Key inspection report CARE HOMES FOR OLDER PEOPLE
Marple Lodge 19 Arkwright Road Marple Stockport Cheshire SK6 7DB Lead Inspector
Jackie Kelly Unannounced Inspection 7th July 2009 10:40
07/07/09
DS0000072717.V376688.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 2 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Marple Lodge Address 19 Arkwright Road Marple Stockport Cheshire SK6 7DB 0161 427 7248 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) Grove Lodge Care home Limited Mr Joseph Robert Stokes Care Home 18 Category(ies) of Dementia (18), Mental disorder, excluding registration, with number learning disability or dementia (18) of places Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only- Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia- Code DE Mental disorder, excluding learning disability or dementia- Code MD The maximum number of people who can be accommodated is: 18 Date of last inspection New Service Brief Description of the Service: Marple Lodge is a care home which is owned and managed by Mr Robert Stokes. Mr Stokes has a second registered care home Grove Lodge which is located in the Hazel Grove area of Stockport. Mr Stokes purchased the home in February 2009. Marple Lodge is situated in a quiet area of Marple overlooking fields with Mellor Church in the distance. The home has bedrooms on the ground and first floors and there is full passenger lift. There two lounges, dining room and toilet/shower room on the ground floor. There is a reasonably sized garden to the rear of the property with parking facilities at the front of the house. Marple and Marple Bridge villages are within walking distance or a short car ride. Marple has a cinema, restaurants, banks, church and shops. There is a bus service to Stockport and railway station which has a direct line to Manchester. The fees were £458 per week. There was a service user guide that provided information about the home and the inspection report was available on request. Marple Lodge DS0000072717.V376688.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. Before the inspection we asked the manager of the home to complete a form called an Annual Quality Assurance Assessment, AQAA, to tell us what they felt they did well, and what they needed to do better. We felt that time had been given to filling in the form, and that it contained information to help us in making our judgement. This was the first inspection of the home under the new ownership of Robert Stokes and his management team and under the new name of Marple Lodge. This was an unannounced visit where we spent three hours and twenty minutes conducting our inspection. During the visit we looked around the home, talked with the administrator, managers, staff and residents. We also looked at various documents including the files for both the people who used the service and staff. We sent out survey forms to the people who lived and worked at the home. We had returned to us six service user surveys and five staff surveys. We received a number of general comments about what the home did well which are included in the section below. We did not receive any comments to the question what the home could do better only that ‘it was being done already’. We had received no written complaints or safeguarding referrals. The home had not recorded any formal complaints. However the manager did say that that there had been some minor concerns regarding the disruption during the refurbishment of the home which could not be helped The report was written on behalf of the Care Quality Commission therefore throughout the report the terms ‘we’ and ‘us’ are used What the service does well:
There was statement of purpose/service user guide which gave the people who were thinking of using the service information about the home and what they could expect. The majority of the people who completed a resident survey said that they were given enough information about the home and terms and conditions. The care workers also said that they were given enough information about the people who lived at the home. Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 6 Everyone had an assessment before they were offered a place at the home apart from those people who were admitted as an emergency. These people would have had an assessment by a social worker or hospital staff. Each person had a care plan which contained information about their personal and health care needs. The care workers used the care plans to provide the care necessary and in a way that the person liked. Peoples medical needs were met through local GP’s, chiropodist, opticians and appropriate medication was administered. Our surveys showed that people felt that they received the care, support and medical care they required. They also said that staff listened and acted on what they said. People said that their privacy and dignity was respected and we found nothing to contradict this on the day of the inspection. For instance bedrooms doors were closed and staff knocked and waited for an answer before entering. Care workers were heard talking to the residents in a friendly and caring manner.# People said that the home usually or sometimes arranged activities that they could take part in. The also said that always or usually they liked the meals. There was a set menu but an alternative was available if they did not like what was being offered. A chalk board was situated on the dining room door for everyone to see what was on the menu for that day. There was a complaints procedure contained in the service user guide. The majority of the care workers and residents knew who to complain to both informally and formally. Staff had received training from Stockport MBC Staff Development section on safeguarding people from any forms of abuse. The owner, manager and administrator had received training about the Mental Capacity Act and deprivation of Liberty. A staff recruitment and selection process was in place which ensured that only suitable people were employed to keep people safe. Criminal Record Bureau and Protection of Vulnerable Adult checks were completed for everyone. The managers of the home did not employ agency staff. All holidays and sickness was covered by their own staff team. Of the six people who used the service and had completed a survey form; four always. two usually said that staff were available when they needed them Thirteen of the staff team had a National Vocational Qualification (NVQ) level 2 or above in care. Training had been provided in two half day sessions by a trainer from the Staff Development section of Stockport Social Services. Further training was planned for the future. All the staff said that they were given training that was relevant to their role, helped them understand and meet the individual needs of the people they cared for and kept them up to date with new ways of working. Staff had now been provided with a uniform, staff handbook and new contracts of employment.
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DS0000072717.V376688.R01.S.doc Version 5.2 Page 7 Much had been done since February 2009 to improve the building and the safety of the premises. These included, fire safety, electrical checks, moving and handling training, new flooring, tables and chairs in the dining room, redecoration of the lounges and entrance hall and two completely re-furbished bathrooms. We received some general comments from residents to the question ‘what does the home do well’ were as follows:- ‘Better staff and furnishing;’ ‘Improvements are being made at the moment decorating etc.;’ ‘recently redecorating has started - much better and a new car park. Very homely and friendly;’ ‘Now we have new managers the home is getting very clean and smart. Lots of new paper and paint, curtains, bathrooms now easier to use. Staff are much nicer. Home smells nice. Care for my mother. Cooking/meals. Excellent care of all the other residents.’ To the same question put to the care workers we received the following:- ‘The home is in the process of being updated this is the biggest thing that needed to be improved and is being done at a very high level;’ ‘Home is starting to look nice, new decor and fittings, new bathrooms, safety issues addressed;’ ‘The home has just been taken over and the new owner and manager has improved the whole aspect of the care home by 110percent. I feel much happier and enjoy my employment with the new situation and employer.’ What has improved since the last inspection? What they could do better:
Nutritional screening should be added to the care plan assessment. The manager was aware of this and will be introducing it to the care workers. The owner and managers of Marple Lodge were aware of what needs to be done to improve the building, furnishings and training and were putting these in place. Because of this we have made no statutory requirements or recommendations. Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 8 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 9 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 Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 10 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People thinking of moving into the home received information and visited the home to help them make a decision. Staff received information through the assessments which helped them understand the person’s care needs. EVIDENCE: There was a combined statement of purpose/service user guide which contained information about the home such as the type of care a person could expect. There was a contract in place which all parties had to sign. Anyone interested in living at the home had a care needs assessment done by one of the managers before being offered a place. People would also need to
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DS0000072717.V376688.R01.S.doc Version 5.2 Page 11 have had an assessment completed by a social worker from a local authority social services division. Planned admissions usually included a visit to the person’s home or hospital by a senior member of staff. A visit to Marple Lodge for a few hours and have lunch was also offered. This was to help people with their decisions about living at the home. Everyone had an initial six week trial stay prior to a review where decisions were made about living at the home permanently. Some people visited Marple Lodge for a short stay only and would return home. Sometimes people were admitted as an emergency placement, usually from hospital. At these times it was not always possible for the managers of the home to visit the person prior to their admission. However some limited information is provided by the hospital to assist the home over the initial period. The care needs assessment formed the basis of the care plan. This was to ensure that the staff team had the knowledge, training, skills and experience to meet the needs of the people living at the home. The home did not offer intermediate care. Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 12 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s health and personal care needs were being met by staff who also respected the person’s privacy and dignity. EVIDENCE: All the people who lived at Marple Lodge had a care plan which provided the care workers with information about the health care needs of the people who were living at the home. This information included what their care needs were and how they were to be met and were to be regularly reviewed. The care file also included general information about the person’s relatives, moving and handling, risk assessments, GP visit sheets and hospital
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DS0000072717.V376688.R01.S.doc Version 5.2 Page 13 appointments. Each person had a daily diary where the care workers wrote a brief note of how people had been that day and meals taken. No nutritional screening of the residents had yet taken place. The new management intended to introduce this. People received the services of chiropodist, optician and dentist as required. Medication was obtained using the services of Super Drug Pharmacy, Stockport. All medication was provided by the pharmacist in dosette boxes. The company had also visited to the home to provide training to the staff. The medication drug administration sheets were seen during the inspection and were satisfactory. During the visit to the home we observed that the people’s right to privacy and dignity was respected. For instance bedroom doors were shut and staff knocked on doors before entering. The statement of purpose/service user guide contained a statement about the privacy and dignity of people being observed by the staff team. Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 14 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were provided with activities and a variety of home cooked food, which they enjoy. EVIDENCE: The people who lived at the home were able to make choices around the majority of the daily routines. Activities were available each day for those people who wished to take part. Resident’s relatives were encouraged to visit the home. The managers were also hoping to involve relatives in fund raising activities so that people could have regular trips out. A representative from the Church of England and Priest attended for communion. Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 15 The home was not involved in people’s finances apart from keeping small amounts of money for day to day items for which a record was kept. People were able to bring small personal items with them to be kept in their rooms. New menus had been devised with the help of the residents so that they included things that they liked. A chalk board had been fitted to the dining room door on which was written what was to eat that day. On the day of our visit lunch was roast chicken, stuffing and roasted peppers with meringue nests and ice cream for desert. Tea was cheese and onion pie and waffles. It is a set menu but people can have something different if they don’t like what was being offered for that meal. All the people we had contact with were always or usually happy with the food. Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given a copy of the complaints procedure so that they know how to complain should they find it necessary to do so. Systems are in place to ensure that people are protected from abuse and harm. EVIDENCE: The information we received from the manager prior to the visit said that everyone who was admitted was given a copy of the service user guide which told them how they could complain if they were not happy with the service. During the visit we asked to look at the complaints record however no complaints had been recorded. The manager said that no formal complaints had been received. There had been some general matters brought to the attention of the manager which had been discussed with the people concerned. These were about new routines that had been introduced by the new management such as people sitting in the dining room for mid morning and afternoon drinks and the disruption caused due to the redecoration and refurbishment of the home.
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DS0000072717.V376688.R01.S.doc Version 5.2 Page 17 All prospective new employees were interviewed and a thorough check was made on their employment history. A minumum of two references were requested one of which was from their previous employer. An enhanced Criminal Record Bureau disclosure check (CRB) was carried out and the Protection of Vulnerable Adults (POVA) register was checked before anyone commenced employement. We had received no safeguarding adult referrals or investigations. Training for staff on keeping the people who used the service safe and proctected from any forms of abuse had been provided by Stockport MBC staff development team. Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a suitably adapted, clean and reasonably furnished environment. EVIDENCE: We looked around the home and found that the new owners had already made many improvements to the building, grounds and the general decoration and refurbishment of the home. The entrance hall, stairs and landing had been redecorated, as had the two lounges and the dining room. New flooring, new tables and chairs for the dining room and new crockery had also been obtained.
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DS0000072717.V376688.R01.S.doc Version 5.2 Page 19 The front of the building had been paved to introduce a car parking facility. The rest of the drive was also to be paved and a wall and gates installed towards the rear of house. This would enable the garden to be extended across the back of the house and make it safe for the people who lived at Marple Lodge to use. The fire exits had been alarmed and smoke detectors had been installed in all bedrooms for the protection of the people who lived at the home. All bedrooms now had a nurse call bell and extention cord. Two bathrooms; one on the ground floor and one on the first floor had been completely refurbished with walk in showers, new toilets, lighting, floor coverings and wall decoration. Bedrooms were also being provided with new flooring and decorating and new beds. A good quality rating has been given due to the amount of work that had been completed and the further improvements that are to be completed over the coming months. Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing arrangements, recruitment and training ensure that people are cared for and supported safely. EVIDENCE: The management structure, and the staffing hours had been changed to ensure that the people who used the service had continuity of care. All the staff now worked to a set rota so that they were aware of their shift pattern and could therefore arrange social time and appointments around their off duty. There was an on-call system for senior managment to show who was on duty and who could be contacted in an emergency situation. Staff uniforms and name badges had been provided which made the staff look more professional. A trainer from the staff development section of Stockport Social Services division had provided some training in core skills at the home. This training had taken place in two half day sessions. The managers intended to offer
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DS0000072717.V376688.R01.S.doc Version 5.2 Page 21 more training to the care workers as and where necessary. A training record will be produced to enable managers keep up to date with what training people required. Thirteen of the care workers had a National Vocational Qualification (NVQ) level 2 in care. Only one person had been employed since the new owners had taken over the home. The majority of the previous staff had stayed at the home and a small number had transferred from the other care home within the group. The one new employee had completed all the recruitment and selection checks as required. All the staff had been given new contracts, a staff handbook and signed a confidentiality statement. Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 22 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Marple Lodge is managed with systems, polices and procedures in place to ensure the health and safety of staff and people living there are promoted and protected. EVIDENCE: The new owner is also the registered manager. He has all the necessary qualifications and experience to manage the home. He is also assisted by the registered manager (who has the Registered Managers Award) and administrator from Grove Lodge Care Home which is part of the group.
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DS0000072717.V376688.R01.S.doc Version 5.2 Page 23 During our visit we talked with the care workers who were on duty that day. They said that they felt able to voice their opinions and views. Staff meetings had taken place monthly with the next one due 9th July 2009. Formal supervision whereby staff had time set aside to talk with a senior member of staff and discuss their work and training needs had started to take place from May 2009. All but one member of staff had received their first supervision session. The owners employed an independent Quality Assurance company to review the home against a set of standards and seek out the views of the people who lived at the home. The company was due to visit the home soon and would produce a report. The owners of the home had not yet conducted any surveys as they had only taken over the home in February 2009. However the managers were aware that some of the residents had not liked the upheaval of decorating and improvements to the building. They also had to get used to changes and new routines such as people being encouraged to have mid morning, mid afternoon and supper time drinks in the dining room. The people who lived at Marple Lodge were responsible for their own finances apart from small amounts of ‘pocket money’ which was left with the office staff for safe keeping and for which a record was kept. All the necessary records as required by legislation were in place. All policies and procedures were regularly reviewed and updated. The owners on taking over the home had employed electricians to check all the wiring and had installed new fuse boxes on each floor. A new fire alarm system had been installed along with fire extinguishers, smoke detectors in bedrooms, staff training and the two exit doors at the rear of the building fitted with alarms and lock. All the improvements with regard to fire safety had been looked at by the fire officer who had verbally said everything was satisfactory; the home was awaiting his written report. All the radiators had been fitted with covers to prevent accidents from burns. All the staff had received training in moving and handling and thirteen had training in infection control. Two new washing machines and two new dryers had been purchased. Hand gel dispensers had been installed throughout the home. Many of the sash windows were unsafe due to broken sash cords which the previous owner had been made aware of by us. The present owners had employed a builder to make all these windows safe until they could be repaired. Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 24 A system for recording accidents was in place. Advice had been given to the manager regarding the reporting to us accidents and or incidents which result in the person being admitted to the Accident and Emergency Unit. This advice had been implemented. The managers had received training about the Mental Capacity Act deprivation of liberty and how it may affect the running of the home. The manager said that staff would receive this training when it was available through Stockport MBC staff development team. The owner and managers were aware of what was necessary to ensure that the people who lived at Marple Lodge were safe. There was a financial plan in place to meet the plans for upgrading and making safe the premises; this was not looked at by us during this visit. Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 25 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 3 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 3 17 3 18 3 3 x 3 x x 2 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 3 3 Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Marple Lodge DS0000072717.V376688.R01.S.doc Version 5.2 Page 27 Care Quality Commission Care Quality Commission Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk
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