Inspection on 01/02/07 for Meadow Bank Care Home

This inspection was carried out on 1st February 2007.

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.

Other inspections for this house

Meadow Bank Care Home 27/01/09

Meadow Bank Care Home 16/01/06

Meadow Bank Care Home 12/10/05

Similar services:

22 Sandown Road

The Highlands

Turret Villa Retirement Home

Dilston College Of Further Education

West View House

Moor House

Prince Bishop Court

Park View (15)

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

CARE HOMES FOR OLDER PEOPLE Meadow Bank Care Home Meadow Bank Care Home 1 Bowes Terrace Dipton Stanley Co Durham DH9 9HF Lead Inspector Michaela Griffin Unannounced Inspection 1st February 2007 02:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadow Bank Care Home Address Meadow Bank Care Home 1 Bowes Terrace Dipton Stanley Co Durham DH9 9HF 01207 570508 01207 570508 greynewbiggin@ic24.net 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) Lifestyles - Care & Support Ltd Karen Jacques Care Home 14 Category(ies) of Learning disability (6), Old age, not falling registration, with number within any other category (8) of places Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th January 2006 Brief Description of the Service: Meadow Bank Care Home is registered with the Commission for Social Care Inspection as a care home currently providing personal care and accommodation for up to 12 older people and people who have learning disabilities. The home is in a residential street at the end of a terrace of large, older houses. It has a ramped entrance, a lift and some ground floor bedrooms. None of the people who live in Meadow Bank at present uses a wheelchair inside, but there is enough space for visitors to move around in wheelchairs. The home encourages people to be as independent as possible and to lead full and interesting lives. The care each person gets is based on his or her individual care needs, likes and dislikes. Meadow Bank is situated in the village of Dipton, near Stanley, and there are regular buses to the larger town of Consett. The home is owned and operated by Lifestyles Care and Support Limited who took over the running of the home in 2005. The weekly charges for residential care range from £364.50 to £470.37 (February 2007). Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two days. Before the inspection, survey forms were sent out to ask people questions about the home and what they think is good or bad about it. Five people who live in the home and three relatives filled in these forms. The inspector visited the home and looked round. She met six service users who were in at the time of her visit. One service user told her about what it is like to live in the home. Three relatives who visit the home also talked to her. The inspector talked to the person who runs the home (the Responsible Individual), the manager and two other staff. They answered questions about the way they work and what they do to help people. The inspector also checked paperwork and files. Care managers from two local authorities, who visit the home, gave their views on the service. What the service does well: What has improved since the last inspection? The home is improving the way that it asks people what they think about the service. Service users can now say what they think to people who do not live or work in this home. The people they talk to are service users from other homes, who have had special training so that they can speak up for other people. There has been some building work done on the home and some of the rooms have been decorated. There is an extra small sitting room and the people who live in the home all have their own rooms. Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 1 and 3. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People’s needs are fully assessed and they are assured that the home can meet them, before they move into the home. Standard 6 was not assessed because the home does not provide intermediate care. EVIDENCE: The files of three service users, who have moved into the home since the last inspection, were checked. Each file held evidence that each person’s needs had been fully assessed by the manager, before they moved into the home, and that she had also got copies of the assessments carried out by other professionals. The home provides each service user with a guide and a simple list of the important things they need to know about living there. Staff read this out to people who do not read written English. Some of the other information in the service user guide is not easy to read and understand. But the manager explained that she meets people before they move into the home and explains what they can expect. She said that she also lets people have a chance to find out about the home, by meeting staff and other service users and by visiting, to look around, join in activities and stay for meals. A company director said Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 9 that they are developing new service user guides. To do this it is getting advice from service users and people with special knowledge about providing information in ways that different people can understand. A care manager described what happened when he had asked for a place in the home for a gentleman who was living in hospital. The manager of the home had got as much information as she could from him about the needs and circumstances of the service user. She had then visited him in hospital and learned more about him from hospital staff and records, so she understood what the home would need to do to care for him properly and safely. She introduced the service user to her own staff and they got to know him while he was still in hospital. They brought him on visits to the home, so he got the chance to find out if he would like it and if it would meet his needs. Another service user who has recently moved in to the home described how the manager visited her in her previous home. The manager had asked about her needs and told her about Meadow Bank. She said ‘ Then I came on a visit with my family and I liked it straightaway.’ This service user explained that she had come in to the home at first just to try it. Then her care manager had asked her if she wanted to stay. Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Each person has a detailed plan, which explains how their care they will be given and people’s health care needs are met. The home’s policies and procedures for dealing with medication protect service users. Service users feel that they are treated with respect. EVIDENCE: The files of four service users were checked and they contained detailed care plans. The care plans explained how each of their assessed needs should be met. There was evidence of a person- centred approach to planning and providing services. This is based on finding out what each person likes and wants to do. These plans give staff clear guidance on how people want their care to be delivered, what they want out of life and hope the service will help them achieve. There is a key worker system in place, so that individual carers get to know one or two service users well. It is the key worker’s job to make sure that the care they get meets the person’s needs and that their life style suits them. The manager makes sure that the care plans are looked at every month and that any changes are agreed between the key worker and service user and Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 11 written down. It is important that everything agreed is written down clearly, so that other staff can read what they should be doing and what the service user wants when the key worker is not there. The records held on service users’ files confirmed that the home works with health professionals to make sure that people get the health care and treatment they need and stay as healthy as they can be. A relative described how quickly the staff had acted when her father had chest pains. They got him to hospital and a carer stayed with him for hours, until he was given a bed on a ward. She lives away from the area but the staff kept ringing her to let her know what was happening. Care managers also stated that the manager keeps them informed about the people they have placed in the home and lets them know quickly if there are any changes in their health or circumstances. One care manager said ‘The quality of care is second to none.’ The home has policies and procedures that provide clear guidance on the safe handling of medication and when possible, enable service users to manage their own medication. Records and interviews with staff showed that these guidelines are followed. One service user explained how she deals with her own medication, with support from staff. The relatives of people who live in this home said that they feel that service users are treated with respect and kindness. They have their own bedrooms and their privacy and dignity are protected by staff, when they use communal bathrooms. A relative said that her father is very happy with the arrangements for helping him with his personal care needs. She commented ‘The older generation are not bothered about en-suites.’ Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The lifestyle the home offers suits the people who live there. They have contact with their family, friends and the community and are encouraged to make choices. People are happy with the food and dining arrangements. EVIDENCE: The home now caters for older people and older people who have learning disabilities. Its approach suits people who cannot live in their own homes any longer, but who still want to lead full and interesting lives. It also suits people who have lived in other homes but are less mobile or need more staff support than they once did, to maintain some independence. A care manager commented on how well the mix of service users works, because the home matches people to the home carefully, so that the lifestyle offered suits them. A director of the home explained that they think about meeting the needs of individuals and treating everyone with equal respect while recognising that everyone is different. The manager said that they do not make assumptions about what people will need or want, but get to know each person. Another care manager explained that the gentleman he had placed in the home had developed new skills and more confidence since he moved there, even though he was already in his seventies. Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 13 The daughter of an older gentleman, who has lived there for three years, said that her father is very happy and that she is glad he is there, rather than a home just for older people. She said that the home gives him ‘the best of both worlds’. He has both as much care and as much independence as he needs. The home employs a carer to work extra hours to coordinate a programme of activities and fundraising events, which help pay for special outings. She takes the lead on organising activities in the home and making arrangements for people to go out, individually or in groups, to follow their interests or develop new ones. Another carer explained that they try to give people as much support as they need, to do the things they want to do. A relative described how her father still likes to go a local pub, as he did when he lived in his own home. But he now mixes with other people more and he gets involved in activities in the home, including calling the numbers for the bingo. A care manager said that the service user he placed had initially wanted to stay in his own room but now likes to spend time with other people. The activities worker said that this man now enjoys being with people and writing and painting. The home encourages the people who live there to keep in touch with their relatives, friends and neighbours and to continue to join in community activities. One lady described how she is able to travel independently and uses local buses to get to her job in a charity shop. She has a boyfriend who visits her. She goes to stay with him when she wants to, and goes on holiday with his family. A relative said that the staff help her father to speak to her on the phone, so that she keeps in touch with him between visits. Other relatives said that they feel welcome when they visit the home. One said ‘It’s really comfortable, I don’t feel awkward. Everyone is really nice.’ The carers explained that they are encouraged by the manager to find ways of helping people to make choices and have as much control as they can in their lives. For example people have choice over how they spend their time and money, what they eat and wear, how they decorate their rooms and who they spend time with. Relatives, care managers and a service user all confirmed that the home encourages choice and control wherever it is safe and practical. One example of this is the way that the manager allowed her office to be redeveloped as a sitting room for people who want to smoke, in a safe and comfortable place. This means that the service users who choose to can smoke, without it bothering other service users and visitors. People who live in this home enjoy the meals, which are home cooked and based on a traditional English diet. A four-week menu provides a range of meals that service users have said they want. But at each meal time individuals can ask for something else, which is prepared separately for them. One service user said ‘The food is lovely.’ People can choose when and where they eat, in their rooms or in one of the two pleasant dining areas. The home caters for alternative and special diets when required. Staff recognise that they would need to get appropriate guidance, if someone Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 14 wanted to move into the home who had different dietary needs because of their culture or religion. Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are confident that complaints are taken seriously and acted upon. Service users are protected from harm, through abuse and neglect. EVIDENCE: The home has a complaints policy and procedure, which explains how people can make a complaint and what will happen when they do. It is advertised on the notice board and there is a copy of it in the service user guide in each person’s room. The director and manager realise that the complaints procedure is not written in a way that is easy to read and understand. The typing is small, the sentences are long and some of the words are not used in everyday conversations. They are working on improving all the information they give to service users and finding out about different ways of giving people information, so that people who do not or cannot read English know all they need to enjoy their rights and make full use of this service. One service user said that she was happy with the service but would feel able to make a complaint ‘Everything is fine but I would go to the manager or my key worker if it was not.’ Relatives said that the manager is very approachable. The home holds regular residents’ meetings, which is another way that people who live in the home can make comments about the service, raise things that are bothering them or suggest changes. One of the new service users has had experience of chairing committees and she is going to write down the things that are talked about and report any issues to the manager. This means that in future people will be able to look at the records of these meetings and see if the home has acted on what people have said. Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 16 The home has policies and procedures for protecting vulnerable adults. All staff have training so that they know how to recognise the signs that someone has been abused or neglected and what they should do. The manager and staff have had experience of reporting their suspicions that a service user had been abused, to social services. The social worker for the service user concerned confirmed that the home had acted correctly and had cooperated with other agencies to keep the person safe while the matter was investigated. Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a clean, safe and comfortable home. EVIDENCE: The inspector looked round the home and saw how the people who live there use the rooms. Relatives also gave their views. Records of health and safety checks and maintenance work were examined. They included a letter from the Fire Officer, who had visited recently to check the arrangements for preventing fires and getting people out of the building safely in an emergency. The home employs a ‘handyman’. And the manager encourages all staff to share responsibility for keeping the home clean and safe and to report any repairs or improvements that are needed. The home is in a fairly quiet side street, but close to the main road in the County Durham village of Dipton. It is at the end of a terrace, in a street of ordinary houses and bungalows. It does not look like an institution from the outside. There are regular buses to the nearest town, Consett, and there is onstreet parking outside. The home has a wheelchair ramp, a lift and other Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 18 adaptations and equipment that mean that people with mobility problems can move around it and get in and out safely. There are also ground floor bedrooms. Service users have their own rooms, which they can decorate and furnish to suit themselves. There are enough communal rooms and bathrooms. Everywhere is clean, comfortably furnished and pleasantly decorated. A relative said ‘It is old fashioned and homely.’ Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough staff, and they have the skills and qualities required to meet service users’ needs. EVIDENCE: The rotas showed that there are two staff on duty at all times, including nights, and three staff at key times during the day and on the evening shift to help people to go to bed. The worker who organises activities is extra to the care staff on rota when she does this. Some individuals also get one to one staff attention to help them with personal care or particular activities. The extra time is arranged through their care managers. For example one person’s records showed that she gets extra help with personal care based on an assessment that she would be at risk of falling, if there were not two people to help her get up and get ready. The recruitment records of three staff showed that the home is careful to check that there is nothing in the backgrounds of people who apply for jobs that would make them unsuitable to work with vulnerable people. New staff have a period of induction, when they learn about how the home works and the tasks they have to carry out. This means people do not work without help until they can show that they understand the way they are expected to care for people and how to do their jobs properly. Training plans and records also showed that the home makes sure that the staff have the skills required to meet people’s needs and to keep themselves and service users safe. This training is regularly up dated. A carer described how she had additional training from the district Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 20 nurse on how to carry out health related tasks. A service user commented ‘They know what they are doing.’ Thirteen of the fifteen staff have already achieved the National Vocational Qualification in care at level 2 or higher. Two others, including the newest carer are working towards this. Staff have also done a course recommended for people who work with people with learning disabilities (The Learning Disabilities Awards Framework). A carer, with many years experience working with older people, explained that this had helped developed her skills and confidence in communicating with and supporting people with learning disabilities. Two senior care staff have already had some extra training on Equality and Diversity and these issues have been discussed in a recent training course, arranged by the home, for all staff. This shows that the home tells its staff to treat everyone fairly and to do this they must understand and respect the ways that people are different from each other. Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35,36 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well run. Staff are appropriately supervised and service users’ interests and safety are promoted and protected. EVIDENCE: The manager has been running this home for two years and has had 8 years experience working in care homes. She has a National Vocational Qualification at Level 4 in care. She is currently working for the Registered Managers Award, which she hopes to complete this year. Her work experience and training for nationally recognised qualifications provide some of the evidence that she has the knowledge and skills to run the home. Staff, local authority care managers and relatives of people who live here have also said that she is a good at her job. One relative wrote ‘In general the care home is excellent and very well run.’ A care manager said ‘The manager knows what she is doing.’ Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 22 The manager explained how she plans to keep improving the service and how she keeps up to date with changes in the law, government policies and good care practice. She is very concerned to make sure that the service is organised and developed around the needs and interests of the people who use it. The home is one of a group of services in the North East run by Lifestyles Care and Support services. This company encourages the managers to meet, to look at each other’s services and to share ideas about how they can be improved. The manager asks residents and their relatives for their views on the service. The home is developing new ways of asking service users what they think about the service and how they would like to improve it. The home is bringing in people who live other homes who have had special training, from an independent advocacy service, to listen to people and in speaking up to make sure that their views get heard. Care managers who visit this home say that it provides good care and a good life style for the people who live there. The manager should develop a system for asking professionals who know the people who live in the home what they think about the service and the way the manager and staff work with them. Their comments should be summarised in a yearly report and, together with the views of service users and relatives, should be used to produce a plan that says what the home intends to achieve every year. Records showed that all staff have regular, planned meetings with the manager or her deputy, when they talk about their work and how the home can help them to do their jobs better. The directors of the company that owns the home visit regularly. One director checks that the home is following the correct policies and procedures in helping to look after service users’ money. The other director is responsible for checking that the care provided is of a high standard. He visits this home at least once a week and knows the people who live and work there well. The care staff say that he understands the service and supports the manager, and gives them any help and advice they need. He also takes service users out to visit family and friends. The home has policies and procedures to tell staff what they must do to keep themselves and service users safe and well. Records show that the manager has systems in place for checking that these rules and instructions are always followed. Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 4 x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x 3 4 x 3 Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 24 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 OP33 Regulation 24 Requirement The home must continue to develop its systems for assuring the quality of service and produce an annual report. Timescale for action 01/10/07 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 OP1 Good Practice Recommendations The home should improve the information it provides to service users, so that it is easier to read and understand. The home should also ensure that information can be offered in formats other than written English. Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Meadow Bank Care Home DS0000062793.V327215.R01.S.doc Version 5.2 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. 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