Inspection on 03/05/05 for The Bakewells

This inspection was carried out on 3rd May 2005.

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

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

Other inspections for this house

The Bakewells 09/07/08

The Bakewells 15/06/07

The Bakewells 08/12/05

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 Keith Savery Announced 03 May 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Bakewells Address 102 Junction Road Deane Bolton Lancashire BL3 4NE 01204 655772 As above helen@morgancare.co.uk Mrs Helen Bailey Morgan Mr Andrew Philip Morgan Mrs Helen Bailey Morgan PC Care Home 25 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Category(ies) of OP Old Age - 25 registration, with number DE(E) Dementia - over 65 - 1 of places The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Within the maximum registered number (25), the home can provide care and accommodation to up to 24 Older People (OP) and one named service user who is over 65 years and has dementia (DE (E). 2 The condition of registration will automatically revert back to 25 OP should the named service user leave the home. 3 The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 02 November 2004 Brief Description of the Service: The Bakewells provides personal care for up to 25 older people both male and female over the age of 65 years. The home is located approximately 2 miles from the centre of Bolton, is accessible by public transport and is close to several amenities. Residents 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 nurse call 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 Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a planned announced inspection and the home was inspected against the National Minimum Standards for Older People over a period of one full day. Before the inspection took place letters were sent to the Chief Environmental Health Officer and The Chief Fire Officer (Bolton) in order to ascertain if “The Bakewells” currently meets requirements regarding safety in the home. Social Workers who currently have residents living at the home were also written to seek their views/opinions on the quality of the service offered at the home. Views on quality of service within the home were also sought from doctors who visit residents at the home and Bolton Social Services Placement Officer. Questionnaires were also sent out to seek the views of residents and relatives who visit the home. During the inspection, a tour of the building was undertaken to examine physical standards in the home. In order to obtain a broad opinion regarding the services and care offered, discussions took place with the following people: 6 residents were spoken to individually and all of the homes residents were seen, 3 care staff, Both owners, one of whom is also the registered manager. Six visiting relatives also gave their opinion of the home. A selection of resident’s care records were examined and various records and policies were looked at. What the service does well: The Bakewells has a very welcoming and friendly atmosphere that is evident on entering. Relationships between staff, residents, and their visitors are very good, confirmed in discussion and observation at this inspection. Residents are provided with stimulating and varied life at the home within their individual capabilities and expressed choices. They receive good meals, visitors are made welcome and there is lots of friendly but respectful banter between staff and residents. The staff group is well trained and able to meet the needs of residents, the homes manager is very keen to look at training opportunities for staff. The home has much strength but what stands out is the very positive leadership demonstrated. This values resident’s opinions in all aspects of the running of The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 6 the home in an effort to continually improve the service and facilities for residents and their families. The standard of care at the home is good and residents and visitors alike appear very happy and contented with the manner in which the home operates on a daily basis. 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 Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4, and 5. Standard 6 is not applicable as the home does not provide intermediate care. The Statement of Purpose and Service User Guide are excellent providing residents, prospective residents and their next of kin with information of the services the home provides so that an informed decision about coming to live at the home can be made. The admission procedure ensures that all people receive a proper assessment prior to moving into the home in order to ensure that their care needs have been fully identified/ assessed and that the home is capable of meeting those identified needs. EVIDENCE: The home has a detailed Statement of Purpose and service-user guide, copies of which were available in each resident’s bedroom. Discussion with 6 residents indicated that they were happy with their choice of home and the standard of care they are in receipt of and all found the documentation interesting and informative. The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 9 This was also confirmed in discussion with 6 visiting relatives of residents, all of whom stated that the homes staff where” very supportive” during the admission process and are always “approachable and responsive.” The admission procedure is sufficiently detailed to guide staff on the actions to be taken to ensure that new residents needs are properly assessed and planned for. The Social Services Department assesses most of the home’s residents prior to admission but examination of individual records also evidenced that self funding residents had undergone a full needs assessment by the home prior to their admission. It is standard practice that prospective residents and their relatives are given the opportunity to visit the home, prior to admission whenever possible, and the hom’s manager undertakes hospital/home visits as appropriate. Inspection of the contract of terms and conditions issued to residents by the home indicated that this document was appropriate and was signed by either the resident or their advocate indicating their agreement to the home’s terms and conditions. The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 and 11 The health and personal care needs of residents continue to be assessed and addressed appropriately. The health needs of residents are well met, with evidence of good multi disciplinary working taking place on a regular basis. The arrangement for the management of resident’s medicines was found to be safe. Staff were observed to interact and assist residents sensitively and appropriately during the inspection. EVIDENCE: Individual care plans were made available for inspection and examination of a number indicated that all aspects of resident’s health, personal and social care needs are planned for. Three individual care plans examined were found to be up to date and reviewed on a weekly basis by senior care staff and also on a monthly basis by the homes manager or sooner should a new need become apparent. Discussion with visiting relatives indicated that their relatives care plan had been discussed with them and care plans examined had been signed to this effect. There was clear evidence of access to community services such as the residents GP, Chiropody (3 monthly, or sooner if urgent treatment is needed) The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 11 Eye testing and District Nursing support, advice and ongoing treatment and access to aids and adaptations that maintain the quality of life for residents. Appropriate risk assessments, which seek to protect resident’s health and safety, were also recorded in respect of resident’s risk of pressure sores, mobility, and nutrition (including weight monitoring) and other relevant areas. This was confirmed in discussion with residents and visiting relatives, one of whom stated, “I trust the home to care for my mother.” The arrangements for resident’s medicines were secure and appropriately documented. These arrangements are operated by senior staff at the home all of who have undergone training in the management and administration of medicines. One resident’s medication review, prompted by the homes staff, brought about very positive changes for the individual concerned in terms of an improved quality of life as a result. Staff have a good awareness of how to protect resident’s dignity and privacy. They were seen to knock on resident’s bedroom doors and wait for a response before entering. They were also seen to deal with individual residents in a supportive manner, ie doing things with them and not for them when appropriate. A resident stated “nothing is to much trouble.” The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15. Residents are able to exercise as much personal freedom and choice as possible within a risk assessed framework and within the confines of the residents expressed interests, capabilities and choice. The routines of daily living are tailored to be as flexible as possible in a communal living setting. Dietary needs of residents are well catered for with a balanced and varied selection of food available that meets resident’s tastes and expressed choices. Dining areas within the home were clean, comfortable and attractively laid out and furnished providing a pleasant environment for residents at mealtimes. A programme of activities was prominently displayed in the home so that residents and visitors to the home can see what is available and can chose what to take part in and organise their day. This programme of activities is supplemented by a variety of entertainers coming to the home or trips out to maintain links with the community. EVIDENCE: Staff undertake activities with residents both individually and as a group. One care assistant currently holds the additional roll as activities organiser. A full programme of activities and entertainments is organised 3 weekly with full details posted in the homes hallway. A full programme of day trips and The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 13 activities are planned for the coming summer and autumn months which will include trips to Harry Ramsdens for lunch and afternoon entertainment, Rivington Barn Tea Dances, the Albert Docks in Liverpool, boat trips on the canal and an assortment of day trips to Morcombe, Windermere and Blackpool. Two residents recently spent a week in Southport, accompanied by care staff from the home, which was enjoyed very much by the residents concerned and photographs were shown to the inspector. Residents were looking forward to a repeat visit in September when it was hoped that more residents might like to partake. The providers encouraged service users to maintain contact with family and friends and one resident went out to play bingo at a local pub with her daughter during the inspection. Eight residents have their own independent telephone lines in their bedrooms in order to maintain contact with their family and friends. Residents also have the facility of a regularly produced newsletter at the home that informs them of what is happening at the home and what is planned for the future that is very informative. A number of residents stated that” they look forward to the next edition.” Menus were inspected, which rotate 4weekly and were found to be balanced and interesting with alternative menu choice for both lunch and tea. All residents spoken to comment favourably on the quality of the food served. The homes cook is very knowledgeable regarding resident’s likes and dislikes, which are displayed in the homes kitchen along with a list of resident’s birthdays. Detailed records are kept that indicate resident’s choice of meal is acknowledged and provided. Meals were served in a pleasant dining areas with tables attractively set out. Staff were observed to serve and assist residents appropriately and sensitively with their lunch on the day of inspection. Residents and visitors spoken to confirmed that visitors were free to call at any reasonable time and no visiting restrictions were imposed. The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17,and 18. Staff have a good working knowledge and understanding of Adult Protection issues, which protects residents from abuse. EVIDENCE: The home has a written complaints procedure that is included in the service user pack and displayed clearly within the home. Also a complaints file is maintained. No complaint has been received by CSCI or the home since the previous inspection Service users appeared very happy with the overall care and spoke very highly of the management and staff. These opinions were also expressed in responses received via questionnaires issued to relatives. Residents at this inspection made no complaints or described any areas of dissatisfaction with the level of service provision they are in receipt of. Policy and procedure is available for staff guidance when responding to allegations of abuse and the homes manager is aware of her responsibilities regarding POVA. Staff at the home have benefited from training sessions on Adult Abuse issues which has heightened their awareness of the different types of abuse, how to recognise and report such issues and how this fits together with the policies and procedure arrangements the home has in place, to protect residents from abuse. The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25 and 26. A comfortable and safe standard of accommodation is provided for the residents, staff and those visiting, providing an attractive and homely place to live and work. EVIDENCE: There is a homely and comfortable standard of décor and furnishings. Evidence of ongoing refurbishment and a programme of routine maintenance included redecoration of bedrooms and carpeting as necessary. All areas of the home designated for resident’s use was accessible to them. Grab rails, ramps, and a passenger lift are provided internally to maintain independence. There is sufficient space for service users with walking aids to move freely around the home. Hoists and assisted toilets and baths (3) are provided. Ample storage space is available for aids and equipment. A call system is provided in each room and was in working order on the day of the inspection. The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 16 The home continues to provide sufficient sitting, recreational and dining space in the form of 3 communal lounge areas and 2 separate dining rooms which following discussion with residents is confirmed. Residents stated that they are more than happy with the furnishings of communal rooms, and all felt they were suitable for the range of interests and activities, which they undertake. Toilets are accessible and clearly marked close to communal and private spaces. Residents stated that they have sufficient toilet, washing and bathing facilities to meet their needs. Radiators were fitted with guards throughout the home to prevent accidental scalding. Radiators could be individually controlled in resident’s bedrooms allowing residents control over their heated environment. Valid servicing documentation is in place that states that hot water is stored and distributed at the correct temperatures and that thermostatic mixer valves are centrally fitted to regulate the safety of hot water temperatures and regular checks are carried out as part of the homes water management program. Lighting in resident’s accommodation meets recognised standards enabling residents to read adequately and is domestic in character and emergency lighting is provided throughout the home should normal power supply’s fail. Laundry facilities within the home remain sited away from areas where food is stored, prepared cooked or eaten and do not intrude on residents. Resident’s laundry is individually marked and is washed and cared for appropriately. The home has sufficient equipment (2 washers and 2 dryers). One residents visitor commented that her relative was always dressed appropriately, in clean clothing” and that care staff always “put some thought in to ensuring her relatives clothes were co-ordinated” as she had always took pride in her appearance. The home was clean and tidy on the day of the inspection. Residents and visitors consulted expressed satisfaction with the environment and visitors commented on the consistently high standards of cleanliness throughout the home “at whatever time they visit”. These high standards are consistent with those found at previous inspections. The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30. Care staff and managers are enthusiastic and work positively with the homes residents to maintain and improve their quality of life. Staff were subject to an appropriate recruitment process that provides the necessary safeguards to protect residents living at the home. Staff receive a wide range of appropriate training – including NVQ training and are sufficiently skilled and in such numbers to meet the needs of the homes residents at this time EVIDENCE: Staff feel valued and supported by the management of the Home and they enjoy a good working relationship within the Home This is indicated by low staff turnover and sickness indicating a happy work environment. The homes continued commitment to training its entire staff indicates that the work force is valued and the role staff play in consistently providing a good standard of care to residents is recognised. In discussion with staff it is clearly evident that they enjoy working at the home. Training records indicate that staff members have the requisite skills and experience to fulfil their roles with 58 of the care team trained to a recognised standard of care provision (NVQ 2 AND 3) with a further 20 currently undergoing training. The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 18 Staffing levels exceed those recommended minimum levels made by the “Residential Forum”(394 care hrs) currently 632.5 care hours are provided, which is to be commended. Random inspection of the most recently employed staff members personnel file revealed that these contained an application form, 2 written references, a Criminal Records Bureau check (including a ‘POVA first’ check) and evidence of induction training. The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36,37, and 38. The manager is well supported by the senior staff and provides clear leadership to all staff demonstrating an awareness of their individual roles and responsibilities in a continuous effort to maintain high standards of care to residents. There is a clear development plan and vision for the home, which the homes manager effectively communicates to residents, staff and relatives. The systems for residents/relatives consultation are good with ample evidence that indicates that their opinions are sought and acted upon. EVIDENCE: The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 20 The registered manager brings the added skills/knowledge of a qualified nurse to the home that is invaluable in her discussion with visiting doctors and district nurses regarding resident’s health and welfare matters. She has completed the level 4 Registered Managers Award. The manager demonstrates continued committement to improving her knowledge, skills and competence. Staffs describe a continuing good team spirit and an open and trusting atmosphere. Residents and visiting relatives said they would feel comfortable to approach any carer or the manager with their views or issues and gave examples of how they had been given support previously. Feedback received in questionnaires issued prior to this inspection commented on the “excellent standards” set in the home and that the atmosphere of the home is one of “organised, friendly, helpful and caring.” Opinions are actively sought from residents through residents meetings, user satisfaction questionnaires and day-to-day communication. Examination of the results of the most recent questionnaire, as published in the homes news letter, complete with actions taken in response to suggestions/information obtained gave examples of the ways that residents/relatives have been involved and consulted. The proprietors monitor the business assets on a regular basis and a business plan is available for examination. An accountant audits financial records annually plus accounts are provided to the Local Authority to demonstrate financial viability. The home operates on a sound financial basis. Staff records were seen in respect of formal supervision and appraisal. The home continues with its formalised supervision system. The home administers a number of personal allowances of which an income/expenditure sheet with running total is maintained for each resident. Monies are kept separate and are securely stored. Secure facilities are provided for the safe keeping of resident’s monies and valuables. All accidents however minor, that occur in the home were appropriately recorded and written evidence in the homes accident log indicates that have been appropriately managed. The following safety/servicing certificates were examined and found to be up to date; Yearly gas safety certificate, 5 yearly electrical safety certificate, servicing of lifting equipment, servicing of fire safety equipment and the fire alarm system. The last fire inspection by GM Fire service was dated 29 March 2005 when a number of recommendations were made, all of which have been complied with. Individual records and Home records were kept securely and were up to date and in good order. The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 21 The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 4 3 3 3 3 3 3 3 The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 23 None Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement No Requirements were made at this inspection and all standards were met. Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations No Recommendations were made at this inspection. The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich Bolton, BL6 6HG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Bakewells F56 F06 S9282 The Bakewells V215158 030505 Stage 4.doc Version 1.30 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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