CARE HOMES FOR OLDER PEOPLE
Tasker House 160 Westfield Road Wellingborough Northamptonshire NN8 3HX Lead Inspector
Stephanie Vaughan Key Unannounced Inspection 23rd 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 Tasker House DS0000012937.V334366.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. Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Tasker House Address 160 Westfield Road Wellingborough Northamptonshire NN8 3HX 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) 01933 276447 01933 383377 Monolace Limited Mrs Helen Rogers Care Home 26 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (26) of places Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Where there are 26 people accommodated in the home within the category of OP, no further persons may be admitted under this category. Within this total of 26 up to 20 persons can be admitted under the category of DE(E). 9TH February 2006 Date of last inspection Brief Description of the Service: Tasker House is a care home providing personal care and accommodation for up to 26 older people, some of who have dementia. The home is a large detached house and is located near to the centre of Wellingborough. There are bedrooms on two floors and there are two passenger lifts. There are twentyfour single bedrooms and one double. The majority of bedrooms have ensuite facilities. Downstairs are two lounges, an activities room, and dining room. At the rear of the home is a pleasant landscaped level garden and adequate parking facilities. The provider supplies information about Tasker House to prospective residents on enquiry. Fees are set at a standard price of £440 per week which equates to £ 1,760, per month this information was supplied on the 23/04/07. Additional charges are made for hairdressing, toiletries and newspapers Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. Prior to this statutory inspection, a period of six hours was spent in preparation. This comprised reviewing previous inspection reports, the service history, risk assessment, returned residents comment cards and other pre inspection documentation. Since the last inspection the Commission have received no concerns, complaints or allegations about Tasker House. The Commission have a focus on the outcomes of Key Standards and Equality and Diversity, issues relating to this are included in the main body of the report. This site visit to the home was conducted over a period of seven and a half hours during which the inspector made observations, staff and management. A limited tour of the premises was conducted which involved viewing the communal areas and a selection of the private accommodation. Case tracking is the method used during inspection where of a sample of three residents were selected and all aspects of their care and experiences reviewed, including individual plans of care and associated documentation. Residents that were case tracked were specifically spoken and others were to spoken to during the course of the inspection. However Tasker House specialises in providing care for residents who have Dementia therefore residents have some difficulty in recalling or communicating their experiences about aspects of their care such as their admission to the home. In these circumstances observations made during the inspection and information supplied on Comment Cards is used to support the evidence. The Registered Manager was present during this visit and the Owner was present during the afternoon. Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 6 What the service does well:
Admissions to the home are managed well; residents or their relatives have the right information to help them decide if they would like to live at Tasker House. One of the relatives commented ‘ I received enough information about the home before deciding if Tasker House was the right place. I visited twice before applying for a place for my mother’. The staff make sure that they have the right information and can look after the residents properly. Staff help new residents to settle into the home well. Residents have a plan of care, which sets out what needs to be done to help them. These are of a high standard and show that the staff put the residents first and give them care that suits their needs and lifestyles. Routines are flexible and are arranged around the residents for example times of getting up in the morning and how they spend their time. The staff try hard to make sure that residents stay as healthy as possible and do not have problems such as falls or diet problems. The staff also make sure that the residents have the right treatment and support for any medical conditions that they may have. Residents’ consent to the staff helping them take the right tablets and medicines. Systems are in place to make sure that medicines are given and stored safely. Staff are patient and kind to residents, they spend time talking to them and treat them with respect. One of the relatives commented ‘the staff are very loving, caring and patient. Nothing is ever too much trouble and there is a wonderful atmosphere in the house’. Residents are able to go to meetings with the staff and make decisions about the way the home is run for example the decoration and furnishing, the food that is on the menu and the activities that are arranged. There is a very good activities programme that is based on the interests of the residents and their earlier lives. Activities can be in groups or individual depending on what the resident wants. The food provided at Tasker House is of a high standard it is home cooked from fresh produce and the cook visits residents every day so that they can choose what they want to eat. Residents can choose to have their meals in their own room, the sitting room or the dining room. The Management make sure that residents or their relatives can raise any concerns that they may have and that these are dealt with in the right way. There are also the right systems in place to make sure that residents are not abused in any way. One of the relatives commented’ I have always found staff
Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 7 at Tasker House to be very professional and caring towards my mother. She is very happy and well looked after’. The building provides a safe and comfortable home for the residents to live in. It is very clean, well decorated and furnished. Mr Balendra, the owner of Tasker House spends regular time in the home. There are good levels of staff working in the home at all times, most staff have been working there a long time and know residents well. Staff have a high level of training to make sure that they look after the residents well. The Registered Manager makes sure that new staff have all the right checks done before they start working in the home and that they have the right training and support when they start working there. Systems are in place to make sure that the quality of service is good and residents, their relatives, doctors and nurses are asked to complete satisfaction surveys every six months. The Registered Manager regularly checks residents care plans and documentation to make sure that the right information is recorded. Systems are in place to make sure that the home is safe. What has improved since the last inspection? What they could do better:
The management have agreed to seek further advice form the Fire Officer about wedging or propping fire doors open and other suitable alternatives. Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 8 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. Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 9 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 Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 10 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admission processes are managed well and ensure that the needs and wishes of individual residents are addressed EVIDENCE: The Statement of Purpose was available in the main entrance and there are named photographs of the staff on display to assist new residents and visitors to the home to identify individual staff. All residents (or their representatives) are issued with contracts. All of the Comment Cards received indicated that admissions to the home were managed
Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 11 well, that appropriate information about the home was provided and there were opportunities to visit the home before deciding whether they wished to live there. Three residents were case tracked all of these had detailed assessments conducted before the resident was admitted to ensure that the residents personal health and social care needs could be met by the service provided at Tasker House. Assessments are conducted by senior staff and are used to develop highly individualised care plans. The management hold a care review which involved the resident, their representatives, their key worker and local authority care manager, if appropriate six weeks after admission to review all aspects of the resident’s placement. Through observation of a new resident it was established that staff spend time and effort to support new residents to settle into the home. This service does not provide intermediate care Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 12 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 &10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have a detailed plan of care, which indicates that they are treated as individuals and that their health care needs are fully met. EVIDENCE: All residents have an individual plan of care generated from the pre admission assessment these are highly individualised and person centred and promote the residents independence, choice privacy and dignity. Care plans are comprehensive and provide detailed instruction to staff about how the resident’s personal health and social care needs are to be met. Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 13 The individual plans of care contain detailed risk assessments to reduce and manage the risk of falls these are based on current good practice and enable staff to balance the residents independence of movement around the home with the risk of falls. The management are proactive in the prevention of falls having sought further professional guidance form the falls prevention specialist, obtained and displayed Fall Prevention Guidelines in the home. Staff have also received recent training in falls prevention and risk assessment. Individual plans of care evidence regular and timely review with the involvement of residents and their representatives. All residents appeared well presented and residents spoken to confirmed that they were well looked after. Throughout the inspection staff were sensitive to the residents needs and demonstrated keen observational skills regarding the residents state of health. They were able to demonstrate a high level of competence by the actions that they took to address these needs. One of the relatives commented ‘The level of attention given to healthcare is excellent in all respects’. Care pans contain detailed instruction to staff about the individualised care of residents with dementia. These include information about circumstances that may cause the resident to become distressed or agitated and specify how these are to be avoided or managed. Care plans also include information about the management of verbal and physical aggression. One of the relatives stated ‘Exceptional care taken by staff with my mother to understand what she is trying to say’. There are no residents with pressure ulcers at Tasker House. Residents are assessed prior to admission for the risks of pressure and this is subsequently monitored by observation of the vulnerable areas and frequent monitoring of residents weight. Residents are also assessed for nutritional risk prior to admission and this is monitored on a regular basis thereafter. Individual plans of care evidence that residents have access to external health professionals including General Practitioners, specialist-nursing services such as the continence advice service and the Registered Manager works closely with the District Nursing Service. Residents also have access to, Opticians, Audiology and Chiropody services. Medication systems were reviewed and these are managed well. Appropriate record of drugs received into the home and those that are returned are maintained. Individual plans of care contain a list of the resident’s medication with an explanation to staff about what the drugs are used for. Each resident had an appropriate Medication Administration Record. A sample were reviewed and found to be in good order and to correspond with the remaining
Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 14 medication stored within a monitored dose system There are good stock control systems within the home. There are no residents requiring the use of controlled drugs at the present time. Privacy and dignity is central to all aspects of life at Tasker House, it is demonstrated by the way that staff were seen to relate to residents and evident within all aspects of the individual plans of care. For example residents were spoken to with particular kindness and courtesy, staff were mindful and supportive of residents needs and wishes and used their time in the best interests of residents. Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 15 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 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have control over their lives to enable them to enjoy a lifestyle that promotes choice and independence EVIDENCE: Individual plans of care demonstrated that routine within the home are flexible. Resident’s preferences for rising and retiring to be were recorded and residents were seen to be able to make choices about where to spend their time, participate in activities and take their meals. Regular residents meetings are organised to assist residents in planning leisure and social activities, amend the menus and to express their views about the running of the home including their views about staffing. Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 16 Residents confirmed that routines were flexible and that they were supported to maintain their links with family and friends and were able to receive their chosen visitors in private if they wished to do so. Care pans indicated that residents are supported to maintain their faith, should they wish to do so. Individual plans of care contain excellent information about the resident’s previous life, these include a detailed life history which enables staff to support residents to maintain previous interests and hobbies as well as being able to communicate with them about their families, earlier lifestyles and careers. There is an activities coordinator available within the home for six days a week. Activities are developed according to the resident’s wishes and interests. A formal programme of activities is displayed within the home and residents are invited to attend personally at the start of each session. There is a dedicated activities room available and other group activities such as bingo take place within the sitting room residents are able to choose not to participate if they do not wish to do so. Some residents prefer to spend times in their rooms and one to one activities are provided according to the resident’s interests. Residents are also able to participate in light household tasks such as folding linen and dusting should they wish to do so. One of the relatives commented ‘ the social aspect is very good mother enjoys bingo, exercise, social evenings and outings’. Residents spoken to confirmed that they enjoyed the activities available. One stated how much he had enjoyed the gardening activities that had been arranged; others were seen to be enjoying the afternoon bingo. Resident’s choice and autonomy is maximised on an individual basis in all aspects of their lives at Tasker House. This person centred approach enables the staff to ensure that Equality and Diversity issues are addressed on an individual basis for example residents have access to appropriate equipment to enable them to maintain their independence and limit the effects of disability. There are currently no residents from ethnic minorities. Residents are able to personalise their rooms and bring in their possessions. Residents are involved in the care planning process and through residents meetings where they make decisions regarding the choice of décor and new furnishings for the dining rooms. Residents personal breakfast preferences are recorded on a separate record within the kitchen, breakfasts are usually served to residents in their rooms at their preferred times and generally comprise of fruit, cereal and toast. Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 17 There is a formal lunch and teatime menu on display in the dining room and the cook visits residents daily to discuss the menu options and alternatives. Alternatives are available for each course at both lunch and tea time, this includes a range of vegetarian alternatives. The cook is well qualified and demonstrated an understanding of resident’s individual preferences and needs including those with special dietary requirements. The lunch time service was viewed and seen to comprise of home cooked fresh produce, the main option being Quiche Lorraine, herb potatoes and salad, followed by home made rice pudding. Vegetarian and soft alternatives were also available. The meals were well presented and of individualised portion size as defined by the residents preferences recorded within the individual plans of care. Most residents chose to have their meals served in the recently refurbished dining room and this provided a relaxed and very pleasant environment. Residents who required assistance were supported by staff with sensitivity and patience. Hot and cold drinks and Fresh fruit are available through out the day. All residents spoken to a confirmed satisfaction with the food provided at Tasker House. One of the relatives commented ‘Mother is always saying that the meals are excellent and food prepared for social evenings is of high quality’. Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 18 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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to express their concerns and are protected from abuse EVIDENCE: There have been no complaints made about this service. The Statement of Purpose is issued at the time of admission and is also displayed in the main entrance. This contains details about how a complaint may be made and provides contact information. The Registered Manager confirmed that there were specified timescale for acknowledgement and response within the main policy. Residents spoken to were able to confirm that they would know who to speak to if they were unhappy about something. Returned comment cards indicated that most of the respondents knew how to complain. The Registered Manager spends a significant amount of time with residents and staff, and is available to relatives. This ensures that any issues are addressed in a timely fashion before a complaint becomes necessary. Residents spoken to confirmed that they felt safe living at Tasker House, that the staff were nice to them and that they were well looked after. There have
Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 19 been no allegations or concerns regarding the Safeguarding Adults Staff since the last inspection. Staff spoken to were able to confirm appropriate action if they received a complaint, concern or allegation. Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 20 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment is good providing residents with a comfortable place to live. EVIDENCE: The premises are suitable for the stated purpose, being well maintained, clean and hygienic throughout. There are three communal areas with an additional quiet room and activities room all of these areas are comfortably furnished and provide a light, well-ventilated environment. All areas are fitted with low surface temperature radiators and free from hazards. Recent improvements include the refurbishment of the dining room and two residents rooms.
Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 21 Resident’s rooms are fitted with privacy locks and residents are offered a key to their room on admission. Resident’s rooms indicated a good level of personalisation and cleanliness. Residents have access to appropriate furnishings and fittings including call bell and en suite facilities. One of the relatives commented ‘my mothers room is always clean, as is the rest of the house. High standards are maintained’. The exterior of the building is well maintained and recent improvements include re organisation and landscaping of the garden area and the provision of a summerhouse. Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 22 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 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported by excellent levels of well-trained staff and are protected by robust recruitment practices. EVIDENCE: Staffing levels within the home are good; in addition to the Registered Manager there are three carers throughout the day, an activities coordinator available for six days of the week, two cleaners and one cook. There are two staff on duty throughout the night. Mr Balendra the owner is also actively involved in the management of the home and is in attendance on a regular basis. The residents benefit from a loyal and stable staff team that have been working at Tasker House for many years, the use of agency staff is minimised by the flexible working arrangements and use of part time staff. Recruitment practices are robust. Staff spoken to confirmed that they had gone through appropriate recruitment procedures and that they had not
Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 23 commenced employment without first having the appropriate references and checks completed. Staff files evidenced two written references and povafirst and Criminal Records Bureau Clearances prior to the commencement of employment. Most staff have a minimum of the National Vocational Qualification level 2 in Care, with most also having achieved level 3. Staff files evidenced that new staff have appropriate induction training and are supervised by the Registered Manager. Since the last inspection staff training has been updated and includes mandatory training such as Movement and Handling, First Aid, Health and Safety, Basic Food Hygiene, Fire Safety Infection Control, Control of Substances Hazardous to Health and Safe Administration of Medication. In addition training is provided according the needs of the specific to the needs of the residents group and individual care needs including Dementia, Safeguarding Adults, Reminiscence Therapy, Funeral Awareness, Documentation, Optical Awareness. Risk Assessment and the Prevention of falls. Further training is planned for Dementia, Diabetes, Parkinson’s disease and Wound Care. Staff files were in good order and contained an individual staff training profile and certificates to evidence attendance at the above courses. It is evident that the management of Tasker House are committed to ensuring that staff have the skills to meet the residents assessed needs. Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 24 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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate leadership, guidance and direction means that the home is managed in the best interests of residents. EVIDENCE: The Registered Manager is well qualified, experienced and competent to fulfil the role of Registered Manager. She has many years of experience in the provision of care and has achieved a National Vocational Qualification level 4 in Care and the Registered Managers Award and Assessors Awards. One of the
Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 25 relatives commented ‘This is a well run home and all staff are very efficient, friendly and helpful’ Quality assurance processes are in place and include – • Six monthly satisfaction surveys of residents, relatives, General Practitioners and District Nurses. • Suggestion cards / box in the main entrance • Regular residents & relatives meetings • Six monthly inspections conducted by the Registered Manager • Monthly audit of care plans • Monthly audit of Medication Administration Records • Quality Assurance feed back to residents / residents newsletter • Quality Assurance feed back to staff through staff meetings The management have recently been successful in renewing their Investors in People award. Small amount of money are held at Tasker House for the convenience of residents. This is stored appropriately and accurate records are maintained. A spot check was conducted and found to correspond with the balance. Appropriate induction, staff training and supervision ensure safe working practices. Accident records are maintained and used to take prevent reoccurrence where possible. Appropriate risk assessments are in place for individuals and the environment. Fire risk assessments were reviewed last month and discussed with the fire officer. However two fire doors are occasionally either wedged or propped open for resident’s access purposes during the day. Discussion with management and staff identified that fire doors are all closed at night and there are good levels of well-trained staff on duty. Staff spoken to were able to confirm regular fire safety checks and knowledge of evacuation and containment practices. However both the Registered Manager and the Owner have agreed to explore this issue further with the Fire Officer and to identify more suitable alternatives. Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 26 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Tasker House DS0000012937.V334366.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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
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