Care Home: Aaron Park Care Home

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What the care home does well People living in the home are assessed before they receive a service of care and support in the home, and they are provided with some information about the home and staff in order to decide whether or not their needs can be met there. Individuals have their needs and changing needs recorded in a plan of care, which takes into consideration their individual differences. They are encouraged to make their own decisions about daily life, as much as possible, which may involve taking risks in order to achieve independence. However, these risks are reduced where possible, through the risk assessment process. People living in the home said that they receive the help and support with personal care and with physical and emotional health needs in a way that suits them. They have their views listened to and feel confident they can make representations or concerns and complaints known to the staff or the Manager. People take part in appropriate community based activities and pastimes within the home or in the community, based on their own preferences. They enjoy relationships of their choosing and have their rights and responsibilities as citizens upheld wherever possible. They said they enjoy shopping, walking,going on outings, going to pubs and restaurants, listening to music, doing activities in the garden, helping with household chores and preparing meals. People living in the home also enjoy a variety of meals and contribute towards menu planning within the home, ensuring that they have their likes and dislikes catered for. They can also be involved in and assist in the provision of and preparation of food wherever possible. The staff team have a good understanding of individual needs and have the necessary skills and training to meet these needs. 74% of the staff team have a National Vocational Qualification level 2 or above and another five are working towards level 3. Medication is well managed. What has improved since the last inspection? An individual contract has been developed for use with prospective clients, detailing costs and a statement o terms and conditions. Information relating to complaints and accidents is kept confidential. There has been a programme of refurbishment and redecoration throughout most of the home CARE HOME ADULTS 18-65 Aaron Park Care Home 115 Poplar Road Cleethorpes North East Lincs DN35 8BD Lead Inspector Ms Wilma Crawford Key Unannounced Inspection 10th June 2008 09:30a Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 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 Aaron Park Care Home DS0000002818.V366080.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 Adults 18-65. 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. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aaron Park Care Home Address 115 Poplar Road Cleethorpes North East Lincs DN35 8BD 01472 605685 F/P 01472 605685 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) info@prime-life.co.ukwww.prime-life.co.uk Prime Life Ltd Mrs Diane Bendell Care Home 21 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (21) of places Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user, CM, who is over the age of 65 with a mental health problem to be accommodated in the home until discharge or in the event of death. 30th November 2006 Date of last inspection Brief Description of the Service: Aaron Park is a 21 bedded home for younger adults who experience mental health problems. The home is a converted two-storey property situated in the seaside town of Cleethorpes. The home is not registered to provide nursing care, however the home has developed good working relationships with local health care professionals and agencies. The home has 14 single rooms and 3 double rooms, privacy screens are provided. In addition the home has a range of communal facilities, which residents and visitors can access. The home has a good-sized courtyard garden complete with barbeque, flowerbed and a grassed area. The home maintains its staffing levels in accordance with levels set as at the 31.3.02. Information about the home and its service can be found in the statement of purpose and service user guide, both these documents are available from the manager of the home. A copy of the latest inspection report for the home is available in the reception area. Information given by the manager on 10/06/08 indicates the home charges a range of fees depending on the specific needs of the residents. Current fee scales are from £311.62 to £1045.50 per week and that there are no additional charges other that those for transport, hairdressing, private chiropody treatment, toiletries and newspapers/magazines (all of which are optional). Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection report is based on information received by the Commission for Social Care Inspection (CSCI) since the last key inspection of the home on 30th November 2006, including information gathered during a site visit to the home. The site visit was unannounced and took place over eight hours including preparation time. Six people living in the home and three staff were spoken with during the visit. Fifteen surveys were sent out to the staff team and seven of these were returned, the comments from the surveys and from the discussions during the site visit are also included in the report. The manager was available throughout the visit. The main method of inspection used was called case tracking which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. The premises were looked at and the records of three residents and two staff were inspected. An Annual Quality Assurance Assessment (AQAA) document asking for information about the home was sent out before this visit and information from this was included as part of the inspection process of this service What the service does well: People living in the home are assessed before they receive a service of care and support in the home, and they are provided with some information about the home and staff in order to decide whether or not their needs can be met there. Individuals have their needs and changing needs recorded in a plan of care, which takes into consideration their individual differences. They are encouraged to make their own decisions about daily life, as much as possible, which may involve taking risks in order to achieve independence. However, these risks are reduced where possible, through the risk assessment process. People living in the home said that they receive the help and support with personal care and with physical and emotional health needs in a way that suits them. They have their views listened to and feel confident they can make representations or concerns and complaints known to the staff or the Manager. People take part in appropriate community based activities and pastimes within the home or in the community, based on their own preferences. They enjoy relationships of their choosing and have their rights and responsibilities as citizens upheld wherever possible. They said they enjoy shopping, walking, Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 6 going on outings, going to pubs and restaurants, listening to music, doing activities in the garden, helping with household chores and preparing meals. People living in the home also enjoy a variety of meals and contribute towards menu planning within the home, ensuring that they have their likes and dislikes catered for. They can also be involved in and assist in the provision of and preparation of food wherever possible. The staff team have a good understanding of individual needs and have the necessary skills and training to meet these needs. 74 of the staff team have a National Vocational Qualification level 2 or above and another five are working towards level 3. Medication is well managed. 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. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 & 5 People who use the service experience good quality outcomes in this area. People using the service have their needs well assessed so they are confident they will be met and are given enough information about the home and its facilities before they make a decision to live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a current Statement of Purpose and Service User Guide that explains to the service users the services that are available to them. Each prospective client would receive a terms and conditions of residency and details of what costs they would be expected to pay. Case files were examined for three people living in the home. Each included a full assessment of the service users needs that had been completed before they came to live at the home. Individual care plans had been developed from the ‘Community Care’ care plan and the assessments. Discussions with people living in the home, staff and feedback from surveys supported the admissions process described by the manager and the fact that people had the opportunity to visit the home, have a meal or an overnight stay before making a decision to come to move in. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People who use the service experience good quality outcomes in this area. People living in the home have their individual needs well met and they experience autonomy in decision-making to enable them to lead more independent lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person living in the home has an individual care plan, which describes how their assessed needs are met and is signed by them or their representative. Three care plans were seen as part of the case tracking process and were found to demonstrate clearly how people living in the home individual needs were identified and met. Care plans are evaluated each month and reviewed on an annual basis, or sooner if required. Each care plan has a section available in which the individual can choose to write their thoughts about their care and this is used to contribute towards the review process. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 10 Care plans seen had been updated in line with the decisions made at individuals reviews. There were also detailed risk assessment documents available in individuals files that covered a range of areas of risk in daily living, supporting people with the opportunity to become as independent as possible, whilst reducing the risks involved in this. One of the people spoken with said, “It is the most wonderful place in the world, I have recently been in hospital and the care I received when I came home was fantastic.” Feedback from people living in the home and relatives indicated that they are involved in the review and development of care plans and that they have the opportunity to discuss any changes or wishes that they have in relation to their care. One person put their personal success down to the way that they could approach staff at any time and that they would always make time for them, but more importantly they regularly told them how proud they were of them and their accomplishments. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 16 and 17. People who use the service experience excellent quality outcomes in this area. People using the service have opportunities to access a choice of leisure activities and are supported to maintain relationships. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has developed a structured activities plan having spent time with the people living in the home and seeking their views as to what type of activities they would like to access. Each activity or trip that people are involved in is recorded, with feedback from the individual about their experience and whether or not they had enjoyed it. People living in the home have the opportunity to engage in a range of activities both in the home and in the local community. The home also has its own vehicle. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 12 One person has a hamster and another a tank of fish. People access local colleges and community groups where they have attained certificates in numeracy, literacy and music. They were looking to re register for further courses in September. In house activities include card making, craft, music, baking and cookery, manicures, painting, gardening, dominoes and bingo. A variety of visits are planned on a weekly basis and include day trips to, local garden centres, bowling, the seaside, shopping, Eden camp, Lightwater valley and an annual holiday of their own choosing. People living in the home take part in some activities in the local community, helping out in charity shops, accessing day services, visiting the local shops and pubs or going to church. Staff also support people with home visits, when their relatives are not able to visit themselves. The amount of contact between people living in the home and their relatives depends on the wishes of the individual and these are recorded in individual care plans. Relatives are welcomed into the home. One person explained that they were supported to visit their family on a monthly visit while another visited home every two weeks. On the day of the visit some people were out shopping, others were at college or other community based centres. One person was supported to visit their friend in hospital, while others were involved in cooking, domestic tasks, games, watching television and listening to music. Discussion with people living in the home indicated that they enjoy going out into the community and have their own interests and hobbies, which are supported and encouraged by the home. One person described how they had more confidence and pride in themselves after achieving a number of different certificates and that this had encouraged them to do further learning. People spoken with said that they were very happy about the way that staff looked after them; they said that they felt safe and that their privacy, dignity and choices were respected. Observations of the interactions between staff and people living in the home showed that there is a good relationship between the two groups of people based on trust and friendship. A full and varied menu is available in the home. This has been planned by the staff in consultation with the dietician and the people living in the home, based on individual’s likes and dislikes. People living in the home spoken with said that the staff always ask them what they would like to eat and that the food was “wonderful”. They also described how special meals or buffets were provided to celebrate birthdays and other special occasions, e.g. Christmas, barbeques and continental nights. Staff and people living in the home explained that as well as the choices on the menu, additional alternatives are always available. The chef has a good understanding of individual’s dietary needs as well as their personal likes and dislikes. These are well accommodated within the menu, which is well planned and offers a selection of wholesome and nutritious food. The staff and chef have gone to great lengths to encourage new foods to be sampled, this includes regular continental nights, where different themes are used. E.g. continental sausage, cheeses, curries, etc. One of the people living Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 13 in the home explained how they had told the staff at a residents meeting that their favourite food was grilled steak and was delighted to find this on the menu a couple of days later. Another person did not like the theme nights but said the chef always made them something special that they liked instead. Individuals have their weights taken on a monthly basis and nutritional assessments are also completed to ensure that people’s dietary needs are being met. A recent environmental health visit awarded the home a four star rating. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People who use the service experience good quality outcomes in this area. People living in the home receive good assistance and support to maintain their personal and health care, so they are confident their needs will be met. Medication is well managed ensuring people are safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each individual care plan documents the visits and input each person has received from outside professional for example GP’s, chiropodist, psychologist, dentist, and optician. Staff and people living in the home confirmed that they support individuals with all appointments. The information in care plans showed that everyone living in the home has their own preferred routine and discussion with staff demonstrated that they had a good understanding of the wishes and choices made by each individual and were able to describe their care needs and how staff were quick to offer help when it was needed, they also respected their wishes to be as independent as possible. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 15 The medication policy, states that people coming into the home can self – medicate if they wish to after a risk assessment has been completed and agreed. No one currently chooses to administer his or her own medicine. The home uses the boots Monitored dosage system and there is a locked cupboard and a trolley available to store medication. Examination of records was found to be accurate up to date and well managed. Discussion with people living in the home, staff and the Manager reveals people living in the home are encouraged to take responsibility for their personal healthcare and they are assisted with personal support in a flexible, dignified way. People living in the home have varying levels of need in respect of personal and health care support, but all of those that are assisted with personal care receive assistance in privacy, and according to their preferences and wishes. Care plans and diary notes seen confirmed the levels of support and assistance required and received. During the visit an individual was visited in hospital and a District Nurse visited the home. Care plans also evidenced that an occupational therapy assessment had been arranged following deterioration in one individuals mobility. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience good quality outcomes in this area. People using the service feel able to air their concerns without any fear of repercussions. The staff vetting procedure is sufficiently robust to ensure the safety of the service users. The judgement has been made using available evidence including a visit to this service. EVIDENCE: No complaints have been received by the home during the last twelve months. People living in the home spoken with were able to describe how they could use the complaints process and were confident that they could talk to any of the staff if they had any problems. The manager also has information of local advocacy agencies displayed in the home to help individuals with the complaints process. Staff spoken with showed that they had a good understanding of their role in dealing with Safeguarding Adults issues and complaints. They are also able to demonstrate their understanding of the protocols, procedures and policies of both the North East Lincolnshire Council and of Prime Life. Examination of individual staff files demonstrated that they have received training in Safeguarding. There is a recruitment procedure and the manager oversees the recruitment process. An application form, two written references, a Criminal Records Bureau check and a Protection of Vulnerable Adults check are undertaken prior to a person starting employment. Two staff files were examined and these were found to be up to date Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 17 Discussion with people living in the home, staff and the Manager, and viewing of documents and procedures demonstrates that people living in the home and relatives have opportunities to make concerns and complaints known, and feel confident that they would be dealt with. People living in the home said they would talk to the staff or the Manager if they had any concerns or were unhappy about anything, and that they would do the same if they felt they or any other person was being hurt or mistreated in any way. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use the service experience good quality outcomes in this area. People living in the home enjoy a clean, safe and homely environment This judgement has been made using available evidence including a visit to this service. EVIDENCE: A full tour of the building was made and the home was found to be clean, well maintained and odour free. The downstairs shower room was found to be clean, but the flooring appeared to be stained in areas. The window frames to the front of the building were in need of repainting. A corridor and staircase carpet was in need of a deep clean. Considerable redecoration and refurbishment of the home has been completed since the last inspection. People living in the home Were involved in the choosing of the colours and the furniture and soft furnishings and stated they were very pleased with their choices and how the home looked. Bedrooms were personalised and decorated to suit individual tastes. Each bedroom had a suitable lock that can be used for privacy. Many individuals had Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 19 personal belongings and furnishings in their rooms, making them feel homely and reflect the personalities of the occupants. One of the bedrooms was for two people, with privacy screens in place. People living in the home stated that they were happy with their individual rooms and several invited the inspector to visit their rooms. The washing machine at the home is all programmable to disinfection and sluicing standards. The home has several outside sitting areas, in a courtyard to the rear of the building and well maintained gardens to the front, which are accessible to the people living in the home. Communal areas were found to be light and airy and a choice of sitting areas were available to people living in the home. The house suits its stated purpose and provides a very homely atmosphere. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34,35 and 35. People who use the service experience good quality outcomes in this area. Skilled staff that are supervised and undertake training supports people living in the home. The staff vetting procedure is sufficiently robust to ensure the safety of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with the staff and the Manager, viewing of staffing rosters and allocated hours, indicates that there are adequate hours being allocated each week to meet the needs of service users Examination of staff records showed that 74 of staff have achieved their National Vocational Qualification at level two and a further five are working towards level three. Training completed by the staff team included Protection of Vulnerable adults, Safe handling of medicines, Infection control, Mental Health awareness, Nappi, Fire safety, First Aid, COSHH, Moving and Handling and Food safety. Staff spoken and feedback from completed surveys supported these records. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 21 Staff meetings are held monthly and staff supervision every two months. Discussion with staff and feedback from surveys showed that they felt well supported in their roles and had adequate information about people to meet their needs appropriately. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. People who use the service experience good quality outcomes in this area. People living in the home benefit from having a Registered Manager that is competent and is maintaining consistency within the service. They experience adequate protection from harm under the home’s health and safety measures in place and the practices carried out to maintain service users’ and staff health, safety and welfare. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with the Manager reveals she has several years experience of both working in the care profession and in a supervisory capacity. She worked as the Acting Manager for a year before being registered and is hoping to complete the Registered Managers Award by August 2008. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 23 Discussion with staff and people living in the home Demonstrated that they feel that there has been much progress within the home since the appointment of the new manager and that she is approachable and supportive. There is a quality assurance system in place for assessing the home’s quality of care, which involves surveying service users, relatives and staff and checking of documentation and care practices etc. in the home. Any required action is identified and completed in respect of this. People using the service attend regular residents meetings and are regularly consulted about different aspects of the home. People spoken with confirmed this and gave examples of menu planning, activities, and decorating the home of decisions they had been involve in. Information was received from Prime Life in the AQAA document pre- stated fire safety, gas and electric engineer checks, and such as Legionella checks are all up to date. Areas of health and safety sampled during the site visit were fire safety, Legionella testing, and risk management. Records show fire drills are carried out each month, that extinguishers are checked annually Other checks made included verifying the last portable appliance test, and viewing certificates for gas and electrical safety checks. There are risk assessment documents in place to cover areas of the home such as the kitchen, fire safety, laundry use, and use of cleaning products etc. These are satisfactory. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standar3d No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 4 33 4 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 25 NO 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 YA30 Regulation 23(2)(b) Requirement The Registered Provider must ensure that, the staining to the flooring to the downstairs shower room is removed by cleaning, or replacement. The Registered Person must ensure that the stained carpet on the stairs and hallway is deep cleaned to a good standard or replaced. Timescale for action 30/09/08 2. YA30 23(2)(b) 30/09/08 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 YA24 Good Practice Recommendations The external windows to the front of the property should be repaired and repainted to maintain safety and security within the home. Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region 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 Aaron Park Care Home DS0000002818.V366080.R01.S.doc Version 5.2 Page 27 - 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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