Inspection on 30/04/07 for Leighton House

This inspection was carried out on 30th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Leighton House 14/11/05

Leighton House 13/06/05

Leighton House 22/11/04

Leighton House 10/08/04

Leighton House 26/02/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Leighton House 59 Burgh Heath Road Epsom Surrey KT17 4NB Lead Inspector Mavis Clahar Unannounced Inspection 30th April 2007 10:25 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 Leighton House DS0000013333.V333205.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. Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Leighton House Address 59 Burgh Heath Road Epsom Surrey KT17 4NB 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) 01372 720908 a.hashmi@leighton-house.com Mr Azher Hashmi Mrs Eileen Spacey Care Home 26 Category(ies) of Dementia - over 65 years of age (6), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (6), Old age, not falling within any other category (26) Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Of the 26 residents accommodated, up to 6 may fall within the category of either MD(E) or DE(E) In respect of this service, Service Users may be admitted from the age of 60 Years and over. 14th November 2005 Date of last inspection Brief Description of the Service: Leighton House is a large detached property that has been converted to provide accommodation for twenty-six service users. The home is located in a residential area of Epsom. Access to shops, church, public transport and other local services is short distance from the home. However, the home is situated on the top of a hill and this can cause some difficulty for service users especially those who use a wheelchair. Accommodation is provided over two floors with twenty single and three shared bedrooms. Eighteen of these rooms are provided with en-suite facilities. There is a passenger lift access to the first floor. The home provides two lounges, a dining room and a large garden and patio area. The home has car-parking facilities at the front of the house. The main office and some staff accommodation are provided on the top floor. Fees at this home are in the range of £695 to £725 per week. Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit, which forms part of the first key inspection to be undertaken by the Commission for Social Care Inspection, (CSCI) was undertaken by Mrs Mavis Clahar on the 30th April 2007 and lasted for five hours; commencing at 10:25 am and concluding at 15:30 hours. The information contained in this report is gathered from residents’ notes and records kept by the home, from discussions with residents, and visitors, from direct observation by the inspector, along with discussions with the proprietor and care workers present on the day of the visit. The first part of the visit was spent updating the Senior Registered Nurse (Who was acting up in the absence of the manager) about the improvements and changes to the inspection processes under inspecting for better lives. This was followed by discussions around training needs of the care workers and how these needs were being identified and met, and employment of new care staff were discussed. A review of randomly selected service users’ files and care workers records was undertaken and all found to be in good order. The proprietor joined the inspection at 11:00 am. The second part of the visit was spent reviewing service users’ care notes, which were up to date and sampling selected policies and procedures. The home has developed its Equality and Diversity policy and some senior staff are currently undertaking the course. The third part of the inspection was spent visiting and discussing with service users and their visitors in the lounge and outside on the patio and in the garden. Service users were enthusiastic about their home and the service they receive, and their relatives supported this. Service users spoken to said they enjoyed their lunch, which was prepared freshly in the home’s kitchen. Time was spent observing the care workers and service users’ interactions and to obtain feedback on the meal, its suitability, taste, texture and amount. They told us that portions were varied to suit their appetite and that they all ate their meal in a very social gathering, all sitting at tables which were laid for four. Service users commented positively on their meal, and the food served at the home in general. A tour of the home was undertaken and it was observed that residents’ bedrooms were kept in very good condition, both decorative and clean and tidy. The bedrooms are attractively presented. Generally, the home presents as clean and tidy. One recommendation for good practice regarding supervision of staff was made on this visit. Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 6 The inspector would like to thank all the service users and their relatives residents and care staff who made the visit so productive and pleasant on the day. The final part of the visit was spent giving feedback to the proprietor and senior registered nurse about the findings of the visit. What the service does well: What has improved since the last inspection? The home has enlarged two downstairs toilets to ensure service users in wheelchairs can access the toilet in comfort and safety. A new sluice has been purchased and is in place on the ground floor to ensure the possibility of cross infection in the home is kept to a minimum. Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 7 Huge decking area has been constructed around the base of the Cedar tree in the garden and is furnished with new tables and chairs, to ensure service users can enjoy the good weather. The patio to the rear of the home has been improved to include a playing water fountain, tables with sunshades and chairs strategically placed to enable service users and their relatives to have some privacy and still enjoy the weather. Following a staff meeting the home has piloted the use of an empty bedroom for relatives of dying service users who wish to stay at the home with their relatives. This has been evaluated and the home has received some very positive feedback (kept on file for review) from relatives who have used this bedroom. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Leighton House DS0000013333.V333205.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 Leighton House DS0000013333.V333205.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): 36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Significant time and effort is spent ensuring admissions to the home is personal and well managed. Prospective service users and their families are treated with dignity, respect and understanding for the life changing decisions they have to make. There is a high value on responding to the individual service users’ needs for information, reassurance and support. EVIDENCE: The home has a policy and procedure on admission and discharge of service users. Within the admission policy all service users must have an assessment prior to being admitted into the home. The manager who is trained in the principles of assessment of service users’ needs based on what the care the home says it will provide carries out all pre admission assessments. Review of a random sample of service user’s files demonstrated that pre admission assessments are being carried out. This is followed by a full comprehensive Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 10 needs assessment carried out over a period of time by staff competent to do so. The service has demonstrated that it is skilled in obtaining a summary of any assessment undertaken through the care management arrangements and has also obtained a copy of the care plan. Care plans sampled reflects the needs of the service user, taking into account their cultural, religious and social preferences. In discussion with care staff it was evident they are qualified and skilled to meet the differing needs of the service users, encouraging and supporting them to achieve full independence before returning home. Leighton House DS0000013333.V333205.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 10 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 good and clear care plan in place for service users, which also includes appropriate risks assessments. This forms the basis for care based on the agreed care needs of the service users and demonstrated that health and personal care needs were met. Care staff receives training to meet the assessed care needs of the service users ensuring that competent staff supports service users and their health and care needs are met. The home’s medication policy on receiving, storing and administering and return of medication was in place and being adhered to thereby ensuring the safety and protection of the service users. EVIDENCE: Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 12 The randomly selected care plans were clear and easy to read, identifying potential and actual risks to service users. Moving and handling and risk assessments for service users were completed for service users identified at risk of falls. Pressure area monitoring tools were in place and records of their use were suitably completed. The daily work sheet along with discussion with service users and their relatives demonstrated that service users care needs as agreed and documented in the care plans are fully met. In discussion with service users they were able to say whom their General Practitioner (GP) was and that they saw their GP on a regular basis. The recording of GP visits to service users kept by the home supported this information. Review of documents and in discussion with service users confirm that service users are referred to the wider primary care facilities as and when needed. No service user at the time of inspection was responsible for their medication, but the Senior Registered Nurse (RN) was knowledgeable about what to do should this situation arise. Good clear records are kept of medication receipts, storage, administration and returns. Care staff identified as capable to administer medication are requested to leave a specimen of their signature in the medication trolley. All service users have a recent photograph included in their medication record to reduce the risk of mistakes happening during medication administration. The medication records were reviewed and these were found to be in good order. The Control Medication cupboard and contents were reviewed and all receipts and administrations and disposals were recorded correctly. There were two visitors to the home who spoke with the inspector. Both these relatives said they were happy with the care given to their relatives. They both said the staff are always polite to them and they were free to visit any part of the home their relatives were using. A number of thank you cards were reviewed and it was apparent relatives were happy with the service provided both to their relatives and to themselves. One relative wrote, “As a grand daughter and a nurse, I fully understand the challenges of nursing the elderly, and we never had a moments worry from the day she was delivered into your care. I thank you from the bottom of my heart”. Another relative wrote, “We’ve all been so grateful especially for the support we’ve received from you all during Gran’s last days; it made it so much easier knowing we were welcome to stay as we wanted throughout”. Service users were observed being treated in a friendly but respectful manner by care workers. Leighton House DS0000013333.V333205.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): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users lifestyles matched their needs and preferences and where possible they are able to maintain contact with family, friends and the local community. Service users are able to make choices in accordance with their abilities and were provided with a balanced diet in pleasant surroundings and in an unhurried way. EVIDENCE: The home employs an activity-co-ordinator who provides a range of activities based on the needs of the service users. This activity can be one to one such as reading services, or in groups as observed on the day of the inspection. Activities includes reflection of the past, current affairs, painting/drawing, crosswords bowling/skittles and gentle stretching exercises. It was noted that care workers were also involved in the exercises with their service users. The Church of England (C/E) Vicar visits once per month on a Thursday to conduct Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 14 church service with the service users, whilst some service users have their own Vicars come to attend to their spiritual needs. The Roman Catholic Priest visits as needed, but the deaconess offer Holy Communion to service users once per month. Visiting is open, and service users can entertain their guests in their bedrooms in private or in the spacious communal areas of the home, or as observed on the day of inspection out on the newly built terrace where they can enjoy the newly erected water fountain, and for the more able service user, they can use the new decking erected in the grounds which benefit from the shade of the huge cedar tree. We were told the mobile library visits the home approximately once every six weeks, and service users are able to exchange their library books. Also that theatrical and musical entertainer is invited into the home to perform for the service users on a regular basis. One service user told us “Pat the Dog is her favourite visitor to the home”. Three of the service users spoken to said they had choice in their clothing. Sometimes they receive help from their key worker. On the day of inspection all service users were dressed appropriately for the unusually warm weather. The Chef told us she operates from a four-week menu and there is always a choice of two hot meals per day at mid-day, or salad at mid-day or the service user can choose their own food e.g. omelette etc. The evening meal is always soup followed by hot meal or sandwiches filled with service users choice. There were ample amount of fresh fruit, dry food and frozen food available in the home. The inspector did not sample the lunch, but service users said the food was very good, tasty and the right amount. The inspector observed the presentation of the food was done in a way to stimulate appetite. Lunch was served in the dinning rooms unless a service user requested to have their meals in their bedrooms Leighton House DS0000013333.V333205.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): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints policy and procedure and training in place that evidenced that service users and relatives concerns are listened to and acted upon. Robust Safeguarding adults’ policies are in place to protect the service users from abuse. EVIDENCE: Since the last inspection the home received one complaint, which was logged with the outcome. This demonstrated that service users and relatives complaints are taken seriously and are dealt with within the homes policy and procedure time frame. The Senior RGN told us that the manager is in touch with service users on a daily basis and issues raised are dealt with immediately; this reduces the incidents of formal complaints. Service users and relative spoken to on the day of inspection told us they have no need to complain, as they are able to discuss everything with the manager and the Owner who is at the home on a daily basis. The home has a complaints procedure and policy, which is fully adhered to. The care workers were aware of the homes’ policy and procedure on Safeguarding Adults and felt secure in the knowledge that if they had to use Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 16 the whistle blowing procedure the manager and the Owner of the home would support them. Two issues have been raised under Safeguarding Adults procedure. One has been investigated and was not proven, whilst the second is currently being investigated. A random sample of care workers training record demonstrated that care workers are being trained to undertake the duties of meeting the service users assessed needs, thereby protecting them from abuse. Leighton House DS0000013333.V333205.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): 19 26 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 well-maintained environment, which provides aids and equipment to meet the care needs of the service users. There is a selection of communal areas, which means that service users have a choice of place to sit quietly, meet with family and friends or to engage with other service users. The home presents as a pleasant and safe place to live with rooms that meet the National Minimum Standards (NMS). EVIDENCE: The home is well maintained and provides comfortable indoor and outdoor facilities. The bedrooms are very well planned with most being for single occupancy. However, there are some double bedrooms, which are for couples wishing to share, but can also be occupied by service users wishing to share a Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 18 bedroom. The home has a number of communal areas where service users can sit quietly, entertain their guests or actively engage with other service users. Since the last inspection the home has undergone many changes to include enlarging two ground floor toilets for service users, redesigning the patio, which now includes a water fountain, wooden seating and tables with umbrellas decorate the patio which was being used by service users and their guests on the day of the inspection. Further improvements to the home consists of a splendid decking around the huge cedar tree with tables and chairs strategically placed so that service users can enjoy the fine weather and have a private conversation with their guest. Generally the home’s décor is of a good standard. The home provides nurse call systems, adapted toilets and bathrooms hoists and grab and hand rails which meet the assessed health and social care needs of the service users. . It was noted that care staff had training in health and safety and infection control as logged in their training files and training matrix. Leighton House DS0000013333.V333205.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): 27 28 29 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of the service users. EVIDENCE: Review of the duty roster revealed that staff present on the day of the visit matched staff documented on the roster. The staff mix of trained nurses, care assistants and domestic workers was sufficient to meet the needs of the service users and to keep the home clean and tidy. We were told the manager and all RGNs attend the Surrey course on Safeguarding Adults. A consultant trainer is employed to come in and train all other staff on recognising and reporting actual or suspected adult abuse three to four times per year. The home is actively encouraging ALL staff including domestic staff to complete the abuse course. The Registered Nurses, and care workers and domestic staff supported this in discussions with them. This was further evidenced in their records of training kept on file. It was also noted that, care workers are booked on various distant learning courses suitable to meet the needs of the service users. Currently two members of staff are booked on the Equality and Diversity course and the home has an Equality and Diversity policy in place. Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 20 The home has a robust selection and staff recruitment policy, which is based on the home’s equal opportunities policy. All staff are Prevention of Vulnerable Adults (POVA) and Criminal Record Bureau (CRB) checked prior to commencing work at the home. All newly appointed staff follow the home’s policy and procedure on induction, shadowing and end of induction period interview. The Pre inspection questionnaire indicated all members of staff have been POVA and CRB checked, and this was supported by the Senior Nurse who told us all carers/members of staff must have a current Clear CRB prior to being employed at the home The home ensures that staff undertakes the mandatory training with yearly updates as necessary to maintain their competency to fulfil their duties. This was evidenced through discussion with the deputy manager and care workers and by checking care workers’ training files. Care workers have supervision sessions with the manager as documented in their folders but this supervision is not done on regular basis. A recommendation of good practice was made on this standard for care workers to be supervised at least six times per year. Identified learning needs to meet the assessed needs of the service users are dealt with as soon as they arise. Training and development schedules were reviewed and it was evidenced that training is ongoing and covers current issues related to the care of the service users. Leighton House DS0000013333.V333205.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): 31 33 35 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager has the experience to run the home and works to continuously improve services and provide an increased quality of life for the service users. There is a strong ethos of being transparent and open in all areas of running the home. The views of service users and their relatives are actively sought in the running of the home Service users financial interests are safeguarded. The service provides training on health and safety issues for all staff and service users are involved in the running of the home. Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 22 EVIDENCE: The training records of the registered manager has demonstrated that she has kept herself updated on issues relating to care of service users and staff in her charge. In discussion with the senior nurse and care workers, it was evident the manager was knowledgeable about the care needs of the service users and the training needs of the care workers to meet the identified care needs of the service users. There are clear lines of accountability within the home; each member of staff spoken to on the day of the inspection was clear about their role and responsibilities. In discussion with various staff members it was evident that there is a strong ethos of transparency and openness in the home and that service users and staff views are sought and acted upon. There is effective quality assurance and monitoring systems in place based on seeking the views of service users, their relatives and other stake holders in the community on the running of the home. Following on from a staff meeting it was agreed to do a trial of making available one (Vacant) bedroom for the use of relatives who wished to stay with their dying relative. The evaluation of this practice was most encouraging. This action fits in with the continuous evaluation and planning for the care of the service users, which the home undertakes, based on its stated aims and objectives. The home does not become involved in service users’ finance. Review of documented records demonstrated that health and safety checks are routinely carried out at the home. All equipment examined on the day was properly maintained. Records indicated that fire drills, fire alarm, water temperature were regularly checked. Random sample of care workers’ training files demonstrated that up to date and relevant training were carried out by care workers to protect service users’ health, welfare and safety. In discussion with care workers it was good to hear they had an understanding and implementation of appropriate procedures to safeguard service users, and they spoke about their understanding of promoting safe working practices based on their health and safety training. Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 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 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 4 Leighton House DS0000013333.V333205.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. 1. Refer to Standard OP36 Good Practice Recommendations Expand the supervision of staff to include philosophy of care in the home and career development of the care workers. Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House, 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 Leighton House DS0000013333.V333205.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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