Inspection on 23/05/06 for Honeymead Care Home

This inspection was carried out on 23rd May 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

Honeymead Care Home 20/04/09

Honeymead Care Home 27/02/08

Honeymead Care Home 12/06/07

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Honeymead Care Home 183 West Street Bedminster Bristol BS3 3PX Lead Inspector Vanessa Carter Unannounced Inspection 23rd May 2006 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 Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Honeymead Care Home Address 183 West Street Bedminster Bristol BS3 3PX 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) 0117 953 5829 0117 923 1480 None Mimosa Healthcare (No4) Limited Isla Joanna Nicholson Care Home 68 Category(ies) of Old age, not falling within any other category registration, with number (68) of places Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two named persons under the age of 65 years at time of registration may remain in the home while their needs continue to be met. Registration will revert to the over 65-year age group once these persons leave the Home. The Registered Manager must be a RN1 or RNA on the NMC Register First Inspection – service previously inspected when home under different ownership. 2. Date of last inspection Brief Description of the Service: Honeymead Care Home is one of four nursing homes in the Bristol area owned by Mimosa Healthcare Ltd. The three other homes in the Bristol area are in Bishopsworth, Southmead and Shirehampton. All four homes were purchased at the end of January 2006, and this is the first inspection the home has had since Mimosa took over operations. Honeymead Care Home is a purpose built care home with accommodation provided over two floors. The home is run as two units. The first floor, the Ashton Suite, accommodates 37 persons. The ground floor, the Clifton Suite, has 31 beds. Placement is for people aged 65 years and over. Both floors have communal rooms and bathing facilities. The home is located within walking distance from the main Bedminster area where there are local shops, public houses and a post office. There is a regular bus service into the centre of Bristol that passes in front of the home. The front of the property is used for car parking, so visitors can park near to the front entrance and main reception. The gardens to the rear of the home are level, have a pleasant patio area and established shrubbery. The area is secure and fairly secluded. The cost of placement is between £339 – 500, the price dependent upon assessed need. Additional charges are made for a number of services – these are listed in the homes brochure. Prospective residents can be provided with information about the home and this will detail the services and facilities available at the home. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over one day. This inspection visit by CSCI is the first to the home since it changed ownership to Mimosa Healthcare on 30 January 2006. Evidence was gathered from a number of different sources: - Information taken from the pre-inspection questionnaire - Information taken from resident and relative survey forms - Directly speaking with residents and some visitors during the visit - Case tracking a number of residents - Speaking with care and ancillary staff - Speaking with registered nurses - A tour of the premises - Examination of some of the homes records - Observations of staff practices and interaction with the residents. The home manager was present during the inspection and assisted in the inspection process The overall analysis is that the home is a good place in which to live and to work. There has been marked improvements in the standards of care delivery and the feedback from residents about their care. What the service does well: What has improved since the last inspection? Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 6 The improvements in the homes care planning processes mean that residents will receive a better standard of care and their care needs will be met. Improvements have been made in the appearance of the home with some areas being redecorated and carpeting being replaced in communal areas. The numbers of specialist beds has been increased and these are more suitable in which to nurse residents, with high care needs. There was a noticeable improvement in the cleanliness and odour throughout the home. 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. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 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 Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 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 at least once during a 12 month period. 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. The homes admission procedure ensures that placement is only offered to those whose needs can be met. Prospective residents are provided with information about the home. EVIDENCE: The homes Statement of Purpose contains all the information necessary for a prospective resident and/or their representative to make an informed decision about moving to the home. Each resident is given a ‘Welcome Pack’ or service users guide and this gives details of the services and facilities they can expect to receive in the home. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 9 All newly admitted residents have been provided with a residency agreement but signed copies have not been returned by next-of-kin. A sample copy of this document is included in the homes welcome pack. Of the 11 surveys returned by residents, nine said that they had received information about the home before taking up residency, and eight said they had received a contract. The home has admission criteria and will only admit people to the home whose needs can be met. Since the previous visit in January, the home has had 28 admissions and is now almost fully occupied. The pre-admission assessment document of one recently admitted person was examined. Information was gathered concerning their personal care needs, health care, communication and mental health needs. The manager had made a visit to the hospital ward and a detailed history was obtained. One visitor said that they had visited the home prior to placement of their relative, and had made the choice of home, as the facilities were right and the home was near to the family. One resident who was admitted straight from her own home said she had chosen the home “because I am a Bedminster person”. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that their needs will be met because the home has good care planning processes in place. They will be well cared for. EVIDENCE: Four care plans were looked at, two from each unit, but other plans were looked at to check out specific details. They each contained guidance for care staff on how the identified needs should be met. The plans covered a range of specific needs for each resident. For those residents who have lived at the home for sometime, their care plans were based upon an assessment that had been carried out sometime previously. It would be good practice for each resident to have a complete re-assessment of needs on a regular basis or when there has been a significant change in care needs. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 11 For one resident there was a good plan of action put in place, when they were found to have had a significant weight loss. The person was weighed more often and the plan was effective as records then showed a steady increase in weight. For one person with communication difficulties there was a good plan in place to guide staff on how to ensure they effectively communicate with the person. Staff confirmed the approach they needed to take to ‘talk’ with the person. Wound care planning documentation was much improved, and it was easy to see how the home was monitoring the wound and managing the dressings. Monitoring was supported by photography and ‘mapping’. A member of staff was observed liaising with a healthcare professional regarding the ongoing treatment plan for the resident. A record of this discussion was made in the person’s notes. Along side the plans, risk assessments are completed in respects of falls, nutrition, continence and pressure sore formation. Reference is made under the health and safety section in this report, regarding the need for a thorough moving and handling assessment. There was noted to be a good standard of recording in the daily notes, and this evidenced the care provided and the involvement of other healthcare professionals. The home maintains a record of all contacts with GP’s and other healthcare professionals, such as chiropody, foot healthcare practitioners, speech and language therapists and home nutrition nurses. The manager and one registered nurse, met with specialist continence nurses from the PCT during the course of the inspection. Residents said that they saw the GP when they needed to and that they were well looked after. The homes medications systems were not checked on this visit and the CSCI pharmacist will be asked to visit the home at a later date. There were some very positive comments received about how residents and their visitors are treated by the staff. One relative commented on a survey form that they were “overwhelmed by the welcome from the staff on their first visit to the home” whilst another reported “my relative is very happy and always looks clean and tidy, staff are very kind”. The staff were observed going about their duties in a friendly and professional manner and responding to visitors in a familiar style. In general there was good interaction between the staff and residents. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 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 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 good. This judgement has been made using available evidence including a visit to this service. Residents will be given the option to participate in a stimulating and varied life, with a range of activities being organised. Residents are provided with good meals. EVIDENCE: The home has two activity organisers, one full time worker and one whose hours include one weekend day. The two staff members have different life experiences and qualities, so one will concentrate on group activities, whilst the other will do 1:1 work. The home has an activity plan and this is posted in the main reception area and at various points throughout the home. One resident said they had enjoyed the quiz that had taken place that day, and also liked the music sessions and bingo. The programme has a range of activities that will appeal to different residents. A ‘Newspaper Group’ has been started for the discussion of news items and current affairs. There was also a group aimed specifically at men. One person said they were going to go along “to see what its all about”. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 13 Residents are asked what time they would like to get up in the mornings and retire at night. They are also able to choose where they want to spend their time and can remain in their own room if this is what they want. A number of residents were moving independently around the home. The home has a flexible visiting arrangements and visitors are encouraged at any reasonable time. Relative meetings are held on a monthly basis. One visitor said that different members of the family visit at different times of day. The home has a four-week menu plan and there is a choice of two main meals at lunchtime. A roast meal and a pasta dish were served on the day of inspection followed by fruit salad. The menus appeared to be well balanced, nutritious and catered for a wide range of tastes. One resident said she had asked for more vegetables and her request had been met. Of the 11 resident survey’s returned, three said that meals were always good, four that they were usually good and another four, sometimes good. Residents can choose whether to have their meals in the dining room or in private in their own room. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 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 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 visit to this service. Residents can be assured that any concerns they have will be listened to and acted upon. Residents will be cared for by staff who are aware of abuse issues and will safeguard them from harm. EVIDENCE: An examination of the complaints log evidenced that the home has a system in place to log any complaints made and a procedure for recording the outcome of any investigation. This is good practice and does evidence that the home takes seriously any complaints made about their service. Looking at a sample of the complaints received and the corresponding paperwork, it is evident that complainants are provided with an outcome. CSCI have not received any complaints. This shows a marked improvement in the homes ability to deal effectively with any issues of concern that are raised. Discussions with a number of residents evidenced that would have no hesitation in raising concerns if they were unhappy, with one adding, “you have to speak to the right person (the manager) to get things done”. The home has demonstrated they have a resident’s best interests at heart and will take appropriate measures to safeguard a resident from any harm. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 15 The home had informed local authority personnel, and had followed agreed protection of vulnerable adult (POVA) procedures, where there were concerns regarding one of the residents. Staff spoken to were aware of their responsibilities to report bad practice and to safeguard residents. Some said they had had POVA training, but this had been along time ago. The manager has already arranged a POVA training session for later in the week and these arrangements were confirmed by two staff members. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 16 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, 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. Residents live in a home that is safe and comfortable, and fully equipped to meet their needs. EVIDENCE: The home is purpose built with the facilities arranged over two floors. There is a passenger lift between the two floors making the home fully accessible to disabled people. The doors at the top of the central staircase, and the fire exits at each end of the building, are secured with a keypad system – this ensures that those residents who are at risk of wandering are not at risk of falling on the stairways. The home is entered by one main entrance and this is secured at all times. Visitors are able to wait inside the first set of double doors until they can gain entry. Instructions are posted upon the door, of the procedures to follow if the door is not answered promptly enough. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 17 The outside of the home, and gardens are well maintained. The rear garden has recently been worked upon by the Prince’s trust and looked very pleasant. The home has its own maintenance person, who will either undertake maintenance and repair tasks themselves or arrange the appropriate tradesman. Parts of the upstairs corridors were being repainted on the day of inspection. The carpets in the main reception area and all corridors have been replaced and the home looked fresh and welcoming. There are communal facilities on each floor. Downstairs there is a small lounge where residents are able to smoke, a hair salon, a quiet lounge and a separate dining room. Upstairs there are two lounges, a quiet room (used by those who smoke) and a dining room. These rooms are each furnished with comfortable and domestic style furniture. There are toilets located throughout the home and eight assisted bathrooms. Some of the baths can be used with a hoist and sling. There is one parker bath and one shower room. The home has equipment to assist the care staff with moving and transferring residents with impaired mobility – four electrical hoists and two manned hoists. The corridors on both floors are wide and have grab rails fitted on both sides. Bathrooms and toilets are fitted with handrails. The home has increased the numbers of specialist profiling beds, and has a plentiful supply of alternating air mattresses. The majority of bedrooms have ensuite facilities of a toilet and wash hand basin. There are seven double bedrooms, but these are not used for two people in all circumstances. All bedroom doors have had privacy locks installed, to ensure privacy can be maintained whilst personal care is being delivered. Replacement bed linen has been provided. The home is centrally heated and well lit with domestic style light fittings. Each bedroom has an opening window, fitted with width restrictors for safety. Emergency lighting is installed throughout the home and this is checked on a regular basis. The home was clean, tidy and free from offensive smells throughout. This is a marked improvement from previous inspections. The carpets in a number of rooms identified at the last visit, have been replaced, making those rooms a much more pleasant environment for the resident, and their visitors. The housekeeping staff were seen going about their duties effectively and interacting well with the residents. They reported that the cleaning products they are now using are better quality, and more effective. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 18 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 good. This judgement has been made using available evidence including a visit to this service. Residents will be cared for by an increasingly stable staff are skilled and competent, and able to meet their needs. EVIDENCE: The staffing team has benefited from the recruitment of a number of registered nurses and care staff. One registered nurse has been promoted to the deputy manager. The staff team is now stable and the use of agency staff has now reduced. These improvements will ensure that residents are provided with a quality service, from staff who are familiar with their needs, and are skilled to meet them. Staffing numbers on each shift are sufficient to meet the resident’s needs. The duty rotas for the previous four weeks showed that, for the day shift, each unit is staffed with a registered nurse and four care staff. The nursing and care staff are supported in meeting the residents’ needs by catering, laundry and housekeeping staff. The home has a number of staff who have already achieved an NVQ Level 2 in care. Other staff have just been signed up to start working towards the award, and two senior carers have been signed up to do Level3. The manager explained that it is a condition of employment that all new recruits to the care team will undertake the NVQ course. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 19 A sample of staff recruitment records was examined and evidenced that the home follows a robust recruitment procedure. This will ensure that the right people are employed to work at the home, and residents will be safeguarded. References are obtained and POVAfirst and CRB checks are obtained before employment commences. The recruitment files of ten new staff members were all in order. All new staff will complete an induction training programme at the start of employment, to ensure they are aware of the policies and procedures of the home and are competent in all areas of their work. The completed programme of two new care staff was seen and they verified the support arrangements that had been in place when they started. The manager has completed an over view of the training that each staff member has received and has highlighted those areas where training is to be arranged. A number of staff are attending POVA training, and three sessions of fire training have taken place in the month. Discussion with staff verified these arrangements. The manager discussed developmental training for a number of staff where specific needs have been highlighted. One such staff member made reference to this. Progress in this area will be a focus of future inspection visits. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 20 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, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Strong and effective leadership ensures that the management of the home is good and the home is run in the best interests of the residents. Improvements in some of the homes risk assessment processes will further ensure the safety of both staff and residents. EVIDENCE: The home manager has been in post since November 2005 and has completed the registration process with CSCI. She is a registered nurse with experience in both general and mental health nursing, and has previous experience of working in a day care setting. A newly appointed deputy manager, and a team of registered nurses and senior ancillary workers support her in the efficient running of the home. Both the home manager and the deputy manager are signed up to do the registered managers award. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 21 Despite her employment being only six months, she has demonstrated good management skills and has turned the home around. Now residents live in a home that is well run and run in their best interests. Staff meetings are held on a monthly and staff confirmed that they are encouraged to have a say in how the home is run. Relative meetings are also held on a monthly basis, and the manager states that these are calmer affairs now that the home is meeting the resident’s needs and their expectations. The manager is planning to use “discussion groups” with a number of residents to capture the resident’s views. The home undertakes a number of audits on a quarterly basis. These include catering, health and safety, care planning documentation, laundry and housekeeping, maintenance and infection control. The auditors had noted a number of shortcomings, and had prepared a ‘corrective action form’ noting those areas for improvement. Records evidenced what actions had been taken. The manager provided the homes improvement plan following the last inspection, showing the actions taken to meet the standards required and comply with legislation. This visit has confirmed the information to be correct. Staff confirmed that they receive supervision from a senior member of staff, on a regular basis and that written notes are kept of the meetings. Work performance, welfare issues and any training needs are discussed. Registered nurses provide day-to-day supervision of staff practices, and the home manager ensures she has a visible presence in the home each day. The maintenance team complete regular audits of the fire alarms and equipment, emergency lighting and the water temperatures. From the homes records all necessary service contracts were up to date. Those files sampled did not contain a meaningful risk assessment to show what manual handling techniques should be used. Each resident must have a thorough moving and handling assessment carried out that results in a safe system of working being formulated. This must give clear instructions to the staff on what equipment should be used for any particular transfer movement. This will ensure that neither residents nor staff members are hurt or made uncomfortable, due to unsafe moving procedures. When bed rails have been risk assessed and determined to be the best way of maintaining a residents safety in bed, consent for their use must always be obtained from either the resident or a representative. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 22 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 X 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 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 X 3 X 2 Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? NA 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 OP38 Regulation 13(5) Requirement Thorough moving and handling assessment must be carried out so that a safe system of working is devised for each resident. The use of bed rails must always be risk assessed and consent for their use obtained. Timescale for action 23/06/06 2. OP38 13(7) 23/06/06 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 The home should instigate a staggered programme of reassessment of all residents’ needs, to ensure that careplanning documentation remains up to date and clear. Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Honeymead Care Home DS0000066334.V291698.R01.S.doc Version 5.1 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. 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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