Inspection on 26/06/07 for Treelands Care Home

This inspection was carried out on 26th June 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

Treelands Care Home 12/06/09

Treelands Care Home 04/06/08

Treelands Care Home 26/04/06

Treelands Care Home 24/11/05

Treelands Care Home 20/06/05

Treelands Care Home 28/09/04

Treelands Care Home 11/05/04

Treelands Care Home 16/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

SignHealth

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

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

CARE HOMES FOR OLDER PEOPLE Treelands Care Home Greenhurst Crescent Oldham 0L8 2QQ Lead Inspector Tracey Rasmussen Unannounced Inspection 08:50 26th June 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 Treelands Care Home DS0000042440.V339652.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. Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Treelands Care Home Address Greenhurst Crescent Oldham 0L8 2QQ 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) 0161 626 7173 0161 628 9793 Southern Cross Healthcare (Kent) Ltd Mrs Pauline Smithstone Care Home 80 Category(ies) of Dementia (40), Dementia - over 65 years of age registration, with number (40), Mental disorder, excluding learning of places disability or dementia (20), Mental Disorder, excluding learning disability or dementia - over 65 years of age (20), Old age, not falling within any other category (40), Physical disability (40), Physical disability over 65 years of age (40), Sensory impairment (4) Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No Service User to be admitted into the home who is under 55 years of age. The manager must be supernumerary at all times. Date of last inspection 26th April 2006 Brief Description of the Service: Treelands is owned and managed by Southern Cross Health Care Services Limited, which is a private company with a number of other homes in the area. Treelands is a purpose built home, located in the Fitton Hill area of Oldham. Treelands provides general nursing and personal care for up to 40 service users, specialist dementia care for a further 40 service users and care for service users with other mental health needs. The home does not provide care for service users under the age of 55 years. Accommodation is provided over two floors, the first floor being accessible by a lift. Each floor is divided into two units, which are separately equipped with bath and shower rooms, treatment rooms and lounge/dining rooms. The general nursing unit occupies the ground and first floors on one side of the building, whilst service users with mental health needs occupy the ground and first floors on the other side. All bedrooms provide en-suite facilities. Separate self-contained, secure gardens are accessible from each unit. The current weekly fees range from £313.00 to £390.12 dependent on the package of care required. Further details regarding fees are available from the manager. No additional charges are currently made. Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook this unannounced key inspection site visit on the 26th June 2007. This means that the manager and staff in the home did not know that an inspection was to be undertaken. The inspection included a review of all available information received by the Commission for Social Care Inspection (CSCI) about the service provided at the home since the last key inspection. A random inspection visit was undertaken in January 2007 where it was noted that the service was improving. A questionnaire (Annual Quality Assurance Assessment -AQAA) was sent out to the manager at the home about two months before this inspection visit and this provided some additional information to assist the inspection process. All key inspection standards were assessed at the site visit and information was taken from various sources which included observing care practices, talking with people in the home; talking with visitors; interviewing the manager and other members of the staff team. A tour of the home was also undertaken and a sample of care, employment and health and safety records seen. Comment cards were sent out to people who use the home and comments from returned forms have been included in this report. Four people living in the home were case tracked as part of this inspection visit. This means the care service provided to these people was looked at and this included talking with the people living in the home (where possible) to seek their opinions and looking at their records. A brief explanation of the inspection process was provided to the manager of the home at the beginning of the visit and time was spent at the end of the visit to provide verbal feedback of the findings from the inspection visit. What the service does well: All four units in the home were visited throughout the course of the day and each unit was peaceful and relaxed. People living in the home were presentable and settled. Staff were courteous and friendly and went about their duties in a professional manner. Comments were sought from people in the home, relatives and staff and these were on the whole, positive about the care and staff. People living in the home said, “They are nice people here, they can’t do enough for me”; And, ‘The carers do a very very good job’ and ‘staff are respectful’. Relatives said, “Management is very good” and, “I am happy with the service”. Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 6 Other relatives did express dissatisfaction with some aspects of service and felt on occasion their concerns were not addressed. The home was clean and generally odour free and provided modern single roomed accommodation. Equipment and facilities to meet the different and varied care needs of the people was available. Visitors were welcome into the home. Complaints were treated seriously and investigated properly as the home’s procedures requires. Most staff had had training to ensure people were safeguarded as far as possible from abuse and they knew what to do if they suspected abuse. Employment recruitment practices were safe so staff who may have posed a risk to people living in the home were not employed. Staffing levels in the home were appropriate to meet the needs and dependency levels of the people living there. Staff had had general training and NVQ training so that 50 of the care staff team gained a qualification. A quality assurance system including regular relative meetings were established which means standards of service were monitored and improved when issues were identified. Personal monies were maintained safely and health and safety practices were safe. What has improved since the last inspection? What they could do better: One area that does need further attention is the meal service. The manager was aware and had been trying to improve the meal service in the home however there was a number of people dissatisfied with the meal service. One person in the home said, ‘The quality of the food is poor’. Some visitors said, ‘the meals although nutritious are not presented well’ and others said that the ‘food had vastly improved’. But other visitors strongly condemned the meal service particularly the pureed diet. Choice also seemed to be limited as menus were not always followed and people living in the home and staff said that they did not always know what the meals were until they arrived. Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 7 Care planning records would benefit from more person centred information which mean people’s individual choice, preferences and wishes are recorded and respected and NVQ training should continue. 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. Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. People’s needs were assessed before they moved into the home and the home could assure new people that it could meet their needs on admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Not many of the people living in the home could comment about the quality of care they received; however relatives and visitors were spoken with. One relative said, ‘I am happy with the service’; and a second relative said, “Staff are really kind.” Four care files for people living in the home were seen. These contained detailed information about each person’s care needs. The care records included information that indicated that the home had made pre-admission Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 10 assessments or checks on the new person’s care needs before they came into the home. This enabled the manager of the home to assess and confirm whether the new person’s care needs could be met properly by the services provided in the home. The manager said she always requested a community care assessment and nursing assessment before a new person moved into the home. Intermediate care (standard 6) is not provided at the home. Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. People living in the home receive care and support in a respectful manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides nursing care and support across a range of needs that includes people with different stages of dementia and general nursing care. Due to the specialist care needs of people living in the home, only a couple of people were spoken with at this visit and they provided a mixture of comments. However general observations of the home environment and the wellbeing of the people living there were undertaken. Relatives were also spoken with and they said they were on the whole satisfied with the care their loved one received but concerns were expressed about meals and activities. (Please see the next section of the report.) Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 12 Comments included; ““The carers do a very very good job’; ‘staff are respectful’ and ‘staff are all lovely’ The home was calm and peaceful. On each unit good interactions between staff and people living in the home were observed. Staff chatted with people in a calm and relaxed manner. People were presentable and dressed according to their preference. Some people were cared for in bed and this was reported to be in response to their care needs. Records of contact with community health services such as GP, community mental health teams, chiropody and optical support were available. Staff spoken with were positive about working in the home. Staff said they were trained and supported to do their job and a number were undertaking their NVQ. At this visit more time was spent on the Elm unit (nursing dementia ) and Oak unit the general nursing care unit. Four care files were looked at and these had comprehensive records of care needs for each person. Actions to support each person with their care needs were also recorded although these tended to be generic in nature and did not reflect the personal or individual preference of the person. Care plans did include references to promoting privacy and dignity. Some areas of development were noted to improve the quality of the care planning records and these included making care plan actions or interventions more person centred so that the person’s wishes and preferences were recorded. Routines that had proven to be effective, for example managing challenging or unique behaviours also needed to be recorded. Evaluation of the effectiveness of some of the care plans should also be developed further. Care plans viewed contained assessment information based on the activities of daily living, moving and handling, nutritional, falls, skin and Waterlow pressure area risk assessments. Medication procedures were reviewed briefly on two units. The home uses a monitored dosage system of medication storage and administration. Concerns identified previously regarding obtaining medication from the pharmacy had been addressed. Medication records seen for the receipt of medication, administration and disposal were all satisfactory and controlled drug registers were also recorded correctly. The medication procedures are monitored on a monthly basis by the home manager, which is checked by the manager’s line manager. Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 13 Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. Social activities and stimulation have improved so that the diverse needs of the people in the home are met. Mealtime choices and the quality of food were not consistently good enough to meet the needs and preferences of people in the home. Lifestyle preferences were respected and visitors were welcome. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had been without an activities person for a number of months however a new person had commenced in this role in April. One returned comment card stated, “…for the past few weeks there has been an activities co-ordinator. This person has made a vast difference to the ambience of the unit”. The activity person shared her time out on all four units and tried to undertake some activity with each person in accordance with their preference. The Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 15 activity person said she tried to provide a mixture of planned and ad hoc activities. Some records were available and these detailed activities which each person had joined in with or had benefited from and these included hand massage and working with each person to record life maps. Staff respected individual wishes to socialise or not. One person said she did not like activities and records confirmed another’s person’s request not to sit in the lounge. General observation throughout the day on all the units indicated that staff interactions with the people living in the home had developed and improved since previous inspections. One staff member sat with someone to ease their agitation, another staff member was observed playing dominoes with people in the evening and staff were sat with people looking at books. One visitor did comment that care staff on the Oak unit were more interested in reading magazines than spending social times with the people living there. The meal service was the one area that most negative comments were passed from people living in the home, relatives and staff. One visitor described the quality of food over the last few months, ‘My mother was given a ‘pureed’ meal it looked like ‘slops’. Another comment made was, ‘The meals although nutritious are not presented well’ and another comment, ‘Sometimes meals seem rather bland at the main meal’. One family member said she had spoken with the chef but this had not improved the quality of the meals served. The manager was aware of the concerns regarding food and meal times and meeting was held with family members earlier in the year. One relative said that the, ‘food had vastly improved’ and another family visitor said that the, ‘food has been off but it has definitely improved’. However other relatives felt there had been little improvement and that the quality of the food particularly soft diets was poor. One person living in the home said, “I don’t know what’s for tea until they bring it. It is the same with lunch.” Staff spoken with said that they did not know what the meals were going to be until the meal arrived from the kitchen. Staff also said that the written menu was frequently changed at short notice. The chef working in the home was informed of the concerns expressed by people in the home and he said he was trying to improve the meal service. A three week rolling menu was available, however the menu had been changed on the inspection day. The home offers a full cooked breakfast every day followed by a lighter lunch and a main meal in the evening. Lunch at this visit was, soup and sandwiches Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 16 or bacon casserole and new potatoes and for the evening meal, it was liver and onions or meatballs, mash potatoes and mushy peas. Further review and consultation of the meal service is required to make sure people in the home are offered choices and the quality and presentation of all meals is of a good standard. The kitchen was briefly viewed and this was relatively clean and tidy. Support was provided at meal times by care staff and this was unhurried and discreet. Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 17 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. People in the home can be confident that staff are trained to respond appropriately to suspected abuse and that complaints will be treated seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection visit the manager had received four complaints and these had been responded to according to the home’s complaints procedure. Records were available of the complaints and the actions undertaken in response to these. People living in the home knew the manager by name and felt confident to voice any worries or concerns. One relative said, ‘any comments I have are directed to the nurse in charge or to the home manager’. The manager has a open door policy and holds regular resident and relative meetings. One person’s family members did state, ‘although we do voice our concerns nothing seems to happen to rectify the situation’. This was specifically in relation to the meals and activities. Please see previous section of this report – Daily Life and Social Activities. Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 18 Staff spoken with about complaints and protecting people from abuse responded knowledgeably. There had been two allegations of abuse since the last inspection. The manager responded to these appropriately and in accordance with Oldham’s social care’s safeguarding adults policy and procedure. Staff reported that they had received training in abuse and the protection of vulnerable adults and were able to discuss the content of their training and relate it to the home environment. Records were available of this training. Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 19 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. People live in a safe, well maintained home that was clean and generally odour free. Specialist equipment is available which means the different needs of each person could be met promptly. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is a purpose built care home that has been open for about five years. Treelands provides a good standard of single en-suite accommodation for people living there, with dedicated communal lounges, dining and bathing facilities. On the dementia care units, reference has been taken to therapeutic Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 20 interventions and models of care for dementia by painting doors in bright colours and providing tactile collages on the walls for stimulation and aide memoirs. Outdoors the home has enclosed garden areas with raised flowerbeds and patio furniture. The home is equipped with specialist aids and adaptations to promote people’s independence. The home was clean and tidy. People spoken with said, ‘the domestics work very hard’ and ‘the home is always clean’. Odour was noted on Beech unit. The manager reported that the daily cleaning regime had not been successfully in getting rid of the odour and so new carpet and flooring had been ordered for the lounge area. Two laundry staff were working. They were organised and the compact laundry room was clean and tidy. Routine maintenance records of all monitoring and checks undertaken were available. The home had recently employed a new maintenance person. One visitor said, ‘He is absolutely fabulous you ask for something and it is done.’ Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, 29 and 30 Quality in this outcome area is good Recruitment vetting practices, staffing levels, training and skill mix were appropriate to meet residents’ needs and promote their health and safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had a peaceful atmosphere and all staff spoken with were pleasant. People in the home said about the staff, “The carers do a very very good job” and “They are nice people here, they can’t do enough for me” Visitor’s comments included, “Management is superb; nurses are excellent and carers are okay” and “..we have a good relationship with staff” Staff were more positive about working in the home than on previous inspection visits.. Staff said that they enjoyed working in the home; that they delivered a good quality service and they said they received a good standard of training. The staffing rotas were available and indicated that staffing levels were maintained at appropriate levels to meet people’s care needs. Since the last Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 22 key inspection the home had increased the early evening staffing levels by one, so that assistance could be targeted in the home to the busy units or busy periods of time. Two employment files for newer staff to the home were seen and these contained all the necessary pre-employment checks. Records were available to indicate that the home did train staff from the start of employment with induction training to on-going training and NVQ. The home’s induction training was reported to be in line with Skills for Care requirements. Other staff members detailed various training courses they had attended and these included, dementia training, fire safety, abuse, challenging behaviour and moving and handling. NVQ training had been established and the home was working towards achieving 50 of staff completing this training. Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 23 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): 31,32, 33, 35 and 38 Quality in this outcome area is good The management of the home promotes the health, safety and wellbeing of the people living there. Opportunities are provided for people in the home to contribute to the daily routines and have a say in how the home is run. Personal monies of people living in the home are held safely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home has a detailed training and education background. She is a registered nurse with a dementia care certificate, a NVQ management certificate, a teaching certificate and a NVQ assessor certificate. Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 24 Evidence from this inspection identified that the manager has sustained and continued to improve the quality of service provided in the home. The manager was aware that some areas such as the meal service did still need more improvement and action to address this was being implemented. Both people living in the home and relatives all said that the manager was available to discuss concerns. Regular relatives meeting are undertaken, however no one attended the last meeting organised by the manager. Staff meeting are also undertaken A range of audits are undertaken regularly in the home, and these are closely monitored by senior managers in the organisation. Copies of the audits were available in the home. The home’s administrative support assistant maintains detailed records of all monies held on behalf of residents. Records were available and a clear audit trail was evident. The home employs a maintenance worker who undertakes routine repairs and monitors equipment to promote the health and safety of residents and staff. Records of maintenance including fire safety were available and these were comprehensive. Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 25 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 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 x 3 x x 3 Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 26 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. 1 Refer to Standard OP7 Good Practice Recommendations The registered person should ensure care plan interventions contain person centred information about residents’ preferences and wishes. Evaluations of the effectiveness of the care plans should be recorded and detailed. Further review and consultation of the meal service is required to make sure people in the home are offered choices and the quality and presentation of all meals is of a good standard. The registered person should continue to ensure that NVQ training is established in the home so that a minimum of 50 of care staff obtain this qualification. 2 OP15 3. OP28 Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 27 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 Treelands Care Home DS0000042440.V339652.R01.S.doc Version 5.2 Page 28 - 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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