Inspection on 15/06/07 for The Bakewells

This inspection was carried out on 15th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

The Bakewells 09/07/08

The Bakewells 08/12/05

The Bakewells 03/05/05

The Bakewells 02/11/04

The Bakewells 09/07/04

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 The Bakewells 102 Junction Road Deane Bolton Lancashire BL3 4NE Lead Inspector Stuart Horrocks Unannounced Inspection 15th June 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 The Bakewells DS0000009282.V312900.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. The Bakewells DS0000009282.V312900.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Bakewells Address 102 Junction Road Deane Bolton Lancashire BL3 4NE 01204 655772 F/P 01204 655772 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) Mrs Helen Bailey Morgan Mr Andrew Philip Morgan Mrs Helen Bailey Morgan Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places The Bakewells DS0000009282.V312900.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the maximum registered number (25), the home can provide care and accommodation for up to 25 Older People (OP) The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 8th December 2005 Date of last inspection Brief Description of the Service: The Bakewells is owned by Mr. Andrew and Mrs. Helen Morgan with Mrs. Morgan being the Registered Manager of the service. The home provides personal care and support for up to 25 older people both male and female over the age of 65 years. The home is located in a residential area, approximately 2 miles from the centre of Bolton. The home is accessible by public transport and is close to local amenities. Resident’s accommodation is on the ground and first floor and comprises 21 single bedrooms, 10 of which are en-suite, and 2 double rooms. A passenger lift serves the first floor. Three lounges and 2 dining rooms afford residents an opportunity to mix together or quietly relax. All bedrooms have hand basins and vanity units as standard. There are call assistance facilities in all rooms and smoke detectors. Residents are encouraged to personalise their own rooms with items of furniture and belongings to make the room their own. Car parking is available within the grounds to the front and side of the Home. The gardens to the front and rear of the Home are well presented and all areas of the home, both internal and external, are maintained to a high standard. The home offers two day care places; however, this service is not regulated by the Commission for Social Care Inspection it has been a long standing agreement with this home and there is adequate space and staffing to accommodate this facility. A Service User Guide (residents information guide) that describes the home’s services is readily available in the home and the staff gives other information about the home to new and prospective residents and their families verbally. A copy of the latest inspection report and the home’s Statement of Purpose also displayed in the home. As of June 2007 the weekly charge for accommodation and services is £400:00. Additional charges are made for hairdressing, private chiropody services, personal magazines and newspapers and trips out of the home. The Bakewells DS0000009282.V312900.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, which included a site visit that was started at 8:45am on the 15th June 2007. It took place over one day and it lasted for about seven hours. The time was split between talking to Mr.and Mrs. Morgan and checking records, looking around the home, watching what was happening and talking to residents and other staff. Three residents, one relative and three staff were spoken with. A completed provider’s self-assessment survey information document (Annual Quality Assurance Assessment) was received before the inspection along with feedback surveys from residents, relatives and doctors. Of the surveys sent out one was returned by a resident, five by relatives and four by GP’s. The care services (case tracking) provided to two specific residents were used a basis for the process of the inspection. What the service does well: Residents felt they were well looked after by the staff whom they described as “very good”, “nice”, “helpful” and “wonderful”. Looking at paperwork and talking to the residents, a relative and the staff showed that the residents are being given a good standard of care and that their privacy and dignity is respected. The staff knew a lot about the residents and the care needed. Enough staff were on duty to see to the residents properly. The information recorded in the care plans gives good guidance about how the residents are to be cared for. Before admission to the home new residents needs are properly checked so that the home can be sure that these people can be properly cared for. The home has a natural, friendly and homely feel about it with staff both spending time talking to the residents and helping them to make choices and decisions. The home offers a good range of leisure activities, which help to keep the residents interested and stimulated The residents enjoy the meals, special food is provided for those people who need it and those residents who cannot eat by themselves are given help. Visitors are welcome and the visitor spoken with praised the manager and the staff generously. The Bakewells DS0000009282.V312900.R01.S.doc Version 5.2 Page 6 The building is in good order and the home is well furnished, clean and warm. 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. The Bakewells DS0000009282.V312900.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 The Bakewells DS0000009282.V312900.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre-admission visits, and the initial assessment process, enable all parties, including potential residents and their relatives, to reach a decision as to whether the home will be able to meet their needs. The home does not provide intermediate (rehabilitative) care so Key Standard 6 does not apply. EVIDENCE: The home has both a Service User Guide (Residents Information Guide) and a Statement of Purpose that provide new and existing residents and their families with useful information about the services that the home provides. Copies of these documents were present in the resident’s bedroom and in the entrance area of the home. There is an expectation that new residents will have had their care needs assessed before they move in to the home so that they can be assured that the home can meet their needs. Such assessments are usually provided by the referring agency (e.g. a Social Services Department) or in the case where residents are paying for their care by the home’s assessment procedure. The Bakewells DS0000009282.V312900.R01.S.doc Version 5.2 Page 9 The care files of two residents relatively recently admitted to the home were therefore checked for the required pre-admission needs assessment information. Such assessments were seen to be in place that demonstrated that the admission procedure was very thorough and checking of the above records showed that a full and detailed assessment of these residents care needs had been completed prior to their admission to the home. The inspector was informed that all new residents have an in-house preadmission needs assessment done no matter who is paying for their care. From the above information the home is then able to assess whether these people’s needs can be met and a care plan and a range of other care delivery information is then put together. The manager usually visits new residents either at home or in the hospital as a part of the assessment and admission process. The inspector was told that new residents and their families are welcome to visit the home where they can spend some time, meet the residents and the staff, and have a meal before deciding to live there. This visiting opportunity is described in the useful and informative Service User Guide (Residents Information Guide). The Bakewells DS0000009282.V312900.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 good. Proper arrangements are in place that ensures the residents health care needs are monitored and met. Individual care plans are also in place, which were up to date, regularly reviewed and provided the staff with the information needed to give a good standard of care. The home’s medication systems are satisfactory in ensuring that residents received medication as prescribed and care practices in the home ensure that the residents are treated with respect and their privacy and dignity is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care files of the two case tracked residents were looked at. These contained care plans that had been reviewed on a weekly basis by senior care staff and on a monthly basis by the homes manager or sooner should a new need become apparent. Each plan contained details of health, personal and social care needs for the resident and day and night progress reports about each resident are regularly recorded. Both of the above records also showed that the residents weight is also checked regularly. The Bakewells DS0000009282.V312900.R01.S.doc Version 5.2 Page 11 The staff said that they knew about each residents needs by reading the care plans, which are readily available to them. A number of risk assessments were in place that included an up to date and regularly reviewed moving and handling assessment. Nutritional wellbeing is included in the care plan and is assessed by direct observation, regular and up to date weight checks and by the checking of food and fluid intake. Should concerns arise regarding a resident’s nutrition then a referral is made to the community dietician who has recently set up a dietary regime for two such residents. Pressure sore risk is assessed by direct observation by the staff with any problems being referred to the community nursing staff for advice and treatment. Talking to residents, the manager and the staff and looking at records and survey documents showed that the resident’s health care needs are taken care of and that when necessary health workers such as doctors, nurses and opticians are called. All medicines were safely stored and lockable Controlled Drugs storage is also available and the random checking of these found the quantity kept corresponded as required with the amount recorded in the Register. The residents’ medicines are provided in pre-filled blister packs with preprinted prescription/recording sheets also provided. These records were found to be properly completed and to be up to date. The medications supplied are checked in to the home , and medicines returned to the pharmacy are also recorded. Those staff that give out medicines have been given the necessary training for this task. The home has a satisfactory medicines policy and procedure that includes guidance for the self-administration of medicines and the use of homely remedies. At the time of the inspection one resident was dealing with their own medicines, the appropriateness and safety of this arrangement is checked daily and is also reviewed monthly. In discussion the residents said that they are given their medicines regularly and as prescribed. Records looked at emphasised the need for the residents privacy and dignity to be respected at all times, and the staff gave examples of how the residents privacy and dignity were promoted in the home, such as when giving personal care. This was observed during the inspection. Residents said that the staff treat them with respect and that their dignity is valued, for example they said that the staff knocked on their bedroom doors before entering. Those residents spoken with said that the staff were “respectful”, “considerate”, “pleasant” and that “they (the staff) talk to us properly”. The Bakewells DS0000009282.V312900.R01.S.doc Version 5.2 Page 12 The staff were seen to have a good relationship with the residents, speaking to them in a natural, caring and friendly manner. The Bakewells DS0000009282.V312900.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,and15. Quality in this outcome area is excellent. Residents have choice about their daily routines thus they are able to spend their time as they wish. Visitors are welcomed and the meals provided are good, offering choice and variety, and catering for special dietary needs. The activities offered within the home mean that residents have opportunities to participate in stimulating and motivating activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a good social recreational activities programme that includes events such as crafts, reminiscence, bingo, dominoes, movement to music and outings. The activities programme is organised on a three weekly basis with a copy being displayed in the home’s hallway. Those residents spoken with were aware of the available activities, although some of them chose not to join in. External entertainers also visit the home that facilitate activities such as weekly crafts and chat and fortnightly movement to music sessions. Clothes parties have been held, singers have visited and outings to venues such as Blackpool, the Lake District and Southport have taken place. Further outings for the summer period were being planned at the time of this visit. The Bakewells DS0000009282.V312900.R01.S.doc Version 5.2 Page 14 The home regularly publishes a newsletter; the latest edition gave information such as forthcoming residents birthdays, welcoming new residents, entertainment and trips out, staff training and the achievement of the “Investors in People” award. From talking with residents, a relative and staff the inspector confirmed that the visiting arrangements are flexible with these being described in the resident’s information guide. Those residents spoken with said that they “were free to see their visitors wherever they wanted to”. They described taking visitors to their bedrooms for privacy or seeing them in one of the lounges. The residents and the staff said that visitors are made welcome and they said that visitors are offered refreshments. The residents said that they have choice about their daily routines thus they are able to spend their time as they wish. The issue of residents being able to make choices is described in the home’s Statement of Purpose and the Service User Guide. Discussion with the residents showed that they made choices about when to rise and retire, where they spent the day and spent their time and the clothing they wore and so forth. The staff described how they assisted residents with choices such as choosing clothing and bathing times etc. The residents are able to, and do bring personal items in to the home such as televisions, radios, photographs, pictures and ornaments. Some residents have telephones in their bedrooms. The staff were seen to treat residents in a dignified,respectful and curteous manner and to deal with them in a friendly and caring way. The home has a four weekly menu that offers a variety of good nourishing traditional food with the main meal served at lunchtime and a lighter meal at teatime with warm food being available at both mealtimes. In discussion with the cook it became clear that she knew the residents likes and dislikes and was well able to cater for individual food preferences. All residents spoken to commented favourably on the quality of the food served. The residents also said that drinks and snacks were available at most times of the day. The dining tables are provided with tablecloths, condiments and flowers and the dining area provides a comfortable and attractive setting. The inspector sampled the lunchtime meal with the food found to be to an excellent standard. The Bakewells DS0000009282.V312900.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. The home has a clear complaints system that ensures that concerns are properly dealt with and good protection of vulnerable adults guidance and staff training in this topic makes sure that residents are protected from harm. EVIDENCE: The home has a good complaints procedure that states how a complaint is to be made, who to and that an initial response will be provided within two days with a final outcome forwarded within 28 days. The facility of making concerns known directly to the CSCI is also included in this paperwork. The complaints procedure described above is included in the Service User Guide as well as being displayed in the entrance area of the home. Discussion with residents and information obtained from the survey questionnaires showed that these people would have no hesitation in making their concerns known to the staff or the manager, and they believed that their anxieties would be listened to and acted upon. The staff interviewed were clear that any complaints made by residents or relatives would be reported immediately to the manager or to senior staff on duty. No complaints have been made either to the home or to the CSCI since the last inspection in December 2005. There are written procedures and policies covering adult protection, whistle blowing, the none acceptance of gifts, borrowing money and legacies and the home has a full copy of the Bolton inter-agency safeguarding adult protection guidelines. The Bakewells DS0000009282.V312900.R01.S.doc Version 5.2 Page 16 All staff receives training on the protection of vulnerable adults during the induction period and NVQ Level 2 training in care has a unit on adult abuse with 12 staff having competed this instruction. Those staff spoken with demonstrated an awareness of the different sorts of abuse and they understood what they should do if they suspected that someone was being abused. The Bakewells DS0000009282.V312900.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 Bakewells is well maintained, comfortable and clean, providing service users with an environment that is inviting, homely and pleasant to live in. EVIDENCE: The Bakewells is well maintained both to the inside and to the outside. The home is bright and welcoming. Decoration, furnishing and lighting is to a high standard and is domestic in style. In the period since the last inspection some bedrooms have been redecorated and some have had new carpets fitted and others have been provided with new furniture. Some easy chairs have been recovered and a bathroom has been repainted. The two case-tracked resident’s bedrooms and a number of others were checked. All were found to be decorated, furnished and equipped to a high standard and these residents said that they were satisfied with the level of the accommodation provided. There is good accessibility around the building with ramps,assisted baths and other equpment provided. The Bakewells DS0000009282.V312900.R01.S.doc Version 5.2 Page 18 Aids and adaptation are provided in bedrooms, bathroom and toilets. The home has a properly equipped laundry and information regarding the control of infection is available. Residents clothing is marked to enable easy identification and the residents had no complaints about the laundry service provided by the home. The home was clean and tidy throughout and was free from any offensive odours therefore providing a pleasant place to live. The Bakewells DS0000009282.V312900.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 good. Staffing levels are satisfactory, good staff training is provided, and a proper recruitment method ensures that the residents are looked after by staff that are suitable to carry out care work. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking at staff rotas showed that as well as employing care staff, the home also employs domestic, laundry, catering and maintenance staff and an office manager. On the day of this inspection enough staff were on duty to meet residents care needs. Rotas showed that staff were regularly available in sufficient numbers to ensure that care was properly provided. The staff and the manager said that in their opinion there was enough staff to meet the needs and dependency levels of the residents living at the home. Although the staff were at times busy they had time to talk to the residents and they had a comfortable and friendly understanding with them. Staff morale was good with staff saying that “there is a good team spirit”, “we get on well together generally” and that they enjoyed working at the home. The residents said that the staff are “kind”, “they treat us with respect” and that “they talk to us properly”. The Bakewells DS0000009282.V312900.R01.S.doc Version 5.2 Page 20 The home was required to have 50 of the care staff with NVQ level 2 care qualifications or above by the end of 2005. Of the 21 care staff employed at the home 12 have got a National Vocational Qualification at Level 2 or above and five others are working towards achieving this qualification. 58 of the staff are therefore trained to the required level or above with the above target being met. The files of three recently employed staff were checked for the required safe recruitment information. All of these showed that the home’s recruitment systems were safe and sound. Appropriate job application forms had been completed, two written references obtained, identification had been confirmed and criminal convictions and health declarations were in place and in all instances full CRB checks had been obtained. Discussions with the staff also confirmed that they had been properly and safely recruited. Discussion with the staff, the manager and looking at records showed that there is a strong commitment to staff training within The Bakewells Care Home. Whilst talking with the inspector the staff gave examples of the training that they had been given, this included induction to the job training, NVQ assessment, the giving out of medicines, safe moving and handling, fire safety, food hygiene, infection control, health and safety and first aid. The provision of this instruction was confirmed when looking at staff training records. The Bakewells DS0000009282.V312900.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): 31,33,34 and 38. Quality in this outcome area is good. The manager provided good leadership; guidance and direction to staff to ensure residents received safe and consistent care and the residents are asked about their satisfaction with the service provided. Procedures and practices within the home promote and safeguard the health, safety and welfare of the people living and working in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager and joint proprietor of The Bakewells has over 20 years experience in the nursing and caring professions. She is a qualified nurse, has been approved by the CSCI and has achieved the Registered Manager’s Award. The home is well run and discussion showed that the manager knows the residents and the staff well. The Bakewells DS0000009282.V312900.R01.S.doc Version 5.2 Page 22 The residents spoke well of the manager with one person saying “I can talk to her if I’m worried about something and she puts it right”. Staff feedback was also positive. All 3 staff interviewed felt she gave them good support and was fair, reasonable and understanding in her dealings with them. A requirement of Standard 33 is that care homes must use quality assurance systems that are largely based on seeking the views of residents to measure their success in meeting the home’s aims and objectives. This information can then be used if necessary to bring about changes or improvements to the service. The home presently does this by the use of a survey document that asks a series of questions about the home’s services and facilities. The results of the last survey of resident and their families were shown in the home’s newsletter in December 2006. 13 survey forms were returned with most of them scoring positively for the questions that asked about how well the home is meeting the residents’ needs. Residents and staff meetings are also held regularly and the home manager undertakes internal quality audit of the home’s systems for items such as medications and accidents. A number of survey questionnaires were sent out by the CSCI to the residents, relatives and health workers (GP’s, district nurses etc) before the inspection. These questionnaires give these people the opportunity to comment upon various aspects of the services provided by a care home. At the time of writing this report 10 questionnaires had been returned; all of these were generally complimentary about the accommodation, the services and the care provided at The Bakewells. One person said, “I find staff attitudes to residents very good-caring and warm”. Another person said, “The Bakewells is a homely environment with warm caring staff”. The home holds money for a number of residents for safekeeping. This system was checked with the details found to be properly written down and with the correct amounts of money kept. This system records when money has been received and how it has been spent. The home is safely maintained with fire precautions tests done regularly and a random check of the accident book showed that the details of accidents are properly recorded. Examination of records and maintenance certificates showed that these were up to date and they confirmed that the home’s equipment, fixtures and fittings are regularly serviced. Looking at records and conversations with staff also showed that the necessary training had been provided so that they can work safely. The Bakewells DS0000009282.V312900.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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Bakewells DS0000009282.V312900.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Bakewells DS0000009282.V312900.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 The Bakewells DS0000009282.V312900.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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