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Inspection on 10/05/07 for Turret Villa Retirement Home

Also see our care home review for Turret Villa Retirement Home for more information

This inspection was carried out on 10th May 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The needs and wishes of each person living at Turret Villa had been properly assessed before they moved into the Home. This meant that staff knew about the needs of each person and what care and support they required. Good plans of care and risk assessments are completed for each person. This meant staff had the information they needed to support each person. Peoples` health care needs are effectively met by good care practice and effective joint working with health professionals. People are encouraged and supported to make decisions about their daily lives and preferences so that they retain their independence and individuality. Support is provided to encourage people to take part in and continue to enjoy activities and interest in line with their needs and preferences. People living at Turret Villa are encouraged and supported to maintain contact with their friends and family were satisfactory. The relationships between staff and people living at the home were good and personal support was provided in such a way as to promote and protect privacy and dignity. The meals at the home provided a varied, nutritious diet to suit the needs of the people living there. Staffing levels are good and appropriate training is provided to ensure that staff have the appropriate skills and knowledge to provide high quality care. Effective management systems and quality audits ensure that the home meets its aims and objective to provide individual support to each of its residents. Health and Safety systems protect residents and staff.

What has improved since the last inspection?

Staff supervision is provided at regular intervals to meet National Minimum Standards. As part of the annual programme of maintenance and refurbishment rooms have been re-decorated and re-carpeted.

CARE HOMES FOR OLDER PEOPLE Turret Villa Retirement Home Etal Road Tweedmouth Berwick-upon-Tweed Northumberland TD15 2EG Lead Inspector Anne U Brown Key Unannounced Inspection 10th May 2007 09:30 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 Turret Villa Retirement Home DS0000000614.V338088.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. Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Turret Villa Retirement Home Address Etal Road Tweedmouth Berwick-upon-Tweed Northumberland TD15 2EG 01289 330808 01289 330467 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) Mrs C R Kilmartin Mr D E Kilmartin Mr Michael Mordy Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th November 2005 Brief Description of the Service: Turret Villa is a large detached property set in its own grounds in Tweedmouth, Berwick upon Tweed. The home was previously a hotel and has been extended to accommodate up to thirty-five elderly people. The home is near to local shops and Berwick can be reached by car or bus in minutes. Bus services pass by the entrance to the home and the main line train station is in Berwick a few minutes away. Turret Villa has bedroom accommodation on the ground and first floor, but there is no lift fitted. All rooms are well appointed with en-suite accommodation. The Statement of Purpose/Service User Guide is available from the home and gives clear information about the service provided at Turret Villa. A copy of the last inspection report is also available at the home. The fees are £409:40 per week. Charges not included in the fees are for hairdressing, dry cleaning, telephone calls, newspapers and magazines. Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 11 November, 2005. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on date 10 May, 2005). During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit . We told the manager/provider what we found. What the service does well: The needs and wishes of each person living at Turret Villa had been properly assessed before they moved into the Home. This meant that staff knew about the needs of each person and what care and support they required. Good plans of care and risk assessments are completed for each person. This meant staff had the information they needed to support each person. Peoples’ health care needs are effectively met by good care practice and effective joint working with health professionals. People are encouraged and supported to make decisions about their daily lives and preferences so that they retain their independence and individuality. Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 6 Support is provided to encourage people to take part in and continue to enjoy activities and interest in line with their needs and preferences. People living at Turret Villa are encouraged and supported to maintain contact with their friends and family were satisfactory. The relationships between staff and people living at the home were good and personal support was provided in such a way as to promote and protect privacy and dignity. The meals at the home provided a varied, nutritious diet to suit the needs of the people living there. Staffing levels are good and appropriate training is provided to ensure that staff have the appropriate skills and knowledge to provide high quality care. Effective management systems and quality audits ensure that the home meets its aims and objective to provide individual support to each of its residents. Health and Safety systems protect residents and staff. 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. Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2, 3 and 6 were inspected. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Good information is provided for people thinking about living at Turret Villa so that they are able to decide whether or not to move into the home. Contracts are clear and fair and protect people living at the home. Good comprehensive assessments are carried out before and after admission to ensure that peoples’ needs can be planned and met at Turret Villa. Intermediate care is not provided. EVIDENCE: The Statement of Purpose/Service User Guide is comprehensive and contains all of the information identified in Schedule 1 of the Care Standards Regulations. It includes information about the services offered by the home including staffing, who the home can care for, social activities, and arrangements for religious observance as appropriate, complaints, care planning, and the homes environment. Residents and their representatives are Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 9 encouraged to visit the home and spend time, this results in them having good information on which to base their decision to move into the home. Each person is supplied with a written contract and copies were available in the individual files. The home’s contract provides clear information about peoples’ rights and responsibilities, what is covered by the fees and terms and conditions of occupancy. Three people said that they could recall having signed the contract and that they found it easy to understand. They also said they knew what they paid for living in the home.. Individual records contain good comprehensive pre-admission assessments, which are completed by the Manager or the senior staff. The assessments cover the areas identified within Standard 3 of the National Minimum Standards for Care Homes for Older People. Staff draw up individual plans of care using the information in the assessment. In addition care management assessments were available in the records sampled. Four people spoken with during the inspection said that they were very satisfied that staff were aware of their needs when they came to live at the home. They said they felt well supported when they came to live at the home by both the Manager and the staff. One person said that the Manager was always available to provide reassurance when she was feeling anxious. The home is not registered for, and therefore does not provide, intermediate care. Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 were inspected. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of care planning is very good and has improved since the last inspection. Care is planned sensitively with people living at the home in a way they prefer. Peoples’ health care needs are well met using a multi-agency approach. This helps to keep people healthy. Good procedures and practice for dealing with medicines protects those living at Turret Villa. EVIDENCE: Each resident has an individual plan of care that is based on the admission assessment and is then added to during the placement. The care plans contain comprehensive assessments for nutrition, skin care, moving and assisting, and continence promotion as well as a dependency rating. These are up to date and are regularly reviewed. Risk assessments are in place for specific interventions, and these are updated when necessary. Each person has regular reviews and they are involved in this process together with relatives/representatives if appropriate. Seven people said that they are very Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 11 satisfied with the care they receive, and that staff are caring and kind. Staff are very well informed about individual needs and demonstrated this during the inspection. Peoples’ health care needs and any specific treatments are clearly recorded. All contact with the doctor, district nurse and other health care professionals is recorded appropriately. Records showed that the home seeks expert advice from external professionals if necessary and that they monitor peoples’ health needs effectively. One local General Practitioner said that the home provides an excellent service and communicates well with the staff at the health centre. Aids and other equipment are in place for those who need it. Residents said that the staff are aware of their health needs. They said they get support to attend appointments. Five service users said they were satisfied that they can access the health services that they need, one person highlighting how supportive staff were to meet his needs. The systems for managing medicines in the home are in line have recently been reviewed and are in line with safe working practice guidelines. The records relating to the administration of medicines are fully completed and staff are clear about the procedures. Staff training in handling medicines has been provided. Risk assessments are in place for people wanting to manage their own medicines and lockable storage is provided. Good arrangements are in place for storing oxygen. Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 were inspected. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Good opportunities are provided for people to take part in a variety of leisure pursuits and activities that helps them to maintain good links with the local community. People using the service are encouraged to exercise control over their lives which helps them retain their independence. Mealtimes are flexible to suit individual preferences and lifestyles. People are give plenty of choice and are supported sensitively to eat meals where they have specific needs. EVIDENCE: People living at Turret Villa said that they are able to make choices about their daily routines, like when they get up, go to bed and what they do with their time. Individual routines are identified within care plans. There is a programme of activities and information about this is made available to people living there. People coming to live in the home receive information that describes regular activities and outings organised. Staff said that they are able to spend time on an individual basis with people living in the home. The atmosphere is homely and during the inspection it was observed that people are encouraged to make choices about where and how they spend their time. Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 13 There are videos, music tapes, newspapers and books available. Four people said they much preferred spending time in their rooms as they enjoyed their own company and the view from their windows. People living in the home said that they have regular visitors and this was evident from the Visitors Book and from seeing visitors coming in during the inspection. Two people said that they could see visitors in their own rooms or in the public areas of the home. Information is available for relatives about visiting and this is made available before a resident is admitted. Two visitors confirmed this during the inspection. They also said that staff are welcoming and they enjoy visiting the home as there is a relaxed atmosphere. People are encouraged to continue to manage their finances for as long as they are able and this was evident from care plans. Staff encourage people to bring in furniture, ornaments and pictures from their previous homes. Rooms are personalised and reflect peoples’ interests and taste. People are able to follow their own religion and local ministers visit the home regularly. Advocacy services are known to the Manager and information about this is made available. The menu shows that a varied diet is provided that offers choice at each mealtime. Peoples’ likes and dislikes are recorded and the cook regularly consults with them about the food. There is choice about where food is served so that people can choose to have their meals in their room or in the dining room. Very positive comments were made in the questionnaires about the quality and choice of food available. One person said “the cook is very good and we can ask for something different if we want.” At regular meetings with people living in the home the meals are discussed and people are asked to make suggestions for meals. Staff have completed Food Hygiene training and Safer Food Better Business practice has been introduced Records kept relating to this were in very good order. Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were inspected. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure is in place to ensure that complaints are dealt with effectively and to the satisfaction of the complainant. Good arrangements for protecting people using the service are in place. EVIDENCE: Guidance is available for dealing with complaints and the ethos of the home is to welcome complaints and learn from them. People living at Turret Villa said that they knew how to make a complaint and that they felt able to speak to the Manager or the staff if they have any concerns. One person said that “the Manager is very approachable and makes himself available to talk to me if I want to discuss anything. I think that he manages the home well and listens to what we (residents) have to say.” Seven residents said that they would feel able to talk to the Manager about their concerns or complaints and were satisfied that he and staff would address their concerns. Two complaints have been made during the past year and records show comprehensive investigations were carried out. There is an open culture where people fee able to raise issues with staff. Records of complaints are good and show a full investigation is carried out demonstrating that the home’s management takes seriously any complaints made. Staff were aware of how to help someone living at the home to make a complaint. Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 15 Policies and procedures provide clear guidance to staff about protecting people living in the home and the action to be taken in the event of any allegations being made. A copy of the Local Authority Protection of Vulnerable Adults guidance is available in the home. People using the service are made aware of what abuse is and the safeguards in place for their protection. Access to external agencies is promoted. Staff were clear about the procedures to be followed if an allegation is made. Staff training has been provided in Protection of Vulnerable Adults. Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20, 21, 22, 24 and 26 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Turret Villa provides a safe, well-maintained homely environment that encourages independence. Good quality accommodation is available for individuals in single rooms with en-suite toilets. Specialist equipment is available to maximise peoples’ independence. The home is clean, pleasant and hygienic. EVIDENCE: The home’s management have ensured that the physical environment of the home is well maintained and meets the individual requirements of the people living there. The living environment is appropriate for the lifestyle and needs of the people living there and is homely, clean, safe and comfortable. The home is well maintained and has good access to community facilities and services. People have access to specialist equipment and aids that are Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 17 necessary to help them live as independently as possible. The ground floor at Turret Villa has good access arrangements for people with physical disabilities. There is a selection of communal areas within the home and very attractive accessible gardens that are well used by people living there. People living in the home said that they feel very satisfied with the quality of the accommodation. One person said “ It is very comfortable here and I feel able to come and go as I like. I have been able to bring my own chair and other bits and pieces that make it just the same as my own home was.” Bathrooms are well equipped and are homely. Sufficient baths and toilets are available to meet the needs of the people using the service. Aids and adaptations are fitted to maximise peoples’ independence. Each bedroom has its own en-suite toilet and wash hand basin. Bedrooms promote high levels of privacy and keys are available to each room. Rooms are comfortably furnished and show that individuals are encouraged to bring items from their previous home. People are able to make choices about the temperature of the heating in their rooms. The laundry is well equipped and good infection control procedures are in place. The home is well lit, clean and tidy and no odours were evident. Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers are sufficient to meet the needs of the people living at Turret Villa. Opportunities for training are good and this enables staff to learn new skills to better support the people living at the home. Good recruitment procedures protect people living at the home. EVIDENCE: The service has good numbers of staff at all times to support the needs, activities and aspirations of those people living at Turret Villa. The staff team are good at supporting each other and share skills and knowledge among themselves in a way that promotes good communication. Staff members’ roles and responsibilities are clearly defined and understood and appropriate job descriptions support this. People who use this service and professionals supporting them said that staff are very skilled at providing good quality care and identifying individuals’ needs. Staff are able to demonstrate a good understanding of the needs of the people using the service. Staff training is targeted and prioritised to allow staff to undertake training beyond basic requirements. There is an ongoing training plan that identifies priorities and focuses on skills to improve outcomes for people living at Turret Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 19 Villa. The service recognises the importance of good induction training in retention of staff. Recruitment practice and procedures are highly developed and has the needs of the people using the service as its focus. The home’s management sees the recruitment and retention of the right kind of staff as critical to the delivery of an excellent service. Records show that all checks are carried out and recorded to ensure that staff appointments are only made after the management has satisfied itself that applicants have the appropriate qualities to fully meet the needs of people living at the Turret. Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 33, 35 and 38 were inspected. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Registered Manager ensures that he has systems in place to make sure that the home is managed effectively taking into account the needs and wishes of the people living there. An annual development plan that is based on an effective quality assurance system is in place. The quality system provides comprehensive information that shapes the quality of the service to suit the needs of the people living there. Personal allowance management is good and the systems and records are in place to allow audit to be effective. Peoples’ financial interests are safeguarded by the appropriate systems for handling money held on their behalf. People living in the home and staff are protected by the effective systems and practices for health and safety. EVIDENCE: Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 21 The Manager has an open style and has the required qualifications and experience to run the home and meet its aims and objectives. There are clear lines of accountability. Good management systems for strategic and financial planning are in place and the Manager has a clear vision of the home’s values and priorities. The Manager communicates a clear sense of direction and is able to evidence a sound understanding and application of ‘best practice’ systems in relation to customer satisfaction, continuous improvement and quality assurance. One of the people living at the home said “He (the Manager) is a very good manager and makes it his business to know what we need.” Other professionals see the Manager as an effective leader who is committed to providing a high quality service. The Manager undertakes regular training and understands and values the importance of his continuing professional development. There are systems are in place for regularly checking out the quality of the service using questionnaires and audits. There is a particular emphasis on the provision of a “customer focused” service that suits the needs and wishes of the people living at Turret Villa. There are regular residents’ meetings and minutes are available to show these provide a forum for people to put forward their views about the operation of the service. Formal supervision for care staff is up to date and staff said that they are well supported by the management team. Practice and performance are discussed at supervision and training needs are identified from this. There is good evidence of effective communication systems and an open and transparent culture is fostered. There are effective systems in place for safeguarding and managing money held on behalf of people living in the home including clear records. People using the service or their relatives have access to the records whenever they wish. Records show that training in all health and safety matters is provided and individual training records reflect this and regular updates are planned. Good systems are in place for monitoring training and staff said that they receive this training. Health and Safety practice is regularly audited by an external agency and reports were available to show very good standards are maintained. Policies, procedures and risk assessments for safe working practices are in place to promote and protect residents and staff. Systems and records are in place to show that the home continuously improves its health and safety systems taking into account changing legislation and good practice. Staff said that appropriate induction training is provided for new staff and records are in place to confirm this. Full details of accidents are kept and evidence was available to show these are monitored for trends. Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 4 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 3 4 4 3 X 4 X 4 STAFFING Standard No Score 27 3 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X 4 X X 4 Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Turret Villa Retirement Home DS0000000614.V338088.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!