CARE HOMES FOR OLDER PEOPLE
Knowle Court 38 Knowl Road Golcar Huddersfield West Yorkshire HD7 4AN Lead Inspector
Sally McSharry Key Unannounced Inspection 4th January 2007 10:50 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 Knowle Court DS0000064291.V319464.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. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Knowle Court Address 38 Knowl Road Golcar Huddersfield West Yorkshire HD7 4AN 01484 658357 F/P01484658357 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) Knowle Court Limited Mr Matthew J Lunn Care Home 21 Category(ies) of Past or present alcohol dependence over 65 registration, with number years of age (1), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1), Old age, not falling within any other category (19) Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 26th January 2006 Brief Description of the Service: Knowle Court is a care home providing personal care and accommodation for up to 21 older people with care needs. The home is owned by Knowle Court Limited, and the manager is a company director. The accommodation is a converted and adapted former Victorian Sunday School situated in the village of Golcar, a former weaving community, on the outskirts of Huddersfield. The accommodation is built over two floors that are joined by a staircase containing stair lifts. All the bedrooms are for single occupancy and there are two lounges and a designated dining room. The home is a short distance from local amenities. The front of the building has a small car park and garden. The provider informed the Commission for Social Care Inspection on 06/12/06 that fees range from £342.98 to £354.72 per week. Additional charges include hairdressing at between £5 and £8, private chiropody at £9, newspapers and toiletries. Information about the home and the services provided are available from the home in the Statement of Purpose and Service User Guide. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit carried out to the home by an inspector on 4 January 2007. The visit began at 10:50 am and lasted four hours. During this visit the inspector spoke to some of the service users, some of the staff and the home’s management. The inspector read care records, audited a sample of medications, reviewed staff recruitment and training records, carried out a brief tour of the building and observed lunch being served at the home. On the day of the visit there were twenty service users resident in the home. Prior to the inspection, ten service user questionnaires were sent to Knowle Court to obtain service users’ views about living at the home. Two completed questionnaires were returned. Some service users in the home are very frail and may have difficulty completing a questionnaire. Relative surveys were sent out to ten of the service users’ relatives or friends. Two GPs attend the home and questionnaires were sent to them. Three health and social care professionals that have contact with the home and service users were also sent a questionnaire. When the inspector wrote this report, eight of the relatives had responded. No responses had been received from GPs and one response was received from a health and social care professional. Other information used in the inspection process included notifications from the provider to the Commission for Social Care Inspection about deaths, illnesses, accidents and incidents at the home, minutes of residents’ meetings and a pre inspection questionnaire completed by the provider and manager. The inspector would like to take this opportunity to thank everyone who participated in the inspection process. What the service does well:
Knowle Court is an excellent care home providing a high standard of personalised care. Relatives who commented in the questionnaires sent out by the Commission for Social Care Inspection said, “well run friendly home where residents are put first” and “The standard of care at Knowle Court is very good and I am very satisfied with the care given to my mother”. Before service users are admitted to Knowle Court, the manager visits the prospective service user to ensure the home, and the staff at the home, are able to meet the service users’ health and welfare needs.
Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 6 Written information is also provided about the home to help prospective service users and their relatives make the choice about whether to come to Knowle Court. Care records are of a good standard. They give staff information about the service users’ needs and how their needs are to be met whilst in the home. Service users and relatives are encouraged to take an active part in developing and reviewing care plans and the manager and staff make every effort to keep relatives informed of the service users’ health and wellbeing, especially when they are not able to visit the home regularly. Medications are managed well. Service users feel safe in the home and said they are able to make decisions and choices in the home. Service users generally feel they are treated with respect, although one service user commented in the questionnaire that staff don’t always listen to them. A relative said, “I am very impressed with the holistic care given to my mother. I have visited at all times of the day/evening and have never been dissatisfied with the standard of care or the attitudes of any of the staff”. Activities are offered to service users, although one service user indicated in their questionnaire that there were no activities offered to them. However, on this unannounced visit, activities were taking place and there was evidence that varied activities are offered. Service users are offered the choice to take part in activities or not. Contact with the community is encouraged and some service users are able to visit the local village independently. There are no restrictions on visiting and relatives all said they were made to feel welcome at the home. Service users are generally happy in the home and staff and service users were heard to have a laugh and a joke during this visit. Generally, comments about the meals being served were good. There is a choice of menu and meals are varied. The meal being served at the time of the visit looked and smelt appetising. One service user said that the meals were not really to their liking or as good as they had at home. The home has a complaints procedure and most service users and relatives said they were aware of how to make a complaint. Knowle Court provides a homely environment and is adequately furnished and fitted. Service users have personalised their rooms to a high degree. On the day of this visit the home was clean and tidy. Service users indicated in questionnaires that it is usually clean and tidy. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 7 Staffing levels are generally good, however two service users said that they sometimes have to wait for assistance. The manager has identified the need to increase staffing levels on an evening and plans to implement changes to improve the service provided. The management team has encouraged and supported staff training. Members of staff continue to attend training courses in a variety of care related practices. The home also has above the recommended level of staff trained to National Vocational Qualification (NVQ) level 2 or above. Staff recruitment records contain the required information and the necessary references and checks have been carried out to try to protect service users. The manager and his deputy have obtained NVQ level 4 in care and management. The senior carer has also started this course. This is well above the recommended standard and very positive to see. Quality assurance in the home is well established and this year the home has undertaken external quality assurance surveys to ensure they are working in the best interests of service users and staff. The home has safe systems in place for the management of service users’ finances. There is a planned maintenance and improvement programme in the home and the manager has recently untaken a Health and Safety survey with Kirklees Metropolitan Council to ensure the home meet safety standards. What has improved since the last inspection? What they could do better:
It has been made a recommendation of this report that staff sign to confirm that movement and handling plans have been reviewed monthly. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 8 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. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 9 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 Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 10 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): 3 and 6. Quality in this outcome area is good. No service user moves into the home without having had their needs assessed and been assured their needs can be met at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users confirmed during the visit that, prior to their admission to Knowle Court, the manager had been to visit them and assessed their needs. Written information had been provided about Knowle Court and the prospective service user and their relatives had had an opportunity to ask questions about the home before they decided to stay there. Care records include written information obtained during the pre admission assessment and the manager also obtains a copy of the Community Care
Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 11 Assessment (an assessment of the service user’s care needs carried out by a social worker). The manager confirmed that trial visits to the home before admission can be arranged. These steps help ensure that Knowle Court and the staff at the home are able to meet the prospective service user’s needs. At this visit, all but one service user at the home were ladies. There are no service users in the home from an ethnic minority. The manager advised that this is due to referrals and not any policy of the home. Knowle Court does not currently provide intermediate care. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 12 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Service users’ health, personal and social care needs are set out in an individual plan of care. Suitable risk assessments are carried out and monitored. Service users are able to make decisions about their lives with the support of staff. Medications are managed safely. Service users are treated with respect, their privacy and dignity is maintained by the staff in the home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans are of a good standard. They detail the service users’ health and social care needs. Care plans are person centred and reflect the individuality of service users. Service users and their representatives are formally invited to help develop and review care plans. On a monthly basis, service users and relatives are invited to read their care plan. Every six months, service users and their
Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 13 representatives are invited to a full review of the care plan and the placement in the home. Any relatives who are unable to visit regularly are contacted by the staff at the home on a monthly basis to give them a verbal update on the service user’s progress. This is excellent care practice and all eight relatives who completed and returned questionnaires confirmed that they are kept informed about important matters affecting their relative. Risk assessments are included in care records. Risk assessments used include a falls risk assessment, monthly weights, a nutritional assessment, a movement and handling assessment and plan, an oral assessment and a Waterlow assessment (this is an assessment used to estimate the risk of developing pressure ulcers). All care plans and risk assessments are reviewed monthly, however, the staff are not currently signing to show that the movement and handling plan has been reassessed on a monthly basis. It is a recommendation of this report that the movement and handling plan be signed and dated monthly to confirm it has been reassessed. The medications of three service users were audited. Medication records are clear and corresponded correctly with the stocks of medicines held at the home. The medications policy has been reviewed and re written since the last inspection. Two members of staff have completed a training course, which is equivalent to a National Vocational Qualification (NVQ) level 2, in the management and administration of medications. The manager audits the management of medications weekly and he reported a new, larger medicine cabinet is to be purchased and fitted within the next month. Of the two service users who completed and returned questionnaires, one said they usually received the medical support they needed. The other said they always received medical support needed. The one questionnaire received from a health care professional said, “This home gives person centred care on a high level. I was very impressed with Knowle Court and staff in dealing with issues relating to two of my service users”. At the time of the visit, service users said that they felt safe and cared for at the home. Members of staff were observed talking to and helping service users in a kind and caring manner. Members of staff and service users were also heard having a laugh and a joke together. One relative commented in their returned questionnaire, “I am very impressed with the holistic care given to my mother. I have visited at all times during the Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 14 day/evening and have never been dissatisfied with the standard of care or attitudes of any staff member.” Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Service users’ social, cultural, religious and recreational needs are being met; they are helped to maintain contact with their families and the local community. Service users are able to exercise some choice and control over their lives. Meals provided are varied. Meals are served in a pleasant environment and service users who need support receive the assistance they require. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the visit, staff were playing bingo with some of the service users during the morning and, in the afternoon, two entertainers visited the home. Staff asked service users if they wanted to take part in these activities. Service users enjoyed the entertainers and sang along, danced and played musical instruments. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 16 Two service users also went out, one independently to visit a friend, and the other went out with a friend. A programme of forthcoming activities and entertainments is displayed on the notice board in the entrance of the home. The manager reported that some service users tend to forget what activities had been arranged and taken place. To help service users remember events and activities, staff try to take photographs to discuss with the service users. Two service users completed and returned questionnaires sent out by the Commission for Social Care Inspection. One said there were never any activities arranged by the home that they could take part in and the other said there were usually activities they could take part in. Two companies visit the home to provide entertainment and activities, Kaleidoscope and Active Minds. Some service users are able to go out independently and others need support. Some visits to the local shops and garden centre take place. Links with the community are maintained and ministers from all denominations visit the home. One service user regularly attends the local chapel. Over the Christmas period a local choir visited the home. All eight relatives confirmed that they were made to feel welcome when visiting the home and that they were able to see their relative in private. Service users are able to exercise some choice within the home. Service users said they were able to choose when they got up in the morning, what they had for meals, where they spent the day and whether they attended activities or not. Generally, comments about the food provided were positive. One service user said they did not like the meals and preferred the meals prepared by their home carer at home. There is a nutritional and varied menu, with choices available at each meal. The lunch being served at the time of the visit looked and smelt appetising and most of the service users said they had enjoyed it. Staff are aware of service users’ particular likes and dislikes and try to meet them. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 17 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Service users and their relatives and friends are confident to make complaints and feel that these will be listened to and taken seriously. Service users are protected from abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Most service users and relatives who completed and returned questionnaires to the Commission for Social Care Inspection confirmed that they were aware of the home’s complaints procedure. One service user said in their questionnaire that they usually tell the care staff but that it is not always acted upon. This comment was made anonymously and was discussed with the deputy manager. Since the last inspection, a new adult protection policy and procedure has been developed. Ten members of staff have attended adult protection training. All remaining members of staff are booked to attend this training in February. During conversations with service users, they indicated that the staff were kind and caring and that service users felt safe in the home. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 18 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 and 26. Service users live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users commented both in surveys, and at the time of the visit, that they were comfortable in the home and that the home was usually clean. On the day of the visit a sample of rooms were observed. All were found to be clean and tidy. Service users’ bedrooms are personalised and homely. Since the last inspection, some new light fittings have been provided, new lounge curtains have been fitted and new dinning room furniture provided. Four bedrooms have been redecorated and new bedroom furniture provided.
Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 19 The manager advised that a new hoist is due to be delivered in February and that a new kitchen is to be fitted. Radiators in communal areas are to be fitted with radiator covers this year. Individual risk assessments are in place for those radiators in bedrooms which are not covered or have a low surface temperature. The manager advised that the radiators in bedrooms are being replaced when rooms are refurbished. The manager said that a new central heating and water system is planned for 2008. One service user commented that they had lost clothes in the laundry system. The manager advised this had been discussed with the individual service user and the home’s own questionnaires had raised issues about the laundry. An action plan has been developed to address these. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Suitable numbers of staff are employed. The staff receive induction and foundation training and are competent to work in the home. Staff recruitment policies and records protect service users. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Six out of the 8 relatives who completed and returned questionnaires said they felt there were sufficient staff in the home. One respondent made no response to this question and one respondent said they felt there was not always sufficient staff on duty. The two service users who completed questionnaires said they sometimes had to wait for assistance. One said this was particularly at night. Staff rosters show that, during the morning, there are between four and seven staff in the home including the manager. Staffing levels in the afternoon vary between three and eight. On an evening and at night, there are two staff on duty. Service user and relative comments were discussed with the manager. Mr Lunn advised that the he has been looking at staffing levels and recognises that, in the evening, levels drop. He has reviewed this and plans to level out
Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 21 the number of staff over the day time and provide three carers in the evening. Generally, staffing levels are sufficient to meet service users’ needs. The management team and staff have worked hard to ensure skilled staff care for service users. Staff training has progressed in the home and 75 of the care staff in the home have an NVQ level 2 or above in care. This exceeds the recommended national minimum standard. A sample of three staff recruitment records was checked at this visit. All contained the necessary information, references and checks required. Mr Lunn has been exploring how he might include service users in the future staff recruitment and selection. He plans to discuss with service users, in residents’ meetings and individually, their preferences in relation to staff recruitment. The staff team is multi-cultural and reflects the local community. Through discussion with the manager, the staff and from training records it is clear to see that the manager is committed to training and improving staff skills. Training provided since the last inspection has included NVQ level 2 and 3, the management and safe handling of medications, emergency first aid, infection control, movement and handling, basic and intermediate food hygiene and NVQ level 4 training for the senior carer. Training planned for the coming year includes dementia awareness, movement and handling, emergency first aid, adult protection and oral care. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 22 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, and 38. Service users live in a home with an experienced and competent manager of good character. The home is run in the best interest of service users. Service users’ financial interests are safe guarded. The health, safety and welfare of service users and staff are promoted and protected. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 23 EVIDENCE: Mr Lunn is an experienced manager of good character. He has obtained NVQ level 4 in care and management and has achieved the Registered Managers Award. The deputy of the home has also obtained these qualifications and the senior carer has commenced the NVQ level 4 course. This level of management training exceeds the recommendations made in the National Minimum Standards. Staff said they were happy working at the home and felt the manager was approachable. Staff spoke of a good staff team and feeling valued. Several quality assurance measures are in place. On a weekly basis, medications and care plans are checked to ensure they are up to date, accurate and completed correctly. Residents’ meetings are held and relatives are welcome to attend. The services the home provides are discussed with the residents. However, if anyone wishes to speak to the manager on an individual basis they are welcome to do so. Annual quality assurance questionnaires are sent out to service users, relatives, GPs and District Nurses. The results of questionnaires are displayed in the entrance of the home and an action plan developed to address any issues arising. In 2006 the home successfully completed the Investors In People award and took part in a work diagnostic survey. This was carried out by an external organisation and looked at staff conditions to ensure they are of a good standard. No one working at the home acts as an appointee for any of the service users. Some service users have small amounts of spending money held by the home. A sample of these records and monies were audited during this visit. Records are clear and show how money has been spent on the service users’ behalf. All monies checked were correct and corresponded to the records held. Those service users who are able may manage their own finances. There is a planned maintenance programme in place in the home, with records to show maintenance checks and tests have been carried out. At the last visit, it was noted that routine hot water temperature checks were not being recorded. Detailed records are now being kept. Detailed records are also maintained for the fire safety system checks and tests, fire drills and lectures. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 24 The manager has recently completed a Health and Safety review with Kirklees Local Authority to ensure the home remains safe for service users and staff. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 25 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 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 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 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 26 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. 1. Refer to Standard OP8 Good Practice Recommendations It is a recommendation of this report that the movement and handling plan be signed and dated monthly to confirm it has been reassessed. Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Knowle Court DS0000064291.V319464.R01.S.doc Version 5.2 Page 28 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
