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Inspection on 14/11/07 for Whitegates Care Home

Also see our care home review for Whitegates Care Home for more information

This inspection was carried out on 14th 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 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

Feedback from people who use the service was that they thought they were well looked after and were able to make choices about many aspects of their daily life. They felt able to tell the provider and the registered manager what they liked about the home and what they did not through regular residents` meetings. Detailed pre admission assessments enable the registered manager to be sure the home can meet the needs of people who wish to use the service. There are good systems in place to monitor the health care needs of people who live in the home. This makes sure changing needs are identified and met. There are minimal changes to the staff employed to provide care which enables people who live in the home to receive care from people they get to know well and who know and understand their needs. Staff are supported and encouraged to achieve qualifications and attend training. This enables them to enhance their skills and ability to meet the needs of the people who use the service.

What has improved since the last inspection?

There is continual investment in the home to provide a warm, comfortable environment. New furniture has been purchased to improve the facilities in the dining room.

What the care home could do better:

The building work currently being carried out adjacent to the home is disruptive for people living in the home and limits their access to the garden. People who use the service commented on the fact they have missed the beautiful gardens they used to have. The provider is aware of this and has made sure those who live in the home are kept informed of the progress. When this work is finished people who use the service will benefit from improved gardens. People living in the home have asked for more choice in the food they are offered and in the activities they have. They have been able to tell the provider this through the residents` meetings and the provider is taking steps to meet these requests. People who use the service have always been able to be involved in the regular review of their care plans, but this had lapsed for the residents whose plans were seen during the inspection. All the people who use the service should have this opportunity.

CARE HOMES FOR OLDER PEOPLE Whitegates Care Home Gravel Lane Ringwood Hampshire BH24 1LL Lead Inspector Mrs Pat Trim Unannounced Inspection 14th November 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 Whitegates Care Home DS0000042355.V349652.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. Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitegates Care Home Address Gravel Lane Ringwood Hampshire BH24 1LL 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) 01425 472302 01425 478124 jean_jacquesdubois@btconnect.com Mr Jean Jacques Dubois Mrs Adele Melody Dubois Mrs Kay Chapman Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (4), Physical disability of places over 65 years of age (4) Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th February 2007 Brief Description of the Service: Whitegates care home provides accommodation and support for twenty-one older people or older people with a physical disability. The home is privately owned and is situated in a quiet residential area, just north of Ringwood town centre. The environment is comfortable and homely. Communal space comprises three lounges and a dining room. All bedrooms are single. There is a garden that is accessible to residents. The management of the home stated that the current fees range from £544 to £650 per week. Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information for this report has been obtained from the following sources: A review of the home’s recent history, including inspection reports. The Annual Quality Assurance Assessment (AQAA), which was completed by the home. This is a document that gives information about what the home is doing to make sure it meets the regulations. The key unannounced inspection of the home was carried out by one inspector over a period of six hours. The inspector was accompanied by an ‘expert by experience’. This is a person not employed by the commission who has personal experience of residential care and older people. The ‘expert’ spent time talking with residents and getting their views about how well they felt they were able to make choices about their daily routines and personal care. We tracked three residents to assess their experience of moving into and living in the home. Time was spent talking with five residents and sitting with others in the communal areas of the home, observing daily life. There was also an opportunity to speak with the registered manager, owner, cook and one care staff. A partial tour of the home was carried out and a random selection of documents was viewed. There were no requirements resulting from the last inspection and none were made following this inspection. The registered manager requested the term ‘resident’ be used to describe people who lived in the home and this term has been used throughout this report. What the service does well: Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 6 Feedback from people who use the service was that they thought they were well looked after and were able to make choices about many aspects of their daily life. They felt able to tell the provider and the registered manager what they liked about the home and what they did not through regular residents’ meetings. Detailed pre admission assessments enable the registered manager to be sure the home can meet the needs of people who wish to use the service. There are good systems in place to monitor the health care needs of people who live in the home. This makes sure changing needs are identified and met. There are minimal changes to the staff employed to provide care which enables people who live in the home to receive care from people they get to know well and who know and understand their needs. Staff are supported and encouraged to achieve qualifications and attend training. This enables them to enhance their skills and ability to meet the needs of the people who use the service. What has improved since the last inspection? What they could do better: The building work currently being carried out adjacent to the home is disruptive for people living in the home and limits their access to the garden. People who use the service commented on the fact they have missed the beautiful gardens they used to have. The provider is aware of this and has made sure those who live in the home are kept informed of the progress. When this work is finished people who use the service will benefit from improved gardens. People living in the home have asked for more choice in the food they are offered and in the activities they have. They have been able to tell the provider this through the residents’ meetings and the provider is taking steps to meet these requests. People who use the service have always been able to be involved in the regular review of their care plans, but this had lapsed for the residents whose plans were seen during the inspection. All the people who use the service should have this opportunity. Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 7 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. Whitegates Care Home DS0000042355.V349652.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 Whitegates Care Home DS0000042355.V349652.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 Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are given sufficient information about the home to enable them to make an informed choice about whether they want to move in. Pre admission assessments are completed about all aspects of the person’s social, emotional and health care in sufficient detail to enable the registered manager to assess whether the home can meet the individual’s identified needs. EVIDENCE: The statement of purpose, welcome pack and care home agreement give residents detailed information about the home. The AQAA stated that residents are invited to visit the home for a day prior to admission and this information is also included in the statement of purpose. The AQAA stated that pre admission assessments are completed before someone moves in for a trial period. Three residents’ files were viewed, one of which was the last person to move into the home. All three had a detailed assessment of need that enabled the registered manager to decide whether Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 10 the home could meet their needs. A range of monitoring tools was used to assess the person’s abilities, social, emotional and health care needs on admission. These were reviewed on a monthly basis to identify changing needs, so that care plans could be amended to reflect these changes. A risk assessment was completed prior to admission to identify areas of concern and give staff guidance during the first few days of admission. These were reviewed and amended as staff knowledge of the person developed during the first week. Whitegates Care Home DS0000042355.V349652.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. This judgement has been made using available evidence including a visit to this service. Care plans provide sufficient detail to ensure residents consistently receive care in the way they want it. Effective monitoring systems ensure residents health care needs are identified and met. Robust medication procedures ensure risks to service users are minimised. Residents are supported in a way that promotes their rights to privacy, dignity and respect. EVIDENCE: The care plans for the three people being case tracked were viewed. These contained clear guidance for staff to follow to meet their needs in the way they liked it and to support their independence. For example, one plan recorded that the person wore loose fitting clothing to make it easy for them to continue to dress their top half. Staff spoken with had a good understanding of the individual needs of residents and said they got information from the care plan and from the daily handovers. Key workers reviewed care plans on a monthly basis and wrote a summary of any changes required. A range of tools, such as nutritional, Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 12 mobility and continence risk assessments, were used on a monthly basis to review the initial assessment. Care plans were amended to reflect the changing needs. The AQAA stated that quarterly reviews of care plans were completed with residents to ensure their care needs were being met in the way they liked. Copies of these were seen on three files. They included resident’s comments about their care and were signed by them to evidence their involvement. Each review identified the next review date, but these dates had lapsed. The registered manager said she would discuss this with the staff responsible. Daily records showed that residents have their health care needs met. A health care needs assessment is completed and referrals made to relevant health care professionals such as the district nurse, if required. Health care needs are monitored every month, using a range of risk assessment tools and action taken if changing needs are identified. For example, providing specialist equipment to help with skin pressure areas. Some residents like to visit health care professionals independently and the AQAA stated that arrangements are also made for visits to the home. Residents are supported to manage their own medication if they wish to, using a risk assessment to identify and manage any related risks. The registered manager said currently only one person had chosen to look after their own medication. The home has a policy and procedure for the safe handling of medication. Staff who assist with medication have all completed a training course and been assessed by the registered manager as competent. A member of staff was observed giving out the lunchtime medication. Each person was given their medication with a drink and the medication administration record signed. The records for the people being case tracked were seen and showed they had been completed correctly. A record is kept of all medication coming into the home or being returned to the pharmacist. Medication is stored in a locked cupboard that can only be accessed by staff who know the keypad number. The amount of medication stored is kept to a minimum. Some medication is dispensed in a monitored dosage system, but any that is not is kept in a separate named box for each individual. The home has a high number of staff that have completed a National Vocational Qualification. Part of this course looks at the rights of individuals to be treated with dignity and respect. The registered manager said this subject is also covered in staff induction and supervision. Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 13 Care plans record how care should be given in a way that maintains the resident’s rights. For example, one care plan continually stressed that the person required time to hear and understand what was being said to her. Staff were told to make sure they gave her plenty of time with each care task. Staff spoken to confirmed this resident needed time to make sure she understood what was happening and showed an understanding of the importance of working in ways that supported individual rights to be treated with dignity and respect. Examples given included making sure the person was addressed as they wanted to be and enabling them to be as independent as they wanted. Whitegates Care Home DS0000042355.V349652.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. This judgement has been made using available evidence including a visit to this service. Residents are able to make choices about all aspects of their daily living. They are offered a range of activities that they enjoy and that provide mental stimulation. Residents are offered a balanced diet of meals they enjoy. EVIDENCE: Care plans recorded information about individual resident’s daily routines, such as where they liked to have their breakfast and whether they liked to join in activities. Staff demonstrated their knowledge of these individual preferences. Information gathered during the initial assessment was used in care planning to ensure residents were able to continue with hobbies and activities. For example, one resident who liked sewing was asked by staff to do any small sewing tasks such as putting on buttons. Care plans record any individual religious needs and representatives of both the Church of England and Methodist churches regularly visit the home. Information about these visits is displayed in the hallway so that every one knows about them. Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 15 The AQAA stated that residents have fed back they would like more activities and trips out. Residents also said during the inspection that they would like more activities. The registered manager said arrangements were being made to employ an activities co-ordinator to develop an activities programme. Currently, staff offer residents board games, quizzes, exercise classes and the occasional game of bingo. The home organises a weekly ‘shop’ so residents may go and buy things they need and the mobile library visits the home. The registered manager said the home had been experiencing problems organising trips out, as they needed to use a minibus that was accessible to residents with mobility problems. A bus had now been sourced and regular trips out were being arranged. The home permits visitors at any reasonable time, but residents are asked if they wish to see the visitor. During the inspection staff were seen consulting residents about their visitors. Residents are given information about their rights when they move into the home. They are encouraged to personalise their rooms with their own belongings. The AQAA recorded that residents manage their own finances or appoint someone to do so on their behalf. The home has a menu plan and residents are offered a choice of two main meals each day. A record is kept of the choices made. Residents are able to give feedback about meals at regular residents’ meetings. The registered manager said recent requests, recorded in the minutes, have been addressed. Some residents confirmed they had asked for alternative meals because the majority of meals reflected the need for lots of people to have a soft diet. Some residents required assistance with their meals and this was recorded in their care plans. Staff were seen following this guidance during the lunchtime. The registered manager said specialist diets could be provided and these needs were discussed during the assessment. Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 16 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. This judgement has been made using available evidence including a visit to this service. Residents have the information they need to make complaints and are confident their concerns will be listened to. There are procedures in place that protect residents against the risk of abuse. EVIDENCE: Residents are given information about how to make complaints in the welcome pack and statement of purpose. The home has a complaints log to record any complaints received, the action taken and the outcome. No complaints had been received by the home since the last inspection and the commission had received no complaints. Residents are able to raise issues about the day to day running of the home at the residents’ meetings. There was evidence that these issues are addressed. The home had a policy and procedure for safeguarding adults. Many staff had completed their National Vocational Qualification, which includes a section about abuse and safeguarding adults. One member of staff spoken with had a clear understanding of safeguarding adult issues and her responsibility to report any allegations of abuse. The registered manager said no staff had attended specific training courses on abuse, but this subject was discussed in supervision and she was confident staff had a good understanding of the issues. Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 17 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. This judgement has been made using available evidence including a visit to this service. The building provides a safe homely environment that residents enjoy. Staff have the training and guidance they need to prevent the spread of infection. EVIDENCE: The environment is homely, warm and suitable for the residents who live there. Those with limited mobility have rooms on the ground floor so they can easily get to the communal areas. There are three lounges and a dining room and residents were seen moving freely to these areas and also spending time in their rooms when they wished. The dining room has recently been refurbished with new tables and chairs that have been specifically chosen to meet the needs of residents. There is a garden to the rear of the property, which residents said they enjoyed spending time in. Access to this has been limited whilst extensive building work takes place. The building work does not directly involve the Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 18 home, but does have an impact on the residents living in the home as areas outside have been fenced off. This has been outside the control of the provider, but it is anticipated work will be finished next year, when the gardens will be renovated for the benefit of residents. Residents said they had missed being able to look at and walk in the gardens. Comments included ‘the work being carried out outside has caused upheaval. This has been going on for one year and the gardens that were so beautiful, are not there anymore.’ There are systems in place to minimise the risk of infection. Staff have clear guidance on how to carry soiled linen to the laundry. The laundry has a washing machine with a programme that disinfects soiled linen. There is a contract for the removal of clinical waste. Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 19 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. This judgement has been made using available evidence including a visit to this service. Residents are supported by well-trained staff in sufficient numbers to meet their needs. A robust employment procedure is consistently followed to minimise risks to residents EVIDENCE: The registered manager said the normal staffing levels were 3 care staff on duty during the mornings and two at other times. Nights are covered by 2 waking staff. There are 2 members of the management team in the home during the week and the home also employs a cook and cleaners. The registered manager said staffing levels are reviewed according to the needs of residents. Four residents like assistance to get up before the day staff come on duty and the 2 waking night staff easily manage this. Feedback from residents evidenced they thought they were well cared for by staff. They commented that staff worked very hard and did not always have the time to sit and talk with them. The AQAA stated that the home did not use agency staff and the provider confirmed this. Annual leave and sickness are covered by existing staff and management or by bank staff, recruited for this purpose. Staff comments showed that some staff felt under pressure to offer to cover shifts, but that care provision was never compromised. This was discussed with the Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 20 registered manager who said she was currently advertising for more staff and wanted to develop the bank staff to be able to provide more cover. The AQAA recorded that 8 of the 11 staff have completed a National Vocational Qualification (NVQ) 2. Feedback from staff and certificates seen in the training file confirmed this. Senior staff have been able to complete NVQ 3 and all staff felt the management of the home helped and supported them to achieve qualifications. The registered manager said no new staff had been employed since the last inspection, but the AQAA recorded that a robust employment procedure was in place. Two files for current staff were seen. These contained all the required employment checks such as Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks, application forms and references. Feedback from staff confirmed they had been required to complete the employment procedure and felt it had been thorough and fair. Staff files contained completed induction packs and staff said they had been required to complete an induction programme before being permitted to work unsupervised. This included attending courses, shadowing experienced members of staff and receiving regular supervision and appraisal. The registered manager had a training matrix that enabled her to monitor staff training needs and identify when refresher training was required. Feedback from staff showed they felt they had the training they needed to meet residents’ needs. They felt the management of the home encouraged them to attend training. Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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 well managed and residents are able to give feedback about the service they receive. The health and safety of residents and staff is maintained by good monitoring systems. EVIDENCE: The registered manager has worked at the home for 8.5 years and had a senior role for over 4 years before becoming the registered manager. She has completed the registered manager’s award and NVQ 4 in care, and continues to develop her practice, through reading and attending training courses. Residents and staff said she was approachable and felt the home was well managed. Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 22 Residents are able to give feedback about the service they receive in a number of ways. The AQAA stated the home uses quality assurance questionnaires and regular resident meetings are held. A copy of the minutes of a recent meeting was seen. This is kept in the hallway so residents who did not attend and visitors can see them. They are in large print but the registered manager said she also spends time explaining them to those who did not attend. There was evidence action is taken, when possible, to resolve issues. For example, staff have been told not to put the washing machine on after 10 p.m. as it was disturbing some residents. The home has achieved Investors in People award. The AQAA recorded that residents are encouraged to manage their own money, but the home will look after small amounts if necessary. The home held money on behalf of one of the three residents case tracked. A record was kept of any money received or spent and the money was kept in a secure place. Staff records showed staff receive all mandatory training such as moving and handling, food hygiene and fire safety training. Regular supervision and annual appraisal is used to identify training needs and a training matrix is used to monitor when refresher training is required. Staff said they the manager made sure their training was up to date. The AQAA listed the service and maintenance contracts and a number of these were seen during the inspection. The home has a policy for the control of substances hazardous to health. Chemicals and other items were securely stored in a locked cupboard and staffs were aware of health and safety issues. The home has a health and safety policy and staff have access to it. Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 3 8 4 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 x 3 x x 3 Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 24 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 Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Whitegates Care Home DS0000042355.V349652.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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