Inspection on 02/02/07 for Hookstead Resource Centre

This inspection was carried out on 2nd February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Hookstead Resource Centre 01/03/06

Hookstead Resource Centre 23/09/05

Hookstead Resource Centre 14/12/04

Hookstead Resource Centre 22/06/04

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

CARE HOMES FOR OLDER PEOPLE Hookstead Resource Centre Goldsmith Avenue Crowborough East Sussex TN6 1RH Lead Inspector Judy Gossedge Key Unannounced Inspection 2nd February 2007 11:00 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 Hookstead Resource Centre DS0000041399.V324947.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. Hookstead Resource Centre DS0000041399.V324947.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hookstead Resource Centre Address Goldsmith Avenue Crowborough East Sussex TN6 1RH 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) 01892 667855 01892 655862 chowie@eastsussexcc.gov.uk www.eastsussex.gov.uk East Sussex County Council Ms Carol Howie Care Home 22 Category(ies) of Dementia - over 65 years of age (22) registration, with number of places Hookstead Resource Centre DS0000041399.V324947.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of service users to be accommodated is twenty-two (22). Service users must be older people aged sixty-five (65) years or over on admission. Service users with a dementia type illness only to be accommodated in twenty-two (22) places. Four places are available for service users aged between fifty-five (55) and sixty-four (64) years 1st March 2006 Date of last inspection Brief Description of the Service: Hookstead is run by East Sussex County Council (ESCC), and is a purpose built property on three floors; set in its own grounds located a short distance from the centre of Crowborough. Service user accommodation comprises of twenty-two single bedrooms situated on the first and second floor in four self-contained units (suites), each with a lounge and dining area. All the suites provide respite care or short term care of up to six months for service users with a dementia type illness. There is a five-day, day care service on site, which service users can access when there is a vacancy. Level access is facilitated in the home by the provision of a passenger lift between all floors. There is a very attractive garden at the rear of the home. Fees charged for respite and short-term care provided are in accordance with ESCC policy and procedures and at the time of the inspection the charges are £94.45 to £501.06 a week. The level of fees charged will depend on the outcome of a financial assessment. Additional charges are made for hairdressing, toiletries, dry cleaning and chiropody. The Statement of Purpose and a copy of the last inspection report are available to view in the entrance to the home and a copy of the Service Users Guide is available to read in each service users bedroom. Hookstead Resource Centre DS0000041399.V324947.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over four hours on 2 February 2007. A further visit was made on 6 February 2007 for two hours to obtain further information and give feedback to the Manager. Prior to the inspection a pre-inspection questionnaire was sent to the home to be completed with information required as part of the inspection process and information detailed is quoted in this report. A tour of the premises took place to look at communal areas and a selection of service user’s bedrooms, rotas and care records were inspected. Twenty service users were resident with two admissions expected during the day and nineteen service users were spoken with generally in the communal areas. Of these for four of the service users the care they had received during their stay was reviewed as part of the inspection process. The opportunity was also taken to observe the interaction between staff and service users in the communal areas. Ten service user surveys were sent out. Four came back completed, of which three were completed by the service users relative’s. The Manager, two senior care officers, three agency care workers, three care officers, the assistant cook and kitchen assistant who also work as a night care worker and a relief care worker, one member of the housekeeping team, an ESCC assessor, and an administration assistant were spoken with. Thirteen staff surveys were sent out prior to the inspection and two completed surveys were returned. One relative was spoken with on the day. What the service does well: The staff team were observed to deliver care in a way that ensured service users dignity and privacy was maintained. The relatives and service users commented that they were pleased with the overall care provided in the home. Comments included ‘I cannot praise the Manager and staff too highly. They show extreme patience and the quality of care that I feel would be unequalled. They have given me peace of mind’, ‘Hookstead is my favourite place to be’ and ‘staff are always ready to listen and help’. Service users are enabled where possible to exercise choice and control over their lives whilst resident in the home. The standard of the home is good providing a safe, well-maintained environment. 59 of the homes care staff hold NVQ level 2 in care or above. The home has been awarded the ‘Only the Best’ Catering Award from Wealden District Council. Hookstead Resource Centre DS0000041399.V324947.R01.S.doc Version 5.2 Page 6 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. Hookstead Resource Centre DS0000041399.V324947.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 Hookstead Resource Centre DS0000041399.V324947.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): 1,2,3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is detailed information available about Hookstead. Service users are protected by the completion of a contract/terms and conditions. The admissions process does not always ensure that staff are being provided with adequate information prior to an admission, so that it can be ensured that each service users care needs can be met in the home or prepare for any specific care needs. EVIDENCE: There is a detailed Statement of Purpose and with a copy of the last inspection report are available to read in the entrance to the home. There is a copy of the Service Users Guide in each of the service user’s bedrooms. Three of the service user’s surveys stated they had received enough information about the home prior to moving in. The fourth stated that their relative’s placement at Hookstead had been at short notice. Further comments received were, ‘highly Hookstead Resource Centre DS0000041399.V324947.R01.S.doc Version 5.2 Page 9 recommended to me by other service users’ and ‘I had a tour with the Manager who explained how Hookstead works’. The service user surveys indicated that the majority of service users felt they had received a contract. Contracts had been completed for the four service users whose care had been reviewed. Service users have an initial assessment completed by an assessor working for one of ESCC’s Adult Service Departments Assessment Teams. Not all of the four-service user files viewed had a copy of an initial assessment/up-to-date review. Staff confirmed that this information was not always provided prior to an admission, but that where possible staff in the home will talk to the service user and their family and representatives, or will also visit a potential service users prior to admission where further information is required to help ensure service users care needs can be met on the home. Intermediate care is not provided in the home. Hookstead Resource Centre DS0000041399.V324947.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. Service users are protected by an individual plan of care where their personal and health care needs are identified at the start of their stay and which informs staff of the care which needs to be provided. Medication policies and procedures are in place. Service users are treated with respect. EVIDENCE: A sample of five of the service users individual care plans were viewed and demonstrated that the detail included on the care plans has been greatly improved to give staff clear guidance on the care to be provided. Staff stated that the new format to record individual service users care plans was being introduced to detail individual personal and health care requirements, dietary needs, social and leisure interests and these had been reviewed. Service users religion was not always recorded and where possible this information should be sought to ensure where a death occurs appropriate actions are taken in line with service users or relative’s wishes. Supporting risk assessments were also Hookstead Resource Centre DS0000041399.V324947.R01.S.doc Version 5.2 Page 11 seen to be in place. For one service user admitted straight after Christmas the care plan and risk assessment was not recorded until several days after admission. This was discussed with the Manager who stated that this was an exception and that it would be ensured that the admissions process is followed. Medication policies and procedures are in place. The storage and a sample of the recording of the administration of medication were viewed on one of the suites and was adequate. No service users at the time of the inspection were responsible for their own medicines. Staff confirmed, but records were not available to view, that a pharmacist regularly visits. Staff spoken with demonstrated an awareness of ESCC’s policies and procedures and the training records viewed confirmed that staff had received the first of two stages of the medication training to be provided by the organisation to fully meet the requirements of the standard. The Manager was able to confirm that the organisation is about to facilitate the second stage/update of medication training for staff to attend. All the service user surveys completed stated that service users felt that their medical care needs were always met. The staff team were observed to deliver care in a way that ensured service users dignity and privacy was maintained. The relatives and all service users commented that they were pleased with the overall care provided in the home. Comments included ‘I cannot praise the Manager and staff too highly. They show extreme patience and the quality of care that I feel would be unequalled. They have given me peace of mind’, ‘Hookstead has maintained an excellent standard of care for my relative. The carers are obliging, cheerful and patient. There is a friendly buzz about the building and it has set a standard for me to aspire whilst looking for a new home for my relative’, ‘Hookstead is my favourite place to be’ and ‘staff are always ready to listen and help’. Hookstead Resource Centre DS0000041399.V324947.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. Service users are enabled to exercise choice and control over their lives whist resident in the home, with some opportunities to participate in social and recreational activities and with a varied diet provided which offers choices at every meal. EVIDENCE: Records kept on the suites detailed a range of activities are facilitated; an activity programme is in place and staff confirmed that the activity facilitated on the day is dependent on the social care needs of the service users resident. During the inspection service users on one suite were observed to be participating in a word quiz. There was a pleasant atmosphere and good interaction between staff and service users was observed. On another suite service users spoken with confirmed there had been a discussion group during the morning on topical stories taken from the day’s newspaper or heard about on the television. Posters were up on the suites advertising a planned valentines party to be held in the home and a number of service users referred to this planned activity, which they were looking forward to. Feedback from Hookstead Resource Centre DS0000041399.V324947.R01.S.doc Version 5.2 Page 13 the service user surveys was varied and stated activities were always, usually or sometimes arranged and one was unable to comment. One relative did comment that they would welcome more activities provided, which they felt was important for the social stimulation of their relative. The relative spoken commented that there was flexible visiting and that staff are very welcoming. A number of service users were observed to have visitors during the period of the inspection. The care and support provided was observed to enable service users where possible to exercise choice whilst at Hookstead. The five service user individual care plans viewed including the four service users whose care was reveiwed confirmed this. The assistant cook and kitchen assistant working on the day were spoken with and stated they each held a basic food hygiene certificate and confirmed attendance on a range of training opportunities. There is a rotating menu in place detailing a choice at all meals, and is available to read on each of the suites. Staff spoke of the menus being in the process of being updated, particularly the supper menus to take into account service users feedback. Special diets are catered for and two service users on special diets observed at lunchtime were provided with a meal to meet their dietary requirements. The meals are served on each of the units in the dining room and staff were observed on two suites and were available to offer any assistance to service users if required. Lunch on the day was shepherds pie, egg mornay or salmon salad followed by milk jelly. Fresh fruit was available on the suites. Service users were observed to have chosen their preferred option from the choice available. Records are kept of individual food consumption and were viewed on two of the suites. The feedback from the service users survey was that the majority of service users always liked the meals. The twelve service users on the two suites where lunch was observed all stated that they were enjoying their meal. One comment received was, ‘I always enjoy the food. The dinners are always nice and the choice of meal welcome’. The home has been awarded the ‘Only the Best’ Catering Award from Wealden District Council. Hookstead Resource Centre DS0000041399.V324947.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 are in place to enable service users or their representatives to raise any concerns about the care being provided and to ensure that service users are protected from abuse. EVIDENCE: ESCC has a detailed compliments and complaints policy and procedure in place. Any complaints received are monitored through the line management arrangements in place within the organisation. Two complaints were recorded since the last inspection, which had been dealt with satisfactorily. The service users surveys stated that they always or usually knew who to speak to if they were not happy and how to make a complaint. Comments received were, ‘always someone at hand to speak to’. There are detailed policies and procedures in place in relation to the protection of vulnerable adults and a whistle blowing policy. The two completed staff surveys both confirmed and staff spoken with stated they had an awareness of adult protection procedures. Staff training records provided detailed staff attendance at this training. Hookstead Resource Centre DS0000041399.V324947.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): 19,25 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 is decorated and furnished in a homely style. A maintenance plan has been put in place to ensure that the standard of the environment continues to be improved so that service users are provided with an attractive, safe and homely place to live. EVIDENCE: The home is decorated in a homely style; furnishings are of a good quality, and domestic in style. There is a maintenance plan in place and during the inspection a selection of bedrooms and corridor areas were being redecorated. The Manager stated that on three of the suites the kitchens are due to have the kitchen units replaced within the next month and new carpeting in a number of areas in the home is due to be laid. Hookstead Resource Centre DS0000041399.V324947.R01.S.doc Version 5.2 Page 16 There is a passenger lift between the ground, first and second floors within the home. There are twenty-two single bedrooms which all meet the minimum space requirements. Service users are able to control the temperature in their own bedrooms. All bedrooms have an emergency call bell system. Some of the bedrooms seen reflected a range of individual styles and interests. All of the bedrooms have en-suite facilities of a toilet and wash-hand-basin. There are assisted shower and bathing facilities on each of the suites, which have been made homely on each of the units in the home. Records were viewed of regular checks of the hot water delivered at outlets accessed by service users to ensure the temperature is close to the recommended safe temperature of 43° C. There is a lounge and a kitchen/dining area on each of the suites. The home was clean and free from offensive odours. One new member of the domestic staff was spoken with, who had received an induction, had been made aware of procedures in place to control infection and was due to attend training on infection control, had received guidance on control of hazardous substances (COSHH) and spoke of good access to protective clothing. Feedback from the service user survey/relatives was that the home was always fresh and clean and comments received were ‘very good and odour free’ and ‘spotlessly clean and tidy always’. There is an attractive garden with seating at the rear of the home and on the day service users were being offered the opportunity to go down to the garden for a walk. The recording of routine fire checks was seen and was adequate. Hookstead Resource Centre DS0000041399.V324947.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 levels are satisfactory. Robust recruitment procedures were followed and the staff team are enabled to access induction training and range of training opportunities. EVIDENCE: On the day of the inspection staffing was adequate to meet the needs of the service users resident. Discussions with staff and records viewed confirmed the staffing levels in place. There is still a high reliance on agency and relief staff to work in the home, but the Manager, staff spoken with and records viewed confirmed that where possible the home trys to ensure continuity of agency staff working in the home. Three agency staff were on duty during the morning shift and were all spoken with. All had worked in the home before and two regulary worked on different suites in the home. All stated they had had a Criminal Records Bureau (CRB) check and had attended a range of training opportunities. The majority of service users are only resident for short periods of care there is a high number of admissions and discharges. The dependency and care needs of individual service users continually changes and the number of care staff on duty should be kept under review to ensure adequate staffing to meet the needs of the all the service users resident. Hookstead Resource Centre DS0000041399.V324947.R01.S.doc Version 5.2 Page 18 Feedback from the service users surveys stated that all of the service users felt they always received the care and support they needed. Comments received were, ‘more than I would have expected’, ‘staff are always ready to listen and help me’ and ‘the care is always great’. Where services users were asked if the staff acted and listened to what service users said, all the responses stated ‘yes’. All the service users stated the staff was always or usually available when they needed them. Comments received were, ‘staff are always available to deal with any questions or issues that we may have in relation to my relatives care’. Staff feedback from the completed surveys received was, ‘the care of the service users is excellent and everyone at work does their best to achieve this. From equality to diversity and caring for everybody’s level of different care needs’. Feedback from staff during the inspection indicated a good and supportive staff team. The pre-inspection questionnaire detailed that thirteen care staff hold an NVQ Level 2 in care or above. That equates to 59 of the homes care staff and two further care workers are working towards this qualification. All recruitment of ESCC staff is co-ordinated by the Personnel Section at ESCC’s head office. Evidence of the recruitment process followed for staff is held at the home. The documentation for four new members of staff were viewed and which evidenced the recruitment practice in place. The Manager was able to confirm that all staff have completed a CRB/and or a Pova First check. The Manager stated that information of the new induction-training course to meet the requirements of General Skills for Care induction standards has been received and will be implemented for use with any new staff. Hookstead Resource Centre DS0000041399.V324947.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): 31,33,35,36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall management of the home is good. Quality assurance systems are in place in the home and the outcome from the quality assurance process has been published and available to the CSCI, service users and their representatives, and other stakeholders. Staff receives regular supervision. Systems are in place and to ensure a safe environment for staff and service users. EVIDENCE: The Registered Manager has worked for East Sussex County Council for many years as a senior manager participating in a range of training opportunities, holds a Certificate in Social Services qualification and stated she had now Hookstead Resource Centre DS0000041399.V324947.R01.S.doc Version 5.2 Page 20 completed NVQ Level 4 in Management. There are clear lines of line management and accountability within the organisation. ESCC has a quality assurance plan in place. There are opportunities for service users and carers to put forward their views about the home and the care that they receive. This is through service users forums to be held quarterly, a questionnaire for service users or their representatives to complete at the end of each stay in the home and at a review of the service users care. Feedback from the quality assurance process undertaken at Hookstead has been collated and is available to read. This details how the service is monitored and feedback from consultations with service users. Two hundred and seven service user feedback forms were sent out during the report period. One hundred and one were returned, of which ninety-seven percent of the service users stated they were very satisfied/satisfied with the service. Regular quality assurance visits by a representative of ESCC are completed and recorded to meet the requirement under Regulation 26. Where a small ‘float’ of money is held for some service users and the financial records to support this activity were adequate. The two staff surveys, the homes staff spoken with and records viewed confirmed that staff supervision and team meetings occur on a regular and ongoing basis. Staff spoken with had attended a range of training opportunities and spoke of good access to training opportunities for personal development. Staff confirmed and training records completed evidenced that staff had received or were due to attend training in moving and handling training/updates, fire training, first aid and basic food hygiene. The Manager stated that training is being provided/updated through a rolling programme of training provided by the organisation. Fire policies and procedures in the home have been updated. A detailed check of the environment and fire precautions had been carried out to meet the timescales as detailed in ESCC’s policies and procedures. The organisation has a system in place to evidence that the maintenance of equipment and services has been carried out. Accident records were viewed and filed so that any trends can be been identified. Hookstead Resource Centre DS0000041399.V324947.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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 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 X 3 X 3 3 X 3 Hookstead Resource Centre DS0000041399.V324947.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 OP3 Regulation 14 (1) (b) Requirement That a copy of the initial assessment/review is available for staff to reference. Timescale for action 31/03/07 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 Hookstead Resource Centre DS0000041399.V324947.R01.S.doc Version 5.2 Page 23 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 Hookstead Resource Centre DS0000041399.V324947.R01.S.doc Version 5.2 Page 24 - 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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