Inspection on 21/06/06 for Maplin House

This inspection was carried out on 21st June 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

Maplin House 16/07/09

Maplin House 14/05/08

Maplin House 05/12/07

Maplin House 30/07/07

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

Bramley Avenue (73)

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 09/07/2008.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Maplin House 117/119 Church Road Shoeburyness Essex SS3 9EY Lead Inspector Pauline Marshall Key Unannounced Inspection 21st June 2006 08:30 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.V290829.R01.S.doc Version 5.1 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.V290829.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Maplin House Address 117/119 Church Road Shoeburyness Essex SS3 9EY 01702 297494 01702 297494 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 (1), Learning registration, with number disability over 65 years of age (16) of places Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The home may admit up to five persons (of the above 16) who are over 50 years of age. The home may admit one person (of the above 16) who has a diagnosis of Dementia and whose details are known to the CSCI. Mrs Raheem must complete NVQ Level 4 Registered Manager`s Award by 2008. Mrs Raheem must attend an approved Protection of Vulnerable Adults course within three months. 9th June 2005 Date of last inspection Brief Description of the Service: Maplin House is a large detached house set in a sought after residential area in Shoeburyness/Thorpe Bay. The home provides accommodation for up to sixteen older people with 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 situated on the third floor of the building. The home has adequate communal areas on both floors but has limited outdoor space; the garden surrounds the property and has small areas that are suitable for seating. All prospective residents are provided with a Statement of Purpose and Service User Guide that supplies them with information on the home. Fees range from £377.80 to £540.00 and there are additional charges for hairdressing, chiropodist, magazines, newspapers, toiletries and day trips. The home has its own mini-bus that is used for 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 car park at the rear of the building that will accommodate four cars. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that lasted for six hours and forty minutes. The process included a tour of the premises, a random selection of resident and staff files and discussions with nine residents and two staff. As part of this inspection surveys were sent to six residents, three relatives, a residents advocate, the homes General Practitioner, social worker, district nurse and the chiropodist to obtain their views on the service that the home provides. Six residents’ surveys were returned and were mainly positive in their comments; the advocate supported some of the residents in completing their survey forms. Not all survey forms sent out were returned, however the chiropodist, the community nurse, the advocate and one relative did respond. Their comments were mainly positive, however one relative had some issues that should be dealt with by the home and social services. Thirty of the thirty-eight standards were inspected. What the service does well: What has improved since the last inspection? There have been more regular visits by the provider and reports of the visit have been sent to the CSCI. The home has carried out internal decorations on several of the bedrooms and replaced curtains, furniture and carpets. A new cooker, dishwasher, washing machine and tumble dryer have been purchased. There is new flooring in many parts of the home and there is a new walk in shower. Some kitchen and laundry room cupboards have been replaced. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 6 The new manager is making good progress in improving the quality and standard of the environment. 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. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 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.V290829.R01.S.doc Version 5.1 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 to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5, 6 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The home carries out a thorough pre-admission assessment of needs and provides prospective residents with sufficient information to enable them to make an informed choice. The Statement of Purpose and Service User Guide needs updating to reflect recent changes. EVIDENCE: The homes Statement of Purpose and Service User Guide are undated and include details of the old manager so have not been reviewed since the new manager came in to post. These need to be updated to include current Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 9 information. Each resident is provided with a Statement of Purpose and Service User Guide prior to admission. There was a full pre-admission assessment carried out by the manager and the prospective residents’ key worker a month prior to the admission. The home has regular visits from the Community Psychiatric Nurse, the District Nurse and Social Workers from Community Team for People with Learning Disabilities. All staff have received training in dementia and the manager said that training for diabetes and Parkinson’s is planned for later this year. The pre-admission process includes trial visits to the home; the resident that was most recently admitted had made several visits to the home as part of this process. The home does not provide intermediate care. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 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 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, 11 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The homes care plan format requires reviewing; all care plans are reviewed monthly. Health care needs are fully met and there is a clear medication policy that needs reviewing. Residents are treated with respect and their dignity and privacy is upheld. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 11 EVIDENCE: The care plans examined were all evaluated on a monthly basis, the manager said she is reviewing the care plan format and intends to replace the current system by the end of September 2006. The care files examined included a list of each resident’s health care appointments that included optical, chiropody, hospital and general practitioner visits. The home has a clear medication policy and procedure; staff that are responsible for the administration of medication are trained and further updates of training are due to take place in July 2006. The policy and procedure in the policy file differed from the one stored with the Medicine Administration Record Sheet (MARS) file. All procedures need updating and copies of the updated version should be the same in all files. The home has a copy of the current Royal Pharmaceutical Society of Great Britain “Administration of Medicines in Care Homes” guidelines. Residents spoken with said that staff were respectful and that they felt well treated, they said staff were nice and assisted them when asked and that they were able to receive their visitors in private. One resident spoken with said that she enjoyed sitting in her room watching TV and listening to her music at times and that staff respected her privacy. The home has a policy on the death of residents and all the care files examined included the arrangements that have been discussed and agreed for each individual’s death. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. Residents experience a lifestyle that matches their needs, they are encouraged to maintain contact with family and friends and have as much choice and control over their lives as possible. Residents receive a wholesome appealing balanced diet in spacious pleasing surroundings. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 13 EVIDENCE: Residents spoken with said they had plenty to do both in the home and outside and that they regularly played bingo, cards and dominoes. One resident was playing the organ at the time of the inspection; others were knitting, reading books and watching videos. One resident said she was looking forward to going out in the bus for a ride. The Body Shop visited during the inspection and the residents enjoyed discussing the benefits of the various items, and purchasing lotions and creams for themselves, their friends and family. The home encourages visitors and residents spoken with confirmed frequent visits from family and friends takes place. One resident visits his wife in Brentwood on a regular basis. Two residents currently receive regular visits from the local advocacy service. The home holds formal residents meetings two to three times a year and notes are kept of these. Residents are consulted on various issues on a daily basis including meal choices; residents confirmed that they were able to have an alternative to the meals offered on the menus if they wished. The daily meals offered are displayed on the menu board in the downstairs lounge. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The home has a good procedure, however it needs updating. Residents do not currently vote. Service users are protected from abuse. EVIDENCE: The home has a good procedure for reporting complaints, however the policy needs to be reviewed to reflect recent changes. The home has not made provision for its residents to receive postal votes, however the manager has the forms to request this and said that she will do so to enable residents to vote if they wish to. The home has a policy and procedure for Adult Protection that works within the Southend Borough Council procedure. All staff have received Protection of Vulnerable Adults training and staff spoken with had a good knowledge of the actions they needed to take on any suspicions of abuse. The home has a policy on restraint that is undated and needs to be reviewed. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, 26 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. Residents live in a safe well-maintained environment with sufficient communal facilities that are clean, pleasant and hygienic. One bedroom urgently requires redecoration. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 16 EVIDENCE: The home is well furnished and decorated except for one bedroom where the wallpaper is dirty and in a poor condition and there are marks on the ceiling that the manager said may have been a leak at some time and that has dried out. The room is dull and the carpet needs replacing. The home has decorated several bedrooms since the last inspection and purchased curtains and furniture. Empty rooms are currently being re-furbished. In addition to this a new washing machine, tumble dryer, cooker and dishwasher have been purchased. Some kitchen and laundry room cupboards have been replaced. There is new flooring in many parts of the home and the new walk in shower provides better bathing facilities for the homes more disabled residents. All bedrooms were individual and included lots of personal effects; residents spoken with confirmed that they enjoyed having their own things around them in their rooms. The garden area is small and surrounds the home, there is some provision for a seating area outside the downstairs lounge, where there are patio doors, however residents would need to be supervised as the entrance to the drive leads to the open road. There is a new ramp fitted at the kitchen door, leading in to the car park. The home was clean, fresh and free from offensive odours. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. Staff are supplied in sufficient quantities to meet the residents needs. The quota of NVQ trained staff is insufficient to meet the requirements of the National Minimum Standards. The homes recruitment practice does not always support and protect the residents. EVIDENCE: The staff duty rota showed sufficient staff on duty for each shift and identified their roles. Additional staff undertakes domestic duties. Staffing levels are as agreed by the previous registering authority. Agency staff are never used in the home and any shortfalls on the rota are covered by the homes existing staff members. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 18 Three staff has received NVQ training and the manager is nearing completion of the Registered Managers Award, six further staff are in the process of registering for NVQ training. Three staff has left within the past two months for personal reasons, one of which was NVQ trained and one was in the process of NVQ training. Two of the three staff files examined contained the information required under schedule 2. The third file contained a Home Office letter dated 25/9/04 stating that the employee had applied for the right to work; there is no follow up information to confirm that this employee has the right to work in this country. The home must ensure that all employees have the right to work in this country. The manager now has evidence of the employees right to work and has sent written confirmation to the Commission. References did not state whom they were from, however the new application form now in use is clearer on who reference requests were made from. Staff files examined included evidence of mandatory and specialist training. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37, 38 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. The home is well managed and run in the best interests of the residents and their financial interests are safeguarded. The homes quality assurance system has yet to be put in to practise. Individual records are not store appropriately. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 20 The electricity system in the home needs urgent attention and all portable appliances need testing for safety. EVIDENCE: The manager is nearing completion of the Registered Managers Award and will be enrolling on NVQ level 4 in care. The manager is experienced and has worked at the home in various roles for 16 years. The homes quality assurance system has not progressed since the last inspection, however the proprietor is now visiting the home regularly and sending Regulation 26 reports to the CSCI. The manager said that she would be in a position to issue a report on her quality assurance system at the end of August 2006. The manager is now the appointee for all residents and keeps records of all financial transactions, three residents files were checked and the recording and cash amounts were accurate. The manager provides regular supervision for staff, a discussion took place regarding some staff not wishing to be supervised. Regular staff meetings take place and notes are taken, topics included medication, care notes, emergencies, personal clothing, staff breaks, the key worker system and shift leader responsibilities. The manager asks all staff to read and sign to say they have understood the notes. The daily notes and medical appointment records were stored in two files, one for upstairs residents and one for downstairs residents. For reasons of confidentiality each resident’s records should be stored in their own individual files in accordance with the Data Protection Act 1998. The home has COSHH assessments in place and the COSHH cupboard was locked. Water and fire checks are carried out but need to be more regular, the water checks should be carried out monthly on all outlets, and the outcomes recorded. The homes procedure requires weekly checks on the fire alarm system and the home has not been following its own procedure. The home must adhere to its own procedures. Fire drills are carried out twice a year and the results recorded. The home could benefit from more frequent fire drills to enable all staff and residents to practice the procedure. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 21 The homes gas supply and central heating system has a current safety certificate that expires in July 2006. The manager has made arrangements for this years check to be carried out prior to the expiry date. The electricity safety certificate was issued on 9th August 2004 and it stated that the system was unsatisfactory. Portable Appliance testing has not been carried out since August 2003. As a matter of urgency in the presence of the inspector the manager telephoned her electrical contractor and arranged for them to do the necessary work on 3rd July 2006. The manager must supply copies of a satisfactory electrical system certificate and a portable appliance test certificate to the CSCI when obtained. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 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 2 2 X 3 3 4 3 5 3 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 2 18 3 ENVIRONMENT Standard No Score 19 3 20 3 21 X 22 X 23 X 24 3 25 X 26 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 2 34 X 35 3 36 3 37 2 38 2 Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 6 (a) (b) Requirement The registered person shall keep under review and revise the statement of purpose and the service user guide and notify the Commission and residents of any such revision within 28 days. The registered person shall ensure that all parts of the home to which residents have access are as far as reasonably practicable free from hazards to their safety. This refers to the electrical system and portable appliances requiring satisfactory test certificates. Timescale for action 30/08/06 2. OP38 13 (a) 30/07/06 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. Refer to Standard OP19 Good Practice Recommendations The occupied bedroom that is poorly decorated be the next room to be re-furbished. DS0000015450.V290829.R01.S.doc Version 5.1 Page 24 Maplin House 2. 3. 4. 5. OP28 OP29 OP33 OP37 A minimum of 50 of care staff to be trained o NVQ level 2 or above. The home should operate a thorough recruitment procedure that protects the residents. The home should develop the quality assurance and monitoring system and submit a report the CSCI. For reasons of confidentiality each resident’s records should be stored in their own individual files in accordance with the Data Protection Act 1998. The home should undertake more frequent fire drills to enable all staff and residents to practice the procedure. 6. OP38 Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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. Maplin House DS0000015450.V290829.R01.S.doc Version 5.1 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. 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