Inspection on 30/11/06 for Meadowbrook Care Centre

This inspection was carried out on 30th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Meadowbrook Care Centre 07/12/05

Meadowbrook Care Centre 28/07/05

Meadowbrook Care Centre 05/01/05

Meadowbrook Care Centre 01/09/04

Meadowbrook Care Centre 25/05/04

Meadowbrook Care Centre 22/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Meadowbrook Care Centre Twmpath Lane Gobowen Oswestry Shropshire SY10 7AH Lead Inspector Pat Scott Key Unannounced Inspection 30th November 2006 09:15 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 Meadowbrook Care Centre DS0000022262.V296994.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. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadowbrook Care Centre Address Twmpath Lane Gobowen Oswestry Shropshire SY10 7AH 01691 653000 01691 662927 meadowbrook@fsch.co.uk www.fshc.co.uk Four Seasons (DFK) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Sheridan Lesley Chetwin Care Home 79 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) Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (34), of places Physical disability (24) Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The home must comply with the minimum Staffing Notice issued with the National Care Standards Commission in April 2003. The home may accommodate a maximum of 79 service users. The home may accommodate a maximum of 55 Older Persons of whom up to 21 may have Dementia, in the specified unit for that category of service user. The home may accommodate a maximum of 24 Younger Adults with a Physical Disability in the specified unit. 7th December 2005 Date of last inspection Brief Description of the Service: Four Seasons Health Care is a nationwide provider of care. Meadowbrook is a purpose built care home providing nursing and personal care for older people who are physically frail and older people who have mental health needs such as Alzheimer’s disease. There is also a young physically disabled unit for service users to receive both continuing and short term care. Meadowbrook is situated on the edge of Gobowen village, just north of Oswestry, adjacent to an Orthopaedic hospital. It is within easy reach of shops, other amenities and public transport. Four Seasons Health Care make their services about Meadowbrook known to prospective service users in: The Statement of Purpose, Company Brochure and web site which also contain their contact e mail address. The inspection report is mentioned in the statement of purpose and is available in the home. Meadowbrook’s rates are reviewed annually and service users are notified one month in advance. The additional charges to service users are clearly laid out in the admission agreement. Fees for Meadowbrook as of 30/11/06 are: £412.45-775.76 per person per week. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, staff records kept in the home, medication records, discussion with people who use the service and their relatives, discussions with the staff team, discussion with the manager, tour of the premises, previous inspection reports, quality assurance process, Fire Authority reports, Environmental Health Office reports, observation of care experienced by people using the service. What the service does well: What has improved since the last inspection? It is considered that this home is currently performing well, setting its own objectives for continual improvement. A prime example of this was seen in the refurbishment of the Young Physically Disabled unit (YPD), including the medication storage. Meadowbrook Care Centre DS0000022262.V296994.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. Meadowbrook Care Centre DS0000022262.V296994.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 Meadowbrook Care Centre DS0000022262.V296994.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Key Standards 1,2,3,4 Prospective residents and their representatives have the information needed to choose a home which will meet their needs They have their needs assessed and a contract which clearly tells them about the service they will receive. EVIDENCE: The company brochure details that prospective service users are given the opportunity to spend a trial period time in the home. An individual member of staff is allocated to give them information, special attention, help them to feel comfortable in their surroundings, and enable them to ask any questions about life in the home. Three service users were spoken with who had previously been in the home for respite care. They had since become permanent service users and stated that they wanted to stay and that the transition to long term Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 9 care had been made as easy as possible. They stated that the terms and conditions of residency had been clearly explained to them. Admissions to the home only takes place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of the prospective service user. The staff management team considers the application together with other staff, where all information is shared, views, opinions, and comments are listened to and fully debated, before agreement is give for the admission. The staff team are qualified and experienced to work with the needs of the service user. Records show that they have experience of caring for people with a variety of disabilities as well as those with elderly and dementia care needs. Documentation and training logs show that specialist areas of work have been explored and that staff have access to detailed guidance and training materials e.g. brain trauma, spinal injuries and neurological disorders. The service helps prospective service users to understand the service by providing an information pack which includes photographs. The home provides a statement of purpose that clearly sets out the objectives and philosophy of the service supported by a service user guide that provides good clear information about the home. The guide is precise in what the prospective service user can expect and gives a good detailed account of the quality of the accommodation, qualifications and experience of staff, how to make a complaint and recent CSCI inspection findings. It does not yet comply with the changes in the Care Home Regulations as amended in September 2006. Each resident is provided with a statement of terms and conditions prior to moving to the home an example of which was seen. This sets out in detail what is included in the fee, the role and responsibility of the provider, and the rights and obligations of the resident. It includes the fee when a third party such as a Local Authority is paying in whole or part but not if a service user is funded in whole by the Primary Care Trust. Terms and conditions are reviewed on a regular basis. Records show that admissions are not made to the home until a full needs assessment has been undertaken. The home are then able to confirm that they can meet the needs of the individual through the service they deliver as detailed in the statement of purpose. For people whom are self funding and without a care management assessment the assessment is always undertaken by a skilled and experienced member of staff. Evidence confirms that the assessment is conducted professionally and sensitively and has involved the family or representative of the service user. Service users spoken with stated that a senior member of staff from the home had spoken to them prior to coming in and felt that they had received a ‘thorough grilling’. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 10 Where the assessment has been undertaken through care management arrangements the registered manager obtains a summary of the assessment and a copy of the plan. Meadowbrook Care Centre DS0000022262.V296994.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Key Standards 7.8.9.10 The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: From talking to staff and management the service has a strong belief that it is essential to involve service users in the planning of care that affects their lifestyle and quality of life. Each service user has a plan that has been agreed with them. The plan also includes a risk assessment. Staff have skills and ability to support and encourage service users to be involved in the ongoing development of their plan e.g. by appointing qualified nurse key workers who build up special relationships with service users and work on a one to one basis. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 12 The home ensures that each service user’s plan is reviewed regularly and involves the service user and where agreed their family. The plan is updated and the necessary action taken to respond to any changes. Service users receive clear feedback on all decisions and actions that affect the placement and their individual care. The service carries out regular audits of the care plan system. The service is aware of current policy issues and topical reviews of care for older and younger people, and works to transfer this into the daily work with residents e.g. the home liaises with the multiple sclerosis society. Service users have right of access to health and remedial services and the home’s policies, procedures and practice guidance strongly support this. Staff work very hard to make sure that those service users who are fit and well enough, have regular appointments and visit local health care services, supported by family, care staff or volunteers. The health care needs of those service users too frail to leave the home are managed by visits from local health care services. Service users’ personal aids are well maintained and the home provides the necessary aids and equipment to support both staff and service users in daily living. Service users have individual health care plans that give a comprehensive overview of their general health and acts as an indicator to changing health needs. Service users have the choice to shower or bath when they wish, and are supported and facilitated to be independent in their personal hygiene. Care staff are trained to meet the health care needs of the service users and have access to training in health care matters. Numerous training videos are available to update knowledge such as; food handling, adult protection, communication and managing challenging behaviour. The home works to an efficient medication policy supported by procedures and practice guidance. Staff are aware of and understand the guidance, and quality assurance systems confirm that practice reflects policy. Results of recent medication audits undertaken showed that where a shortfall had been identified a plan had been put in place to remedy it. The provision of storage for medication in the home has improved. The manager reported that they have more input from Boots and training has improved. Service users who have the capacity are encouraged to keep and take their own medication, for example, service users accommodated for respite on the YPD unit bring in their own medication. The home provides safe facilities for keeping medication. The aims and objectives of the home reinforce the importance of treating service users with respect and dignity and these values were seen to be applied to all aspects of their life and are fundamental to the philosophy of care Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 13 of the home. A significant example of this was when the deputy manager greeted a service user in Welsh. Attention is given to ensuring privacy and dignity when delivering personal care. Staff make every effort to enable service users to choose who delivers their care and respect their preferences. Recruitment of staff takes into consideration the need to employ a varied and balanced staff group. Induction training they receive covers privacy and dignity. Meadowbrook Care Centre DS0000022262.V296994.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Key Standards 12.13.14.15 Residents are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: The routines of the home are planned around the service users needs and wishes. The new arrangements for staffing enable the service to be flexible and change to meet individual wishes. The home encourages service users to take control of their life and be actively involved in the running of the home. Service users have the confidence to discuss what makes them happy and comment where improvements can be made. The home takes service user feedback seriously and makes changes where possible. Staff listen to service users and make an effort to provide a flexible service, which enables them to enjoy a better quality of life. The home has a good quality assurance system to confirm that practice reflects the policies, procedures and guidance. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 15 Sufficient staff resources are provided to allow time for activities and stimulation. The home operates a qualified nurse key worker system, which enables closer service user/staff relationships where likes, dislikes and needs are shared. The home has developed a system for displaying information and bringing attention to community events and activities. Service users stated that they enjoyed what was on offer, particularly the pet visiting and beauty treatments offered. When service users have particular interests every effort is made by staff to help the service user maintain their interest and keep up any community involvement. Three younger service users had ordered a taxi and went out to the local pub. Staff were seen to make time to talk to visitors and share information with the agreement of the service user. The design of the home provides seating areas within the communal areas of the home where service users can entertain their visitors, in addition to the privacy of their own room. It is clear from the activity plan that the home encourages individuals and groups from the community to visit the home. Maintaining independence and enabling service users to make their own decisions about how they wish to live is a key objective for the home. Service users are encouraged to take responsibility for their own financial affairs and to use their money as they wish. The home is able to offer service users information and telephone numbers for contacting independent people who will act as advocates on the service users’ behalf where the service user prefers the help of an independent person. Service users have the choice to bring a limited amount of small goods with them on admission to the home and are encouraged to keep personal items which are important to them in their own room. The home believes that service users should always be aware of any information held and written by the home, and have the right to read any documents they wish and staff promote this. An experienced cook is responsible for providing quality nutritional meals that meet the cultural and dietary needs of the service users. The cook meets regularly with service users, listen to their choices and suggestions for the menu, and encourages them to be adventurous and try new tastes as well as traditional foods. A significant example of this is where the cook has prepared special meals for a service user on the ‘weight watchers diet’. The home is participating in the Healthy Eating Ward and is awaiting its first certificate. Extra funding has been provided for food to meet the diverse requirements of those on the YPD unit. The Christmas menu seen offers choice for people and an example of a completed service user meal order was seen. Tables are set attractively with the necessary cutlery and aids to help individuals during their meal. They are encouraged to serve themselves and help themselves to drinks. Birthdays and celebration are made special for individual service users. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 16 Residents enjoy the flexibility of meal arrangements and enjoyed being able to eat in their own room if they wished. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Key Standards 16.18 Residents have access to a robust, effective complaints procedure, are protected from abuse and have their legal rights protected. EVIDENCE: The service has a complaints procedure that is up to date, very clearly written, and is easy to understand. The complaints procedure is widely distributed, and has a high profile within the service. Service users spoken with said they would know how to make a complaint and they are very clear of what can be expected to happen if a complaint is made. The complaint log showed that 2 complaints had been received in the last quarter. Both had been appropriately dealt with according to the home’s procedure. Complaints are audited by the home and regional management to monitor any trends or failings. The policies and procedures regarding protection of residents are regularly reviewed and updated. The manager is clear when incidents need external input and who to refer the incident to. Training of staff in the area of protection is regularly arranged by the home. The outcomes from any referral are managed well and issues being resolved to the satisfaction of all involved. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 18 Service users and others associated with the service state that they are very satisfied with the service provision, feel very safe and well supported by an organisation that has their protection and safety as a priority. The promotion of the individual’s rights is central to the aims and objectives of the service. Staff spoken with understood the importance of actively promoting individuals rights. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Key Standards 19.26 The improved physical design and layout of the home enables service users to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The organisation has provided resources to improve the premises. The YPD unit is being upgraded and refurbished to provide two dining rooms, one lounge/diner, physio room and smoking lounge. The unit will also have its own entrance. New profile beds have been provided including pressure relieving mattresses. Other new equipment such as two hoists, commodes, food trolleys have been delivered. The dementia unit is to be repainted. A new nurse call system has been installed. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 20 Service users have the choice to bring small personal items of furniture into the home. All the homes fixtures and fittings meet the needs of the residents and can be changed if their needs change. The shared areas provide a choice of communal space with opportunities to meet relatives and friends in privacy or in their own rooms. There is a choice of bathing facilities, both assisted and unassisted, showers and baths and there are a number of toilets strategically placed around the home. The home is well lit, clean and tidy and smells fresh. The management has a good infection control policy. They seek advice from external specialists, e.g. infection control, and encourage their own staff to work to the homes’ policy to reduce the risk of infection. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Key Standards 27.28.29.30 Staff in the home are trained, skilled and their restructured work patterns will fulfil the aims of the home and meet the changing needs of residents. EVIDENCE: Service users stated that they have confidence in the staff that care for them. The management is developing new and creative ways of making sure that the home is staffed efficiently, with particular attention given to busy times of the day and changing needs of the service users on the YPD unit. There have been some minor deficiencies on occasion recently, but management are aware of this and have taken steps to remedy the problem. The provision of 36 hrs of physiotherapy in addition to the direct care provided by staff will greatly enhance the quality of care provided in the home. Management encourage staff members to undertake external qualifications beyond the basic requirements, and recognise the benefits of a skilled, trained workforce. The service clearly defines the roles and responsibilities of staff through accurate job descriptions and specifications. Service users report that staff working with them are very skilled in their role, and are consistently able to meet their needs. The service ensures that all staff within its organisation receives relevant training that is targeted and focussed on improving outcomes for residents. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 22 Examples were seen on training files. The induction process feeds into the NVQ training. The service uses external providers to deliver this training if they have not got the appropriate skills within the organisation. This training may be small scale and individualised if necessary in order to promote the delivery of person centred services. The service has a good recruitment procedure that clearly defines the process to be followed. This procedure is followed in practice, from files seen, with the service recognising the importance of effective recruitment procedures in the delivery of good quality services and for the protection of service users. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 23 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Key Standards 31.33.35.38 The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by the provider. EVIDENCE: The manager has the required qualification and experience and is competent to run the home. She works to continuously improve services and provide an increased quality of life for service users and is supported by a competent deputy manager. There is a strong ethos of being open and transparent in all areas of running of the home. The manager is resident focused and leads and supports a strong staff team. The manager is aware of current developments both nationally and by CSCI and plans the service accordingly. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 24 Efficient audit systems are in place to monitor staff adherence to policies and procedures during their practice. Management processes ensure that they receive feedback on their work. A quality assurance survey has been completed and awaiting collation. The manager stated that the results will be fed back to service users at their next meeting. The home works to a clear health and safety policy and benefits from central health and safety support from the organisation. The home has a good record of meeting relevant health and safety requirements and legislation. Records seen are of a good standard and are routinely completed. Where issues have been identified, for example, in care plans, these have been acted upon successfully to ensure service user care is not compromised. The home has access to professional business and financial advice and has all the necessary insurance cover in place to enable it to fulfil any loss or legal liabilities. If they wish and are able to, service users are helped to take responsibility for managing their own money. They are provided with facilities to keep their valuables and money safe. Where the home is responsible for service user’s money it works to a structured system, it maintains very clear records that are routinely kept up to date and can be used to track individual residents finances. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 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 Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? N0 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. 1 2 Refer to Standard OP1 / OP2 OP27 Good Practice Recommendations To update the service user guide and terms and conditions to comply with the amended Regulations 2006. To formalise a minimum staffing ratio to reflect the change in YPD registration. Meadowbrook Care Centre DS0000022262.V296994.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Meadowbrook Care Centre DS0000022262.V296994.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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