Inspection on 14/07/06 for Robinson House

This inspection was carried out on 14th July 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

Robinson House 10/07/08

Robinson House 19/01/06

Robinson House 21/06/05

Robinson House 18/10/04

Robinson House 20/04/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Robinson House 304 Sturminster Road Stockwood Bristol BS14 8ET Lead Inspector Vanessa Carter Key Unannounced Inspection 14th July 2006 09:00 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 Robinson House DS0000020334.V302031.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. Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Robinson House Address 304 Sturminster Road Stockwood Bristol BS14 8ET 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) 01275 544452 01275 544452 Brunelcare Mrs Janet Mary Ann Little Care Home 64 Category(ies) of Dementia (20), Dementia - over 65 years of age registration, with number (5), Old age, not falling within any other of places category (44) Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. May accommodate up to 44 Persons aged 65 years and over requiring nursing care in Wilberforce or Davey Unit Up to 5 of these 44 places may be used for persons aged between 50 65 years with nursing care needs May accommodate up to 20 persons with dementia on the Canynge Unit Up to 5 of these 20 places may be used for persons aged between 50 65 years with dementia care needs Staffing notice dated 12/1/01 applies The Registered Manager must be a RN on Parts 1 or 12 of the NMC Register 19th January 2006 Date of last inspection Brief Description of the Service: Robinson House is a 64 bedded nursing home owned by Brunelcare, a nonprofit making charity organisation. The home is situated in the residential area of Stockwood, on the south side of Bristol. Brunelcare have other nursing homes in the Bristol area, namely Saffron Homes in Whitehall and Deerhurst in Kingswood. The home is purpose built and provides both single and double bedrooms, all with ensuite facilities of shower, toilet and wash hand basin. The home is divided into three separate units. Wilberforce and Davey are the nursing units and the third Canynge, is the EMI unit. The home is well supported by a team of volunteers who have a daily presence in the home. Placement is offered to both males and females, over the age of 65 years; however the Home can take up to 10 people between the ages of 50-65 (five on Canynge and five between the two nursing units). The cost of placement is between £444 – 604, the price dependent upon assessed need. Additional charges are made for a number of services – these are listed in the homes brochure. Prospective residents can be provided with information about the home and this will detail the services and facilities available. Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place over 1 day. Evidence was obtained from a number of sources, namely: Pre-Inspection Information supplied by the Home Manager Information supplied by residents and relatives in survey forms Information that has been received by CSCI since the last inspection Touring the home Talking to the home manager and the deputy manager Talking to staff Looking at staff and care records Looking at other documentation and policies of the home No requirements have been made as a result of this inspection and the manager and staff must be congratulated for their hard work and dedication, to the residents and their families. What the service does well: What has improved since the last inspection? Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 6 The two requirements made at the last inspection have been complied with. All residents had a comprehensive plan of care although only a number of them were checked. A tour of the home evidenced that there were no unsafe areas – the two minor repairs detailed in the last report had been addressed. 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. Robinson House DS0000020334.V302031.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 Robinson House DS0000020334.V302031.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process is well managed and residents and their families are given clear information regarding the home, helping them make a choice about admission. EVIDENCE: The Statement of Purpose and Service Users Guide have been kept up to date and remain a true reflection of the service, facilities and staffing arrangements in the home. Each of the residents who replied to the CSCI survey form stated that they had been provided with enough information about the home to make an informed choice about moving to the home. A copy of the last inspection report is kept in the main reception area. Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 9 A monthly newsletter is produced, and the residents are given the opportunity to include items of interest if they wish. July’s newsletter was displayed in the main reception and included details about recent events and future plans. Only 2 of the 4 residents who returned their survey forms said they had been provided with a contract however the other 2 said that their relatives were dealing with arrangements. Pre-admission assessments are completed prior to any new resident moving into the home; this ensures that the home is able to meet their needs. Care plans and health needs assessments are provided where local authority are involved in arranging the placement and some of the funding. There was evidence that residents have been assessed for an NHS funded care contribution, and where appropriate, entitlement to continence aids. The assessment tool is comprehensive and covers all aspects of a person’s personal, healthcare, social and emotional needs. Those assessments completed for people on the dementia care unit were particularly personcentred, and provided a detailed insight into that persons specific needs. Prospective residents and/or their relatives are encouraged to visit the home prior to taking up residency. The home provides placement for 20 people with dementia care needs and 44 people with general nursing needs. Robinson House DS0000020334.V302031.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 at least once during a 12 month period. 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. Residents are well looked after in respects of their health, personal and social care needs. The care plans are person centred and provide a clear and detailed picture of each residents needs. EVIDENCE: Five care plans were looked at. The plans were person-centred, and identified needs were clearly set out with instructions to the staff in how these needs should be met. One person’s plan stated those personal care tasks that they wished to be allowed to meet for themselves, and gave specific details regarding how their other needs should be met, and what made them feel “undignified”. There was a good plan for one person in respect of pressure area care – “does not want to sit in their wheelchair as uncomfortable. To be transferred into a comfortable armchair” was included as part of the daily instructions. Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 11 Evidence was recorded that the identified needs had been met in a daily dialogue for each resident. The recordings were professional, and the language used was appropriate. Where monitoring of a residents bowel function was important in checking on their healthcare, this was recorded throughout the daily dialogue. For the longer term residents, their care needs are revisited and a “re-assessment of care needs” completed. This is good practice. The quality of assessment and care planning exceeds the standards expected and is commended. One resident commented, “They always come when I need them”. Observations of the interaction between residents and staff evidenced that the staff care individually for the residents and take in to account personal likes and dislikes. Staff were observed going about their duties in a friendly and professional manner, and responding to residents requests for assistance in a respectful manner. Detailed wound care management plans refer to the frequency of dressing needed and the products used, also the specialist pressure relieving equipment being used. Every time that the wound is attended to, a review is recorded. Where wounds have healed and no further action is required, a signing of statement should be added, to make it clear that the need no longer exists. Records are maintained of all contacts with other healthcare professionals and this includes psychiatric services, social workers, chiropody, dieticians and physiotherapists. GP’s are requested on an “as and when required” basis. One resident stated in their survey form that “the GP and dentist visit when needed”, whilst another said “staff are kind and look after me”. The home follows safe practices for the receipt, storage, administration and disposal of medications. There is appropriate, official signage where oxygen is being stored and being used. Each unit is responsible for their own drugs but controlled drugs are securely kept in one unit. Robinson House DS0000020334.V302031.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents have the option to participate in a stimulating and varied life. Meals provided are of a good quality. EVIDENCE: As part of the care planning process, the times a resident prefers to get up and go to bed is identified. One resident stated that they could do what they wanted and go where they wanted. In general residents were heard being called by their first name. Residents on the dementia care unit are able to go out into the garden independently – this is a safe area and has been pleasantly set out. The ground floor lounge area in Canynge contained a lot of old-fashioned items, for example typewriters, kitchen utensils and a piano. Some of the residents were in the lounge whilst others were spending time in their bedrooms, or were walking in the corridors. Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 13 A range of activities is arranged for the residents and examples include music sessions, minibus trips, a recent party and birthday celebrations. Residents are able to choose whether to participate or not and can remain in their own rooms if they so wish. After each session, resident’s comments and feedback are recorded – both positive and negative. One resident said “ I like the singa-longs and the bingo sessions” and another comment made was “there are always activities and there is always entertainment, bingo and flower arranging”. One person said that they had had a music session the day before. The home uses the charities minibus every other week, and up to six residents are able to have a day out. The previous week a group went along to the waterside in Bristol and had lunch out. Examples of other places visited include Weston-s-Mare, Clevedon and picnicking in Keynsham Park. One person said “I have a better life than if I lived on my own”. On the day of inspection staff were helping one resident prepare for a family function. The staff put themselves out to make this a very enjoyable day for the resident. Visitors are welcome at any reasonable time. There have been some recent difficulties in gaining entry to the home, in that there has been no one at the front desk. “If nobody on reception, may have to wait to be let in” was one comment received on a relatives survey form. This will be resolved when the new administrator starts work at the end of July. It was evident throughout the inspection that residents are given every opportunity to make choices for themselves. For example they were asked whether they wanted tea of coffee after their midday meal, and when they wanted to return to their rooms for an afternoon rest. Meals are prepared in a central kitchen and are transferred to each unit on heated trolleys. The choice on offer was Fish’ n’ Chips or Lasagne followed by stewed fruit and custard and ice cream. The home may want to consider how residents feel about fruit skins being left on, as all the residents on Davey Unit were removing the skins from their mouths, with their fingers. One said, “I can not eat the skins”. Observations were made during the midday meal on Davey Unit. Music was playing in the background. The residents had pre-chosen what they wanted to eat, but staff reminded them of their choice. There was a choice of two main meals but alternatives had also been prepared for a number of other residents. “I don’t like fish but other choices are available,” stated one resident. The meals were attractively presented, and served by the care staff. Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 14 Staff referred to one particular resident who they ensured always sat with others who had good appetites, as this encouraged them to also eat well. The deputy manager explained that the residents on the dementia care unit are offered a visual choice each mealtime – they can therefore choose what they want to eat at that moment. Robinson House DS0000020334.V302031.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that any concerns they have will be listened to and acted upon. Residents will be cared for by staff who are aware of abuse issues and will safeguard them from any harm. EVIDENCE: The complaints procedure is contained within the statement of purpose, the “Welcome to Robinson House” brochure and is displayed in the main reception. Residents spoken to during the inspection stated their awareness of how to raise concerns and felt able to approach the management team. One resident stated on the survey form “any of the staff are here to listen if I am not happy”. Brunelcare have a clear policy document named Abuse of Older People, supported by a clear flow chart that details out the actions the staff must take if an allegation of abuse is made or abuse is suspected. Since the last inspection there have been two incidents where concerns have been raised under Protection of Vulnerable Adult (POVA) procedures and the home acted appropriately in both cases. This evidences that the home take the responsibility of protecting the residents from any harm, seriously. Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 16 Staff spoken to demonstrated good awareness of adult abuse matters and of their responsibilities in protecting the residents from any form of abuse. Brunelcare have a number of qualified trainers in adult abuse awareness, and a programme of training sessions are included in the organisation’s annual training plan. This subject is also covered in the induction-training period for new recruits. Robinson House DS0000020334.V302031.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, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a well maintained, tidy and odour free environment. The supervision of residents in the dementia care unit would be improved if the unit was not divided between two floors. EVIDENCE: Robinson House is a purpose built care home and is designed to meet the needs of elderly and disabled residents. It is fully accessible and has two shaft lifts up to the first floor. The home has three separate units, two for general nursing and the third for those who require nursing care but also have dementia. Some of the carpeting in the home is due for renewal but this will be addressed once the planned building works are completed. Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 18 The whole home is well decorated and there is an ongoing programme of redecoration. Each unit has a lounge and dining room, and assisted bathroom and toilets. There is an abundance of nursing equipment to assist the care staff in moving and transferring the residents – these items are currently stored in the corridors as there is no other place. This does not however cause any difficulties for the residents. The dementia care unit is split between the two floors, with 10 residents on each floor. Provisional plans have already been drawn up to incorporate the dementia care unit on the ground floor and the nursing unit on the upper floor. The plans have however not yet been submitted for planning approval and whilst it was expected that the works would commence in 2006, this now appears unlikely. At times during the inspection, the dementia care residents were left unsupervised, whilst the care staff were busy attending to others. This is not ideal practice and could potentially place the residents at risk. The home has 48 single bedrooms and 8 shared rooms. All but one bedroom has ensuite facilities of a level access shower, toilet and wash hand basin. In the shared rooms privacy screening is fitted. Future plans for the home include increasing the number of single rooms, using the shared rooms space. The bedrooms are each fully furnished but residents can personalise their rooms to suit their own taste and can bring in items of furniture if they wish The home has a dedicated team of housekeeping staff who were working diligently in both the communal areas and residents’ bedrooms. “The home always smells nice” one person wrote in the survey form. In between each of the units, alcohol gel units are fixed on the wall. Those passing from one unit to another were observed using the gel, evidencing that the home is pro-active in preventing the spread of infection. The home was clean, tidy and odour free throughout. Residents reported that their bedrooms are cleaned every day. Robinson House DS0000020334.V302031.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 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are cared for by staff who are skilled and competent and able to meet their care needs. EVIDENCE: The home employs 14 registered nurses, 41 care staff and 17 ancillary staff. There is currently one registered nurse vacancy and part time care assistant hours. The homes records show that only minimal use of agency is made. This ensures that the residents are cared for by staff who are familiar with their care needs and conversant with the policies of the home. On each of the units, one registered nurse and four care assistants are allocated to work each morning. On the day of the inspection, the home was staffed below this level on one unit only, but the care needs of the residents were met. Staff receive an in-depth handover report at the start of each shift and are told about any changes that have occurred with the residents. Staff spoken with during the course of the inspection, demonstrated a good understanding of the individual needs of the residents. Residents are cared for by staff who are skilled, and able to meet their needs. Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 20 28 of the 41 care staff have achieved at least an NVQ Level 2 in Care, with some staff having achieved Level 3. The percentage of care staff who are trained is 82 and this shows a commitment of the organisation to provide a quality care service. A sample of staff recruitment records were examined and evidenced that the home follows a robust recruitment procedure. This will ensure that the right people are employed to work at the home, and residents will be safeguarded. References are obtained and POVAfirst and CRB checks are obtained before employment continues. The home has recruited only one new staff member since the last inspection, as staff turnover is low. All new staff will complete an induction training programme at the start of employment, to ensure they are aware of the policies and procedures of the home and are competent in all areas of work. The programme for the new member of staff was seen, but the employee was not on duty to discuss. The manager explained that as from September, the induction programme is to be amended in line with the new “Skills for Care” guidelines. Along with this, the organisation will have two set days per month where employment is commenced, within any of the Brunelcare care services. There will be a corporate induction programme, including set days to cover mandatory training such as food hygiene, person centred care, manual handling, fire and abuse awareness. The staff team are able to access a wide range of training courses. Staff spoke very positively about Person Centred Care Planning that has been arranged. The organisations annual training plan was provided and evidenced a wide range of training courses available. For each staff member, a record of all training sessions they have attended is kept. Robinson House DS0000020334.V302031.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, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the residents, staff are appropriately supervised, and the resident’s interests are safeguarded. EVIDENCE: The home manager has been in post since 2004 and is registered with CSCI as required. She is a registered nurse and has completed the registered managers award. She is currently working towards an NVQ Level 5 in management. The home also has a deputy manager. Both were present during the inspection and demonstrated excellent management and clinical skills, along with a good understanding of each resident. Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 22 The manager completes a number of audits on a monthly basis to look at trends. Accidents, falls and deaths are audited to determine why such events are happening and to determine if any preventatives actions can be taken. This is good practice. Brunelcare undertake an annual Customer Satisfaction Survey and the results are formally published. Staff spoken to spoke enthusiastically about working for Brunelcare, and stated that they were listened to, and encouraged to put forward ideas. Monitoring visits, are made by Brunelcare senior managers, and a report written and submitted to CSCI. This evidences that the organisation ensures the home provides a service that meets the home aims and objectives, and the resident’s care needs. The home holds money for a number of the residents and has good accounting systems in place to account for all transactions in and out of the accounts. A sample was checked and the records tallied. The residents are able to access their money at any time including the weekends. The home has a planned programme of staff supervision for all staff members. The manager supervises the trained staff and cascades responsibility for the supervision of junior staff members to these staff. The records of staff supervision evidenced that the staff are supervised on at least a six times per year basis. In addition staff have an annual appraisal, their training needs are identified, and are fed into the training plan. The homes records were all in order. The home has maintenance contracts in place for all utility services and electrical equipment. Both the fire officer and environmental health officer last visited the home in February 2006 and both visits were satisfactory. Health and safety audits are undertaken on a regular basis and staff training is available on health and safety issues. Safe working practices were observed during the inspection. The fire log evidenced that staff have had recent fire training (three sessions were held in March and April) and regular fire drills are undertaken for both night and day staff, at the recommended intervals. Robinson House DS0000020334.V302031.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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X 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 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP15 Good Practice Recommendations Wound care plans should be discontinued when no longer relevant. Review with the residents, the practice of serving stewed fruit with skins left on. Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Robinson House DS0000020334.V302031.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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