Inspection on 30/11/06 for Raynesway View

This inspection was carried out on 30th November 2006.

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

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

Other inspections for this house

Raynesway View 21/01/09

Raynesway View 28/11/05

Raynesway View 22/07/05

Raynesway View 21/09/04

Raynesway View 14/04/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Raynesway View Raynesway View Foyle Avenue Chaddesden Derby Derbyshire DE21 6TZ Lead Inspector Angela Kennedy Key Unannounced Inspection 30th November 2006 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 Raynesway View DS0000036027.V308096.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. Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Raynesway View Address Raynesway View Foyle Avenue Chaddesden Derby Derbyshire DE21 6TZ 01332 718300 01332 718300 chris.wilson@derby.gov.uk 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) Derby City Council Vacant Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th November 2005 Brief Description of the Service: Raynesway View Care Home provides personal care to 35 older people. The home is owned by Derby City Council (the registered provider) and is situated in Chaddesden near to the city of Derby. Raynesway View is a two-storey building, which has staircase, shaft lift and stair lift provision enabling access to the first floor. All bedrooms are single occupancy. Support services are in place including general practitioner, district nursing, chiropody, dental and optician services. The weekly residential fee at the time of this inspection was £318.00 Additional services not included in this fee were hairdressing, chiropody and purchases such as newspapers, magazines and toiletries. Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care), a pre admission assessment of need and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. Other information and documents relating to residents care and support were looked at. Three residents care files were examined and these three residents were spoken with to ascertain their views on the care and support they received. The medication practices were looked at, as were some of the safe working practices at Raynesway View. The activities and meals provided were assessed and resident’s opinions sought. The recruitment and training practices were looked at and two members of staff were spoken with regarding their opinion of the service and the training and support given to them. The procedures and practices in place for dealing with concerns and complaints were assessed and the practices in place for safeguarding the residents were also looked at. Two visitors were spoken with to ascertain their views of the home and the quality of service provided. Throughout the inspection the manager was available to answer any questions and provide all the relevant documents and information. Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? All of the requirements left at the last inspection had been met; this included the signing and dating of care plans and risk assessments, improvements to the recording of medications and maintenance requirements. Staff training is now up to date and training is provided on an ongoing basis as required. The foyer to Raynesway View has been redecorated and now provides an attractive seating area. The upstairs linen cupboard has been converted into a refreshment room for residents and visitors. Tea, coffee and cereals are provided for residents wishing to take a late breakfast. Both upstairs lounge diners have been redecorated and three bedrooms now have wider doors to enable residents who use wheelchairs to access these rooms. An improved fire exit route is now in place, which provides ramp access with rails. Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 7 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. Raynesway View DS0000036027.V308096.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 Raynesway View DS0000036027.V308096.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Further information is required to ensure residents and prospective residents are able to make an informed choice about where to live. Some written contracts require updating to ensure the information given to residents is accurate. Resident’s needs were assessed before they moved into Raynesway View to ensure their needs could be met. EVIDENCE: Three residents care files were looked to assess that a needs assessment had been undertaken before each resident moved into Raynesway View. Other information that was looked at included the service user’s guide (sometimes called a brochure or prospectus) and statement of terms and conditions (also known as contracts of care). Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 10 These three residents were also spoken to, to see if they could understand this information and how it helped them to make choices. The three residents were asked if they had a copy of the home’s service user guide. One of the residents confirmed that they had received a copy of the homes service user guide, and confirmed that this was a useful document in providing information about the services provided at Raynesway View. One resident was unsure if they had received a copy of the service user guide, and was unsure as to the content and purpose of it. The third resident said they had not received a copy of the service user guide and again said they were unaware of its contents or purpose. The manager stated that each resident was given a copy of the service user guide on admission. Service user guides were seen within communal areas of the home and within the resident’s private accommodation seen. The service user guide required further information to be included as stated in regulation 5 of the Care Homes Regulations 2001. The same three residents were asked if they had received a written contract or statement of terms and conditions regarding their residency. All three of the residents said they had received contracts, although one resident said that she had given the contract to her son. Contracts were in place on two of the three residents files seen, although the fees stated on one contract seen were not up to date. All three residents were asked if they were aware of any changes within their contract since admission, one resident stated that no changes had been made and the other two residents were unsure if any changes had been made to their contracts. All three residents were asked if anyone had visited them before they moved into Raynesway View to find out what their needs were. One resident spoken with stated that they couldn’t remember, another resident said that they hadn’t been visited or spoken with regarding their needs before moving into Raynesway View and the third resident said that they had been spoken with and that their needs had been assessed before they moved into Raynesway view. This resident was also able to give the name of the care manager who had undertaken the needs assessment. Needs assessments were in place within all three of the residents files seen, which demonstrates that none of these residents moved into Raynesway View until the support and care they required had been assessed and the service was confident that the residents needs could be met. Raynesway View DS0000036027.V308096.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Residents’ health, personal and social care needs were set out within a plan of care and they were protected by the medication practices in place. Residents’ were treated with respect and dignity and were assured that their wishes after death would be followed. EVIDENCE: The three residents files seen all contained care plans that addressed the care and support they required to ensure their personal, health and social care needs were met. All of the care plans seen contained sufficient detail to inform the staff of the level of support and care required within each area of need. Care plans seen had been reviewed on a monthly basis or sooner if required to address any changing needs. Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 12 Risk assessments were also seen within the three residents files looked at and provided good detail as to the assessed risk and the action that was in place to minimise the risk. All of the risk assessments seen had been reviewed. Some assessments were reviewed on an annual basis and although there was no evidence to demonstrate that the needs of the resident had changed within this timescale, it is recommended that all risk assessment be reviewed on a regular basis to ensure any changing needs are clearly identified and the required actions taken to address them. All residents had access to health care services this included doctors, district nurses, chiropodists and dentists. The medication practices were assessed; this included looking at the storage of medication including controlled drugs, records of administration and disposal of medication. The practices in place were in general good, although it was noted that one clinical fridge did not have a thermometer in place and therefore the temperatures of this fridge could not be recorded to ensure the correct temperatures were maintained. However a thermometer had been purchased and this was seen, the manager confirmed that this would be put in place and temperatures recorded with immediate effect. Residents were addressed by their preferred name and this was observed on the day of inspection. Residents had access to a payphone and the manager confirmed that residents were able to receive calls from the office if they wished. Five of the residents had their own telephones either mobile phones or telephone lines within their own private accommodation. Residents spoken with were very complimentary regarding the care and support given to them by the staff team and stated that they were always treated respectfully by the staff. Relatives spoken with said they were happy with the care provided and one relative commented that their mother was very happy at Raynesway View and was well cared for by the staff who she said made a lot of effort and were very kind, she stated that her mother always looked clean and smart. The resident’s files seen demonstrated that residents had been consulted regarding their wishes after death. Raynesway View DS0000036027.V308096.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents were able to take part in activities and were encouraged to maintain relationships with family and friends. Residents were helped to maintain choice and control over their lives and the meals provided were varied and of a nutritious content. EVIDENCE: The manager stated that activities took place every afternoon; these activities varied and included bingo, crafts, board games, cake making, discussion groups and nail care. Raynesway View did not have a designated activities coordinator; therefore the activities were planned and undertaken by the staff on duty. Entertainers also visited Raynesway View to provide entertainment to the residents each month. There was evidence to demonstrate that three separate entertainers had been booked during December to provide various entertainment. Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 14 Residents were also able to visit local shops, public houses and restaurants, garden centres and trips out to local areas. A variety of reading books were also available for residents use within the ‘Link Corridor’ and seating was available should residents wish to read in this area. Church services took place at Raynesway View on the first Sunday of every month and one resident chose to visit their own church for services. On the day of inspection activities were observed to be taking place and the residents spoken with stated that these activities were very good and enjoyed. Visiting hours at Raynesway View were open although the manager did state that she asked visitors to avoid meal times if possible to avoid any disruption to residents. Relatives spoken with stated that they were always made to feel welcome and were always offered a cup of tea. Advocacy leaflets were on display throughout the building and information regarding independent advocacy services was also included within the service user reference guide. Information in the three residents files seen clearly demonstrated that residents were consulted as to their night time routines, including the amount of input they would like from the night staff, i.e how often they would like night staff to check on them during the night, if they preferred to keep their bedroom doors locked and if they would like a cup of tea in bed at 7am. Residents spoken with said that the staff treated them with respect and were very thoughtful and kind. The menus were looked at and showed that a good variety of meals was provided for residents, choices were available at all meal times and this was confirmed by residents that were spoken with. A variety of porridge, cereals and toast were available each morning and cooked breakfasts were available twice a week. Two choices were available at lunchtime. Two choices were also available at the evening meal, one of these being a cooked meal. Supper was also provided each evening. Raynesway View DS0000036027.V308096.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents and their families were confident that their concerns would be listened to, taken seriously and acted upon. The practices in place protected residents from abuse. EVIDENCE: The complaints procedure was seen and referred to the Commission for Social Care Inspection. One complaint had been received since the last inspection, records had been kept relating to this complaint and demonstrated that the complaint had been dealt with appropriately and within the required timescale. The Commission for Social Care Inspection had been received no complaints regarding Raynesway View since the last inspection. Three residents were asked if they had been given a copy of the Complaints Procedure and all three residents said they had not, however copies of the complaints procedure was available within the service user reference guide and this was discussed with the residents. All three residents were asked if they felt they would be able to make a complaint about their care and two of the residents felt they would and stated they would speak to the manager if they had any concerns. The third resident did not feel they had enough information to know how to make a complaint. Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 16 Raynesway View followed the Local Authorities Safeguarding Adults procedure (Adult Protection). There had been no matters relating to adult protection since the last inspection. The majority of the staff team had undertaken training in Safeguarding adults as part of their induction and some staff had attended a one-day course. The manager had attended a three-day course in Safeguarding Adults. It was confirmed by the manager that further training was being arranged for any staff that had not yet attended this training. Staff spoken with had a good understanding of the procedures to follow in the event of suspicion or evidence of abuse. Raynesway View DS0000036027.V308096.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a safe environment that in general was well maintained with good standards of hygiene kept. EVIDENCE: A tour of the building was undertaken and communal areas, bathrooms, toilets, laundry areas and some bedrooms were seen. The foyer of the building had been attractively decorated and provided seating for five people with two tables. The Foyer area lead to a courtyard and it was stated by the manager that this was due to be re-tarmaced after Christmas. Seating was provided in the courtyard and the manager stated that during the summer months a gazebo was in place for residents use. Good efforts had been made to provide a homely feel to bathrooms by providing attractive blinds, floral decoration, plants, stencilling to walls and wicker shelving. However it was noted that one shower room had a wallpaper Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 18 boarder that was peeling off. The manager stated that she had asked for this to be removed. The upstairs linen cupboard has been converted into a refreshment room were tea, coffee and cereals for residents who wish to take breakfast late can use. A kettle, fridge and cutlery and crockery were also provided within this room enabling residents and their visitors to prepare beverages. There was no sink available within this room and it was agreed that the provision of a sink would be beneficial for residents and their visitors and enhance the standards of hygiene. Raynesway View provided one large lounge diner and three smaller lounge diners and all were attractively decorated. Both upstairs lounge diners have been redecorated and three bedrooms now had wider doors to enable residents who use wheelchairs to access these rooms. Some of the resident’s private accommodation was seen and all had been personalised with the resident’s own belongings. It was noted that the wood on the wardrobe doors within one resident’s private accommodation required re decoration as it was chipped and was unattractive in appearance. The manager confirmed that several other wardrobes were also in need of cosmetic repair. Photographs and names were in place on the doors of resident’s private accommodation, this was helpful for any residents with confusion or failing memories in assisting then to identify their private rooms. One resident who was registered blind had been provided with private accommodation that had additional floor space to enable them to move independently within their accommodation. The laundry area was seen and housed two washing machines with sluicing facilities and two tumble driers. All areas of the building seen were noted to be kept tidy and good standards of hygiene appeared to be kept. All of the residents and relatives spoken with confirmed that Raynesway View was always kept clean and tidy Raynesway View DS0000036027.V308096.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The numbers, qualifications, training and skill mix of staff on duty indicates that the needs of residents can be met. The recruitment practices require further development to ensure residents are supported and protected. EVIDENCE: The staffing rotas were seen and demonstrated that adequate numbers of staff were available on each shift to meet the resident’s needs. The management team worked on a rota system to ensure they were available each day including weekends and three care staff were on shift each morning and two care staff were on shift each afternoon, although it was noted that on occasion three staff were on duty to cover meal times, and two night staff were on duty each night. One cook was on duty between 8am and 2pm each day and one kitchen assistant was available from 11am to 5pm.This ensured that the cook and kitchen assistant were available to prepare breakfast, lunch and the evening meal. Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 20 Domestic staff were on shift each day, the numbers ranged from two to three a day, although once a week four domestic staff were on duty. Residents spoken with felt there were enough staff on duty to assist and support them and said that the staff worked very hard. Sixteen staff had achieved a National Vocational Qualification (NVQ) in care at level two and some of these staff also had an NVQ at level 3 in care. The manager and assistant manager had achieved NVQ level 4 in care. The recruitment practices were assessed and two staff files were looked at and in general all of the required recruitment records and documents had been obtained, however it was noted that the application for employment form did not ask for a full employment history with any gaps in employment to be explained. This therefore does not demonstrate that thorough recruitment checks are made prior to employment. Staff’s training records were examined and this demonstrated that all mandatory training was up to date, including fire training, first aid and moving and handling. Other training that had been undertaken within the last twelve months included; care planning, safeguarding adults, customers services, hearing loss, low vision, epilepsy and nutrition. Induction training was also in place for new staff, this was looked at and found to be satisfactory. Both staff whose files had been looked at were spoken with and both stated that they found the training that was provided to be very good. Both staff demonstrated a good understanding of the residents needs and both confirmed that the support given to them by the manager and management team was very good. Both members of staff had achieved an NVQ in care at level 2. Raynesway View DS0000036027.V308096.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well managed and is run in the best interests of the people who live there. Resident’s financial interests are safeguarded and the health, safety and welfare of residents and staff is promoted and protected. EVIDENCE: The manager has been in post at Raynesway View since February 2006 and prior to this was registered as the manager of another local authority home. The manager is in the process of applying for registration at Raynesway View and has achieved her NVQ at level 4 and the registered manager’s award. Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 22 Staff, residents and visitors spoken with were very complimentary regarding the manager’s ability to manage the service and praised her on her open and approachable manner. Staff spoken with confirmed that the manager was supportive and always available to discuss any issues or concerns they had, the staff also confirmed that regular supervision took place. The Quality Assurance practices were looked at and demonstrated that the views and opinions of residents were sought and influenced the running of their home. This included surveys regarding the activities that were undertaken at Raynesway View, and resident’s opinions on what was and was not enjoyed, this information had then been fed back to the residents and the activities amended accordingly. Satisfaction questionnaires or surveys were sent out every three months and residents meetings were also undertaken every three months, the minutes of some of the meetings were read and demonstrated that the opinions of residents were listened to and whenever possible the appropriate action was taken. Resident’s meetings alternated between downstairs and upstairs and it was also evident from the minutes of the meeting that group discussions were promoted and encouraged, which demonstrated that all residents were encouraged to air their views. The financial transaction records for the residents were also seen and the monies held for two residents was counted and checked against the balances held for them and were found to be correct. All financial transactions had two signatures, this good practice measure promotes the safeguarding of residents monies. Some of the safe working practices were looked and all were found to be satisfactory, this included service certificates such as, gas servicing, portable appliance tests, fire service test and baths and hoists servicing which were all found to be up to date. Fire alarm tests were undertaken weekly and the building liability insurance certificate was up to date. An improved fire exit route is now in place, which provides ramp access with rails. Raynesway View DS0000036027.V308096.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 2 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 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 X X 3 Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO ¦#ZTREQT¦# Use Section 1 button to insert Standards in the Standard column 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. OP 1. Standard OP1 Regulation 5 Requirement The service user guide must include all the information as stated in regulation 5 of the Care Homes Regulations 2001. Written contract or statement of terms and conditions must be kept up to date to show the correct fee for residency at the home. The application for employment must ask for a full employment history, together with a satisfactory written explanation of any gaps in employment. Timescale for action 01/06/07 2. OP2 5 (bb) 01/03/07 3. OP29 19 Schedule 2 01/03/07 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 OP7 OP19 Good Practice Recommendations Risk assessments should be reviewed regularly to ensure any changing needs can be identified and the required action taken to address them. Wardrobe doors identified within this report should be DS0000036027.V308096.R01.S.doc Version 5.2 Page 25 Raynesway View redecorated. 1. OP26 Consideration should be given to the provision of a sink in the identified refreshments room. Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Raynesway View DS0000036027.V308096.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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