Inspection on 24/04/07 for Laurel Bank

This inspection was carried out on 24th April 2007.

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

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Laurel Bank Westbourne Road Lancaster Lancashire LA1 5EF Lead Inspector Ms Jenny Hughes Unannounced Inspection 24th April 2007 10:30 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 Laurel Bank DS0000069266.V331203.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. Laurel Bank DS0000069266.V331203.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Laurel Bank Address Westbourne Road Lancaster Lancashire LA1 5EF 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) 01524 388980 01524 32857 Barchester Healthcare Homes Ltd Mrs Melana Thomas Care Home 67 Category(ies) of Old age, not falling within any other category registration, with number (62), Physical disability (5) of places Laurel Bank DS0000069266.V331203.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The registered numbers to include up to 62 persons aged 65 years or above (OP), and 5 persons who are either Older Persons (OP) or who have a Physical Disability (PD). The maximum numbers of people to be accommodated at any one time must not exceed 67 persons. Date of last inspection Brief Description of the Service: Laurel Bank is a purpose built care home, set in its own grounds, with attractive landscaped gardens and a large patio area with seating and tables. Parasols add to the scene in the warmer weather. It is a short distance from the centre of Lancaster, so there is easy access to transport links. The home has its own ample sized, tree lined, car park. The home provides personal and nursing care for older people, and is well equipped to suit the needs of its residents. For example, there is a passenger lift, assisted baths, hoists, grab rails, and ramps. Single and double rooms are sited on two floors, all being en-suite. Toilets and bathrooms are conveniently situated. There is sufficient communal space, with lounges and dining rooms on both floors, and a large conservatory on the lower floor. There is a small smoking room next to the conservatory, which opens out onto the patio area. Three cooked meals a day are provided, with varied choices, and snacks and any dietary needs are also catered for. An Activity Coordinator makes sure there is a variety of different events going on to entertain most people. Qualified nursing staff and care staff are provided over 24 hours, every day of the year. As at 24th April 2004, the fees started from £490 per week, with the final agreed cost depending on the individual assessment of need. Laurel Bank DS0000069266.V331203.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit to the home, in that the owners and manager were not aware that it was to take place. The site visit was part of the key inspection of the home. A key inspection takes place over a period of time, and involves gathering and analysing written information, as well as visiting the home. The length of the visit was for 5 hours. Before the visit took place, the manager was asked to complete a preinspection questionnaire, and surveys were received from people who live at the home and their relatives, and visiting professionals. During the site visit, staff records and peoples’ care records were viewed, alongside the policies and procedures of the home. The manager, people who live at the home and care staff were spoken to, along with relatives who called during the visit. Their responses are reflected in the body of this report. A tour of the home was made, viewing lounges, dining room, bedrooms and bathrooms. Everyone was friendly and cooperative during the visit. What the service does well: The home has long term, experienced staff, who lead by example with good practices and attitudes, so encouraging the same in younger staff. Varied training courses are readily available for all staff. Assessments and care plans are very clear and detailed, for staff to understand how best to look after each individual. They show all areas of need, alongside their likes and dislikes and preferred daily routines. Daily records are detailed and complete. “My patients receive very good care at Laurel Bank,” stated a GP in a survey, “Comprehensive, compassionate health and social care” commented another, and “As a GP they appear to give a very good level of support to their clients”, said a third. Visitors are welcome at any time, and communication between the manager, staff, people at the home and their families is continuous, with the manager Laurel Bank DS0000069266.V331203.R01.S.doc Version 5.2 Page 6 always making herself available. “Excellent hospitality – they make the extended family feel very welcome”, said a relative. “The devotion of the manager, admin staff, and nursing and care staff is exceptional,” stated another relative. There is a wide variety of activities for people, and their families, to take part in, from crafts and cooking, to gentle exercise, shopping and meals out, barbecues and the Summer Fayre, to hairdressing in the on-site salon. “They try to have different activities to please all tastes,” said a relative. People who lived in the home said that activities they liked were usually available. Meals are home-cooked, varied, with well-balanced choices. 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 Laurel Bank DS0000069266.V331203.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Laurel Bank DS0000069266.V331203.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 Laurel Bank DS0000069266.V331203.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 1,3 and 4 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a very comprehensive assessment procedure, which is carried out for all people who live there. This means that the service provided is always tailored to an individuals needs and preferences. EVIDENCE: There is a Statement of Purpose and Service User Guide in place for the home. The information held in these tells you about what the care service can offer. They inform on who the owners are, who the manager and staff are, and what the people who live at the home can expect. All of this information is constantly updated, and the reception area of the home has a large file available for all to view, which holds, amongst other things, the Service User Guide, detail about the Barchester organisation, an example of the contract between the person and the home, a list of activities taking place in the home, Laurel Bank DS0000069266.V331203.R01.S.doc Version 5.2 Page 10 minutes of the latest residents meeting, and the latest newsletter ‘Laurel Bank News’, which includes input from people who live there. Relatives were surveyed, and they all responded saying they felt they had enough information about the home before admission. Individual records are kept for each of the individuals, with a set procedure for admitting someone to the home. A detailed pre-admission assessment was seen on the four selected files. They included all aspects of physical, social and psychological care, identifying strengths and needs of the individuals, and showed that the home was able to provide the care that was needed. All people are assessed as an individual, using the same assessment tool, showing equality of care. The manager or senior nursing staff carried out these assessments, usually visiting the individuals in their homes. All of the assessments had been agreed with the person or their family, with a signature to show this. Most of the people could not remember if they had been visited at home or not, and one person commented, “I do remember someone coming to see me. But my family sorted things you know”. Local GP’s were sent a survey, of which all were returned with positive comments, one saying they felt the home provided “Comprehensive, compassionate, health and social care”. Laurel Bank DS0000069266.V331203.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): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of individuals are well met in this home. People at the home benefit from the support of healthcare professionals. EVIDENCE: Individual care plans are available, devised from the assessment information, identifying the areas of need for each person, and with clear instructions for staff on what they must do to meet that need. These were seen on the files viewed. A new system has been put in place since the last visit, and staff have worked hard to make sure all individuals files have been updated with this. The care plan information gives a complete picture of the individual, and the best way to look after them. Laurel Bank DS0000069266.V331203.R01.S.doc Version 5.2 Page 12 Most of the people at the home were unable to say that they knew about their care plans, although one said “They have something written about us so they know what to do”. Relatives confirmed they knew about the care plans, and they were kept informed on everything about their relative’s care in the home. Healthcare opportunities were offered equally to all individuals, and records of visits from healthcare professionals such as GP’s, chiropodists and physiotherapists clearly note the reason for the visit, and the action taken by the staff in response to it. The care of a person with a pressure sore was well documented, with initial photographs, structured and informed care planning and very regular reviews, providing the person with the best care the home could. A GP commented, “My patients receive very good care at Laurel Bank”, and another said “They are highly professional, respect the patients and are well organised”. One GP commented “They have high levels of empathy for the residents. They make appropriate use of GP services”. Discussion with, and observation of, staff, confirmed that they were aware of the individual needs, and specialist needs, of the people living at the home. Most people were sitting in the lounges or the conservatory, but some people preferred to stay in their rooms, or were too poorly to get up. Curtains on the small windows in the bedroom doors were closed if the person wished, and always closed when a carer or nurse was helping the person. All staff were seen to treat a person who lived at the home’s conversation as priority, listening and interacting with a group of individuals, as they went about their work. At a visit by the Pharmacy Inspector on 19th April 2007, some flaws in the medication procedures were found. A requirement, and some good practice recommendations were made at the visit. At this visit, the manager was seen to have immediately taken action to address and correct these. She said she has used the information provided by the Pharmacy Inspector to improve the weekly audit she undertakes, improve some of the systems where necessary, and to further develop training between both nursing staff and care staff. Staff administering medication during this visit were seen to be following the new directions given to them. These procedures now need to be sustained and continuous. Laurel Bank DS0000069266.V331203.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 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who live in the home experience a good quality of life in this area. Meals were nutritious, and mealtimes relaxed, which encourages people to enjoy food and mealtimes. There are plenty of varied activities, and most people are stimulated and motivated by joining in. EVIDENCE: The individual care plans contain information on the past interests and hobbies of the people living at the home. An Activities Coordinator assesses each individual for what activity they would be able, and wish to, participate in. The regular events are advertised, and a new mini-bus means that the welcome trips out in the warmer weather are now back on the list. Relatives are encouraged to join in, and posters around the home informed everyone of the amount raised at the fund raising ‘Easter Family Fun Day’ which had been held at the home. Laurel Bank DS0000069266.V331203.R01.S.doc Version 5.2 Page 14 Paintings and crafts people living at the home have done are nicely presented on a wall in the reception area, showing the skills people have, or are developing, during their stay in the home. During the visit a singer/keyboard player was providing entertainment for those people who wished to join in. Staff asked who would like to listen, and helped those who needed it into the room being used. Half an hour later they were singing, swaying and clapping to the well-known tunes being played. Activities are diverse, and the Chinese New Year was celebrated, with Chinese staff dressing in traditional garments, and people having a chance to taste Chinese food. Gourmet evenings are arranged, when a dining area is turned into a restaurant type environment, and visitors can have a meal with their relatives in pleasant relaxing surroundings. “There is excellent hospitality – they make relatives feel very welcome”, was a comment on a survey returned. A relative commented, “They go out of their way to help mum, and make us very welcome. They have various forms of entertainment, and different churches hold regular services” One person was sat in the conservatory, looking over the area of garden designated for the ‘sensory garden’. The manager said this is to be wheelchair friendly, and have plants and objects to smell, touch and hear. The person was part of the group interested in deciding what should be in the garden “I like flowers” she commented. A corner of the conservatory is taken over as a ‘reminiscence corner’. People and staff have made contributions to this, from dolly pegs to old photos, humbug tins to old adverts, all prompting memories and conversation. Meals are served in a light, well-set dining room, while gentle music plays. Glasses of sherry or wine are offered with the meal. Meals are nutritious and varied, with planned menus, which are on view outside each dining room, and at the entrance to the home. Lunch on the day of the visit was liver and onions, or chicken chasseur with vegetables. All of the surveys returned from people who live at the home thought the meals were good. One relative said, “The food is good. My relative is a vegetarian and is always consulted about menus”. Different diets are dealt with as necessary, and staff are also aware of these needs. One staff member was seen explaining to a person about why it would be better if they had no more chocolate, as they were diabetic. “I meet the residents every morning to ask what it is they would like from the menu. It’s a way of getting to know them as well isn’t it?” commented the chef. Laurel Bank DS0000069266.V331203.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 and 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are confident all of their concerns will be listened to and acted upon. Staff have a good understanding of Adult Protection issues, which protect people who live in the home from abuse. EVIDENCE: There is a well-developed complaints procedure in place, with a very good system of recording, monitoring and dealing with any complaints, which have come to the manager’s attention. All concerns are recorded, including minor grumbles. “They are as important as any to the person involved”, said the manager, “To make the service as good as it can be, you need to deal with every concern and grumble”. Outcomes of the investigation are recorded, with review dates to check the problem has not reoccurred. The manager says it gives a good picture of what is happening within the home, and she is able to “keep her finger on the button”. Responses from surveys show that relatives and people living in the home know how to make a complaint, and one relative said, “Staff are always willing to discuss any aspects which I might find worrying”. Staff records showed they had all had training in the protection of vulnerable adults, and those spoken to were clear on what to do if they had any concerns Laurel Bank DS0000069266.V331203.R01.S.doc Version 5.2 Page 16 about a person’s welfare. People at home said that they felt safe and well looked after. Laurel Bank DS0000069266.V331203.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of the environment in this home is kept consistently high. It provides people with an attractive and homely place to live. EVIDENCE: The garden is landscaped and attractive, with a large patio area in front of the conservatory holding solid wooden seating and tables, for use in the good weather. The local wildlife in the form of a variety of birds, and squirrels, enjoy the garden, which can be seen from some lounges and bedrooms. Maintenance is ongoing, with continued decoration and refurbishment where necessary. Newly decorated and carpeted bedrooms were seen, and two new assisted baths, one in a newly tiled bathroom. Daily issues are reported by staff, with the maintenance man dealing with them as soon as possible. Regular head office audits check that maintenance is carried out as it should Laurel Bank DS0000069266.V331203.R01.S.doc Version 5.2 Page 18 be. All tests of lighting, fire alarms, nurse calls, and water temperatures are carried out very regularly, with clear records made. A tour of the home confirmed that the bedrooms, all ensuite, were nicely furnished and decorated, and were full of people’s personal belongings, such as photographs and pictures, ornaments and flowers. “Yes I like my room. I helped to choose this carpet you know?” said one person. “I like to stay here and watch my telly”, said another. New admissions are welcomed to their room with the nice touch of fresh, new towels, with bath products, laid on their bed. The lounges are comfortable and homely, and of varying sizes. A small smoking room caters for the few people who like to smoke, without affecting those who don’t. Grab rails, assisted baths, lifting and bathing hoists, and raised toilet seats all go towards helping the mobility of people around the home. The laundry room was clean and tidy, with an organised system being used to protect against cross infection, and to make sure there is no misplaced clothing. The housekeeper had addressed the system being used in this neat and tidy laundry, following a comment from a visitor that some items of their relative’s clothing had gone missing. There have been no further problems noted. Training and procedures are in place for staff, to make them aware of the best ways of working to keep themselves, and the people in the home, safe. Laurel Bank DS0000069266.V331203.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 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home uses a very good recruitment procedure, which ensures that only people who are suitable for this type of work are offered an appointment. Staff training is provided, and competency measured. This means that people living at the home receive appropriate care and attention. EVIDENCE: Four staff files randomly chosen showed that the necessary recruitment checks had been carried out to ensure the protection of residents. References and Criminal Bureau checks were available. Professional qualifications are also confirmed. The home manager, and the office manager, ensures all of the information is complete before the new staff start work. All staff undergo a comprehensive induction, which is signed and dated by their manager when completed. The staff group are a mix of qualified nursing staff, and care staff, experienced or young and enthusiastic, both male and female. Student nurses also work at the home on placement. Overseas nursing staff are firstly employed as carers, until they have completed their nursing adaptation for this country, when they are then promoted to the nursing staff team. Laurel Bank DS0000069266.V331203.R01.S.doc Version 5.2 Page 20 Domestic staff are managed by the Housekeeper, whose role is to ensure a continuous high standard of cleanliness in the home. Training courses on various aspects of care are ongoing for staff, with information provided to staff for them to choose which courses they would like to attend, and to inform them which courses they must attend. Training is targeted to the needs, and potential needs, of the people who live in the home, and appraisals of staff identify who would benefit most from which training. “I like to try and get a variety of different trainers to come into the home, to make it interesting for the staff” said the manager, who also attends training. “The workshops are really good. I’m going for one for appraisals. I’m also trying to get the GP to come in, and the pharmacist is coming in to address the issues in training which were brought up by the CSCI pharmacy inspector”. The floor managers also note the training needs of staff. One has devised a ‘Back to Basics’ programme for her staff team, to refresh the awareness they must have of how it feels to be, for example, in wheelchair, or helped to be fed. The training is varied and imaginative “and you’ve got to make it fun as well” commented the floor manager. Further topics to be targeted in this training are incontinence issues, and pressure sores. Staff were seen using hoists correctly, carefully and tactfully, talking to the person in the hoist all of the time. Care staff also undertake NVQ Level 2 and Level 3 in care, with 63 of care staff holding NVQ qualifications. A GP commented, “Clients are treated as individuals, and staff are seen to pay careful attention to giving good holistic care, and keeping the residents entertained”. The rotas showed appropriate numbers of qualified and unqualified staff on duty through the day and night. Laurel Bank DS0000069266.V331203.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): Standards 31, 33, 35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The systems for consulting with people living at the home and their families are good, with a variety of evidence that shows that people’s views are both sought and acted upon. Systems and practices in the home promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: The manager holds nursing qualifications, and has many years experience of running a care home. Laurel Bank DS0000069266.V331203.R01.S.doc Version 5.2 Page 22 There are comprehensive systems used in the home to regularly audit and monitor standards, and to get feedback from people living at the home and their families on their level of satisfaction with the service. The Barchester organisation sends a survey out 6 monthly to people at the home and their relatives, which is about the overall service provided. The home’s manager sends the home’s own surveys out about every three months, which are more specific, and ask people about things in the home which they may like or dislike. The Barchester survey is returned directly to head office, so encourages people to perhaps comment on things that they may not like to say directly to the home. A summary of the outcomes of the surveys, with any comments made by people responding, is in a file in the reception area of the home, for anyone to view. A letter also goes out to relatives, detailing the outcomes. Relatives stated that they were always made to feel welcome, and they were happy with the level of the on-going communication between themselves and the home. “Standards of care are very high,” commented a relative, “ The management and staff nurses have excellent communication.” “All the staff – care workers, office staff, nurses, chefs, cleaners, are all very caring and very friendly.” Commented another relative. The manager said she likes to be open, and welcomes staff, people at the home and relatives to approach her, often walking around the home chatting to staff and individuals, and making sure her office door is always left open for people to call in and speak to her. Meetings for staff, and for people who live at the home take place regularly. All have an action plan devised following the meeting, to determine how issues raised are to be addressed. Any accidents taking place in the home were recorded. An accident statistic record is produced every month, to inform management on how many of any type of accident has occurred, so that reasons for the re-occurring problem can be dealt with if possible. This gives good overview of the service. Records show regular fire training for staff, and the manager confirmed that the maintenance and servicing of equipment was up to date. There was no change in the financial procedures of the home. Laurel Bank DS0000069266.V331203.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 4 X 4 4 X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Laurel Bank DS0000069266.V331203.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 Laurel Bank DS0000069266.V331203.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Laurel Bank DS0000069266.V331203.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. 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!