Care Home: Amber Court Care Home

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What the care home does well We found from the written information provided before hand by the manager the (Annual Quality Assurance Assessment document, AQAA) and talking to staff, residents receive a thorough assessment before they come to live at the home and are welcome to visit prior to moving in. They have an `open house` policy, which helps residents and there relatives who are thinking of living at Amber Court to talk freely to anyone and visit at any time to ensure they make an informed decision before moving in. "One resident spoken to said, "I felt at home straight away". A staff member spoken to said, "We want people to come and see us before they come to live here". The home has been awarded the "Investors In People Award" which means the home is run and operates to a high standard with priority to the residents toensure they are well cared for and supported. One member of staff said, "Its a good achievement for us to have done". We looked at training records and discussed access to training with staff and found each person has their own training plan and there are very good opportunities for all staff to attend courses and develop there skills which helps provide the competencies and skills to care for the residents. The organisation provides their own trainers and at the time of the visit staff were attending a safeguarding course at the home provided by one of the organisation`s training staff. Comments from staff included, " They are very supportive if we want to attend a specific course", also, "We have our own `in house` trainers which helps". And, "I cannot fault the training facilities at this home". What has improved since the last inspection? Activities and different social events have improved since the last inspection, which provide more variety for residents to take part in. Events are now put on the notice board to enable residents and relatives to see what is going on in the home. Comments from residents when asked about events taking place and social activities included, "There seems more going on which suits me". And, "I enjoy going out with the staff in nice weather". One member of staff spoken to said, "We recently had a trip to the theatre which was good". The organisation and manager are always 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. The handling of medicines has improved. Records of medicines received, given to people and disposed of were usually clear and accurate so that they could be fully accounted for. What the care home could do better: The manager should ensure all the procedures for staff who are employed at the home have been done before they start to work to ensure residents are protected and safe. The home does not yet have a manager who is registered with us (CSCI) however the process for the person in charge is nearly completed. The manager said, "Everything is nearly done and hopefully I will have been successful". CARE HOMES FOR OLDER PEOPLE Amber Court Care Home Kipling Manor Kipling Hall Drive Blackpool Lancashire FY3 9UX Lead Inspector Mr Kevan Royston Key Unannounced Inspection 1st October 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 Amber Court Care Home DS0000070535.V372584.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. Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amber Court Care Home Address Kipling Manor Kipling Hall Drive Blackpool Lancashire FY3 9UX 01253 762076 01253 762077 amber.court@schealthcare.co.uk 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) Southern Cross OPCO Ltd Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability (5) of places Amber Court Care Home DS0000070535.V372584.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 with Nursing - code N, 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. Physical disability - Code PD (maximum number of places: 5) The maximum number of people who can be accommodated is: 33 Date of last inspection 4th October 2007 Brief Description of the Service: Amber Court Care Home is registered for a maximum of 33 residents. The home is situated in its own grounds on the outskirts of Blackpool close to the motorway. Local bus routes are near by. The building is designed on two floors with lift access. All the rooms are single occupancy and provide en-suite facilities. Communal lounges are located on both floors. There is a large dining area on the ground floor. Communal bathrooms and toilets have aids and adaptations provided. The outside of the building provides seating for residents, and has garden areas available. Ramped access is provided at the front of the building to aid access for people of all abilities. There is a Statement of Purpose and 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 £300.51 - £473.97. Extra charges at the home are for hairdressing, toiletries and chiropody, which vary. Amber Court Care Home DS0000070535.V372584.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 1st of October of 2008 and lasted approximately 6.0 hours. We spoke to residents on their own, staff, the manager, relatives visiting and a group of resident’s in the lounge area. Maintenance and financial records were looked at during the site visit and a walk around the building 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 sent surveys to staff, relatives and residents 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: We found from the written information provided before hand by the manager the (Annual Quality Assurance Assessment document, AQAA) and talking to staff, residents receive a thorough assessment before they come to live at the home and are welcome to visit prior to moving in. They have an ‘open house’ policy, which helps residents and there relatives who are thinking of living at Amber Court to talk freely to anyone and visit at any time to ensure they make an informed decision before moving in. “One resident spoken to said, “I felt at home straight away”. A staff member spoken to said, “We want people to come and see us before they come to live here”. The home has been awarded the “Investors In People Award” which means the home is run and operates to a high standard with priority to the residents to Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 6 ensure they are well cared for and supported. One member of staff said, “Its a good achievement for us to have done”. We looked at training records and discussed access to training with staff and found each person has their own training plan and there are very good opportunities for all staff to attend courses and develop there skills which helps provide the competencies and skills to care for the residents. The organisation provides their own trainers and at the time of the visit staff were attending a safeguarding course at the home provided by one of the organisation’s training staff. Comments from staff included, “ They are very supportive if we want to attend a specific course”, also, “We have our own ‘in house’ trainers which helps”. And, “I cannot fault the training facilities at this home”. What has improved since the last inspection? What they could do better: The manager should ensure all the procedures for staff who are employed at the home have been done before they start to work to ensure residents are protected and safe. The home does not yet have a manager who is registered with us (CSCI) however the process for the person in charge is nearly completed. The manager said, “Everything is nearly done and hopefully I will have been successful”. Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Amber Court Care Home DS0000070535.V372584.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 Amber Court Care Home DS0000070535.V372584.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 Excellent. This judgement has been made using available evidence including a visit to this service. There is admission and assessment procedures in place to ensure the care needs of people are met. EVIDENCE: We looked at the initial assessments of three residents living at Amber Court. Resident’s admitted had all the information recorded to enable trained staff to develop a care plan. Residents funded by Social Services had in depth social work assessments on file to ensure the staff at the home were able to put together there own assessment and develop a care plan, which identifies the health and social needs of the resident. Qualified nurses would undertake assessments for potential nursing residents to ensure nursing needs are identified. The manager told us they undertake their own assessment with a qualified nurse to ensure they can provide the care and support resident’s need before they move in. One resident spoken to said, “They made sure they Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 10 had all my details before I moved here”. A member of staff wrote in a survey, “We make sure we assess people properly”. We spoke to members of staff and found they know the importance of getting to know people before they move in so that they are aware of the needs and wishes of the person entering the home. One staff member spoken to said, “Trained nurses do the nursing assessments”. And another said, “The admission process for residents is excellent and thorough” Standard 6 was not assessed, as the home does not provide intermediate care. Amber Court Care Home DS0000070535.V372584.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 and nursing staff to ensure all aspects of health, personal and social care needs of people living at the home were met. In depth nursing assessments for those requiring nursing care had been undertaken by trained nurses to ensure any needs had been identified. Significant events had been recorded and daily entries made setting out the care given. The care plans were good, well structured ensuring all information is contained and any health needs can be monitored and support given. One member of staff spoken to said, “The care plans are easy to follow”. The care plans clearly showed where possible the involvement of friends and families so that as much information as possible was available and they can be involved in Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 12 the continuing care of their relatives. One resident said, “I know my daughter comes in to go through what care they are giving me every month”. As a course of good practice risk assessments have been completed and are updated monthly reflecting any changes that may have occurred individually and in the environment ensuring the resident’s safety and protection is a priority. As part of the visit a CSCI pharmacist inspector checked how medicines were being handled because previous visits had found some medicines were not being recorded and given to people correctly. We found significant improvements in the records of medicines receipt, medicines given and medicines disposal, which helps make sure they can be fully accounted for. We checked the medicines stock against the records for several people and found significant improvements that showed medicines were usually being given to people correctly. We looked at the times medicines were given and found they were usually correct, notably medicines that needed to be given before food were now being given at the right time. Two people that were usually sleep when their night time medicines were given had been reviewed and had their medicines moved to an early time to make sure they were able to take them, this is an example of good practice that shows the individual needs of people are properly considered. However our checks showed some mistakes, notably a strong pain relief patch was given two days late to a person, which could have resulted in them suffering unnecessary pain. We checked a person’s medicines on the nursing unit and found three of their boxed medicines did not add up correctly, showing that had some had been missed. The manager said this would have been identified in the next medicines audit and action would be taken to help prevent it happening again. We checked some previous audits and found some improvements in how these were done. The manager said that formal competency checks were planned for all nursing staff to help make sure they handle medicines safely. We saw significant improvements in the way ‘when required’ medicines were handled. Clear care plans had been written for most of them and these were kept with the medicines records so that staff had detailed information when they were giving the medicines out. This helps make sure they are given to people correctly. We spoke to staff who told us they were shown how to promote privacy, equality and dignity when they received their Induction training. We watched in the lounge area and walked around the home and saw staff knocking on doors before entering rooms, helping people individually, supporting with meals sensitively and talking to residents despite some difficulties in communication. One staff member wrote in a survey, “To respect people and Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 13 treat them with dignity is very important at Amber Court”. The manager told us in the (AQAA) they have a equality and diversity policy which every member of staff has a copy of,also There are plans to hold a cultural evening to discuss food and dress from different cultures. One member of staff spoken to said, “Equality and diversity is promoted all the time by this company”. Comments from residents included, “Respectful staff”, And, the staff are very curtious”. Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: Observation at lunchtime showed staff supporting residents with their food with dignity. Menus examined are balanced and interesting ensuring residents get plenty of choice. We spoke to residents during the visit and all said they enjoyed the quality and variation of food provided. Comments included, “Oh yes the food is excellent”. And, “Lots of choice and enough to eat”. We had a look around the kitchen and found the cook using fresh fruit and vegetables with plenty in stock, also the cook was preparing home produced meals to ensure people receive good wholesome well-prepared food. Appropriate records were kept of storage and cooking of food. We spoke to a member of staff who said, “Yes I have done my intermediate Food and Hygiene”. Discussion with the cooks and staff confirmed diabetic diets, liquidised foods and food from different cultures could be provided ensuring residents from any religious faith can be catered for. Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 15 Discussion with staff and looking at records confirmed activities are centred on each individuals preferences ensuring flexibility and residents can enjoy their own personal interests, which are recorded on their care plan. One Staff member spoken to said, “We try and accommodate everyone’s interests”. There have been improvements to activities and staff try and help as much as possible both residential and nursing residents and try and provide stimulation for everyone. Comments from residents and staff included, “We play games and provide entertainment in the afternoons” Also, “There is always something going on”, and, “I do like going on trips out”. The manager keeps a list of what is going on in the home on the notice board and any trips out arranged. There is a visitors policy in place which says people are welcome at any time residents spoken to confirmed this visitors are allowed at any time of the day or night. One resident spoken to said, “My relatives come any time they are always made welcome”. We were invited to look in some of the residents rooms and found personal belongings are allowed into the home to provide a homely atmosphere for each individual. One gentleman showed us his room and said, “I don’t have much but I like my own things around the room”. Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. EVIDENCE: There is a complaints procedure, which is made available to all residents on admission and written in the Statement of Purpose and Service User Guide to ensure they feel protected. Staff and residents spoken to are aware of how to make a complaint and who to speak to if they have any problems. One resident spoken to said, “Yes I would know how to complain if I had to”. Another said, “Never had to grumble but the manager is available to speak to if I was unhappy”. A member of staff when asked about complaints procedures said, “Induction training covers complaints and whistle blowing procedures”. There has been one complaint since the previous inspection made to us the Commission for Social Care Inspection (CSCI) and this was investigated by Social Services to look at following their complaints procedures and was unfounded, records show appropriate action taken and people concerned notified of the outcomes. An open approach to encourage comments through resident and staff discussions goes some way in ensuring that concerns are looked at prior to them becoming formal complaints. 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 Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 17 the home. Records confirmed training was in place for staff to attend safeguarding adult’s courses. At the time of our visit there were staff attending training provided for by the organisation, which covered safeguarding issues. On member of staff spoken to said, “We are doing some training in this area today”. On member of staff also said, “My National Vocational Qualification (NVQ) training at level 3 discusses safeguarding issues a lot”. Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 18 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 excellent. This judgement has been made using available evidence including a visit to this service. The environment is safe and clean maintained to an excellent standard providing comfortable surroundings for the residents. EVIDENCE: Amber Court is a new building only two years old and has been purpose built to provide facilities for a care and nursing home. All the furniture and fittings are modern and new so that residents are provided with comfort and very pleasant surroundings. The aids and adaptations are new and provide residents with support and comfort to ensure residents with mobility, health and nursing needs are able to use the most up to date equipment available and help staff provide the support needed. Comments from residents included, “The place is luxurious”. And, “Everything is so new”. One member of staff said, “The equipment to support people is so modern it helps us”. Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 19 We had a walk around the building and found it to be very clean and tidy. All of the decorations and furnishings are new and there are systems in place to ensure that the building is well maintained. There is a maintenance person employed and any problems are recorded and acted upon quickly. One member of staff said, “Any problems are recorded and the maintenance person acts upon them daily”. The laundry area is situated in an area away from the dining room so that soiled items and clothing are not carried through where food is prepared, cooked or eaten. There are policies and guidance for laundry processes and for the control of infection ensuring the home is kept clean, pleasant and hygienic. Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 20 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 good ensuring suitable staff are employed. Training for staff is good and enables staff to have the skills and competencies for their roles. EVIDENCE: Looking at staffing rotas and discussion with staff on duty at the time of the visit, confirm there are sufficient carers and nurses working at any one time to support the residents. We looked at three staff files and found the recruitment procedures are good ensuring residents are safe and protected. Staff records contained the checks required in place before anyone started to work at the home. However one record examined did not have a photograph of the person on file. For proof of identity a recent photograph should be available on record. There was evidence of induction training for each member of staff and one member spoken to said, “The induction process was very good and informative”. Records and discussion with the manager confirm training is ongoing for staff as part of their development. Each member of staff has a training record and courses completed are entered on record so that staff development can be monitored. Comments from staff about training and opportunities to access Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 21 courses included, “The company are very good at putting on courses”. Also, “The manager is very supportive if we want to attend any courses”. One resident spoken about the staff said, “ I feel confident they know what they are doing”. The manager tells us in the (AQAA) over 50 of staff have completed a recognised qualification in care (NVQ level 2) so that they have the competencies and skills to support the residents. When asked about the NVQ course a staff member said, “Very useful and relevant to what we are doing”. 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. Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 22 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 run well 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 has completed the recognised qualifications to run a care home and is in the process of applying to be registered manager with the Commission for Social Care Inspection (CSCI). We spoke to the manager and she said, “I have all the qualifications and the process to registered with CSCI is nearly completed”. Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 23 We received little response from surveys sent out to staff, residents and relatives however comments we did receive were positive about how the home is managed and the way the service is being provided, comments included, “Excellent home with good facilities”. And, “Good management makes the home operate well”. We looked at random residents finamcial records and found good systems in place for residents to control there own money where possible and ensure safeguards are in place for there protection. Examination of records confirmed regular tests to emergency lighting, fire procedures and electrical equipment had been carried out ensuring the safety of residents and staff is maintained. Amber Court Care Home DS0000070535.V372584.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 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 4 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 4 X X X X X X 4 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 3 X 3 X 3 X 3 3 Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP29 Good Practice Recommendations The manager should ensure staff that are employed at the home have all the required checks in place so residents are protected by robust recruitment procedures. Amber Court Care Home DS0000070535.V372584.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection 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 Amber Court Care Home DS0000070535.V372584.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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