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Inspection on 15/05/08 for Inglemere House Residential Home

Also see our care home review for Inglemere House Residential Home for more information

This inspection was carried out on 15th May 2008.

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

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.

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

The home is comfortable, clean and homely. Residents are encouraged to personalise their own rooms and these are decorated and furnished to a good standard. The staff team are highly skilled and have received the training they need to provide good quality care. Most have achieved professional qualifications in care to improve their skills and knowledge. It is evident that the staff team work well together to provide a happy and cheerful home for residents. The home is well run and the management react quickly to the views, concerns and comments of residents and their relatives. They respond well to any requests or suggestions made. The routines of the home are designed around the needs of residents. Residents enjoy a full and stimulating lifestyle. The activity programme is varied and interesting and includes trips out to local shops, games, puzzles and occasionally picnics in the garden. Residents take an active part in the community and visits by friends and relatives are welcomed and encouraged. The food is varied and nutritious and offer residents choice. Meal times are considered an occasion each day and are relaxed and unhurried and taken in comfortable attractive surroundings.

What has improved since the last inspection?

What the care home could do better:

There were no new requirements or recommendations arising from this inspection.

CARE HOMES FOR OLDER PEOPLE Inglemere House Residential Home Waterloo Road Crowthorne Berkshire RG45 7NW Lead Inspector Julie Willis Unannounced Inspection 15th May 2008 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 Inglemere House Residential Home DS0000011127.V363265.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. Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Inglemere House Residential Home Address Waterloo Road Crowthorne Berkshire RG45 7NW 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) 01344 772120 01344 772120 Mrs Yuen Yuen Jackson Mrs Yuen Yuen Jackson Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd May 2007 Brief Description of the Service: Inglemere House is situated in Crowthorne a short distance from the high street and other local amenities. The home is owned and managed by Mrs Yuen Jackson and has been in operation since 2000. It provides personal care for up to fourteen service users. Service users are accommodated in single rooms, which are found over three floors. All rooms have vanity basins and one room has an en- suite. The home has four dayrooms and one dining room. These communal areas provide space for receiving visitors, participation in activities and watching television. A ramp is situated at the front door of the building to accommodate wheelchair users. There is a lift, which permit access to all levels of the home. Grab rails are found in toilets, bathrooms and bedrooms. The home possesses hoisting equipment to facilitate safe moving and handling practice and a call bell system is in place. The staff team consists of the owner/ manager who is a trained nurse, carers and a maintenance person. The fees for this service range from £400.00-£419.00 per week. Inglemere House Residential Home DS0000011127.V363265.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 2 star. This means the people who use this service experience good quality outcomes. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 11:00 am and was in the service for five and a half hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that CSCI has received about the service since the last inspection. Prior to the visit a questionnaire was sent to the Manager along with survey and comment cards for residents, relatives and visiting professionals such as doctors and nurses. Any replies were used to help form judgements about the service. Consideration has also been given to other information that has been provided to the Commission since the last inspection. The inspector toured the building, examined records and met most of the residents and one relative that was visiting at the time of the inspection. The inspector also spent time talking informally to staff and observing how care was being delivered to the residents. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals with various religious, racial or cultural needs. The inspector gave feedback about her findings to the homes Manager/Proprietor at the end of inspection. There were no legal requirements made as a result of this inspection. The Commission has received no information concerning complaints since the last inspection. Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Since the last inspection the care plans have been further developed to ensure they reflect the choice and preference of the residents. Details of the resident’s wishes in relation to ‘End of Life Care’ are now recorded. All residents are being weighed regularly. Daily records are now accurately kept on file and care plans are stored in a locked filing cabinet. The homes medication records, policies and procedures are now accurately kept to protect residents from harm. Maintenance work has been undertaken to ensure that the premises are in a satisfactory state of repair for the residents. The works include: • New glass in the ground floor lounge window • Repair to floorboards in room 4 • Repair to floorboards in the ground floor bathroom • Repair to the garden fence Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 7 The hairdresser is no longer employed by the home but instead is individually contracted to each resident that wants his or her hair done. All chemicals are stored in a locked cupboard so as not to pose a risk to residents. All doors are now kept closed to reduce the risk of spread of fire to keep the residents free from harm. Residents are supported to eat their meals in a manner, which maintains their privacy and dignity. Staff recruitment records are more robustly kept. All staff are required to provide two written references from verifiable sources. Risk assessments have been carried out on all hot water outlets accessible to residents and action has been taken to minimise the risk to residents. 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. Inglemere House Residential Home DS0000011127.V363265.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 Inglemere House Residential Home DS0000011127.V363265.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): Standard 3 People who use the service experience good quality outcomes in this area. Residents are fully assessed prior to admission to ensure the home will be able to effectively meet their need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination and case-tracking of the records of the three most recently admitted residents evidenced that the Manager had carried out a full assessment of the residents needs prior to admission. The assessment tool was minimal in content however; sufficient information was gathered to ensure that the home would be able to effectively meet the resident’s need. Details of the resident’s social and medical history, dietary needs, communication needs, mobility needs, and history of falls, continence Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 10 and mental state were included in the record. The Proprietor/Manager confirmed that following discussions with the inspector they would be developing the assessment tool further so that it contained a greater level of detail. Information was gathered from a variety of sources, including the resident, their family and other health and social care professionals. A copy of the Care Management assessment produced by the purchasing authority was also on file where appropriate. The information gathered was used to produce an initial care plan and to ensure that any aids or equipment needed by the resident were available on admission Residents and a relative confirmed that they had visited the home informally before admission. This had provided an opportunity for the resident and their relatives to ask questions about the home and to meet staff. One resident said that they thought that the home provided high quality care they said, “This home is very clean. The owner and staff here are excellent, very kind and friendly” and another said, “its lovely here, Mrs Jackson does her very best to make you feel part of the family” and “you couldn’t wish for anything more, they really look after you”. Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 11 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): Standards 7, 8, 9, 10 People who use the service experience good quality outcomes in this area. Residents are encouraged to make choices about their lives and to take everyday risks. The written records accurately reflect the individual needs, aspirations and lifestyle choices of each resident. The system for the administration of medication is good with clear and comprehensive arrangements in place to ensure the safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector spoke at length to seven of the residents and a relative that was visiting at the time of inspection. The residents were complimentary about the quality of care provided by the home. They said that they were encouraged to remain as active and were provided with the support and assistance they needed to remain as independent as possible. It was evident that residents are encouraged to remain an integral part of the local community and to say how they wish to be treated and cared for. Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 12 The files of five residents were examined in detail and case tracked from preadmission assessment to date. The written records were detailed, comprehensive and well documented. They provided staff with sufficient information to enable them to offer the appropriate level of care to residents and to over-see self care. The home has an effective review system in place. All care plans are reviewed monthly and any changes were well documented. The staff appeared knowledgeable about each resident and interested in their welfare. From observation of practice it was evident that sufficient time is given to residents to ensure that the care plan continues to reflect their need. Risk assessments had been undertaken on manual handling, risk of falls and bathing. Where risk was identified there were effective risk reduction measures in place. The care plans gave clear instruction on how staff should reduce the risks identified. Observation of care practice concluded that residents were encouraged to remain as independent as possible by providing appropriate levels of support to maintain the users privacy, dignity and independence. The staff were observed to provide personal care in a discreet and sensitive manner and were heard to be polite and courteous to residents at all times. Staff routinely knocked and waited until they were invited in, before entering resident’s bedrooms. Residents confirmed that they were provided with access to health and social care professionals when required. Residents confirmed that screening and preventative treatments are offered routinely by the local GP’s surgery. Several users confirmed that they had been given a flu vaccination by their GP before the onset of winter. There was evidence on file that residents have regular chiropody treatments, hearing tests and eye tests. Examination of the daily records, although minimal in content, evidenced that care was being delivered in accordance with the individual’s wishes. From examination of the medication administration system and discussion with management it is clear that the home follows best practice guidance in relation to the storage, administration and disposal of drugs. Staff have been trained in the administration of medication and are regularly in receipt of refresher training and supervised practice. A monitored dosage system is in operation at the home and medication is delivered to the home on a monthly basis. Storage systems are effective and disposal systems are safe. None of the current residents self-medicate. Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 13 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): Standards 12, 13, 14, 15 People who use the service experience good quality outcomes in this area. A range of activities is offered that provide opportunity for mental and physical stimulation. Residents are encouraged to maintain contact with their family and friends and are able to have visitors at any time. The home provides a varied and nutritious menu designed to meet the needs of its residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From discussion with the management, staff and residents it was clear that residents are offered the opportunity to participate in a range of activities suited to their needs. The home encourages residents to engage in passive exercise, quizzes and board games, which are organised on a daily basis by the staff. Several residents told the Inspector that they prefer to quietly read, knit or watch television when they are not chatting to their friends. Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 14 Singers and musicians are regular visitors to the home and there are parties and other entertainments arranged for the Christmas period and for other festivals throughout the year. Each fortnight a number of residents attend the church service and take ‘Communion’. Church members are regular visitors to the home. Several of the residents regularly go out with relatives and one resident goes out weekly to a local pub/restaurant “for a pint and something to eat”. Another attends a local day centre for lunch once a week. The home is situated five minutes from the local shops and public houses and several residents regularly walk or are pushed in a wheelchair to the shops in the High Street. When the carnival is held residents are participants in the procession on a ‘float’. Afterwards they are taken for a picnic where they are joined by staff and members of their family. Residents remain responsible for their own money and administer their own bank accounts or have relatives or advocates that can assist as necessary. The home does not hold cash accounts or administer finances on behalf of any of the residents. Residents confirm that their visitors are made most welcome at any time and are offered appropriate hospitality during their visits. One relative spoke with the inspector. They said that they were always made welcome and kept informed. They said, ”This is an excellent home, staff work very hard to keep residents well cared for”. A number of social events are held throughout the year, which promote community involvement and which provide residents families with the opportunity to engage with the staff and residents on an informal and regular basis. It is clear that the home operates around the needs of its residents; daily routines are flexible and responsive to individual need. The food is good quality. The residents were eating lunch on the day of inspection of roast pork, creamed potatoes, carrots and mixed vegetables followed by fresh fruit salad and cream. There are a number of alternatives to the main course each day. Special diets can be catered for including diabetic or vegetarian meals. One resident regularly has ‘Cantonese’ food cooked by the Manager/Proprietor or by their relatives. Discussion with residents evidenced that the food was well cooked tasty and plentiful. A number of service users made comments such as “the food is lovely”, “there is always a choice” and “there is always too much for me, its very good though”. Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 15 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): Standards 16 & 18 People who use the service experience good quality outcomes in this area. The home has a satisfactory complaints system. Residents feel their views are listened to and acted upon. Residents are protected from abuse and exploitation by well-trained and competent staff that can demonstrate knowledge of the homes abuse of vulnerable adults and whistle-blowing policies. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaint policy in the home meets the requirement of Regulation and Standard. There was one complaint recorded in the complaints book, which had been fully investigated by the Manager/Proprietor. The detail of the complaint was well documented and evidenced the outcome provided to the complainant. Residents confirmed that they felt that if they raised any issues management would deal these with swiftly and effectively without resorting to formalising the complaint. One resident said, “ If I was unhappy about anything I would just speak to Mrs Jackson, she is here every day, I know she would take me seriously. I have never had to complain about anything though in all the time I’ve lived here.” Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 16 No information about complaints has been provided to the CSCI about the home since the last inspection. CSCI carried out a Thematic Probe within this inspection whereby a series of questions were asked in relation to safeguarding vulnerable adults. This will be reported separately and the results collated nationally. There was evidence in staff files that all staff receive training in safeguarding adults as part of their formal induction to the home and also in NVQ training in which it is a core module. Refresher training courses are also offered regularly at Bracknell College. Residents confirmed that they feel safe and well cared for by the staff. Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 17 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): Standard 19 & 26 People who use the service experience good quality outcomes in this area. The standards of décor and furnishings in this home offer residents a comfortable and homely place to live. Standards of hygiene are good throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the communal areas and a number of bedrooms were seen during the course of inspection. All areas were clean and hygienic and furnished in a homely manner. Residents and their visitors confirmed that the home is always clean and well maintained and staff work hard to provide a pleasant environment for the residents. Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 18 All bedrooms were highly personalised. Residents have been encouraged to bring with them small items of furniture, pictures and ornaments to individualise their room and make it homely. Discussion with staff and examination of the staff training records evidenced that all staff have received refresher training in infection control and health & safety. Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 19 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): Standards 27, 28, 29, 30 People who use the service experience good quality outcomes in this area. There were sufficient numbers of staff on duty at the time of inspection to meet the needs of residents effectively. The skill mix of the staff team was appropriate for the size, layout and purpose of the home. Recruitment policies and procedures at the home are robust and transparent and ensure the safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector examined the staff files for 4 of the most recent recruits. The content of the files met the National Minimum Standards and Regulations. From discussion with staff and management it was clear that the policies and procedures relating to selection and recruitment ensure residents safety and are robust, transparent and meet the requirements of current good practice guidance and legislation. All new care staff undertakes induction training to ‘Skills for Care’ specification within 6 weeks of appointment. Foundation training follows within the first six months. Core skills training is encompassed in the induction training and includes fire safety, first aid, health & safety, manual handling, infection Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 20 control, food hygiene and protection of adults. Mrs Jackson is a trainer in manual handling and regularly provides refresher training to the staff. The staff files and training records evidenced that most of the current staff have either gained or are in the process of attaining NVQ qualifications at levels 2 & 3. All staff receive regular support and supervision. Staff confirm that they regularly attend team meetings at which they are encouraged to express their views and opinions. Residents were highly complimentary about the staff team. Comments such as “They really are nice girls. Nothing is too much trouble”, “I always find staff here caring and kind” and “they really are hard workers” were made to the inspector. It is clear that the staff work well as a team. They are well-qualified and express caring attitudes towards residents. Staff turnover at this home is low and there is no reliance on agency staff to cover gaps in the roster. The care staff works overtime to ensure continuity of care to residents. Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 21 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): Standard 31, 33, 35, 38 People who use the service experience good quality outcomes in this area. The resident’s benefit from living in a well managed home, where there is evidence that there health, welfare and safety is of primary importance. The registered person is qualified, competent and experienced to run the home for the benefit of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Homes Manager/Proprietor Mrs Yuen Jackson is an experienced registered nurse and has attained an NVQ 4 in care and the Registered Managers Award to further enhance her knowledge and skills. Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 22 Staff told the inspector that the Homes Manager/Proprietor is a caring and effective leader and is always keen to support individual members of staff’s personal and professional development. They have the opportunity to express their opinions openly on a daily basis. The staff clearly welcomes their supervision sessions and staff handover times to share information and to feel included and involved in the way the service is delivered. The whole team aspire to providing high quality care to users in line with the aims and objectives of the home and are kept well informed and up-to-date. From discussion with residents it was evident that they are regularly consulted on issues that affect them and feel that their views are taken into account. The home undertakes regular quality audits. Recent residents satisfaction surveys have been collated to identify trends and to help identify where improvements can be made to the service offered. Most residents manage their own financial affairs or have family members that deal with their finances on their behalf. The Manager/Proprietor of the home holds no money on behalf of residents. Residents are regularly consulted about their care needs as part of the formal review process. They can ask to see their records at any time and will be given access. All records required by regulation were found to well maintained, secure and up to date. All staff were aware of the needs to treat information confidentially and to maintain records including computer held records securely in accordance with the Data Protection Act 1998 and other statutory requirements. A number of health and safety records relating to fire safety and the maintenance of the hot water system were sampled and found to be accurately documented and up to date. Routine serving and maintenance of equipment is carried out in accordance with the requirements of legislation and good practice guidance. Activities that pose a risk to users are fully assessed and procedures are put in place to reduce the risk of occurrence Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 23 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 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 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 Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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 Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Inglemere House Residential Home DS0000011127.V363265.R01.S.doc Version 5.2 Page 26 - 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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