 (1a) (2ab) That risk assessments are updated to reflect the service users changing health needs. e.g. incidence of seizures, altered behaviour patterns. 01/12/06 Timescale for action 01/02/07 Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 23 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. Refer to Standard OP7 Good Practice Recommendations That the current care-planning format is reviewed in order to make them more resident focussed and individual to the person. Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Highbeech Care Home DS0000014054.V318315.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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