CARE HOMES FOR OLDER PEOPLE
Pinewood Tower 30 Tower Road Branksome Park Poole Dorset BH13 6HZ Lead Inspector
Marjorie Richards Unannounced 5th July 2005 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 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. Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Pinewood Tower Address 30 Tower Road Branksome Park Poole Dorset BH13 6HZ 01202 762855 01202 762880 genemangold2002@yahoo.co.uk Mrs Gene Mangold Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) CRH PC - Care Home Only 14 Category(ies) of DE(E) Dementia - over 65 (14) registration, with number MD(E) Mental Disorder -over 65 (14) of places Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 28th January 2005 Brief Description of the Service: Pinewood Tower is a care home providing personal care and accommodation for 14 older people who have mental disorders or dementia. The home is situated in a quiet residential area of Branksome Park. The nearest amenities, including shops, banks, post office, churches and doctors surgeries etc, are approximately half a mile away in Westbourne. Car parking is provided for visitors to the home and further parking is available on nearby roads. A regular bus service goes from Westbourne into Bournemouth (approx 2 miles) and Poole (approx 3 miles). Pinewood Tower is a large detached property that has been adapted to provide residential care. The home is set back from the road in mature secluded grounds with a peaceful, enclosed area of garden where residents may sit and a separate activity area. Accommodation for residents is provided on the ground and first floors. There are ten single bedrooms and two providing shared accommodation. Access to the first floor is via the stairway as there is no passenger or stair lift. The home also has a lounge/dining room with patio doors to the garden. There are two bathrooms with W.C. and washbasin, and two separate W.C.s. Pinewood Tower provides 24-hour personal care, all meals, laundry and domestic services. The home offers stimulation in the form of regular daily activities. Pinewood Tower is owned and personally managed by Mrs Gene Mangold, assisted by an experienced team of staff.
Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five and three-quarter hours on the 5th July 2005. The main purpose of the inspection was to check that the residents living in the home were safe and properly cared for and also to check if a previous requirement had been met. A tour of the premises took place and a variety of records and related documentation was examined including the care records for three residents. Time was spent talking with four residents, Mrs Mangold and the staff on duty, as well as observing the provision of meals and interaction between residents and staff, in order to get a real feel of what it is like to live at Pinewood Tower. Discussion also took place with four staff that were not on duty but taking part in training during the day. What the service does well:
Information about Pinewood Tower is available for prospective residents and their representatives to help them decide if the home is right for them. Pre-admission assessments are carried out to ensure that only people whose needs can be met are offered places within the home. Every resident has a care plan, which sets out in detail the individuals care needs and how these are to be met. Residents and their relatives are encouraged to contribute to assessments and care plans. A key worker system is in place with care staff having particular duties to perform for those individual residents that are their responsibility. This includes reviewing their care, updating their records and monitoring their physical and mental health. Discussions with staff show they are aware of the wider needs of individuals and there is information in the care plan to support this, e.g. Does not like to be left on her own and Likes looking at photographs. Residents confirmed they are well cared for and their privacy is respected. They are nice people here. They look after me very well and I can go to my room whenever I want, sometimes it is nice to be on your own. Staff were observed throughout the inspection to be treating residents with courtesy, patience and kindness. Care was seen to be delivered with sensitivity and respect. Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 Page 6 The home offers person centred activities, which focus on each resident, and their individual needs. To assist in this process, information about each residents past life, hobbies and interests etc is recorded often with help from relatives and friends. This is then used to provide a detailed life history, which enables activities to be tailored to meet each residents needs. Residents can participate in household tasks such as, laying tables etc, if they wish. A religious service is held in the home every two weeks and all residents are welcome to attend if they wish. Meals are varied and take into account the likes and dislikes of residents. Mealtime arrangements are flexible enough to accommodate individual preferences, care needs and any social activities etc. Finger foods and drinks are available 24 hours a day. Residents speak highly of the meals provided, e.g. The meals here are absolutely delicious. Menus are based around the known likes and dislikes of residents and alternatives are provided if necessary to suit individual taste. The home has a complaints policy and procedure that is included in the information provided to residents or their representatives. No complaints have been received by the home or the Commission since the last inspection. Pinewood Tower provides a well-maintained, comfortable and safe environment for residents. Mrs Mangold has completed a health and safety risk assessment for the premises and documentation was seen, showing that equipment used within the home is regularly maintained to ensure the safety of residents. Bathrooms and WCs are well signed, using pictures and words so that residents may identify these facilities more easily. The home provides a comfortable, in all the lounge/dining room on the ground floor with easy access through patio doors to an enclosed garden with a variety of seating. Another area of garden is set aside for activities, with a goal net for those wishing to kick a football. Residents commented, I like the garden very much, and I go in the garden sometimes. I like picking flowers. Bedrooms are comfortably furnished and residents are able to personalise their rooms with items of furniture and their own belongings. Pinewood Tower is kept clean and there are no unpleasant smells, making daily life for all in the home more pleasant. The needs of residents are well met by the numbers and skill mix of the staff team. Good staffing levels allow the home not only to meet the care needs of residents, but permit more time to be involved in person centred care and the provision of suitable activities. Residents commented, I have been here a long time and I have always been well looked after. I did not want to come here, but now I am very happy here. The home seeks the views of residents, relatives, health professionals, care managers etc, as a means of making any suggestions for improvements and
Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 Page 7 ensuring the home is run in the best interests of residents. In order to protect residents, it is the policy of the home not to have any involvement with their finances. All residents who are unable to handle their own affairs have a relative or other representative to deal with finances etc. 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.
Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 3 Standard 6 is not applicable as Pinewood Tower does not provide intermediate care. Detailed information is available to assist prospective residents and their relatives or representatives to make informed decisions about admission to the home. Pre-admission assessments are carried out to ensure that only those whose needs can be met by the home are offered places there. However, without written confirmation, prospective residents cannot be fully assured that their needs will be met. EVIDENCE: The homes Statement of Purpose and Service User Guide ensures that prospective residents and their representatives have the information they require in making a decision about where to live. This includes information on the specialist nature of the service provided by the home and details of a support group for relatives. A Residents and Relatives Information File is also available within the home containing further information and fact sheets, previous inspection reports and copies of quality assurance questionnaires etc. Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 Page 10 The Borough of Poole Social Services has a block contract arrangement with Pinewood Tower and makes the majority of placements in the home. Where the local authority is involved, Mrs Mangold receives a copy of their assessment and care plan. She speaks with relatives and relevant professionals, such as the GP, Community Psychiatric Nurse etc, to obtain further information. Mrs Mangold then carries out her own pre-admission assessment to ensure that Pinewood Tower is the correct placement. At present, no written confirmation as to the outcome of the assessment is provided, so the prospective resident cannot be fully assured that his/her care needs will be met. Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10 Pinewood Tower has a care planning system in place, which ensures that staff have the information they need to meet the needs of residents. Health needs are also well met, with evidence of good support from community health professionals. Residents are treated with respect and their privacy and dignity is promoted at all times. EVIDENCE: All three of the care plans examined flow from the pre-admission assessments made earlier. They are clearly set out, informative about the needs of each resident and how staff are to meet these needs. Relatives are encouraged to contribute to the development of care plans, especially by providing important background information, social history etc. Mrs Mangold says that a copy of the care plan is always given to close relatives. A key worker system is in place, with care staff having particular duties for the individual residents that are their responsibility, including reviewing their care, updating their records and life histories and monitoring their physical and mental health. Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 Page 12 Discussions with care staff demonstrated a thorough knowledge of the care plans and their awareness of the wider needs of individuals. There is detailed information in the care plan to support this, e.g. Does not like to be on her own. Likes looking at photos. Speak slowly and calmly. Use simple language. A document entitled, This is me provides a life history from the residents viewpoint, e.g. I love animals and I used to have cats. I love to watch the birds in the garden. I enjoy my food, especially cheese and chocolate. Records demonstrate that residents have access to GPs, District Nurses, Community Psychiatric Nurses, chiropodists, opticians, etc and attend for hospital appointments. Risk assessments are carried out as necessary and appropriate steps are taken to minimise any risks identified. Staff were observed throughout the inspection to be treating residents with courtesy, patience, kindness and respect. Personal care tasks were carried out with due regard for privacy and dignity. Staff were seen to knock before entering a residents bedroom. Residents said, They are very nice people here. They look after me very well. I can go to my room whenever I want, sometimes it is nice to be on your own. Residents were well presented and commented, I like to look smart and they make sure that I am, and They help me to choose what to wear. Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 15 A flexible approach is taken to the running of the home. Pinewood Tower satisfies recreational and religious needs and a range of social activities provides variation and interest for residents living in the home. A balanced and varied selection of food is available, that meets residents’ tastes, choices and special dietary needs and is served in pleasant surroundings. EVIDENCE: The home provides person centred activities, which focus on each resident and their individual needs. To assist in this, key workers gather information about each residents past life, interests, skills, strengths etc, often with help from the residents family members and friends. This is then used to provide a detailed life history, which enable activities to be tailored for each resident. Staff are currently carrying out further work to determine each residents level of ability for a variety of daily living and practical tasks, communication skills etc. This information will be used to facilitate appropriate activities and support for each resident. Each resident has a memory box with personal items, mementos, photographs etc, which are used to aid reminiscence and prompt memories of events and people who are important to them.
Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 Page 14 Residents also like to come together and enjoy listening to music and having a sing-along. They can participate in household tasks such as, laying tables etc, if they wish. Where possible, residents are encouraged to go out of the home and are accompanied by staff where necessary. Residents commented, A very kind person looks after me and helps me do things. I like to go out for a walk and sometimes we go into the garden. It is nice and peaceful there. Every two weeks a religious service is arranged in the home, alternating between Roman Catholic and Anglican clergy. All residents are welcome to attend. Mrs Mangold says that residents may choose where they eat and times are flexible. This was demonstrated during the inspection. If a meal is refused or if the resident leaves the table during mealtime, the food is saved and offered later. Finger foods and drinks are available from staff 24 hours a day. In order to assist some residents in making menu choices, large print and picture boards are used. Staff commented, They eat very well here. We cook all meals ourselves so know it is good, wholesome food. Lunch on the day of inspection was meatballs, with carrots, leeks and courgettes in a tomato sauce and mashed potato. This was followed by cherry or apple strudel. Some residents need assistance at mealtimes and this was provided unobtrusively with staff showing great patience and attention to detail. Menus are based around the known likes and dislikes of residents and alternatives are provided to suit individual taste. A resident said, I like nearly everything on the menu. If I dont like it, they give me something else. Residents commented positively about the food provided, The meals here are absolutely delicious. Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 A system is in place for dealing with any complaints. Residents are confident complaints would be listened to and dealt with appropriately. Procedures for responding to suspicions of abuse are not carried out fully in accordance with Department of Health guidance, therefore any allegations of abuse may not be managed effectively. Not all staff have received training in adult protection issues to ensure a proper response to any suspicion or allegation of abuse. EVIDENCE: The home has a complaints policy and procedure that is included in the information provided to residents or their representatives. No complaints have been received by the home or the Commission since the last inspection. Mrs Mangold says she has an Open door policy and encourages everyone to come to her and discuss any concerns, however small and this gives the opportunity to put things right and avoid the need for complaints. Residents spoken to said they had no concerns, “ I like it here. I have no complaints about anything.” One resident said, “If I was upset all worried, I would tell the lady over there (pointing to Mrs Mangold) and she would put it right. She is good at sorting it all out.” The Adult Protection policy is in need of slight amendment. This policy is not fully in line with the Department of Health No Secrets guidance, therefore any allegations of abuse may not be managed effectively. Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 Page 16 Not all staff have received Adult Protection training, to ensure a proper response to any suspicion or allegation of abuse. Mrs Mangold has now arranged Adult Protection training for all staff at Pinewood Tower, commencing July 2005 until January 2006. Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 23, 24 and 26 Pinewood Tower provides a well-maintained, comfortable, safe and homely environment for residents with access to indoor and outdoor communal facilities. The home is kept clean and there are no unpleasant smells, making daily life for all in the home more pleasant. EVIDENCE: Mrs Mangold confirmed ongoing maintenance of the home and her intention of always seeking to improve facilities for residents. The ground floor of the home has recently been repainted and plans are in hand to repaint the first floor. A maintenance book shows regular attention to any work required around the home. Mrs Mangold has completed a health and safety risk assessment for the premises. Documentation was seen showing that equipment used within the home is regularly maintained to ensure residents safety. Portable Appliance Testing has recently been completed to ensure that such appliances are safe to use within the home. Records demonstrate that appropriate maintenance and
Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 Page 18 checks of the fire warning system, emergency lighting and fire fighting equipment are taking place to ensure resident safety. Staff confirm that fire training and drills are also taking place at the required intervals, so they are fully aware of what to do in the event of fire. Communal bathrooms have been decorated with a nautical theme in order to make bathing a more welcoming and pleasurable experience for residents. Bathrooms and WCs are well signed using pictures and words, so that residents may identify these facilities more easily. Pinewood Tower provides a comfortable communal lounge/dining room on the ground floor with easy access through patio doors to an enclosed garden with a variety of seating. Another area is set aside for activities, with a goal net for football. The home also has a swimming pool, which is fenced and may be used by residents under supervision. Mrs Mangold says at present, no residents wish to use this facility. Comments included, I like the garden very much, and I go in the garden sometimes. I like picking flowers. Bedrooms are comfortably furnished and residents are able to personalise their rooms with items of furniture and their own belongings. Some rooms are carpeted but others have floor coverings that are more suited to the needs of the individual. Residents commented, I have a very nice room, and I am very happy here. I love my room, it is all mine. They look after me and my room to. Each residents bedroom has his or her photograph on the door. Some are recent photographs and others were taken when the resident was much younger. This makes bedrooms easier to find and helps to maintain each residents independence. Each residents room has a pin board on the wall with photographs of people and places that are important to them. An external laundry service is used for the laundering of sheets, pillowcases, duvets and towels etc, but all personal items are laundered within the home. Pinewood Tower is clean throughout and there are no unpleasant odours. Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 The numbers and skill mix of staff are sufficient to meet the needs of residents. EVIDENCE: Mrs Mangold heads a team of staff, most of whom are experienced in caring for people. A key worker system is in operation, where each member of care staff has particular responsibility for several residents. This gives them an opportunity to really get to know residents and ensure all their needs are met. Staffing rosters confirm that four care staff are on duty throughout the day, two working from 8 a.m. until 6 p.m. and two from 8 a.m. until 7 p.m. Two night care staff are on duty from 7 p.m. until 8 a.m, both on wakeful duty. In addition, a domestic assistant carries out cleaning duties from 9 a.m. until 12 p.m. on a daily basis. Good staffing levels at Pinewood Tower allow the home not only to meet the present needs of residents but also permit more time to be involved in person centred care, as well as group and individual therapeutic activities. Some staff are employed from abroad and Mrs Mangold believes that a number have qualifications that are more than the equivalent of NVQ level 3, but at present there is no documentary evidence to support this. Care staff share responsibility for cooking, laundry and other domestic tasks. Residents commented, I have been here a long time and I have always been well looked after. I did not want to come here, but now I am very happy.
Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 Page 20 Training in Person Centred Dementia Care was taking place within the home during the day. Discussion with some of the staff taking part showed great interest and commitment toward the provision of high quality care to residents. Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35 The home regularly reviews its performance through a programme of consultations, which include seeking the views of residents, staff, relatives and other visitors to Pinewood Tower to ensure the home is run in the best interests of residents. Residents are assured of sound management of their financial interests. EVIDENCE: Mrs Mangold says Quality Assurance questionnaires are sent annually to relatives, GPs, District Nurses, Community Psychiatric Nurses and Care Managers. Feedback from these questionnaires helps to ensure that the home is meeting its aims and objectives and provides opportunities to make any suggestions for improvements to the running of the home. A selection of completed questionnaires is available in the Information File for visitors to the home to read. A suggestion box is also available in the entrance hall.
Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 Page 22 Staff are also able to make their views known during formal supervision sessions and staff meetings. During the inspection, an informal staff meeting took place with Mrs Mangold to discuss the best ways of facilitating activities for residents. Mrs Mangold feels that none of the present residents would be able to complete a questionnaire. Staff therefore regularly seek their views on a variety of topics, to ensure that the home is meeting their needs, but these are not always recorded. Key workers also correspond with relatives and write to them to keep them updated, if they are unable to visit the home. A member of staff said, The resident comes first. Thats what we staff are here for, to make sure they have everything they need or want. Mrs Mangold says that, in order to protect residents, it is the policy of the home not to have any involvement in their finances. Therefore, all residents who are unable or do not wish to handle their own affairs, have a relative or other representative to deal with their finances etc. Residents are encouraged not to bring items of value into the home. The home pays for services such as chiropody and hairdressing and this is then invoiced to residents, relatives or representatives for payment. Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 4
COMPLAINTS AND PROTECTION 3 3 x x 3 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x 3 x 3 x x x Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 Page 24 YES Are there any outstanding requirements from the last inspection? 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 3 Regulation 14(1)(d) Requirement The registered person must confirm in writing to the service user that, having regard to the assessment, the care home is able to meet his/her care needs in respect of health and welfare. A minimum of 50 of care staff employed by the home must have NVQ level 2 or equivalent. Timescale for action 31/08/05 2. 28 18(1)(c) 31/12/05 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 Good Practice Recommendations Pinewood Tower D55 S4072 Pinewood Tower V236312 050705 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Unit 4, New Fields Business Park Stinsford Road Poole Dorset BH17 0NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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