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Inspection on 08/11/05 for Matthews Nursing and Rehabilitation Unit

Also see our care home review for Matthews Nursing and Rehabilitation Unit for more information

This inspection was carried out on 8th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

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

What the care home does well

Matthews Neurological & Continuing Care Unit, Rushcliffe Care Limited provides a high standard of care for the all of the resident for all ages and needs. The unit is well run by a knowledgeable and experienced staff. It is well decorated and maintained, and provides a safe and homely environment for the residents. Staff are caring and supportive towards the residents and their relatives. Residents` care plans are detailed to ensure that each resident`s individual and specific needs are met. The specific needs of residents with brain injury are well managed and the unit has extensive facilities to support their rehabilitation programmes and specific care needs. Staff are well trained and able to meet the residents` needs. The Senior Manager`s knowledge and enthusiasm, with the support of other healthcare professionals, ensures that the residents receive optimum care on all levels. Comments from two residents and a resident`s relative, during the inspection, were very positive and demonstrated that they were satisfied with the standard of care provided. One resident said the food was very good

What has improved since the last inspection?

The unit continues to provide a high standard of care for the residents and support for their families. Two fridges have been provided for the residents. Residents and or their relatives/representative are encouraged to be part of the care planning process and sign care plans where possible.

What the care home could do better:

No Requirements or recommendations were made following this inspection.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Matthews Nursing and Rehabilitation Unit Epinal Way Care Centre Hospital Way Loughborough Leicestershire LE11 3GD Lead Inspector Mrs C A Burgess Unannounced Inspection 8th November 2005 09:45 Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 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 Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 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. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Matthews Nursing and Rehabilitation Unit Address Epinal Way Care Centre Hospital Way Loughborough Leicestershire LE11 3GD 01509 217666 01509 262710 karen@rushcliffecare.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) Rushcliffe Care Limited ** Post Vacant *** Care Home 37 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (21), Old age, not falling within any of places other category (16), Physical disability (21), Physical disability over 65 years of age (22), Sensory Impairment over 65 years of age (2), Terminally ill over 65 years of age (2) Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. No person may be admitted to the Home who falls within the category MD unless that person has a diagnosed neurological disorder. No one falling within category TI(E) may be admitted into the home where there are 2 persons of category TI(E) already accommodated within the home No one falling in category SI(E) may be admitted into the home where there are 2 persons of category SI(E) already accommodated within the home To be able to admit the named person of category TI named in the variation application number V10993 dated 20th August 2004 The home may accommodate a maximum of 15 persons falling within the category of MD on the ground floor only. Service Users. The home may accommodatte a maximum of 6 persons falling within the combined categories of PD/MD dual disability on the first floor only, within rooms 31 to 36 inclusive to be known as the continuing care unit. No person under 35 years of age who falls within combined categories PD/MD dual disability may be accommodated in the home. 7. Date of last inspection Brief Description of the Service: Matthews Neurological and Continuing Care Unit is one of three units, contained within the purpose built Epinal Way Care Centre, in Loughborough, Leicestershire. It is a specialist unit for thirty-seven residents with mental disorder, physical disability, and sensory impairment, and is able to care for a limited number of residents who are terminally ill. It provides a safe and caring environment. The unit is bright and clean with a high standard of décor throughout. All residents’ rooms have en-suite facilities and are large enough to accommodate wheelchairs and any necessary specialist equipment. The unit is situated on two floors with a lift servicing the first floor. The ground floor is a fifteen bedded neurological unit, with an additional provision of a further six neurological beds on the first floor, providing rehabilitation packages for residents and younger persons with complex, neurological conditions, including acquired brain injury. The remainder of the first floor is a sixteen bedded unit for older persons. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 5 The neurological unit provides specialist professional support and equipment of agreed packages of care for individual residents. The unit is staffed twenty-four hours a day by trained nurses and care staff. Situated adjacent to the Loughborough Hospital, and approximately one mile from the centre of Loughborough, the unit is accessible by public transport or car. There is ample parking for visitors. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day. An opportunity was taken to look around the unit, view records, policies and care plans and to talk to staff, residents, their relatives and visitors. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through a review of their records, discussion with residents and relatives, the care staff, and observation of care practices. Many of the residents were seen during the inspection. Two of the residents, who were able, and one relative spoken with gave the Inspector their impressions of the home. The term ‘younger’ adult refers to those residents who fall within the age range of 18 – 65 year. Older persons refers to residents who are 65 years or older. What the service does well: Matthews Neurological & Continuing Care Unit, Rushcliffe Care Limited provides a high standard of care for the all of the resident for all ages and needs. The unit is well run by a knowledgeable and experienced staff. It is well decorated and maintained, and provides a safe and homely environment for the residents. Staff are caring and supportive towards the residents and their relatives. Residents’ care plans are detailed to ensure that each resident’s individual and specific needs are met. The specific needs of residents with brain injury are well managed and the unit has extensive facilities to support their rehabilitation programmes and specific care needs. Staff are well trained and able to meet the residents’ needs. The Senior Manager’s knowledge and enthusiasm, with the support of other healthcare professionals, ensures that the residents receive optimum care on all levels. Comments from two residents and a resident’s relative, during the inspection, were very positive and demonstrated that they were satisfied with the standard of care provided. One resident said the food was very good. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 & 3. The admission process is well managed thereby ensuring that the residents’ health and welfare needs will be met. EVIDENCE: The pre-assessment process, completed by either the Registered Manager or a Senior Manager, is detailed and robust and reflective of the aspirations, health and welfare needs of the residents. The remaining standards were found to be satisfactory when inspected in July 2005. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 & 10. Residents and/or their relatives are well informed and supported about their assessed care and are encouraged to participate in the decision making process. EVIDENCE: The unit provides comprehensive care plans, which are regularly evaluated and updated. Care plans provide focus on the specific and individualised care needs of the residents. Residents (who are able) and their relatives are consulted about the care provided. Relatives of residents who are receiving care following a brain injury Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 11 are consulted about care during the review meetings with staff and Core Brain Injury Team. The residents or their relative/representative, where possible, sign the care plans to demonstrate agreement with the care provided. Staff are provided with appropriate training to ensure that residents’ confidentiality is respected and all information is stored in accordance with the Data Protection Act 1998. Two residents and a resident’s relative said that the care was very good, that staff were caring and that they had no complaints. The remaining standards were found to be satisfactory when inspected in July 2005. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 &12. Residents experience a stimulating and varied life style matched to their individual and specific needs. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 13 EVIDENCE: The unit provides qualified nursing and healthcare professional ‘in house’ support services, which includes occupational therapy (OT), physiotherapy and speech therapy. The Core Brain Injury Team, in partnership with the multidisciplinary team, the resident, where appropriate, and their relatives, develop programmes of care to enable residents with brain injury to fulfil their own personal potential. Specialist equipment is provided, which includes a physiotherapy room, with specialist and multi-sensory equipment in addition to a Jacuzzi/spa treatment room on the ground floor. Cultural and religious needs are supported. Additional specialist interventions, such as psychiatric support, are arranged where necessary, to identify strategies and interventions that ensure that all areas of concern are addressed to which may preclude residents from making an optimum recovery. One resident said that she was very happy living in the unit. The remaining standards were found to be satisfactory when inspected in July 2005. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 21. Residents are looked after well in respect of their health and personal care needs. EVIDENCE: Care plans are detailed and reflect residents’ specific and individual needs. New care plans have been introduced which focus on the specific and individual needs of each resident. Contact with other healthcare professionals is well documented. The quality of record keeping is reflective of the high standard of care and nursing care observed during the inspection and ensures that the needs of the residents are fully met. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 15 The home provides ‘end of life’ care and support for relatives and their families. Residents are able to remain in the home, with the consensus and support of their GP and relatives, and ‘end of life’ wishes are supported wherever possible. The remaining standards were found to be satisfactory when inspected in July 2005. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 &23. Arrangements for receiving and responding to complaints are sound, resulting in satisfactory protection of residents’ rights. EVIDENCE: The complaints file was examined. One minor complaint, since the previous inspection had been dealt with according to company policy and in an appropriate manner. The CSCI has not received any complaints about the unit and the unit’s complaints process reflects the government’s adult protection guidelines, set out in the ‘No Secrets’ publication. Staff are aware of their responsibilities and have received appropriate training. The remaining standards were found to be satisfactory when inspected in July 2005. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 &30. A comfortable, well-equipped, homely and safe standard of accommodation is provided for the residents. EVIDENCE: The unit is safe and well maintained with many adaptations to suit residents’ specific needs. It is decorated and furnished to a high standard which creates a comfortable and homely environment. There is a satisfactory system of Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 18 maintenance and refurbishment. Residents’ rooms were clean, well decorated and personalised. On the day of inspection all areas of the unit were clean and maintained to a high standard. The remaining standards were found to be satisfactory when inspected in July 2005. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 & 34. Staff at the unit are employed in sufficient numbers to meet the residents needs. EVIDENCE: Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 20 Staffing levels, at the point of inspection were satisfactory and above that indicated by the Department of Health Residential Forum Guidelines, and were sufficient to meet the residents’ needs. The acting manager maintains overall responsibility for the home and is supernumerary. The home employs a mixed staff group consisting of Registered Nurses, Care Team Leaders, Senior Care Staff and Care Assistants, supported by domestic and catering staff. In addition there are OT’s speech and language therapy staff, physiotherapy staff and a clinical psychologist. There are always qualified nurses on duty. Staff stated that there were sufficient staff on duty; that there were, very occasionally, less staff but that this was usually if staff were ‘off sick’ and that if necessary they were supported from the other homes within the group. A relative and two residents said that there were sufficient staff at all times both day and night. In the past staff recruited, on entry to the UK, from abroad were not PoVA First or Criminal Record Bureau checked when taking up employment but had been police vetted by their country of origin. Overseas staff, previously employed without a CRB check, but with a police check from their country of origin are completing CRB checks and all new staff now have an enhanced CRB check. The remaining standards were found to be satisfactory when inspected in July 2005. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 41. The Senior Manager, a trained nurse, is knowledgeable and experienced; effectively supervises the acting manager and staff and manages the unit to protect the rights and needs of the residents. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 22 EVIDENCE: The current Registered Manager’s post is vacant. An acting manager has been appointed and is applying for Registered Manager status. An experienced nurse/Senior Manager is available at all times to provide help, clinical advice and managerial guidance. Adherence to Rushcliffe Care Limited policy’s and procedures ensures that residents’ rights and best interests are safeguarded at all times. The remaining standards were found to be satisfactory when inspected in July 2005. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 4 3 4 4 X 5 X INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 4 34 3 35 X 36 X CONDUCT AND MANAGEMENT 37 3 38 X 39 X 40 X 41 X 42 X 43 3 Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 4 X X X 3 4 4 X X X X X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 X X 3 Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 24 N/A Are there any outstanding requirements from the last inspection? 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 Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. Matthews Nursing and Rehabilitation Unit DS0000001902.V250612.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!