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Inspection on 23/11/05 for Merrydale

Also see our care home review for Merrydale for more information

This inspection was carried out on 23rd November 2005.

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.

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

What the care home does well

The service is particularly good at giving residents choice and supporting them to continue their chosen life style. Residents were seen socialising, going out with friends and inviting others to join meals etc. All residents spoke of Merrydale as being `my home` and being able to ask for the service they want. As there is also a day care unit at the home there is a wide range of daily activities that are available to all residents. Residents said they appreciated having this choice and also enjoy meeting the day care service users as it provides them with more social contact and people to talk to. The service has a good reputation and the feedback from other professionals is positive and demonstrates good communication. This is particularly evident in the way the residents` health needs are met. The manager ensures the correct consultation and advice is taken for residents when their needs change. Records show that the appropriate action has been taken to arrange assessment of residents` needs and correct treatment.

What has improved since the last inspection?

The inspection showed that many things have improved since the last inspection. The acting manager and the proprietors have formed a good working relationship and support each other in providing a good service. Improvements include: new statement of purpose that accurately describes the service offered; contracts for each resident setting out the cost of the service; a complaints procedure that is well known and has proved effective for the residents; training opportunities improved for all staff; infection control practices improved, with supporting policies and procedures; fair staff rota with the appropriate number of staff on each shift; strong direction and leadership from the acting manager; review of all policies and procedures and clear, appropriate record keeping. The improvements made since 28th April 2005 (the last inspection) have been achieved by the hard work and commitment of the acting manager in conjunction with the staff and proprietors. It demonstrates the intention to provide a quality service that is responsive to resident`s needs.

What the care home could do better:

A formal quality assurance system that clearly demonstrates how the views of residents and representatives are sought and used would strengthen the present arrangements. Support needs to continue to encourage more staff to gain their NVQ 2 and 3 qualifications to meet the standards.

CARE HOMES FOR OLDER PEOPLE Merrydale Merrydale Spencer Road Ryde Isle of Wight PO33 3AL Lead Inspector Lynda Mosling Announced Inspection 23rd November 2005 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 Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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. Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Merrydale Address Merrydale Spencer Road Ryde Isle of Wight PO33 3AL 01983 563017 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) Mr K Pryer Mrs E Pryer Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The manager to attain NVQ Level 4 in Care by end 2006. Date of last inspection 28/04/05 Brief Description of the Service: Merrydale is a care home registered for 16 residents over the age of 65 years. It is privately owned by Mr and Mrs Pryer who bought the home in August 2004. The home is situated in a quiet, private road in a residential area on the outskirts of Ryde. It is close to all amenities and within walking distance of the town centre. The home offers a day care facility for local people over the age of 65 years. The day care is situated in a purpose built extension to the property and has a separate entrance. Staff are allocated to the day care service in addition to the staff covering the care home. All activities provided to day care users are also available to the residents. The home is well maintained and has accessible gardens and outside seating areas. Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken by one inspector over the course of one day. During the inspection the manager, proprietors, 4 members of staff, 6 residents and 4 day care service users were spoken to. There were also completed questionnaires received from 10 service users, 2 relatives and 1 care manager. All of the responses were positive, with one commenting that ‘since the new management has taken over the running of the home I feel it has improved’. The previous inspection took place following the resignation of the manager and prior to the recruitment of the present manager (acting). At that inspection there were a number of concerns about the lack of compliance to the standards/regulations. It was therefore agreed that this inspection would assess the majority of the standards. The inspection showed a very different picture, with most standards now being met, no requirements and only one recommendation. What the service does well: The service is particularly good at giving residents choice and supporting them to continue their chosen life style. Residents were seen socialising, going out with friends and inviting others to join meals etc. All residents spoke of Merrydale as being ‘my home’ and being able to ask for the service they want. As there is also a day care unit at the home there is a wide range of daily activities that are available to all residents. Residents said they appreciated having this choice and also enjoy meeting the day care service users as it provides them with more social contact and people to talk to. The service has a good reputation and the feedback from other professionals is positive and demonstrates good communication. This is particularly evident in the way the residents’ health needs are met. The manager ensures the correct consultation and advice is taken for residents when their needs change. Records show that the appropriate action has been taken to arrange assessment of residents’ needs and correct treatment. Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 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 Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5. There is a new statement of purpose that accurately describes the service offered. All residents have contracts/terms and conditions of residency. An assessment of prospective residents is undertaken prior to offering a placement. Relatives and residents are involved in forming care plans prior to entering the home to ensure their needs can be met. There is an opportunity to visit the home prior to the placement being made. EVIDENCE: The manager has re-written the statement of purpose to reflect the service offered and the changes in ownership and management. This has been given to all residents. The statement of purpose now includes the necessary information, is clearly written and accurately describes the service. The residents all have contracts/terms and conditions of residency. These cover the services offered, the fees required and how these will be collected. Although they cover all the necessary information the feedback from some residents and representatives has been that they are too impersonal. They will Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 9 therefore be reviewed by the manager and deputy manager to consider these views. A sample of residents’ files was seen. These showed an assessment of residents prior to the placement. The assessment covers all the necessary areas of care. Risk assessments detailing previous problems, such as falls, are undertaken and recorded. The assessment includes information from the GP and other specialists. Respite care is often offered to prospective residents and can aid the assessment process. Residents spoken to said they felt that they had been given every opportunity, prior to placement, to check whether the home would meet their needs. The residents’ files clearly demonstrate how the residents’ needs are being met. The daily diaries and the care plans record the care given and the individual needs of the residents. This includes any needs arising from the religious, cultural and ethnic background of the resident. The home has an equal opportunities policy. A recent complaint about the way a staff member had addressed a resident had been appropriately dealt with and provided an opportunity for the staff to remind themselves of the need to treat residents as individuals. Prospective residents are visited, by the manager, in order to do an assessment of their needs. This visit is also used as an opportunity to share information about the home. No resident is admitted without an assessment. During the inspection one new resident and one prospective resident were spoken to about the admission process. Both felt that they, and their relatives, had been welcomed to visit and speak with staff and residents prior to their admission. One was occupying the respite bed and was hoping to return once a permanent placement was available. All residents are admitted on a month’s trial basis. Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. The residents’ care plans are clearly written, set out the care needs and are agreed by the resident. Residents’ health needs are met in consultation with specialists, and medical colleagues. Medication storage and administration is appropriate with supporting policies and procedures. Residents say they are treated with respect and their privacy is protected. Staff are supportive of residents and relatives when death occurs. EVIDENCE: A sample of residents’ care plans was seen. These identified the needs of the resident and how these needs are to be met. Staff spoken to confirmed that they are able to access the care plans of each resident and these help them direct the personal care offered. Residents are involved in agreeing their care plans. One of the newly admitted resident’ spoken to said she had been asked about her likes, dislikes, expectations etc. as well as the health care needs. Many of the residents do not require help with personal care except for bathing. This is made clear in the individual plans. Residents are offered a choice of three surgeries in the area. They are able to make their own appointments and some choose to go to the surgery rather than ask the doctor to call. Staff are available to accompany the resident if Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 11 requested, but many make arrangements with their family or friends. The residents’ files record visits from medical practitioners and any changes as a result of the visit are recorded on the care plan. The home has good relationships with the local surgeries and records show discussions and considerations with the G.P., consultants etc. None of the residents have pressure sores at the moment but district nurses provide care when necessary. The manager has confidence in the assessments undertaken by district nurses, continence advisors and ensures the staff follow their advice. Chiropodists, dentists, hearing specialists and opticians are accessed both inside and outside of the home. Residents spoken to confirmed that they are in control of when and where they see their G.P. One said, ‘I ask for a staff member to be with me as I don’t always remember what has been said, but they don’t interfere’. Appropriate referrals to the hospital, specialist treatment etc. is evidenced by the notifications sent to the CSCI. The medication administration records were seen and were correctly completed and up to date. A new medication cupboard/trolley was purchased by the proprietors and this has greatly improved the security of the system. A local pharmacy provides pre-packed drugs that are then checked and booked in by the deputy manager. Staff have received training on drug administration. The residents all talk about Merrydale as ‘our home’ and expect to have their privacy respected. Staff all knock on doors before entering and check with the resident before showing anyone into their rooms. Most of the residents have their own telephone, but there is a cordless phone that can also be used. Residents wear their own clothes, which are all clearly labelled and are addressed by the name of their choice. This is particularly true now following a complaint made about one member of staff who called a resident ‘dear’. This served to remind staff of the need to respect residents’ individual choices and expectations. The complaints record regarding this evidenced that all staff had been made aware of residents’ rights regarding terms of address. None of the rooms in the home are shared. The home has not experienced any deaths in the home, but one resident became close to death before being taken, at the relatives request, to the hospital. This gave the opportunity for staff to experience the relatives and resident’s fears and feelings and they said they learnt quite a lot from the experience. The manager was aware of the support the staff needed, particularly those that had not been as close to a dying person before. The deputy manager has some counselling experience and this proved helpful to the staff group and the relatives. Staff attended the funeral and said they now feel more confident about caring for residents in their last days. Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 14. Resident’s said they get the care they requested and are able to follow their individual interests. They retain contact with relatives and friends and many continue to have a life in the local community. Residents choose how to spend their days and feel in control of their lives. EVIDENCE: Residents who have recently moved into the home said they knew what to expect but had still been ‘pleasantly surprised’ by their experience. They said they were able to attend church, continue their social activities (one resident belongs to a Bridge club and goes out approximately twice a week to play). There are activities provided within the home every day, 7 days a week, as part of the programme for the day care service users. Residents are welcome to participate in all of the activities and said they enjoy the additional people to talk to. Activities include: art and craft, music and movement, quizzes, board games etc. The day care area has lots of equipment that can be used for activities such as paints, magazines, things to make collage with etc. On the day of the inspection residents, staff and day care service users were enjoying making music with various instruments. Some residents opt out of such activities and prefer to spend time either chatting, watching television or reading. Where they do these activities is entirely up to the residents’ choice. Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 13 The residents are involved in the local community on an individual basis, but the home also maintains some connections. The local high school students visit to reminisce with the residents. The residents spoken to said they enjoy the fact that they can tell ‘the youngsters’ about things that happened before they were born. Most of the residents enjoy visitors, such as at Christmas, Harvest Festival etc. In addition the residents are free to invite relatives and friends to the home at any time. They can stay for meals and join in activities. There were visitors present on and off throughout the day of the inspection. The visitors’ book showed a great many people coming and going during the day. Autonomy and choice is priority for the residents and most of them are able to exercise this with no restrictions. Those with memory difficulties, or those without close relatives and friends have representatives i.e. solicitors to advocate on their behalf. One resident spoken to was relying on his solicitor to discuss his health and future care with the manager and G.P. The staff confirmed that they ‘are there for the residents’ and could not think of many things residents could ask for that wouldn’t be provided. Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16. Residents are aware of their right to complain and believe the procedure works well. EVIDENCE: There is a complaints book where complaints are recorded. There had been one complaint made by a resident about the way she was addressed. This had been taken seriously, dealt with appropriately and practice changed as a result. Residents are well aware of their right to complain and have taken the opportunity, in the past, to speak directly to the inspector about their concerns. Relatives who completed questionnaires said they were aware of the procedure and felt confident that they would be listened to. Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. The home is safe for residents and is well maintained. It presents as attractive, comfortable, clean and hygienic. EVIDENCE: The home is located in a quiet residential area with easy access to the main bus routes, town etc. The building is well maintained and all of the areas inside are attractive, comfortable and domestic. Residents are proud of their surroundings and one said ‘I am lucky to be here’. Routine maintenance is either done, or arranged by the proprietor. There is a gardener who has made the garden safe for the residents to use. It is attractive to look out upon and many of the residents take their daily walks around the garden. There is a CCTV outside of the home. It was installed as a result of some previous interference by neighbours – damage to cars etc. It is not used to restrict the residents’ privacy in any way. Fire checks have recently been undertaken with no requirements. The home has recently installed a stair lift to provide access to the upstairs. All of the staff have been trained in the use of the stair lift. Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 16 At the last inspection there was concern over the infection control practices within the home. Staff have now all received training in infection control and the practice is safe. On the day of inspection the home was clean, tidy and free of any offensive odours. Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30. The rota showed that there are sufficient staff on duty throughout the day and evening. Recruitment policies have been reviewed and meet the requirements. Staff training has been a priority and the staff appeared competent and committed to the care of the residents. EVIDENCE: The rota was seen and showed that there are 4 staff on duty every morning and 3 in the afternoons. There is always a shift leader and the manager ensures a mix of experience on each shift. Residents said that they do not have to wait long for their bells to be answered and feel there are enough staff to care properly for them. One staff member when interviewed said, ’they get everything they want’ and confirmed that there are enough staff to cope with the residents’ care needs. During the inspection, staff were seen sitting and talking to residents and there was a patient, unhurried feel to the interactions with the residents. There were initially some difficulties with completing the rota when the current manager took over, as some staff had been able to choose which shifts to work and others couldn’t. Now there is felt to be more fairness as all staff are expected to take their turn with most shifts. Although this has led to the resignation of one carer, those remaining believe it is a much fairer system. The recruitment practices have been reviewed and now meet the requirements. Records were seen to evidence that the appropriate references are taken up. New staff are not able to work without the CRB and POVA check Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 18 having been completed. The manager operates with equal opportunity in mind. There has not been the need for much recruitment but the manager intends to arrange for prospective carers to meet with the residents and staff prior to a job offer being made. The training of staff is seen as a priority for the current manager and she is supported in this by the proprietors. The staff have had training in drug administration, infection control, first aid, manual handling, fire procedures and adult protection. All staff undertake induction training and receive at least three paid training days per year. It is expected that 50 of the staff team will have achieved NVQ 2 and/or 3 by the end of 2006. Staff spoken to felt positive about the training on offer and said they appreciated the move to ‘become more professional’. Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 35, 37 and 38 There is now clear leadership provided by the manager who consults with the staff and residents. Residents’ views are listened to but there is not a formal quality assurance process. Service users control their own finances. The record keeping, policies and procedures within the home have been reviewed to ensure they meet the standards. Health and safety of the residents and staff is protected through clear risk assessments and compliance with legislation. EVIDENCE: The acting manager has made a large impact on the home and is seen as providing strong leadership. She is open in her considerations and includes staff in discussion. She also has encouraged staff to take responsibility for their own decisions and actions. The staff spoken to were very positive about the way the home is now managed and feel the present manager has helped the staff become more professional. There have been uncomfortable issues to discuss and a few staff initially found the changes hard, but now feel they are Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 20 ‘all pulling in the same direction’. The manager and proprietors have worked together to understand each other’s responsibilities and support each other in their role. Regular staff meetings have helped to share ideas and plans and the minutes of these meetings show open and honest discussion. There has been a review of all of the practices within the home and the staff feel they understand why they are doing things in a certain way and have re-committed to providing the residents with a good service. Residents’ meetings, daily discussion with residents and feedback from relatives, care managers and other professionals are used to assess the quality of the service. This process would be strengthened by a formal survey of service users and it is recommended that a system of quality assurance is developed to demonstrate the care in the home is delivered to the satisfaction of the residents. Residents control their own finances with the help of relatives, solicitors etc. A safe deposit is available for the residents who wish to keep cash in the home. All rooms also have a lockable drawer for valuables. Any shopping required by the residents is bought with petty cash and then the residents are invoiced for the items. Any cash changing hands is signed for and witnessed. There is a record of the items residents bring into the home, including their own furniture, pictures etc. Residents spoken to said they are able to decide how to spend their own money and were aware of how the fees were collected for their stay. The record keeping within the home has been reviewed to ensure it meets with the legislation. Records seen were up to date and clear. Staff have been instructed in how to record incidents, update care plans etc. Records about residents are shared with them, particularly their care plans – although not all residents have actually signed them. This will be worked on in the next few months. The manager is aware of the need to conform to the Data Protection Act. Health and safety is seen as everyones’ responsibility and there is a system for raising and recording any issues of concern. Risk assessments on each area of the home have been undertaken. The home uses the company ‘Penninsula’ to audit the health and safety issues within the home. Records of fire checks, maintenance of equipment and testing of electrical items were seen. The manager demonstrated a good understanding of health and safety issues. One resident raised a concern about having to have the bedroom door closed. This was discussed with the manager and the proprietor who will continue to look at ways of providing the requested circulation without putting the home at risk by using door wedges (the preferred option of the resident). This discussion demonstrated their understanding of the need to balance each resident’s choice with the overall safety of the entire home. Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 21 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 2 X 3 X 3 3 Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP33 Good Practice Recommendations Design a formal quality assurance system to demonstrate that residents’ views are being sought. Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Merrydale DS0000062066.V249380.R01.S.doc Version 5.0 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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