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Inspection on 01/02/08 for Hopes Green Care Centre

Also see our care home review for Hopes Green Care Centre for more information

This inspection was carried out on 1st February 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

There is a good range of activities available and many residents spend time socialising and conversing with each other and with staff. Staff on duty were relaxed and friendly with residents and visitors alike. The home offered a modern, clean, bright and spacious environment for residents. The convenient location of Hopes Green enabled easy access to a wide range of local shops and services.

What has improved since the last inspection?

Care plans had been reviewed and updated according to residents needs. Complaints had been recorded and acted upon. Evidence was in place to confirm that criminal records checks had been made on new staff, and that robust recruitment procedures had been followed. Staff had been trained on the protection of vulnerable adults.

What the care home could do better:

The manager needs to progress her application for registration with the Commission. A system must be in place to ensure that the views of residents and stakeholders have been sought regarding the service provided at Hopes Green. Following the pre-admission assessment the manager must confirm to prospective new service users, in writing, that their needs can be met.The damaged bath panel in bathroom no 4 needs to be repaired. The portable hoist seen stored in the same room needs attention to one of the rear wheels, which was sticking and was missing a wheel brake. Residents meetings should be held more frequently and the carpet in the ground floor dining room should be cleaned. Staff training should include dementia and continence awareness subjects.

CARE HOMES FOR OLDER PEOPLE Hopes Green Care Centre 16 Brook Road Benfleet Essex SS7 5JA Lead Inspector A Thompson Unannounced Inspection 10:15 1 & 4th February 2008 st 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 Hopes Green Care Centre DS0000018097.V358903.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. Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hopes Green Care Centre Address 16 Brook Road Benfleet Essex SS7 5JA 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) 01268 752327 01268 755518 hopesgreen@schealthcare.co.uk The.willows@ashbourne.co.uk Southern Cross Healthcare Group PLC trading as: Exceler Healthcare Services Limited Manager post vacant Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Personal care to be provided to no more than fifty service users over the age of 65 years. Total number of service users for whom personal care is to be provided shall not exceed 50. 27th February 2007 Date of last inspection Brief Description of the Service: Hopes Green Care Centre is a large home providing accommodation and personal care for up to fifty older people aged over 65 years of age who need assistance with personal care. The homes facilities include several communal lounge/dining areas and fifty single bedrooms all with ensuite facilities. The home is situated within easy walking distance of local shops and amenities, with Southend and Canvey Island main shopping centres a short car or train journey away. There are good bus and train links to the area. The garden enables service users to access a patio area and garden safely. There is ample car parking for visitors and the home has adequate wheelchair accessibility throughout. The current weekly charge for a room ranges from £350.00 to £650.00. Past inspection reports are available from the home, and from the CSCI internet website. Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This unannounced key inspection commenced on Friday 1st February 2008, with a second announced visit taking place on 4th February to complete the process. The content of this report reflects the inspector’s findings on the day/s of the inspection along with information provided by the service and feedback by residents, relatives, staff and other parties. Practice and procedures occurring after this inspection will be reported on in future inspection reports. Discussions were entered into with residents, the manager, deputy manager, visitors and staff on duty. CSCI survey questionnaires were also provided to residents and staff. Random samples of records, policies and procedures were inspected and a tour of parts of the premises and grounds took place. Comments received from residents included: ‘ the food is usually ok’, ‘the staff are helpful and always come when I need them, ‘ there are activities and outings, usually I prefer to stay in my room and read but I do join in sometimes when I choose’. ‘The activities lady is very good, she arranges outings, last month some people when to the London Eye’. ‘There are things to do here but I can’t move around much and prefer to stay in my room, but I do get lots of visitors’. ‘The staff are usually helpful and most of them are patient’. ‘I don’t have any complaints if I did I’d tell the care manager who is very good’. ‘I get asked for my choice at mealtime, there are two choices, the food is quite good usually, and I do get enough to eat’. ‘The staff are friendly’. ‘I’m not that keen on the food as I’m quite fussy but I do eat the meals and I have my own snacks that my family bring in’. Three survey forms were also completed by residents, responses were positive about the care and staff attitudes. Visitors spoken with said they had no concerns about the care and support provided to residents by the staff and manager. Questionnaires were also left at the home so that relatives and visiting health & social care professionals had the opportunity to make their views on the service known to the Commission. At the time of writing this report five had been returned. Responses regarding the care provided were positive, but one person thought there could be more staff on duty at times. Staff confirmed they were supported by the management team. They also said that they had been offered training opportunities appropriate to their roles, but Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 6 some did not think that the numbers of staff on duty were always sufficient to meet the residents support needs. The inspector was told that this related to weekends when, on occasions in the past, no one could be found to cover short notice sickness. Twenty six standards were looked at and the outcomes for residents against twenty of these was good, with six adequate. As a result this report includes four statutory requirements for action, and three good practice recommendations. What the service does well: What has improved since the last inspection? What they could do better: The manager needs to progress her application for registration with the Commission. A system must be in place to ensure that the views of residents and stakeholders have been sought regarding the service provided at Hopes Green. Following the pre-admission assessment the manager must confirm to prospective new service users, in writing, that their needs can be met. Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 7 The damaged bath panel in bathroom no 4 needs to be repaired. The portable hoist seen stored in the same room needs attention to one of the rear wheels, which was sticking and was missing a wheel brake. Residents meetings should be held more frequently and the carpet in the ground floor dining room should be cleaned. Staff training should include dementia and continence awareness subjects. 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. Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. People’s needs are assessed prior to admission so the individual and the home can be sure the placement is appropriate, although confirmation of this may have not been provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager reported that either herself or the deputy manager carries out a pre-admission assessment of needs with all prospective new service users. Evidence of this process was seen in care plan files for residents admitted since the last inspection. Assessment headings covered included: personal care, communication, mobility, personal hygiene, diet, vision, hearing, continence, behaviour, manual handling, sleep, medication, foot & oral care, falls, social & risks. Although the assessments were seen there was no evidence that new service users had received written confirmation that the service could meet their needs. There is a requirement on this point in this report. Hopes Green Care Centre DS0000018097.V358903.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): 7,8,9,10 Quality in this outcome area is good. The health and personal care residents receive is individualised and based on their assessed needs. Residents rights to privacy is respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four care plans were inspected. Included was background information, personal details, and next of kin contacts. The residents’ needs/action sheet included the ‘aim of care’ taking account of the headings assessed when carrying out the initial assessment, and further sections added after admission. These were a physical & social assessment, a social profile, pressure care risks and a dependency assessment. Care plans seen also included risk assessments, records of residents’ weight, consultations, had been regularly reviewed and included review and evaluation record sheets, with a weekly progress report. Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 11 The manager said that District Nursing services support the home in pressure sore assessment and will also supply appropriate aids and treatment. Continence issues are supported by the community continence nurse and hearing needs are provided for by GP referral to a local health centre. A dentist visits the home to provide checkups and treatment to residents, as does a chiropodist and an optician. Records of visits with written outcome notes were seen. Since the last inspection the manager has arranged for the GP practice nurse to hold a weekly surgery in Hopes Green, this arrangement is aimed at improving the healthcare support options available to residents. The homes medication policies and procedures consisted of the ‘Royal Pharmaceutical Society guidance for care homes’ on: ordering, receipt, storage, administration, homely remedies, self medicating and returns of unused stocks. Staff had been given training on medication issues. Nine certificates of attendance were presented as evidence of a course provided by the Pharmacist in 2007 entitled ‘ Care of Medicines Foundation course’. In addition one member of staff had obtained an ‘advanced’ pass in medication. The manager said that only senior staff administer medication and staff spoken with confirmed this. Regular in-house competency assessments are also carried out, some of these were seen. Medication administration records were inspected no shortfalls were noted. Discussions with individual residents indicated that most thought they were treated with respect by staff, and staff on duty were seen to be patient and helpful in their dealings with residents. Actual comments made are included in the summary section at the beginning of this report. Hopes Green Care Centre DS0000018097.V358903.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): 12,13,14,15 Quality in this outcome area is good. Residents had regular opportunities to engage in activities and were encouraged to maintain contact with family and friends. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents meetings had taken place and minutes of issues discussed and decisions made were seen. Unfortunately these meetings had not been held regularly with only one recorded since August 2006. It is recommended meetings are held more frequently. The manager said that relatives have been invited to attend past meetings. The home had an activities coordinator who works 25 hours over five days each week. There was a weekly activities programme seen and individual records had been kept for each resident of the activities offered and taken part in. These included: 1-1 discussions, bingo, quizzes, board games, entertainers, hairdresser, beauty care, ball games, arts & crafts, crosswords, bonus ball, floral arranging, coffee mornings, indoor exercise and regular outings (using dial-a-ride transport). Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 13 The manager said that a local church group hold a weekly service in Hopes Green, and a priest visits every weekend to see individual residents. Residents spoken with confirmed they were satisfied with the choices and options made available to them regarding daily routines and leisure interests on offer. Although several said they chose not to take part. Visitors spoken with said they were made welcome by staff, they also confirmed that residents activities did take place. Inspection of private rooms confirmed that residents had been permitted to bring their own personal items with them on admission. There was also confirmation of this direct from residents, who, when asked, pointed out the furniture and personal items they had brought in with them. Menus evidenced choice and variety. The main daily meal is lunch with at least two choices, there is also a choice (including a hot option) at tea. Residents spoken with were generally satisfied with the food and confirmed that there was always a choice. The manager also said that cooked breakfasts were served daily to those residents who wished (records were seen to confirm this), and that supper snacks of cheese biscuits or sandwiches are available every evening on the supper time trolley. The inspector spoke with the chef who said that residents views are always sought about the quality and choice of food offered, and changes are made if possible. Hopes Green Care Centre DS0000018097.V358903.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): 16,18 Quality in this outcome area is good. People living at the home are protected from abuse and any complaints are responded to and managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Hopes Green complaints procedure contains guidance on how to make a complaint and who to complain to. Also included were timescales for responses from staff. Evidence was seen to confirm that records are maintained in the home of complaints received (five logged since previous key inspection February 2007), and of any investigation and resulting outcomes. Residents spoken with said they knew who to speak to if they had any concerns, and that in the past management had responded positively to any queries/issues they had raised. Hopes Green has an in-house trainer on adult protection matters who has provided training on this subject to staff. This included clarifying types of abuse, recognising signs and required actions if abuse suspected. Staff spoken with said they had been trained on adult protection issues and displayed adequate awareness of this subject and procedures. Staff training files included records that abuse training had been provided and the home had a policy document on adult protection. This also includes advice for staff on reporting abuse and actions required by the manager if abuse is suspected. Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,26 Quality in this outcome area is adequate. The people living at Hopes Green felt comfortable and safe, but some communal facilities and equipment were in need of attention. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Hopes Green is a modern spacious care home equipped with only single room accommodation. Communal space comprised of four lounges and two dining rooms. Painting and redecoration was on-going with some of the ground floor corridors being repainted at the time of this inspection. Outdoor space was available off the ground floor lounge with a large concrete patio and grassed area, which was accessible to residents. The manager said that Hopes Green has been successful in obtaining a grant to improve the garden, which included funding to install a large awning. Bedrooms seen were well decorated, clean comfortable and made homely with people’s personal possessions. During discussion with residents all said their Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 16 rooms were comfortable. All private rooms had en-suite wc and all radiators seen had low temperature surfaces. Lighting in residents’ rooms was considered domestic in character and considered fully appropriate for individuals requirements/needs. Hopes Green has six bathrooms and one ‘walk-in’ shower room. Three of the baths had fixed hoists and the manager said she was looking into purchasing a portable hoist for use in the bathrooms without fixed hoists. The bath panel in bathroom no4 was damaged and could present an injury risk, and a portable hoist stored in the same room required attention to a wheel and wheel brake. The manager undertook to deal with these issues, which are included as a requirement in this report. All bathrooms had a wc and there also nine separate wcs around the building close to lounges and dining rooms. On the day of the inspection the premises were considered to be clean and hygienic, with the exception of a dirty carpet in the ground floor dining room. The manager said that she hoped this carpet would soon be renewed along with the carpets to corridors and the other dining room. However whilst the present floor covering remains it is recommended that cleaning occurs more frequently to ensure a clean and hygienic environment for residents to eat. Policies and procedures were in place confirming that working practices are in place to control the spread of infection, and the laundry was spacious and had appropriate equipment for the home’s laundry needs. Hopes Green Care Centre DS0000018097.V358903.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): 27,28,29,30 Quality in this outcome area is good. Residents are supported and cared for by a team of experienced and properly recruited staff who had been mostly trained for their roles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s staffing rota was inspected and confirmed that staffing levels as seven care staff on duty on morning shifts, six on afternoon shifts and four on waking duties at night. Separate and additional rostered staff were employed to undertake cooking, kitchen assistant, teatime assistant, administrative, activities, housekeeping, maintenance and domestic duties. Discussion with staff and records confirmed that regular staff meetings are held with minutes of meetings held on 6/8/07 & 16/10/07 seen. Files were inspected for staff employed since the last inspection. Evidence was seen to confirm that application forms had been completed, interviews held (with notes kept), written references obtained, written terms & conditions issued and criminal records checks undertaken. Copies of proof of ID, photographs and job descriptions were also on file. Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 18 New staff undergo induction training, which the manager advised had just been updated to follow the Skills for Care format. The format was seen but the manager said no new staff had been employed for long enough to have completed this process, so this will be checked at the next inspection. Staff on duty spoken with confirmed they had received induction training. Training records and discussion with staff confirmed that staff had been provided training on: medication, health & safety, fire safety, manual handling, food hygiene, infection control, abuse, first aid, effective communication and NVQ. A detailed training matrix identifies when individual staff are due update training. Records seen did not confirm that staff had been trained on dementia awareness. It is recognised that Hopes Green does not have registration to admit those who have diagnosed dementia, however carers working with people over the age of 65 should have basic awareness of dementia needs. It is therefore recommended this training is provided. The manager said dementia training was planned for shortly after this inspection and progress on this will be checked next inspection visit. Continence awareness was another training area that had not been covered, there is also a recommendation on this point. Hopes Green Care Centre DS0000018097.V358903.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): 31,33,35,36,37,38 Quality in this outcome area is adequate. People living at Hopes Green can expect that the home is safe, but could not be sure that their views have been listened to with regard to planning the day to day service provision. The manager needs to gain registration with CSCI. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said she had eight years experience in care management and holds the registered managers award. She had been in post at Hopes Green for two years but had still not applied for registration with the Commission. This issue needs to progress. Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 20 Quality assurance procedures at Hopes Green include (as reported by the manager) internal audits by Southern Cross Healthcare managers and monthly registered person visits (regulation 26 visits). Copes if the regulation 26 reports are provided to CSCI and meet the standard required. However standard 33 requires that the care home has a system and procedure in place, for periodically reviewing and improving the level of services provided by the home, taking into account the views of residents, their relatives and other stakeholders such as health & social care professionals. Copies of this process and of the results are required to be available for inspection. Residents personal allowance monies were held for safe keeping by the home. Records of the system used for recording and receipting transactions and of balances held by the provider were inspected and were acceptable. 1-1 formal staff supervision sessions take place. Evidence of this was seen and staff spoken with also confirmed this process. The format used included discussion on subjects such as care plans, risk assessments, management of falls, health & safety and training needs. Records are kept of the discussions and of any agreed actions. The home had COSHH data sheets for cleaning substances used and there were premises risk assessments (last updated June 2006) in place (both seen). Random samples of records required to be kept were inspected. These included: complaints, assessments, care plans, staff rotas, staff recruitment, accident records, visitors book, fire drills, regulation 37 notices, regulation 26 reports (registered person monthly reports), menus, medication, background info’ and next of kin details, cash held for safekeeping and fire procedures. All seen were satisfactory. Discussions with staff, management and inspection of records confirmed that training is provided to staff in moving and handling, fire safety, food hygiene, first aid and basic training in infection control. Certificates and service records were seen to confirm that the home’s fire equipment & alarms, passenger lifts, gas supply, portable electrical appliances and electrical installation supply had all been tested/serviced. Records were also seen to show that the hot water supply is temperature tested regularly by the maintenance person. Hopes Green Care Centre DS0000018097.V358903.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 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 X 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 3 3 3 Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 Requirement Timescale for action 31/03/08 2 OP19 23 3 OP31 8.9 4 OP33 24 The registered person must confirm in writing to prospective new service users that Hopes Green is a suitable care home to meet their needs. Repairs must be made to the 31/03/08 damaged bath (bathroom no4) on the first floor and to the portable hoist stored in the same room, to ensure that the bath and hoisting equipment are safe for use. (The element of this requirement concerning broken hoists is a repeat requirement). The manager of Hopes Green 31/05/08 Care Centre needs to apply for registration with the Commission. A system must be developed and 30/04/08 implemented for periodically reviewing and improving the level of services provided by the home taking into account the views of residents, their relatives and other stakeholders such as health & social care professionals. Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations The number of residents meetings held each year should be increased, to provide residents better opportunities to discuss issues as a group and be kept informed about events in the home. The carpet in the ground floor dining room should be cleaned to ensure a clean and hygienic environment for residents to eat. Staff training should include dementia and continence awareness subjects to ensure staff have the skills to meet the needs of residents. 2 OP19 3 OP30 Hopes Green Care Centre DS0000018097.V358903.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge CB21 5XE 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 Hopes Green Care Centre DS0000018097.V358903.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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