Inspection on 29/06/06 for Ixworth Court

This inspection was carried out on 29th June 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ixworth Court 27/06/07

Ixworth Court 19/12/05

Ixworth Court 04/05/05

Ixworth Court 10/02/05

Ixworth Court 03/08/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Ixworth Court Ixworth Court Thetford Road Ixworth Bury St Edmunds Suffolk IP31 2HD Lead Inspector Jan Davies Key Unannounced Inspection 29th June 2006 13:00 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 Ixworth Court DS0000037046.V298673.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. Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ixworth Court Address Ixworth Court Thetford Road Ixworth Bury St Edmunds Suffolk IP31 2HD 01359 230101 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) Suffolk County Council Mrs Susan Jean Hill Care Home 22 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (22) of places Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th December 2005 Brief Description of the Service: Ixworth Court is a purpose built home that provides well-furnished accommodation for 22 frail elderly, mixed gender and culture, residents. It is situated in Ixworth, which is a village with good community facilities approximately 10 miles from Bury St Edmunds. It is a single storey building separated into 2 units with surrounding safe gardens. Each unit consists of a comfortable lounge, dining room and kitchen area. All bedrooms are single with en-suite facilities. There are also assisted/communal bathrooms and additional toilet facilities. Ixworth court is owned and operated by Suffolk County Council. There is a day care centre within the building where social events are held and a small shop for the purchasing of every-day items. Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on Thursday June 29th 2006 from 12.55 to 18.00; the inspection was undertaken by regulatory inspector Jan Davies who was assisted in the process by the homes manager, residents and staff members. All staff spoken with at the home were friendly and provided information requested by the inspector promptly and openly. One resident conducted a tour of the premises with the inspector and gave a very positive view of what it is like to be living in the home. A tour of the building and observation of work practice was undertaken during the inspection. Eight users were met and seven service users were spoken to about their experiences at Ixworth Court. The home is currently caring for seventeen service users. Six staff members were met and three were spoken to about the home. Records were viewed during the inspection, which included care plans, medical and health records, training records, staff records and menus and the home’s policies and procedures and related information. What the service does well: The atmosphere created at Ixworth Court is one that is friendly and relaxed. The staff are approachable and cheerful and convey this to the residents. The environment is comfortable and attractive. Residents’ interests are identified and actively promoted on an individual basis. The home is clean, tidy and attractively decorated, each bedroom viewed reflected the individuality of the service users. Staff interaction with residents was viewed to be friendly, positive and respectful. Staff were observed to be attentive to the service users needs and choice. Staff receive a good training programme, which provides them with the knowledge they require to enable them to do their job effectively. The home is good at identifying and addressing residents specific and individual care needs as evidenced in care plans and risk assessments. Service users have kitchens they can use to prepare snacks and drinks if they choose, which supports their independence. The week prior to the inspection, children from a school in the local community had invited residents to a special assembly in the school and there is regular attendance of residents to social events there and at other community events. School children regularly come into the home to share social occasions with the service users. The home is proactive in involving residents in community-based activities. Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5. 6 Quality in this outcome area is good. Prospective service users can expect that they will be provided with the information they need to make an informed choice about where to live, that they will have their needs assessed and met and that they will be provided with the opportunity to visit the home before they decide to move in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s statement of purpose was appropriate in content and included all required information. The service users guide was in an accessible format, which included all required information including service users comments about the service. The service users guide also includes an explanation about building works, which are nearing completion next door to the home. The statement of purpose and the service users guide both include contact details of CSCI. The home’s statement of purpose explains that prospective service users will be encouraged to visit the home prior to moving in. Service users spoken with said that they had had the opportunity to do this. Others have visited the home for a meal while they were deciding where they wished to live. Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 9 Four service users records were viewed and each contained a written contract apart from the most recent resident admitted. It was explained that this was because appropriate family representatives were abroad on holiday and the resident was unable to do this themselves. Notes in the file referred to this and that on their immediate return the family would be approached for this information. Four residents care plans viewed all contained assessments of their needs, and care plans explaining how these needs will be met. Risk assessments were completed by senior staff or the home’s manager and were detailed and comprehensive. Staff training records were viewed, these evidence that staff are trained appropriately and have sufficient qualifications to meet the needs of service users. Comprehensive care plans were available to staff working with service users in each service user’s bedroom. One staff member spoken with said that staff uses them so they are aware of the care they require and what assistance staff are required to provide. Standard 6 was inspected at the last inspection and found to be fully met. Ixworth Court DS0000037046.V298673.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. People who use this service can expect to have their care needs documented and met most of the time, but more consistent recording of medication will ensure quality of care for every resident. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans and associated records, such as the daily statements, relating to four residents were examined. These were discussed with staff; the manager and two residents about their own care plans. Each plan had several elements to the care plan including communication, being safe, personal care, dressing, eating and drinking, sleeping, mobility and recreation needs. All these care plans were clear and easily understood. There was evidence of monthly review and continuous assessment of risk. One resident’s care plan tracked demonstrated an excellent account of care given by the home from initial assessment to the current arrangements. The resident in question had been given a diagnosis of dementia and was totally dependent on admission to the home from hospital. Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 11 With the appropriate and individualised care from the home the resident had clearly exceeded the original expectations of the hospital staff and was being currently assessed for a more independent living situation. Their care plan fully documented the progress of their care. The medication protocol was examined. Only senior staff of the home administers and record medication and the medication was kept secure. The home operates a monitored dosage system (MDS). There was a record of all medication coming into the home, a record of medication administered and a record of medication returned, therefore it was possible to audit medication at random. The stock and administration was correct. Whilst auditing medication on one unit it was observed that there were gaps in the medicine administration record for two residents and no explanation written or offered for why this was the case. The manager spoke with the senior staff member with responsibility for the administration of medicine in the unit and no further clarification could be offered. During a tour of the building, it was observed that all residents have a copy of their individual care plans in their bedroom, a member of staff stated that these are used on a daily basis by staff to meet the needs of the service users effectively. Four service users care plans were viewed; these include all day- to day care and support they require. Service users care plans contained evidence that staff members review them regularly and that the service users signed their care plans. Care plans viewed included the service user’s preferred name. A member of staff was observed to knock on service users bedroom doors and ask permission for the inspector to see their room before entering. One service user was observed being given assistance from two staff members with getting out of their chair. This was done with professionalism and patience from care staff who encouraged the resident to a greater degree of independence while offering continuing support. All service users bedrooms at Ixworth Court are single occupancy. The laundry was viewed, shelving is provided with service user individual boxes where their clean laundry is stored when washed, before it is taken to their rooms. A staff member who was spoken with ensures that laundry is returned to the person it belongs to. They confirmed that their duties include ensuring that clothing is labelled with the service users name. Ixworth Court DS0000037046.V298673.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. Service users can expect that their social, cultural, religious and recreational interests and needs are met and that they are helped to exercise choice and control over their lives. Service users can expect that they receive a wholesome and appealing balanced diet and that they maintain contact with others who are important to them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One service user spoken with said that they had moved to the home from hospital and that ‘this home is unique because it is the best in the country’ and ‘I was very dependent when I came’. ‘The staff are marvellous and have given me such good care and I am now able to do so many things and enjoy life here’. Another resident confirmed that they speak regularly on the telephone to their family and that their family member visits them and they visit their family’s home. One service user spoken with said that they receive visits from family members regularly; they said that staff welcome them into the home and offer them a drink. The service user said that they could visit in their room or in the lounge area; they added that they could use the kitchen area to make drinks for their guests if they wish. Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 13 Four service user records viewed identified the significant others in the service users lives and the usual contact arrangements, records evidence when service users have maintained contact with others. At the time of the inspection two relatives were visiting the home, they were observed to be made welcome in the home. The home has an identified advocate. Service users confirmed they were happy to see the advocate and spoke openly to them. Three service users spoken with said that they enjoyed the weekly visits from the advocate, and said that it was also good to have the opportunity to speak to someone who does not work at the home. All service users spoken with said that the staff group were very good. Resident’s bedrooms were viewed during a tour of the building. All bedrooms contained service users individual belongings including memorabilia and photographs. Some service users bedrooms contained their own furniture, a member of staff confirmed that service users could bring their own furnishings to the home if they choose to. Four service users records viewed show service users likes and dislikes and what they enjoy doing, and a record of their activities is maintained. Three service users spoken with said that they play bingo, watch television and play games, they also told of a local school where they are regularly invited to assemblies and concerts and the children make return visits to the home. The inspector was also able to see photographs and information demonstrating that all involved were clearly enjoying this. Two service users spoken with said that they go out for walks if they want to and often go out with their families. Another resident said that the staff entertain and provide activities that everyone enjoys in addition to any professional entertainment arranged and service users commented that this is ‘as good as anything brought in’. The home’s statement of purpose and service user guide explains how visitors are welcomed at the home, examples of activities service users may choose to participate in, how their religious needs would be met, and what services are available in the local community. On the day of the inspection, which was very hot, an impromptu tea party was held in the garden and the staff, after checking all residents were ‘out of the direct sun’ led a spontaneous ‘sing song’. The previous day the home had hosted a formal lunch for friends of the home and local councillors with residents fully involved and hosting the proceedings. Residents were keen to tell the inspector how much they had enjoyed taking part. Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 14 The week’s menu was viewed, which provides a well-balanced and varied menu. A member of staff said that the menus are changed regularly. A member of staff spoken to said that the chef asks service users each morning if they want an alternative choice to the menu, which is provided. The inspector observed this to be happening. During the inspection a meal was prepared, which looked and smelt appetising. A resident was observed telling the staff member that the food was very good. One service user spoken with said that the food at Ixworth Court was ‘truly delicious’. Five service users spoken with said that the food was good at Ixworth Court. One service user said that staff brings them ‘lots of cups of tea’. The home has communal kitchens where service users can prepare their own drinks or snacks if they wish throughout the day. Ixworth Court DS0000037046.V298673.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. Residents can expect that their complaints will be listened to and that they will to be fully protected from abuse. The home has systems in place to ensure that all staff members are appropriately trained in protection of vulnerable adults and aware of all the risks of harm to residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaints procedure was viewed, which was appropriate in content, and reference is made to CSCI with contact details and why service users may choose to contact CSCI. CSCI contact details are also included in the service users guide and the statement of purpose, with explanations of how service users can contact them with any concerns about the service they receive. There have been no complaints received by the home or CSCI since the last inspection. A local authority leaflet was viewed ‘compliments, complaints and concerns’, this contained details of CSCI. Three service users spoken with said that they knew what to do if they were unhappy about something in the home, and said that they knew the manager would always listen to them and ‘do something about it’. The home has a policy for the protection of vulnerable adults and a whistleblowing policy. Staff spoken with had received training and were able to identify appropriate action to take in the event of an allegation being made. Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 16 Staff were familiar with the home’s whistle blowing policy and aware of guidance on how to follow this if the need arose. It was noted that training is planned regularly for staff on protecting vulnerable adults and takes into consideration updating staff who have already received initial training. The home actively addresses the need for respecting each other and promotes anti-bullying attitudes. There was staff training information and evidence of discussion in staff meetings and residents’ meetings about this. Ixworth Court DS0000037046.V298673.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 Quality in this outcome area is excellent. Service users can expect that they have access to safe and comfortable communal and private facilities, the home is clean, pleasant and hygienic and that they have specialist equipment they require maximising their independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A resident, who said they would be happy to do this, showed the inspector around the home. The inspector was able to have their perspective on what it is like to live in the home. The resident was very proud of the way their room had been decorated and that they had been helped to have their own furniture installed and other chosen possessions around them. They were particularly pleased with the en-suite room that was spacious and pleasant allowing them plenty of space to tend to personal needs. During a tour of the building it was observed that the home has three communal kitchen, dinning and lounge areas, which service users can use if they choose. The communal areas are comfortable, light and well furnished. Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 18 The home has attractive garden areas with garden furniture where service users can sit if they choose. All bedrooms in the new Willow Unit have large en suite facilities comprising of a toilet, hand washbasin and shower. Not all other bedrooms have en suite facilities; there are several bathrooms and toilets in the home, which service users can use and which are sufficient in number for the numbers of service users living at the home. All bathrooms are equipped with grab rails and bath and shower seats for service users safety and comfort. The home has a store cupboard where wheelchairs are stored; there are sufficient hoists available. Two service users were observed using walking frames in the home. All rooms are provided with call systems, including communal areas, bathrooms and bedrooms. All bathrooms are provided with hand wash gel and disposable towels. Service users bedrooms have appropriate furnishings and fittings, including lockable storage areas, bedroom doors have locks, which service users may use if they choose to. The home has a separate sluice room. There is a large laundry room, with two washing machines and a large dryer, the second laundry room provides storage for clean laundry until it is returned to service users and an ironing area. The three rooms contain hand-washing facilities including hand wash gel and disposable towels. The home was observed to be very clean and tidy and without any offensive odours. Storage cupboards were observed to hold protective gloves and aprons for staffs use. Ixworth Court DS0000037046.V298673.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. Service users can expect that staff that are trained and competent to do their jobs supports them and service users are supported and protected by the homes recruitment procedures. They cannot expect that staff will always be supervised on time. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s statement of purpose included information on staffing of the home and their qualifications. The home has exceeded the 50 target of care staff to achieve at least NVQ (National Vocational Qualification) level 2. This was confirmed by staff training records, which were viewed. One staff member spoken with had recently completed their NVQ level 3 Care; they spoke of how they had enjoyed the process and the good support they had received from their manager in achieving the award. Members of staff spoken with said their experiences of the recruitment process were positive. No new member of staff has been recruited since the last inspection. The recruitment process was inspected at the last inspection and was found to be satisfactory. Training records were viewed, the staff team are provided with a good and comprehensive training programme. All newly appointed staff are provided with TOPSS (now Skills for Care) induction and foundation training programmes. Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 20 Training courses provided include health and safety related training, dementia awareness, dementia mapping, Unisafe, vulnerable adults and medication training. All staff have been provided with manual handling, food and hygiene, fire safety which are updated through refresher courses provided to staff where required. Five staff files were viewed and in one case there was a time span of five months since formal supervision had been given. The member of staff, the manager and the supervisee were spoken with and it was stated that this was due to a period of sickness taken by the supervisor. However records did not record this reason and there had been no date planned as next session following supervision given in January 2006. Ixworth Court DS0000037046.V298673.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,38 Quality in this outcome area is good. Service users can expect that the home is managed by a person who is fit to be in charge of the home and that their health and safety will be promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s manager has achieved the diploma in care management qualification and diploma in dementia care and is a ‘fit’ and appropriate manager. The manager and several of the staff at Ixworth have received training in dementia care and dementia care mapping, and the manager shows a clear knowledge of the service users they provide a service to. A number of staff were spoken with were very positive with regards to the management of the home and of the staff group. Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 22 In terms of safe working practices there was evidence at the last inspection that records on training for first aid, abuse, fire and manual handling were available and these were assessed as satisfactory. At this inspection the manager confirmed that staff had received updated training in first aid, manual handling and dementia mapping. Residents’ files were sampled and reflected that there are appropriate arrangements made by residents and their families or appointed representatives to safeguard their financial interests. The home’s staff members are not appointees for residents’ money and are not authorised in this capacity. This arrangement reflects good practice and maximises financial security for all residents. The home’s policy and procedures file reflects that staff have the appropriate information about this available to them and induction training information shows that this topic is covered when staff begin working in the home. Risk assessments were in place for individuals in relation to their needs and specifically for their safety in relation to accessing the environment. Health and safety documentation was available and evidenced that the home keeps up to date and appropriate records of maintenance. Residents confirmed that any repairs are tended to quickly and effectively. Residents spoken with spoke highly of the manager and found them helpful in solving matters. One introduced the manager to her family and the inspector as ‘my good friend.’ Staff spoken with were positive about the improvements the manager has already put in place e.g. improving communication in the home, relevant training arrangements and impromptu support when needed. Staff meeting minutes and residents’ meetings minutes were available to evidence this. Ixworth Court DS0000037046.V298673.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 3 3 4 3 4 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 2 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 3 3 3 3 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 x 3 2 X 3 Ixworth Court DS0000037046.V298673.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. 1 Standard OP9 Regulation 13,2 Requirement All staff who administer medication must adhere to the procedures for the recording of medicines. Timescale for action 01/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP36 Good Practice Recommendations All staff should have formal recorded supervision where they can discuss personal aspects and development of their career a minimum of 6 sessions a year. Ixworth Court DS0000037046.V298673.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Ixworth Court DS0000037046.V298673.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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