Inspection on 02/05/07 for The Hayes

This inspection was carried out on 2nd May 2007.

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 Hayes 15/12/05

The Hayes 02/08/05

The Hayes 02/03/05

The Hayes 13/07/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Hayes (The) Culverhayes Sherborne Dorset DT9 3ED Lead Inspector Alison Stone Unannounced Inspection 2nd May 2007 10:00 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 Hayes (The) DS0000032233.V337749.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. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hayes (The) Address Culverhayes Sherborne Dorset DT9 3ED 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) 01935 814043 www.dorsetforyou.com Dorset County Council Ann Pamela Aylott Care Home 50 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (30) of places Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Staffing levels must be those determined in accordance with guidance recommended by the Department of Health. One service user (as known to the CSCI) may be accommodated under the category of learning disability (LD). 15th December 2005 Date of last inspection Brief Description of the Service: The Hayes is a purpose built home, registered to provide care and accommodation for a maximum of 50 people, age 65 and over. The registered provider is Dorset County Council; Mrs Ann Aylott is the registered manager responsible for the day-to-day running of the home. The Hayes is in the centre of Sherborne, close to town centre shops and facilities. The category of registration includes up to 20 places for people with dementia and up to 30 places for old age. There is 1 room used for respite care. The home is arranged in 5 interconnected ‘cottages each accommodating 10 residents; each cottage has a lounge, dining area and kitchenette. There are no specifically designated cottages for residents with dementia; all residents are integrated throughout the home. All resident areas are on the ground floor. All bedrooms are single and have a wash hand basin. There is a spacious communal lounge incorporating a designated smoking area. The home is continually staffed over a 24 hour period, including wakeful night staff. A social and recreational programme is co-ordinated by an Activity Officer. The home has 3 pet cats and is set in its own grounds with court yard gardens for the use of residents and a car parking area at the front. Fees range from £425 per week for a single room. This information was given on the 02 May 2007. Readers of this report may find it helpful if they have any queries about fees to contact the Office of Fair Trading www.oft.gov.uk. The manager said that up to date inspection reports are available in the reception of the home and copies can be provided on request. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of this care home by the Commission for Social Care inspection this year, the inspection year runs from 1 April 2007 to 31 March 2008. This was a key inspection. The key standards are identified in the main body of report in each outcome area. In order to obtain a fuller picture of the home the reader should refer to the earlier inspection report dated 15 December 2005 The inspector arrived at 10.30am and left at 5.00pm the visit lasting five and a half hours. The inspector spoke with the manager, undertook a tour of the premises, observed practice and looked at medication supplies. She inspected records relating to service users’ care, staffing and other documentation relating to the running of the home. Preparation work included, reading the previous report, analysis of notifiable incidents reported to the Commission for Social Care Inspection, the analysis of the Pre Inspection Questionnaire completed by the manager and returned comment cards from relatives, GP’s and Health and Social Care providers and returned service users’ questionnaires. The Commission received 37 postal questionnaires from service users, nine comment cards from relatives/friends, five comment cards from health and social care professionals and three comment cards from General Practioners. Of the 38 National Minimum Standards, all 22 Key Standards and six of the remaining 16 Standards were assessed. The manager was present for the whole of the inspection. The manager provided the inspector with all the relevant information relating to the inspection and any necessary background information. Feedback was given to the manager at the end of the inspection. The inspector would like to thank everybody who contributed towards the inspection process. What the service does well: People can be confident that the home will meet their needs. The home ensures people’s support needs, are detailed in care plans that reflect people’s preferences and personal wishes. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 6 People are offered a range of individual and group activities that meets their cultural needs and individual interests. Service user’s meals are of a good quality, well balanced and nicely presented. The menus at the home offer people choices about what they would like to eat. Service users and their relatives contacted as part of the inspection were all positive about the care offered at the Hayes. People can be confident that their complaints will be listened to and acted upon. Service users and relatives say that the Hayes is a nice place to live, where people can be expected to be well looked after. Service users bedrooms are decorated to a good standard. Service users benefit from living in a large, spacious clean home. The organisation positively supports issues around equality and diversity. The organisation looks at accessibility issues inside and outside the home, adopting correct recruitment procedures and practices. They have a policy on equality and diversity and staff are supported to understand these issues through the induction programme. The organisation provides diversity training for staff and service users are recognised as individuals within the home. People can be confident that there are enough staff on duty to meet the needs of the people who live there. The home benefits from having a consistent, skilled and experienced manager who runs the home in the best interests of the people who live there. What has improved since the last inspection? What they could do better: The quality assurance process needs further development to ensure it includes the involvement of all stakeholders. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 7 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. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 8 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 Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 9 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): 2&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that the home can meet their care needs, because the home ensures service users have a comprehensive social work assessment in place prior to people moving in. Service users and their families/representatives are actively encouraged to visit the home and spend time assessing the quality and suitability of the home’s facilities, before making a decision about whether they would want to live there. The home does not provide any intermediate care. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 10 EVIDENCE: Six service users’ records were reviewed as part of the inspection, these indicated that in all cases where a service user was funded by social services a thorough assessment of their needs was undertaken prior to a referral being made to the home. When a service user is referred to the home, the manager or one of the senior staff will visit the prospective service user to carry out their own assessment of need. The review of assessments indicated that these were comprehensive documents. The assessment process was noted to include service users and/or their family and representatives. Service users spoken to as part of the inspection said that they had been offered visits to the home before making a choice about moving in. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that their health, personal and social care needs are planned for in their care plans, ensuring their needs are met. Service users’ best interests are well protected by staff practices and the homes policies and procedures in relation to medication. Service users can be confident that they will be treated with respect and the staff will uphold their right to privacy. EVIDENCE: As part of the inspection six service users’ records were looked at, these were found to be detailed. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 12 Care plans described the care to be provided detailing people’s preferences and the objectives staff were supporting service users to achieve. Work had been undertaken through the assessment process to identify a service user’s interests and hobbies, their life history and their friends and family relationships. Service users files demonstrated service users saw their GPs regularly and were supported to see the optician, chiropodist, and the dentist as required. The review of service user’s files indicated that detailed records of service users health were kept. Service users files demonstrated that people were weighed regularly and the staff had undertaken individual nutritional assessments, which were noted to be linked to their plans of care. Records of regular reviews were also seen on service users’ files. The home’s medication management was reviewed as part of the inspection. The home is well supported by the PCT pharmacist who has been advising the home on good medication practices for a number of years. It was noted that procedures and staff practices were robust and protected service users best interests. There were PRN protocols in place for “as required medicines” and the home undertook regular audits of all medication. Service users were observed to be well dressed and were smartly presented. People were noted to be wearing jewellery and dressed in clothes that reflected their individuality. Service users were also noted to be encouraged by staff to use their various mobility aids and were wearing their glasses and hearing aids. Service users and families contacted as part of the inspection process spoke positively of the care and support they receive at the home. Service users said that they felt they were offered choices and staff respected their wishes. One service user said “I love living here and I am very happy, I would happily recommend the home to my friends”. All the relatives spoken to and those involved in the inspection process made lots of positive comments about standards of personal care their family members receive. Several service users spoken to had visited the home on respite care stays prior to living there and said that they had all received excellent care and support and staff were kind and considerate to all their needs. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 13 The inspector spent several hours observing staff interacting with service users. Staff were noted to offer discreet support to service users and staff encouraged people’s self help skills. Staff were noted to have warm, positive relationships with the people and service users seemed to genuinely enjoy the company of the staff. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to access a lifestyle in the home that meets their interests and preferences. The home encourages people’s social, religious and recreational interests, which promotes and encourages people’s individuality. Service users are supported to maintain contact with family and friends and be part of the local community, encouraging service users to feel socially included preventing feelings of isolation. Service users are supported to have choice and control over their lives, promoting people’s sense of independence. Service users receive a choice of appealing, nutritional meals in pleasant surroundings. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 15 EVIDENCE: The home has an activities coordinator who is responsible for organising planned weekly activities as well as one off events like the wild bird show that was visiting the home next month. One off activities also included day trips and seasonal events around festivals like Christmas, Easter and the harvest festival. The home supports people with several different faiths and these are catered for by the home; staff ensure people have access to religious activities. The home has visits from the local churches and offers monthly Holy Communion. Some of the service users spoken to said that they are supported to regularly visit their local church by family friends and volunteers. During the inspection it was noted that service users were engaged in individual activities around the home, some were noted to be chatting with friends, reading the papers and/or watching television. During the inspection friends and relatives of service users visited the home to see their friends and family. One relative spoken to as part of the inspection spoke positively of the service at the home and said that staff always offered them snacks and drinks and made them feel very welcome when they visited. They also said that the staff were very good at ensuring they are kept informed of any issues with their mother. Service users are encouraged to have as much control over their lives as they can, the home offers regular service meetings and encourages people’s involvement in their care plans and reviews. All service users contacted as part of the inspection made positive remarks about the meals offered at the Hayes. The inspection of four weeks menu sheets demonstrated service users were offered a well balanced diet with plenty of choice. One mealtime was observed as part of the inspection, this was noted to be a pleasant, unhurried social occasion. Service users were discreetly supported with their meals and staff were seen to be encouraging people to make choices about what they wanted to eat. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their relatives can be confident that their complaints will be listened to and taken seriously. The home has a complaints process in place supporting the management of complaints. Service users are protected from abuse and neglect through a process of staff training and the homes’ own polices and procedures. EVIDENCE: The review of the pre-inspection questionnaire indicated that there have not been any complaints made since the last inspection. The home has a complaints procedure in place. This was made available to all service users in the Service User Guide. It was noted that the home proactively manages concerns and to this end has a grumbles book, which encourages people to bring to the attention of staff any minor issues so that they can be quickly resolved before issues become complaints. There have not been any complaints made to the Commission for Social Care Inspection in relation to the service the home provides. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 17 Service users spoken to during the inspection said that they would feel confident to make a complaint to the manager. They said they felt she was supportive and interested in their suggestions, concerns and/or complaints. The review of service users care plans and associated risk assessments, noted information informing staff of the action they should take to minimise risks to service users was brief. Five staff records were reviewed as part of the inspection. These indicated staff had undertaken training in the area of Protection of Vulnerable adults. The manager was able to demonstrate that she had the appropriate policies and procedures in relation to Adult Protection on the premises. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 18 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, 20, 23, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortably nicely furnished and decorated home. Service users bedrooms are pleasantly decorated and furnished reflecting their personal tastes and belongings and the rooms meet their needs. Service users benefit from living in a clean, tidy and hygienic environment. EVIDENCE: A tour of the premises was undertaken as part of the inspection, this included looking at the communal areas, like the lounges, toilets and bathrooms. The launderette and medication room were also looked at as well as all the units Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 19 individual lounge and dining room areas. Three service user’s bedrooms were also looked at. The home is decorated to a high standard and the furniture purchased by the home was of a good quality. Each of the five cottages/units had been individually decorated and reflected different styles of décor to personalise people’s living areas. The home benefits from having a large amount of communal space for people to enjoy group and individual activities in. It was noted on the day of the inspection people were making use of the home’s spacious environment. Service users were noted to be relaxing in the pleasant weather, watching television, reading the paper and enjoying each others company chatting. The home benefits from individual garden areas linked to each of the units. These were noted to be generally well maintained and provided a pleasant communal garden space that was accessible for people with mobility problems. The manager said that they had applied for a grant to improve the garden areas, which included improving access and buying new furniture. Bedrooms were noted to be pleasant and were generally slightly larger than the National Minimum Standard required. Bedrooms were nicely decorated and service users were encouraged to bring their own furniture and fittings if they wished. It was noted that service users bedrooms were all personalised reflecting people’s individuality. All the bedrooms provide service users with lockable facilities. On the day of the inspection the home was noted to be clean and tidy and free from any offensive odours. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are generally supported by skilled and trained staff, who are encouraged by the organisation to undertake regular training. However training in specialist areas would further support staff to be able to meet service users needs. Service users can be confident; there are regularly enough staff on duty to meet their needs. Service users can be confident that the home’s recruitment practices are generally robust, ensuring staff are suitable to work with vulnerable adults. EVIDENCE: Five staff files were reviewed as part of the inspection process. The staffing requirements appear to meet the needs of service users. Of the 37 service users questionnaires returned and the 9 relative comment cards no one commented that they felt that there were not enough staff on duty at any time. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 21 The manager said the home currently has only one vacancy and this is covered by regular staff working extra hours or by a consistent relief staff. The manager said there is currently no need to use agency staff. The pre-inspection questionnaire states that 21 staff currently have their NVQ 2 qualification or above, a further six are in the process of taking this. 67 of the staff team already hold then NVQ 2 or above. This meets with the Government requirement that 50 of the work force will hold an NVQ qualification or equivalent by the year 2005. Staff are supported with training both in mandatory and statutory areas. Staff records indicated that they were supported to undertake training in areas like fire, infection control, protection of vulnerable adults, manual handling, first aid, health and safety, food hygiene. The staff induction is in line with the ‘Skills for Care’. Whilst staff were regularly nominated by the manager for specialist training, because of the demand across social services for specialist training, staff sometimes do not get places on these courses. One staff member’s file demonstrated that they had requested sensory loss training last year however this had yet to be facilitated. All the staff files reviewed as part of the inspection noted that the home employs robust recruitment practises in relation to appointing staff and all the necessary checks had taken place. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users benefit from having an experienced manager who is committed to improving their quality of life and runs the home efficiently in the best interests of the people who live there. The management style enables service users and their family and/or friends to feel confident about raising issues. Service users can be confident that staff are regularly supervised in relation to the work they carry out in the home. The home has the necessary arrangements in place to safeguard service users financial interests Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 23 EVIDENCE: The home benefits from having a consistent management lead, the manager has been in post over eight years and has completed her NVQ 4 in management and is a qualified social worker. There are clear lines of responsibility with regard to the management of the home. Representatives of Dorset Social Services management team in compliance with regulations make regular monitoring visits to the home and copies of reports made are sent to the Commission. The home operates a quality assurance process. It was advised that this process be further developed to included surveying all stakeholders involved in the home as to their opinions of the quality of care provided by the home. The manager was able to demonstrate that regular staff meetings took place, these include separate unit/cottage meetings, night staff meetings and senior staff meeting as well as monthly full staff meetings. The home has polices and procedures that relate to the management of service users’ finances. Records are kept of all transactions and receipts are retained. Small amounts of cash and/or valuables can be kept in a secure place for service users, in the safe in the homes main office and or individual bedrooms. The inspection of fire records showed that staff regularly tests the fire equipment and regular fire drills take place. Staff have received fire training and the manager is aware of the new fire regulations and has put into place the appropriate risk assessments in line with the new rules around fire prevention. The home is also waiting to have sprinkler system fitted. Risk assessments are in place for staff, the premises and food safety. The manager said these are regularly reviewed, at least annually. The home has regular visits from the environmental health officer. It was noted that although the manager completes regular visual checks on electrical appliances in the home. There was five-year hard wiring check in place and an up to date gas landlord certificate in place. Water temperatures are checked each time service users have a bath to ensure that the water is at the appropriate temperature. Records relating to the testing of water indicated that all the appropriate checks and risk assessments had been undertaken. Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 3 X 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 3 X 3 X 3 X X 3 Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 25 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. 1 Refer to Standard OP33 Good Practice Recommendations It is recommended that other stakeholders such as health professionals are consulted in the QA system at the home Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Hayes (The) DS0000032233.V337749.R01.S.doc Version 5.2 Page 27 - 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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