Care Home: Abbeydale Care Home

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What the care home does well Staff at the home have good access to training courses and are competent to do their jobs ensuring people at the home receive the right care and support from a well trained staff team. Looking at training records and talking to people during the visit confirmed this. Comments from staff included, "Training is a priority for the new people". And, "Very good training opportunities". One friend of a resident spoken to said, "The staff are appear well trained in working with people who suffer dementia".Records look at confirm residents receive a thorough assessment before they came to live at the home and are welcome to visit prior to moving in. This means that their needs and care required were known and arrangements could be made to meet these. One staff member said, "Good process to assess people has been put in place". Visiting arrangements are informal and family/friends are welcome at any time of the day or night and are encouraged to maintain contact with residents. Observation of staff supporting residents throughout the day and comments received from both residents and relatives confirmed they are treated with respect and dignity. One relative spoken to said, "They have always been good to my mum and the way they show her kindness and dignity". What has improved since the last inspection? Since the previous inspection more domestic staff have been employed to ensure the home is kept clean and tidy and provide a pleasant environment for the residents. One member of staff wrote, "More staff has helped". We spoke to a relative who said, "They needed more help with cleaning due to the amount of alterations and they are having done". Looking at staff rotas and general discussion with relatives and staff show there are more staff on duty at peak times and weekends to ensure residents are provided with care and support at all times. One member of staff said, "Its better with the extra staff especially at weekends". A relative said, "Since the new people have taken over more numbers of staff are on duty at weekends because that`s the only time I come". The new owners and manager have been improving forms and systems to make them more detailed or easier to follow, ensuring the care is consistent and continues to improve the home for the residents. This was confirmed through looking at records and discussion with staff one staff member said, "We have good access to care plans which are easier to understand". What the care home could do better: The application form for employment filled in by potential staff should ask for a full employment history with any gaps explained to ensure suitable staff are employed. One record looked at showed this wasn`t the case The new owners are aware there still remains a lot of building work to be completed, major redecoration and refurbishment to resident`s bedrooms and communal areas on all three floors of one section of the premises and must becompleted as soon as possible so that resident`s feel comfortable and live in pleasant surroundings. One resident spoken to said, "I know there is still a lot of work to be done it seems never ending". The home must employ a manager that is registered with the Commission for Social Care Inspection (CSCI) who has the necessary qualifications and is suitable and competent to run a care home. CARE HOMES FOR OLDER PEOPLE The Beeches Rest Home 647 New South Promenade Blackpool Lancashire FY4 1RN Lead Inspector Mr Kevan Royston Key Unannounced Inspection 14th August 2008 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 The Beeches Rest Home DS0000071563.V368403.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. The Beeches Rest Home DS0000071563.V368403.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Beeches Rest Home Address 647 New South Promenade Blackpool Lancashire FY4 1RN 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) 01253 349589 01253 402037 Ribble Valley Care Limited Care Home 84 Category(ies) of Dementia (84), Old age, not falling within any registration, with number other category (3) of places The Beeches Rest Home DS0000071563.V368403.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP, (maximum number of places: 3) Dementia - Code DE The maximum number of people who can be accommodated is: 84 Date of last inspection New owners Brief Description of the Service: The Beeches is a large care home registered for 84 people who suffer dementia. The home is situated on the sea front close to the south shore shopping centre at Highfield Road. Local tram and bus routes are close by. Residents bedrooms are situated on three floors with lift access; most rooms are en-suite with bathrooms and toilets available on each floor close to the bedrooms. Communal toilets and bathrooms have aids and adaptations fitted to support people with difficulty bathing. There are four lounges and a large dining area for the residents use. There is a statement of Purpose/Service user Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are and what the resident can expect if he or she decides to live at the home. The fees for the home range from are £346.01 - £346.64. Extra charges at the home are for hairdressing, toiletries and chiropody, which vary. The Beeches Rest Home DS0000071563.V368403.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 stars. This means the people who use this service experience good quality outcomes. This unannounced visit was part of the key inspection process and took place on the 14/08/08 and lasted approximately7.0 hours. We only spoke to a few residents briefly as this is a dementia home and communication is difficult, however we also spoke to several staff, the owner, manager and relatives/friends visiting the home. Maintenance and financial records were looked at during the site visit and a full tour of the premises was undertaken with the manager. As part of the inspection process we talked to people using the service and asked staff about those peoples needs. We also looked at their rooms, care plans, records and daily notes this is called case tracking. Other residents are invited to pass their opinions to us if they wish. We had responses from surveys/questionnaires sent to residents, relatives and staff for their views on how the home is run. The response was poor however comments we did receive were positive and some are included in this report. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of their service. We use this information, in part, to focus our inspection activity. What the service does well: Staff at the home have good access to training courses and are competent to do their jobs ensuring people at the home receive the right care and support from a well trained staff team. Looking at training records and talking to people during the visit confirmed this. Comments from staff included, “Training is a priority for the new people”. And, “Very good training opportunities”. One friend of a resident spoken to said, “The staff are appear well trained in working with people who suffer dementia”. The Beeches Rest Home DS0000071563.V368403.R01.S.doc Version 5.2 Page 6 Records look at confirm residents receive a thorough assessment before they came to live at the home and are welcome to visit prior to moving in. This means that their needs and care required were known and arrangements could be made to meet these. One staff member said, “Good process to assess people has been put in place”. Visiting arrangements are informal and family/friends are welcome at any time of the day or night and are encouraged to maintain contact with residents. Observation of staff supporting residents throughout the day and comments received from both residents and relatives confirmed they are treated with respect and dignity. One relative spoken to said, “They have always been good to my mum and the way they show her kindness and dignity”. What has improved since the last inspection? What they could do better: The application form for employment filled in by potential staff should ask for a full employment history with any gaps explained to ensure suitable staff are employed. One record looked at showed this wasn’t the case The new owners are aware there still remains a lot of building work to be completed, major redecoration and refurbishment to resident’s bedrooms and communal areas on all three floors of one section of the premises and must be The Beeches Rest Home DS0000071563.V368403.R01.S.doc Version 5.2 Page 7 completed as soon as possible so that resident’s feel comfortable and live in pleasant surroundings. One resident spoken to said, “I know there is still a lot of work to be done it seems never ending”. The home must employ a manager that is registered with the Commission for Social Care Inspection (CSCI) who has the necessary qualifications and is suitable and competent to run a care home. 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. The Beeches Rest Home DS0000071563.V368403.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 The Beeches Rest Home DS0000071563.V368403.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to ensure the care needs of people are met. EVIDENCE: We looked at a four records of resident’s that had assessment information recorded in detail. Some of the residents had been assessed by social workers with the assessment information in place prior to residents living at the home. Other residents who were funded privately had their needs assessed by senior staff. Mental health assessments had been obtained by persons funded by Social Services to ensure all information is provided to the manager so that a detailed care plan can be developed. A relative spoken to said, “Yes they were good with my mother before she moved in and during the settling in period”. One relative wrote, “I thought they were extremely helpful at the beginning of the moving in process”. A member of staff spoken to about the assessment of The Beeches Rest Home DS0000071563.V368403.R01.S.doc Version 5.2 Page 10 residents, “It is important we assess people first with all the information to make sure we can care for the person”. Standard 6 was not assessed, as the home does not provide intermediate care. The Beeches Rest Home DS0000071563.V368403.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. Promotion of health is taken seriously, people’s welfare is closely monitored and health needs are met. EVIDENCE: We looked at individual records for resident’s, each had a plan of care setting out the action that is needed to be taken by care staff to ensure all aspects of health, personal and social care needs of people living at the home were met. On file were also mental health assessments. Significant events had been recorded and daily entries made setting out the care given. The care plans were good, well structured and improvements made to the recording of resident’s care to ensure all information is contained on file allowing staff to follow any action required or any issues that needed monitoring. The care plans clearly showed where possible the involvement of friends and families so that as much information as possible was available and provide staff the help The Beeches Rest Home DS0000071563.V368403.R01.S.doc Version 5.2 Page 12 required to provide good care for people who suffer with dementia. One relative spoken to said, “They keep me up to date with the goings on of my mum”. Another said, “Any changes in his care and they keep me informed and of medication issues”. Members of staff spoken to have a good understanding of the what is required when caring for residents with dementia and one spoken to said, “It is important to be aware of the needs of people who suffer with dementia. A relative commented, “One member of staff is excellent totally aware of how to help people with dementia”. Records show risk assessments have been completed and are reviewed on a regular basis and updated reflecting any changes that may have occurred individually and in the environment ensuring the resident’s safety and protection is a priority. We were able to watch medication practices at lunchtime and went through the procedures with a senior member of staff, they were found to be safe and good records had been kept ensuring residents health is maintained. The procedures for medication on the three resident’s case tracked were examined and discussed. We asked about medication training for staff and one said, “Anyone who gives out medicine has had formal training”. We observed during the visit people’s dignity and privacy being respected ensuring residents are treated as individuals and with respect. We sat in the lounge area for a while and watched staff knocking on doors before entering rooms, helping people individually, supporting with meals sensitively and talking to residents despite the difficulties in communication. One relative spoken to said, “I must say I have been impressed the way they treat my mum”. Also, another relative spoken to said, “They look after the residents with dignity and respect”. The Beeches Rest Home DS0000071563.V368403.R01.S.doc Version 5.2 Page 13 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. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: We spoke to relatives, two residents, care staff, the cook and had a look around the kitchen/ dining room during breakfast and lunch. People spoken to confirmed they enjoyed the quality and variation of food provided. At the time of the visit the cook was baking for the lunch ahead and said, “We make home made pies and cakes when possible”. The cook was highly qualified and had a good knowledge of food and hygiene requirements and variety of foods from different cultures he said, “I am fully aware of liquidised foods and food from different cultures”. One resident spoken to said, “I eat like a truck driver the food has always been good here”. We looked into some resident’s rooms and they had personal belongings that are allowed into the home to provide a homely atmosphere for each individual. The Beeches Rest Home DS0000071563.V368403.R01.S.doc Version 5.2 Page 14 We talked to staff and residents during the visit and confirmed social activities are centred more on an individual basis due to the nature of people living at the home who suffer with dementia, however trips out are arranged and they have their own transport to enable people to get out more. One relative wrote, “As much as possible they do try and provide social events for the residents. One staff member wrote, “We provide as much stimulation as possible for the residents”. We spoke to relatives and they confirmed visitors are allowed at any time of the day or night. One relative spoken to said, “I could only visit at weekends but they made me feel welcome”. Another relative commented, “I come quite a lot any time day or night no problem”. A member of staff spoken to said, “Visitors are welcome anytime”. The Beeches Rest Home DS0000071563.V368403.R01.S.doc Version 5.2 Page 15 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. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. EVIDENCE: The Beeches has a detailed complaints procedure, which is made available to all residents and relatives on admission and contained in the Statement of Purpose and Service User Guide. People spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. One resident said, “I have lived here for years and never had to complain, I have had the odd moan but they have always tried to help”. Staff confirmed they knew the complaints policy and procedures and when spoken to one said, “Complaints procedures and whistle blowing procedures are given to us during induction training”. Their has been one complaint made to the Commission for Social care Inspection (CSCI) since the previous owners and this was sent to Social Services to look at following their complaints procedures. Records looked at show details of complaints/concerns, appropriate action taken and people concerned notified of the outcomes. An open approach to encourage comments through relative and staff discussions goes some way in ensuring that concerns are addressed prior to them becoming formal complaints. Issues are addressed through regular The Beeches Rest Home DS0000071563.V368403.R01.S.doc Version 5.2 Page 16 relative meetings. One relative spoken to said, “The meetings are a good thing if we have any problems we can iron them out”. In place there were other policies and procedures that helped to safeguard residents. These included dealing with aggression, safeguarding residents’ finances and a missing persons procedure. We looked at records and found there is a procedure and policy for dealing with allegations of abuse and safeguarding adults to protect people living at the home. Records confirmed training was in place for staff to attend safeguarding adult’s courses. One Staff member spoken to said, “I have completed level 3 NVQ and starting level 4 and my training has covered safeguarding adults”. Discussion with the manager confirmed all staff would be updating there training in safeguarding adults to ensure they have the skills to protect the residents from any form of abuse. The Beeches Rest Home DS0000071563.V368403.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 adequate. This judgement has been made using available evidence including a visit to this service. The building is kept generally clean. However some parts of the building require major redecoration and refurbishment to make sure the residents are safe and live in pleasant surroundings. EVIDENCE: We had a walk around the building and found building work continuing in most areas of the home with some parts closed off to residents. Although some improvements have been made for example a new lift fitted, a new modern hairdressing facility, new laundry and some refurbishment of resident bedrooms. The manager said, “There is still a lot more to do”. One relative spoken to said, “It seems to be never ending but should be nice when it is done”. We spoke to the owner who said, “There is a lot more than we first The Beeches Rest Home DS0000071563.V368403.R01.S.doc Version 5.2 Page 18 thought but we will get it finished”. The home must be well furnished and pleasant to provide a safe and comfortable environment for the residents. There is maintenance staff that daily look after the general running repairs of the home to ensure the building is kept safe however as there is a lot of building work continuing and it is difficult to keep it well maintained. Records looked at show there is a system of reporting maintenance problems and what is done to resolve them. There is now more domestic staff employed in an effort to keep the home clean staff rotas confirmed this. One staff member spoken to said, “More domestic staff employed has helped keep it cleaner”. Hot water temperatures throughout the building and in resident’s rooms were checked and found to deliver water at a safe temperature in line with health and safety guidelines. The home has a variety of communal spaces, which encourages independence and freedom to associate with persons of their choice or have somewhere to go to be quiet other than their bedroom however alterations at times is restricting movement. One resident spoken to said, “I have to be careful with all this work going on”. There are policies and guidance for laundry processes and for the control of infection ensuring the home is kept clean, pleasant and hygienic. The manager said, “Staff are now updating infection control training” have There is a system for washing and cleaning clothes, which the laundry staff are responsible for to ensure the residents personal clothing is kept clean. One relative spoken to said, “It helps with the new laundry in place”. A member of staff spoken to said, “Now we have a laundry room the system is working well”. The Beeches Rest Home DS0000071563.V368403.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. The procedures for the recruitment of staff are robust ensuring suitable staff are employed. Training for staff is good and enables staff to have the skills and competencies for their roles. EVIDENCE: We looked at staff duty rotas for the home and spoke to staff and the manager about staffing levels. We found sufficient personnel both domestic and care staff on duty to ensure the resident’s are supported and their needs are being met. The manager said, “We have increased the number of domestic staff”. We spoke to staff members individually and some of their comments included, “Staffing level have improved under the new owners”. And one staff member wrote, “There is now enough staff to care for the residents”. The manager tells us in the written information provided to us they have introduced new shift patterns which has meant more staff at peak times and less sickness/ absences to ensure the residents are well cared for. The Beeches Rest Home DS0000071563.V368403.R01.S.doc Version 5.2 Page 20 We examined four members of staff records and found proper checks had been taken to ensure suitable people are employed. Staff records include, application forms, Criminal Records Bureau (CRB), Protection of Vulnerable Adults (POVA) disclosures and references, all in place prior to employment. However the application form should be amended to request a full employment history and gaps in employment explained so that residents are protected and staff employed are suitable. One record examined had did not have the correct application form. Staff receive induction training and regular updates. There is an appropriately qualified work force with at least 50 of staff delivering personnal care holding an a National Vocational Qualification (NVQ) to level 2 or above. Examination of induction training for new staff confirms thorough procedures are in place for staff to be aware of the policies and systems of the home before they start work and early stages of their employment. Each member of staff is given a staff handbook. Comments from staff about training included, “I have done NVQ training”, and, “We all our doing formal Dementia Training provided by the owners”. Also, “Induction training was good”. Records looked at confirm training is ongoing for staff and all attend dementia training through their development programme to ensure they have the competencies to care for people who suffer with dementia. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. All staff members spoken to said they had completed dementia training, as this was mandatory. The Beeches Rest Home DS0000071563.V368403.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 run and has policies and procedures in place to ensure the health and safety of staff and people living there are promoted and protected. EVIDENCE: The manager is currently working towards the required qualifications needed to run a care home and will apply to be the registered manager with CSCI. We explained to the manager the home must employ a manager that is registered with CSCI who has the necessary qualifications and is suitable and competent to run a care home. The manager had a job description and was aware of her The Beeches Rest Home DS0000071563.V368403.R01.S.doc Version 5.2 Page 22 role and responsibilities and lines of accountability. Comments from people about the management of the home and how the home is run included, “The manager is great and sorts out any problems”, Also, “The home is run efficiently” One member of staff wrote, “Under the new management they are making the place more like home”. Relatives of people surveyed before this visit were very positive in their responses about the service being provided and how the home is run and Some wrote, “A well run care home”. And, “A good manager in charge”. Records show the manager has good systems to gather staff, residents and relative’s views to enable ongoing improvements to the home. There are quality assurance systems in place. These included relative meetings, staff meetings and one to one discussions with residents who are able to discuss there needs. Regular relative meetings have been successful ensuring the care of the residents is to a high standard and any concerns are dealt with correctly. We confirmed this by talking looking at minutes of the meetings, talking to relatives, a resident, and surveys returned rom people involved at the home, comments included, “The relatives meeting is helpful and can be productive”. Also, “We have discussed at the meetings things that would improve the home and they have been done by the next time I have visited”. Examination of records confirmed regular tests to emergency lighting, fire procedures and extinguishers had been carried out ensuring the safety of residents and staff is maintained. The Beeches Rest Home DS0000071563.V368403.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 3 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 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 The Beeches Rest Home DS0000071563.V368403.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. 1 Standard OP19 Regulation 39 Requirement People living at the home must feel comfortable and safe and live in a clean, pleasant environment. The home must employ a manager that is registered with the Commission for Social Care Inspection (CSCI) who has the necessary qualifications and is suitable and competent to run a care home. Timescale for action 31/03/09 2 OP31 9 31/10/08 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 OP29 Good Practice Recommendations The application form should request a full employment history with any gaps explained to ensure suitable people are employed. The Beeches Rest Home DS0000071563.V368403.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.northwest@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 The Beeches Rest Home DS0000071563.V368403.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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