Inspection on 22/03/07 for The Yelverton Nursing and Residential Home

This inspection was carried out on 22nd March 2007.

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 Yelverton Nursing and... 27/10/08

The Yelverton Nursing and... 31/01/06

The Yelverton Nursing and... 14/06/05

The Yelverton Nursing and... 09/12/04

The Yelverton Nursing and... 21/04/04

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

CARE HOMES FOR OLDER PEOPLE The Yelverton Nursing & Residential Home 2/4 Greenbank Terrace Yelverton Devon PL20 6DR Lead Inspector Megan Walker Unannounced Inspection 22nd March 2007 11:00 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 Yelverton Nursing & Residential Home DS0000003619.V327363.R02.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 Yelverton Nursing & Residential Home DS0000003619.V327363.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Yelverton Nursing & Residential Home Address 2/4 Greenbank Terrace Yelverton Devon PL20 6DR 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) 01822 852641 01822 854419 LarkCastle Limited Mrs Jessica Sheila Powell Care Home 27 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (18), of places Physical disability over 65 years of age (27) The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered as a Care Home with Nursing for a maximum of 27 Service Users in the categories of PD (E) 27, OP 18 and DE (E) 3 Date of last inspection Brief Description of the Service: The Yelverton Nursing and Residential Home is a privately owned care home registered for up to twenty-seven residents within the categories of Old age, not falling within any other category (18), Physical disability over 65 years of age (27), and Dementia – over 65 years of age (3). It is not registered to provide intermediate care. The Yelverton Nursing and Residential Home is a refurbished Edwardian house that has been successfully modified over the years to provide nursing and residential care. The home is on three floors with passenger lift or stair lift access to all parts of the building. It offers a variety of accommodation, to include two double rooms and many rooms with en suite facilities. There is a pleasant patio approach to the home and a large patio area at the rear. The home employs registered nurses to deliver nursing care and to support care staff in the delivery of care. The home is well equipped to deliver the care for which it is registered. The home is very close to Yelverton village and there is level access to local amenities. The fees at The Yelverton Nursing and Residential Home range from £340 to £465 (residential rate). Additional extras are nursing care, and hairdressing, chiropody, newspapers, special interest journals and magazines, dry cleaning, glasses, clothes, and any sundry items, all at commercial rates. There is also a fee of £8for a hospital car to provide transport to hospital appointments with an additional fee of £8 for an escort. The Registered Provider gave this information to the Commission in January 2007. The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a Key Inspection. The fieldwork part of this inspection was unannounced and took place on Thursday 22nd March 2007 between 11h15 and 18h30. It included talking to residents, staff and visitors to the home, observation of interactions between staff and residents, and residents with residents, a tour of the premises, and inspection of care plans, staff files, medication and other records and documentation. The Registered Manager, Mrs Powell, and the Deputy Matron were present at the time of this visit. Part of the time was spent talking with them about the day-to-day routines, as well as the management of the home. In addition other information used to inform this inspection: • The Pre-inspection Questionnaire completed by the Registered Manager. • The previous two inspection reports • All other information relating to The Yelverton Nursing and Residential Home received by the Commission since the last inspection. Of approximately 65 Comments’ Cards and Surveys sent out, the Commission received back – • 0 Residents “Have Your Say About the Yelverton Nursing and Residential Home” Care Homes Surveys • 7 “Relatives/Visitors” Comment Cards • 9 Care Workers Surveys 2 telephone calls from staff • 0 General Practitioner (G.P.) • 3 Health/Social Care Professional in contact with the home No requirements or “Good Practice” recommendations were made as a consequence of this inspection. What the service does well: Prospective residents have access to a comprehensive pack of information about the care home. Relationships with health and social care professionals are good and feedback received by the Commission included: Q9: What do you feel the service does well? • “Communication between carers & residents. Catering for individual needs. Ensuring a safe environment. Requesting advice from other services with more experience.” • “Seem to care for all patients and respond to individual needs.” The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.S.doc Version 5.2 Page 6 • “Provides a safe environment for elderly/infirm people who cannot look after themselves any longer. Respects dignity and maintain comfort and health, and allows interactions.” 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 Yelverton Nursing & Residential Home DS0000003619.V327363.R02.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 Yelverton Nursing & Residential Home DS0000003619.V327363.R02.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): 1, 2, 3,5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective residents and their families can feel confident that their needs will be assessed before moving into the home and that they can have the information they need to make an informed choice about where to live. EVIDENCE: The home has an information pack that is available to prospective residents and their families/representatives. This contains a copy of the home’s “Statement of Purpose” (the home’s aims and objectives), the “Service User’s Guide” (residents’ information about the home including terms and conditions of occupancy), the home’s fees’ structure, the home’s Complaints Procedure. Also included are contact details for an independent advocacy service, and the Nursing Homes Fees Association advice helpline. The home also has a The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.S.doc Version 5.2 Page 9 website: www.yelverton-nursing-home-co.uk that includes a direct link to previous inspection reports via the Commission’s website. Each resident has a written contract with terms and conditions of occupancy. Prospective residents are assessed before they move into the home to make sure that the care needs identified can be met by the staff team and within the environment of the home. When practicably possible, prospective residents are encouraged to visit the home before deciding if they wish to move in. The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.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): 7, 8, 9, 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents can feel confident that a staff team that is respectful and reliable will ensure that their care needs are met although care practices are task-focussed at times. EVIDENCE: Inspection of a random selection of residents’ care files found that each one had a detailed assessment of care needs and care plan. These had all been reviewed regularly and amended as required. When a resident had had an accident this was recorded appropriately and reported to the relevant authorities if necessary. Surveys returned to the Commission by relatives/representatives were generally constructive in their comments. Concerns were raised about The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.S.doc Version 5.2 Page 11 personal care needs being overlooked such as having to request cutting of finger nails, and sometimes clothes looking “grubby”. Surveys returned to the Commission by local health care professionals in regular contact with the home were positive. Comments included: “They do seek advice from multi-disciplinary members” “As far as I am aware any advice or recommendations are acted on.” “On occasions ask for advice on wound care and respond promptly.” Evidence was seen of residents’ wound care assessments, photographs and charts with dates and other relevant information recorded for the Tissue Viability Nurse. Medication was seen kept in a lockable drugs’ trolley that was stored in a lockable cupboard. The controlled medication cupboard was stored in a small lockable cupboard inside a fixed, lockable wall unit. These were all metals storage units. The medication administration charts each had a photograph of the resident for whom the medication was intended. There was also a list of names and initials for each of the staff members trained to administer and handle medication. The medication records seen were signed and dated appropriately. A resident who spoke to the inspector said “they [staff] treat me with respect.” Another resident commented that the carers were good “although they don’t have time to sit and chat. It can be very lonely.” One relative wrote: “Trained staff are very good. Some of the untrained care staff (the minority) need more experience in attitudes to both the people in care and visitors.” Another relative/representative wrote similar remarks, “I believe that the majority of the staff – in particular senior/longer serving members of staff are all very pleasant & take the trouble to talk to my X (who is very bright mentally).” Observation of interaction between staff and residents during this visit saw them mainly assisting with daily living activities such as assisting to and from the dining room. Staff seemed reluctant to engage in ‘chit-chat’ with the residents and were more concerned about moving on to the next task. The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.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, 15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are satisfied with the lifestyle they experience at The Yelverton Nursing and Residential Home. EVIDENCE: The residents living at The Yelverton Nursing and Residential Home at the time of this visit had varying levels of mobility consequently some continue to independently participate in activities outside the home. One resident explained that two different external groups provided in-house activities that she enjoyed attending and looked forward to. They varied each session from armchair exercises to quizzes and crosswords. There was evidence of a selection of large print books and the Registered Manager confirmed that there was local mobile library that came to the home regularly. A resident also mentioned that there had recently been a change of the library books. Other residents commented about their preference to sit in certain areas of the home, one preferred the lounge near the front window to watch the traffic and see visitors coming and going, another resident was content to sit looking out The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.S.doc Version 5.2 Page 13 at the back garden. She pointed out to the inspector the garden furniture and said that in the summertime she liked sitting outside in the garden. During the tour of the premises residents were seen around the home choosing where they wished to be sitting. Families and friends are encouraged to visit their relative living at the home, and residents maintain contact with friends and families. During this visit several residents talked to the inspector about their families/friends, and the contacts that they each had. Several family members and friends were seen visiting people who use the service. These visits were throughout the day at various times. One relative who returned a survey to the Commission wrote: “On the whole they are welcoming of visitors. Are always aware of how the residents are feeling, when asked about them. Do arrange outings for residents and ‘get togethers’ for residents, family & friends.” On the day of this visit the midday meal was a choice of either chicken casserole or lasagne followed by bread and butter pudding or melon. Teatime was observed and again residents were given a choice of hot and cold food. It was also observed that some residents were struggling to eat their food either because they had an unsuitable piece of cutlery or because they didn’t have the manual dexterity to open packaging. Those people who were more able called for assistance however this was not everyone. Residents could choose where they ate their meals. The cook reported that most people preferred breakfast in their rooms and some people liked to have all their meals in their rooms. The cook confirmed she catered for specialist diets and individual preferences. She also confirmed that if a pureed diet was needed the individual food items would be liquidised separately. However in some cases vegetables had been mixed together to get a broader balance of vitamins and minerals. In the cook’s opinion this had proved to be visibly beneficial to the individuals’ health. The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.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, 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents and their families and friends can feel confident that any issues of concern or complaints raised by them will be dealt with appropriately. EVIDENCE: Since the last inspection the Commission hasn’t received any complaints about The Yelverton Nursing and Residential Home. The Registered Provider received one complaint. This was reported in the Pre-Inspection Questionnaire as responded to within 28 days and not substantiated. The home’s Complaints Procedure was seen displayed visibly in the entrance hall. A copy is also included in the information pack sent out to prospective residents. As part of the structured supervision programme provided by the Registered Manager all the staff reviewed practices to safeguard vulnerable people in their care. The home’s policy and procedure was also reviewed and updated within the past twelve months. The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 24, 25, 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents live in a safe and maintained home with access to safe and comfortable indoor and outdoor communal facilities. EVIDENCE: A tour of the premises found that each bedroom was personalised and some residents had brought in pieces of their own furniture. Other residents had soft furnishings of their choice around their rooms. Specialist equipment was also seen provided in bedrooms, en-suites and communal toilets and bathrooms. There is a choice of communal areas for residents to use and throughout this visit it was observed that each room was well used. There is level access to The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.S.doc Version 5.2 Page 16 the back garden through patio doors leading from the dining room and the front entrance is level access too. Some surveys returned to the Commission had comments about the constraints and appearance of the building, such as, • “Many problems in this nursing home result from the fact that it is in a non purpose built building with the result that movement from room to room for anyone with poor mobility or in a wheelchair is very difficult. Fire doors (& necessary regulations) make being a self-propelling wheelchair user impossible.” “Needs refurbishing of carpets, curtains & furniture. All looks shabby & ‘dated’”. • The Registered Manager explained that plans were in hand to repaint throughout the home and estimates had been requested for new carpets to be fitted in the near future. The Registered Provider has subsequently confirmed in writing to The Commission that two rooms have been redecorated and recarpeted, and that redecoration of the hall and two landings was due to start in May 2007. She acknowledged that the building was restrictive for those people who used wheelchairs and frames hence there were a lot of scuffed doors and walls. One resident was observed using her frame to push open and hold heavy fire doors so she could get through. Observation of staff negotiating wheelchairs saw that there was little turning space in a number of areas of the home. It was noted that some staff were adept at moving wheelchairs around without risk of injury to the person being moved by use of a wheelchair. The Registered Manager talked about some of the financial constraints of an old building and the ‘hidden’ maintenance work that was ongoing. One such example was a recent water leak through the roof into a resident’s bedroom. She confirmed that a local builder was coming in to repair the roof and redecorate the bedroom. It was observed that the kitchen had no natural ventilation. The cook and the kitchen assistant pointed out two extractor fans that had been fitted in the storeroom. There was also a small hatch into the dining room although this didn’t allow much air to circulate from any open windows in the dining room. Both members of staff confirmed that the kitchen could be very hot and airless particularly during warmer months of the year. The last Environmental Health inspection report in August 2006 requested better ventilation in the kitchen. The Registered Manager said that the Registered Provider was aware of the matter and seeking ways to improve it. In the staff surveys returned some staff requested a separate staff room for non-smokers. During the tour of the premises the staff room was easily identifiable as the adjacent corridor had a strong smell of stale tobacco. This room is located on amongst residents’ bedrooms. The Registered Provider has The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.S.doc Version 5.2 Page 17 subsequently confirmed in writing to The Commission that after 1st July 2007 the staff will not be allowed to smoke in the care home. The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.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): 27, 28, 29, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are cared for by trained and competent staff in sufficient numbers to meet the needs of those currently living in the home. EVIDENCE: Staff • • • • who returned surveys to the Commission confirmed that: All had received a written contract of employment All had received a job description All had received induction training All feel that they had enough support from manager to begin working with residents All except 1 (no response) ticked YES re funding & relevant training. At the time of this visit seven Registered General Nurses (RGN), including the Registered Manager, and three Enrolled Nurses (EN), were employed to work at The Yelverton Nursing and Residential Home. There were fifteen nursing auxiliaries, two of whom were on maternity leave and one was also a part time cook. Additionally to the care staff there were two cooks, four kitchen assistants, two laundry assistants, three domestics, one kitchen assistant/domestic, and a maintenance person. The majority of staff were The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.S.doc Version 5.2 Page 19 contracted to work part time hours with full time equivalent being the Registered Manager, one EN, five nursing auxiliaries, a cook and two domestic staff. The rota inspected found there was at least one trained nurse (RGN or EN) on every shift . With the exception of night shifts (i.e. 20h00 to 08h00) when only two staff were on duty, all the other shifts were well staffed. Inspection of a random selection of staff files found that all the required checks had been done. There was evidence that each staff member had completed a comprehensive in-house induction training. This included fire awareness and safety in the building, health and safety, use, disposal and storage of hazardous substances, and infection control. Inspection of training records found that all staff had completed fire training in January 2007. The Registered Manager confirmed that all staff do a firetraining course twice a year. Further training booked for the near future was moving and handling, and first aid. The home currently has nineteen qualified first-aiders. The Registered Manager confirmed that all except one staff member have a minimum of training at National Vocational Qualification Level 2 in Care. As part of a rolling in-house programme, the Registered Manager organises themed group supervision. Generally the Registered Manager ‘tests’ staff on their knowledge of a subject, and in small groups the individuals identify who needs help and/or further training. Recently staff have been looking at the “Principles of Care”, safeguarding adults, and risk assessments. Some staff comments received were generally very positive about working in the home, for example, “The staff work very well as a team and there is a friendly atmosphere in the home.” “One of our clients came to us with a terrible heel pressure area, with exposed bone. No-one thought it would improve but it has greatly & the client can now weight bear on it.” “I think it is the most friendliest place I have ever worked and everybody who comes in to the home are treated as part of our extended family.” The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.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, 37,38 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Health, safety and welfare is promoted and protected by a competent and capable Registered Manager who is keen to achieve positive outcomes for residents and staff. EVIDENCE: The Registered Manager is pro-active about keeping up to date with relevant legislation and ensuring that the home provides a service that meets the care needs of the residents. The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.S.doc Version 5.2 Page 21 Annually questionnaires are given out to residents, relatives of residents and to staff to seek their views and ideas about the service offered at The Yelverton Nursing and Residential Home. The Registered Manager said that it didn’t include visiting professionals or extend further to the local community, however in the future this would happen. There is an annual staff meeting that includes a quality assurance aspect to it. The Registered Provider completes periodic inspections for the purposes of regulation and to regularly review the service. Copies of these reports are sent to the Commission. At the time of this visit none of the residents handled their own affairs. This was done on their behalf by a relative or a solicitor. The Pre-Inspection Questionnaire showed that all the home’s policies, procedures and codes of practice had been reviewed and updated if necessary in the past twelve months. All the records are available to residents should they wish to read them, and a copy of each is held in each staff office for staff to reference. The Registered Manager confirmed that all the necessary maintenance checks as reported in the Pre-Inspection Questionnaire were correct and up to date. During this visit a logbook of all services and maintenance checks was seen. The Registered Manager confirmed that she is responsible for the monthly fire checks and if she is away the Deputy Matron does these checks. The Accident Book was seen and accidents had been recorded correctly. The Commission had been notified of any incidents affecting the health, safety or well being of any of the residents. Care plans inspected had risk assessments included in them that were relevant to the individual resident. The Registered Manager agreed to contact the local council about “Safer Food, Better Business” in order to ensure the kitchen routine complies with the Food Standards Agency regulations and recommendations. Recently the Registered Provider has replaced the washing machine with an industrial machine that has a sluicing programme and a “medic care” programme (more intensive rinsing). The tumble dryer has also been replaced. The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.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 4 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 3 X 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X N/A X 4 4 The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Yelverton Nursing & Residential Home DS0000003619.V327363.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Yelverton Nursing & Residential Home DS0000003619.V327363.R02.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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