Inspection on 05/11/07 for Tynedale

This inspection was carried out on 5th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Tynedale 13/03/07

Similar services:

22 Sandown Road

The Highlands

Turret Villa Retirement Home

Dilston College Of Further Education

West View House

Moor House

Blenheim House

Prince Bishop Court

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

CARE HOMES FOR OLDER PEOPLE Tynedale Tynedale Promoting Indepedence Centre Holburn Lane Ryton Gateshead Tyne and Wear NE40 3PF Lead Inspector Mr Lee Bennett Unannounced Inspection 10:00 5 and 6 November and 6 December 2007 th th th 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 Tynedale DS0000066634.V354340.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. Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tynedale Address Tynedale Promoting Indepedence Centre Holburn Lane Ryton Gateshead Tyne and Wear NE40 3PF 0191 4130210 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) Gateshead Council Mrs Daphne Patel Care Home 27 Category(ies) of Dementia - over 65 years of age (6), Learning registration, with number disability (1), Learning disability over 65 years of places of age (1), Mental Disorder, excluding learning disability or dementia - over 65 years of age (2), Old age, not falling within any other category (27), Physical disability (5), Physical disability over 65 years of age (7) Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may from time-to-time admit persons under the age of 65 within the OP category of registration 13th March 2007 Date of last inspection Brief Description of the Service: Tynedale Promoting Independence Centre is a modern, purpose-built service designed to provide short-term care and accommodation for older people, some of whom may have a physical disability. The building is on the site of the former Tynedale residential home for older people, in a village location. The new building was completed in July 2006. The service is operated and managed by Gateshead Council’s Community Based Services (formally the Social Services Department), with input from health services employees, including occupational therapists and physiotherapists. Tynedale aims to provide 4 distinct services, that is: Intermediate care for people who are receiving rehabilitative therapy, usually after a stay in hospital; Short-term ‘assessment’ care for those people being assessed for further services; Short breaks (respite care) for people who will return to their own homes. Emergency accommodation. The building provides 27 single rooms, all with en-suite shower and toilets facilities. There are also 2 communal bathrooms, which are fitted with appropriate adaptations to support people with a physical disability. There is a large communal lounge and separate smokers’ lounge on the ground floor. Two small kitchen / dining rooms are provided on the first floor, along with a larger dining room and small lounge. There is an enclosed garden at the rear of the building. Car parking at the front and side of the building includes 2 accessible parking bays, located at the entrance. There is level access into building through electronic doors into the reception area. Tynedale is a short walking distance from local shops, and a short bus or car ride from shops in both the Ryton and Blaydon areas. There is access to local transport a short walk away. The home faces onto Ryton Park, and is opposite a country club. Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 5 There is no fee for the first 6 weeks of the rehabilitative service. The weekly fees for assessment and short breaks are £73.25 - £566.44 (2006/07). Additional charges apply for the use of telephone and TV facilities. Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. Before the visit: We looked at: • Information we have received since the last visit in March 2007. • 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 visits were made on the 5th November and 6th December 2007. An announced visit was made on the 6th November 2007. During the visit we: • Talked with people who use the service, staff and the manager. • Observed life in the home. • 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 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 what we had found. What the service does well: People told us that when they stay here they are well looked after and that the staff are caring polite and courteous. They enjoy the meals provided and state that they are well looked after. The comments that we received included: “I think this home is the best of it’s type.” “I would recommend this home to everyone.” Each person’s personal and health care needs are clearly identified in care plans, which act as a guide for care staff. Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 7 The staff who work here are qualified to a good level, and regularly supervised by senior staff and the managers. There are clear and accountable management arrangements in place. The home itself is clean and safe. It has many features, such as en-suite showers and toilets that people expect to find in modern accommodation. The views of the people staying here are actively sought, acknowledged and acted upon. There are clear arrangements in place if someone wished to make a complaint. 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. Tynedale DS0000066634.V354340.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 Tynedale DS0000066634.V354340.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): Standards 2, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Before coming to stay here people often have the opportunity to visit and will have their needs assessed. Detailed assessments can help ensure that the service can be planned in a way that meets service users needs and wishes. For those people staying here for intermediate care (this is to help people get better after a stay in hospital), they have the help and specialist support to assist them returning home. EVIDENCE: Before coming to stay here, people can have short visits and meet the staff. This is so they have a chance to see if the service suits them, and where appropriate to help the manager to assess if their needs can be met here. The manager will also speak to other people involved in a person’s care. Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 10 For example people told us: • • “I was visited in hospital prior to admission.” “I was invited to have a look around and on a different occasion my mum visited before her stay.” However, because of the purpose of the home, in that it can provide emergency care, this may not always be possible. In a similar way, in some exceptional emergency circumstances it is not always possible for a person to be assessed before they come to stay here. An assessment is where a person has their needs looked at and discussed. Every eligible person is entitled to an assessment for care. This is usually carried out by a social worker, nurse assessor or occupational therapist. Care services such as Tynedale House, then have to obtain a copy of the assessment before a person comes to stay. This is to make sure that their needs can be met here. For example a person may need to have a particular hoist or lifting aid to get them in and out of bed. Such equipment would needs to be made available before this person could stay here to keep them, and staff, safe and comfortable. For all of the people whose cases were looked at an assessment had been carried out and obtained. From these a plan of care was written and agreed with the person concerned. Staff also carry out assessments on areas such as medication, manual handling and diet. This is to guide the care they offer. One of the specific purposes of Tynedale House is to provide intermediate care. This is to allow people to regain their strength, skills and confidence after leaving hospital. This sort of care can reduce the need for unnecessary readmissions to hospital. To help support this purpose a range of healthcare professionals, such as occupational and physio-therapists work with these people. There is no separation of the accommodation for people receiving this support, but this is not a problem as the whole service only provides shortterm care. Within the home there are facilities to help people regain their skills, such as mobility aids and adapted kitchen areas. Furthermore, care plans written by people like physio-therapists guide the work of care staff and contribute to their own care planning processes. Following their stay for intermediate care most people will return home, often with the help of other services such as domiciliary care (home care) agencies. Joint work with staff from these agencies can help with a smooth return home. The registered manager (and temporary manager) have yet to fully establish links with these organisations. Tynedale DS0000066634.V354340.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): Standards 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ care plans are in place, and given the length of each persons stay reflect their observed needs to a good level. Effective care planning can offer guidance to care staff regarding care practice and ensure consistency where necessary. Each person’s health needs are identified and met. Areas such as pressure care, nutrition and falls prevention are routinely assessed and well monitored. Care staff will seek medical help when needed. Where possible the people staying here will look after their own medication. Where this isn’t the case, each person’s medicines are stored safely, and administered in line with current good practice. This can contribute to the health and wellbeing of people staying here. People are treated with dignity and respect here. Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 12 EVIDENCE: Once someone comes to stay here a care plan is written. This is to make sure staff know about what each person needs, and how these needs are to be met. This can also ensure that staff have clear guidance about how a person’s care can be provided in a way that respects their particular culture, religion or beliefs. For all of the people who were ‘case tracked’ (this is where the inspector looks at a particular person’s experience of care here) a care plan had been developed, usually with the signed agreement of the person concerned. The individual care plans describe how staff are to work with the people staying here to help them to maintain or develop their skills and work to achieve specific goals. The care plans looked at provide up to date information about each person. Where gaps were evident (such as needs relating to problematic alcohol use) the inspector highlighted these to the acting manager, so that the information obtained through assessments is more clearly developed within care plans where necessary. As well as detailing how each person’s personal care is met, care plan files also contain important health information. This is to ensure that staff are aware of each person’s health needs and can make sure these are addressed when they stay here. We were told by the people staying here,: • • “I’m looked after with care and interest.” “When I’ve asked for help for my mum they are very quick and helpful. They have been very kind to my mum.” Of the people who responded by questionnaire, three said they always got the medical support they needed. One said they usually received this. One person told us that the GP had difficulty in accessing medical notes, as a temporary arrangement is made for people staying here. This issue is beyond the scope of this home to deal with. One important area where staff contribute to meeting service user’s health needs is with the help they provide in handling people’s medication. Each person staying here is provided with safe storage facilities in their own room and are assessed to see if they can safely handle their own medication. These assessments initially prompt staff to ask if a person can manage their own medication, either independently or with help. This is important as the people staying here will often need to deal with this aspect when they return home. The involvement of a pharmacist is therefore sought where necessary, and aids such as ‘dosset boxes’ (small boxes or trays with tablets set out for different time and for each day of the week) used if necessary. Where staff administer Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 13 medicines on behalf of service users, locked storage is provided, and accurate records and stock holding arrangements maintained. As `well as helping people with their medication, staff will often need to provide support with intimate personal care, such as washing and dressing. People told the inspector that where help is provided this is done in a dignified way that respects people’s privacy. The provision of en-suite toilets and showers further preserves the privacy of the people staying here. Tynedale DS0000066634.V354340.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): Standards 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements to provide activities and occupation are adequate but have scope for further development within the home. The development of a planned, structured and well delivered activities programme can lead to a more interesting and stimulating lifestyle for service users, and contribute to programmes of rehabilitation. Service users are able to maintain family and other contacts to a good degree should they wish. This can help ensure they do not become isolated during their stay. Service users are actively encouraged by staff to a good degree in exercising choice and control over their lives. This can help promote their independence. Service users receive a good, varied and well presented, choice based, menu. Independence in the preparation, serving and clearing away of meals has improved. A well balanced diet can make an important contribution to the general health and wellbeing of service users. Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 15 EVIDENCE: When staying here, as well as receiving help with personal care, people are offered occasional opportunities to take part in activities. Several activities are planned for each week and these are advertised on the notice boards in the home. This includes activities outside of the home. People told us: “My mother is a very private person and tends to watch rather than join in. She would rather wander the corridors than play bingo.” Of the people who commented by questionnaire, one said there were never activities offered that they could join in. Two said these were sometimes offered, and one said these were usually arranged. Currently there is no activities worker employed here, and this is a task that all staff contribute towards, along with their other roles. Although there are limited opportunities for activities, people regularly receive visitors. For example, one person commented: • “I can visit at any time and there aren’t set visiting times. Also my mother can see her great grandchildren which she couldn’t when she was in hospital.” Throughout the inspection visitors were seen to come and go regularly, and the visiting times are clearly displayed. Several visitors were spoken with, and those who also commented by questionnaire stated that they were able to visit their relatives easily. Staff make visitors welcome. As well as being able to receive visitor, service users choices are promoted in several ways, such as by asking if service users want to participate in activities, and by giving several meal options. Comment was made at the last inspection that more control and independence could be given during meal times, as service users receive their meals ready plated, with little scope offered for self-service. Staff have started to address this issue, and self service with beverages is encouraged. Further work, such as the use of terrines could also help. Those people who are more independent will use the small kitchen / dining rooms provided in the home for the preparation of their own snacks and light meals. People commented positively about the food offered here. They said: • • “Excellent food.” “Meals are always nice.” Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 16 Where people have particular dietary beliefs these are catered for, and the meals provided meet the cultural norms and expectations of those staying here. Tynedale DS0000066634.V354340.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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A clear complaints procedure is available and can allow service users’, and their relatives, confidence in the process, and provide opportunity for the management team to improve the service provided. Staff are well aware of local adult protection procedures and how these can be implemented to effect to help contribute to the protection of service users from abuse. EVIDENCE: There have been no complaints or adult protection referrals passed onto or raised directly with the Commission for Social Care Inspection. Service users and other people visiting the home have access to the homes complaints procedures, and service users and their relatives confirmed that they are aware of who to raise concerns with. Where there have been complaints recorded these detail the nature of the complaint, but not of how these have been investigated or the outcome. Numerous compliments have been received, along with many thank you cards, where service users and their relatives have expressed their satisfaction with the service. Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 18 The Council has lead responsibility for developing and implementing local safeguarding adults arrangements. The staff here are therefore made aware of how service users rights are protected through local adult protection arrangements. The procedures that they follow are made available here for them to follow if necessary. Tynedale DS0000066634.V354340.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): Standards 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to safe and comfortable indoor and external space. The home is maintained to a good standard. The home is kept clean to a good standard. A clean and well-maintained home can help promote a positive image for, and is respectful to service users. EVIDENCE: Tynedale is a newly built care home that has been specifically designed and built to provide short-term accommodation for older people, including people who are physically frail and disabled. It is an airy, bright, modern building, set within it’s own grounds. Accommodation is provided over two floors, with bedrooms for individual accommodation, each with an en-suite shower and toilet. Some of these are larger than others, to help meet the needs of service Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 20 users who need to use wheelchairs and other mobility equipment. Communal areas are large and have homely decorations and furnishings. There is a small lounge designated as a smoking area for service users. The home was noted to be clean and tidy throughout. One person commented: • “Very bright and always clean.” Another said: • “Mum remarked on how fresh it smelt. Her room is lovely. She loves the view of the park (this means a lot to her). Everything is very clean.” Tynedale DS0000066634.V354340.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): Standards 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels are generally adequate to allow service users’ needs to be met, although there are occasions when there are staff shortages. The staff team benefits from an excellent level with care qualifications, which can help ensure that a competent staff team is available to meet service users’ needs. Service users are protected by the home’s recruitment procedures, which are implemented to a good standard. This can help ensure that unsuitable candidates do not gain employment in the home. Levels of staff training are adequate in allowing staff to become knowledgeable of current best practice. A comprehensive training programme can offer staff opportunities to review and improve their practice to benefit service users. EVIDENCE: For the 27 service users there are no fewer than three care staff rotored on duty through the day, and two care staff at night. These levels are not always achieved, while on other occasions they are exceeded. There is always a designated senior member of staff on duty, and the team is supported by a Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 22 manager and three assistant managers. An on-call member of staff is available at night, to cover four homes across the Gateshead Area. Gateshead Council has a centralised human resources department that deals with the recruitment of staff. The majority of staff working at Tynedale have worked in other Council care home, however those who have been newly recruited are subject to a range of recruitment checks, including the receipt of two references, a Criminal Records Bureau disclosure and a detailed job interview. All of the care staff are qualified, to NVQ level two or higher, and training is available to cover a range of care related topics. To aid planning and to monitor levels of training a matrix has been developed. This highlights what training staff have had and what gaps remain. For example, as was highlighted at the last inspection, many staff have not undertaken manual handling, food hygiene, or health and safety at work training since working at Tynedale and for some time previously. Staff have received training that promotes good anti-discriminatory approach among staff, and is an area of good practice. Also as previously reported, training specific to learning disabilities, that looks specifically at the causes and impacts of learning disabilities does not form part of the training programme and should be implemented to raise staffs awareness in this area, as most have previously worked in older people’s settings. Tynedale DS0000066634.V354340.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): Standards 31, 33 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed to a good standard, with an open ethos adopted. This can allow staff and service users to readily approach the management team. Good quality assurance arrangements, that actively seek service users views, are adopted by the homes managers. Service users’ money is safely managed. Staff are supervised to a good degree and in good detail. This can ensure that staff are accountable and supported in the work they do. Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 24 Health and Safety is implemented well. Effective health and safety management can help keep service users, staff and visitors free from unnecessary harm. EVIDENCE: At the time of the inspection and acting manager was in post to cover the temporary absence of the registered manager. The acting manager is qualified to NVQ level 3 in care and holds a certificate in supervisory management. A ‘line manager’ undertakes regular monitoring visits, that form part of the quality assurance of the home. Age concern provide an external quality check, and have sought the views of service users once they have left the home. The home’s line manager also undertakes regular (monthly) quality inspections. From these visits plans of action are developed to address the comments made. Service users views are further sought at regular meetings held with staff. The records kept at the home, that were inspected, were up to date, detailed, and held in a safe and secure manner. Financial records are subject to the scrutiny of the home’s line manager and the Council’s financial officers. Staff in the home do not usually hold or manage service users finances, but where these are left with staff for safe keeping they are securely stored, with clear records in place.. The home was found to be free of hazards to the safety of service users and staff, other than record storage in a locked room, which was blocking access to an electrical / lift cupboard. This was dealt with at the time of the inspection Tynedale DS0000066634.V354340.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 2 X X X 2 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 2 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 2 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 26 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP27 Regulation 18(1)(a) Requirement Staffing levels must be maintained at a safe and at least adequate level to ensure the health, safety and welfare of service users. The registered manager must develop a plan to ensure that all staff receive the care and health and safety related training necessary for them to undertake their job roles. The previous action plan date for this requirement was 1/8/07. Timescale for action 01/02/08 2. OP35 18(1)(c)(i ) 01/06/08 Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 27 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 OP6 Good Practice Recommendations The registered manager should establish joint working arrangements with local domiciliary care agencies. This is to help the smooth transition of people between care services. This is a new recommendation. The registered manager should develop a programme of activities and occupation that reflects the purpose of the home and enables service users to maintain and reestablish the skills needed to return home. The registered manager should review meal time arrangements to effectively promote self help. Details of any investigation into, and outcome of a complaint should be outlined within the complaints record. This is a new recommendation. The registered manager should explore the use of assistive technology to allow easily access for disabled and physically frail people to independently access and exit their rooms. The registered manager should arrange training on the causes, effects, culture and current good practice in the field of learning disability. The registered manager should arrange for those staff who have not so far participated in it training on Equality and Diversity to do so. 2. OP12 3. 4. OP15 OP16 5. OP22 6. OP35 7. OP35 Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Tynedale DS0000066634.V354340.R01.S.doc Version 5.2 Page 29 - 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!