Care Home: Bliss Residential Care

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What the care home does well The staff team are stable and staff turn over is low. The manager and deputy manager are experienced, dedicated and professional, they have worked together well to have a positive impact on staff motivation and the overall care given to residents. The team are providing a warm, relaxed, welcoming environment, and give consistency of care. Staff observed listened to individuals and supported them in a positive and caring manner. Residents look well cared for. All relatives and residents spoke highly of the manager, staff and the overall service provided. What has improved since the last inspection? From the last site inspection, thirteen out of the fourteen requirements have been achieved and one is partially meet. Assessments have been improved upon and all Care Plans have been reviewed. Risk assessments are partially improved and do reflect most of the identified needs of a person. The manager/provider has provided more staff on duty when it will most benefit the resident`s. The manager has employed an activities coordinator five days a week. All Hot water now have safety valves fitted to them to enable the water to be delivered at a safe level. The management of the home have addressed issues such as diversity, equality and residents rights. The meals provided are made from fresh foods. A domestic for the home has been employed. Quality assurance has been carried out. Recruitment systems are now fully in place. The deputy manager has arranged new training updates where necessary for all staff. The manager has put in his registered managers application to CSCI and is working towards the NVQ 4. New accident books from the Health and Safety executive have been obtained. New statement of purpose, service users guide and a brochure have been reviewed and put into place. NVQ qualifications have been achieved and staff have been put onto courses. Resident`s monies have had a review and systems in place ensure a regular audit is taken. CARE HOMES FOR OLDER PEOPLE Bliss Residential Care 23 Cobham Road Westcliff On Sea Essex SS0 8EG Lead Inspector Sarah Hannington Unannounced Inspection 9th July 2008 10:30 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 Bliss Residential Care DS0000067960.V368256.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. Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bliss Residential Care Address 23 Cobham Road Westcliff On Sea Essex SS0 8EG 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) 01702 351267 01702 333512 fatihtekin_vet@hotmail.com Mr Fatih Tekin Mr Erbil Gulhan Manager post vacant Care Home 14 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (14) of places Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th September 2007 Brief Description of the Service: Bliss Care home is situated in a residential area near to the seafront. The home provides care and accommodation for fourteen residents. Accommodation is over three floors with access provided by a shaft lift. The home has a communal lounge with a separate dining area. There is a small hard standing garden. Residents use their own bedrooms for privacy. There is limited parking to the front of the property, but there is parking close by in the roads. A mainline railway station, local shops and bus routes are close by. The home has a statement of purpose and a service users guide available and the current fees are £344.40 for a shared bedroom and £425.00 to £465.00 for a single room. Bliss Residential Care DS0000067960.V368256.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. The site visit took nine hours to complete and was carried out as part of the annual inspection programme for this home. This visit was conducted with assistance from the manager/provider and deputy. As part of the process a number of records relating to residents, care staff and the general running of the home were examined. The site visit also focused on any requirements and recommendations from the last key inspection. The Commission for Social Care Inspection looked at all of the information that we have received, or asked for since the last key inspection. We asked the manager to complete an Annual Quality Assurance Assessment (AQAA) form. This form is for the manager to look at and write down how well the service meets the needs of the people who live at Bliss care home. The new AQAA is not due back before the time of this report. Therefore discussion around improvements with the manger/provider was undertaken during the inspection. On this site inspection three relatives, six residents and five staff was spoken with as part of this process. Surveys were also sent out and five were returned to us. Their comments will be included as part of this report. What the service does well: The staff team are stable and staff turn over is low. The manager and deputy manager are experienced, dedicated and professional, they have worked together well to have a positive impact on staff motivation and the overall care given to residents. The team are providing a warm, relaxed, welcoming environment, and give consistency of care. Staff observed listened to individuals and supported them in a positive and caring manner. Residents look well cared for. All relatives and residents spoke highly of the manager, staff and the overall service provided. Bliss Residential Care DS0000067960.V368256.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. Bliss Residential Care DS0000067960.V368256.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 Bliss Residential Care DS0000067960.V368256.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A robust assessment process reassures residents that their needs will be met before they move to the home. EVIDENCE: Documentation around the areas of pre-assessments, risk assessments, care plans and consultation with individuals were inspected. Documentation evidenced that it gave sufficient detail to the person and about their individual needs. Within the assessments looked at, areas of health care for individuals had been identified, such as weight monitoring, nutrition, medication, dementia and other essential areas relating to that individual. Care plans evidenced that pre-assessments, initial assessment and Com 5(information from the referring social worker), were reflective of each other. All care plans looked at showed that all residents had regular access to GP’s, District Nurses and Chiropodist and that any other specialised professionals needed were accessible and provided. Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 9 The majority of relatives and residents expressed an opinion that they had a number of visits to the home prior to any placement being offered. They also confirmed that consultation regarding pre-admission assessments and the care plan went ahead, as well as receiving a letter confirming that the home could meet the resident individual needs. No intermediate care is provided by the home. Bliss Residential Care DS0000067960.V368256.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. Staff are successful in delivering appropriate care, although this may not always be documented appropriately yet for all residents. EVIDENCE: Case tracking took place in respect of four residents, other personal care records were also looked at as a part of this process to assess how involved and how well the services offered, matched the needs of the individual. Evidence from documentation showed that, good clear instructions are available for staff to follow when working with individuals and that daily log sheets are completed well and showed good interaction between staff and resident. Care plans and risk assessment were reflective of each other and included infringements of rights information. (If a persons rights have to be restricted for the safety of themselves or others) There has been a vast amount of work achieved around care plans and assessment since the last inspection, one area that could be developed further by a more person centred style approach, is people’s individual dementia Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 11 needs. Residents are presently protected by the information recorded, however in all of the care plans looked at, no plan refers to the specific related type of dementia a person has. Rather than individualising this, it contains a ‘blanket’ view of dementia. Dementia covers a wide spectrum and is different for each person. For example, for one person who lives in the home, may have related behaviours and it is essential that staff would need a detailed guide to support this individual better than at present. For others it maybe that deterioration has led to them spending more and more time in bed and staff need to have guidance around monitoring effectively and what other professionals need to be involved and at what point. Although staff to some degree record these issues it needs to be in a consistent manner and have a purpose and outcome of information collated. Therefore it is crucial that the manager puts into place, a ‘specific’ dementia care plan, with related associated risk assessments and guidelines for staff to follow in detail if changes are occurring and what clearer ‘specific’ action to take as a result. Policy and procedures are in place for the correct receipt, recording, storage and handling, administration and disposal of medications. Any medication changes had been recorded accurately. All MAR record sheets had been correctly recorded, signed for and there were no gaps in vital information needed. The administration records are maintained in accordance with agreed procedures and the royal pharmaceutical legislation. Evidence of documentation, training, and no incidents around medication issues or practice would suggest that medication is kept to a strict protocol and is maintained consistently to a good standard. A Monitored medication dosage system is in place for each resident. Medication is stored in a lockable cabinet. Regular training is undertaken with Boots who provide the home with the medication system. Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 12 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. Opportunities to participate in activities, education and leisure interests, which are suited to people’s lifestyle, are available for all of the residents. EVIDENCE: The home has employed a new member of staff to carry out activities on a 1-1 basis. This member of staff has a degree in psychology and has specialised in therapies for dementia care. The work achieved and recorded since the last inspection shows quality in this area is to a high standard. Speaking with this member of staff it is clear that the activities are based on peoples likes and dislikes, which is recorded clearly. Even though some people initially were reluctant to participate in activities, notes looked at showed us that they have started to respond. Observation showed that the activities coordinator was working in an individualised way with people and engaging them to comment on interesting subjects, whilst also carrying out an activity of their choice. Unfortunately for the residents, this member of staff is due to return to university later on in the year. It is therefore essential for the manager not to let this area of achievement or consistency and quality of care be lost. A good handover period with the new activities coordinator would be essential to secure this. Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 13 Additionally during the morning, an entertainer comes to play the piano on a daily basis and residents participated in old time sing songs. Observation of this showed us that the majority of residents joined in and looked happy carrying this out. The home has purchased a mini bus and residents informed us that they often went for drives. Although many residents spoken with, generally felt this did not happen frequently enough as they would like. All relatives spoken said that they were kept well informed of any changes or forth-coming events happening within the home. That they always felt very welcomed by the staff and that they felt the staff team very approachable and knowledgeable. The families have a monthly meeting where any concerns or issue they have can be raised with the management of the home. All of the care plans have recently been reviewed and did contain information relating to the promotion of independence. Documentation around people’s equality and diversity is better explored. Issues that are raised during consultation with the resident at any stage are recorded well. For example, one person who has lived in the home for some time, felt that they did not get the opportunity to see a minister of their faith as regularly as they would like, records evidenced that this was noted, that clear action was taken, by whom and outcomes were included. Another example is, the home at the point of pre-assessment stage, had discussed with the person interested in living at Bliss, how they felt about the lack of male carers being available. Speaking with the resident group around things that they look forward to the most, they mainly agreed that one of the essential things was having access to a hairdresser. Related to this and within records looked at, the usual hairdresser to the home, gave short notice that they could not attend anymore. Swift action was taken by the manager to engage a new hairdresser and was in place by the next expected appointments due. This shows us that people are listened to, swift action is taken and that the resident’s needs were obviously seen as the most important reason to resolve this issue quickly. Within peoples care files is a life history, that gives an overall picture of the person, what they have achieved in their lives, what some of their medical history has been and what they enjoyed and how they liked to spend their time. Two of the care plans looked at were dated and reviewed and were up to date. In these files, further care plans had been added when changes had occurred. However, within two of the care files looked at, information within the review section stated, ‘no changes’ , although some daily notes in the same files suggested otherwise. The deputy manager and manager have developed a person centred activity assessment plan. This includes things such as, safety, belonging, esteem, and creativeness and cognitive. For example, in one person assessment it stated Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 14 under creative,’ likes to fold linen and textiles.’ Action recorded as taken by staff, was, getting this person involved in daily chores around the home, such as, folding up her clothes from the laundry room and tea- towels. Looking through staff minutes of meetings, issues regarding residents independence and maintaining skills had been addressed. For example, staff were concerned that one resident often got into a mess when eating their meals and took a long time and asked management if they could support them rather than the individual feeding themselves. Management are clear about residents needing to retain skills and notes showed good ethics are in place. For another person who has liquidised foods, management has addressed the need for staff to prepare the vegetables, potatoes and meat separately, so that it is appetising for this person to eat. These things show us that residents are encouraged to maintain independence as much as possible. The home’s menus have recently been reviewed and there is a four weekly menu plan. A pictorial menu is also available for those who find it difficult to communicate choices. On the day of inspection, the food smelt good, and was appealing. Staff observed during the lunchtime gave individuals a chance to be independent as much as possible by encouraging individuals to use cutlery themselves, rather than staff taking this over and using bowls instead of plates so that food would not spill over due to lack of coordination. Individuals were enabled to take their time and eat in an unrushed and relaxed environment. All residents informed us that they have a choice of foods and drinks and snacks are available to them through out the day. The manager has developed a nutrition policy, which is very concise and includes, food types, vitamin content, recipes, monitoring systems and pictures of foods. This information raises staff awareness and gives guidance to them when preparing foods to provide residents with a balanced meal. All health and Safety within the kitchen is up-to-date, there are daily and weekly cleaning schedules, food temps, fridge and freezer temperature checks are regular and staff spoken with were knowledgeable in this are and all had current training in food hygiene. Bliss Residential Care DS0000067960.V368256.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. There are systems in place to ensure that peoples views are listened to, acted upon and support residents to be protected from abuse. EVIDENCE: There have been no complaints made to the home or reported to the CSCI office since the last inspection. The manager has a good complaints procedure in place. All complaints are recorded, maintained and outcomes recorded. Two residents and three relatives spoken with are aware of their rights and had some idea of what may constitute abuse. They did have a clear idea of what they would do if they wanted to make a complaint. All staff have attended safe guarding (protection of vulnerable adults) training. Speaking with staff they showed that awareness around these issues was to a good standard of both understanding and knowledge. Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People live in a clean environment, however some aspects of safety is not always maintained. EVIDENCE: Since the last inspection water safety valves have been applied to the hot water outlets in all private and communal rooms. This is to ensure that the hot water is kept within a recommended temperature for the resident’s safety. On the day of the inspection the COSHH (Chemicals or Substances hazardous to Health) cupboard had been removed as it was unsafe for use. The COSHH cupboard was located within the laundry room. This room is located outside of the home and the door is lockable. The manager has reassured us that a new one will be in place shortly. Observation whilst walking around the home revealed that a number of protective clothing items, such as, rubber gloves were freely available. These need to be kept safe. Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 17 The home has employed a domestic and there is a good cleaning programme in place. On the day of inspection the home was observed to be clean, tidy and odour free. Individual’s rooms were clean and personalised. The home operates on the guidelines of the NHS universal Infection Control Criteria. Staff spoken with showed us that they had good knowledge around this. Equipment provided for individuals and the overall group is well maintained and is reviewed on a regular basis. OT (Occupational Therapists) assessments are on residents files relating to individualised equipment used. This shows us that residents physical needs are protected and suitable equipment is provided. A tour of the building revealed that a number of door wedges are being used around the home. Where this is being done, it needs to cease immediately and maybe these areas could be fitted with dorgards. (Dorguards are attached to the bottom of a door instead of using a door wedge to keep them open. This piece of equipment enables doors to be left open but will close automatically on the sound of a fire siren being triggered, therefore keeping the safety of the resident’s and staff secured.) Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 18 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. Residents are protected by good staff recruitment and training. EVIDENCE: Staff files were reviewed and recruitment records evidenced that application forms were completed, interviews were held, two references obtained, criminal records bureau checks undertaken and proof of ID and photograph kept. Contracts of conditions of service and job descriptions were issued to new staff. All required documentation needed to maintain the safety of the residents at Bliss Care Home is in place. Training opportunities for all staff are good and include manual handling, health and safety, first aid, fire awareness, safeguarding and infection control. Staff spoken with reflected that courses undertaken had developed a better understanding of the residents that they worked with. The Deputy Manager is being proactive in booking numerous courses and then identifying who is to attend through the supervision process. All staff need to have, dementia training and senior staff need to have risk assessment, supervision and preassessment training put into place. The manager is currently on the NVQ 4. Seven out of thirteen staff have completed NVQ 2 training. A further four staff are put forward for NVQ 3 training and additionally the deputy manager holds a RGN (registered general nurse) qualification and has been put forward for the NVQ 4 qualification. Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 19 Speaking with staff ,they told us that they receive good support through handover’s, staff meetings, supervision and training. At present, the records looked at around induction are only based on in-house procedures. However, speaking with the manager and seeing newly purchased information on induction, the skills for care induction criteria is in place and will be used for any new staff that may be recruited in the future . Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 20 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 management of the home is stable which ensures the health, safety and welfare of all residents. EVIDENCE: The care manager/provider is presently finishing the NVQ 4 qualification and has put in an application to CSCI to be the registered manager of Bliss. The manager is knowledgeable and is highly organised and efficient in his role. There are clear accountability of roles amongst the team and he has through recruitment secured an experienced deputy manager for the home, which in turn has provided a strong shift leader support system. The management team lead by example and encourage the staff team to practice in terms of a residents rights and empowerment. Practice is Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 21 continually changing and adapting according to individual and group need which in turn moulds the service provided. Through the inspection, discussion with the manager and deputy showed us that they have a dedication to improve the quality of life for the people who live at Bliss and were eager to have information that would enhance practices. Additionally issues raised at this inspection were taken on board. Policy, procedures and documentation evidence that resident finances are protected. All health and safety checks that were inspected are up to date. Within the fire records looked at were found to be to a good standard, risk assessments are in place for all residents and staff carried out annual fire training and regular fire drills. Fire safety officers visit every year and checks made by the team are regular and promotes the safety of all residents. The last AQAA that was sent by us was completed to an adequate standard. The manager needs to develop the next AQAA by covering all of the outcome areas required, making sure that a wide range of evidence supports the written information provided. Quality assurance is due to be carried out and will include views from all residents, relatives and other professionals and persons that may come in contact with the home on a regular basis by means of surveys being sent out. This will finally be made into a report with the outcomes, achievements and actions that will be taken as a result of the Quality monitoring Survey carried out. This documentation needs to be made available to all interested parties and displayed within the home and a copy sent to us. These results could also prove useful to the manager when completing any AQAA that may be sent. The majority of residents expressed an opinion that they are happy with the staff, service provided and management support. Overall the manager and his team are developing Bliss care home, into a person centred based service which promotes and encouarges independence of the individual. Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 22 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 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation Reg 12 and 15 Requirement Residents must have care plans in place that record in sufficient detail the needs of the residents and how those needs will be met. All identified needs must have a care plan. This is specifically related to dementia care. Previous timescale of 31/12/07 partially met. Timescale for action 31/12/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Bliss Residential Care DS0000067960.V368256.R01.S.doc Version 5.2 Page 25 - 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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