Inspection on 14/05/08 for Maplin House

This inspection was carried out on 14th May 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Maplin House 16/07/09

Maplin House 05/12/07

Maplin House 30/07/07

Maplin House 21/06/06

Maplin House 09/06/05

Maplin House 20/04/05

Maplin House 10/02/05

Maplin House 29/09/04

Similar services:

Coopers Mill Ltd

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Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Maplin House 117/119 Church Road Shoeburyness Essex SS3 9EY Lead Inspector Sarah Hannington Unannounced Inspection 14th May 2008 09:00 X10029.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 Maplin House DS0000015450.V364321.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 and Care Homes for Adults 18 – 65*. 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. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maplin House Address 117/119 Church Road Shoeburyness Essex SS3 9EY 01702 297494 F/P 01702 297494 laycraftlimited@yahoo.co.uk 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) Mr Mohammud Yousouf Meeajun Mrs Oume Mahani Abdool Raheem Care Home 16 Category(ies) of Dementia - over 65 years of age (2), Learning registration, with number disability over 65 years of age (16) of places Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home may admit up to five persons (of the above 16) who are over 50 years of age. The home may admit two people (of the above 16) who have a diagnosis of Dementia and whose details are known to the CSCI. 5th December 2007 Date of last inspection Brief Description of the Service: Maplin House is a large detached care home set in a sought after residential area in Shoeburyness/Thorpe Bay. The home provides accommodation for up to sixteen older people with dementia and some degree of learning disabilities. Accommodation is provided on two floors, the home has eight single and four double bedrooms. There is a two bed roomed flat provided for staff living accommodation which is situated on the third floor of the building. The home has adequate communal areas on both floors and a shaft lift has been provided. There is limited outdoor space; the garden surrounds the property and has small areas that are suitable for seating. The home has its own mini-bus that is used for taking out residents that includes trips to the beach, shops and local parks. There is a bus route within a short walk of the home that goes to Southend town centre. There is a small car park at the rear to building. All prospective residents are provided with a Statement of Purpose and Service User Guide that supplies them with information on the home. The current range of fees is from £350 to £600 per week and there are additional charges for chiropody, magazines, newspapers, toiletries and day trips. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 Star. This means the people who use this service experience good quality outcomes. The site visit took place over five hours and was carried out as part of the annual inspection programme for this home. This visit was conducted with assistance from the proprietor. As part of the process a number of records relating to residents, care staff and the general running of the home were examined. The site visit also focused on any requirements and recommendations from the last key inspection. Prior to this site visit CSCI (Commission for Social Care Inspection) sent out surveys to all interested parties, however at the time of writing this report only three have been returned, however these comments from relatives will form part of this report. A number of residents and staff were spoken with during the site inspection and a tour of the building was undertaken. Additionally the manager was sent an (AQAA) Annual Quality Assurance Assessment form. This is a self-assessment that homes are required by law to complete, that asked how well the home is meeting the needs of the people who live at Maplin House. What the service does well: What has improved since the last inspection? Most of the requirements and recommendations from the last inspection have been met and one remains partially met. Many inside and outside changes have taken place, which benefit the resident’s quality of life. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 6 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. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 (op) and 2 (ya) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A robust pre-admission process reassures residents that their needs will be met before they move to the home. EVIDENCE: The manager reviewed the Service User Guide in January 2008 and contains up to date information on the services that the home provides. There are five vacancies at present, however there have been no admissions since the last inspection. Five of the residents’ care files looked at, showed us that all key areas such as personal preferences, general health care, and emotional, social and physical needs are covered by the pre-admission assessment process. The policy and procedures around admission showed us Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 9 that it allows the person to visit and meet other people living and working in the home, before any decisions are made. Residents spoken with confirmed that they had an assessment prior to their admission and that they had been given sufficient information to make a choice. The manager states on the AQAA that, ‘we carry out pre-assessments,to ensure suitability of new residents.’ Maplin House does not provide intermediate care. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 (op) 6, 9,16,18,19 and 20 (ya) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are successful in delivering appropriate care for all residents. EVIDENCE: In all of the eight care plans inspected, there was evidence to show that a good standard of recording is consistent and in place. In all care plans looked at information such as weight monitoring, fluid in takes, falls, dementia and individual support for communication needs were inclusive. All daily notes, professional visits (such as GP’s, hospital visits), general recording of the Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 11 changing needs in care plans and risk assessments are in place and clearly cross referenced. This shows that issues are picked up on and actioned. Monthly reviews are clear, concise and include a summary of why there may or may not be any changes made to the care or risk assessment, for example in one person monthly review it explains, ‘this person has had a review of medication with their GP and there are no changes needed, so the care plan remains the same.’ In all of the personal files looked at, under the section of reviews, there was no blanket response of, ‘no change’ without some kind of summary being found to back up why, equally where changes to the care plan are needed, this was clearly explained. The care plans are clearly used as a working document and they consistently reflect the current care being delivered. Additionally the files reflect that the staff make sure that all residents have access to a wide range of health care services, such as, dentist, community and district nurses, Choice of GP, chiropody etc. The manager states on the AQAA that, ‘Personal care delivered with regard to all care values being adhered to at all times. Professionals i.e GP or District Nurses are being contacted immediately if problems arise.There is good communication between staff and service users.’ The majority of residents stated that they are well supported by the care provided by staff and the majority of relatives expressed that the support was usually to a good standard. A Monitored medication dosage system is in place for each resident. Medication is stored in a lockable cabinet. The administration records were being maintained in accordance with agreed procedures. Record sheets had been signed for with no omissions or gaps. When medications are booked in or returned and documentation is consistently recorded and accurate. Looking through the medication folder there is plenty of advice, guidance and good information regarding medication taken by residents. This gave staff more in depth knowledge about medications taken by individuals and would enhance good practice by enabling them to pick up on any concerns and to spot any changes more easily with residents regarding medication. Discussion with key members of staff who administer medication on a regular basis evidenced that they knew procedures well, had training and were aware of individual need. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 (op) 12,13,15 and 17(ya) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents can be sure that they will be offered appropriate activities. EVIDENCE: Observation on the day of inspection showed that staff have good interaction with individuals and speaking with many of them it is apparent that they listen to residents’ views, for example, empowering them to make choices of activities they may want to carry out for that day, as well as having a weekly plan to use. Weekly activities both during the day, evening and weekends aromatherapy, joining in and playing various board games, attending evening Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 13 clubs, visiting, phoning and keeping in contact with friends and family, watching TV and films, taking rides out in the minibus supplied by the home and using the local facilities within the community. Additionally every week a resident gets to go to the local supermarket and do the food shopping for that week. In of one individual notes it stated that, ‘I offered them a number of things what they may want to do for an activity, however they wanted me to assist them in bringing in their washing from the line and putting it away and then chose to spend the afternoon in the garden relaxing as it was a nice day.’ Other daily notes were also reflective of choices made by the resident and not by the member of staff. Many of the residents spoken with consider that they have retired from full time education or regular planned activities, therefore the level of activities offered within the home are appropriate for the current demand or need. Equally people are encouraged to have a full week if this is what they want, for example, one person attends a day centre Monday to Friday, they have attended this centre for many years and told us that they still wish to continue to do so. The manager states on the AQAA that, ‘Service users go out in the minibus regularly and visit a friendship club weekly.’ During the inspection lunchtime was observed. Staff interacted sensitively with people that needed assitance and people could have their meals where they chose. The meal on the day of inspection was nutritious, home cooked and when speaking with indivduals they informed us that, ‘it is cooked nice’ and ‘what I liked to eat’. Menu’s looked at were varied, healthy and inclusive of special dietry needs. They was always a choice of meals and residents went shopping to enable them to choose their own preferences every week. Monitoring of fluids and food consumption is recorded well and actions taken if any issue arise. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 (op) 22 and 23 (ya) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ benefit from a good complaints procedure. Residents are protected by staff knowledge and training. EVIDENCE: The proprietor reassured me that a dedicated complaints and concerns folder is in place, however on the day of the site inspection this could not be produced. Some staff are aware but not fully knowledgeable around the home’s policy and procedures or what to do if they received one. If a complaint or a concern is received then it is important that all staff know how to record this appropriately. Therefore this should be discussed with all staff. The proprietor showed us that he has good first hand experience around knowledge and procedures to follow around safeguarding, (protection of vulnerable adults) such as, the staff inclusion list, what other agencies to involve and who would take the lead role within a safe guarding issue. There has recently been a safeguarding issue raised within the home. The Boroughs safe guarding unit has led and guided the proprietor and manager through this process and as a result has raised awareness and good practice within the service. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 15 Looking through staff training and the induction of all new staff it is clear that the proprietor and manager have made safe guarding training a priority and certificates were in staff folders to show us that this had taken place. Additionally an advocacy service has been involved in supporting the people who live at Maplin House. This service is now providing a weekly session of activities without the homes staff being involved, apart from providing the people who live there with additional activities it also allows them the chance to raise any concerns they may have and to speak freely. On the day of site inspection the advocate was spoken with and gave the staff and manager of the service praise for being caring, listening to individuals and overall a good service. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 (op) 24 and 30 (ya) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a clean safe environment. EVIDENCE: The proprietor and manager states on the AQAA that, ‘Home is comfortable, clean,free from odours,easy access for wheelchairs.’ Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 17 A tour of the building took place and overall Maplin House provides a clean and homely place for all the residents. Maplin House provides plenty of good space, light and private rooms for residents and their families to use. There were no apparent odours in communal or private rooms and the place was clean, tidy and smart. Resident private rooms were personalised and comfortable. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 (op) 32, 34 and 35 (ya) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by good staff recruitment, induction and training. EVIDENCE: Training opportunities for all staff are good and include manual handling, health and safety, first aid, dementia awareness, fire awareness, safeguarding and infection control. Staff spoken with reflected that courses undertaken had developed a better understanding of the residents that they worked with. New staff shadow the more experienced staff for a period of weeks, this practice gave them a chance to build a rapport with individuals and get to know their needs well, before working independently. The induction of new staff consists of basic in house issues. The manager still needs to implement alongside the basic induction staff receive, the ‘skills for care’ induction process which is a reflective workbook that covers all basic training needs such as, fire safety, health and safety, safe guarding and should be completed within a Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 19 period of time of new staff being recruited. This would aid new staff to further refresh and gain knowledge, which is essential to their role, and also enable the management to monitor staff performance and progress within the expected probationary period. The proprietor and manager states on the AQAA that, ‘New staff to be given a brief introduction to each individual service users needs.’ Two staff recruitment records viewed contained application forms, two references obtained, criminal records bureau checks undertaken and contracts of conditions of service and job descriptions were issued to new staff. However proof of ID and photograph were missing on one of the staff files inspected. Supervision notes were present within folders. Staff spoken with confirmed that there are regular meetings, individual supervisions and hand over meetings (sharing of information) on each change over of shifts. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38(op) 37,39 and 42 (ya) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager protects and promotes the health, safety and welfare of the residents at Maplin house. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager is knowledgeable, has good experience of the resident group she works with and is highly organised. There is clear accountability. The policy, procedures, support for both residents and staff which maintains the health, safety and welfare of both parties. Speaking with staff, relatives, residents the majority appear more than contented with the current situation of the home under her leadership. Policy, procedures and documentation evidence that resident finances are protected. All health and safety checks that were inspected are up to date. Within the fire records looked at were found to be to a good standard. The manager does ensure that there is a good Quality monitoring system in place, however results of this need to be made available to CSCI, relevant interested parties and in a format the residents can access. Quality Assurance includes views of residents and their representatives. The manager has collated this evidence and has made a plan of action recording the outcomes which is kept within the office. Again residents meeting are held and some of the issues raised within the surveys have also been raised in the meetings. The home is seen to do very well in addressing these issues raised and actioning them. The AQAA that was sent by CSCI was completed to a basic standard. The manager needs to develop the next AQAA by covering all of the outcome areas required. The proprietor and manager states on the AQAA that, ‘Residents finances are safeguarded,all records,policies &procedures are up to date.’ No residents at the home manage their own finances, their families or the Local Authority supports this. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 22 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 X 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 23 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 OP30 Regulation 18(4) Requirement To ensure the protection of residents, all staff must complete appropriate accredited induction training. That this documentation is in place and available for inspection. Timescale for action 31/07/08 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 OP16 Good Practice Recommendations Documentation to be in place that encourages people to express any complaints and concerns, and this should be in place and available for inspection. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. Maplin House DS0000015450.V364321.R01.S.doc Version 5.2 Page 25 - 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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