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Inspection on 05/06/06 for Littlecoates House Care Home

Also see our care home review for Littlecoates House Care Home for more information

This inspection was carried out on 5th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service users who move in to the home have their needs fully assessed so that the staff can be sure that they have the skills to look after them. Once in the home the staff talk to the residents and other professionals to help to plan their care for the future in the home. This means that residents are well cared by all staff and in a way that the service user prefers. Staff are well trained to look after older people who may be vulnerable. Residents told the inspector that the manager of Littlecoates was easy to speak to and all of this means that their views are considered and that they are safe in the home.

What has improved since the last inspection?

The manager now spends more individual time with each of the staff discussing how well they are doing, and what training needs that they may have and how they understand what each service user needs. This means that the service users are provided with care by a staff group who are supportive of their needs and whose skills are often updated.

What the care home could do better:

Staff at the moment do not keep a consistent detailed record of the individual service users day at the home and they often rely on other staff to keep them up to date through discussions. This could result in residents at the home not getting the care they require when they need it.

CARE HOMES FOR OLDER PEOPLE Littlecoates House Care Home Littlecoates Road Grimsby North East Lincs DN34 4NN Lead Inspector Stephen Robertshaw Unannounced Inspection 5th June 2006 09:30 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 Littlecoates House Care Home DS0000002792.V295255.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. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Littlecoates House Care Home Address Littlecoates Road Grimsby North East Lincs DN34 4NN 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) 01472 343833 01472 354743 CKB Building Services Limited Mrs Christine Mary Rhodes Care Home 46 Category(ies) of Dementia - over 65 years of age (16), Old age, registration, with number not falling within any other category (30) of places Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The DE(E) unit`s policies and procedures must relate specifically to the needs of service users with dementia. The garden area of the home must be developed to meet the needs of service users with dementia care needs and to include stimulation to the individuals involved. This must be completed by 20 April 2005 Risk assessment to be provided if bedroom doors are to be locked denying access to the service users Staff should not be rotated between the rest of the home and the dementia unit such that there is a greater than 10 turnover of staff in the dementia unit, over a 2 month period The staff employed by the unit must undertake appropriate recognised specialist training in relation to dementia care and care of the elderly. 10th March 2006 3. 4. 5. Date of last inspection Brief Description of the Service: Littlecoates House is situated on the outskirts of Grimsby. It is close to local amenities including shops, post-office, doctor’s surgeries, chemist, golf club, public houses and Grimsby college. The accommodation for the service users is provided over one storey. All entrances, fire exits, and inner doors are wide enough for wheelchair users to access. All of the service users individual rooms include en-suite facilities. Car parking is provided to the rear of the building, and there is a risk assessment covering the building and the grounds. The gardens are well kept and there is an enclosed patio area in the centre of the home. This has recently been developed to include an enclosed garden. Smoking in the home is restricted to certain areas. Littlecoates House is registered for the care of Older People. This includes up to 16 placements for elderly service users with dementia related needs. The service users have access to inspection reports and the fees for the home. The home does not have an email address or provider web address. They Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 5 should perhaps consider the inclusion of this technology to enable prospective service users or their carers to have greater access to the service. The current fees for services provided through the home range between £329£367. The management have also recently included a £5 top up fee that will support increased activity opportunities throughout the home. Records showed that this had been discussed previously in service user and carer meetings. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The site visit was unannounced and took place over a period of approximately six and a half hours. The inspector spoke to seven service users, five family carers, six members of staff and three professional visitors to the home including placement officers and district nurses. The inspector observed written records in the home and a tour of the premises was completed. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5 Quality in this outcome is good. This means that admissions are not made to the home until a full needs assessment has been undertaken. The home are then able to confirm that they can meet the needs of the individual through the service they deliver as detailed in the statement of purpose. EVIDENCE: The inspector observed the home’s statement of purpose and service user guide and found these to include all of the required information in an easy to read format. The inspector observed and case tracked the files of four service users. These all included a pre-admission assessment of the service users needs to make sure that they could be met by the home. The home also had copies of the relevant care management care plans detailing the service users’ individual needs. Two of the files were for recently admitted service users and, although a care management care plan was in place, there was not a copy or summary of the care management full assessment of need. The manager stated that Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 9 these would be followed up; however, it was sometimes difficult to obtain the full assessments from the local care management teams. The home’s pre-admission assessment included full details of the service users medical histories and current needs. They also included the service users interests and details of how to contact their families and friends. A full moving and handling assessment is also included for all of the service users. Service users spoken to by the inspector stated that the home could meet all of their needs and that the staff were very ‘helpful and supportive’. A professional visitor to the home from a care management team stated that he was new to the area, however his colleagues had recommended the care provided at Littlecoates House to meet the needs of his individual service users. One service user spoken to by the inspector had just completed a period of respite care at the home. This was his first period at Littlecoates House. He stated that he had been receiving respite care over a period of thirty-five years following a disabiltating stroke. The service user said that the respite period had been very good for him and that the staff were very attentive and supportive towards him saying that ‘nothing was too much trouble for the staff’. The individuals spoken to by the inspector including service users, family members and placement officers all confirmed that the service users were provide with the opportunity to visit the home before moving there and that a trial period was available to determine if the placement was the right one for the service users. The home does not provide intermediate care. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11 Quality in this outcome area is good. This means that the residents have right of access to health and remedial services and the home’s policies, procedures and practice guidance strongly support this. Staff work very hard to make sure that those residents who are fit and well enough, have regular appointments and visit local health care services, supported by care family, care staff or volunteers. The health care needs of residents too frail to leave the home are managed by visits from local health care services. Residents’ personal aids are well maintained and the home provides the necessary aids and equipment to support both staff and residents in daily living. EVIDENCE: The individual care plans observed by the inspector detailed all of the needs of the service users and the support that they needed to meet their needs. However the plans are hand written on pre-set forms. This causes some difficulty when higher levels of needs or greater detail is required as the boxes cannot be extended and the writing becomes cramped and are difficult to read. Then the individual needs became difficult to see from each other. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 11 Service users spoken to by the inspector were very positive in relation to how their needs were met at the home. Family of service users with dementia related problems stated that they were kept up to date with any changes to their care plans and were always invited to any reviews of their care. Care plans observed by the inspector were closely related to the needs identified in the service users’ original assessment of needs. The home’s care plans had all been evaluated on a minimum of a monthly basis. Two service users living at the home do not have English as their first language but have spoken English for most of their lives. Their carers stated that language was not a problem for them at the home and that there were no special dietary or cultural needs required for them. Care files included clear records of when service users had contact with health and social care professionals that are based in the community. A district nurse and a care management placing officer spoken to by the inspector supported the information that the staff at the home consult them in appropriate circumstances in relation to the individual care needs of the service users. They also confirmed that the staff at the home adhered to the specialist care plans that they developed to meet healthcare and social needs. The staff that administer medication in the home have all received accredited medication training. The inspector observed the administration of medication in both areas of the home and all god practice guidelines and legislation were followed. At the time of the inspection there were no controlled drugs in use at the home. However the home had appropriate provision for the safe storage and recording of controlled medication. Service users case tracked by the inspector had received the appropriate prescribed medication and their medication sheets had been completed correctly. Direct and indirect observations supported the information that the service users are treated with dignity and respect at all times. All of the care files observed by the inspector included the last wishes of the service users in the event of their deaths. The inspector observed the care file of a service user that had recently died at the home. The care plans had been updated with the changing needs of the service user and contact was maintained with their family and professionals involved in their care throughout the latter stages of their life. Following their death letters of support to the care staff were received from individual family members for the care that had bee provided to the service user throughout their stay at the home. One service user with dementia has a tendency to leave her glasses around the home and cannot find them. Her care plan included that a spare set of glasses Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 12 are kept in the home’s safe to make sure that she will not be without glasses when she needs them. Service users’ daily diary recordings need to be recorded more consistently over the two units in the home. Some information is well recorded and others provide less than minimum including simply identifying when service users were washed or bathed. Littlecoates House Care Home DS0000002792.V295255.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This means that maintaining independence and enabling residents to make their own decisions about how they wish to live is a key objective for the home. Family and friends feel welcome and know that they can visit the home at any time. Staff always make time to talk to visitors and share information with the agreement of the resident. It is clear that the home encourages individuals and groups from the community to visit the home. EVIDENCE: The service users’ interests and hobbies are identified before they are admitted in to the home. This includes any cultural or religious needs. Choices are made available at all meal times and service users spoken to by the inspector stated that they generally enjoyed the range and quality of the meals provided at the home. There were no specialist diets required in the home at the time of the inspection except for low fat, low sugar and pureed meals. A mealtime was observed by the inspector and this was seen to be unhurried and appropriate support was offered to individual service users to make sure that they could eat their meals. The inspector sat with one service user at lunchtime and her husband who was visiting. He stated that he visits his wife every lunch and teatime to feed her the meals provided. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 14 There are some discussions taking place regarding ethnicity and cultural awareness in one case at the home and how this can be fully integrated in to the whole home without having a detrimental effect on other individual service users. The management of the home has recently introduced a £5 top up fee for the service users. The intension is that this should make more opportunities for activities to be made available for the individual service users. Two members of staff one in the residential unit and one from the EMI unit have been given the additional responsibility for arranging daily activities for the service users in their respective areas. This will make sure that everyone has equal access to activities and the activities are more appropriate to their individual and group needs. Information relating to forthcoming activities are publicised around the home and staff were observed reminding and encouraging service users to take part in activities. Records showed that visitors are often at the home. This is recorded in the visitor’s book and in individual service users case files. The inspector spoke with five visitors to the home who had family members living there. They all spoke very positively in relation to the care that was provided in the home and the attitude of the staff. Some of the visitors had previous experience of other homes and stated that Littlecoates provided ‘superior care’ to the others. Visitors spoken to by the inspector said that they are always made welcome by the staff and were welcome at any time. They also said that they are often offered drinks when they are visiting their relatives. Visiting entertainers are determined by the choices of the service users. This was supported through discussions with the service users and records of service user meetings were entertainment was discussed. Records seen by the inspector and direct observations supported the evidence that the service users have their personal autonomy and choice maximised to meet their potential. The service users case tracked by the inspector had clear records made of all of the financial dealings and these were accurately recorded and up to date. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality outcomes in this area are good. This means that the residents and others associated with the service state that they are very satisfied with the service provision, feel safe and well supported by an organisation that has their protection and safety as a priority. EVIDENCE: Since the last inspection of the home there have been no formal recorded complaints at the home. There have been three referrals made to the Protection of Vulnerable Adults team with the local authority. One was anonymous and related to the care of the service uses and the abilities and number of the staff working at the home. The other was reported by the manager of the home. These investigations were combined and are still ongoing. Therefore the outcomes will be reported in the next report. The remaining POVA investigation relates to a visitor assaulting a service user that he was not visiting and happened in the dining area of the home. The management of the home responded appropriately in their two referrals to the POVA team and in the other investigation that originated from the referral for poor care practices at the home. During the inspection the inspector spoke independently to seven service users five carers, seven members of staff and three professionals visiting the home. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 16 These all confirmed to the inspector that the quality of care in the home was very good and there were always appropriate numbers of staff available to the service users. Notices are available throughout the home informing the service users and their families of how to make complaints and where to make them to. Information was also available in relation to advocacy services and how they can support individual service users. A confidential questionnaire is to be sent by the Commission to the staff working at the home to determine their opinions in relation to the care that is provided at the home. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25 and 26 Quality in this outcome area is excellent. This means that the management and staff encourage the residents to see the home as their own. It provides a very well maintained, safe, comfortable, attractive home which has all the specialist equipment and adaptations needed to meet individual service users needs. As well as a good selection of general aids such as hoists and variable height beds, the home also ensures that equipment is individualised for each service user and all staff members are trained in the safe use of aids and equipment. EVIDENCE: The inspector made a tour of the premises and found it to be very good standard and was appropriate to the needs of the service users. The grounds of the home are well kept and there is no CCTV coverage that impinges on the daily lives of the service users. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 18 The EMI corridor has recently been redecorated with murals on the walls of the corridors. This has brightened the area and given the service users things to focus on. The murals are all of local land sites or age related memorabilia. The EMI unit has also developed an outside safe area for the service users to use in better weather. It is planned for an outside covered area where service users could eat their meals or have drinks with protection from the sun and other elements. The furniture and light fittings in the home are domestic in character and generally are in very good condition. On the day of the inspection several light bulbs had blown. These had been reported and were due to be replaced. The bathrooms and toilets in the home were very clean and there were no offensive odours present. The toilets and bathrooms were all in close proximity to the communal areas and the service users individual rooms. The inspector was invited to look at the rooms of five service users. These had all been decorated and furnished to their own choice and preferences. All of the service users have individual rooms with en-suite facilities. The laundry facilities are well managed and service users and their families stated to the inspector that on the majority of occasions they receive their own clothes back from the laundry and it was only on a very small percentage of times that the wrong items are returned to them. The washing machines are programmable to disinfection and sluicing standards. The only area that required attention in the environment was the staff toilet needed a new seat fitting to meet hygiene standards. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,and 30 Quality is in outcome area is good. This means that the service ensures that all staff within the organisation receives training that is targeted and focussed on improving outcomes for the residents. The service uses external providers to deliver the training if they have not got the appropriate skills within the organisation. This training can be small scale and individualised if necessary in order to promote the delivery of person-centred services. EVIDENCE: One of the complaints to the POVA team was that the staff do not have time to read care plans. Interviews with care staff suggested that this is not the case and that they all read and understood the care plans for individual service users. Carers interviewed by the inspector stated that they believed that the staff were at times very hard pressed to complete all of their duties but believed that there were appropriate numbers of staff available at the home. The manager of the home confirmed to the inspector that she uses the residential forum to determine that necessary staffing levels for the home. This was confirmed when the inspector observed the staff. Observation of staff personnel files showed that appropriate safety vetting is carried out before they have any contact with the service user group. No staff employed at the home were under twenty-one. The home employs a small number of auxiliary staff who work well to maintain the environment of the home. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 20 Training records showed that the staff are working well towards their commitment for meeting their commitment to NVQ training and to all of the mandatory training that is required through regulation. Staff confirmed to the inspector that they receive in excess of the required three days paid training pre year. New staff employed by the management of the home all undertake two inductions one that is specific to the home itself and one that meets the requirements of the National Training Organisations specifications. The manager stated that the homes induction was more thorough than that required by regulation. This was confirmed in the inspectors’ discussions with staff working at the home. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,37 and 38. Quality in this outcome area is good. This means that the manager has the required qualifications and experience and is competent to run the home. She works to continuously improve services and provide an increased quality of life for the residents. There is a strong ethos of being open and transparent in all areas of running the home. The manager is resident focused and leads and supports a strong staff team who have been recruited and trained to a high standard. The manager is aware of current developments both nationally and by CSCI and plans the service accordingly. EVIDENCE: The manager of the home is a qualified nurse and has completed the Registered Managers Award. National Minimum Standards 31 and 32 were exceeded. The staff working in the home that were interviewed by the inspector all understood the clear lines of responsibility and accountability at Littlecoates. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 22 The service users, visitors and staff spoken to by the inspector confirmed that the management approach to the home is open, positive and inclusive. Records of the staff and service user meetings showed that their opinions are sought and are listened to in the development of the services that are provided at the home. The staff personnel files showed that the frequency for staff formal recorded supervision had improved in the home however not all staff received the recommended minimum of six formal recorded supervision sessions per year (pro-rata). Staff spoken to by the inspector confirmed that informal supervision is constantly available at the home. The inspector observed that all of the appropriate health and safety certificates were in position. This included appropriate insurance cover for the home and up to date safety certificates for the electric and gas supplies. The records for the fire systems maintenance checks were seen to have been appropriately carried out. This included the fire alarm system, fire fighting equipment and the emergency light system. The home has established an effective quality assurance and monitoring system this included appropriate questionnaires to target groups, appraisal of the returns and publication of the findings and service development plans produced through the quality assurance process. The management of the home do not have responsibility to control any of the service users’ personal finances. Pocket money accounts were well recorded and accounted for. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 X 3 4 3 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 4 3 3 3 2 3 3 Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP36 Regulation 19 Requirement The registered person must ensure that all care staff working in the home receive the minimum of six formal recorded supervision periods per year (pro-rata). Previous requirement of 01/06/06 was not met. Timescale for action 01/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP3 OP3 OP19 OP28 Good Practice Recommendations The registered person should make sure that the care plans in the home are clear to read and distinguishable from one another. The registered person should ensure that the service users individual daily diary entries are recorded on a more consistent basis. The registered person should ensure that a new toilet seat is fitted to the staff toilet. The registered person should make sure that a minimum of the care staff have achieved NVQ 2 or equivalent. Littlecoates House Care Home DS0000002792.V295255.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Littlecoates House Care Home DS0000002792.V295255.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!