Care Home: Applethwaite Green

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What the care home does well Applethwaite Green is a popular, friendly care home. They have produced detailed written information for anyone interested in the service, and welcome people to visit and have a look around. People we spoke to felt they had been made very welcome by staff and helped to settle in quickly. People confirmed they received `very good care` and were happy with their choice to live at Applethwaite Green. There was good access to the doctor and other health services such as chiropody, optician and dental care. Medicines were safely managed. People told us they were happy with the health and personal care provided and felt that staff treated them with dignity and respect. People said they were free to choose how to spend their day, and felt staff supported them to do as they wanted. Visitors said they were made welcome and offered refreshments, and that birthdays and anniversaries were always celebrated. People told us they were happy with the choice and quality of meals offered, and said their bedrooms were lovely, the home was clean and the lounges were comfortable. There were regular residents meetings where people were able to make their views and wishes known, and people felt safe and well cared for. What has improved since the last inspection? Since the last inspection the service has introduced `person centre plans` which means care plans have been written from the persons point of view under headings of `what is important to me`. These were nicely detailed and help staff understand how people wish to be cared for. Menus have been revised to include some new items and weekly exercise classes have started, both as a result of suggestions raised at residents meetings. Some environmental upgrading work had been undertaken, including redecoration of the hallway, stairs, landing and corridors. Five bedrooms had been decorated, five new carpets ordered and new armchairs provided for one unit. What the care home could do better: The home has some vacancies both for care staff and domestics, which need to be filled. Agency care staff were being used to maintain safe staffing levels, but the inconsistency of this is disruptive for the service. Mandatory staff training was difficult to evidence and monitor, as it was recorded only in individual staff files. This made it hard for the manager to check who had attended what training and to know who is due an update and when. It is recommended that the records be organised to make this easier. CARE HOMES FOR OLDER PEOPLE Applethwaite Green Phoenix Way Windermere Cumbria LA23 1BY Lead Inspector Jenny Donnelly Unannounced Inspection 1st July 2008 10:00 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 Applethwaite Green DS0000035565.V362202.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. Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Applethwaite Green Address Phoenix Way Windermere Cumbria LA23 1BY 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) 015394 62440 015394 42637 Applethwaite.Green@cumbriacc.gov.uk www.cumbriacare.org.uk Cumbria Care Miss Anne Hutton Care Home 28 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (28) of places Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 28 service users to include: up to 28 service users in the category OP (Old age, not falling within any other category) up to 12 service users in the category of DE(E) (Dementia over 65 years of age) When single rooms of less than 12 sqm become vacant, they must not be used to accommodate wheelchair users and where wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. Two service users may share a bedroom of at least 16 sqm useable floor space only if they have made a positive choice to do so, and when a shared space becomes vacant the remaining service user has the opportunity to choose to share, moving to a different room if necessary. 10th July 2006 3. 4. Date of last inspection Brief Description of the Service: Applethwaite Green is a residential care home registered with the Commission for Social Care Inspection to provide care and accommodation for up to twenty-eight residents. Accommodation is provided in three living units, one of which specialises in providing care for people with dementia. The home is owned by Cumbria County Council and operated on its behalf by Cumbria Care, a business unit of the County Council. The home is a purpose built two-storey building located on the outskirts of Windermere and is close to shops, pubs, a post office and other amenities. Accommodation for residents is provided on the ground and first floor of the home and all bedrooms are for single occupancy. Three bedrooms have ensuite toilet, and there are sufficient bathing facilities and suitable toilets close to all the accommodation used by residents. The home is set in an attractive location with pleasant and safe garden areas with views towards the town and a playing field. Fees are charged weekly and range from £337.00 to £449.00 per week, depending on the level of care a resident requires. Residents pay separately for their own toiletries, newspapers and hairdressing. Information about the services provided and fees charged is included in the information given to residents and their families. Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was the main or ‘key’ inspection of the service. Jenny Donnelly inspector, made an unannounced visit to the service on 1st July 2008. During the visit we (the commission) toured the building, spoke with residents, staff and the management. We looked at care, medication, staffing and management records. We saw how people were spending their day, and observed lunch and the day’s activities. Prior to this inspection the acting manager had completed and returned an Annual Quality Assessment Audit (AQAA) that we had requested. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We also sent surveys out to some of the people who live in the home, their relatives and to staff. The findings of the surveys are included in this report. What the service does well: Applethwaite Green is a popular, friendly care home. They have produced detailed written information for anyone interested in the service, and welcome people to visit and have a look around. People we spoke to felt they had been made very welcome by staff and helped to settle in quickly. People confirmed they received ‘very good care’ and were happy with their choice to live at Applethwaite Green. There was good access to the doctor and other health services such as chiropody, optician and dental care. Medicines were safely managed. People told us they were happy with the health and personal care provided and felt that staff treated them with dignity and respect. People said they were free to choose how to spend their day, and felt staff supported them to do as they wanted. Visitors said they were made welcome and offered refreshments, and that birthdays and anniversaries were always celebrated. People told us they were happy with the choice and quality of meals offered, and said their bedrooms were lovely, the home was clean and the lounges were comfortable. There were regular residents meetings where people were able to make their views and wishes known, and people felt safe and well cared for. Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 6 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. Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 7 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 Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 8 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, 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good information for people and has a sound admission process, which ensures people are in the right place and are helped to settle in quickly. EVIDENCE: The care home had produced detailed written information for people enquiring about the service. This included a statement of purpose, a service user guide and copies of our inspection reports. These were on display in the entrance hall. People were welcome to come and look around the home, and to stay for short visits. Some people said they’d had a short respite stay before deciding to move in on a permanent basis. People we spoke to felt they had been made very welcome by staff and helped to settle into the home quickly. Peoples’ health, personal and social care needs were assessed prior to them being offered a place in the home. This was to ensure the home was suitable Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 9 for them and that staff would be able to meet all their care needs. The acting manager went out to assess a potential new client during our visit. The service does not provide intermediate care. Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 10 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. People received a good standard of individual personal and health care, delivered in way that was acceptable to them. EVIDENCE: There was a written plan of care in place for each person, which guided staff in what level of help people needed, and when. Care plans had recently been changed to ‘person centred plans’, written under headings such as ‘what is important to me’. We examined four care plans in detail and found they were fully completed and had been kept up to date. The plans included very detailed information about people’s individual wishes on the way they liked to receive care and clearly set out any special requirements. The ‘personal profiles’ or ‘social history’ pages provided some valuable information, especially for those people suffering from dementia, about what was important to them and what they had achieved in their lives. This helps staff to understand people’s behaviours better and provides good information for planning appropriate social care. Risk assessments had been completed, and Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 11 kept under review, for moving and handling needs and dietary needs. People confirmed they received ‘very good care’ and were assisted to bath or shower and given all the help they needed to maintain themselves. Health care records showed that people had good access to their doctor and were able to regularly access other health services such as chiropody, optician and dental care. There was evidence that staff had taken on board advice from these professionals and incorporated any necessary information into the persons care plan. An example of this was someone who was recommended by the dentist to use a mouthwash. The information had been included in the care plan and the mouthwash was seen in the person’s bedroom. It was clear from records that care staff were proactive in noticing health care needs and prompt in reporting these to the supervisor for action. People who needed it, had specialist equipment in place, such as profiling beds with pressure reducing mattresses. One person had recently been assessed for a specialist hoist sling. The staff had received some training from the district nurses on diabetes and pressure area care. People told us they were happy with the health and personal care provided and felt staff treated them with dignity and respect. We received many positive comments about the care provided; here are some of them; • “I am very pleased with my treatment here, very pleased indeed” • “Wonderful in every way” • “Sometimes they forget to leave my call bell in a place of reach, which I find frustrating” • “Plenty of staff to support me with my daily living skills and to maintain my independence and privacy” • “My medical needs are always met” • “Personal care is beyond reproach” • “They care for my mother in her later years and make her happy and safe. Also, they give me peace of mind knowing she is looked after 24 hours a day” The community nurse visited a number of people in the home to monitor longterm health conditions, and she told us; • “There is good communication between District Nursing team and the care service” • “[They] ask advice if needed and monitor and report back on a regular basis. • “[They] appear to be regularly updated with knowledge and skills and always meet patients needs”. • “The District Nursing service often visit to offer advice, teaching and educational talks” We inspected the management of medicines and found that everything was in order. There were ‘homely remedy’ sheets and ‘as required’ medicine lists in place. Homely remedies are agreements signed by the person’s doctor for staff to give simple remedies such as mild pain relief without the need to consult the doctor. The ‘as required’ medicine information sheets tell staff what periodic medicines are for and describe when it is appropriate to give Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 12 them. There were systems in place for people to manage their own medicines within in a risk assessment framework, and people had secure storage in their bedrooms for this purpose. No one was currently choosing to manage his or her own medicines, but staff said people receiving short-term respite care often did so. Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were free to spend their days as they chose and were enabled to join in with group activities or pursue their own interests. The provision of meals was highly praised both for choice and quality. EVIDENCE: People were able to choose how to spend their day, with some people making full use of the communal rooms, whilst others chose to stay in their bedrooms and just come out for meals. People said they were able to get up and go to bed when it suited them. Some people had made friends, and visited each others room to watch TV together and have a chat. Some people met in a regular group to have lunch together. There were occasional entertainments provided, and several people told us about a visiting pantomime, which they enjoyed. Some people enjoyed joining in with the on site day centre, and went there daily to play cards or dominoes. Other people had private arrangements to attend a local external day centre, or to go out for drives around the area by taxi. The provision of day-to-day activities was mostly reliant on the day centre, although weekly exercise sessions were due to commence as requested at a residents meeting. There were regular religious services, which were well Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 14 attended, and a home library service. We saw that staff were able to spend time chatting with people, especially over lunch. Visitors told us they were made welcome and offered refreshments, some one commented that “they make the residents and families feel welcome”. People also said birthdays and anniversaries are always celebrated. People told us they were happy with the meals offered, saying there were always two choices and the quality of the food was good. We observed the lunchtime meal and saw that people were offered a choice at the table and did not have to order in advance. This was helpful for those people with memory problems, as they were able to see what was on offer at that time. The mealtime was pleasant and relaxed and people were able to enjoy sitting and chatting around the table if they wanted. Lunch was lamb chops or toad in the hole, with vegetables, followed by Manchester tart or peaches and cream. The food looked to be of good quality and people said the lamb was tender. Special diets were catered for and staff knew who had special dietary needs. Menus had recently been revised through consultation with the people living in the home, and a special request for kippers had been included. People told us; • “I look forward to my food” • “The choice of menu is good” • “[They] will provide a choice of meals if I didn’t like the daily menu” • “I get special diabetic desserts” • “The meals are marvellous, we always enjoy them very much” One person said they thought the food wasn’t that good. Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People knew how to raise concerns or complaints and were confident that management would address any worries promptly. People felt safe and well cared for and said that staff listened and acted on what they said. EVIDENCE: The home had a clear complaints procedure that is handed out to new people and their families. A copy was also on display. The minutes from the residents meetings showed that the complaints procedure was raised each time to ensure people knew how to voice any concerns. The service reported having received one complaint in the last year, and this was in relation to a person needing to move into a nursing home, when they would have liked to stay in Applethwaite Green. People told us they knew how to complain but had not needed to do so. They felt staff listened and acted on what they said. People told us they could raise concerns or queries with the supervisors or manager, and felt confident they would get a positive response. People said; • “I could speak to upper management if not satisfied” • “Have never had reason to complain, they are first class in every way” Staff had received training on safeguarding people as part of their induction and National Vocational Qualification. There were also specific in-house training days available on safeguarding and protection. Through discussion with staff it was evident that people understood the principles of safeguarding Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 16 and were aware of local reporting procedures. There had been one safeguarding issue in the last year, which had been properly reported to adult social care services for investigation, who found no cause for concern. The manager had kept us fully informed of this at the time. Applethwaite Green DS0000035565.V362202.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, 21, 22, 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. People have a clean, comfortable, pleasant environment to live in, which is accessible to those with infirmities. EVIDENCE: Applethwaite Green is a purpose built care home divided into three units. Two units for frail older people are on the first floor, with a dementia care unit on the ground floor. There is a passenger lift and access into a semi-secure garden. Each unit has a dining/lounge and people may also use the lounge dedicated for the day care centre. There is a dedicated smoking room. All bedrooms are for single occupancy, and three have an en-suite toilet. People had been able to personalise their bedrooms and a number of people chose to have their room key and lock their door when they went out. There were three baths and two showers, all of which were suitable for people with infirmities. There were plenty of toilets situated around the building. Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 18 Over the last year some redecoration had taken place, including the hall, stairs, landing and upstairs corridors. Several bedrooms had been decorated and five new carpets were due to be laid that week. New armchairs had been purchased for one unit. There were also plans to replace the downstairs corridor carpet. The home was equipped with handrails, two hoists and four specialist profiling beds, and additional equipment could be loaned from the NHS as necessary. Despite the lack of domestic cover, the home was reasonably clean and tidy during our visit. The laundry was well equipped and staff would order and sew nametapes onto peoples clothing, but one person told us; • “Despite all her clothes being named lots of articles have gone missing and have never been found”. The acting manager said there had been no complaints about lost laundry in the last year and that the company did have a policy to reimburse for lost items. People we spoke with told us their bedrooms were lovely, the home was clean and the lounges were comfortable. Applethwaite Green DS0000035565.V362202.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 adequate. This judgement has been made using available evidence including a visit to this service. People are looked after by a caring staff team, who have been properly vetted and inducted. Staff shortages however are having a negative impact on the smooth running of the home. EVIDENCE: Staff on duty at the time of our visit comprised of the acting manager, a supervisor and five care staff, a cook and a kitchen assistant. The domestic was due on shift later in the day. The home had experienced difficulty in recruiting staff to vacant posts and although a supervisor post had been filled, there remained 43 vacant care hours, and 40 vacant domestic hours per week. The vacant care staff hours were being covered by the use of agency staff, which can be disruptive for people living in the home, as they don’t know them so well. The registered manager was on sick leave and one supervisor had been moved from her supervisor shifts to cover the manager post. This meant the whole staff team from management to domestics were quite stretched. However, people were generally very positive about the staff team, telling us; • “Plenty of staff to support me with my daily living skills and to maintain my independence and privacy” • “All staff listen and provide a good service” • “I class staff as friends who work close to you” • “I find everyone is kind and friendly in every way” Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 20 • • “Not only skills, but patience in buckets” “Need more staff so they can do more with each individual” The training record from April this year showed sessions had taken place in complaints, use of continence pads, risk assessments, emergency action training, fire warden training and National Vocational Qualifications (NVQ). Records for mandatory training such fire safety and moving and handling were held only in individual staff files, and not against a full staff list. This meant that the manager could not easily check or evidence, when all staff had attended mandatory training, or see who was due an update. It is recommended the records be organised to make this easier. The acting manager told us that supervisors had attended equality and diversity training recently and 70 of their regular care staff held an NVQ in care, which is good. The home operated sound recruitment procedures, and a review of two new staff files showed that all checks were in place before new staff started work in the home. All new staff complete a five-day induction process as well as an inhouse shadowing programme. Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the people living there. EVIDENCE: The registered manager was on sick leave and acting manager Jenny Barton, a supervisor, was providing management cover for the service. We had been kept informed of, and were satisfied with this arrangement. A company operations manager visited the home regularly to support the manager in her role. The company operates a quality assurance process that includes monthly checks to ensure the service is operating within their expected standards. There were regular residents meetings where people were able to make their Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 22 views and wishes known. We saw the minutes of several meetings and these showed that menus and activities were discussed, and people’s ideas were put into practice. There was also an annual satisfaction survey. People could request the home to look after their spending money if they wished, and the arrangements for this were robust. There were separate money wallets held securely in the safe and each person had an individual record sheet, which was signed by two staff for each transaction recorded. People were able to manage their own finances if they wished. We looked at the fire log and other safety records, and these were up to date and showed all safety checks were completed regularly. The environmental health officer had visited recently and awarded the home five stars for food safety. Applethwaite Green DS0000035565.V362202.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 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Applethwaite Green DS0000035565.V362202.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 OP27 OP30 Good Practice Recommendations It is recommended that the registered person continue to make efforts to fill the vacant staff posts to ensure the continuous smooth running of the service. It is recommended that records of mandatory training be organised so that the manager can easily see who has undertaken what training and when. Applethwaite Green DS0000035565.V362202.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Applethwaite Green DS0000035565.V362202.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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