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Inspection on 16/08/06 for Hopelea Care Home

Also see our care home review for Hopelea Care Home for more information

This inspection was carried out on 16th August 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Hopelea Care Home is bright, cheerful and homely with furnishings and fittings of a good quality. There is a relaxed and welcoming atmosphere throughout the home. Bedrooms viewed were very personalised, clean and pleasant. Care planning is based upon thorough needs assessment. The plans are comprehensive and ensure that staff understand how to meet all individual need. Residents are involved in the process and are consulted about decisions, which affect them and the running of the home. Independence is encouraged and residents do their shopping cooking, cleaning, washing and ironing with the support of the staff. The personal and health needs of the residents are well met. Resident`s privacy is respected when the Registered Manager was showing the Inspector around she knocked on bathrooms doors prior to entering. Resident`s privacy is respected by staff. All personal information is stored in locked cabinets.Support for staff was good. Staff receive appropriate training and supervision. The home is well managed and the paperwork and files were clear and very well organised. Information was easily accessible. Staff were aware of the relevant procedures to be followed should there be an adult protection issue.

What has improved since the last inspection?

No requirements were set at the last inspection. A master index for the policies and procedures files has been devised following a good practice recommendation set. Hopelea Care Home continues to operate at a good level.

What the care home could do better:

The recruitment procedures used to recruit new staff and volunteers need to be more robust. The necessary recruitment checks must be obtained prior to staff or volunteers commence employment, in order to protect residents. The registered person must ensure that equipment provided at Hopelea for use by residents at the care home is maintained in good working order. The stair lift should be serviced regularly.

CARE HOME ADULTS 18-65 Hopelea Care Home 11-13 Annesley Road Hucknall Nottingham NG15 7AD Lead Inspector Rehana Rashid Key Unannounced Inspection 16th August 2006 11:15 Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 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 Hopelea Care Home DS0000008699.V306545.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 Adults 18-65. 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. Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hopelea Care Home Address 11-13 Annesley Road Hucknall Nottingham NG15 7AD 0115 953 8385 0115 953 8385 helensimpson440@hotmail.com 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) Hucknall Hopelea Project Mrs Helen Simpson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents shall fall within registration category LD (1 named resident shall also be in category PD, and a further resident in LD/E) 20th January 2006 Date of last inspection Brief Description of the Service: The Hopelea project represents a partnership between Nottingham Community Housing Association who own the building and the Hopelea Project, a charitable organisation. The Hopelea Project comprises two adapted and internally joined terrace houses very close to the centre of Hucknall with its range of shops and facilities. The Hopelea Project sits discreetly in a residential area. Up to six residents aged 18 - 64 with learning disabilities can be accommodated at the home, although because of the layout of the building (stairs at all levels) it would not be suitable for service users with mobility difficulties. A stair lift is in place. The home does not provide accommodation) to older service users or those whose behaviour may challenge. At inspection on 16th August 2006 the Registered Manager stated that the current weekly fee range is between £357.14 to £394.79. Information about the service available is provided in the statement of purpose. Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by one inspector and took place over 4 hours on 16th August 2006. The main method of inspection was case tracking, which involved randomly selecting two residents and examining their care records. The method of case tracking is adopted to establish if the needs of the residents are being catered for. As part of the inspection methodology indirect and direct observation of interaction between staff and residents was also carried out. The Registered Manager showed the inspector around the home, which included viewing bathrooms and toilet facilities, kitchen/dining area, two lounges, four bedrooms and garden area. As the residents were all out to day care, the inspector viewed four bedrooms when the residents returned from day care. Some health and safety documentation were also viewed which included gas servicing certificate and Employers liability Certificate. The Registered Manager assisted in the inspection process together with the staff on duty. Two staff files were examined and one staff member spoken with. The focus of the inspection was to concentrate on the key standards, which were assessed under the new methodology of Inspecting for Better Lives (IBL). What the service does well: Hopelea Care Home is bright, cheerful and homely with furnishings and fittings of a good quality. There is a relaxed and welcoming atmosphere throughout the home. Bedrooms viewed were very personalised, clean and pleasant. Care planning is based upon thorough needs assessment. The plans are comprehensive and ensure that staff understand how to meet all individual need. Residents are involved in the process and are consulted about decisions, which affect them and the running of the home. Independence is encouraged and residents do their shopping cooking, cleaning, washing and ironing with the support of the staff. The personal and health needs of the residents are well met. Resident’s privacy is respected when the Registered Manager was showing the Inspector around she knocked on bathrooms doors prior to entering. Resident’s privacy is respected by staff. All personal information is stored in locked cabinets. Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 6 Support for staff was good. Staff receive appropriate training and supervision. The home is well managed and the paperwork and files were clear and very well organised. Information was easily accessible. Staff were aware of the relevant procedures to be followed should there be an adult protection issue. 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. Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents individual aspirations and needs are assessed prior to moving to the home, which provide assurances that their needs can be met. EVIDENCE: Prospective residents needs are assessed prior to moving into Hope lea Care Home, this is to ensure the home are able to meet the residents needs. Files viewed contained extensive community care assessments from Social Services. The admission criteria was clear and the procedure for admission gave residents opportunity to visit the home and meet staff prior to moving in. Both of the residents files viewed contained information regarding preadmission visits including an overnight stay. Both residents files viewed contained completed contracts for their placements at Hopelea Care Home. Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual care plans reflect resident’s needs and how needs will be met. Staff encourage residents to make own decisions about their lives with assistance as needed and to take acceptable risks as part of promoting independence. EVIDENCE: Each resident at Hopelea Care Home have two files, one of which contains the care plan and risk assessment. The second file is used to archive information and contains confidential information. Two residents plans were viewed during this inspection, which were both randomly selected. Files viewed were well organised containing significant information regarding the individual needs of the residents. Support plans were comprehensive and generally clear describing the resident’s needs and the action staff needed to take to meet the needs. Support plans confirmed residents are assisted to make their own decisions regarding daily routines. Discussions with both staff and residents confirmed residents are involved in planning meals and activities. Resident’s files contained care plans, personal profiles and weight charts. Personal profiles Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 10 contained information regarding resident’s likes and dislikes. A key worker system is in operation and one resident spoken with stated that their key worker is understanding and listens to them. Residents spoken with stated they are able to decide how to dress. Records seen evidenced that care plans and risks assessments are reviewed regularly. Risk assessments are completed in area’s regarding individual risk, which included vulnerability. Risk assessments and care plans are reviewed in consultation with the residents, as detailed on the risk assessment. Minutes from review meetings viewed evidenced that key workers, day care staff, residents and social workers are involved at the review meeting. The two files viewed contained annual community care reviews co-ordinated by social services. Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Residents are given opportunities for personal development and are able to participate in appropriate activities. Residents at Hopelea Care Home are encouraged to maintain appropriate relationships with family and friends. The home is committed to respecting resident’s rights. Residents are provided with a healthy and varied diet. EVIDENCE: Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 12 Residents interviewed stated they do jobs/chores such as washing, ironing vacuuming, shopping, cooking, cleaning and dusting with support from staff if needed. They enjoy doing these tasks and certainly take pride in keeping the home clean and tidy. When the residents returned from day care they decided on their own activity, one resident was observed in the kitchen washing her sandwich box, another was sitting in the lounge watching television. Whilst another resident was observed ironing his clothes. Residents interviewed said they attend a range of day services and work placements. One resident stated she works as a volunteer in a local charity shop a few mornings a week, which she thoroughly enjoys. Another resident commented he enjoy going to the evening club where is takes part in art and snooker. There were photographic displays throughout the home of residents and staff taking part in social activities both within the home and outside, which included a boat trip. Residents were able to explain where they went shopping and some stated they particularly enjoyed the pub. Residents said they regularly go out to visit their families. Some residents spoken with stated they are looking forward to their holiday to Blackpool; residents were excited when telling the inspector about the forth-coming holiday. One resident commented that residents made a joint decision to go to Blackpool for their holiday. Residents spoken with said they are able go to bed when they like. They said that staff respect their privacy and always knock before entering their room. One resident has a doorbell fitted and staff are aware of the procedure to enter this room. Residents also confirmed that their mail comes to them unopened and that staff will open it if they requests help with this. There is charter of rights in the home and the emphasis of this is consultation and representation. All residents have a key to their bedroom and some were seen using the key to secure and unlock it. Resident spoken with indicated that meals are varied and wholesome and that daily choices are given. The records supported this. The residents commented ‘meals are good’. A few of the residents are able to go out on their own to shop for the ingredients and help to cook the meals. The weekly shop is carried out by a member of staff and a resident. The food storage was clean and there was a selection of ample foods including fresh vegetables and fruit. Records book was seen which documented fridge temperature, which are taken on a daily basis. The Registered Manager stated the menu is planned weekly in consultation with the residents. Residents spoken with confirmed that during the weekly meeting on Mondays the menu for the week is planned and residents are able to decide what they wish to cook on their cooking day. Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal and health care needs were met with support and assistance from staff and other health and social care professionals. The arrangements for the administration, storage and recording of medicines in the home needs to be improved ensuring residents safety. EVIDENCE: Resident’s files contained details of their health care needs, which were clearly documented. The files demonstrated that residents received support from health and social care professionals, such as GPs, chiropodists and social workers. Staff spoken with were aware of individual health care needs and preferences, as detailed in the support plans. Support plans evidenced detailed information on physical, emotional, sexual and spiritual needs of residents. Residents spoke positively about the quality of care provided for them. Hopelea Care Home puts a great deal of emphasis on maximising resident’s independence and encourage residents to be as independent as possible regarding their health needs. Residents are risk assessed regarding their ability to self medicate. Records supported that systems are in place to check that residents are taking their prescribed medication. The home had good Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 14 policies and procedures in place with regard to the administration of medication. Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is an appropriate complaints procedure in place ensuring that the views of residents and their representatives are listened to and acted upon. Staff training and written policies and procedures in relation to safeguarding vulnerable adults protect residents from potential harm. EVIDENCE: The Registered Manager stated that no complaints have been received since the last inspection, and the last recorded complaint was in November 2005. A satisfactory complaints procedure was in place, and available in three different formats, signs and symbols, written and on tape. Therefore people living at the home are able to access the procedure in a format suitable to their needs and abilities. Residents spoken with stated they have no reason to complain but if they were unhappy they would either speak with the manager or other staff members. The Registered Manager and staff presented a good understanding of the vulnerability of the residents living at the home and providing a safe environment. The registered manager stated there had been no adult protection referrals since the last inspection. The member of staff spoken with demonstrated a good understanding of the whistle blowing procedure. A copy of the Nottinghamshire Committee for the Protection of Vulnerable Adults Policy and Procedure is available in the home. Staff spoken with stated that they had covered Adult abuse training as part of NVQ level 2. Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is good and provides residents with an attractive and homely place to live. Residents needs suit their needs and lifestyles. Residents have specialist equipment to maximise their independence. The home is clean and hygienic. EVIDENCE: Hopelea Care Home offers its residents a very clean and well-maintained environment. The premises comprised of two adapted houses. The atmosphere throughout the home is calming and relaxing. The garden situated at the rear of the building was very well maintained with attractive plants and seating for the residents. Bathrooms, bedrooms and communal areas were well maintained and decorated. The four bedrooms viewed were very personalised, with personal possessions, photographs and ornaments, and reflected each individual’s personality. Bedrooms had sufficient storage space for personal items, especially those relating to individual hobbies and interests. Residents spoken with stated they are very happy with their bedrooms. The residents proudly showed the inspector around their bedrooms, one commented, “my bedroom is Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 17 comfortable.” The residents each have a key to their bedroom, which they used to lock and unlock the doors. The stair lift in place, although not used by the current resident group, had not been serviced since 2004. The residents at Hopelea require very little in the way of specialist equipment but should an individual develop a need it would need to be addressed. There were grab rails in the bathrooms. Residents together with the staff are responsible for domestic tasks. Residents have individual days to carry out their laundry and ironing, which they are assisted with by a member of staff. The laundry area was viewed, which was well organised and clean. The laundry facilities included industrial washer with sluicing facilities and a drier. Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by competent and qualified staff. The homes recruitment policy and procedure needs to be robust to ensure it protects residents. EVIDENCE: The staffing rota viewed was an accurate record of the staff on duty. A staff member spoken with stated staffing levels are adequate and ensure that residents are supported. Staff were friendly and welcoming. Staff had positive relationships with the residents, demonstrating a caring attitude. Residents spoken with commented that staff are helpful and friendly. One resident stated, “staff are very nice.” Staff files were stored in a lockable cabinet, and the two files seen were well organised. The recruitment procedures in place need to be more robust. The most recently employed staff member had started employment before a satisfactory criminal record bureau disclosure had been received. The registered manager must ensure that staff and volunteers do not commence work in the home until all the necessary recruitment checks have been carried out. Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 19 Staff training certificates held on file for two members of staff confirmed that they had received training in Food Hygiene, fire Safety, Moving and Handling and First Aid. A staff member commented that the training provided is good and relevant. Both staff files contained supervision records; the member of staff spoken commented that support is available as and when required. Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This is a well managed home, that benefits from formal quality assurance and quality monitoring systems. EVIDENCE: The registered manager was present throughout the inspection and demonstrated good management knowledge. She stated she has completed the Registered Managers award. A member of staff spoken with stated the manager is very supportive and approachable. Staff and residents commented positively about the leadership style of the manager. This was reflected in the very well organised office and files inspected. Files were kept in good order and easily accessible for inspection. Residents at Hopelea Care Home are involved in the day to day running of the home through weekly residents meeting, where issues are raised and suggestions are made. Minutes from the last residents meetings were seen topics included menu for the week and shopping. Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 21 The manager operated a quality assurance system that included residents and families; results were analysed annually. Resident’s satisfaction questionnaires are available in a user friendly format using pictures and symbols. The Managing Director completes resident satisfactory questionnaires with each of the residents. Comments from the annual questionnaires to families and carers included “I have no concerns about the standard of care” and another commented, “I am very pleased with facilities and the staff.” In addition she also audits staff and residents meetings, the complaints record, accident book and health and safety checks to ensure that she is fully informed of any quality issues. The inspector viewed a range of records relating to health and safety. Health and safety documentations were well organized and kept in a professional manner. The certificate of registration was displayed in the staff office. Fire system testing including fire alarms and emergency lighting generally takes place at regular intervals. The health and safety checks should take place at regular intervals to ensure the safety of residents and staff. The Certificate of Employers Liability Insurance was displayed and due to expire April 2007. Gas servicing inspection was undertaken July 2006. The registered manager stated water outlet temperatures are not taken as hot water is thermostatically controlled. This was discussed with the manager at the inspection. She stated risk assessments are in place, one risk assessment was viewed. Electrical appliances had been tested for safety and records were in place to support this. Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 1 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Hopelea Care Home DS0000008699.V306545.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? 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 YA34 Regulation 19 Requirement Registered person to ensure that staff and volunteers do not commence work in the home until all the necessary recruitment checks have been carried out which include POVA first check and a satisfactory CRB disclosure. The registered person must ensure that equipment provided at the care home for use by residents at the care home is maintained in good working order. The stair lift should be serviced regularly. Timescale for action 16/10/06 2. YA29 23 16/10/06 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. 2. Refer to Standard YA42 YA42 Good Practice Recommendations Water temperature should be checked and recorded monthly. Food items with a short use by date to have labels on stating when the item was opened. DS0000008699.V306545.R01.S.doc Version 5.2 Page 24 Hopelea Care Home Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Hopelea Care Home DS0000008699.V306545.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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