Inspection on 20/08/05 for The Poplars

This inspection was carried out on 20th August 2005.

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

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

Other inspections for this house

The Poplars 15/12/08

The Poplars 22/02/07

The Poplars 20/02/06

The Poplars 07/03/05

The Poplars 14/09/04

The Poplars 09/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Poplars Alsagers Bank Stoke-on-Trent Staffordshire ST7 8BA Lead Inspector Keith Jones Unannounced 20 August 2005 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 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 Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Poplars Address Alsagers Bank Stoke-on-Trent Staffordshire ST7 8BA 01782 721515 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Poplars Limited Mr R J Curry Mrs S M Curry CRH 33 Category(ies) of DE(E) - 3 registration, with number MD(E) - 3 of places OP - 33 PD(E) - 13 The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 7 March 2005 Brief Description of the Service: The Poplars is a privately owned care home registered to care for 33 older people. The home is situated in the centre of Alsagers Bank, a village community in a semi-rural setting near to Newcastle-under-Lyme. The home is on a regular bus route and there is easy access to local facilities and amenities. It is situated in a prime location that affords extensive views over open countryside and of the Cheshire plain. There are attractively laid out gardens surrounding the home with patio areas and garden seating so that service users are able to sit and enjoy the view should they so choose. There are parking facilities in the front of the home. The Poplars is a two-storey building with service user bedrooms situated on both the ground and first floor. The home is spacious, comfortable and well maintained. On the ground floor there are spacious and comfortably furnished lounge areas, a dining room, kitchen, reception area. At a slightly lower level off the dining room there is a training room, laundry, workshop and food store.A local GP practice, community nursing services and pharmacy provide medical and specialist services and support to the residents’ in the home. The proprietors of the home are also the joint registered care managers and support a team of twenty-four care workers and seven ancillary staff members. The managers provide an on-call cover throughout off duty hours by day and night. The residents have a very good rapport with both management and staff. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over one day, by one inspector; the registered providers and senior care staff, in a professional, frank and open manner. The last inspection report was discussed with vigour, and it was noted that all outstanding recommendations had been dealt with satisfactorily. On the day of inspection there were 31 service users in residence. A tour of the Home allowed free and open access to all areas for inspection. The opportunity was taken to speak with a number of service users and members of staff. Service users and staff took an active role in the inspection process and contributed to the subsequent report. Throughout the entire inspection a sense of homeliness and familiar confidence pervaded into all aspects of daily activity expressed by those people met. A sample review of the administrative arrangements confirmed solid practice and effective management. A full verbal report was offered at the end of the inspection to the care manager and her deputy. The inspector thanked all concerned for their contribution to a pleasing and constructive inspection. What the service does well: The Poplars offers a genuine commitment to care with an open and personable approach, which reflects the homeliness of a confident relationship between carer and resident. The establishment of a professionally accountability towards effective assessment, care planning and review of resident’s needs are meaningful and robust, in formulating a good standard of care. This highly personable attitude and approach to care is appreciated and welcome by residents and visitors alike. The management demonstrate a professional approach in maintaining an environment conducive to the care of the elderly. There is a constant appraisal and review process of facilities and services to maintain that environment. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4 and 5 The resources and services set aside by the home are of a high standard in considering the needs of residents, families and the ability of the home to meet those needs. It is recognised that the Statement of Purpose represents the foundation on which the home operates upon, offering service users and their relatives the opportunity to make an informed choice about where to live. Residents are admitted to The Poplars following a pre-admission needs assessment, always carried out by a senior member of staff. This assessment initiates the process of care, each individual having a plan of care. The registered person also makes a judgement as to the suitability of each prospective service user using the same criteria. Prospective residents and their relatives are able to visit and assess the quality, facilities and suitability of The Poplars at any reasonable time, to meet with staff and management The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 9 EVIDENCE: The Statement of Purpose and service user’s guide represent a good description of the home’s aims and objectives, philosophy of care and terms and conditions, offering service users and their relatives the opportunity to make an informed choice about where to live. All the requirements prescribed in Schedule 1 are addressed. The document is kept under a consistent review to reflect changing circumstances. It is clearly stated in the Statement of Purpose that independence, privacy and dignity are encouraged, with the full involvement of family in all matters concerning the well being of service users. The Statement of Purpose also clearly indicates the terms and conditions, which are discussed with service users and relatives prior to admission. The Inspector was impressed with the attention to detail in recognising the degree of anxiety prospective residents have on moving in to the Home. A pre-admission assessment, always carried out by a senior member of staff appreciated any special needs of the individual including cultural, social or personal needs, which are fully discussed and documented. This assessment initiates the process of care, each individual having a plan of care based on a daily living process. The providers demonstrated through case tracking, that the assessor explained this information in respect of each individual to ensure a clear understanding is established. The registered person also makes a judgement as to the suitability of each prospective service user using the same criteria. At all times the family is kept fully informed of the situation, offering service users and their relatives the opportunity to make an informed choice about where to live. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 and 11 There is an excellent care assessment and planning system tailored to each individual, based on daily living activities. Care records offer a comprehensive package of awareness and planning. Health care needs are well met with local services and referral to other agencies. There exists a simple, yet effective medicines administration system, accurately monitored and actioned. The Inspector was impressed with the confidence and closeness within the Home of staff, residents and visitors, and the mutual respect that prevailed. EVIDENCE: There was evidence to show that a detailed review of the process has produced excellent generation of care plans. The pre-admission assessment represents the foundation for a comprehensive care planning process. Three residents’ care files were tracked and demonstrated a system of detailed information on the individual, their life style and needs, events and contacts, procedures and reactions measured on a daily basis and reviewed monthly. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 11 The policy of the home is to maintain service users own GP support wherever practical, otherwise residents are registered with the village surgery. District nursing services are also received and the home has an established and positive professional rapport. Discussions with service users confirmed their acceptance and confidence in the overall standard of care and service given. Each service user has a named carer (key-worker) who is responsible for maintaining an in-depth awareness of those service users. The facilities and bedrooms were presented to facilitate privacy for the individual, which included medical examinations and personal care procedures, being performed in private. The medication systems were found to be well organised, secure and efficient. There were no residents self-medicating at the time of inspection. The procedure for handling accidents and incidents was inspected and found to hold a policy of referral for medical/paramedical opinion if in doubt. Reports were informative, detailed and meaningful. Service users spoken to were particularly pleased in the way their privacy and dignity was respected, not only by the care staff, but everyone connected to the running of the home. Social contacts are respected, and much freedom is given on an open policy of visiting, without detracting from a respect for privacy, if so wished. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 The home aims to provide a life style for service users, which enriches their social, cultural, religious and recreational interests and needs. The home operating an established open visiting policy. The high standards of catering at The Poplars continue in offering an excellent service, to which all service users spoken to were highly complimentary EVIDENCE: Discussions with service users and staff clearly identified a relaxed and informal atmosphere in which the service user’s needs were paramount. A routine exists to establish a framework for managing the home, not as a yardstick for service users to comply with. Several residents expressed their appreciation for the freedom they enjoyed, with the security that there are familiar events to the day they could relate to. Those service users’ rooms inspected showed a strong influence of personalisation in the inclusion of belongings, some furniture and general décor. The home does not act as appointee for any service user beyond helping with pocket monies. Relatives are usually the preferred option for control of money. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 13 Some service users preferred to keep small amounts themselves, and a locked facility was available in each bedroom. The high standards of catering at The Poplars offered an excellent service, to which all service users spoken to were highly complimentary of all aspects of quality. A menu on a four weekly cycle offered a wholesome, varied and excellent choice. Individual preferences were recorded in assessment and conveyed to cook, who met with, and discussed their requirements. It was confirmed that the cook knew each resident, and some of the relatives. An excellent lunch was served during inspection, with three choices available, served in a wellfurnished and spotlessly clean dining room. Staff were seen to offer discreet assistance to those who required it. The choice of dining room, lounge or bedroom was at the discretion of service users. The kitchen was inspected with the cook and found to present a well equipped and organised area. All fridges and freezers were well maintained and checked daily by the kitchen staff. A cleaning schedule was in place and seen to be up to date and accurate. COSHH signs and notices were in evidence with cleaning chemicals secure, appropriate and under control. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) The home had a meaningful complaints policy, clearly identifying the CSCI as a resource to approach with a complaint or grievance. No formal complaint had been received via the Commission since the last inspection. Service users’ legal rights are protected by the systems in place. Staff induction and in-house training programmes clarified the responsibilities of all staff in their daily contact with service users, especially their privileged position in protecting service users from abuse, of all natures. EVIDENCE: A complaints book is maintained which shows a responsible approach in handling complaints appropriately. Experience has proven the depth of sensitivity of senior staff to addressing complaints in an effective manner. Minor complaints were received in-house and found to be resolved to complainant’s satisfaction. Staff induction and in-house training programmes clarified the responsibilities of all staff in their daily contact with service users, especially their privileged position in protecting service users from abuse, of all natures. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25 and 26 The location of The Poplars is conducive for a care home, situated in a village setting with good access to road links, and a short drive to Newcastle. The building has been successfully adapted and extended for care, having had continual attention to refurbishment and an ongoing upgrading programme. Each of the bedrooms provided a satisfactory level of furnishing and facilities to which each resident has been encouraged to add their personal belongings, furniture and décor as the wished. It was most encouraging to observe a clean and pleasant, odour-free atmosphere, much to the credit of staff. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 16 EVIDENCE: The evidence that the Home’s staff and management have worked hard in maintaining the high standards of the environment were many and various. The home is well appointed to meet the needs of elderly residential population of service users. A traditional large old vicarage setting provides a safe, comfortable, friendly and homely environment. There were 31 service users at the time of inspection. External access is satisfactory for visitors parking. A free public car park is available at the side of the driveway entrance to the Home. Resurfacing work to the driveway has been recently completed, pathways and fencing were safe and recently attended to. There is an impressive garden facility for service users to take advantage of. Internal access was facilitated with adequate, well-lit and airy corridors. The refurbishment and re-decoration programme is a constant feature, recent upgrades inspected and found to be of a high standard. Plans are developing to offer a 2 bedroom flat facility for staff recruited from overseas. Remedial work is shortly to begin on improving laundry facilities, and re-siting of a training area. Bedrooms were well maintained to meet service user’s personal preferences. It is the policy that on bedrooms becoming vacant, that each room is reappraised for redecoration Communal areas were pleasantly furnished with facilities to accommodate social or reflective needs, in a homely setting. The building complied with local fire service, Environmental Health and Health and Safety requirements. The Poplars provided a range of communal areas for service users to sit. Service users have virtual free access to safe and comfortable surroundings throughout the home. There is a comfortable, well provided for dining room. The rooms were suitably light and bright to allow service users to take part in activities such as reading. Social, cultural and religious activities tend to take place in the lounges and service users are able to access any lounge. Residents were keen to point out that a three-weekly C/E service takes place in the main lounge. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 17 The standard and presentation of all the toilets and bathrooms were of a high quality, clean, uncluttered and odour-free. Adequate attention has been given to ensure maximum privacy within risk-assessed boundaries. Toilets are accessible to all and within close proximity to all communal areas. All but one bedroom is en-suite. Notices regarding chemical handling the areas that store chemicals displayed appropriate COSHH posters and information charts. The heating arrangements throughout the home are by central heating with guarded radiator or low surface temperature convection. Lighting facilities, including individual bed lights and overall emergency lighting were installed and regularly maintained. Each room was fitted with a tested fire/smoke alarm. Water temperature were randomly tested and found to be within normal limits. Ventilation is by direct door and window airing. Corridors were seen to be free from obstruction, fitted to aid mobility and well lit to facilitate safe access throughout the home. Communal areas were equally well served with utilities. Servicing records were examined and found to be up to date and accurate. It was most encouraging to observe a clean and pleasant, odour-free atmosphere, much to the credit of staff. To complement the presentation there were numerous floral and decorative displays. The laundry is well equipped with newly purchased machines with new ozone disinfection; is clean and organised with appropriate COSHH posters and advice shown. Chemical cleaners were used appropriately throughout the home, were seen to be secure. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30 Staffing levels were seen to be satisfactory, the daily care staffing rota showed adequate balance between skills, qualifications and numbers to provide a good standard of care. The thoroughness of staff selection has a significant effect upon the provision of care to ensure protection of service users. Records show a broad spectrum of clinical and allied subjects covered, ensuring that staff fulfil the aims of the home and meet the changing needs of service users. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 19 EVIDENCE: There were 31 service users in the home on the day of the inspection. Off-duties for week commencing 14/08/05 was provided and examined; staffing levels were seen to be satisfactory. The daily care staffing rota showed adequate balance between skills, experience and numbers to provide a good standard of care. The staffing establishments were examined and found to be satisfactory in meeting the staffing notice. An average coverage was seen to be: 0800 – 1500 – 1 Senior 5 carers 1500 - 2200 – 1 Senior 3 carers 2200 – 0800 - 1 Senior 1 carer The care manager/providers contribute extensively to the staff coverage, with Mr and Mrs Curry on-call most nights. When the managers were not on-call a third care worker worked a waking night. The estimated staff establishment of 640 hours of care staff/week is presently 643 hours. Shortfalls are usually made up with flexible rostering and overtime. Agency staff are not used at The Poplars. There was 40 hours domestic time at the time of inspection, there are 4 catering staff working within 45.5 hours, a 12-hour maintenance man and a 3hour administrative support. At the time of inspection there were 8 carers with level II NVQ, none on the course at present, 4 planned to start this year. The Home has reviewed and established a satisfactory procedure for interview, selection and appointment of staff. This involves a standard application form to assess and profile, 2 references taken and CRB (enhanced) checks gathered before a contract is offered to successful candidates. The thoroughness of staff selection has a significant effect upon the provision of cares to ensure protection of service users. Three staff files were tracked and confirmed the policies in action. All staff have been offered the GSCC code of conduct to supplement internal policies. All new staff goes through an induction process that will ensure that they are going to be the right person for the Home. All staff have a statement of terms and conditions of service through a comprehensive contract. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 20 The Poplars is committed to maintaining a training facility with the resources to ensure continued service to staff. Staff induction programmes are well established, forming the base upon which in-service supervision and training are planned and achieved. Staff records displayed an account of training that includes a code of conduct, which has been complimented with the General Social Care Council’s code. Records demonstrate an on-going process of supervised practice taking place. Records show a broad spectrum of clinical and allied subjects covered, ensuring that staff fulfil the aims of the home and meet the changing needs of service users. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,3,34,35,36,37 and 38 The Poplars has in place a highly effective and motivated management, sensitive to the needs of each resident, organisational demands and the constant feature and challenge of change. Personnel are well trained and appreciated for their commitment. Policies are meaningful, supported with up to date procedures and skilled application of good practice. Each presents a safe and secure environment in protection of rights, interests, health and safety of the residents. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 22 EVIDENCE: There is a confidence apparent in the interaction of staff and the Home’s management, that demonstrated a positive relationship that pervades throughout the Home. This open style of management was mentioned by several service users, which provided a source of trust and mutual respect. Quality assurance complements this arrangement with a high profile involvement of the care managers/providers on a daily basis. The service users were aware of the CSCI inspection and asked to speak with the inspector, showing off their rooms and discussing their position. Each service users has a personal file containing contractual, financial and personal information. Several files inspected evidenced a satisfactory standard of maintenance and security of these files. A sample of administrative, maintenance and care records were examined and found to offer an accurate reflection of a service committed to providing a safe and comfortable environment. Staff training programmes included relevant aspects of Health and Safety, first aid, moving and handling and fire training were recorded. Servicing records of essential equipment were examined including hoists, and electrical maintenance, including personal electrical PAT testing. All accidents and incidents were recorded for staff and service users, including provisions for Riddor should the need arise. The administration and management of the home is efficient, uncomplicated and sensitive to the needs of service users. Service users benefited from competent and accountable management. The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 4 4 4 4 4 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 3 COMPLAINTS AND PROTECTION 4 4 4 3 4 4 3 3 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 4 3 3 4 4 4 4 3 3 4 4 The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 24 none Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation none Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard none Good Practice Recommendations The Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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 Poplars E51-E09 S5023 The Poplars V245532 200805 Stage 4.doc Version 1.40 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!