Inspection on 02/08/05 for Southfields

This inspection was carried out on 2nd August 2005.

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

Southfields 09/01/07

Southfields 17/01/06

Southfields 01/03/05

Southfields 10/01/05

Southfields 26/01/04

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

CARE HOMES FOR OLDER PEOPLE Whitegates L.S.C. Whitegates Close Stade Street Hythe, Kent CT21 6BD Lead Inspector Lois Tozer Announced 22 August 2005 9:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Whitegates L.S.C. Address Whitegates Close, Stade Street, Hythe, Kent, CT21 6BD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01303 266277 01303 261585 Kent County Council Susan Rita Harrsion Care Home only 33 Category(ies) of Older People x 33 registration, with number of places Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th October 2004 Brief Description of the Service: Whitegates is registered to provide personal care, support and accomodation to a maximum of 33 older people, 4 of the places being designated for respite provision. Situated close to the town centre and the seafront in Hythe, backing onto the bowling green and paved, treelined walkways, this large, modern, semi-detached property is set in its own grounds. A day centre adjoins at the central dining room. Access to public transport is a short walk away. The home is owned by Kent County Council. It is managed, on a day-to-day basis, by Mrs Susan Harrison. The property is purpose built to meet the needs of older people who require residential support. Although no bedrooms have en-suite facilities, toilets (12), hand-wash basins and large, assisted bath / shower rooms (6) are provided in numerous quantities and are well placed. One bedroom is registered for double occupancy (for couples). Interesting views are available from most windows in the home. Communal space is extensive, with private meeting rooms and a smoking room available. The offices are on the ground floor, and a receptionist is on duty during office hours. Staff are also provided with good facilities. A range of in-house activities is provided each week, for residents to access if they wish. Residents are encouraged to suggest events and activities though regular meetings. A ‘holiday’ week of fun activities is planned each year, consisting of in house and external entertainments People are encouraged to Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory announced inspection took place on 22nd August 2005 between 9.30am and 4.30pm. The manager, Mrs Susan Harrison, the senior team leader and the staff team willingly assisted the inspection process throughout the day. There are currently 29 people living at the home, feedback was gathered from 12 residents through discussion (group and 1:1), conversations with two visiting relatives, 1:1 discussion with staff and feedback from two care managers. Twelve service user and six relative comment cards were returned; all comments were positive and are included below. Paperwork seen included pre-admissions assessment, individual support plans, risk assessments; medication and administration documents; nurse communication book, pre-inspection questionnaire, training details, duty rota, records of money held by the home on behalf of residents and menu. A tour of all communal areas and a selection of private bedrooms took place. Comments received from residents, both in writing and face to face during the inspection reflect the high regard that they have for the standard of care in the home, these include; ‘I am happy here and do not wish to move anywhere else’. ‘I am involved in decisions at residents meetings’. ‘(Life here) is very satisfactory, (there is) always an alternative to the main meal’. ‘It’s very jolly here, we have good fun, and the girls are really nice’. ‘I have lived here for over 2 years, I can’t fault it, everyone is so kind, I feel ‘at home’’. ‘Yes, there is a mobile shop most days, and a small shop and bar in the dining area’. ‘I couldn’t cope at home and didn’t like the isolation. I don’t want to make friends really, but it is reassuring to live in a place where you can hear people around you. Oh, and the food is really good’. ‘I have tried out this place for a few months, and there was never any pressure or rush to decide, but I really like it here and have sold my house now. I made my own decision and am very glad to have done so’. ‘The food is very nice, you know, we get alternatives and choice for both lunch and tea, so much variety’. ‘I have made friends, its good to have such social contact’. ‘I much prefer to have staff to help with my medication, I know I could ask to take the responsibility back, but think it is better, with changes going on, that they help me out’. ‘You wouldn’t want to go into a ‘home’, but you really couldn’t want for a better place than this. All the girls do it ‘from the heart’ and its been a big relief to have the support needed’. Visitors and relatives gave feedback, again in writing and face to face; ‘I visit a friend, I have found the staff to be caring and encouraging for all the residents I have seen over the past 2 years of visiting’. I cannot speak too highly of the help and care given to my mother. The accommodation is spotless and the staff are always very kind and helpful’. ‘Mum has settled in very well, is very happy with the excellent care she gets and also very pleased with the food’. Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 6 ‘This is a nice airy and light home, staff are very friendly’. ‘I am very happy with the care my relatives are given, they appear to have settled very well’. Plans are in place to demolish the existing building and rebuild a complex of supported living flats (est. 2007). An introductory consultation process has been put in place by K.C.C., and existing residents have been advised of the planned changes. There was a level of anxiety that the essential service currently provided would be eliminated, without any real alternative of such quality being in place. Visiting care managers wished to give positive feedback and stated that they found the home to be an excellent place for people to retain skills and recover any skills lost. Concern was voiced by both the care managers and visitors in relation to the planned redevelopment of the site, comments included; ‘This is an accommodating, welcoming and professionally good place. It is the first place we try for placements and has a good reputation locally. It is well situated, and visitors can get here easily. The planned changes are not welcome. This home and centre is meeting so many respite, residential and social needs and such provision is scarce locally. Environmentally, it is great for the older people, wide corridors and doorways, as it was purpose built. It will be a major pity when this facility no longer exists’. ‘My mum has been here [many years], I can’t speak highly enough of the support. Any problems are sorted out immediately; there is never any need to complain. I am terribly sad about the proposed changes, what will become of mum and people who need such routine and care? The environment is so right for her, and we feel assured that great staff and her resident friends’ support her. What the service does well: Whitegates offers a large, safe, environment that is well presented and offers a great deal of freedom and socialisation opportunities. The home is divided into four units, each have their own lounge / diner / kitchenette. The layout of the building promotes small groups of people to get together and know each other well, and enables a large building to have a warm, homely, atmosphere. All residents said that they felt very safe and well supported. All were pleased with the home, as they could choose their level of social contact. A large dining room with main kitchen enables the whole house to come together once a day to share the main meal(s) and meet other people using the linked day centre service. The cook is very accommodating, and the only negative feedback received (that the meat can be a bit tough), had already been addressed prior to the inspection. The level of consultation and choice offered is excellent and the resident’s benefit from well trained, dedicated staff who understand their roles. Activity levels are excellent. Planned events take place frequently and ‘holiday’ week is an annual event, where outings to pubs and places of interest plus entertainment are a key feature. All residents are encouraged to be as independent as possible and retain skills for as long as possible, and the environment is well set up to promote this. Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 7 Staff gave feedback on 1:1 basis and through comments during the day. The feel very well supported and pleased to work with the manager and senior team. They know how to report any problems and are clear on what needs reporting and when to pass on information to a more senior person. Supervision is taking place frequently and staff described how they benefit from such regular contact. Above all, they felt that they could access the manager or senior staff without delay and could voice their opinions, in the staff meetings, freely. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, 5, 6 The statement of purpose provides clear information describing what service the home offers. A statement of terms and conditions is provided to each person using the service. Each prospective service user receives a thorough needs assessment to ensure that the home is able to meet individual requirements. The home is able to meet the needs of the service users it is registered to accommodate. Prospective service users and / or their representatives are invited to visit the home; all residencies are based on a 28-day trial period. The home does not offer intermediate or rehabilitative care. EVIDENCE: The statement of purpose is reviewed regularly and is reflective of the service offered and provided. All residents and users of the respite service have a statement of terms and conditions clearly outlining what will be provided and the rules of use of the home. A clear, to the point, needs assessment is conducted prior to admission or offer of placement. This highlights the individual dependency level and provides the basis of the care plan. No person will be offered a place if their needs cannot be met. Trial visits and pop-ins are accommodated, usually through the respite system. Existing residents commended the home for the unrushed process when trialing the home, Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 10 allowing the individual to feel assured that the decision to become a resident was entirely theirs. Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10, 11 Based on the initial assessment, the service user plan sets out how each individual wishes and needs to be supported. Health care is well supported; the home is diligent to access professional help and support, as individuals require it. Medication management, wherever possible, is left with the individual, but a robust home management system is in place. Generally, good practice was evident, but some minor shortfalls were seen, which form recommendations. Residents felt that their privacy was upheld and that they were treated with dignity. Support from policies, procedures, and healthcare professionals assure all residents that they will be considerately supported at the end of life. EVIDENCE: Each resident benefit from an individual plan that clearly sets out how that person wishes to be supported and covered all aspects of care requirements, identified as needing assistance, from the initial needs assessment. Records showed that the home supported residents to access health care support speedily, when needed, and documentation showed that advice is followed and outcomes are recorded. Medication administration records were well kept and storage was safe and secure. A clinical room was available for visiting nurses to see residents, and a district nurse administers all insulin. Good practice recommendations made were; that the security of the medication fridge key Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 12 was assessed; an individual arrangement of medication leaving the home (on an infrequent, and unplanned basis) be reassessed, and further development of the competency assessment (to reflect Whitegates own procedures) was made. In discussion with residents during the day, there was a unanimous opinion that staff were respectful of privacy and treated everyone with dignity and made life in the home happy and worthwhile. Policies, procedures and the positive relationships maintained with healthcare professionals ensure that people coming to the end of their lives do so in a dignified manner that is adherent to their wishes. Individuals changing needs are recognised and through good staff training and awareness, early recognition is noted. Where needs are able to be met without any compromising of the standards expected, individuals are supported to remain at the home and benefit from consistency. Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 A wide range of regular activities is provided and religious needs are supported. Regular recreational activities take place, and geographically, the home is well placed for people to maintain their social network. Friends and family are welcome to visit at any reasonable time. Service users are consulted in respect of choice and their wishes are respected. The range of food available is extensive and enjoyed by all. EVIDENCE: Individual records are maintained of activities organised within the home and the attendance / enjoyment. There was a residents meeting and an entertainer (singer) scheduled during the inspection. This was the start of the ‘holiday week’, where trips out to pubs and places of interest as well as special entertainers take place for 6 days. Visitors are welcome to visit at any time that is suitable to the resident; all comment cards received back agreed that staff were welcoming, and all said they were able to visit their relative in private if wished. The home supports individual choice and encourages people to bring in their own personal effects to make the home more their own. The menu is extensive, and the range of choice offered is wide and varied. Comment cards indicated that all respondents liked the food, but one said the meat was ‘a bit tough’. This had been noted in advance of the inspection, and different cuts of meat were now being used. All main meals are prepared with fresh produce and there are unlimited drinks, fruit, and snacks available in the individual, freely accessible, kitchenettes that adjoin the lounge / diners Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 14 (approximately 8 to 9 people share an area). Cold drinks are constantly available and are provided in easy reach of people with mobility difficulties. Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17, 18 Residents and their relatives are aware of the complaints procedure and residents were clear and confident on what they needed to do to raise any concerns. All people living at the home are supported to retain their rights as citizens. Independent advocacy is available if required. Appropriate support and protection is a key feature of the homes induction procedure; staff demonstrated understanding of the principles of adult protection. EVIDENCE: The residents understand the complaints procedure, and they, in conversation, said that they would feel confident raising concerns with any staff member or the manager. There was a consistent opinion from relatives and residents that any problems would be hastily resolved and would be unlikely to result in a complaint. Two formal complaints have been received in the last 12 months, these were well documented and adhered to the 28 day response stated in the policy. The complaints procedure was posted in every lounge and in the main entrance lobby. Politicians are invited to come to the home and speak to the residents. An encouraging ethos exists where each individuals right as a citizen is maintained. Advocacy services are sought if required. All residents who conversed with the inspector stated that they felt safe in the home, and all comment cards indicated the same. A large proportion of the staff team have received Adult Protection training. There is a rolling programme in place to supply this essential education to staff. In conversation with staff, it was evident that they were in no doubt how to respond to issues of an adult protection nature. Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25, 26 Despite the planned reconstruction of the site, the home has, rightly, been maintained to a high standard. The facilities offered are excellent, with access to all parts of the building made easy via a large shaft lift. There are 4 assisted bathrooms, 2 walk-in shower rooms (with seating), and 12 toilets, all well maintained. Specialist equipment is supplied as assessed needs decree. Bedrooms are personalised and well maintained. The home is fragrant, comfortable and safe. EVIDENCE: The home has extensive space. Although registered for 33 persons, it has been constructed in clusters of 8 or 9. Each cluster has a lounge with dining area and kitchenette. There is a large dining room for communal use at lunchtime and for all other communal activities. Each cluster has a different ‘feel’ and really reflects the individual personalities living there. Many people stated how happy they were to have a life in a ‘home from home’. Free access to drinks and snack making facilities has enabled people to retain a great deal of independence. Additional meeting rooms are available for residents to meet Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 17 their visitors in private, if so wished. A shop and a bar, serving alcohol, is located off the dining room. A travelling tuck shop is also provided for small purchases. Television and music facilities are provided in each lounge and in the resident’s smoking room. Piano and organ are also freely available for use. The bathing facilities all feature assisted baths or shower chairs and grab handrails. There are many toilets (12), all strategically placed. Further bathing and toilet facilities are located close to the communal dining area, in the adjoining day centre, which increases the number available for use at this crucial time. Staff complete laundry duties, and there is a system of labelling, ironing, and returning that lessens the chance of missing items. There is a sluicing facility for commode cleaning on each floor and all commodes are attractive and appear as an ordinary chair. There were no unpleasant odours. Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 Staff are supplied in sufficient numbers and skills to meet the existing service users needs. At least 50 of staff are on an NVQ award programme or have achieved this award. Recruitment processes are robust and protect the service users. Service users benefit from a staff team who have received a wide variety of relevant training. EVIDENCE: Staffing numbers are supplied based on the needs of the people living at the home. As needs fluctuate, staffing is provided accordingly. The duty rota shows a good skill mix and senior staff on duty at all times. At night, there are 2 awake staff and a third staff member for emergency ‘on call’ who sleeps in the home. A senior ‘on-call’ system is in place for emergencies. A wide range of training, health and safety as well as service-user specific is provided. A training matrix is being devised that will show this more clearly. Staff described their induction process, and said that it was sufficiently detailed to enable them to work competently and safely. Additionally, staff felt very well supported by the senior team and would seek advice without delay. Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36, 37, 38 The manager has extensive experience and has demonstrated ongoing competency in managing a team that meets service user assessed needs. The ethos of the home is inclusive of all parties, and as such, continues to offer a service that meets people’s needs. A robust quality assurance system is in place, but concern has been voiced in respect of the planned redevelopment. Accounting procedures are stringent and benefit from auditing systems. Service user money is well accounted, with robust policies in place. Staff, (and therefore service users), benefit from regular, formal, supervisions. Records are accurate, well maintained and stored safely. Health and safety checks are carried out regularly and any identified issues are addressed without delay, resulting in a safe environment. EVIDENCE: The manager has been in post since 1998, and has been in the social care sector since 1984. Qualifications held include the NVQ 4 Registered Managers Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 20 Award and the D32/33 NVQ Assessors award. An up to date matrix of the managers training was requested and agreed. Staff, resident’s and their relatives hold the manager in high regard and feel confident to raise issue and seek advice. The ethos being promoted in the home is one of empowerment for both residents and staff alike. A great deal of consultation takes place, and residents are ‘in the know’ about what goes on. A robust quality assurance system highlights shortfalls quickly, and an anonymous ‘suggestions’ box is in place, should anyone wish to raise issues without revealing identity. Staff carry out valuable and important work and feel valued by the manager and senior team. There has been a small turnover of staff, but the majority were retirements and one was a promotion to another K.C.C. establishment. Although a great deal of successful Quality Assurance work has taken place within the home, there is an understandable concern of what the future holds for Whitegates residents and a lack of understanding regarding the rationale of removing such a successful service provision. A consultation process is planned to take place in September 2005 with the provider, K.C.C. Financial procedures are managed through the K.C.C. process centrally, with input from the manager. Money held on behalf of residents is robustly receipted and accounted. A complaint received in relation to a monetary issue has helped tighten the system further. Staff advised that they receive regular supervision and feel well supported. Records seen were very well documented, and outcomes followed up. An effective reviewing system is in place, and documents are stored safely. All service certificates and tests required for the ongoing health and safety of the premises have been carried out. Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION 3 4 4 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 22 NO 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 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. Refer to Standard OP9 Good Practice Recommendations In reference to the Royal Pharmaceutical Society of Great Britain guidelines and in consultation with your pharmacist; Re assess and put in place robust procedures for the occassional event of named service users medication necessarily leaving the home. Compentency assessment reflects the procedures required by policy within the home. Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford, Kent TN23 1HU 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 Whitegates L.S.C. H56-H05 S37789 Whitegates LSC V226567 220805 Stage 4.doc Version 1.30 Page 24 - 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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