Care Home: Airedale Residential Care Home

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What the care home does well People receive a robust assessment before moving into the home. They are also consistently offered the opportunity to visit and look around as well. Good person centred care within the care planning documentation provides the staff with a good understanding of the care needs of each individual. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 The staff at the home work hard to ensure people’s health and social care needs are met. Staff interacted well with the people who live in the home and good examples of positive interactions were observed. There is an activities programme and a coordinator who tries hard to ensure everyone gets involved if they wish. People’s spiritual needs are provided for by the home. Positive comments were made about the food provided in the home. “You get a good choice of food. You can have a different meal if you don’t like what’s on offer.” “I look forward to my meals. The quality is good and it is a social occasion.” I sat and had lunch with people in the dining room. The meal was enjoyed by all. Condiments were on all the tables and the presentation of the meal was good. People who needed assistance with eating were provided with this in a dignified and supportive manner. The home has recently undergone a lot of refurbishment that has clearly improved many areas. People spoken to responded positively to the changes and said the environment has improved as a result of the refurbishment programme, which is still ongoing. People said, “Yes, the changes have made an improvement to the environment.” “It’s good to see they have made improvements. They were needed.” Staff were observed as being confident in performing their care tasks. This was also the view of people living in the home. They said, “The girls are great. They know exactly what they are doing.” “I am very happy with the way the staff works. They seem to know what my needs are.” What has improved since the last inspection? The care plans contained good person centred detail relating to individuals’ care needs. Risk assessments were in place and reflected the up to date needs of people. The privacy and dignity of people is promoted by the staff working in the home. Complaints are recorded and investigated following the internal policy. Improvements have been made throughout the internal environment.Airedale Residential Care HomeDS0000001408.V375961.R01.S.docVersion 5.2 What the care home could do better: All the required information must be obtained before a person can commence work at the home. This will help protect the people living there. People should be assessed on admission as to whether they are able to manage their own medications while living in the home. People working in the home should receive regular supervision to assist them with meeting the care roles they perform. Key inspection report CARE HOMES FOR OLDER PEOPLE Airedale Residential Care Home Church Lane Pudsey Leeds West Yorkshire LS28 7RF Lead Inspector Sean Cassidy Key Unannounced Inspection 16th July 2009 09:00 DS0000001408.V375961.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Airedale Residential Care Home Address Church Lane Pudsey Leeds West Yorkshire LS28 7RF 0113 257 2138 0113 236 3935 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) www.bupa.co.uk BUPA Care Homes (GL) Ltd Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP, maximum number of places: 40 The maximum number of service users who can be accommodated is: 40 3rd July 2008 2. Date of last inspection Brief Description of the Service: Airedale Residential Home is a former vicarage situated between a park and the church grounds in the small town of Pudsey on the outskirts of Leeds. It is accessible by public transport and is close to a whole range of good local amenities. Although the home does not have its own garden residents are able to sit out on paved areas overlooking the attractive park gardens. The home is registered for forty places to provide personal care for older people. Nursing care is not provided. Accommodation is provided over three floors. There are thirty-six rooms with four shared rooms. Twenty-one have en-suite facilities. There are a number of shared communal sanitary facilities situated around the home. Every room is equipped with a staff call system. There is a passenger lift to access the majority of the areas and a stair lift to access one area. Written information about the home is available in the form of a statement of purpose and a brochure. A copy of the most recent inspection report and other useful information was also available in the entrance area. The current range of charges is from £436-£707 per week. Additional charges are made for chiropody, hairdressing, toiletries, and newspapers and for escorts. This information was provided during the inspection of July 2007. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 5 Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star – good service. This means the people who use this service experience good quality outcomes. The accumulated evidence in this report has included: • • A review of the information held on the home’s file since the last inspection. Information obtained from people who use the service, relatives, staff and other health care professionals. One inspector conducted an unannounced visit to the home and it lasted one day. The majority of time was spent speaking to people who live in the home, management, staff and relatives. A number of documents were looked at and some areas of the home used by the people living there. The information required from the service in the form of the Annual Quality Assurance Assessment (AQAA) was obtained before this report was written. Feedback was provided at the end of the inspection to various members of the home’s management team. What the service does well: People receive a robust assessment before moving into the home. They are also consistently offered the opportunity to visit and look around as well. Good person centred care within the care planning documentation provides the staff with a good understanding of the care needs of each individual. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 7 The staff at the home work hard to ensure people’s health and social care needs are met. Staff interacted well with the people who live in the home and good examples of positive interactions were observed. There is an activities programme and a coordinator who tries hard to ensure everyone gets involved if they wish. People’s spiritual needs are provided for by the home. Positive comments were made about the food provided in the home. “You get a good choice of food. You can have a different meal if you don’t like what’s on offer.” “I look forward to my meals. The quality is good and it is a social occasion.” I sat and had lunch with people in the dining room. The meal was enjoyed by all. Condiments were on all the tables and the presentation of the meal was good. People who needed assistance with eating were provided with this in a dignified and supportive manner. The home has recently undergone a lot of refurbishment that has clearly improved many areas. People spoken to responded positively to the changes and said the environment has improved as a result of the refurbishment programme, which is still ongoing. People said, “Yes, the changes have made an improvement to the environment.” “It’s good to see they have made improvements. They were needed.” Staff were observed as being confident in performing their care tasks. This was also the view of people living in the home. They said, “The girls are great. They know exactly what they are doing.” “I am very happy with the way the staff works. They seem to know what my needs are.” What has improved since the last inspection? The care plans contained good person centred detail relating to individuals’ care needs. Risk assessments were in place and reflected the up to date needs of people. The privacy and dignity of people is promoted by the staff working in the home. Complaints are recorded and investigated following the internal policy. Improvements have been made throughout the internal environment. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 8 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 9 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 Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 10 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with good information to assist them with making their choice about moving into the home. EVIDENCE: The AQAA (Annual Quality Assurance Assessment) supplied by the service stated people are provided with information to assist them with choosing the care home. It also stated that the Statement of Purpose (SOP) and the Service User Guide (SUG) are available in the main office for people to see. Prospective residents are given a trial option to assist them with making their choice. During the visit to the premises we found that this information was available in the entrance as well as an up to date copy of the most recent inspection report. Information is also available in individual’s bedrooms. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 11 People spoken to said they were offered the opportunity to come and visit the service before they moved in. Evidence seen in the care documentation showed people’s needs are assessed before they move into the service. This allows the manager to ensure the home and its staff are able to meet the needs of the people who are moving in. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 12 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s health care needs are properly assessed and provided for in the home. Their care packages are received in a way that respects their privacy and dignity. EVIDENCE: The AQAA supplied by the service stated that: “All residents have comprehensive Personal Plans produced with the help of the QUEST assessment tool, which are reviewed monthly and updated as necessary” “We record and report on the treatment of pressure ulcers, as well as assess and document actions taken to alleviate the risk.” “Resident care is focussed on being person centred, supported by the Personal Best Programme.” “All residents’ nutritional needs are assessed using a recognised nutritional assessment tool.” Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 13 We looked at the care documentation belonging to four people very closely. Each person’s file contained good evidence that showed their care needs were fully assessed. Each file showed evidence that people are assessed in areas such as nutrition, falls, moving and handling and pressure area care. Where a risk was identified a care plan was developed to manage this risk. Care plans written for individuals were person centred in their approach and provided the reader with good detail to help ensure that each person’s needs would be met. The documentation was consistently reviewed and there was evidence that showed changes to care plans were made when the need was identified. The daily records provided the reader with a good insight as to how each individual spent their day. Staff were observed writing the care plans for people they were providing a care package to. They said they were encouraged to do this by the management team. Good evidence was seen that showed people’s health care needs were met at the home. People told us that they were enabled to keep their own general practitioner and dentist when they moved in. They said, “The staff are very good at ensuring I see the doctor when I need him” “The staff are always on top of my health needs and I have no worries in that respect.” The care records showed evidence that health professionals from outside the home are actively involved with people’s care. Staff were observed providing the care packages to people in a dignified manner. When people needed assistance to use the toilet facilities they were helped in good time. People spoken to gave positive comments about the staff and the care they provided. Good interactions were observed between staff and people living in the home during the inspection. People told us there were no restrictions placed on them and they were provided with some good choices. Five people told us they were able to choose the times they got up and when they went to bed. This was also highlighted in the care plan within their documentation. A random inspection of the medication administration and storage systems showed evidence that staff are complying with good practice in this area. One person living at the home said that she would have liked to continue to self medicate when she moved in. However, she said that this was never provided as an option. Her file showed no evidence that this possibility was assessed. A conversation with the managers at the home confirmed that this was not Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 14 something that had been automatically assessed on admission. It was recommended that all people are assessed on admission to the home as to whether they can self medicate. Clear evidence must be in place that shows people who are assessed as able to self medicate are supported to do so. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are provided with a number of different activities that they can get involved with. EVIDENCE: The AQAA stated that there is a structured activities programme on offer within the home. Evidence was found that showed activities are structured and people are informed of what activities were on offer over the course of each week. The home employs an activity person to plan and implement the activities programme. Activities were provided to two groups of people in the home during the inspection. People did appear to enjoy these activities, however, three people told me that they would like to have more involvement with deciding what activities are offered as they said they need activities that suit their needs. This was passed over to the management team during the feedback session at the end of the inspection. Care plans contained evidence that showed people are involved regularly with activities provided within the home. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 16 Some people spoken to said they were able to leave the home with their relatives for the day. However, there were people living in the home that are not provided with opportunities to get out. This was discussed with the managers and they agreed that there have been few opportunities provided. It is recommended that people are provided with opportunities to leave the home and involve themselves with the local community. People told me that the staff arrange for magazines and papers to be delivered to the home from a local newsagents which they very much appreciated. People told me that the local religious groups visit the home to provide for their religious needs. Menus for meals were clearly displayed for people to look at. Positive comments were made about the food provided in the home. “You get a good choice of food. You can have a different meal if you don’t like what’s on offer.” “I look forward to my meals. The quality is good and it is a social occasion.” I sat and had lunch with people in the dining room. The meal was enjoyed by all. Condiments were on all the tables and the presentation of the meal was good. People who needed assistance with eating were provided with this in a dignified and supportive manner. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A complaints procedure is available to people at the home. The people who live at the home feel confident that they will be listened to and can be assured that action will be taken when necessary. There are robust safeguarding procedures and staff have received training. People are assured that they are safe at the home. EVIDENCE: The complaints policy is displayed at various points around the home. People are also provided with this policy in the Service user Guide which is available in all rooms. People spoken to told me that they knew how to complain if they needed to. The complaints record showed complaints are investigated appropriately when they are received. Staff spoken to during the visit showed a good understanding of safeguarding vulnerable adults. They were very aware of signs that might indicate whether a person was being abused and also what their role was within this process. The Care Quality Commission have not received any safeguarding notifications since the last inspection was carried out. The evidence seen in the training Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 18 records showed a significant proportion of staff had received safeguarding training. There was a robust internal safeguarding policy and procedure in place. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in an environment that suits their needs. The standard of cleanliness in the home is good. EVIDENCE: The AQAA stated that: “The home is supported in maintaining the environment by a central team of experts.” “We have a specialist property and estates department as well as a hotel services department.” “We use a specialist micro fibre cleaning system that combined with effective cleaning regimes keeps the home clean and odour free.” “Our comprehensive policies and procedures include infection control and Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 20 handling clinical waste.” The home has recently undergone a lot of refurbishment that has clearly improved many areas. People spoken to responded positively to the changes and said the environment has improved as a result of the refurbishment programme, which is still ongoing. People said, “Yes, the changes have made an improvement to the environment.” “It’s good to see they have made improvements. They were needed.” Although positive comments were given three people did say that they would like to have an update as to where the refurbishment programme was and when the work would be completed. The home was clean and free from offensive odours. Domestic staff were observed performing their duties. Two domestic staff spoken to had a good awareness of their roles in relation to Control of Substances Harmful to Health (COSHH) and also infection control. People who live in the home also provided positive comments about the standard of cleanliness. These included, “The girls are always cleaning the house. It’s very clean.” “My room is cleaned every day. It’s spotless.” Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive their care packages from a group of care staff that are confident in performing their roles. Improvement is needed with provision of training and the recruitment of staff. EVIDENCE: The AQAA stated that: “BUPA Care Homes has comprehensive Human Resource policies and procedures to aid staff management and recruitment.” “We endeavour to maintain agreed staffing levels at all times.” “We perform appropriate CRB and POVA checks on all staff.” “There is a training matrix specific to the home that identifies the training requirements of staff.” All mandatory training is up-todate.” The home has devised a staffing rota that identifies the correct numbers of staff that are on duty for each shift. Staff were observed to carry out their duties in an unrushed fashion. They had time to get involved with the activities and also to sit and chat with people on a one to one basis and also in groups. People who live in the home said the staff were busy but they had time to sit Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 22 and chat with them during the day. Staff were observed as being confident in performing their care tasks. This was also the view of people living in the home. They said, “The girls are great. They know exactly what they are doing.” “I am very happy with the way the staff works. They seem to know what my needs are.” The staff training files were looked at. These contained evidence that not all mandatory training was up to date as highlighted in the AQAA. The manager is currently performing an audit on all training files. There were identified gaps in training provided in areas such as First aid, safeguarding vulnerable people and moving and handling. The acting manager has also identified these gaps and has begun to plan the provision of this training to all staff. The recruitment files of three people were looked at. These showed evidence that not all the required information needed was obtained before a person could start work at the home. Protection of Vulnerable Adult (POVA) checks were obtained on all before employment commenced. There was no evidence to show people were correctly supervised working at the home whilst awaiting the Criminal Record Bureau Check (CRB). This places people at possible risk. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The absence of a consistent management team has had a poor effect on the morale of the home’s staff. However, good work has been maintained to ensure the management systems still have positive outcomes for the people who live there. EVIDENCE: Before this inspection took place the CQC was recently notified of the resignation of the previous registered manager in May 09. A manager from another care home is working three days per week supported by another manager of a different care service. A deputy for the home is also working Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 24 twelve hours supernumerary to support the stand-in manager. We have been informed that the vacant post of manager is being actively advertised. At the site visit the area manager introduced the new manager appointed for the service. This person will be applying for the manager registration in due course. People who work in the home expressed concerns about the lack of leadership and the absence of the manager. They said, “We have a low morale due to the lack of management. The managers don’t stop long enough. We need a manager who will stop for a while.” “The management has been appalling recently. We need someone who will stay.” “Morale is low at the moment. We need stability. It’s not fair on the people who live here.” BUPA have implemented quality assurance tools to help identify how well the home is performing and what work is needed to improve care provision. Care plan audits are currently being carried out and this evidence was seen. There is an identified person in place to monitor all health and safety checks at the home. The manager said a quality survey was carried out the previous summer but the results of this have not been made available to all stakeholders. Supervision has not been provided on a consistent basis. This is an area that has been identified as in need of improvement and action was being taken to rectify this. There are safe systems in place for handling people’s personal monies at the home. Records are kept of all transactions and receipts are in place. Records are kept of accidents involving people living at the home. Evidence was seen to show that the appropriate health and safety checks of equipment used in the home are kept. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x x 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 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 2 x 3 Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 26 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 OP29 Regulation 19(1)(a) Timescale for action All the required information must 30/09/09 be obtained before a person can commence work at the home. This will help protect the people living there. Requirement 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 2 Refer to Standard OP9 OP36 Good Practice Recommendations People should be assessed on admission as to whether they are able to manage their own medications while living in the home. People working in the home should receive regular supervision to assist them with meeting the care roles they perform. Airedale Residential Care Home DS0000001408.V375961.R01.S.doc Version 5.2 Page 27 Care Quality Commission North Eastern Care Quality Commission Citygate Gallowgate Newcastle upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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