Inspection on 21/01/07 for Roper House

This inspection was carried out on 21st January 2007.

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

Roper House 17/12/08

Roper House 03/10/05

Roper House 16/05/05

Roper House 27/10/04

Roper House 20/05/04

Roper House 15/01/04

Similar services:

The Royal School for Deaf Children - Westgate College

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David Gresham House

Denecroft

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7 - 8 Hawthorn Way (RNIB)

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Roper House St Dunstans Street Canterbury Kent CT2 8BZ Lead Inspector Mrs Penny McMullan Key Unannounced Inspection 09:30 21 and 25th January 2007 st X10029.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 Roper House DS0000023293.V309768.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 and Care Homes for Adults 18 – 65*. 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. Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roper House Address St Dunstans Street Canterbury Kent CT2 8BZ 01227 462155 01227 452351 nicola.oakes@rnid.org.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) The Royal national Institute for the Deaf Mr John Henry Alan Lynn Care Home 27 Category(ies) of Sensory impairment (27) registration, with number of places Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2005 Brief Description of the Service: Roper House is a care home providing care and accommodation for 28 people with sensory impairment, deaf and deaf blind. Service users may also need additional support with a learning disability or their mental and emotional health. The home is owned by the Royal National Institute for the Deaf (RNID). The home is located in the centre of Canterbury with all of its amenities. The home was opened in 1982 and consists of a large older building with a newer extension to the rear. All the homes bedrooms are single, with en suite toilet facilities and a bath or shower. There is a lift. There are extensive, very well maintained gardens to the rear. Currently the majority of service users are over 65 years of age however there are still some service users who are aged between 18 and 65. The outcomes therefore reflect a mixture of the national minimum standards for older people and people aged 18-65. The current fees for the service at the time of the visit are £900 - £912 per week. Fees vary according to the needs of the service users. Information on the homes services and the CSCI reports for prospective service users/relatives will be referred to in the Service User Guide. The inspection report is alsoon on display on the notice baord. The email address is: care.services@rnid.org.uk Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced site visit took place on Monday 21st January and was completed on Thursday 25 January 2006. This report is based on evidence gained from a pre-inspection questionnaire completed by the home; comment cards received from service users, families, and visiting professionals; and a site visit of 9 hours to the home. The site visit includes talking to service users, accompanied by an Interpreter, staff, the Registered Manager and Deputy Manager; a partial tour of the building; inspection of records; and various observations. Feedback from relatives, Health and Social Care Professionals and GP’s indicate they are overall happy with the care being provided in the home. The service users in Roper house have communication difficulties and the Interpreter was able to assist with service user participation during the inspection and additional comments are made throughout the report. The home provides all forms of communication, including British Sign Language (BSL), Sign Supported English (SSE), lip reading and written communication. What the service does well: What has improved since the last inspection? The outside of the home has been painted and new flooring has been laid in the dining room. Two bedrooms have been refurbished and a leather suite has been purchased for the upstairs lounge. The home has also purchased two new freezers, cookers and an industrial washing machine. The handrails have also been upgraded. Roper House DS0000023293.V309768.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. Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to carry out a detailed and through assessments of needs of service users prior to admission to the home. Standard 6 is not applicable to this home EVIDENCE: The Deputy Manager and a senior staff visits service users prior to admission to complete a pre admission assessment. This information is included in the care plan and joint assessments from the placing authority are also on file. Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 9 Service users are encouraged to visit the home and trial visits are catered to the individual wishers of the prospective service user. Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system is consistent to provide staff with the information they need to meet service users health and social care needs. Services users are protected by the home’s policies and procedures for dealing with their medication. The home promotes service users rights and choices. Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 11 EVIDENCE: The service user plans are detailed covering all aspects of health and social care. A key worker system is in place, which involves a monthly meeting between the service users and key worker. When required there is also detailed information with regard to individual behaviour or specialist need. Two service users confirm they are aware of their plans. Services users say they are able to go to their GP and dentist and are supported to attend hospital appointments. When required the home is also supported by the Learning Disability Team, Community Psychiatric Nurse and District Nurse. Health care needs for all service users are recorded and monitored in the service user plan. The home has the required equipment to support service users with their mobility and comfort. Staff are trained to meet the specific needs of service users Staff was observed administering medication, patiently signing to the service users and waiting until they were ready to take their inhalers/medication. The home operates a monitored dosage system (MDS) and storage of all medication is satisfactory. There are policies and procedures in pace for the safe management of medication including auditing and monitoring by the Senior Support Worker. All staff administering medication have been trained and observed to ensure their competency. Staff was observed treating and interacting with service users in a respectful manner. Service user surveys indicate that staff treats them well. There is a mini com system in the home and service users are free to use the office telephone if they wish to do so. There is an administration office where service users are able to discuss their finances. Service users are also able to receive messages from their relatives through email. Service users rooms are fitted with a bell, which flashes in the room, and staff was observed ringing the bell before entering service users bedrooms. Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the 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 this service. The home is providing activities for service users that take account of their preferences. Visitors are able to visit the home at any time and see their relative in private. The home supports residents with financial or advocacy information to promote service users autonomy and choice. The meals in this home are good offering both choice and variety. Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 13 EVIDENCE: There is currently no structure activity programme in place and the home is in the process of reviewing their activities. The activities will be held in the lounges to encourage service user to participate. Activities are tailored to individual choices and are flexible as to what the service users wishes to do. The review of the activities involves additional volunteers to widen the choice of individual needs. The service users participate in the upkeep of the garden and are involved in mowing the lawns, growing vegetables and flowers. Several service users spoke of how much they enjoyed the work and fresh air. One service user is a volunteer at the vet’s surgery and another in a charity shop. Feedback from service users also confirms that the home provides frequent entertainment such as belly dancers, and magician. There is a coffee morning each Wednesday and everyone gathers in the lounge for discussion, there are movies in the afternoon and one volunteer has given a presentation about other countries. One service attends the local church that provides a signed service. He spoke of going to church, college and how much he enjoyed the art classes. He also said he enjoys going out to the lunch club. Visitors are welcome in the home and they can see their relative in private or in the lounge. Volunteers make sure that all service users receive a visit. Service users confirm that their relatives visit them and they are supported to stay with their relatives. Surveys from relatives indicate that they visit their family in private and are consulted about their care and feel welcomed in the home. One comment from a relative said ‘the staff are very kind and bring him home to see his mother’ Service users choice is promoted in all aspects of their daily lives. Service users have personalised rooms with some of their own furniture. Some service users have swipe cards for easy entry to the home and are free to go out as and when they feel like it. There is a key worker system in place, which enables service users to build relationships with service users to ensure they are aware of individual communication needs, whether by signing or behaviour. Advocacy services are available. Some service users are able to manage their own finances with support from the home. In the dining room there is a comment box to encourage service users to provide feedback on meals. The home now has a senior cook and feedback from service users is overall good. The menu is currently being reviewed and service users are being surveyed to have their say in the proposed changes. Service users choose the meal the previous day. Key workers are completing dietary forms taking into account preferences, in conjunction with medication or specialist needs. The kitchen was clean and tidy with appropriate cleaning Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 14 schedules and records. Service user survey feedback says the food is usually good and they are able to choose what they eat. One service user, when asked if she enjoyed her dinner, ‘yes, I liked it very much’ Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) 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 this service. The home has a satisfactory complaints system with evidence that Service Users feel that their views are listened to and acted on. Arrangements for protecting Service Users are in place. EVIDENCE: There is a clear complaints procedure, which includes appropriate timescales. Some people have been provided with a picture format and other people have had the information explained to them. Advocacy services are available and the home is in the process of making a complaints DVD. There is a folder used for recording any complaints and the organisation is currently investigating a complaint. The home has taken the appropriate action and is waiting for the outcome of the investigation, which is being carried out by head office. One relative says ‘In the two years my mother has been at Roper House I have never had cause for complaint’. The home has policies and procedures in place for the Prevention of Abuse, which includes information about the Protection of Vulnerable Adults (POVA) Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 16 and makes reference to local procedures with the social services department. Staff demonstrated their awareness of adult protection and there is an ongoing training programme in place. Staff have also received training in the management of challenging behaviour. Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) 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 this service. The home has an on going maintenance programme and decorated ensuring that residents are living in pleasant homely environment. Laundry facilities are satisfactory and policies and procedures are in place to control the risk of infection. Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 18 EVIDENCE: It has been agreed by head office that the downstairs, corridors, lounges and dining room will be redecorated. This is in need of repair and the home hopes this will begin in the near future. The dining room roof has been repaired and the ceiling will now be replaced. The refurbishment of the corridors will include new lighting. The home has a maintenance programme and repairs are recorded in a book. The environmental health officer visited the home last year and a fire risk assessment is also in place. The premises are clean and free from offensive odours. The home has three domestic staff and a new supervisor to oversee the laundry and domestic staff. The laundry room is large and the home is waiting for a new gas tumble drier to be installed. This has been delayed due to the renewing of piping to meet regulations. The home has policies and procedures in place to control the risk of infection and over half of the staff have received training and further training is booked to ensure all staff receive this training. Staff demonstrated their awareness of infection control. Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the 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 good. This judgement has been made using available evidence including a visit to this service. Sufficient trained and qualified staffs are provided to ensure Service Users needs are met. Recruitment polices have been consistently followed resulting in Service Users receiving care from staff that have been fully vetted, however relevant documents are not evidence on staff files in the home. EVIDENCE: The Registered Manager, Deputy Manager, two senior support workers and four support workers were on duty with 20 service users in the home. In addition there was the Cook, kitchen assistant, two domestics, the maintenance man and two administration staff. Service users feel there is sufficient staff on duty, however staff feedback indicates that all personal care needs are provided to the service users but on occasions the lack of additional Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 20 staff can restrict service users one to one activities. The home is large and deployment of staff is an issue and more dependent service users are now being moved to the ground floor with agreement of service user, family, social worker. Records viewed did not contain two written references. The Registered Manager stated that the references are head office and have not been forwarded to the home. A recommendation has been made in this report. All other documentation is in place. The home does not carry out POVA first as they wait for the full CRB to be received before staff are employed. Individual training records are maintained for each member of staff. And certificates are on file. Staff confirm that the organisation is proactive with training opportunities and people development. There is a rolling programme of mandatory training to ensure all staff have the core competencies to meet the needs of the service users. There is also a programme of NVQ in place and the home has over half of the staff who have achieved or are completing various levels of the award. Additional training is specific needs of the service users is also provided, such as BSL. Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,22,25,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run effectively managed home. Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 22 The arrangements for service user consultation are good, however further development is required with the quality assurance programme. The home has an effective financial system to support residents with their finances. The home provides a safe environment for service users and staff. EVIDENCE: Service users and staff comments are complimentary to the way the home is managed and how they feel supported by the Manger. Staff also said that the staff works well as a team. There is a strong management team in place, The Registered Manager is qualified and experience and together with the Deputy Manager have worked in the home for some considerable time. A service user survey was sent to all service users, which were completed with the help of independent advocates. Staff supervision is in place and service users feel the home listens to their views. Feedback from service users surveys indicates that service users meeting are held on a regular basis. There is no formal quality assurance in place to include, health care professionals, relatives and other stakeholders. A requirement has been made in this report. The administrative staff ensures that service users are supported and assisted with the managing of their monies. All service users have their own bank account and dependent on ability and choice various support is then provided to the individuals. Each service users has their own personal file, detailing transactions and filing of receipts. Service users, who are able, sign for their monies. The home has implemented the appropriate security measures and procedures. The home is providing mandatory training. All necessary equipment has been serviced and safety maintenance checks have been carried out. All portable appliances have also been tested. The fire register was up to date and in good order and flashing lights are in place. The home is reviewing their staffing in line with the new fire regulations. Fire and environmental risk assessments are in place. Accidents recording was tracked through to the service user plans and more care needs to be taken recording accidents in daily logs. Roper House DS0000023293.V309768.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 x 2 3 3 x 4 x 5 x 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 ENVIRONMENT Standard No Score 19 3 20 x 21 x 22 x 23 x 24 x 25 x 26 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 x 33 2 34 x 35 3 36 x 37 x 38 3 Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP33 Regulation 12, 24 Timescale for action To develop the Quality Assurance 28/02/07 programme to include family, friends, and stakeholders Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP29 Good Practice Recommendations To ensure that all relevant recruitment documentation is on file in the home Roper House DS0000023293.V309768.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Kent and Medway Area Office The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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. Roper House DS0000023293.V309768.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. 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