Inspection on 11/07/07 for The Chase Care Centre

This inspection was carried out on 11th July 2007.

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

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

Other inspections for this house

The Chase Care Centre 07/06/06

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE The Chase Care Centre Whippendell Road Watford Hertfordshire WD18 7LY Lead Inspector Alison Jessop Unannounced Inspection 11th July 2007 10:00 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 Chase Care Centre DS0000066163.V345680.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 and Care Homes for Adults 18 – 65*. 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 Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Chase Care Centre Address Whippendell Road Watford Hertfordshire WD18 7LY 01923 232307 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) manager.chase@lifestylecare.co.uk Life Style Care (2005) Plc Mrs Mary Hagon Care Home 110 Category(ies) of Dementia - over 65 years of age (41), Old age, registration, with number not falling within any other category (60), of places Physical disability (50) The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2006 Brief Description of the Service: The Chase Care Centre can provide accommodation to 110 service users. A 20bed living unit on the ground floor will be dedicated to younger adults who have a physical disability or head injury. A 10-bed living unit on the ground floor is for service users who are physically disabled under the age of 65 requiring nursing care, and can be accessed separately. The first floor will accommodate 40 older people who require nursing care who have dementia; the floor will be divided into two separate living units accommodating 19 and 21 service users. The second floor accommodates 40 older people who require nursing care. A 21-bed living unit for older people who have dementia and a 19-bed living unit for older people who have a physical frailty. Each unit has a separate communal lounge, kitchen/diners where there are facilities for service users and visitors to prepare refreshments. Each unit has assigned rooms specifically for activities, with the provision of a quiet room. There is also a snoozlem and gym. The home has plenty of storage space and the laundry and kitchen are sited away from service users’ bedrooms. Staff accommodation and a training room are situated on the second floor and is not accessible to service users. The home has a large enclosed garden; this enables service users to utilize the grounds safely. Closed circuit television is in situ and is discreetly positioned over the main entrances to the home. The home is located close to Watford town centre and is fully accessible by public transport services. The weekly charges range from £513 to £1500. A copy of the most recent inspection report and other information regarding the service can be obtained from the manager. The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over one day by one regulatory inspector. The inspector spent time on each unit talking to the residents, staff and visitors. Care plans and other documentation relating to the residents care and the management of the home were inspected. Surveys were sent out to a number of relatives. Feedback was also gained from a visiting mental health nurse. The manager and her deputy were available throughout the inspection to answer any questions. Although the home can accommodate 110 residents, there are currently only 79 in occupation. What the service does well: The home provides good nursing and social care to residents who are very vulnerable. Each unit has people with differing needs however the home is well managed overall and has a homely, comfortable atmosphere. Residents looked happy and well cared for. One resident said ‘it’s a wonderful place the carers are really nice.’ Another said I am very well looked after here, I have no recommendations on how they can improve.’ One relative spoken to said ‘I feel privileged that my husband can live here, it’s an excellent home and the manager is really good.’ A Community Mental Health Nurse was visiting on the day of inspection, stated ‘I think the residents are well cared for, the manager and staff communicate well and the team are very flexible, especially when it comes to visiting times.’ Some of the service users living on the younger adults unit said that they are able to live an independent lifestyle. One resident said ‘I can go out to the shops in my wheelchair without any support, I think it’s great.’ There are three activity co-ordinators who ensure that appropriate stimulation is available. A varied menu is available and feedback about the food was good. Staff are well trained and regular team meetings and one to one supervision is carried out. The home is clean and tidy throughout and good infection control procedures were observed. The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 6 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 Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6 Older People 6 Younger Adults Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Admissions to the home only take place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of the prospective resident. Significant time and effort is spent making admission to the home personal and well managed. Prospective residents and their families are treated as individuals and with dignity and respect for the life changing decisions they need to make. The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 9 EVIDENCE: The manager and/or her deputy carries out a comprehensive assessment of needs prior to a service user being accepted into the home, ensuring that their needs can be met. One relative stated ‘the manager visited my husband when he was in hospital to carry out an assessment, she gave me so much hope that there was somewhere that could manage his needs. I know we made the right choice’. The home does not currently provide intermediate care. The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7. 8, 9 & 10 Older People 6, 9, 16, 18, 19 & 20 Younger Adults Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have right of access to health and remedial services and the home’s policies, procedures and practice guidance strongly support this. Residents’ personal aids and equipment are well maintained. Personal healthcare needs including specialist health, nursing and dietary requirements are clearly recorded in each resident’s plan; they give a The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 11 comprehensive overview of their health needs and act as an indicator of change in health requirements. EVIDENCE: Two care plans on each unit were inspected. They contained comprehensive information about individual care needs. The plans are reviewed regularly and it was evident that they are used as a working tool. Each month the resident’s dependency score is reviewed and regular health care monitoring ensures that any concerns can be reported to the relevant health care practitioner. Senior nurses, the manager or other company representatives carry out regular audits of care plans. There is a lot of evidence to demonstrate that residents are involved in carrying out their own personal care with assistance from staff. Independence and self-confidence is promoted. Several people have been admitted to the home from hospital with pressure sores however the nursing staff has successfully treated these. Pressure prevention equipment is readily available if required and pressure sore prevention is good. One resident who has dementia likes to spend time in their bedroom with the door open, however they become upset if anyone else enters their room. A solution in which the manager states was agreed with their relative has been implemented which the service user is happy with however no care plan or risk assessment was available for inspection. Medication procedures are generally satisfactory. The home makes bulk orders for PRN medication and although when medicines are administered this is recorded on each residents medication administration record, it is very difficult to audit stock amounts as no central record is maintained. Residents spoken to say that they are treated with dignity and respect. One resident said ‘the girls are lovely, they are very kind to me and are very understanding.’ Some of the service users living on the younger adults unit said that they are able to live an independent lifestyle. One resident said ‘I can go out to the shops in my wheelchair without any support, I think it’s great.’ The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Older People 12, 13, 15 & 17 Younger Adults Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service have the opportunity to develop and maintain important personal and family relationships. Sufficient staff resources are provided to allow time for activities and stimulation. The home has developed a system for displaying information and bringing attention to community events and activities. The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 13 EVIDENCE: On the day of the inspection a lot of social activities were taking place. On the dementia are unit there was a reminiscence group, residents were given books and cards with pictures that reminded them of the past. One particular resident was enjoying talking about their days in the army and described photos from a book. A residents was observed getting comfort from a teddy bear that they carried around in their handbag. A birthday celebration was held where residents were observed enjoying some cake and a glass of cherry. The activity co-ordinators said that residents seem enjoy the activities that are provided. One resident said ‘I always said I would never play bingo, however quite enjoy it now.’ Other activities include arts and crafts, church services and music. Activities are displayed on the wall in the hallway and old photos offer some comfort to residents who have dementia. In one of the units there is a board of DIY tools such as paintbrushes, screwdrivers and other tools. These are firmly fixed to the wall and residents are able to touch them offering familiarity. On the younger adults unit there is an activity co-ordinator who was observed doing manicures for the ladies. A BBQ had been held the day before the inspection and some of the residents from the unit said that they had assisted with arrangements. Residents said that they enjoyed this very much. One resident said ‘I sang on the Karaoke and was dancing, it was great.’ There is a computer on the ground floor for residents to be able to use the Internet. The home has flexible arrangements for visiting. One of the residents living on the younger adults unit was enjoying their mother’s company throughout the day. The manager stated that they try to accommodate visitors as much as possible as this gives comfort to the residents. Menus are displayed on each unit each day and choices are offered. Feedback about the food was good. A dietary assessment is carried out on admission to the home and a copy is given to the chef. A rehabilitation kitchen is currently being fitted on one of the units, this will be used to promote independent living skills to younger adults. The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 older people 22 & 23 Younger Adults Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has an open culture where individuals feel safe and supported to share any concerns in relation to their protection and safety. Policies and procedures regarding Safeguarding Adults are available to staff and give them clear guidance about what action should be taken. EVIDENCE: The home has received two formal complaints in the last 12 months, both of which were resolved within 28days. Resident/relatives meetings are held every three months and the minutes are displayed in the lobby. The manager also holds a monthly evening surgery where concerns and ideas can be raised. All residents and relatives spoken to were aware of how to make a complaint. One incident occurred where a resident was aggressive towards a member of staff and a small skin tear occurred whilst the member of staff used a break away technique. The manager dealt with this in accordance with the safeguarding procedure and ensured that the safety of the residents remained The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 15 paramount. The outcome of the investigation was that this occurred accidentally however the staff member concerned was sent for further training and supervision. The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Older People 24 & 30 Younger Adults Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management and staff encourage residents to see the home as their own home. It provides a very well maintained, safe, comfortable, attractive home, which has all the specialist equipment and adaptations needed to meet individual resident’s needs. As well as a good selection of general aids such as hoists and variable height beds, the manager also ensures that equipment is individualised for each service user and all staff members are trained in the safe use of aids and equipment. The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 17 EVIDENCE: The home is purpose built and each unit has been personalised to meet the resident’s needs. The younger adults units have pictures, which reflect films and music and the older people units have old photos for reminiscence. Each bedroom is personalised and looks homely and comfortable. All areas are attractively decorated and the home was very clean and tidy throughout. The shared areas provide a choice of communal space with opportunities to meet relatives and friends in private or in their own rooms. The manager stated that the company are willing to purchase new equipment as and when required. The gym on the first floor is filled with specialist equipment for use by the visiting physiotherapist. A new rehabilitation kitchen is being fitted on the second floor, which can be used to support residents to do cooking and small items of laundry as part of a rehabilitation programme. The garden is safe, accessible area for all service users and raised flower beds have been added which can offer gardening opportunities to service users. Good infection control procedures were observed throughout the inspection. The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Older People 32, 34 & 35 Younger Adults Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service has a highly developed recruitment procedure that has the needs of residents at its core. The recruitment of good quality carers is seen as integral to the delivery of an excellent service. The service is highly selective, with the recruitment of the right person for the job being more important than the filling of a vacancy. EVIDENCE: The managers ensure that there are adequate staffing levels with the appropriate grades of staff at all times to meet the needs of the residents. Applicants are put through a rigorous recruitment process and the manager stated that interviews are carried out within an equal opportunities framework. The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 19 All staff complete an induction programme, which meets requirements, and competence is assessed prior to certification. statutory A training matrix and individual training records are kept on staff files. All staff have received mandatory training. Four staff have recently completed training in dementia care ‘Yesterday, today, tomorrow’, which is run by the Alzheimer’s Society. All four staff got 100 . Records pertaining to recruitment are satisfactory and are very well organised. A first aid risk assessment has been carried out on all units of the home to ensure that adequate levels of staffing are on duty to deal with any first aid emergencies. The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Older People 37, 39 & 42 Younger Adults Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 21 The registered manager has the required qualification and experience, is highly competent to run the home and meet its stated aims and objectives. They work to continuously improve services and provide an increased quality of life for residents. There is a strong ethos of being open and transparent in all areas of running of the home. The manager is resident, focused and leads and supports a strong staff team who have been recruited and trained to a high standard. The manager is aware of current developments both nationally and by CSCI and plans the service accordingly. EVIDENCE: Both the manager and her deputy have good relationships with the staff and spend a lot of time on the units. They are aware of the residents needs and spend time ensuring that they get to talk to the residents regularly. Residents appeared to be relaxed in the mangers company and good feedback was offered about both managers. Apart from regular resident and relative meetings, evening surgeries and regular staff meetings the company carries out audits where the results are displayed on the lobby wall. For those service users who do not wish to or are unable to manage their own finances, the home holds an account and items required are paid for using petty cash. This is later deducted from the individual service users account. Service users and/or their representatives receive a statement once a month, which lists income and expenditure. Staff sign when petty cash taken and receipts are maintained along with staff signatures. Procedures relating to health & safety in the home are satisfactorily maintained. The manager holds 3 monthly health and safety meetings and the action plan sent to head office. The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 X 3 4 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 ENVIRONMENT Standard No Score 19 4 20 X 21 X 22 X 23 X 24 X 25 X 26 4 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No Score 31 4 32 X 33 3 34 X 35 3 36 X 37 X 38 3 The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15(1) Requirement A care plan and risk assessment must be drawn up for the use of the curtain rope across the service users bedroom door. This must be agreed with the service users representative. Timescale for action 18/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations It is recommended that alternative methods for monitoring bulk stock amounts of medication be implemented. The Chase Care Centre DS0000066163.V345680.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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. - 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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