Inspection on 15/11/06 for Lower Greenfoot - Settle Elderly Persons Home - NYCC

This inspection was carried out on 15th November 2006.

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

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

Other inspections for this house

Lower Greenfoot - Settle Elderly... 20/12/05

Lower Greenfoot - Settle Elderly... 01/08/05

Lower Greenfoot - Settle Elderly... 10/02/05

Lower Greenfoot - Settle Elderly... 25/08/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Lower Greenfoot - Settle Elderly Persons Home - NYCC 30 Lower Greenfoot Settle North Yorkshire BD24 9RB Lead Inspector Caroline Long Key Unannounced Inspection 15th November 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 Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.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. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lower Greenfoot - Settle Elderly Persons Home NYCC 30 Lower Greenfoot Settle North Yorkshire BD24 9RB Address 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) 01729 822 973 01729 825336 North Yorkshire County Council Mr Robin Keir Hargreave Care Home 31 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (7), Old age, not falling within any other of places category (24) Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Care for service users in category DE(E) will be provided in Flat 4 only. Category (DE) only applies specifically to one named service user. Date of last inspection 20th December 2005 Brief Description of the Service: 30 Lower Greenfoot is a care home run by North Yorkshire County Council and registered to provide a service for 31 older people of either gender aged over 65 years. The home was purpose built approximately 21 years ago and accommodation is arranged around four flats. Three of the flats have a lounge/dining area, and eight bedrooms. One of the flats has a lounge/dining area, a quiet lounge and seven bedrooms. All bedrooms are intended for single occupancy. All the accommodation is on the ground floor and there is level access to the main entrance. The home is set in large landscaped gardens. There is a day centre attached to the home and a separate team also provides meals for the community. At the time of this visit the weekly charge was from £94.45 to £368.90, this amount is dependent upon income and savings. The Commission for Social Care inspection reports are displayed in the home for anyone to read. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: •A review of the information held on the homes file since its last inspection. •Information submitted by the Registered Provider in the Pre Inspection Questionnaire. •Surveys received from five resident, seven relatives, four General Practitioners and two Care Managers. •An unannounced visit by an inspector to the home lasting over seven hours. This visit included a tour of the premises, examination of records; talking to residents, care staff, a care manager and management. Looking at four residents care files in detail and observing staff working with residents. What the service does well: The home is clean and comfortable. Staff are kind and helpful and make an effort to provide the service in the manner that residents want. An example of a residents’ comment was ‘the home is 99 perfect’. Relatives’ comments were; ‘we congratulate all people employed at Greenfoot in providing such a wonderful place for the elderly. And trust that his unit may continue for many years, all staff to be congratulated for there efforts.’ Also ‘All who are employed are a credit to the home’. Staff are sympathetic to residents needs and are dedicated to making sure residents individual health care needs are met. They have good relationships with the health care specialists. Residents were encouraged to be independent as much as possible and to make their own choices about how they lived their lives. Hot milky drinks were available and staff try to give residents a good choice of home cooked food, when and where they prefer. This makes sure the residents receive a varied and nutritious diet. The home has a warm friendly atmosphere, where residents are engaged and encouraged by staff to participate in social activities of their choice. There are various outings arranged and in house activities, which allow residents contact with the local community and provide stimulation. Visitors are encouraged and made welcome. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 6 The home is managed in a manner that is resident focussed. It concentrates on the needs, wishes and views of the people who use the service. 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. The summary of this inspection report can be made available in other formats on request. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.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 Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 1, 3 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with good information about the home. The personalised needs assessments make sure all the needs of residents are identified and planned for. EVIDENCE: All residents spoken to or who had returned surveys stated they had received information about the home or felt well informed before moving in. Some had previously used the adjoining day centre. The information they receive is from North Yorkshire County Council (NYCC) and is available in different languages upon request. Information was also on display around the home. The four records looked at in detail showed NYCC care plans and the homes preadmission forms and personal and health profiles, which were carried out Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 9 when first arriving at the home. These records included all the likes and dislikes of the resident, their life history, and hospital, chiropodists and opticians appointments. The information was made available to staff to enable them to understand the social, personal and emotional needs of people who use the service. The Registered Manager explained all residents come into the home following being assessed by a Care Manager. The Care Manager then refers the prospective resident to a weekly meeting, which is held by North Yorkshire Social Service where the NYCC services are allocated. If it is agreed at the meeting, the home is appropriate for the prospective resident all the assessments are given to the home. A member of the management team will then visit and carry out Lower Greenfoots own assessment or the resident will visit the home. Staff spoken to were aware of the residents worries and concerns about moving into the home. They were able to explain how they would try to make the move into the home as easy and comfortable as possible for the residents. They would meet and greet them at the door, take them to the other flats to introduce them to the other residents. One key worker discussed how they were trying to help a resident settle in by prompting them to go to the day centre when there were activities they may enjoy. Within the dementia unit staff were aware of the needs of the residents and discussed how they would help a resident settle into the home. All residents spoken to in the home said their needs were met. Residents’ comments were ‘Greenfoot is certainly the best for care and support’. Relatives comments ‘we are very happy with her care and find the staff kindness itself’. A care manager spoken to also said the home meets the needs of the residents they were involved with. During the site visit, staff working on the dementia unit had all received training on dementia and are trained to National Vocational Qualification Level 3 in care. The team manager discussed where they had been unable to meet a resident’s need they had helped find an alternative home that could. The home does not provide intermediate care. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. Residents receive health and personal care based on their individual needs and their right to privacy is upheld. EVIDENCE: All residents, GP’s, care managers most of the relatives surveyed commented they were happy with the overall care the home provided. Comments from residents were ‘the care we receive is excellent even when they are understaffed.’ I have stayed for respite in two other residential homes before I came to Greenfoot permanently but Greenfoot is certainly the best for care and support’. ‘The home is 99 perfect’. A relatives comment was ‘we are very happy with their care and find the staff kindness itself’. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 11 Observation of the staff with residents showed good practice, staff were sympathetic to their needs, talked with them respectfully, made sure their dignity was maintained. Residents were clean and appropriately dressed. Staff listened to their requests giving the extra help and support needed to provide the residents with a caring home. On the dementia unit good practices were observed. Staff were responsive to the individual needs of the residents, the environment was calm and they constantly reassured the residents in a sympathetic way. Both had received dementia training and both displayed a good understanding of the resident’s needs. Five General Practitioners responded the staff had a clear understanding of the care needs of resident. Also the home works well with them and they were satisfied with the overall care provided. The residents spoken to and the daily notes also showed they were able to see the GP, chiropodist and dentist when they choose. All five residents surveys returned responded they always receive the medical support they needed. A GP commented ‘we are very fortunate to have it available in our community both as a potential place to live and for day care.’ For residents with communication needs, a therapist visited and had provided alternatives to speech. During the site visit a nurse was present giving flu injections to residents who wanted them. One resident said they have baths twice a week and when some else doesn’t want one the staff will offer it to them because they liked bathing. Four residents care was looked at in detail. All but one contained a plan of care for the residents, the team manager agreed to prepare one and forward a copy to the commission. Alongside the care plans the home used daily task sheets, which were kept in the residents’ bedroom locked wardrobes, these often described their care and health needs and preferences in detail. Residents spoken to were aware of their key workers and of their care plans, one said they were involved in the monthly reviews of the plan. Risk assessments were in place and staff described how they would minimise risk for the residents. However these had not been reviewed in line with the care plans. To ensure the safety of the residents risk assessment should be reviewed regularly. During the site visit, a sample of the medicine records were examined and found to be correct. All staff who were required to administer medication had attended training. The Team Manager was instrumental in a resident’s Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 12 medication being reviewed, which has resulted in a better quality of life for the resident. However the home did not have a monitoring system in place to check the number of drugs brought into the home when residents came into the home for temporary care. Systems need to be established to prevent any medication mistakes being made. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.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): Standard 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. All residents are provided with the opportunity to have a stimulating daily life by staff. Residents are given nutritious drinks and meals when they request them. EVIDENCE: During the site visit the home had a warm friendly atmosphere, where residents were being engaged and encouraged by staff to participate in social activities of their choice. The home is attached to a day centre that residents can choose to use; some residents were observed joining in activities, at times they preferred. In the flats many were in their rooms watching television, or listening to the radio. One enjoyed watching the birds, so staff had put bird feeders outside her window, which they filled for her. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 14 One resident explained the key worker had taken her to the shops in Settle. The home was preparing for Christmas; activities were being arranged, such as possible trip to see the local lights. The dementia unit evidenced excellent care in helping to maintain residents life skills. Staff explained how they involved the residents in maintaining the unit, some helped to wash up and others liked to dust. One person likes to fold the washing, so they arranged for the laundry to be brought up. They had the time on the wall and the date, the day and the menu was written a notice board. Residents had helped to make cakes in the morning and after lunch they had some quiet music in the lounge area, it made the unit calm and restful. The staff were making plans to have a sensory garden for the residents for the summer, with plants with strong smell and which were nice to touch. One area of the garden was raised to enable the residents to help gardening. Assessments had information about residents’ social activities before they came into the home; this included their religious and cultural beliefs. Residents and staff said they could make choices about their daily routines; examples given were the times of rising and retiring to bed. Residents’ meetings took place, so residents could have their views heard about the running of the home. Visitors were welcomed into the home. The staff had arranged for a resident to have their tea every Friday in their room so they could play scrabble with their friends who visited that evening. The dementia unit had created a small lounge so residents could see their relatives out of the main lounge area and not in the bedrooms. This was to make them all feel more comfortable. On the day of the site visit the residents were having a homemade chicken pie for lunch. The chef bakes everyday and cakes are taken to the unit. Fresh fruit is available in the morning, and staff make milky coffee if residents prefer it. Where a resident had forgotten they had breakfast early the staff gently reminded them and then offered toast at 11.30 am until they could have lunch. The chef was collecting treats for Christmas. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.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 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to an effective complaints procedure and are protected from abuse. EVIDENCE: All residents and relatives’ surveys returned said they would usually know how to complain if they wanted to. Residents spoken to also said they would feel confident in raising a complaint with the management. A complaints log was kept and was up to date. There were six complaints since January 2006 to the home. Five of the complaints were about residents during the night disturbing other residents and one about resident falling. All had been investigated following the homes systems and successfully resolved. The operational manager also reviews complaints regularly. The care managers and GP’s surveys returned stated they had received no complaints about the home. The staff and manager were aware of the procedure for reporting abuse. Many had received training as part of their National Vocational Training in care or as part of the induction and foundation training. The home is part of North Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 16 Yorkshire County Council and had copies of the NO Secrets and prevention of vulnerable adults. Management were aware of the procedure for reporting abuse. All residents files examined had an inventory of personal possessions on admission. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.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): Standards 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Although the home is in need of some refurbishment the staffs enthusiasm and commitment make sure residents live in a secure, pleasant and clean environment. EVIDENCE: The accommodation is arranged in four separate units, each with a small kitchenette/ lounges/dining area; and up to eight bedrooms, a bathroom and toilets. The bedrooms do not have en suite facilities, however they have a wash hand basin and all the units have a shared bathroom with assisted bathing facilities. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 18 There are additional sitting areas around the home where residents can get away from others without having to go to their bedrooms. Flat four has a quiet lounge, to enable residents to be more comfortable when their relatives visit. The residents can also use the day centre during the day and at weekends. The home was observed to be generally; clean, warm, comfortable and amenable. Residents’ surveys and those spoken to say the home was always clean and fresh. Staff had made the lounges personal to the residents; there were flowers and cards and the residents spoken to talk about it as their home. Parts of the home were in need of refurbishment. Examples were marked paintwork and areas of the roof leaked during heavy rainfall. Staff generally felt frustrated by the lack of resources available to maintain the home to their standards. However they were committed to improving it for the residents and had volunteered to paint a lounge in their own time. The gardens areas were reasonably well maintained, the staff in the dementia unit described how they were planning to make a sensory garden in the summer for the residents. The handyman regularly fills bird feeders for the residents so they could watch the birds from their bedroom windows. Residents spoken to felt their bedrooms were warm and comfortable. Where the resident was permanent they had more personal possessions in their rooms, a resident had a dresser with all their pieces of china on it. Where a resident had wanted to move rooms the management team had accommodated this request. Adaptations and rails are available to aid the residents independence. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.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 adequate. This judgement has been made using available evidence including a visit to this service. Residents receive high quality care from well-supported, well-motivated and well-trained staff but sometimes there are not enough staff to help them immediately. EVIDENCE: All the residents spoken to and surveyed say the staff are generally excellent. Comments from relatives were; ‘all who are employed are a credit to the home’. ‘I congratulate all people employed at Greenfoot in providing such a wonderful place for the elderly’. ‘I trust that his unit may continue for many all staff to be congratulated for there efforts’. One member of staff works in each of the units and two members of staff in the dementia unit, during the afternoon these numbers of staff can be reduced. The management team believed the home was adequately staffed, however responses from residents, relatives, the GP and a care manager did not substantiate this. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 20 Comments received from relatives were ‘just occasionally greenfoot appears short staff and this has an impact on my relatives care.’ ‘The staff provide an excellent level of care to the clients within the limitation of what appears to be reduced staffing levels.’ A GP commented on the survey ‘At holidays and weekends in particular staffing levels appear inadequate to cope with current client need, not a criticism of the staff just numbers’. Staff also said there was normally enough staff, but it was difficult when the dependency levels were high and when occasionally the numbers are reduced in an afternoon or due to holidays and sickness. Four staff files were checked, the personnel department of North Yorkshire County Council carry out all the recruitment checks and these are thorough. However some of the paper work had not been transferred to the home, there were no records for a care worker who had been transferred to the home. The Registered Manager is accountable for the protection of residents and needs to check all recruitment documents are correct before any staff commence work at the home. Staff spoken to had attended induction and foundation training, and had attended mandatory training, such as back care, food hygiene. Staff had received dementia training. The PIQ states are 76 have National Vocational Qualification in Level 2 in care or above. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.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, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met due to the good management team, however this could be further improved by better record keeping. EVIDENCE: The team manager on duty during the site visit was very committed to the service and displayed the knowledge and skills to ensure good practice with in the home. She was able to demonstrate knowledge of the personal care needs of residents. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 22 The Registered Manager is experienced and has managed the home for a number of years. He is suitably qualified. The staff spoke positively about the home’s management team and said that they are approachable. The team manager and records, confirmed the home operates a quality review system, where residents and their relatives are asked about their views about the home annually. The home also followed North Yorkshire County Council self-assessment of qualitative performance where the home had an average of 80 . This was due to the supervisions not being up to date. The managers and staff said some of the supervisions were not up to date, due to a team manager leaving. Records kept in connection with the sample of residents’ finances were accurate, tallying with monies held in the safe. Overall the records could have generally been maintained in better order and were not always up to date. The sample of health and safety documents that were checked was up to date. Staff said they had completed health and safety training, first aid and fire safety training. However the home were unable to find latest the environmental health assessments. The water temperatures checked in two rooms were slightly cool; water temperatures had not been checked since May 2006. Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.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 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 4 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 2 Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.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 OP7 Regulation 15 Requirement All residents must have a care plan, which should include clear guidance to staff about the support that they have to provide to meet residents needs. The Registered Manager must approve and retain an evidence of all recruitment documentation. Water temperature must be checked at risk assessed intervals and records kept. Previous requirement 01/01/06 Timescale for action 15/11/06 1 OP29 19 (4) 01/12/06 2. OP38 13 15/11/06 Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 25 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 Refer to Standard OP7 OP9 Good Practice Recommendations Risk assessments should be reviewed regularly. The Registered Manager must have a system in place to monitor the incoming and outgoing of medication in the home. Radiator controls should be installed in each bedroom. The Registered Manager should review the staffing numbers to ensure residents needs are always be met. All records should be kept up to date. 3 4 5 OP19 OP27 OP37 Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Lower Greenfoot - Settle Elderly Persons Home - NYCC DS0000034564.V320459.R01.S.doc Version 5.2 Page 27 - 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!