Inspection on 03/06/08 for Meadowbeck Care Home

This inspection was carried out on 3rd June 2008.

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

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

Meadowbeck Care Home 07/06/07

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Meadowbeck Care Home 1 Meadowbeck Close Osbaldwick York North Yorkshire YO10 3SJ Lead Inspector Paul Newman Key Unannounced Inspection 3rd June 2008 09:30 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 Meadowbeck Care Home DS0000069340.V366627.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. Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadowbeck Care Home Address 1 Meadowbeck Close Osbaldwick York North Yorkshire YO10 3SJ 01904 424244 01904 436216 elizabeth.plant@barchester.net www.barchester.com Barchester Healthcare Homes Ltd 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) Elizabeth Anne Plant Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60), Physical disability (5) of places Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users in the Category PD to be: 1. 55 years or over 2. Require Nursing Care 7th June 2007 Date of last inspection Brief Description of the Service: Meadowbeck Care Home offers nursing care for older people. There are 60 registered places. The home is purpose built, set in its own grounds approximately two miles from the centre of York, where there are excellent amenities and transport links. Osbaldwick is a suburb of York and has local amenities. The home is owned by Barchester Healthcare Ltd. Meadowbeck Care Home has two floors, which are accessed by a vertical passenger lift and bedrooms are on both floors. There are 60 single bedrooms and all have en-suite facilities. The gardens have level access and seating areas and there is car parking available at the front and side of the home. The weekly fees on 3rd June 2008 range from £502.00 to £750.00 and extras include costs for hairdressing, chiropody and individual items like newspapers. This information was supplied during the inspection visit. Residents/relatives and other interested parties are able to read inspection reports as they are on display in the home. Additional written information about the services and facilities offered, are available in the home’s statement of purpose and service user guide. Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The accumulated evidence in this report has included: • • • • • • The previous key inspection. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called ‘notifications’ and are a legal requirement. Relevant information from other organisations. What other people have told us about the service. Information obtained from people living at the home, relatives, staff and other health care professionals. One inspector made an unannounced visit to the home that lasted seven hours on 3 June 2008. Before the inspection visit, the manager was sent an Annual Quality Assurance Assessment (AQAA) to complete. This is a self-assessment that if completed properly, should give us a lot of information about how the home is operating, what improvements it has made and what is planned for the future. It tells us where we can find evidence that the home is meeting National Minimum Standards. The AQAA that was returned was clear and gave us good information that helped plan the inspection. During the visit, a number of documents were looked at and all areas of the home used by the people living there were inspected. Apart from spending time with the manager, a good proportion of time was spent speaking to the nurses, other staff, people who live at the home and visitors. Time was also spent in communal areas and the dining rooms, watching what was going on and checking whether people appeared comfortable and cared for. Surveys were sent out before the inspection visit for people living at the home, relatives and friends, healthcare professionals and staff to express their views on how things operate, the services and care provided. At the time of writing this report, surveys from four people using the service, seven relatives, three healthcare professionals and three staff have been returned and the general feeling expressed was a high degree of satisfaction. Feedback was provided at the end of the inspection to the manager. Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The AQAA that was returned indicated that the requirements and recommendations made in the last inspection report have been acted upon. It also provided information about the improvements made and there was evidence to support this during the inspection visit. In relation to the last inspection report, this visit found that: • Pre admission assessments are complete. • Care plans are more specific in detail. • Weekly medication audits are carried out. • Staff receive formal supervision. • Hazardous substances are stored securely. • Bedrooms are not used to store large boxes of clinical items. Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 7 Other improvements have been made during the last year are: • • • • • • The dining experience and menus have been improved. Training in end of life care has been provided. A homely remedies policy implemented. Continued to update and refurbish bedrooms and have upgraded three bathrooms, making them more homely and less clinical. Introduced the common induction standards for care homes. Introduced daily management meetings to improve communication. 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. Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 8 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 Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 9 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): 1 and 3. Standard 6 does not apply to this home. People who use the service experience good quality outcomes in this area. People have up to date written information about the home to help them decide if the home is suitable for them to live in. People are properly assessed before admission so all concerned can be sure the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The surveys that were returned and conversations during the day indicated that people were provided with enough written information about the home. Four care plans were checked during the day. One of these was for the most recent admission. All had a pre-admission assessment that was supported by Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 10 additional social work assessments and care plans. The assessment looks at the physical, emotional and social needs of the person. Contracts or terms and conditions of residency were also seen. All had been agreed and signed by either the person concerned or their relative. The person most recently admitted to the home had arrived the day before the inspection visit and a conversation was held with him. He described the way he had visited the home twice to make sure he was happy to live there. He had seen the room on offer, spoken with other people and staff and had a meal. When asked about whether he had seen written information about the home he confirmed this was the case and that he had just been reading it again. He said that the staff could not have been more helpful and reassuring to both him and his daughter. From the information gathered in the pre-admission assessment a plan of care is written. Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 11 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): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. People get the care they need and the care plans provide instructions and guidance for staff to follow so they are fully aware of peoples’ needs. This includes safe medication practices that make sure people get the drugs that are prescribed for them. People are treated with respect and in a dignified way. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA that was completed stated that the home had improved the detail in the care plans. This was an issue raised in the last inspection report. The four care plans checked showed that the care needs that were outlined in the pre admission assessment had been accurately recorded in the plan of Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 12 care. This included one person with a pressure sore and one person with dementia. There was written evidence of peoples’ involvement and the person most recently admitted and other people and relatives spoken with during the day confirmed that they had been involved in the process. The plans were well organised so information was easy to find. There was a range of risk assessments that were reviewed regularly. The plans of care were reviewed monthly and there was evidence that where a person’s needs had changed the plan was adjusted accordingly. There was evidence of monitoring people’s conditions and liaison with GPs and other healthcare professionals so a trail could be identified of where staff began to note changes or were concerned enough to seek advice, through to the medical attention, diagnosis and treatment. These were some of the written comments made in surveys that were returned by GPs who visit the home on a regular basis: • • • • ‘The levels of care seem appropriate and above average for nursing homes in York’. ‘Has experienced staff who manage medical issues appropriately and know when to seek help’. ‘I sometimes feel that we may be called inappropriately to review care …… but we would prefer this to not being called enough. Overall the requests to GP to visit are appropriate and well founded’. ‘The overall clinical care appears good. Nursing staff appear to have a good and caring knowledge of their patients needs and communicate well with our GP Practice. Reception staff helpful and polite’. The detail in care plan can always be improved especially the fine detail about peoples’ personal choices and preferences, the ‘person centred’ detail. The manager and staff are encouraged in this approach and in the detail of the daily recording. There was however, sufficient detail and guidance for staff to deliver safe and appropriate care. The care plans are audited regularly and the scoring system used indicates the improvements that have been made over the last year. Medication procedures and practices were discussed and seen. Checks were made of the way medication is stored, administered, recorded and disposed of. This included controlled drugs that are prescribed. The records checked were for the people whose care plans had been seen. Controlled drugs are stored and administered as prescribed and the recording was done as required. One problem was found with one person’s intravenous medication. There was an omission in the recording of the administration and stock held could not be properly established. The nurse on duty immediately began to investigate this. The manager later sent a report to CSCI that explained matters and established there was an error in recording not in administration. With this exception, all other recording was accurate and this was an isolated incident in otherwise well kept records. Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 13 The home seeks the views of people about how they would like their care to be delivered including on the issue of gender of staff when it comes to attending to personal care. All personal care, chiropody, Doctor visits are carried out in the privacy of their own bedrooms. During the inspection, staff were seen knocking on bedroom doors and making sure that doors were closed at times when personal care was being delivered. People spoken to said that that staff are attentive to their needs and wishes and respond well to the emergency call system. The files showed that information is gained, as far as is possible, from the client and their relatives on their wishes for death and dying. Training in end of life care has been provided since the last inspection. Meadowbeck Care Home DS0000069340.V366627.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. Peoples’ social expectations and personal preferences are met and they are able to exercise choice in their lifestyles so they can be as independent as they can. People living at the home are provided with a varied and nutritious diet so they can eat healthily. We have made this judgment using available evidence including a visit to this service. EVIDENCE: The home employs an activity organiser who has worked at the home for a number of years. Records are kept of activities and there is a weekly programme displayed in the main entrance of the home. Various activities such as quizzes, bingo, skittles and exercise classes take place regularly. The home has a mini bus for outings like pub lunches, trips to the coast, garden centres and shops. Entertainers regularly perform at the home. On the Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 15 afternoon of the visit the activity organiser was doing a quiz. During the morning he was spending individual time with some people; this is good practice and reduces the isolation for people who may be unable to leave their rooms. He had also seen the new admission and got details of interests and the things he liked to. All people have this personal profile and activities are well recorded with a monthly summary. People were happy with the arrangements for hairdressing and chiropody. Local clergy visit the home and there is a monthly communion service. From watching what was going on and speaking with people it was clear that they are able to choose how they spend their time, when they get up in the morning and when they go to bed. People looked well cared for and there was a good atmosphere in the home, some friendly banter and general easy going pace. There was a regular flow of visitors who were relaxed with staff. One stayed for lunch with her friend and does so each Tuesday. The dining experience is excellent. The dining room/restaurant is comfortable, with good furnishings and the tables were well set for the meal with flowers, table clothes and serviettes. People were offered a glass of wine with their meal. There are dedicated staff for serving food (a hostess in smart uniform and who knows the people well), and this allows care and nursing staff to give the right assistance to people who need it. People choose their meal from the menu at the time of the meal, and even then if they do not like what is on, a number of people confirmed that they can ask for alternatives. The meal was relaxed, was a social occasion and the food looked good, was well presented on the plate and was enjoyed by the people in the dining room who made comments like ‘compliments to the chef’. The menus seen were varied offering good choices and healthy nutritious food. Special diets such as diabetics, puree and soft foods are all catered for. Residents’ meetings are held regularly so that things like activities, the menus and other matters that people are interested in or might like to comment on can be discussed with suggestions made. Meadowbeck Care Home DS0000069340.V366627.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. The people who live at the home and their relatives know how to complain and feel confident that they will be listened to and that action will be taken when necessary. There are adult protection procedures that staff are aware of through training, so people can be assured that they can feel safe because staff know what to do. We have made this judgment using available evidence including a visit to this service. EVIDENCE: The home aims to deal with situations as they occur, and encourages families to discuss any area of concern with the nurse or manager at the outset. In the conversations with people during the day and in the written comments made in surveys that were returned, this was clearly the normal way of doing things. People felt comfortable about raising things and said that they were listened to and actions were taken. One comment made was, ‘minor complaints have been dealt with efficiently’. Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 17 Where formal complaints have been made, these have been investigated under the appropriate procedures, properly documented and the complainants were satisfied with the outcome. The complaints procedure is displayed in reception and also in written information about the home. For the safeguarding of people, Protection of Vulnerable Adults training is ongoing for staff and is mandatory training. There are formal policies and procedures that must be followed. Staff spoken with confirmed that this was the case and that they had undergone training. Other checks made on recruitment, safekeeping all met required standards. medication and money held for Meadowbeck Care Home DS0000069340.V366627.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience good quality outcomes in this area. People living at the home live in a clean, comfortable and safe environment that is properly maintained and regularly improved. We have made this judgment using available evidence including a visit to this service. EVIDENCE: The home has a drive and adjoining car park to the front and side of the property. There is a large patio/garden area to the rear of the home with patio furniture for people to sit out. Peoples’ accommodation is over two floors, which can be accessed by a passenger lift or staircase. There is level access to the home. This meant that Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 19 any resident who had difficulty with mobility or uses a wheelchair has access to all parts of the home. All bedrooms are single with en-suite toilets. There are six bathrooms and one shower room. On the day of the site visit the home was clean and comfortable. There were no offensive odours in any areas of the home. All areas seen in the home including communal areas and some residents’ rooms were all furnished to a good standard. Bedrooms seen were comfortable and personalised and there is an ongoing programme of redecoration and refurbishment. Three bathrooms have been refurbished, making them more homely and less clinical. Plans for the next year include redecorating the upper unit, the Minster lounge, to continue to refurbish bedrooms and have profiling beds for all and to enlarge the dining service area. As part of their ongoing programme, the company does need to consider the outside of the building because some windows look to be in need of replacement. The home employs two full time equivalent maintenance persons and has outside service contracts to keep equipment maintained, serviced and safe to use. Health and safety meetings are held on a quarterly basis to discuss any issues that have occurred. There are policies and procedures that are followed and audits on health and safety, infection control twice a year. Staff were seen to use protective equipment and alcohol gel hand wash to minimise the risks of cross infection. Meadowbeck Care Home DS0000069340.V366627.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. People living in the home are cared for by committed staff who are properly recruited, trained and qualified for the job. We have made this judgement using available evidence including a visit to this service. EVIDENCE: The surveys returned by staff reflected positive views about the training and support provided at the home. There were mixed views in the three surveys returned by staff about there being enough staff on duty. Some of the surveys returned by residents and relatives also suggested that there usually enough staff but not necessarily always enough staff to deal with things so that people got the right support when they needed it, one comment said ‘I sometimes have to wait’. This was not reflected in the conversations with staff during the visit who expressed that moral was good and there were generally enough people to get the job done. Observations during the day supported the view expressed in the AQAA that adequate staffing levels are provided. Staff were, in the main, task orientated and focused on personal care with people with high dependency levels. From Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 21 what was seen, there are good relationships, people looked well cared for, are happy and there was a good atmosphere in the home. Relationships were warm and there was some friendly banter from time to time. Visitors also appeared to be enjoying their time in the home and had good relaxed relationships with staff. One written comment by a relative and one person living at the home said: • • ‘They treat my Dad as an individual. He makes choices and is respected in these. Communicate well with him’. ‘I have been happy and cared for. If not I just tell them’. The files for the three most recently recruited staff were checked. These showed that staff are not appointed until the required checking and vetting is completed. This makes sure that people are protected from staff who may not be suitable to work in the care industry. The data provided from the AQAA together with training records seen at the home and conversations with staff show that there is a commitment from staff to be trained and there are systems and records to make sure that they are up to date with statutory safe working practice training. The home has achieved targets set in National Minimum Standards for 50 of care staff to achieve National Vocational Qualifications (NVQ) and more staff are currently working for the qualification. Since the last inspection the home has introduced the common induction standards recognised for Care Home staff to follow. They have a full time trainer and introduced a programme of regular supervision for individual staff. Meadowbeck Care Home DS0000069340.V366627.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. The home is well managed and the opinions and interests of the people are central to the way the home is run. Safety checks and systems of communication make sure that the home is a safe place to live. We have made this judgment using available evidence including a visit to this service. Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 23 EVIDENCE: The registered manager is experienced and qualified as a nurse and has a management qualification. From the conversations with people, visitors and staff she is considered approachable, encourages new ideas and has high standards of care. Staff feel that they have a clear understanding of what the manager expects from them. Daily management meetings have been introduced that bring department heads together to discuss any issues of note. This is said to have improved communication. The company has systems of surveying people and their relatives and the results of the surveys were made available during the visit. These are graphically presented and outline written comments made. On a daily basis it was also clear that staff regularly check on the wellbeing of people making sure they are comfortable or if they need anything. There are regular ‘Residents’ meetings where they can air their views about services and facilities. The home is visited at least monthly by a line manager and the reports reflect checks on the building, documentation, conversations with people and staff and details of any actions that might need to be taken. In addition to the monthly visits made by the line manager, the company makes its own quality checks that make sure that the home is compliant with legislation and National Minimum Standards and if not what actions need to be taken. The home’s administrator described and demonstrated the systems, procedures and practices for making sure one person’s personal money is properly accounted for. Records were checked and an audit trail seen with receipts to evidence expenditure. People can be assured their money is well accounted for. Staff were seen to be wearing appropriate protective clothing to prevent cross infection and safety checks are made of the facilities and equipment to make sure the home is a safe place to live. The housekeeper and team do well to make sure the home is clean and free from unpleasant odours. Staff are trained in safe working practices and are up dated regularly. Some records of safety checks were seen (including fire) and found to be up to date. Accident records were also checked and were properly recorded and are audited by the manager to check if risks can be reduced. The AQAA confirmed that equipment and facilities are checked regularly to make sure it is in good and safe working order. Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 24 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 X 18 3 3 X X X X X X 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 X 3 X 3 X X 3 Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 25 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 OP9 Regulation 13(2) Timescale for action The manager must make sure 31/08/08 that staff who administer medication, record that they have done so at the time they do it. Where an omission is made, this must be noted and investigated by the next person administering or senior on duty. This will swiftly make sure that people have received their prescribed medication and if not, the reason for this. Requirement 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 OP7 Good Practice Recommendations Improved detail about peoples’ personal choices and preferences, the ‘person centred’ detail in care plans was noted. The manager and staff are encouraged in this approach and in the detail of the daily recording. DS0000069340.V366627.R01.S.doc Version 5.2 Page 26 Meadowbeck Care Home 2 OP27 Whilst acknowledging that staff can go sick at the last minute and that shifts can be difficult to cover, the manager should continue to make every effort to make sure that there are sufficient numbers of staff on duty at all times. Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Meadowbeck Care Home DS0000069340.V366627.R01.S.doc Version 5.2 Page 28 - 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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