Inspection on 27/05/08 for The Laurels

This inspection was carried out on 27th May 2008.

CSCI found this care home to be providing an Good service.

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 Laurels 08/05/07

The Laurels 31/08/06

The Laurels 07/12/05

The Laurels 01/08/05

The Laurels 27/10/04

The Laurels 16/08/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE The Laurels Bull Lane South Kirkby West Yorks WF9 3QD Lead Inspector David White Key Unannounced Inspection 27th May 2008 09:00 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 The Laurels DS0000006194.V363184.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 Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Laurels Address Bull Lane South Kirkby West Yorks WF9 3QD 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) 01977 640721 01977 640721 Superior Care Homes Limited Mrs Jessie Stringer Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places The Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th May 2007 Brief Description of the Service: The Laurels is a care home providing personal care and accommodation for 28 older people. It is owned by Superior Care Homes Ltd a privately owned limited company. The home is situated close to the centre of South Kirkby, a small former mining community. The home was a former vicarage that has been adapted and extended. People’s accommodation is arranged on two floors and there is a passenger lift. There are twenty bedrooms for single occupancy of which one has en-suite facilities. There are four bedrooms designed for shared occupancy of no more that 2 people. The home, which is close to local amenities, has a car park to the front and gardens and a patio area to the rear. As of the 27th May 2008 fees at the home were £388 per week in line with Wakefield Metropolitan District Council. People are responsible for paying for such things as hairdressing, newspapers and selected social activities. The home has a service user guide that provides information about their service for current and prospective residents. A copy of this guide is provided to all prospective admissions to the home by the management of the home along with a copy of the most recent inspection report. The Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means that people who use the service experience good quality outcomes. The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk We went to the home without telling them that we were going to visit. This report follows the visit that took place on the 27th May 2008. The visit lasted from 9am until 3.30pm. The purpose of the visit was to make sure that the home was operating and being managed in the best interests of people living there. Information has been used from different sources for this report. These sources include: • • • Reviewing information that has been received about the home since the last inspection. Information provided by the manager on an Annual Quality Assurance Assessment questionnaire. Surveys returned from ten people who live at the home, three relatives, four staff and a health care professional. During the visit time was spent talking to people who live at the home, care staff, the cook, a health professional and the manager. We observed staff caring for people in communal rooms, looked at various records relating to care, staff, and maintenance, and looked at some parts of the building. The registered manager was available throughout the site visit and the findings were discussed with her at the end of the inspection. What the service does well: People feel that they receive good care from the staff. One person said, ‘we are very well looked after and couldn’t manage without the staff’. Another person said, ‘everything about the home is super, I am very happy here’. A relative commented ‘the staff are very caring and helpful. My mother and her friends are very happy with the care they receive’. The Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 6 People feel that they are able to choose how they spend their time. This helps them to have control about how they live their lives. A relative said, ‘the home supports people to live their life as they want to’. The home provides a good range of activities both in and outside of the home. This enables people to pursue their interests and have access to the local community. One person living in the home said, ‘there are always things going off’. The atmosphere in the home is relaxed and welcoming and this enables people to feel comfortable and safe. A health professional who was visiting the home said, ‘staff are always friendly and polite and the home has an happy atmosphere’. Staff enjoy humour with people at the home. People feel that their concerns are listened to and know how to make a complaint. This helps in encouraging people to raise any concerns and have confidence that any issues will be addressed properly. The home is clean and comfortable for people who live there. One person said, ‘the cleaners are very good’ and everyone who returned surveys to us commented that the home is always fresh and clean. What has improved since the last inspection? People’s care plans have been improved upon. They contain more information so that staff are clearer about what care is needed, and how it should be provided. Better records are kept of medication that has been carried forward from the previous month’s medication supply. This means that medication can be more easily accounted for. Written confirmation is now received from the GP (General Practitioner) about medication changes. This helps in making sure that people are receiving the correct medication at the times they need it. People have full access to the community bus so that they can visit the local community on a more regular basis. A computer has been bought for people to use and this enables people to have easier access to different kinds of information. Parts of the home have been redecorated and refurbished and new commodes have been bought. This makes the environment more pleasant, comfortable and safer for the people living there. The manager is carrying out audits on different aspects of the home so that any problems can be identified at an early stage and acted on to improve standards, the quality of care and safety. The Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 7 Bed rails have been fitted with bumpers to prevent any risk of people getting trapped when using them. 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 Laurels DS0000006194.V363184.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 The Laurels DS0000006194.V363184.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): 1, 3 and 6. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Proper pre-admission procedures are in place and followed so that people who are thinking about moving into the home can feel confident that their needs will be met. Written information is also available to them to help them with their decision-making about whether the home can meet their needs. EVIDENCE: Service user guides are given to people living in the home and those who are considering a move to the home. This provides information about the care and services on offer. People also have a contract explaining the terms and conditions of their stay at the home and gives information about any additional costs for services such as chiropody and hairdressing. People living at the home are able to use a community access bus that collects them from the home. There is a charge for this service and this should be included in the The Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 10 information provided about the home so that people are aware that they will have to pay for this. Pre-admission procedures are in place to make sure that only suitable people are admitted into the home. Information about the person’s care needs is collected from all available sources such as a community care assessment from the person’s social worker to support the home in their decision-making about whether they have the skills and resources to meet the person’s needs. The manager said she would then visit the person in their own home or in hospital to carry out an assessment of the person’s needs before deciding on the person’s suitability to live at the home. People who are considering moving into the home and their relatives are invited for a visit before any decision is made about whether they move into the home on a permanent basis. One person who has recently moved into the home said that they were given information about the home and was able to visit beforehand. Surveys returned by relatives commented that they are always given enough information about the home. Completed pre-admission assessments show that admission procedures are being followed. The assessment form could be updated to show that the home recognises people’s individuality and can respond to individual needs, for example, in cases where people choose to be involved in relationships with people of the same gender. The home does not provide intermediate care. The Laurels DS0000006194.V363184.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 and 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People’s personal and health needs are met in a way that respects their privacy and dignity. Improvements have been made in the way care is planned and recorded although some aspects of people’s care could be better monitored. EVIDENCE: The staff have worked hard to make improvements to the care plans since the last inspection visit. Care plans are generally more detailed to direct staff on the actions they need to take to meet the needs of the people they are caring for. There was some basic information in the care plans about the person’s family history and interests. The care plans are regularly reviewed to keep the information up to date although in some situations more detail is needed in the review where there have been changes to people’s care. People did say that staff sit down and talk to them about their care and there was written evidence The Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 12 to support this. A key worker system is in place to enable people to receive one to one support. A staff survey said, ‘we are always kept up to date with information about the needs of people. Information is recorded in daily reports and people’s care plans and we have handover periods between shifts’. Through discussion with the manager it became evident that none of the staff have had any care planning training and that this may be useful in developing people’s skills in writing them. Despite a need for some improvement in certain aspects of care planning, staff had a good understanding of people’s needs and how to meet these. The daily records were up to date, however they contained a lot of information about how people’s physical needs are met but very little about how people actually spend their time and things they have enjoyed. Improvements in this area would help in making sure that care was more person centred to suit the person’s individual needs. Annual reviews take place to discuss people’s care with their family and others who are involved in their care. Information about people’s wishes prior to and following their death is included in the care plan where people have chosen to discuss this aspect of their care. A range of risk assessments are now carried out so that where risk is identified a care plan is put in place to inform staff about what actions to take to meet the person’s needs. Whilst there was evidence that these are reviewed, this needs to be on a more regular basis so that changes to people’s needs can be identified at an early stage and acted on. Each person has a GP (General Practitioner) and access to dental and chiropody services. Referrals are made to specialist services as and when required and staff support people in attending appointments. Healthcare information is recorded in the care plans about why people are attending appointments and outcomes from these. This helps in making sure that everyone is aware of the person’s health needs and how these are to be met. A survey returned by a health professional commented ‘the home has friendly staff who are always polite and ready to listen to comments and advice. People always look well cared for and staff respect people’s individual wishes’. A health professional visiting the home said, ‘staff are good at letting us know about things straight away so that people can receive the health care they need’. All the relative surveys said that staff kept them informed about important matters. One survey commented ‘we have always found the staff to be very caring and helpful. Nothing is too much trouble for Jessie (registered manager) and her staff’. One person who lives at the home said, ‘we are very well looked after and couldn’t manage without the staff’. Another person said, ‘everything about the home is super, I am very happy here’. The Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 13 People said that they receive support in a way that respects their privacy and dignity and this could be observed during the site visit. One person said, ‘staff are kind, thoughtful and sensitive’. People can have keys for their bedrooms if they want and communal areas had lockable facilities. Staff who handle medication on behalf of people are trained to do so. The medication was appropriately stored. The manager audits the medication systems so that any discrepancies can be identified at an early stage and acted on. The stock balance of the previous month’s medication is now recorded on the Medication Administration Record so that medication can be more accurately accounted for. The manager said that the GP provides written confirmation of any changes to a person’s prescription and the supplying pharmacist is then notified of these changes. This helps in making sure people receive the correct medication and dosage at the right times. The Laurels DS0000006194.V363184.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 and 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People have opportunity to take part in recreational activities, access the local community and live a lifestyle to suit their needs. EVIDENCE: People said that they feel there are enough activities on offer if they choose to join in. Activities are organised in-house and there is opportunity for people to enjoy trips out in the local community. The activity programme has been changed following information received in questionnaires completed by people who live at the home. As a result of one suggestion a computer has been purchased for people to use. People now have full access to a community bus that collects them and takes them on local trips out. The home recently organised a social evening with music and a buffet at a local club. Some people enjoy trips out to the local pubs and a day trip has been organised to the seaside. One person said they liked to read but had poor eyesight so books were provided with large print. Staff support people to attend local church The Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 15 services if they wish and there are visits to the home from representatives of the different churches to meet people’s spiritual needs. A survey returned by a relative said, ‘staff are friendly and caring and organise activities for people’. Another commented ‘the home always supports people to live the life they choose’. A health professional who was visiting the home also said, ‘there are regular activities in place for people’. One person living at the home said, ‘I am happy here. The staff and manager are always there when I need them and there are always things going off’. People can see family and friends whenever they want. Relatives said they were always made to feel welcome when visiting the home. People said they enjoy the meals that are on offer at the home. The menus are on display in the dining room and people can notify the cook in advance if they do not like the menu options and wish for an alternative meal. The cook said that they are provided with a good supply of fresh products and was aware of special dietary requirements. People could be seen eating their meals in a relaxed and unhurried environment. Those who needed support with eating were given this is a dignified way. The Laurels DS0000006194.V363184.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 and 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People’s concerns are listened to and acted on. Systems are in place to safeguard people from abuse. EVIDENCE: The home has a complaints procedure that is on display in the reception area and in each person’s bedroom. Surveys returned by people living at the home confirmed that each one of them knew who to speak to if they were unhappy and knew how to make a complaint. Relatives also commented that they knew how to complain with one exception. The home logs any complaints that are made. The manager said that she would investigate all complaints and inform the complainant of the outcome of any investigation. Staff said that they receive training about abuse awareness. Staff spoken to knew their responsibilities in reporting such matters to the management without delay in all instances. The home has a policy on how to safeguard adults from abuse. However, this needs updating to include information about the role of the police, local authority and other agencies in the process and about the local point of contact if a safeguarding referral is needed. The Laurels DS0000006194.V363184.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. We have made this judgement using a range of evidence including a visit to this service. There have been some improvements to the environment that has made it more homely, comfortable and pleasant for the people living at the home. EVIDENCE: The accommodation is over two floors and can be accessed via a passenger lift and a stair lift and there is level access to the home so it is suitable for people with mobility problems. There are two communal lounges where people can watch television and sit with other people. The home has a conservatory where people can read or use the computer if they wish to do so and there is a garden and patio area where people can sit out. The Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 18 The home was clean, tidy and well maintained and had a good friendly atmosphere and there was lots of humour, which people enjoyed. People said they liked their bedrooms, which were personalised to suit their individual tastes. In shared bedrooms curtain screens were being used to maintain people’s privacy and dignity. Since the previous inspection visit some bedrooms and corridors have been re-decorated and it is planned that other areas will also have re-decoration as part of the ongoing maintenance programme. New beds and curtains have been purchased and some commodes have been replaced. The bedrooms and toilets are fitted with appropriate aids and adaptations to meet the needs of people at the home. Hoisting equipment was available to assist people with their independence and mobility. The home has had a new heating system and at the time of the visit one of the three boilers was not working and this was affecting one part of the building. This had been reported immediately to the plumbing contractors in order to rectify the problem. The manager said that measures were in place to reduce any impact from this on the people living in this part of the home. In one toilet on the ground floor there was some loose flooring, which the manager says she will be attending to. All surveys returned by people living at the home commented that the home is always clean and fresh. One person said, ‘the cleaners are very good’. A health professional survey commented ‘the home always has a happy atmosphere, is clean and does not have any odours’. The home employs a laundry worker to attend to people’s personal clothing and bedding. People looked smartly dressed and their clothes were clean. Staff said that there are plentiful supplies of soap, aprons, wipes and paper towels to help maintain good hygiene practices and the home had received an excellent rating from environmental health for their hygiene standards. The laundry room was very warm when the tumble dryers were in use and it is recommended that additional ventilation is provided in this area to make it more comfortable for staff when working in there. The Laurels DS0000006194.V363184.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 adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People at the home are cared for by a sufficient number of staff who receive the training they need to meet people’s needs. Improvements in the way that people are recruited to work at the home will help in making sure that people are not at risk from unsuitable workers. EVIDENCE: The staff duty rota shows that there are sufficient numbers of staff on duty at all times to meet people’s needs. Surveys returned by people living at the home all commented that they thought there were always enough staff on duty and that staff were always available when needed. One person who uses the toilet on regular occasions throughout the night said that staff always responded promptly to their call bell requests. The home does not use agency staff and the permanent staff team cover all vacant shifts. A survey returned by a member of staff said, ‘there is always enough staff to meet everyone’s needs and we work as a team’. The home employs three cleaners, two cooks, a handyman and a laundry person in addition to the care staff. This means that the care staff have time to spend with people and are not diverted from this by having to do other duties. The home had a good atmosphere and there was a The Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 20 lot of humour between staff and people at the home. One member of staff said, ‘it is a great place to work, morale is good’. The majority of staff have either completed or are doing the National Vocational Qualification (NVQ). This helps to ensure that people are receiving care from staff with the right skills and knowledge. Staff spoken to said they felt they received good training to support them in providing care to people. New staff have a full induction before they are expected to carry out any tasks that they are unsure of. Two staff recruitment files were looked at. In each case the care staff had begun to work at the home before their Criminal Records Bureau (CRB) check had been returned, and without a POVA First check. In addition, the manager believed that it was acceptable to employ a member of staff who supplied their own copy of a CRB check from a previous employer. These practices do not properly protect people from unsuitable workers. All staff said that they receive regular supervision and regularly meet up with their manager to discuss ways of working. Staff meetings take place to enable staff to voice their views and opinions and to discuss any issues in the home. The manager said that as part of the supervision process she is discussing equality and diversity issues so that staff are aware of and can respond appropriately to people’s rights and individuality. The Laurels DS0000006194.V363184.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. We have made this judgement using a range of evidence including a visit to this service. The home is well managed in the best interests of the people who live there and proper attention is given to their health and safety. EVIDENCE: The registered manager is experienced in running the home and has a management qualification. She is supported in her role as manager by a deputy manager. People who live in the home and staff spoke positively about the manager. One person spoken to said, ‘she keeps people on their toes and enjoys a bit of fun’. Staff felt well supported by her and one staff member said, ‘you can go to her about anything, nothing is too much trouble’. The Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 22 There have been some improvements to the quality assurance system. The manager now carries out recorded audits in a number of areas such as medication and the environment and takes action to deal with any shortfalls. The proprietor of the home makes regular visits to the home and produces a report of their findings including any actions that are to be taken. Questionnaires are annually sent out to each person at the home and their relatives to obtain their views and opinions on how the service can improve. Meetings are held with people living at the home and staff so that they have an opportunity to be involved in the running of the home. The home still holds the Investors in People award for the quality of the care and services they provide to people who use their service. The home holds small amounts of personal monies on behalf of people. Records are made of any incoming and outgoing monies and are signed by two members of staff. Records and receipts are kept of all transactions so that money can be easily accounted for. The self-assessment form completed by the home indicated that all the required maintenance and servicing of equipment is up to date and the records we looked at confirmed this. Staff receive a range of health and safety training and fire safety checks and procedures are carried out and recorded. Where bed rails are being used, bumpers have been fitted to prevent people getting trapped. The Laurels DS0000006194.V363184.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 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation 19 Requirement To help keep people safe from potentially unsuitable workers: • In all future recruitment a Criminal Record Bureau check must be obtained before newly recruited staff start working at the home. In extreme circumstances, where the staff member is deployed prior to the return of the CRB, a POVA First must be obtained. The staff member must be supervised at all times until such time that the CRB is returned, but not before two satisfactory references have been received. Timescale for action 27/05/08 • The Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 25 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 OP1 Good Practice Recommendations Details of any additional costs for transport for recreational activities should be included in information provided about the home so that people are fully aware of what they will need to pay for when living there. Pre-admission assessment information should include questions about race, age, gender (including gender identity), sexual orientation, disability and religion and belief. This will help in making sure people’s individuality is recognised and responded to in an appropriate way to meet their needs. To enable care to be more person centred: • Risk assessment information should be reviewed on a more regular basis so that staff are updated about how to meet people’s needs. • Daily records should include more meaningful information about how people have spent their day and things they have enjoyed. • Staff should receive some training about care planning. To make sure that people follow proper procedures in response to allegations of or incidents of abuse, the home’s safeguarding policy should include: • Information about the role of the local authority, police and other agencies in safeguarding issues. • Detail about the local point of contact if a safeguarding referral is needed. The flooring in the toilet identified should be repaired or replaced to prevent any risks from tripping and so that it can be easily cleaned to prevent cross infection. The laundry room should have better ventilation to make it more comfortable for people when working in there. 2. OP3 3. OP7 4. OP18 5. 6. OP19 OP26 The Laurels DS0000006194.V363184.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Laurels DS0000006194.V363184.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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