Inspection on 29/05/07 for Risedale At Aldingham St Cuthberts Nursing Home

This inspection was carried out on 29th May 2007.

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

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

Other inspections for this house

Risedale At Aldingham St... 06/02/06

Risedale At Aldingham St... 31/10/05

Risedale At Aldingham St... 07/01/05

Risedale At Aldingham St... 29/07/04

Similar services:

Chirnside House

Rosehill Residential Home

Ruskin Lodge

Langrigg House

Parkside

The Good Companions

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

CARE HOMES FOR OLDER PEOPLE Risedale At Aldingham St Cuthberts Nursing Home Aldingham Ulverston Cumbria LA12 9RT Lead Inspector Jenny Donnelly Unannounced Inspection 29th May 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.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. Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Risedale At Aldingham St Cuthberts Nursing Home Aldingham Ulverston Cumbria LA12 9RT Address 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) 01229 869203 01229 869152 Risedale Estates Limited Mrs Jane Harper Care Home 43 Category(ies) of Dementia (43) registration, with number of places Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.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 people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Dementia: Code DE The maximum number of people who can be accommodated is 43. Date of last inspection 6th February 2006 Brief Description of the Service: Risedale at Aldingham St Cuthberts is a single storey, purpose built home for 43 older people suffering from dementia, and requiring nursing care. Risedale Estates Ltd operates the home and the registered manager is Mrs Jane Harper. The home is built around a central square, which encompasses a secure garden to which residents have free access. There are 37 single and 3 double bedrooms, some of which have en-suite facilities. There are two large lounge diners and two other smaller sitting rooms. There are five fully adapted bathrooms with specialist equipment. The home is located in the small hamlet of Aldingham, just of the coast road between Ulverston and Barrow-in-Furness, overlooking the Morecambe estuary. The sister home, Risedale at Aldingham, is adjoined to St Cuthberts and although the homes are managed separately they do share the kitchens and laundry. A statement of purpose and a service user guide is available from the home, along with the latest inspection report. Weekly charges at the time of this inspection ranged from £422.00 to £434.00 per week, plus any registered nursing care contribution entitlement. Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. I made an unannounced visit to this care home on 29th May 2007 between 10.00 and 14.30 hours. Penny Wilkinson, CSCI regulation manager, accompanied me. During the visit we spoke with people who live in the home, visitors, staff and the manager. We toured the building, observed lunch and the day’s activities, and looked at a number of records. Prior to this visit I sent survey forms to the care home, and received back 7 completed forms from visitors/relatives. Due to their dementia many people living in the care home were not able to participate in the inspection process. In order to gain some insight into their experience of the care service two hours was spent in one of the lounges observing what happened. The information gathered in the surveys and through our observation exercise is included in this report. What the service does well: What has improved since the last inspection? Since the last inspection the floor coverings in both dining lounges has been replaced. Carpet has been laid in the lounge areas, with a high quality non-slip vinyl in the dining areas. This has improved the appearance of the rooms. There has also been some ongoing decoration to maintain the general high standard of décor. Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, and 4 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Admission procedures ensure people and their relatives, are well informed about the care home, and have confidence in knowing the home can meet their assessed needs before they choose to move in. EVIDENCE: Risedale St Cuthberts has a Statement of Purpose and a Service User Guide, which informs people about the home and the company who operates it. These documents had been updated to reflect that a new manager came into post last year. It was evident that any new people admitted to the care home had been subject to a thorough assessment of need carried out by the manager or senior nurse, as well by the persons’ social worker if relevant. The assessments were very detailed and a copy was provided to the person, or their family as appropriate, along with a letter confirming if the care home Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 9 could meet their assessed needs. There was evidence of good planning prior to people moving into the home to ensure all relevant paperwork and equipment was in place ready. There was information about the fees charged and who was responsible for payment. Visitors I spoke to were aware of their relatives’ contract of residency and their fee arrangements. Due to their advanced level of dementia, the majority of people who live in the home do not have any awareness of these details. People who live in the home are allocated a special carer called a keyworker and a primary nurse, to plan and provide their care, and help them settle into the home. There was an importance placed on helping new people and their relatives to settle into the care home, and staff were very supportive of people during this difficult time. Survey forms from relatives stated; • “The professional approach of the care home relieves pressures from relatives trying to care for someone suffering from dementia” • “From the moment we entered St Cuthberts the atmosphere was friendly and very positive”. Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People were receiving good quality health and personal care, in accordance with their wishes. EVIDENCE: We looked at the care plans of four people and these were up to date and had been audited by senior staff on a regular basis. There was evidence that people who live in the home and/or their families had been consulted over their care plan. Families helped staff to understand what was important to their relative and this was included in their care plan and known to staff. For example one person always felt cold and liked to wear a jumper and have a knee blanket, another was a practising catholic and her family felt this would still be important to her although she no longer appeared to understand. People were allocated a keyworker, a member of care staff responsible for paying particular attention to them and their belongings. Each person also had a primary nurse, responsible for overseeing his or her care planning and Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 11 healthcare needs. The manager and staff held a strong focus on maintaining peoples’ privacy, dignity and respect. We saw numerous good examples of staff communicating and assisting people in a way that upheld their dignity. Survey forms told us, • “I am very satisfied with the care that my mother receives”. • “ Carers take an interest in the appearance of service users and endeavour to present them as attractively as possible. This adds to their self esteem and is comforting to relatives” • “St Cuthberts provides a good level of care and attention to the needs of clients” Health care records showed people had good access to healthcare professionals, including the doctor and consultant psychiatrist. Staff were able to access specialist advice on wound care, continence and other subjects, through the use of the companies “skills register”. This is a list of nurses across the Risedale group who have advanced skills and knowledge in specific areas of care. Staff also called on outside specialist support and had built good links with the local primary care staff to facilitate this. All staff at St Cuthberts had received extensive training on dementia care and managing aggressive behaviour. Staff were seen to intervene quickly when one person became distressed and the staff skilfully turned the situation round and made that person feel more positive. The care home was well equipped with aids and adaptations, and people who needed to use hoists, bed rails and other equipment had up to date risk assessments on file along with clear guidance for staff. I looked at the storage and management of medicines. The home had clear guidelines for the nursing staff, who had been trained in the companies medicine management procedures. Records showed that great care was taken with handling medicines. I checked a number of peoples’ medicines in detail, and the amounts of medicine received into the home matched what had been administered against what was left in the packet. There was a clear system for recording medicines prescribed for occasional use, and where medicines had been prescribed for “weekly use” this was being correctly and safely managed. The company had systems in place for people to manage their own medicines within a safe risk assessment framework, but this was not currently applicable to anyone at St Cuthberts. Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People were enabled to maintain contact with their family and friends and to engage in a variety of activities and events, which enhanced their quality of life. The management of meals ensured people received a good and varied diet, and were given enough support to eat it. EVIDENCE: St Cuthberts employs a full time activities co-ordinator, who organises a programme of regular activities and events. We saw this person holding a newspaper discussion group in one lounge with 6 people, showing the days headlines, encouraging some discussion about the news topics and skilfully relating this to past events. Later in the day she was in the other lounge engaging 6 people in a game using large colourful picture cards. People were clearly enjoying the game and the organiser ensured everyone present got an equal chance to participate. The manager said as the age range of people living in the home was getting younger, they had been re-thinking some of their activities. The programme showed a variety of games, crafts, films, exercises, manicures and visiting Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 13 singers. There was a “Qualia” room, equipped with comfortable seating and light and sound projectors where people could relax. This room was used for certain individuals who were thought to benefit from it, and the equipment could be brought into the main lounge for wider use. There were picture boards displaying activities that had taken place and adverts for forthcoming events, so visitors could know what was happening. Staff worked with people as and when the people were receptive and the routine of the day was very much person centred. Care staff said they were encouraged to spend time with people just chatting and commented that the keyworker system really worked and that staff did spend extra time with their nominated people. One survey form said, “The service supports people to live the life they choose within their capabilities”. The home received a good number of visitors who said they were made welcome by staff and had been helped a great deal during the settling in phase, and through difficult periods in their relative’s condition. We watched lunch being served in both dining rooms and all staff on duty were present to help. Staff served meals from a list showing peoples choices, and ticking when people had eaten each course. This system ensures that those people who walk around a lot and don’t like to sit down for long do not miss their meals. A number of people were able to eat independently, and those who needed help received it in a timely and sensitive way. A small number of people wore protective bibs, but this appeared to be for known individuals and not everyone. One visitor said “Since moving to St Cuthberts I have been aware of the simple but extra attention to detail in my mothers care. She needs her meal pureed and instead of it being in a bowl all together, each item is pureed on its own therefore keeping the separate tastes…and someone always helps her which is excellent”. She also said that “mum was prone to water infections, but not here, as they test her water and help her to make sure has plenty to drink”. The cook said the menus at St Cuthberts had been planned to meet the specific needs of people with dementing illness and staff clearly saw mealtimes as an important part of the day. Care records showed a number of underweight people had gradually gained weight since coming to the St Cuthberts. Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Visitors to the care home had confidence in the staff, and thought their relatives were safe and protected. Staff were skilled in working with vulnerable people and consulted with others to ensure they were promoting peoples’ best interests. EVIDENCE: There was a complaints procedure on display and each person who lived in the care home, and their family, had been given their own copy. Survey forms and direct discussion with visitors showed that people knew how to complain about the service if they wished to. One person said, “I have no need to raise any concerns but I am sure if any arose the response would be appropriate”. Since the last inspection no complaints had been to the Commission for Social Care Inspection, and none had been made directly to the care home. The company has a history of handling complaints in a constructive way, acknowledging shortfalls where they exist, and working to improve the service. People were able to access their families, solicitors, or other advocates external to the care home, for independent advice. Staff were very aware of some peoples inability to speak up for themselves because of their dementia, and therefore took great care when considering issues of consent. Decisions Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 15 taken on behalf of people were clearly recorded and showed the involvement of any relatives and other professionals as appropriate. The care home operated sound safeguarding procedures, and all grades of staff attended compulsory annual update training in safeguarding people. This included prevention and detection of abuse, reporting procedures, safe management of aggression and protection of peoples’ privacy and dignity. Restraint, including the use of bed rails and recliner chairs was fully examined within the safeguarding framework; risk assessments and consent were completed and clearly recorded in the care plan. Staff were clear about their individual responsibilities, and visitors said the home was a safe place for people to live. One survey form stated, “I have peace of mind knowing the care (my relative) receives at the home is wonderful”. Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.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, 20, 21, 23, 14 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People live in a well-designed purpose built home that is suitable to their needs and is maintained and furnished to a very high standard. EVIDENCE: Risedale St Cuthberts is a purpose built care home that is decorated and maintained to a very high standard. The care home meets the requirements of the fire and environmental health officers. Since the last inspection, the flooring had been replaced in both dining lounges, partly with carpet and partly with a high quality non slip vinyl flooring. Some decoration had been done, and the home was looking good. One relative told us “we are impressed by the general environment”. In recent years the grounds had been improved and new furniture had been provided in all rooms. Signage around the home was good, with toilets and Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 17 bathrooms having pictorial signs for easy recognition. Bedroom doors had pictures of each individual’s choice, to help people recognise, which was their room. The home had 37 single and 3 double bedrooms, 17 of which had ensuite facilities, with wash hand basins in the remainder. Bathrooms are of high quality and there are three fully assisted baths and 2 specialist showers. The building was designed specifically for dementia care and is single storey built around a central square garden. The garden is therefore enclosed and is accessible from the lounges, corridors, and from half of the bedrooms. The corridors are spacious and continue around the “square” so there are no dead ends to frustrate people. The laundry was large, well laid out and staffed daily. Dirty washing was brought in through one door and moved through the washing, drying, and ironing areas, before leaving through a second door. This system helps prevent cross infection, by keeping clean and dirty items well separated. The laundry staff were equipped with gloves and aprons, and had clear instructions on how to deal with infected or foul laundry. The presentation of peoples’ clothing was variable and the manager said new equipment was being purchased to assist with ironing the more delicate fabrics. Domestic staff were on duty daily, and the level of general cleanliness and hygiene around the home was extremely good. Visitors commented that the home was always clean. Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.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 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A competent, highly skilled and caring staff team support people living in the care home. EVIDENCE: St Cuthberts is registered to accommodate 43 people with dementia, and operates with 3 registered nurses and 8 care staff, reducing to 2 nurses and 6 care staff later in the day. The generous staffing reflects the high needs of people living in the home. Staff are divided into teams and each team has a good skill mix of general nurses and mental health nurses. The home has sufficient ancillary staff to support the hotel and maintenance needs of the service. Additional staff were provided as required for specific planned one to one care situations. Staff were highly regarded by the people who live in the home and by visitors. We were told the following; • “The staff are caring and kind and always seem very happy and upbeat with residents” • “ I have complete confidence in them (the staff)” • “All aspects of care work are done with the utmost kindness” • “The staff at St Cuthberts are very professional, nothing is too much trouble for them”. Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 19 The company places a great emphasis on staff training and development. All new staff undergo a Care Sector Alliance Social Care Programme, with 10 full teaching days and credits towards National Vocational Qualification. Risedale’s own trainer delivers the programme, with input from each of the Risedale home managers on their specialist area. Attendance at training is tightly monitored. There are annual compulsory updates for all staff on safe moving and handling, fire safety, infection control, safeguarding adult and managing aggression. Registered nurses have good access to ongoing professional development and are encouraged to undertake specialist qualifications. The service encourages care staff to undertake NVQ, and 88 have achieved this, which is excellent. Staff said they enjoyed the high level of training they received and felt it helped enormously in them being able to provide high quality care. The company has sound procedures for the safe recruitment of staff, and inspection of three staff files, showed these had been adhered to. Preemployment checks included applications forms, interview notes, references and criminal records bureau (CRB) clearance. All new staff undergo a probationary period, and this together with thorough pre-employment checks, prevents unsuitable people from working in the home with vulnerable people. Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.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, 32, 33, 34, 35, 36 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The care home is safely managed and demonstrates a strong commitment to excellence based on the views of the people who live there, and their relatives. EVIDENCE: The registered manager, Mrs Jane Harper became the manager last autumn, after being the homes’ senior nurse. The manager is registered with the commission for social care inspection and is suitably qualified and competent to manage the service. People who live in the home, and visitors, knew the manager by name and said they could speak with her at any time. One person told us “We have excellent communication links with St Cuthberts management and staff”. Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 21 The manager had sent out annual quality survey forms in October 2006, and received 23 responses. These were mostly very positive, and where negative comments had been made, such as the state of lounge carpets, these had been included in the homes improvement plan and the matters addressed. Other quality checks included regular audits of care plans, medicines, environment and the kitchen. The home manager was well supported by the company directors with strategic and financial planning, and did not work in isolation. There was a system of formal staff supervision which operated at all levels, and ensured that all staff understood and worked to the companies procedures and expectations. The manager held spending money on behalf of some people who lived in the home. We checked the records and money of several people, and found them to be correct. There was a system of recording every transaction with two signatures, and receipts were held for all spending. The records were audited, and people were aware of how to access their money. The Risedale group employs a highly qualified health and safety manager. This person undertakes health and safety audits and provides staff training. All training was up to date on fire, moving and handling, infection control and safe use of chemicals. The health and safety manager worked with the maintenance staff to ensure the building complied with health and safety legislation, and to ensure all services and equipment were in good working order. Accidents were recorded and monitored so that preventative action could be taken where appropriate. Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.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 3 4 4 X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 3 18 4 4 4 4 X 4 4 X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 3 3 4 X 4 Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Risedale At Aldingham St Cuthberts Nursing Home DS0000006150.V334293.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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