Care Home: Amicus Care Home

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What the care home does well Amicus Residential Home offered a caring and homely environment in which to live. The living areas looked comfortable with one large lounge, one smaller quiet lounge, a conservatory and a separate dining room. All of the people who live in the home that were spoken with were very happy with their private rooms and had been encouraged to bring in their personal items to enhance their rooms. All bedroom doors were lockable and each room had a lockable drawer for private items. All of those spoken with were very happy with the level of care and support offered. The home was decorated to a high standard and was very clean. People who live in the home enjoy a good level of activities and have regular spiritual support. All agreed that the food was of a high standard and that drinks were freely available at all times. Menus seen indicated that a variety of food was on offer and that a choice was given. Specialist diets could be catered for. Staff were seen to be supportive, professional and very friendly. The people who live in the home commented how much they enjoyed the gardens which were very well maintained. What has improved since the last inspection? Staff morale appeared to be higher which has resulted in a stable workforce. Some internal decorating has taken place. What the care home could do better: Care plans continue to need to be developed with particular attention being paid to regular reviews of residents needs. The home is reminded that under its current registration it must not admit any new resident who has a diagnosis of dementia. If it is the intention of the registered person to admit anyone with a diagnosis of dementia they must apply for a variation before admitting the person. Consideration should be given into having a dedicated medical room. CARE HOMES FOR OLDER PEOPLE Amicus Care Home 5 Hillside Avenue Frindsbury Strood, Rochester Kent ME2 3DB Lead Inspector Sue McGrath Unannounced Inspection 12th 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 Amicus Care Home DS0000064892.V368990.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. Amicus Care Home DS0000064892.V368990.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amicus Care Home Address 5 Hillside Avenue Frindsbury Strood, Rochester Kent ME2 3DB 01634 718386 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) amicus.care@btconnect.com www.amicuscarehome.co.uk Mrs Brenda Iona Slattery Mrs Brenda Iona Slattery Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Amicus Care Home DS0000064892.V368990.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registration is restricted to one service user who has a diagnosis of Dementia whose date of birth is 18 March 1913. 2nd October 2006 Date of last inspection Brief Description of the Service: The home cares for 18 older people, in a warm and friendly environment. The accommodation consists of 16 single rooms, 12 of which have en-suite facilities. Stairs or a chair lift can access the upper floor. The home has three bathrooms; the lower floor bathroom has an assisted hoist. The day areas are comfortable and homely. The home is situated in the residential area of Strood. Bus and train services are available nearby and there is good access to the local shops and amenities, although the surrounding area is a little ‘hilly’. The home is surrounded by very pleasant and well-maintained gardens, which has easy access for service users. There is some parking on site. The home is not registered for nursing care or dementia care. Current fees for the home range between £325.00 to £410.00 per week. Please contact the provider direct for more details. Amicus Care Home DS0000064892.V368990.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a Key Unannounced inspection that took place in accordance with the Inspecting for Better Lives (IBL) process. Key inspections are aimed at making sure that the individual services are meeting the standards and that the outcomes are promoting the best interests of the people living in the home. The IBL process for a Key inspection involves a pre-inspection assessment of service information obtained from a variety of sources including an annual selfassessment and surveys. It is now a legal requirement for services to complete and return an Annual Quality Assurance Assessment (AQAA). This assessment is aimed at looking at how services are performing and achieving outcomes for people. Judgements have been made with regards to each outcome area in this report, based on records viewed, observations and verbal responses given by those people who were spoken with. These judgements have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable The Commission for Social Care Inspection (CSCI) to be able to make an informed decision about each outcome area. The actual site visit to the service was carried out over one day by one inspector, who was in the home from approximately 09:30 until 16:00. The inspector was assisted by an ‘Expert by Experience’ from Help The Aged. An expert by experience is a person, who because of their shared experience of using a service, and/or ways of communicating, visits a service with an inspector to help then get a picture of what it is like to live in the home or use the service. The ensuring report is included in the main body of the report under Daily Life and Social Activities. The main focus of the visit was to review any improvements made since the last visit and the well-being of the service users. Time was spent touring the building, talking to people living in the home, talking to staff and reviewing a selection of assessments, service user plans, medication records, menus, staff files and other relevant documents. Prior to the site visit the AQAA had been returned. At all times the manager and staff were helpful and demonstrated a pro-active approach to ensuring that service users were being supported to the best of their abilities and resources. This report contains evidence and judgements made from observation, conversation and records. The requirements made at the last inspection had been complied with. Amicus Care Home DS0000064892.V368990.R01.S.doc Version 5.2 Page 6 Overall this was a positive inspection with generally good outcomes for service users. The inspector on leaving the home was satisfied that residents were both safe and well cared for and wishes to thank the manager and her staff for their assistance and hospitality. The quality rating for this service is 2 stars. This means the people who use this service experience, good quality outcomes. What the service does well: Amicus Residential Home offered a caring and homely environment in which to live. The living areas looked comfortable with one large lounge, one smaller quiet lounge, a conservatory and a separate dining room. All of the people who live in the home that were spoken with were very happy with their private rooms and had been encouraged to bring in their personal items to enhance their rooms. All bedroom doors were lockable and each room had a lockable drawer for private items. All of those spoken with were very happy with the level of care and support offered. The home was decorated to a high standard and was very clean. People who live in the home enjoy a good level of activities and have regular spiritual support. All agreed that the food was of a high standard and that drinks were freely available at all times. Menus seen indicated that a variety of food was on offer and that a choice was given. Specialist diets could be catered for. Staff were seen to be supportive, professional and very friendly. The people who live in the home commented how much they enjoyed the gardens which were very well maintained. Amicus Care Home DS0000064892.V368990.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Amicus Care Home DS0000064892.V368990.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 Amicus Care Home DS0000064892.V368990.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): 1, 2, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with the information they need to make an informed choice about moving into the home. People who live in the home benefit from the opportunity to visit the home prior to admission, to assess the quality, facilities and suitability of the service. People who live in the home benefit from a comprehensive assessment of their needs prior to moving into the home to ensure their assessed needs can be met. EVIDENCE: The home has a comprehensive statement of purpose, which was last updated 01/04/07. It is recommended that this document be reviewed on a yearly basis Amicus Care Home DS0000064892.V368990.R01.S.doc Version 5.2 Page 10 to ensure it remains fully current and reflective of the home. Should the home continue with its intention to provide care for people with dementia, this must be added to the statement of purpose. Each resident was given a copy of the updated service user guide in June of this year. The home carries out comprehensive assessments prior to admission to ensure they can meet the needs of any prospective service user. The Registered Manager is happy she obtains all of the relevant information required. All prospective residents and or their representatives had the opportunity to visit the home prior to admission and had a minimum of one month’s trial to ensure they were happy to stay. Where possible families were encouraged to be involved with the admission process. The Registered Manager again confirmed all residents had a written contract/statement of terms and conditions. Training records and discussion with the staff and manager confirm the residents can be confident the staff group will meet their needs. The home does not offer recuperative care or nursing care. Amicus Care Home DS0000064892.V368990.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, 10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home have choice over their personal care and are encouraged to be independent and responsible for their own personal hygiene where possible. The health and personal care offered is based on the individual needs and the principals of respect, dignity and privacy are well met. Spiritual needs are well met. The home administers medication efficiently. EVIDENCE: Four care plans were viewed during the inspection. These were seen to be reflective of the needs of the residents but some gaps in the reviews were Amicus Care Home DS0000064892.V368990.R01.S.doc Version 5.2 Page 12 noted. The manager explained that she was aware of the gaps and had intended to dedicate one specific member of staff to review all the care plans to ensure they fully met with regulation. One resident spoken with confirmed she was fully involved with the drawing up of her individual care plan and that she regularly consulted it to ensure it remained current. Evidence was seen that the home regularly seeks the assistance of other health professionals as required. This included GP visits, DN visits, chiropody, optician and dentists. Records were maintained of any visits. Residents also confirmed they could see their GP when they needed to and that staff were very supportive with their medical needs. Residents also confirmed that staff were very attentive in a professional and polite manner when delivering personal care. It was evident from records and from talking to the staff that they had a good understanding of skin integrity and the prevention of pressure areas. Some pressure relieving equipment was available. No service user currently had any pressure areas. Service users were encouraged to maintain their mobility levels and were encouraged to participate in the regular exercise sessions that were carried out by qualified person. The administration of medication was assessed and was found to follow the Guidelines of the Royal Pharmaceutical Society of Great Britain. No errors were found in the recording of the administration of the medication. Only nominated staff could administer medication and these staff had undergone intensive training. The medical room remain as part of the staff room and this is not ideal, as the door to the room is not always locked. Medication is however also stored in a locked cabinet that is fixed to the wall. The home is advised to look for another lockable room in which to site its medical room. Risk assessments need to be in place for any resident that decides to self administer their own medication. All of the residents spoken with said staff excelled at promoting their independence and dignity where possible. Staff were seen to knock on bedroom doors before entering rooms and to address residents in a professional and respectful manner. Residents confirmed all of the staff were kind and supported them well. The issue of care and comfort given to service users who were ill or dying was handled sensitively with dignity and propriety. Spiritual needs were also given a high priority and families were also offered support at these difficult times. Appropriate policies and procedures where in place. Amicus Care Home DS0000064892.V368990.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 excellent. This judgement has been made using available evidence including a visit to this service. People who live in the home are able to choose their lifestyle, social activity and keep in contact with families and friends. Social, cultural and recreational activities meet service user’s expectations. People who live in the home receive a healthy, varied diet according to their assessed requirements and choice. EVIDENCE: The following section of the report was written by an ‘Expert by Experience’ from Help the Aged. The following were my observations on the areas requested by the Inspector. Amicus Care Home DS0000064892.V368990.R01.S.doc Version 5.2 Page 14 1. On arrival we were welcomed by the Manager who showed us around the Home. The Home smelled fresh and was clean and homely with a garden with outside seats where the service users could sit if they wished. 2. Most of the service users were in the main lounge and others were brought in during the time I was there. I was able to speak with all the service users and they all spoke highly of the care and service they received. They appeared well cared for and the home met their expectations. One service user said he had his name down at an alternative home for Military Personnel and he felt so “at home” that he felt he would probably stay. Service users said that their relatives are welcomed at all times and can also take them out for the day, or for trips to the shops. Some go home for the weekend sometimes and also for a few days over the Christmas. All the staff appeared friendly and helpful and were willing to answer any questions. Going to bed and getting up times are flexible and there are televisions in all rooms which are well furnished and comfortable. Service users are able to have personal items and furniture from their homes. Service users have access to the Home Manager and any complaints are dealt with. Only minor complaints have been made, i.e. the time the television remains on and its volume. There is now a period after lunch for a quiet “nap”. 3. ACTIVITIES There is a good range of activities within the Home. One service user does a bingo session every week and also a quiz morning. He also helps in the garden with the paid gardener. The Home employs someone to take keep fit each week and there is also a “Motivation Session” which service users enjoy. Outings are arranged but service users are quite reluctant to go out. Entertainers are encouraged to come to the Home and also local Schools at Christmas time. Activities are recorded. There does not appear to be any religious service at the Home. A local Roman Catholic Priest attends from time to time. Some Service users said they would appreciate other denominations. Some service users attend the local Roman Catholic Church on Sundays. The provider later confirmed that they hold a Roman Catholic Communion at the home every Friday and that several times a year the local priest visits to carry out a service. Arrangements were also in place for a Church of England Vicar to attend the home to attend to pastoral needs. Amicus Care Home DS0000064892.V368990.R01.S.doc Version 5.2 Page 15 4. FOOD The Home operates a 4 weekly menu, which looks varied and nutritious. Service users have a choice although on the day of inspection there was not a choice as the Cook was off sick. However the meal looked appetising and smelt good! There was an extensive choice for teatime, which the service users appreciated. The provider confirmed at a later date that even when there were absences due to sickness, they still offered an alternative meal every day. The kitchen was quite clean and tidy, however one observation some food was left uncovered. The Staff made sure all service users had a glass of water topped up on their tables. Tea and coffee was served mid-morning. The service users confirmed that they had a choice of bedtime drinks and they could request a drink (or sandwich) during the night. Service users sat in the dining room for lunch but had tea in the lounge. CONCLUSION This home appeared very well run. Had adequate staff who were friendly and helpful and well liked by the service users. The staff confirmed and showed a record of food intake. Some service users confirmed they were shown a service users guide on admission. Amicus Care Home DS0000064892.V368990.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home benefit from a robust, effective complaints procedure, and are protected from abuse and have their legal rights protected. EVIDENCE: The home has a robust complaints procedure in place and has adopted the Kent and Medway’s Adult Protection procedures. There had been no complaints in the last year made to the home or the Commission. According to the AQAA the home is planning to produce its complaints procedure in large print to make it easier for residents to read. Staff have received training in the Safe Guarding Vulnerable adults and were able to display a good understanding of Adult Abuse. The owner was familiar with the POVA register and the procedure for Criminal Records Bureau disclosures. All residents were register on the electoral role and had access to the postal voting in local and general elections if they wished. Amicus Care Home DS0000064892.V368990.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, 20, 23, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables service users to live in a safe, well-maintained and comfortable environment. EVIDENCE: The home is well maintained and has a homely and pleasant atmosphere. There are several day rooms including a conservatory and a dining room. The lounge is fairly large and looked very comfortable. The rear gardens are extensive and maintained to a very high standard. Two of the residents enjoy helping the gardener to plan and plant the garden. Several of the residents said how much they enjoyed looking at the garden and watching the birds and wildlife. Amicus Care Home DS0000064892.V368990.R01.S.doc Version 5.2 Page 18 The home has sufficient toilets and bathrooms to met the needs of the service users and all are kept clean and fresh. Only there of the rooms do not have en –suite facilities. The registered manager stated in the AQAA that all rooms are completely redecorated with new soft furnishing when they become vacant. The quality of the internal environment is good with quality carpets and fittings throughout. The premises were very clean and the laundry facilities were good. The home has a disinfector sluice and robust policies regarding infection control were in place Amicus Care Home DS0000064892.V368990.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. Staff are employed in sufficient number to meet the needs of the people who live in the home. The service recognises the importance of training and has a high level of NVQ trained staff. Robust staff recruitment ensures people who live in the home are safe. EVIDENCE: Rotas seen on the day of the inspection indicated that sufficient staff were on duty to meet the needs of the service users, the manager also confirmed that the home currently has its full compliment of staff with no vacancies. The home does have a current staff training matrix but this only show courses completed this year. It is advised that it identifies all training done by staff so that the manager can easily see when mandatory training is due. Amicus Care Home DS0000064892.V368990.R01.S.doc Version 5.2 Page 20 According to the AQAA the home has fourteen permanent staff with eleven of those have completed NVQ level two. Two more staff are currently undertaking their awards. This means the home exceeds the required level of 50 per cent of staff with NVQ level 2 or above. Staff are ot be encouraged to start NVQ level 3. The AQAA also states that eighty per cent of care staff have undergone Food Hygiene training and the new cook has recently started her NVQ in support working which includes some elements of cooking. First aid training in the home is basic and it is recommended that the manager completes a risk assessment to ensure staff have the necessary qualifications. There should be at least one first aider on duty at all times in the care home. The standard of first aid training within care services is the three or four day First Aid at Work course approved by the Health and Safety Executive. Other staff may have undertaken the one-day Appointed Persons course, although this is suitable only for lower risk situations. The home has upgraded its induction programme but it still did not fully comply with the guidelines from Skills for Care. This was discussed with the manager who agreed to fully adopt the new induction programme with immediate effect. The home has a robust recruitment procedure in place that ensures the safety of the residents. Three files were viewed and all held the information required by regulation. All staff hold current CRB disclosures. Amicus Care Home DS0000064892.V368990.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, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect. Effective quality assurance systems continue to be developed. The health, safety and welfare of service users and staff is promoted and mainly protected. EVIDENCE: Amicus Care Home DS0000064892.V368990.R01.S.doc Version 5.2 Page 22 Throughout the inspection the manager displayed her knowledge and compassion towards the service users living at the home. She had made good progress in achieving a high standard of care in the home and had developed her own personal management skills. Although she had a clear sense of direction relating to the aims and purpose of the home there are some areas of the management tasks that were not being completed in a timely fashion. This resulted in some of the monitoring of service users file and some maintenance work not being completed on time. It is recommended that the manager looks at her role and considers either more senior staff support or some administration support. This was discussed on the day. Staff spoken with during the inspection confirmed they felt well supported by management and felt part of a strong team within the home. They also confirmed they received regular supervision from the management team. Residents confirmed there were regular residents meetings and that if they had any issues they were happy to raise them with the staff or the manager. All said any issues raised had been dealt with promptly and effectively. The manager stated that the process of quality assurance had begun again and questionnaires had been sent out at the end of July. These had been sent to residents, families, care managers, GP’s, District Nurses, the hairdresser and the chiropodist. These had starting to come back and the majority of the responses were positive. It is the manager intention to collate all of the responses and to produce a report. This will then be made available to interested parties including the Commission. Residents have hairdressers and chiropodist come to the home, which were initially paid for by the home. The resident’s families were then invoiced for the services. The records of the transactions were seen and were up to date and appropriately kept. Receipts were given and recorded for all transactions. The home does not normally hold residents monies for them and encourages families to deal with any financial interests. Records were inspected regarding the health, safety and welfare of the residents and staff were mostly were up to date. Some items were out of date but the manager made arrangements for the work to be completed within forty-eight hours. This is one area where more support is recommended. Policies and procedures are due for review this month. Amicus Care Home DS0000064892.V368990.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 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 X X 3 3 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 3 3 X 3 3 X 2 Amicus Care Home DS0000064892.V368990.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard OP9 OP31 Good Practice Recommendations It is recommended that consideration be given to providing a dedicated medical room. It is recommended that consideration be given to further support for the manager Amicus Care Home DS0000064892.V368990.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Amicus Care Home DS0000064892.V368990.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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