Inspection on 16/04/08 for Mount Vale Care Home

This inspection was carried out on 16th April 2008.

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

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

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

CARE HOMES FOR OLDER PEOPLE Mount Vale Care Home Yafforth Road Northallerton North Yorkshire DL7 8UE Lead Inspector Rachel Martin Key Unannounced Inspection 16th April 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Mount Vale Care Home DS0000071114.V362027.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. Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mount Vale Care Home Address Yafforth Road Northallerton North Yorkshire DL7 8UE 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) 01609 775444 01609 768 589 mountkale@barchester.com www.barchester.com Barchester Healthcare Homes Limited Mrs Christine Jarman Care Home 64 Category(ies) of Dementia (64), Old age, not falling within any registration, with number other category (64) of places Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP 2. Dementia, Code DE The maximum number of service users who can be accommodated is: 64 NA Date of last inspection Brief Description of the Service: Mount Vale is registered as a nursing home and can accommodate up to 64 people. The home provides care for people whose care needs fall within the categories of old age or dementia. Mount Vale is owned by Barchester Health Care Homes Ltd and is a new, purpose built care home. The building is made up of a former Georgian maternity hospital, which has recently been enlarged with modern extensions and concerted into a care home. The home is located on Yafforth Road, Northallerton and stands in its own grounds, with a private car park. All of Mount Vales’ bedrooms have en-suite toilet facilities and are single occupancy. Modern communal bath, shower and toilet facilities are conveniently located around the home and include equipment to help people use them. A number of communal lounge and dining rooms are also available for people to use if they want to. Enclosed gardens provide safe access to fresh air and the home’s wider grounds offer more outside space. At the time of this inspection the home’s fees ranged from £680 to £850 per week. These prices are dependant on what room is chosen and what nursing needs people may have. This does not includes extras such as chiropody, dental requirements, optical requirements, physiotherapy, hairdressing, newspapers, personal dry cleaning, staff escorts to hospitals and taxis. Up to date information about the home’s fees and terms and conditions should always be sought from the home’s manager. Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. This was the first key inspection of a new service. CSCI has decided that an excellent quality rating can not be given at a service’s first inspection, as the service does not have a sustained track record of providing excellent quality outcomes for people. Before the inspection the home’s manager completed a self-assessment and returned it to CSCI. This assessment told us what the home did well, what needed to be improved and provided information about the service, its staff and the people living there. Surveys were returned by eleven people living in the home, eight of their relatives, two of the home’s staff and one health care professional who visits and works with the home. The inspection site visit took place on 16th April and was carried out by one inspector. At this time the home had twenty people living there and had been registered for about six months. During this visit the inspector spoke to the home’s manager, staff and people living in the home. A selection of records were inspected and the inspector looked around the building. Time was also spent observing the lunchtime meal and some of the care practices at the home. What the service does well: The home carries out in depth assessments of need before people come to live at Mount vale. One person described how they came to look around the home, were invited to stay for a meal and given a brochure, to help them decide if they wanted to live at Mount Vale. Each person has their own record and plan of care, setting out in detail the care they need and how staff should provide it. Other professionals, such as doctors, chiropodists and dieticians, are called upon when needed. People spoke highly of the staff and the care they were given at Mount Vale. Comments included ‘Mount Vale provides a good standard of care, including nursing care, in pleasant surroundings’, ‘they all, right up to the top, are superb in their helpfulness to me and even more important is their real empathy with a sick old lady’, ‘the care and personal attention my mother receives is excellent’ and ‘the care aspect is exceptionally good’. Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 6 The home employs an activities coordinator and comments made about the activities and entertainment available at Mount Vale included ‘all residents are encouraged to join in activities’, ‘Sally (activities coordinator) does her best and she tries so many different things to interest people’ and ‘I enjoy all activities that are arranged and always try to take part’. Relatives felt they were made welcome, saying ‘visitors feel welcome and part of care team’ and ‘nothing is too much trouble, even to me as a visitor’. A varied menu, with a choice of meals and where to eat, is provided at Mount Vale. Comments made about the food ‘everything very well cooked and presented’ and ‘food is wonderful, all the cakes are homemade, if you don’t like what’s offered they’ll do something else’ People living at the home felt that they could talk to staff if they were concerned about anything. Comments included ‘I would just tell a nurse and she would put it right’ and ‘a senior nurse is always on duty and willing to listen any time’. Mount Vale provides a nicely decorated and furnished place for people to live, with modern facilities and equipment. Comments about the home included ‘the home is clean and fresh and a pleasure to visit’. A robust system of quality checks and maintenance checks is in place. This helps to ensure that the home is providing a safe and good quality service and includes an annual survey to find out what people using the service think. What has improved since the last inspection? What they could do better: The main thing people said they thought could be improved at Mount Vale was the numbers of staff on duty. Comments made about staffing levels included ‘if you have to wait its because of the shortage of staff, the staff never stop and I appreciate the care I receive’, ‘their finding their feet with staffing levels, seems to be levelling out a bit at the moment, just teething problems’ and ‘there is often not enough staff to cope, toilet requests are ignored until it is almost too late’. The home also needs to make sure that all of the required information is collected before new staff start work in the home (one member of staff had started work before their second written reference had been received by the home). Some staff felt that they needed more support. Supervision and appraisal systems need to be fully implemented in the home. Staff should receive a formal one-to-one supervision sessions at least six times a year and an annual appraisal of their performance. Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 7 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. Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People are provided with the information they need to decide if they want to live at Mount Vale, including the opportunity to spend time at the home. People needs are assessed before they move in, helping to make sure that Mount Vale can meet their needs. EVIDENCE: The homes self-assessment says that people are invited to visit the home, are given a brochure and provided with a statement of terms and conditions prior to moving in. One person described how they came to look around the home, were invited to stay for a meal and given a brochure, to help them decide if they wanted to live at Mount Vale. The majority of people who returned surveys could remember being given a contract. Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 10 The home’s self–assessment says that people have their needs fully assessed before they come to live at the home. This helps to make sure that Mount Vale can meet their needs. A selection of care records were inspected and these records contained assessments, including information from other professionals where this was appropriate. The home does not provide specialist intermediate care, although some people do go to the home for short term care and then return home. If specialist rehabilitation services are required, these will be provided by health care professionals who visit the home (for example, physiotherapists or occupational therapists). Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience excellent quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Each person has a care plan and record in place, setting out what their needs are and how these will be met. People receive input from other medical and health care professionals when they need it. Systems for the safe administration and storage of medication are in place. People are treated with dignity and respect by the home’s staff. EVIDENCE: The care plans and records of four people were inspected. These records showed that each person had in place an assessment of their needs, care plans setting out the care they needed and how it should be provided, records of the care given and any involvement from other professionals. The care plans were reviewed on a monthly basis and appeared to be up to date and accurate. Five out of ten people who returned surveys said that they ‘always’ received the medical attention they needed. Records included the input and advice received from other professionals. For example, one person’s records showed Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 12 that they had been involved with the nutritionist, speech and language therapist, doctor, consultant, psychiatrist and chiropodist since admission. Where people needed special care and attention in certain areas (for example, special dietary needs in order to maintain their weight or equipment and staff attention to prevent pressure damage to their skin) this was clearly risk assessed and detailed in their care plans. The home’s arrangements for the storage and administration of medication were inspected. Mount Vale is a nursing home, so only trained staff handle medication. Medication is stored in a locked medication cabinet in each person’s own room and people are given the option to self medicate if they wish (subject to a risk assessment). A random inspection of medication administration records (MARs) and storage indicated that medication was being stored and administered safely. Internal audits of medication systems are regularly carried out by the manager and the local pharmacist carried out an audit in December. People were generally very happy with the standard of care provided at Mount Vale. Comments included ‘Mount Vale provides a good standard of care, including nursing care, in pleasant surroundings’, ‘they all, right up to the top, are superb in their helpfulness to me and even more important is their real empathy with a sick old lady’, ‘the care and personal attention my mother receives is excellent’ and ‘the care aspect is exceptionally good’. Observations made during the inspection showed staff treating people with dignity and respect. Mount Vale Care Home DS0000071114.V362027.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): 12, 13, 14 & 15 People who use the service experience excellent quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People have the opportunity to participate in a range of activities and social events, with visitors being made to feel welcome whenever they visit. People are helped to make choices about their day-to-day lives and are provided with pleasant and appetising meals. EVIDENCE: Mount Vale employs an activities coordinator, who organises the entertainment and social activities in the home. A mini bus is also available. Comments made about the activities and entertainment available at Mount Vale included ‘all residents are encouraged to join in activities’, ‘Sally (activities coordinator) does her best and she tries so many different things to interest people’ and ‘I enjoy all activities that are arranged and always try to take part’. As the home develops the activities coordinator plans to hold meetings with the residents, seeking their views on how things like activities and meals can be improved. Mount Vale does not restrict visiting and people felt that they were made very welcome when they visited the home. Comments made by relatives who visit the home included ‘visitors feel welcome and part of care team’, ‘staff are Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 14 always available to give answers to queries’ and ‘nothing is too much trouble, even to me as a visitor’. On the day of the inspection one person had visitors join them for lunch and other visitors were seen being made welcome throughout the day. People are able to exercise a good level of choice and control at Mount Vale. People choose where they want to spend their time, where they want to eat their meals and what they want to eat and drink. The home is developing a person centred approach to care, to help identify and meet people’s different preferences and expectations. However, some comments (see staffing section) indicated that staffing levels sometimes made this difficult to fully achieve. The lunch-time meal was observed in the home’s main dining room. The room was very pleasant, with tables set nicely with tablecloths, wine glasses, napkins, condiments and menus. Lunch was a three course meal, with choices for each course and a selection of drinks (including wine, juice, water, tea and coffee). A number of people had chosen to eat their meal in their room and their meals were serviced on trays. It was good to see each course being taken to the rooms separately, so that people received each course fresh and hot when they were ready for it. The food served looked nice and appetising, with the atmosphere in the dining room feeling relaxed. Comments made about the food at Mount Vale included ‘very good catering, like hotel’, ‘everything very well cooked and presented’, ‘food is wonderful, all the cakes are homemade, if you don’t like what’s offered they’ll do something else’ and ‘naturally at 90 years you have acquired tastes, but nothing I have been offered to eat has been unacceptable and all of it has been well cooked and well presented’. Mount Vale Care Home DS0000071114.V362027.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): 16 & 18 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People feel that they can talk to staff and complaints or concerns are taken seriously and investigated appropriately. People are protected from abuse by procedures and trained staff. EVIDENCE: There have been two concerns made directly to the home since it opened. These have been dealt with according to the home’s complaints procedure and records were available. The records showed that each concern had been taken seriously and handled appropriately. People living at the home felt that they could talk to staff if they were concerned about anything. Comments included ‘I would just tell a nurse and she would put it right’ and ‘a senior nurse is always on duty and willing to listen any time’. There have not been any allegations or suspicions of abuse at the home since it opened. The four staff training records that were inspected showed that these staff had received training on the protection of vulnerable adults. Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use the service experience excellent quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People living at Mount Vale live in a pleasant, safe and well-maintained environment. The home is kept in a pleasant, clean and hygienic condition. EVIDENCE: Mount Vale has recently been converted and built for use as a modern care home. The building met the requirements of building control and the fire authority before opening. The home has only been open a short period of time and the decoration, furnishings and equipment are all new, good quality and in good condition. The new dementia care unit has been decorated and designed with the needs of people with dementia in mind. For example, coloured doors to make toilets easier to find and lots of interesting items around the unit to create a more stimulating environment. Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 17 People’s rooms had been personalised with their own possessions and the furniture and decoration in communal areas provided very pleasant and comfortable places for people to spend their time. Each bedroom has it’s own thermostat, so that people can alter their room temperature to suit their preferences. People choose where they want to spend their time, with people observed spending time in their own rooms and in communal areas, depending on their preferences. One relative commented ‘the communal rooms are well appointed and not regimented - choice and privacy if required and no TV blaring away at top volume to a roomful of sleeping residents’. However, one person did comment that it was difficult to use a wheelchair on the carpeted floors. On the day of the inspection the home was clean, fresh and tidy. People who returned surveys about the home said that it was ‘always’ clean and fresh. Comments made about the home’s environment included ‘the home is always kept very clean and smells very fresh’ and ‘the home is clean and fresh and a pleasure to visit, aunty feels secure in her surroundings’. The home has a modern, well-equipped laundry, with maintenance contracts in place to make sure that the laundry equipment is kept in good working order. One person said ‘the lass that does the laundry really makes a good job of it, it’s beautifully clean’. Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Staff have the appropriate training and skills, do a good job and are well thought of by residents. However, staffing levels need to be kept under review to ensure that they are appropriate to the increasing numbers and dependency of residents. The majority of staff are recruited safely, although the home needs to make sure that all of the required information has been obtained for all staff before they start work. EVIDENCE: People spoke highly of the staff team, making comments like ‘excellent staff at all levels from nursing to domestic’, ‘all the staff made me very welcome and nothing is too much for any of them’, ‘the staff are friendly and have all got kind, smiley faces’ and ‘all staff will listen to anything you have to say. I can talk to any of the staff any time’. However, the main thing people thought could be improved at Mount Vale was the staffing levels. Comments made about staffing levels by people living in the home, their relatives and staff included ‘if you have to wait its because of the shortage of staff, the staff never stop and I appreciate the care I receive’, ‘there is often not enough staff to cope, toilet requests are ignored until it is almost too late’, ‘their finding their feet with staffing levels, seems to be Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 19 levelling out a bit at the moment, just teething problems’ and ‘more staff, so the girls are not run ragged’. At the time of this inspection the home had 20 residents. Discussions with the manager and information supplied in the AQAA indicated that staffing levels will be increased as the number of people living at the home increases. These plans include additional support staff, such as ‘hostesses’ to assist with serving meals as the home becomes fuller. Staff rotas showed that staffing levels have increased slightly over the last two months and that agency staff have been used when needed. Staffing levels at the time of the inspection (according to the rotas supplied during the inspection) were usually four staff on duty during the day, with two staff on duty during the night. However, sometimes the day-time staffing levels did appear to drop to three. Four staff recruitment records were checked. All of the staff had completed a criminal records bureau (CRB) check or PoVA First check before they started work at the home. The home had also obtained two written references for three of the staff before they started work. However, one staff member had started work before a second written reference had been obtained. The induction and training records for the same four staff were inspected. These showed that staff had completed a structured induction programme and had completed training in fire safety, food safety, health & safety, manual handling and infection control. Certificates were available for the training that had been completed. The information supplied in the home’s self assessment shows that currently less than 50 of care staff have achieved an National Vocational Qualifications (NVQ) in Care. However, the self assessment also shows that this is something that the home intends to improve over the next year. Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. The home has in place a suitable management structure and is managed by a suitable person. Systems are in place to monitor the quality of care provided, including seeking the views of people who live in the home. The health and safety of people living and working at Mount Vale is protected by regular maintenance and safety checks and staff training. EVIDENCE: The home has a general manager and a deputy manager, who is the person registered with CSCI. Both are registered nurses with management experience. The home also has a specialist unit manager for the dementia care area, a head of housekeeping and a maintenance manager. Further managerial support and monitoring is provided by Barchester Health Care. Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 21 The home is in the process of implementing the quality system that Barchester Health Care operates. This is a system of weekly, monthly and six-monthly audits that are completed by home managers, to ensure that a good quality of care is provided at Mount Vale. A residents survey has recently been undertaken, but the results of this were not yet available. Although not yet in place, the home’s self-assessment described how they want to develop more resident involvement, through regular meetings and discussions. At the time of this inspection the home encouraged family or other appropriate people to help people manage their finances and personal monies. Some staff commented that more support and one-to-one sessions would be helpful. They did not feel that they had regular formal meetings with their manager. Discussions with the registered manager indicated that staff supervision and appraisal systems still need to be fully implemented at Mount Vale. This is due to the home only having been open a short amount of time. The manager is aware of the need for regular staff supervision and appraisal, and aims for each staff member to receive 6 formal supervision sessions and an appraisal each year. A random check of maintenance and safety records was undertaken. The maintenance manager undertakes regular safety checks of equipment to make sure it is working properly. This includes the fire alarms, emergency lighting, the water temperature at hot water outlets and electric beds. Appropriate maintenance contracts are in place for the fire alarm, nurse call system and equipment that is used to lift and move people. Health and safety advice is readily available from Barchester Health Care’s health and safety department. Staff training is provided in health and safety related areas. Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation 19 (4) & Schedule 2 Requirement All of the required information (including two written references) must be obtained before new staff start work in the home. Timescale for action 30/05/08 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 OP27 OP36 Good Practice Recommendations Staffing levels should be regularly reviewed to ensure that they are adequate to the numbers and dependency of residents and fully meet the individual needs of residents. Staff should receive formal one-to-one supervision sessions a minimum of six times a year. They should also receive an annual appraisal of their performance. Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Mount Vale Care Home DS0000071114.V362027.R01.S.doc Version 5.2 Page 25 - 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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