Inspection on 12/07/07 for The Langston

This inspection was carried out on 12th July 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 Langston 22/07/09

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The Langston Station Road Kingham Oxfordshire OX7 6UP Lead Inspector Robert Dawes Unannounced Inspection 12th July 2007 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 The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Langston Address Station Road Kingham Oxfordshire OX7 6UP 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) 0208 9540239 J Sai Country Home Limited Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. On admission service users should be aged 60 years or over. A maximum of 22 service users with nursing needs. Date of last inspection Brief Description of the Service: The Langston is a privately owned care home providing nursing and personal care for 36 older people. It is located in the Oxfordshire countryside, near Kingham village railway station, and the market town of Chipping Norton. The home is a Grade 2 listed building of Cotswold stone dating from the 1870s, is set in spacious grounds and enjoys extensive views over open countryside. The house is a large four-storey building and the accommodation is arranged over two floors, with a passenger lift and stairs leading from the hallway. The home has been extended to provide the nursing wing. There are 28 single rooms, 16 of which have en-suite facilities, and four shared rooms, with two having en-suite facilities. There is adequate car parking to the side and front of the house. A Registered Nurse is in attendance at all times. Fees range from £515-£595 for residential and £655-£730 for nursing. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced site visit, which took place during the day on the 12th July 2007. The Annual Quality Assurance Assessment, one care manager’s survey, two residents’ surveys; one health professional’s survey and three relatives’ surveys were returned to the inspector before the site visit. These, together with the site visit, were the main sources of information for the key inspection. During the site visit the inspector interviewed the manager and three members of staff; talked with relatives and friends of the residents; discussed the quality of care with four residents; toured the premises; looked at records; case tracked; and observed the interaction between residents and staff. Twenty-one standards were assessed during the site visit of which one was exceeded, seventeen were met and three were nearly met. No requirements or recommendations were made. What the service does well: What has improved since the last inspection? Since the home was registered in the new owner’s name in January 2007 and the new manager was appointed in April 2007: an extensive redecoration and refurbishment programme has taken place; staff have undertaken essential training to protect residents’ health and safety; and the manager has developed a training plan for staff to ensure they have the necessary skills and knowledge to respond appropriately to the residents’ needs. Staff said ‘morale has improved, it is a happier and friendlier place to work in and days off for sickness have decreased’. A relative said ‘the whole atmosphere has improved’. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 6 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 Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. People who use the service experience good quality outcomes in this area. No resident moves into the home without having had his/her needs assessed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of three new clients showed that the health and social care needs of prospective clients are assessed prior to their admission. Appropriate admission procedures are in place. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. Residents have individual care plans which the manager is reviewing to ensure they contain sufficient detail about their background, likes and dislikes, diversity and cultural needs; their physical and emotional health needs are well met; and they are protected by the home’s medication procedures. Not all the residents are treated with respect and dignity by all the staff at all times. The manager is aware of this poor care practice and is addressing the problem. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the residents have care plans which are reviewed regularly. The manager recognises they contain basic information and need to include more detail about topics such as a resident’s background, likes and dislikes, and cultural and ethnic needs in order to understand their behaviour and provide the care and stimulation more suited to their needs. The files are due to be transferred into a different system which will ensure relevant information is included and it will be in a more user friendly format. The key worker system is also being reviewed to make the system more efficient and that residents’ needs are met at all times. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 10 In response to the question in the care manager’s survey ‘do the care service’s assessment arrangements ensure that accurate information is gathered and that the right service is planned and given to individuals?’ the care manager replied ‘always’. All the files contained appropriate health records of appointments and charts to monitor weight, falls, nutrition and pressure sores. The manager is going to introduce personal care task charts to monitor personal care tasks such as baths, cleaning teeth and washing hair. They showed the residents’ physical health and personal care are being well monitored, responded to appropriately and any problems are being promptly addressed. Residents looked clean and presentable. A GP visits the home every week and residents see other health professionals when required, i.e. a speech therapist has recently provided advice to staff about residents with swallowing problems. In response to the question in the care manager’s survey ‘are individuals’ health care needs properly monitored and attended to by the care service’ the care manager replied ‘always’. In response to the questions in the health professional’s survey ‘does the care service seek advice and act upon it to manage and improve individuals’ health care needs?’ the health professional replied ‘always’ and ‘are the individuals’ health care needs met by the care service?’ the reply was ‘usually’. In response to the question in the residents’ survey ‘do you receive the medical support you need?’ one replied ‘always’ and one replied ‘usually’. Care assistants report any health problems to nurses who staff said respond promptly and professionally A resident said ‘the nursing staff look after health needs very well, overall a good average’. A relative said ‘she had concerns before the new owner and manager took over, since then there has been a change for the better, response to health concerns better, her relative looks clean and presentable, and her ulcerated leg has cleared up’. A resident said ‘she had no complaints about her care’. None of the residents self-administer their medication. Two members of staff administer controlled drugs. The medication administration records were in order. There are sufficient trained staff to cover all shifts. Appropriate medication policies and procedures are in place. A pharmacist visited the home in February 2007 to inspect the storage, administration, recording and disposal of the medication. No recommendations were made. In response to the question in the care manager’s survey and the health professional’s survey ‘does the care service support individuals to administer their own medication or manage it correctly where this is not possible?’ one replied ‘always’ and one replied ‘usually’. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 11 In response to the care manager’s survey ‘does the care service provided respect individuals’ privacy and dignity?’ the care manager replied ‘always’. In response to the question in the health professional’s survey ‘does the care service respect individuals’ privacy and dignity?’ the health professional replied ‘usually’. A relative commented ‘I have never seen any instances during my many visits over the years of residents being treated anything but courteously and considerately’. In response to the questions in the residents’ survey ‘do you receive the care and support you need?’ one replied ‘always’ and one replied ‘usually’; do the staff listen and act on what you say?’ both replied ‘yes’; and ‘are the staff available when you need them?’ one replied ‘usually’ and one replied ‘always’. Residents’ comments were; ‘some carers are good some not so good, some rush you, sometimes don’t do things I would want, have had to make bed again, I can vote and I open my own post’; ‘I like the staff’; and ‘most staff are ok, some come in and say little, staff always knock door before coming in, open my own post, and have own phone’. A member of staff was observed to say to a gentleman she was assisting to walk along a corridor ‘good boy’. This is a disrespectful way to speak to a resident. A complaint made by a resident in May about some staff moving her roughly and not listening to her. The manager responded by training all staff in appropriate moving and handling and reinforcing the importance of residents making decisions for themselves and being treated with respect and dignity. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. The manager is improving residents’ routines of daily living and the range of activities made available to them to suit their expectations, diverse needs and preferences; friends and relatives can visit at any reasonable time; they are helped to exercise choice and control over their lives; and are offered a healthy diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In response to the question in the care manager’s survey ‘does the care service provided support individuals to live the life they choose wherever possible?’ the care manager replied ‘usually’. In response to the questions in the relatives’ survey ‘does the care service meet the different needs of the people?’ the relatives replied ‘always’. In response to the question in the residents’ survey ‘are there activities arranged by the home that you can take part in?’ one resident replied ‘always’ and one replied ‘sometimes’. A relative said ‘her relative is much calmer now as she is taken downstairs, she knits and likes to be read to but it is time consuming and lack of staff time prevents it taking place as much as her relative would like’. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 13 A resident said ‘he goes out for a walk himself, has a key to the front door and his bedroom door, goes to activities in the afternoon and watches sport on the television. The manager has appointed a carer to become the activities coordinator to increase the range of activities offered to residents particularly those suffering from dementia. The carer will receive training and provide activities every week day afternoon. At present, activities and entertainment such as a visiting singer, interactive reminiscence sessions, fashion shows, exercise classes, organ recitals, quizzes and a speech therapist who visits every week to read and converse with residents are provided. Several residents go out to a luncheon club in the community. The residents who are more dependent and can’t join in have hand and foot massages and chats with staff. A Church of England service takes place every month. The manager reinforces with staff the need to encourage residents to make decisions for themselves whenever possible. In response to the question in the relatives’ survey ‘does the care home help your relative keep in touch with you?’ and ‘are you kept up to date with important issues affecting your relative?’ the relatives replied ‘always’. A care manager commented ‘each time I have visited staff have made me most welcome’. A resident said ‘relatives can visit at any time’. Records showed relatives informed of any incidents. In response to the question in the care manager’s survey ‘does the care service respond to the different needs of individual people?’ the care manager replied ‘always’ and commented ‘on my visits there are residents living at the home from different cultures. All looked happy and content.’ In response to the question in the health professional’s survey ‘does the care service respond to the different needs of individuals’ the health professional replied ‘ usually’ and to the question ‘does the care service support individuals to live the life they choose?’ the health professional replied ‘always’. In response to the question in the relatives’ survey ‘does the care service support people to live the life they choose?’ the relatives replied ‘always’. Residents can choose the colour of paint if their rooms are decorated; bring their own furniture and personal effects; have access to their personal records; and manage their own financial affairs as long as they wish and have the capacity to do so. The manager is training the staff to ensure residents have as much choice and autonomy as possible. The home employs a cook and an assistant cook who provide a varied, wholesome and nutricious diet for the residents. They are aware of residents likes and dislikes and those on special diets. Residents are offered a choice of meals at all meal times. Hot and cold drinks are provided during the day. Staff were observed assisting residents with their meals. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 14 In response to the question in the residents’ survey ‘ do you like the meals at the home?’ one resident replied ‘always’ and one replied ‘usually’. One resident said ‘meals good but could be a bit more appetising, can have meals in my room if I wish’. Another resident said ‘food is good but has to wait for breakfast sometimes’. The manager is changing the duty rota to ensure more staff are on duty at key times, i.e. more staff on duty at breakfast will ensure residents do not have to wait and all residents will be able to have their breakfast at a time which suits them. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. People who use the service feel their views are listened to and acted on; and are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complaints procedure is on display in the home. No complaints to the Commission have been made since the last inspection. Three complaints have been made to the home since the last inspection, all of which were responded to appropriately. In response to the question in the residents’ survey, ‘do you know how to make a complaint?’ and ‘do you know who to speak to if you are not happy?’ both residents replied ‘yes’. In response to the questions in the relatives’ survey, ‘do you know how to make a complaint about the care provided by the home?’ and ‘has the care service responded appropriately if you or the person using the service has raised concerns about the care?’ the relatives replied ‘always’. In response to the question in the care manager’s survey ‘has the care service responded appropriately if you or a person using the service have raised any concerns?’ the care manager replied ‘always’. In response to the question in the health professional’s survey ‘has the care service responded appropriately if you or the person using the service have raised concerns about their care?’ the response was ‘always’. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 16 Staff who have not received training in safeguarding older people have been booked to attend a course in the next couple of months. Staff were clear about how to respond to protection issues. No allegations of abuse have been made to the Commission since the last inspection. Safeguarding older peoples’ policies and procedures are in place. The whistle blowing policy was displayed on the notice board. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience good quality outcomes in this area. The home is benefiting from an extensive redecoration and refurbishment programme. It is spacious, homely and safe. Residents have all the technical aids and equipment to lead as full and independent lives as possible. The home is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An extensive redecoration and refurbishment programme has taken place inside and outside of the home since being purchased by the new owner. There are still areas that need attention but these will be addressed as part of the future maintenance programme. The home is spacious, homely and set in attractive grounds. Unfortunately the grounds are not easily accessible to the residents without assistance. Residents use an inner courtyard if they want to sit outside in the fresh air. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 18 An assessment of the premises and facilities was recently made by a suitably qualified person which resulted in disability equipment being purchased to meet the needs of the residents. In response to the question in the residents’ survey ‘is the home fresh and clean?’ both residents replied ‘yes’. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. A more flexible staffing rota is being put in place which will ensure residents’ needs are met by the numbers and skill mix of staff. Relatives and outside professionals have commented that residents receive care fairly and in a caring manner without discrimination. The home operates a thorough recruitment procedure. A training programme is in place to ensure staff are trained and competent to do their jobs. Only two staff have a NVQ 2 or above in care but seven staff are working towards this qualification. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is staffed by a manager, deputy manager, twenty three care staff (including sufficient number of Registered nurses to cover the home twenty four hours a day), a bank worker, six domestics, a cook, an assistant cook and a maintenance man. One team covers the nursing unit and another team covers the residential side. If the number of residents or their needs increases extra staff will be employed. Agency staff are not used. Vacant care hours are covered by staff working overtime and by the bank worker. At the time of the inspection, in addition to the manager and a Registered nurse, seven care staff are on duty in the mornings, five in the afternoons, five in the evenings and two at night. The shift pattern will shortly change to enable greater flexibility of staff to ensure key times during the day are adequately covered. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 20 In response to the question in the care manager’s survey ‘do the service’s manager and staff have the right skills and experience to support individuals’ social and health care needs’ the care manager replied ‘always’ and commented ‘I have always found the staff very helpful’. In response to the question in the health professionals survey ‘do the care staff have the right skills and experience to support individual’s social and health care needs?’ the health professional replied ‘usually’. In response to the questions in the relatives’ survey ‘do you feel that the care home meets the needs of your relative?’; ‘does the care home give the support or care to your relative that you expect?’; and ‘do the care staff have the right skills and experience to look after people properly?’ the three relatives replied ‘always’. Comments made were: ‘the home has always met the needs of my mother, and up to his death in February of my father as well’; ‘not only have their basic needs of being well fed, cared for, kept clean, always been met, but I have always been impressed by the extra services’; ‘the care home has given a support that has been beyond my expectations’; and ‘my mum’s carer is superb, I cannot fault the care staff. Not only do they have the right skills, but they always manage to keep cheerful and positive’. Staff said ‘morale has improved, it is a friendlier place to work in, days off for sickness have decreased and there are sufficient staff on duty to respond to the needs of the residents’. Two of the twenty three care staff have achieved a NVQ 2 or above in care. Seven of the care staff are working towards NVQ2 or above. Records showed the home complies with the recruitment regulations. Training for staff in the twelve months before the change in ownership was poor which resulted in serious gaps in their knowledge and skills. Since the new manager has been in post she has ensured the majority of staff have undertaken fire awareness and moving and handling training, and all the nurses have had up to date medication, understanding swallowing problems and first aid training. A training plan is in place to cover staffs’ needs for the coming year, including moving and handling, continence, dementia, infection control, safeguarding vulnerable adults and food hygiene. All new staff undertake an induction training programme. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. Residents live in a home that is run and managed by a conscientious, experienced and competent person. Their health, safety and welfare are promoted and protected; and systems are being developed which will ensure their views underpin all self-monitoring, review and development by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is qualified, competent and experienced to run the home. The manager undertakes periodic training to maintain and update her knowledge and skills. Staff described the manager as being supportive, approachable, communicates clearly how she wants the residents cared for and has worked hard since her appointment three months ago to bring in new initiatives and change working practices, i.e. she wants a person centred approach to how the home is run. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 22 The manager is introducing a quality assurance system which will cover all the national minimum standards in the course of a year. Satisfaction questionnaires are ready to be sent to residents and relatives in August 2007. When these questionnaires are returned a summary of the responses will be completed. An annual development plan for the home will be produced after the satisfaction questionnaires have been returned and information from other quality assurance systems have been collated. Regular Regulation 26 visits by the registered provider take place. Regular staff meetings take place. The manager will introduce a ‘matron’s tea’ for residents instead of formal residents’ meetings. The latest inspection report is available in the hall for residents, relatives and visitors. The home does not look after any service users’ finances or personal money. Bedside cabinets with lockable drawers have been ordered. Residents can have lockable tins for small amounts of personal money. Records showed all health and safety checks and inspections are up to date and completed as required. Necessary health and safety policies and procedures are in place. There is a home’s fire risk assessment in place. An Environmental Health Officer recently inspected the food hygiene arrangements in the home. All recommendations have been addressed. A Fire Safety Officer and an independent outside company have recently undertaken two separate fire safety audits of the home. All the clients’ files contained appropriate risk assessments. The manager is reviewing these assessments to ensure they contain sufficient detail. Staff have received, or are shortly to receive, the necessary training including first aid to ensure residents health, safety and welfare are protected. The manager is introducing a monthly health and safety audit of the home. The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 2 X 3 X X 3 The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Langston DS0000069342.V327721.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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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