Inspection on 17/04/07 for The Old Vicarage

This inspection was carried out on 17th April 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 Old Vicarage 03/07/08

The Old Vicarage 06/12/05

The Old Vicarage 12/05/05

The Old Vicarage 03/11/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Old Vicarage The Old Vicarage Ivy Bank Road Sharples Bolton BL1 7EQ Lead Inspector Stuart Horrocks Unannounced Inspection 17th April 2007 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 Old Vicarage DS0000061207.V308237.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 Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Vicarage Address The Old Vicarage Ivy Bank Road Sharples Bolton BL1 7EQ 01204 594736 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) Macdonald Care Limited Mrs S G Macdonald Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home is registered for a maximum of 19 service-users to include: Up to 19 service-users in the category of OP (Old Age not falling into any other category). That the service should at all times employ a suitably qualified and experienced Manager who is registered with CSCI. 6th December 2005 2. Date of last inspection Brief Description of the Service: The Old Vicarage is a privately owned care home offering residential care and support for up to 19 older people. One of the owners is responsible for the dayto-day management of the home. It is situated about two miles from the centre of Bolton, and is close to bus routes, shops, pubs and other amenities. There are two floors, with a lift to the first floor. The home has 13 single rooms and 3 shared rooms. 11 rooms have en-suite facilities. The grounds include a car park and large, well-maintained gardens. There is a dining room, a lounge and a conservatory on the ground floor. Toilets and bathrooms are provided and there is a shower room on the first floor. A Service User Guide that describes the home’s services is available in the home and the staff gives other information about the home to new and prospective residents and their families verbally. A copy of the latest inspection report and the home’s Statement of Purpose are also available. As of April 2007 the weekly charge for accommodation and services is between £395:00 and £435:00.An additional charge of between £300:00 and £350:00 is made for resident holidays, which includes spending money. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, which included a site visit that was started at 9:00am on the 17th April 2007. It took place over one day and it lasted for about seven hours. The time was split between talking to senior staff and checking records, looking around the home, watching what was happening and talking to residents and other staff. Three residents, three staff and one visitor were spoken with. The home manager was not available on the day of this visit so a senior care assistant and the office manager assisted with the inspection. A completed pre-inspection questionnaire was received along with feedback surveys from relatives and health care workers. Of the surveys sent out five were returned by relatives and four by health care staff that have contact with the home. The care services (case tracking) provided to two specific residents were used as a basis for the process of the inspection. What the service does well: The home is well run and has a good manager and a willing staff group who get on with the residents and with each other. The residents said that the staff treated them “with respect and dignity” and that “nothing was too much trouble” for the staff. The home gives good care to the residents and the staff knew a lot about what care the residents needed. The information recorded in the care files is clear and it gives good guidance about how the residents are to be cared for. Before admission to the home new residents needs are properly checked so that the home can be sure that these people can be properly cared for. The home has a natural, friendly and homely feel about it with staff spending time talking to the residents. The residents are treated with respect and their privacy and dignity is upheld and they are helped to make choices and decisions. The home offers a good range of leisure activities, which help to keep the residents interested and stimulated The residents enjoy the meals, special food is provided for those people who need it and those residents who cannot eat by themselves are given help. Visitors are welcome and the residents have choice about their daily routines, spending their time doing whatever they prefer. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 6 The staff are in the main properly recruited and they are offered a good range of training so making sure that a good standard of care is maintained. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Old Vicarage DS0000061207.V308237.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 Old Vicarage DS0000061207.V308237.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. Quality in this outcome area is good. Pre-admission visits, and the initial assessment process, enable all parties, including potential residents and their relatives, to reach a decision as to whether the home will be able to meet their needs. This judgement has been made using available evidence including a visit to this service. The home does not provide intermediate (rehabilitative) care so Key Standard 6 does not apply. EVIDENCE: The care files of two residents relatively recently admitted to the home were checked for the required pre-admission needs assessment information. Both of these people were privately funded and they had as required a satisfactory needs assessment completed. A further file was checked for a resident that was receiving local Social Services assistance with their funding that showed that this person’s needs had also been assessed by this Department. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 9 The inspector was informed that all new residents have an in-house preadmission needs assessment done no matter who is paying for their care. This was seen in the above checked files. The manager usually visits new residents either at home or in the hospital as a part of the assessment and admission process. Checking of the above-described documents demonstrated that the admission procedure was satisfactory and these records showed that an assessment of these peoples care needs had been completed prior to their admission to the home. From the above information the home is then able to assess whether these people’s needs can be met and a care plan and a range of other care delivery information is then put together. The staff said that new residents and their families are welcome to visit the home where they can spend some time, meet the residents and the staff, and have a meal before deciding to live there. This visiting opportunity is described in the useful and informative Service User Guide (Residents Information Guide) and was confirmed in discussion with residents’, a relative and staff. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Proper arrangements are in place that ensures the residents health care needs are monitored and met. Individual care plans are also in place, which were up to date, regularly reviewed and provided the staff with the information needed to give a good standard of care. The home’s medication systems are satisfactory in ensuring that residents received medication as prescribed and care practices in the home ensure that the residents are treated with respect and their privacy and dignity is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care files of the two case tracked residents were looked at. These contained care plans that had been kept up to date monthly as is required The care plans are properly laid out and they are easy to read and follow. Each plan contained details of health, personal and social care needs for the resident and day and night progress reports about each resident are regularly recorded. Both of the above records also showed that the residents weight is also checked regularly. These people had signed to give their agreement to their care plans. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 11 The staff said that they knew about each residents needs by reading the care plans, which are readily available to them. A number of risk assessments were in place. These included up to date and regularly reviewed moving and handling and skin condition assessments. Nutritional wellbeing is included in the care plan and is assessed by direct observation, regular and up to date weight checks and by body measuring. The home uses a key worker system where individual staff members have responsibility for the care and well being of groups of residents. Talking to the residents and staff and looking at records showed that the resident’s health care needs are taken care of and that when necessary health workers such as doctors, nurses and opticians are called. All medicines were safely stored and lockable Controlled Drugs storage is also available and the random checking of these found the quantity kept corresponded as required with the amount recorded in the Register. The residents’ medicines are provided in pre-filled blister packs with preprinted prescription/recording sheets also provided. These records were found to be properly completed and to be up to date. The medications supplied are checked in to the home , and medicines returned to the pharmacy are also recorded. Identification photographs of each resident are kept with the medication administration records. Those staff that give out medicines have been given the necessary training for this task. The home has a satisfactory medicines policy and procedure that includes guidance for the self-administration of medicines and the use of homely remedies. In discussion the residents said that they are given their medicines regularly and as prescribed. No resident was dealing with his or her medicines at the time of this inspection. The homes Service User Guide and various other documents reinforced the importance of staff treating residents with respect and dignity. Residents spoken with were all complimentary about how staff assisted them with personal care tasks and felt their privacy and dignity was respected at all times. This was also observed during the inspection. Residents were asked quietly if they needed the toilet, they were taken without having to wait, toilet doors were closed and staff knocked on bedroom doors before entering. Those residents spoken with said that the staff were “courteous”, “caring”, “lovely” and that “they (the staff) talk to us properly”. The staff were seen to have a good relationship with the residents, speaking to them in a natural, considerate and friendly manner. The Old Vicarage DS0000061207.V308237.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 ands 15. Quality in this outcome area is excellent. Residents have choice about their daily routines (e.g. getting up and going to bed times, when to eat) thus they are able to spend their time as they wish. Visitors are welcomed and the meals provided are good, offering choice and variety, and catering for special dietary needs. The activities offered within the home mean that residents have opportunities to participate in stimulating and motivating activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a good social recreational activities programme that includes events such as crafts, memory quizzes, dominoes, aromatherapy, aerobics and outings The staff do these activities with the residents in the morning, afternoon and evening with one worker taking the lead on making the arrangements. The activities programme is displayed with recent trips out including pub lunches and a visit to Oswaldtwistle Mills. Those residents spoken with were well aware of the available activities, although some of them chose not to join in. Activities were seen to be taking place during the morning and the afternoon of the inspection with many residents taking part. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 13 From talking with residents, a relative and staff the inspector confirmed that visitors are welcome at any time, although preferably not at meal times. Those residents spoken with said that they “were free to see their visitors wherever they wanted to”. They described taking visitors to their bedrooms for privacy or seeing them in the main lounge. The residents said that visitors are made welcome and that they (the visitor) can have a warm drink and a meal if they so wish. Residents felt that their routines were flexible and that they had choices in where to sit in the lounges and dining room, whether or not to take part in activities, what to wear and times of rising and retiring. For those residents who may have a limited ability to make decisions and choices about their day-to-day living arrangements the staff said that they try to assist them with this by offering choices about such things as what clothing to wear, when to rise and retire and helping to choose from the menu. The residents are able to, and do bring personal items in to the home such as televisions, radios, photographs, pictures and ornaments. The home has a four weekly menu that offers a variety of good nourishing traditional food with the main meal served at lunchtime and a lighter meal at teatime with warm food being available at both mealtimes. In discussion with the cook it became clear that she knew the residents likes and dislikes and was well able to cater for individual food preferences. The residents praised the food served generously saying that the food was “good”, “appetising”, that “you get enough to eat” and that “you can have something else” if you don’t want what is on the main menu. The residents also said that drinks and snacks were available at most times of the day. The dining tables are provided with pink tablecloths and matching serviettes and the dinning area provides a comfortable and attractive setting. The inspector sampled the lunchtime meal with the food found to be to an excellent standard. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. The home has a suitable complaints system that ensures that concerns are properly dealt with and good protection of vulnerable adults guidance and staff training in this topic makes sure that residents are protected from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a satisfactory complaints procedure that states how a complaint is to be made, who to and that an initial response will be provided within seven days with a final outcome forwarded in due course. The facility of making concerns known directly to the CSCI is also included in this paperwork. The complaints procedure described above is displayed in the home and is included in the Service User Guide. Discussion with residents and information obtained from the survey questionnaires showed that these people would have no hesitation in making their concerns known to the staff or the manager, and they believed that their anxieties would be listened to and acted upon. The staff interviewed were clear that any complaints made by residents or relatives would be reported immediately to the manager or senior staff on duty. The home has a book for writing down complaints. No complaints have been made either to the home or to the CSCI since the last inspection in December 2005. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 15 There are written procedures and policies covering adult protection, whistle blowing, the none acceptance of gifts, borrowing money and legacies and the home has a full copy of the Bolton inter-agency Safeguarding Policy. Looking at records showed that a number of staff had been given training in adult protection procedures. In discussion some staff confirmed that they had received such training with further such training being arranged to take place on the day following this inspection on the 18th April 2007. Those staff interviewed were aware of the different sorts of abuse and they understood what they should do if they suspected that someone was being abused. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is good. The Old Vicarage provides clean, safe, comfortable, homely and friendly surroundings for the people living there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Old Vicarage is properly maintained both to the inside and to the outside. The home is bright and welcoming. Decoration, furnishing and lighting is to a good standard and is domestic in style. The home has a planned maintenance and refurbishment programme for 2007. Work done recently includes the redecoration and fitting of new carpets in some bedrooms, the complete refurbishment of a ground floor bedroom, renewing the wallpaper and lighting in some toilets as well as range of other works. The two case-tracked resident’s bedrooms and a number of others were checked. All were found to be decorated, furnished and equipped to a good standard and these residents said that they were satisfied with the level of the accommodation provided. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 17 There is good accessibility around the building with ramps, assisted baths and other equpment provided. Aids and adaptation are provided in bedrooms, bathroom and toilets. There are large, well maintained garden areas accessible to, and enjoyed by residents. Appropriate laundry equipment is sited in the home’s basement that also contains freezers for the storage of food. Care must be taken in ensuring that cross-infection does not occur. Information regarding the control of infection is available and some staff have had training in this subject. Residents clothing is marked to enable easy identification and the residents had no complaints about the laundry service provided by the home. The building was clean and tidy throughout and was free from any offensive odours therefore providing a pleasant place to live. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good. Staffing levels are satisfactory, good staff training is provided, and a generally satisfactory recruitment method ensures that the residents are looked after by staff that are suitable to carry out care work. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking at staff rotas showed that as well as employing care staff, the home also employs domestic, laundry, catering and maintenance staff and an office manager. Staff morale was good with staff saying, “we enjoy our work”, they also said “there is a good atmosphere here”. These people described a settled staff team and they said that the took pleasure in working at the home and providing care for the residents. The residents said that the staff were “excellent”, “cheerful” and “supportive”. Looking at rotas showed that during the day, the staffing is made up of the manager, a senior worker and two carers. Two waking care assistants, with on-call support, provide nighttime cover. The staff were clear in stating that in their opinion that the above staffing provision was enough to meet the needs and dependency levels of the people living at the home. Of the 16 care staff employed at the home 10 (63 ) have got a National Vocational Qualification at Level 2 or above. This meets the requirement for the home to have had 50 of the care staff with NVQ level 2 qualifications or above by the end of 2005. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 19 The files of three recently employed staff were checked for the required safe recruitment information. These showed that these people had in the main been properly recruited apart from one person where an out of date police check was in place. Job application forms had been completed, two written references obtained, identification had been confirmed and criminal convictions and health declarations were in place and in all but the one instance mentioned above full and up to date CRB checks had been obtained. In discussion the staff described a safe and proper recruitment process. Discussion with the staff and looking at records showed that there is a strong commitment to staff training within The Old Vicarage Care Home. Full details are kept of the training that each worker has received which includes mandatory topics such as health and safety, fire safety, safe moving and handling, food hygiene and first aid. The home also operates a training programme for the induction of new staff. Good practice was noted in that the manager has recently obtained a copy of the nationally recognised Scils for Care Common Induction Standards that will in the future be used when introducing new staff to the home. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 20 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. Quality in this outcome area is good. The manager of the home provides leadership and support for the staff to ensure that the residents receive a satisfactory standard of care and the residents are asked about their satisfaction with the service provided. Procedures and practices within the home promote and safeguard the health, safety and welfare of the people living and working in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager and joint proprietor of The Old Vicarage has several years of experience of management and working in the field of caring for older people. She is a qualified nurse, has been approved by the CSCI and has achieved the Registered Manager’s Award. The home is well organised in terms of administration, care delivery and staff support and training. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 21 The residents, a visitor and the staff said that the manager operates the home in an open and inclusive way and that she is fair-minded, approachable and easy to get along with. A requirement of Standard 33 is that care homes must use quality assurance systems that are largely based on seeking the views of residents to measure their success in meeting the home’s aims and objectives. This information can then be used if necessary to bring about changes or improvements to the service. The home presently does this by the use of a survey document that asks a series of questions about the home’s services and facilities. The most recent survey was started in March 2007 with views being sought from residents, relatives and visiting professionals. The responses are then brought together and analysed and displayed in the home’s Newsletter in the form of a summary with good points noted and action being taken to deal with any issues raised. The results of the ongoing survey will be published in the Summer 2007 Newsletter. A number of survey questionnaires were sent out by the CSCI to the residents, relatives and health workers (GP’s, district nurses etc) before the inspection. These questionnaires give these people the opportunity to comment upon various aspects of the services provided by a care home. At the time of writing this report nine questionnaires had been returned; all of these were generally complimentary about the accommodation, the services and the care provided at The Old Vicarage. One person said, “ The staff are really helpful and will do what they can. I always feel welcome when I arrive”. Another person said, “This is the one home that I would recommend to anyone”. A Health Care Professional commented, “Excellent care and treatment of residents” The inspector was informed that the home does not handle or deal with any residents’ personal monies and that no member of the staff is identified as an appointee with regard to residents’ pensions. Should the home ever need to deal with residents’ money then detailed records of financial transactions must be kept. The home is safely maintained with fire precautions tests done regularly and a random check of the accident book showed that the details of accidents are properly recorded. Information obtained from the pre-inspection questionnaire showed that the homes fixtures, fitting and equipment is properly maintained and regularly serviced. Looking at records and conversations with staff also showed that the necessary training had been provided so that they can work safely. The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 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 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 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 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 The Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 23 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 (1) Timescale for action Staff must be recruited properly 31/05/07 and safely (CRB checks) so making sure that the residents are looked after by people that are that are suitable to carry out care work. Requirement 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 Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Old Vicarage DS0000061207.V308237.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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