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Inspection on 21/11/06 for Morris Care Centre

Also see our care home review for Morris Care Centre for more information

This inspection was carried out on 21st November 2006.

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

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

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

What the care home does well

A key aspect of this service is that all policies, procedures and practice guidance focus on service users being given full information and being in control of their life. The service is very clear about the rights of service users to read all information about the service. Information displayed in the home is highly visible. The staff within the home provide excellent, professional nursing care. In doing this they also demonstrate respect for the individual and assist them to retain their individuality and as much independence as possible. Service users are provided with choice in all aspects of their life from dining to a variety of leisure activities. The home is large and accommodates many service users. However, staff approach and understanding of individuals` needs allows service users to mix when they wish or to remain alone and undisturbed. Privacy is respected. A wide range of topics are covered by training. When training is attended it is cascaded down to all levels of staff. Research by the manager identifies areas of care that can be improved upon to meet national practice and guidance. An example of this is how the staff have implemented a specific care plan for end of life care with associated training.

What has improved since the last inspection?

The home has a sustained track record of high performance in all key national minimum standards.

What the care home could do better:

It is considered that this home is currently performing very well, setting its own objectives for continual improvement.

CARE HOMES FOR OLDER PEOPLE Morris Care Centre Holyhead Road Wellington Telford Shropshire TF1 2EH Lead Inspector Pat Scott Key Unannounced Inspection 21st November 2006 13:00 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 Morris Care Centre DS0000022283.V296990.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. Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Morris Care Centre Address Holyhead Road Wellington Telford Shropshire TF1 2EH 01952 245521 01952 245523 www.morriscare.co.uk www.morriscare.co.uk Morris & Co Limited 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) Mrs Andrea Emma Kathleen Heath Care Home 77 Category(ies) of Learning disability (5), Old age, not falling registration, with number within any other category (51), Physical of places disability (15), Terminally ill (6) Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home must comply with the Staffing Notice as issued by Shropshire Health Authority dated 14/01/02. The Home may accommodate a maximum of 77 Service user`s of whom there can be a maximum of 5 Younger Adults with a Learning Disability, 58 Older People 15 Younger Adults with a Physical Disability 23rd February 2006 Date of last inspection Brief Description of the Service: The Morris Care Centre Wellington is registered with the Commission for Social Care Inspection to provide accommodation, personal and nursing care for 77 people. Wrekin Court and Wellington Court make up the care centre at Wellington, which is one of a group of nursing homes run by Morris Company Care Division. The home is situated on the outskirts of Wellington with local bus services close by. The home has two shared rooms and seventy three single occupancy bedrooms all with en suite facilities. The communal areas are spacious, tastefully decorated and well furnished. The garden areas are easily accessible for service users and are well maintained. Ample car parking spaces are available at the front and side of the premises. Morris Care make their services 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. Morris Care’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 Morris Care Centre as of 21/11/06 are: £658-£693 per person per week. All service users pay monthly by standing order. Morris Care Centre DS0000022283.V296990.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? The home has a sustained track record of high performance in all key national minimum standards. Morris Care Centre DS0000022283.V296990.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. Morris Care Centre DS0000022283.V296990.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 Morris Care Centre DS0000022283.V296990.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 excellent. This judgement has been made using available evidence including a visit to this service. Key standards 1.2.3.4.6 Prospective residents and their representatives have excellent 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: Significant time and effort is spent making admissions to the home personal and well managed. There is a high value on responding to individual needs for information, reassurance and support. Examples of completed admission questionnaires were seen. These are completed within 24hrs of admission to the home with a comments section for any service user that is discharged. Feedback regarding these forms is given to the relevant staff team. Visitors, Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 9 relatives and enquirers who walked through the door were greeted by enthusiastic, friendly and helpful reception staff. The service considers carefully the needs assessment for each prospective service user before agreeing admission to the home. Examples of assessments were within care plans viewed. The manager ensures that a summary of any assessment undertaken through the care management arrangements is obtained and insists on receiving a copy of the care plan. Prospective service users and their family, always have the opportunity to visit and spend time in the home prior to agreeing admission. A service user commented that she had been asked many questions before being admitted. Staff are prepared to visit the prospective service user and their family to get to know them and answer questions. The home provides various formats for giving information on the statement of purpose and service user guide on the services and facilities the home can offer e.g. leaflets, brochure, photographs. Service users were involved in developing them. Clear information about contracts/terms and conditions, fees and extra charges is available in a format appropriate to the individual service user and their family’s, capacity and language. Administration staff spend time with service user to ensure they understand the terms and conditions of the placement. They are regularly reviewed and kept up to date, involving service users, their families and their representatives. A service user able to comment stated that they were “quite happy with the way I pay”. Staff are qualified and skilled to meet the specialist needs of a prospective service user. Staff are well briefed on the needs of new residents through weekly team meetings. Each care plan reflects the needs of the individual taking into account their cultural, religious and social preferences where this is appropriate. Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Key standards 7.8.9.10.11 The health and personal care, which a service user receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: From discussions with staff it is clear that the home has a strong ethos of involving service users in all aspects of their life. All service users have a concise care plan. The home has systems in place to ensure the care plan is reviewed and updated monthly and arranges additional reviews when changes take place. Feedback and involvement is a continuous ongoing process, staff spend time with individual service users to ensure they understand decisions and actions. The provider has robust quality monitoring systems in place which ensure that staff comply with policies and procedures, i.e. questionnaires, monthly visits by senior management, supervision and appraisals. Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 11 The care plan is used as a working tool and is understood by all staff that were spoken with. It is written in clear language and can be used in an emergency by people who are not familiar with its content. Each care plan seen included a comprehensive risk assessment. Management of risk takes into account the needs of service users balanced with their wishes for independence and choice. Records show that staff keep up to date with training, professional research and literature, in both the social care and clinical fields, and ensure that care plans are informed by the relevant social and clinical guidance. Care plans demonstrated that staff actively promote the service users’ right of access to the health and remedial services that they need, both within the home and in the community. Regular appointments are seen as important and there are systems in place to make sure service users are reminded and appointments are not missed. The basis for charging for escorts to appointments is clearly laid out within the brochure and admission agreement. Records show that the home arranges for health professionals to visit frail service users in the home and provides facilities to carry out treatment. Staff keep a regular check on health aids, making sure they are working effectively and that each service user has the necessary aids to improve their quality of life. The home operates to an efficient medication policy, procedure and practice guidance. Staff all have access to the written information and understand their role and responsibilities. Quality assurance systems confirm that policy is put into practice. Medication records were seen to be completed in full and are seen as key to the efficient management of health care matters for service users who have complex needs. The home strongly promotes independence, particularly within the intermediate care service, and those service users assessed as being able are encouraged and facilitated to keep, and take their own medication. The home has a sustained record of full compliance with the administration, safekeeping keeping and disposal of controlled drugs. The need to respect service users privacy and dignity when delivering health and personal care is a key principle of the homes aims and objectives. Staff spoken with were aware that this also applies to all areas of the service users’ life. Service users are consulted and can decide which staff members they want to help them with their personal care. The staff group is balanced to enable choice of male, female and age related preferences. The manager and provider routinely observe staff attitude and approach to privacy and respect and constantly seeks and values service users’ views and experiences. A relative spoken with state that “without a shadow of doubt (she) is well looked after”. The homes policies, procedures and guidance support and inform practice. The wishes of individual service users about Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 12 dying and terminal care, and the arrangements they want after death are openly and sensitively discussed with both the service user their family during the development of a specific end of life care plan. These are clearly recorded, respected and known to the staff delivering the care. The home has a detailed policy, procedure and practice guidance to help staff when handling terminal care and death. All staff receive in house and external training and practical advice in caring for these service users, and stated that they have continuous support and opportunities to discuss any areas of anxiety and concern. Facilities are provided to allow relatives and friends to stay with the service user and to assist with their care if the service user wants this. Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 13 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: From information seen and talking to service users the home enables a full and stimulating life style with a variety of options to choose from. The home seeks the views of service users and considers their varied interests and abilities when planning the routines of daily living and arranging activities. Routines are very flexible and service users can make choices in all areas of their life. The routines, activities and plans are service user focussed, regularly reviewed, and can be quickly changed to meet individual service users’ needs. A service user stated that they receive a newsletter that includes forthcoming events as well as a months events calendar. Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 14 Policies, procedures and practice guidance focus on residents being in control of their life. The home employs an activities coordinator who is responsible for creating meaningful activities and experiences both in the home and the wider community. There is also a diversional programme co-ordinator. Service users are actively encouraged to keep in contact with family and friends living in the community. Visitors are welcome at any time and facilities are available for them to have a drink or a meal with the service user. Service users can choose to entertain visitors in their own rooms or perhaps a lounge or garden areas. The home clearly records and actions any restrictions, which the resident may make on who they wish to visit them. The system in place and the practice and attitude of the staff team give service users the opportunity and support to remain independent. They are encouraged to be responsible for their own money for as long as they wish, and are able to maintain their independence, for example, collecting their own pension, paying for shopping and managing their own bank accounts. Staff give help when it is needed and have contacted advocacy groups and encouraged their involvement with individuals in the home. The home’s policies, procedure, guidance and quality assurance systems ensure that service users are protected from financial abuse. Food is considered to be highly important and meal times considered a social occasion. The home employs a cook, deputy cook, supper cook, kitchen assistants and stewards. Records show that they are qualified and experienced in cooking for older people, and are important members of the care team and are well aware of the recorded dietary and cultural needs of each service user. The cook is committed to involving service users in menu planning and making sure that they are able to enjoy the food they prefer and like. The menu is varied, balanced and nutritious. It has a number of choices including a healthy option, as the home has the platinum award for healthy eating, and includes a variety of dishes that encourage service users to try new and sometimes unfamiliar food. Food is served to meet the need of all service users including those who have swallowing or chewing difficulty. Service users stated they appreciate the good quality food they are served and being able to have a drink when they wish and the availability of snacks. They also enjoyed being able to eat in their own room when they wish. There are small, well equipped, service user kitchen areas around the home. Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. 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 clear complaints procedure that highlights the importance of complaining or making suggestions for improvement. The complaints procedure is very widely distributed, and is highly visible within the service. Service users able to make comment spoke of their understanding of how to make a complaint and they are fully aware of what can be expected to happen if a complaint is made. Discussions with the manager and sight of the complaints records showed that outcomes of complaints are managed very effectively with sensitivity. The service records evidence that it has learnt from the process, via the quality management team. Issues are discussed at service user meetings together with plans for any action to prevent re-occurrence. Service users at the home stated that they are extremely satisfied with the service provision, feel very safe and well supported by a highly aware organisation. One relative stated that it was “second to none”. Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 16 The manager is very clear when an incident needs external input, and is open in discussing incidents with external bodies (CSCI, local adult protection) to clarify difficult judgements. The home ensures through training, supervision, review and quality monitoring that care staff fully comply with the policies and procedures provided in relation to protecting and safeguarding the rights of the residents. The services principle aims and objectives, as set out in the statement of purpose, include the promotion of the individual’s right to live an ordinary independent life when ever possible and to enjoy the rights and responsibilities of citizenship. The home involves advocates and, or, volunteers to enable all residents what ever their capacity to enjoy a quality lifestyle which includes being able to attend places of religion. The service has effective arrangements in place to make sure all residents have the opportunity to vote in elections. Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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 physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence EVIDENCE: The manager and staff encourage service users to see the home as their own home. It provides a very well maintained, safe, comfortable, attractive home which has all the specialist equipment and adaptations needed to meet individual service users’ needs. As well as a good selection of general aids such as hoists and variable height beds, the home also ensures that equipment is individualised for each service user and all staff members are trained in the safe use of aids and equipment. Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 18 Records show that service users are assessed for their need to have equipment or aids before they move into the home and these are provided to them on admission. There is evidence in the care plans that the home meets the changing needs of service users promptly, and especially where they have different cultural specialist care needs. The home meets the requirements of the Disability Discrimination Act and the layout and design of the home is suitable to meet the specific needs of the people who live there, for example people with physical disabilities. The rooms are very well planned and have on-suite facilities and are above the average size. The fixtures and fittings are of a high quality, well maintained and adapted to meet the wishes of the present service user. Service users seen in their rooms stated that they were satisfied with the cleanliness and décor. There is a selection of communal areas, this means that service users have a choice of place to sit quietly, meet with family and friends or be actively engaged with other service users. A new bath and shower have been provided. The bathrooms are comfortable and easy to use and include a selection of different ways to bath, for example assisted and unassisted showers and baths and there are a number of toilets strategically placed around the home. The home was well lit, clean and tidy and smelt fresh. The management has a proactive infection control policy and their link infection control staff member completes audits to identify good practice and any problems. Action plans to address problems are developed. The home received a high score following an infection control audit from the Primary Care Trust. Care staff receive COSHH training. Clinical waste is properly managed and stored. Call bells are left within reach of residents and these are responded to promptly. The management monitors the effective function of the system. Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. 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 in sufficient numbers to fill the aims of the home and meet the changing needs of residents EVIDENCE: The service has a highly developed recruitment procedure that has the needs of service users at its core. The recruitment of good quality carers is seen as integral to the delivery of this excellent service. The service is highly selective, with the recruitment of the right person for the job being more important than the filling of a vacancy. The provider prioritises training and facilitates staff members to undertake external qualifications beyond the basic requirements. The strategy introduces internal developmental training, to complement formal training as part of an ongoing training plan. The service empowers staff to share skills and knowledge with colleagues. Job roles are clearly defined and performance managed. Records of all training undertaken are kept, are accessible and demonstrated that a wide variety of topics are available. Staff provide a ‘wish list’ of training they would like to and need to undertake e.g. venepuncture, Liverpool care pathway, tissue viability, mentoring. GPs provide lectures to staff on chosen topics six times a year. Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 20 Service users and relatives stated that staff are very skilled in their role, and are able to meet their needs. The manager sees induction and any probationary period as being an extension of recruitment. There is little use of any agency or temporary staff but where they are used there are good systems for their induction and support. From files seen of recently recruited staff, the interview and selection process is based upon identified criteria that is closely related to the job being advertised and supports the procedure. Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. 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 a qualified, competent manager. EVIDENCE: The registered manager has over the required qualification and experience to meet the key standards, is highly competent to run the home and meet its stated aims and objectives. Discussions demonstrated that she has sound knowledge of both strategic, and financial planning and review, and manages the service efficiently providing value for money through effective management. The manager is visionary in her approach to the service and is Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 22 able to demonstrate through formal qualification, and experience and ability that she is highly competent in the following areas: care of older people, conditions and diseases associated with old age, quality assurance systems, equal opportunity issues, development and implementation of the services policies and procedures, good people skills, strong leadership of staff which leads to confident workers, responds to need and provides an excellent role model for her deputy managers. The manager ensures that the policies and procedures are followed by staff. Staff have practice handbooks and easy access to all documents, which are discussed during supervision, staff training and weekly team meetings. Quality monitoring systems provide management evidence that practice reflects the homes policies and procedures. The provider is committed to ensuring the health, welfare and safety of service users and staff. Records are clearly written and up dated, the quality assurance system confirms that the findings from risk assessments have been actioned. There is strong evidence that the ethos of the home is open and transparent with the views of both staff and residents listened to, and valued. There is a detailed business and financial plan which gives a clear indicator of the success and efficiency of the business arrangements. The home has the regular support of a qualified accountant and business advisor. The insurance cover in place ensures that the home is well able to fully meet any loss or legal liabilities. The home actively encourages service users who wish and are capable, to manage their own money and valuables, making sure they have the facilities to do this safely. The home has very efficient systems to ensure effective safeguarding and management of service users’ money including record keeping Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 3 4 4 X 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 4 Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 OP29 OP29 Good Practice Recommendations To record dates of CRB certificates on staff files for the purposes of inspection To ensure that references received are placed on individuals’ files. Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 25 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 Morris Care Centre DS0000022283.V296990.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!