Inspection on 04/04/07 for Starr Hills Methodist Home

This inspection was carried out on 4th April 2007.

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

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

Other inspections for this house

Starr Hills Methodist Home 01/12/05

Starr Hills Methodist Home 10/06/05

Starr Hills Methodist Home 07/01/05

Starr Hills Methodist Home 01/06/04

Starr Hills Methodist Home 09/09/02

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Starr Hills Methodist Home 18 Ansdell Road South Ansdell Lytham St Annes Lancashire FY8 5PQ Lead Inspector Phil McConnell Unannounced Inspection 4th April 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Starr Hills Methodist Home DS0000009718.V330559.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. Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Starr Hills Methodist Home Address 18 Ansdell Road South Ansdell Lytham St Annes Lancashire FY8 5PQ 01253 735037 01253 732466 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) home.fxg@mha.org.uk Methodist Homes for the Aged Mrs Annette Williams Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should, at all times, employ a suitably qualified and experienced Manager who is registered with the NCSC 1st December 2005 Date of last inspection Brief Description of the Service: Starr Hills is owned by Methodist Homes for the aged and offers personal care to residents of all religious denominations of both sexes aged 65 years and above. The physical standards of the home are good and all bedrooms are single with en suite facilities. Aids and adaptations are available to promote independence and ensure individual needs are met. A passenger lift is in place and ramps are situated in and outside the home that allows for freedom of movement. Starr Hills is located in the residential area of Lytham close to all local amenities. The present rate of charging is between £361 and £414. Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Various information was gathered in order to assess the key standards that are identified in the National Minimum Standards for care homes for older people, including: the pre inspection questionnaire, (completed by the registered manager / owner) an unannounced inspection visit to the service on the 5th of April 2007, which lasted approximately 8hrs. There were 13 service users’ questionnaires, 9 relatives questionnaires and 2 GP’s questionnaires returned to the Commission for Social Care Inspection (CSCI). All of the returned questionnaires were positive and complimentary about the level of care being provided at Star Hills. The deputy manager was available during the inspection visit, with the registered manager being absent. The commission had been informed of this temporary change in management. During the visit to the home 4 service users’ files were examined, including the most recent person to go and live at Star Hills and discussions took place with some of the service users throughout the day. All of the files were well organised with all relevant documentation being in place. There was the opportunity to have a brief discussion with two nurses from the local Health Centre, who were visiting the home to attend to one of the service users. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. Four staff files were also examined, including the last person to be employed at Star Hills, with all documentation being found correct. Throughout the visits there was the opportunity to have conversations with other staff members. The homes policies, procedures and all other documentation including health and safety files and certificates were examined. (See management section). A full tour of the home was also carried out. (See environment section). What the service does well: The involvement and inclusion of the service users is very good, this is demonstrated in the way that people are actively encouraged to be involved in Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 6 the planning and participation in the many activities and recreational interests that are provided in the home. There is a calm and relaxed atmosphere within the home. The mealtime routines are flexible, giving the service users a freedom of choice. There is a consistent and committed staff team, who provide a very good level of care to vulnerable people. There is evidence of good relationships with health professionals. Environmentally the home is of a very good standard. The home is well managed, with a clear management structure in place. The quality assurance monitoring, both externally and internally are commendable. Staff training and supervisions are satisfactorily provided, helping to ensure that quality trained and skilled staff provide a good level of care. 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. The summary of this inspection report can be made available in other formats on request. Starr Hills Methodist Home DS0000009718.V330559.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 Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 N/A. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a thorough and comprehensive pre admission process in place, including detailed assessment documentation. This helps ensure that individuals’ needs are accurately evaluated and provided for. EVIDENCE: The homes admission policy and procedures were examined and they were found to be thorough and up to date. Four of the service users’ files were examined including the last person to be admitted to Star Hills. The files were well-organised, containing all of the Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 9 relevant assessment documentation including: admission assessments and medical assessments, contracts, full care plans with informative personal profiles, social services assessments, up to date daily record sheets, risk assessments and medication profiles. In conversation with some of the service users and in the comments written in the questionnaires, it was apparent the people were issued with pre admission information and that visiting the home prior to going to stay on a more permanent basis is the normal practice. Some of the comments from the service users were, “I used to visit a friend who lived here and I always said that if I needed to live in a home, then it I would like it to be Star Hills, it’s a wonderful place to live” “I was fully included in the assessment process, everyone was marvellous” and one of the visiting nurses said “I have been coming here for over two years, it’s one of those places where everybody is friendly and helpful and people always seem very happy. It’s the kind of place you wouldn’t mind your relative coming to live”. The returned service users’ questionnaires were all positive with regards to receiving enough information prior to going to live at Star Hills. One person wrote, “Star Hills is the best choice I could have made, Star Hills has exceptional values and qualities”. Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans are thoroughly detailed, with specific health care needs clearly identified. It is evident that peoples’ assessed needs are being appropriately provided and people are treated with respect and dignity. EVIDENCE: Four service users’ care plans were examined and they were found to be well detailed and up to date with evidence that they are regularly reviewed and containing relevant information with guidance on how to provide individuals care needs. It was apparent that when possible service users are included in the care planning reviewing process, helping to demonstrate that people are Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 11 encouraged and enabled to participate as much as possible in the monitoring of their care needs. It was evident that care plans were developed from the initial assessment and there were individual risk assessments in place, which are regularly monitored and adjusted if needed. Service users spoken to were fully aware of their care plans and knew who their named key worker was. Individual information was available with regard to service users’ specific health needs and there was evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out, helping to demonstrate that people’s health needs are monitored and treated correctly when necessary. The questionnaires returned to the commission for social care inspection CSCI from GP’s were positive about the level of care being provided by Star Hills. A comment from a visiting nurse was, “The staff are always very helpful and are always very professional” the deputy manager said “we have good relationships with the visiting nurses, they are brilliant”. One service user wrote, “I am pleased that I have been able to keep my own Doctor” and some comments from relatives were, “There is no task that they would not undertake for my mothers comfort and we are always informed of any medical tests or medication changes. We find no fault in any of the care provided” “my relative is in need of 24hr care, including help with personal hygiene, due to her physical weakness and frailty. I feel that the staff care for her very well, balancing the help they give her with encouragement to do as much as possible for herself” and “There is a ‘feeling’ of Christian care at Star Hills above and beyond the day to day needs of residents. We are well satisfied with the care our mother receives there”. There is a policy in place for staff to adhere to regarding the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. Records were examined to ensure that all medicines received and administered were maintained. Medicines were kept in a secure locked cupboard and provision was made for the correct storage of any controlled drugs that may be required. (None at the present time) Only appropriately trained members of staff administer medication. The medicine administration records (MAR) were observed and found to be accurate with medication being correctly administered. Service users are enabled to continue taking their own medication if possible, this helps to demonstrate that individuals are encouraged and empowered to maintain their independence. Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 12 Members of the staff team were observed demonstrating a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. Some of the comments from service users were, “the staff are always willing to listen and help me if I need it” and “generally the staff are brilliant, they are all very good”. Some of the relatives comments included, “I have seen that people are treated in a caring way, making the individuals feel they matter ”and “the staff make the residents feel wanted, welcome and part of the whole family, the care which is provided is excellent, not just to my mother but everyone of the residents. This is obvious to anyone who visits the home”. Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Relevant, appropriate, recreational and leisure activities and interests are provided, demonstrating that people are positively motivated and stimulated. This helps give people a sense of wellbeing and of being valued. EVIDENCE: Star Hills employs an activities coordinator and there was evidence that a varied and regular activities programme is provided within the home. The deputy manager said, “Most days we have two activity sessions, morning and afternoon”. The homes notice board displayed the activities for the day and there was the opportunity to observe some of these activities taking place throughout the day. The comments received from service users and relatives were complimentary about the activities available within the home. Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 14 Some of the service users are actively involved in planning, organising and in some cases providing meaningful activities and things of specific interest to the people who live at Star Hills, for example, one person writes a brief ‘news of the day’ and the weather forecast for the day. This is written on the homes ‘white board’, which is visible to everybody. It was commented that some of the service users, “voluntarily visit other less able residents in their own rooms”. There was other available evidence demonstrating that people are encouraged to be involved as much as possible in all aspects of activities, interests, and hobbies in the home and varied outings to places of interest are also regularly provided. The availability and provision of varied and meaningful leisure and recreational activities help to demonstrate that Star Hills is committed to the motivation and stimulation of the people who live there. There was a key worker (service users have a named worker) system in place; helping to promote trust and confidence between the service user and the staff member, thereby, helping to ensure a service users’ changing needs are identified and acted upon as quickly as possible. There is a Christian service provided on a Thursday evening in the home and many of the service users attend and in discussion with individuals, people appreciate the opportunity to practice their faith within the home environment. The home has an open house policy with visitors to the home being made welcome and service users are encouraged to maintain relationships with their families and friends. Staff were observed supporting service users in a calm, relaxed atmosphere, with sensitivity. There was a choice of menus available, which were seen to be nutritious, varied and appetising. There is the flexibility for people to have their breakfast between 7.30am and 10.30am and people can choose to have their meals in their rooms if wish. This helped to demonstrate that individual choices are accommodated as much as possible. There was the opportunity to have lunch in the home and the meal was really good and well presented. Some comments regarding the meals were, “we are very well catered for. In fact we have more variety than I would have at home” “the meals are excellent and we always have a choice” and one relative wrote, “Meals are provided and presented in a suitable way for the individual resident”. There was a comments book in the dining room, specifically referring to meals; all of the comments were positive and up to date. Starr Hills Methodist Home DS0000009718.V330559.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. 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. Good quality policies and procedures are in place, with up to date ‘protection of adults’ training being provided. This helps to demonstrate that people are protected as much as possible from harm or abuse. EVIDENCE: The home had a comprehensive complaints policy and procedure in place, regarding the safeguarding and protection of vulnerable adults. There have been no complaints received by the commission for social care inspection (CSCI) since the last inspection visit. Questionnaires and comment cards received from service users and relatives all indicated that people are aware of the complaints procedure and how to complain if needed. One person wrote, “I don’t think we would have any difficulty if we wanted to complain” and a relative wrote, “I only need to mention anything to one of the staff or phone and it’s seen to as soon as possible”. The service users, who were spoken with, knew whom they could speak to in the home if they had a complaint. They were also aware that the inspector for CSCI could be contacted if they chose to do so. Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 16 There was a thorough policy in place to deal with a suspicion or allegation of abuse. The inspector spoke with staff members and they were fully aware of the procedures to follow, if there was any suspicion or alleged abuse and would be confident in the process, highlighting that staff had been trained in the protection of vulnerable people. Starr Hills Methodist Home DS0000009718.V330559.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is clean, hygienic and well maintained, helping to ensure that people live and work in a safe, comfortable and pleasant environment. EVIDENCE: A tour of the home was completed and throughout it was found to be of an excellent standard .It was clean and hygienic with a fully equipped and wellmaintained kitchen. A recent environmental health report referring to the kitchen stated that “The premises are very well run and a pleasure to inspect”. The laundry was very well organised, with adequate machines to cater for the homes needs. There was also a smaller laundry on the first floor for service users who want to do their own washing. Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 18 There is a large ‘art and crafts / activities’ room and a separate hairdressing salon. There is a training room, staff library with relevant books, magazines and articles of interest, relating to different aspects of care work. The staff also have access to a fully equipped kitchen, a staff bathroom and shower. All of the comment cards were positive about the cleanliness in the home, one relative wrote, “The home always smells nice, looks pleasing and it is well decorated”. An excellent standard of décor was evident throughout the home with service users’ bedrooms containing personal belongings, such as televisions, photographs, ornaments and some of their own furniture items, demonstrating that people are encouraged to bring their own personal possessions into the home, in order for it to be familiar and as comfortable as possible. All of the bedrooms are ensuite and there are six separate bathrooms, seven toilets and one wet room, which enable wheelchair users to use a shower. There is also a separate visitors room. There was appropriate specialist equipment observed around the home, such as lifting hoists, walking frames and wheelchairs, thereby helping to ensure that individual needs are catered for, whilst independence is promoted. The home employs a maintenance man, who carries out any minor repairs, in order to ensure that the home is safely maintained. He is also on call in the event of an emergency. The grounds of the home are very well maintained with a new patio area at the rear of the building, with access for people who have mobility difficulties. Starr Hills Methodist Home DS0000009718.V330559.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team have been correctly recruited and have the necessary skills and experience to provide a good standard of care to vulnerable people. EVIDENCE: The staffing levels were examined and were generally found to be adequate and satisfactory. However, the limited hours allocated to the laundry at times appear to cause a backlog of laundry, especially over the weekend. It was stated by the deputy manager, “the amount of hours allocated to the laundry is being reviewed”. As already mentioned the staff demonstrated a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. There is a thorough recruitment process in place, with staff files containing evidence that Criminal Record Bureau (CRB) checks had been carried out and staff are only employed on the satisfactory completion of these checks with Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 20 two independent satisfactory references being obtained, thereby helping to ensure that service users are protected and safeguarded by having a robust recruitment and selection process. Staff files contained information with regards to the experience, skills and training that staff have received with in depth mandatory training being provided to all staff. There was a training programme available for inspection and it was well organised with specific, appropriate and relevant future training planned including, protection of vulnerable adults, health and safety training, dementia awareness and food hygiene. One staff member said, “the training is really good, I have just done some first aid and fire training”. Individual staff supervisions are held on a monthly basis, where any further identified training needs are discussed and acted upon. Starr Hills Methodist Home DS0000009718.V330559.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and organised, ensuring as much as possible that service users are safe and receive a good quality service. EVIDENCE: The registered manager has many years of experience in the care profession and is adequately qualified. In discussion with some of the staff members, there was a general opinion that the manager is approachable and fair. Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 22 Some of the comments received from relatives were, “Star Hills does exceptionally well in building a feeling of trust between the care home, the residents and the residents’ relatives. This openness gives me much confidence in the care my mother receives” and “The manager and staff are to be commended on their care and affection shown to residents” The home’s policies and procedures were examined and they were found to be up to date and of a good quality. The home has maintained 5 stars with ‘The RDB Quality Benchmark Company Award’, which is an external quality-monitoring organisation. A number of internal quality assurance audits take place throughout the year including, a three monthly health and safety audit carried out by the service manager, an annual kitchen audit and twice a year an internal audit summary report is published, this is usually completed by a panel of 4 or 5 people and consists of some members of staff. The organisation has a ‘quality standards manual’ and this was updated in September 2006. This all helps to demonstrate the pro-active commitment that the organisation has towards ensuring that they provide a quality service, which is actively and regularly monitored, for the benefit of the people they support and care for. There was documented evidence that all staff have received mandatory training, including: moving and handling, protection of vulnerable adults (POVA), the control of substances hazardous to health (COSHH) and infection control, with refresher courses being available when needed. There was an up to date health and safety policy, with comprehensive, individual and corporate risk assessments, promoting the health, safety and independence of service users. All inspection certificates were in place and up to date, including: gas safety certificates, electric check certificate, fire extinguisher checks and fire drills are carried out regularly, 3 times during the day and 3 times during the night over a twelve month period. Lifting hoists certificate, PAT portable appliance testing, emergency lighting certificates and inspection records were available with regard to the testing of Legionella, with a weekly water check being carried out by the maintenance man. There was sufficient evidence to demonstrate that the health and safety of service users and staff is promoted as much as possible, to help ensure that people live and work in a safe and healthy environment. There were procedures in place, regarding service users’ finances, with appropriate and adequate records being kept, helping to ensure that people’s finances are safeguarded. Starr Hills Methodist Home DS0000009718.V330559.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 X 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 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 3 X 3 X 3 X X 4 Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NONE STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Starr Hills Methodist Home DS0000009718.V330559.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Starr Hills Methodist Home DS0000009718.V330559.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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