Care Home: Bloomfield Care

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well The service has been developed to meet the particular needs of the two service users who stay for regular periods of short term care. An extremely individualised service is provided with both service users having their own bedroom and being able to leave belongings there in between visits. This is very much a ‘home from home’ for the two people concerned. Care planning information includes details of each person’s strengths and the manager ensures that opportunities to both maintain existing skills and to learn new skills are provided. A good range of social activities are supported, with the manager having a good knowledge of service users likes and dislikes. Activities include attending concerts and shows, shopping and meals out. Holiday support has also been provided for trips abroad. The home is well maintained and decorated and furnished to a good standard, providing a comfortable and attractive place to stay. What has improved since the last inspection? This is the first key inspection since the home was registered with the CQC.Bloomfield CareDS0000073116.V378103.R01.S.docVersion 5.3 What the care home could do better: At present, it is only the manager who administers medication and the medication administration record is ticked to indicate that this has been given. It is recommended that the record is initialled to indicate who has given the medication. This will be essential, should staff be employed and/or the other registered provider begin administering medication. Signing of records is always good practice as it creates ownership of the record. The adult protection/abuse policy should be amended to state that the local authority is the lead agency in such matters and that this agency should be contacted prior to any internal investigation commencing. It is recommended that records are kept separately for each service user, enabling an individual record to be built up and complying with data protection good practice guidance. Key inspection report CARE HOME ADULTS 18-65 Bloomfield Care 30 Pintail Close Leyland Lancashire PR26 7RY Lead Inspector Lesley Plant Key Unannounced Inspection 16th and 19th October 2009 10:00 Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 3 SERVICE INFORMATION Name of service Bloomfield Care Address 30 Pintail Close Leyland Lancashire PR26 7RY 01772 624594 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) Mrs Angela Mary Towler Mr Edwin Richard Towler Mrs Angela Mary Towler Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC. To people of the following gender: Female. Whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD. The maximum number of people who can be accommodated is: 2. This is a new service. This is the first key inspection. Date of last inspection Brief Description of the Service: Bloomfield Care is a five bedroom detached house and is the home of the registered providers Mr and Mrs Towler. Mrs Towler is the registered manager and provides the main support to service users. This is a small care home, registered to provide support and personal care to two service users, with one service user bedroom on the first floor and one on the ground floor. There is a bathroom on the first floor, which is for the sole use of service users. On the ground floor there is a kitchen, utility room, dining room/sitting room and lounge. There is a small enclosed rear garden with seating areas, a covered ‘bar’ area, with lighting for outdoor parties and a decked area. At present there are no contractual arrangements with the local authority. The current service users are funded via a private arrangement. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 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 is the first key inspection since the service was registered with the CQC. Two visits were made to the home and all of the applicable key national minimum standards were assessed, plus the standards relating to leisure activities and to record keeping. The inspector spoke to the manager and the two service users who regularly stay at the home for periods of short term care. Information was also gained from the Annual Quality Assurance Assessment completed by the manager. The Annual Quality Assurance Assessment is a self- assessment that focuses on how well outcomes are being met for people using the service. Records were viewed and a tour of the building took place. What the service does well: What has improved since the last inspection? This is the first key inspection since the home was registered with the CQC. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 6 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 2 People using the service experience good quality outcomes in this area. Assessments take place and include information from other professionals, helping to ensure that service users are only admitted to the home if their needs can be met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The Statement of Purpose and Service User Guide give good information about Bloomfield Care and the service provided. The Service User Guide has been produced using large text and pictures to make it more easily understood by people with a learning disability. Two service users, who are sisters, currently stay at the home for regular periods of short term care. The manager has known these young ladies for many years and when they were children, had been employed as their nanny. Information on the two service user files show that good assessment information has been gathered and that this informs the way care and support is provided. Social work assessments are available, along with an education Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 9 plan from the school attended by one individual and review documentation from the college attended by the other individual. The manager has used this information, along with information from the parents and her own knowledge of the service users, to develop written strengths and needs for each person. This includes good detail of abilities, likes and dislikes and addresses potential risk such as ‘stranger danger’. The strengths and needs information addresses a wide range of areas such as health, mobility, communication, social interaction, personal care and emotional needs. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People using the service experience good quality outcomes in this area. Individual needs and choices are supported. Risks are identified and minimised helping to ensure that service users enjoy their visits to the home and remain safe. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Although no staff are employed and the manager provides all the direct care and support, care planning information is still in place and addresses areas such as health, mobility, communication, social interaction, personal care and emotional needs. This information is regularly reviewed and amended as the needs of the individuals change. Both the current service users will be facing major life changes next year, as one is due to leave school to attend college and the other will be leaving her college placement. The current respite Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 11 arrangements will provide good stability and continuity during this period of change. Individuals are supported to make decisions about how they spend their time and are encouraged to maintain and further develop their independence. Both the current service users have particular interests, such as attending concerts and shows and the manager ensures that these activities are included during their short stays at the home. Individuals also help choose the meals for the week that they are staying, with guidance regarding healthy eating being provided by the manager. Risks are identified and addressed, with good plans in place to minimise the risks identified. For one person, there is a plan in place regarding supporting the individual to limit alcohol intake to two drinks, when socialising. The current service users both require support when out of the home, with plans in place regarding the potential risks of going out alone. The manager is aware of potential risks regarding certain cleaning products and although these are not felt to be a danger to the current service users, these products are kept in a locked cupboard. Both service users are supported with their finances and following agreement with their parents, only carry small amounts of cash with them when out. At present no staff are employed at the home, as the manager provides all the direct care and support to the current service users. The information available means that, should the service develop and staff be employed, they will have good information to direct them in their support role. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12, 13, 14, 15, 16 and 17 People using the service experience good quality outcomes in this area. Individuals are supported to take part in activities which interest them. Daily routines and meals take into account individual preferences. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: One of the current service users is in her last year of school and the other attends an essential skills course at college. The manager actively supports the social events arranged by the school and college and has copies of school and college reports detailing current educational goals. This means that goals regarding independent living skills can be supported and encouraged during the periods of respite care at the home. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 13 Community links are supported. Both service users are well known in the local area near the home and have built up friendly relationships with the neighbours. College and school social events are attended and both service users attend a weekly social club for young people with disabilities. The manager is currently looking into gym/leisure centre membership for one person. The manager knows the ladies very well and helps them to take part in activities which interest them. This includes; going to shows, musical events, shopping and having meals out. One person is a big fan of a Liverpool football player and has recently been supported to go on a tour of Liverpool stadium. A holiday to Florida also took place and was very much enjoyed by both service users. Records are kept of how each person has spent their time. Existing relationships are supported during periods of short stay at the home. One service user was supported to organise her celebratory birthday meal out with a group of her college friends. Both service users have known the registered providers for many years and see themselves as part of the family. Service users have a key to the front door and a key to their bedroom. Although both require support when out, having their own front door key gives a feeling of ownership and promotes independence. One person likes the privacy of her own bedroom and sometimes locks her bedroom door, with the manager being able to ‘over ride’ the locking mechanism in the case of any emergency. During the second day of the inspection both service users were staying at the home. It was clear that both were comfortable in their surroundings and were able to spend time in their bedroom or in the communal parts of the home. Daily routines are flexible and take into account college and school attendance. There is good written guidance in place regarding one service user who sometimes doesn’t like to get up in the morning for school. The support plan explains her morning routine and what practical steps help to encourage this person to get up and ready for school. This includes encouraging her to choose her own breakfast and letting her know 10 minutes before hand that it will soon be time to leave the house. Both service users know where everything is in the kitchen and sometimes get involved with baking. One person likes to set the table and has her own special drinking glass which she likes to use. When staying for a week or more, both service users get fully involved in deciding what meals they will be having and also get involved in the food shopping for the period of their stay. Although the current service users enjoy helping in the kitchen, such as with baking, the manager cooks the main meal each day. There is no set menu and meal times are flexible according to the events of the day. When staying for longer periods of time, such as a full week, service users help to choose the Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 14 main meals. Meals out are also enjoyed and Saturday night is often a special takeaway night. Both service users are being supported to follow a pattern of healthy eating. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People using the service experience good quality outcomes in this area. Individuals’ physical and emotional needs are met and personal care is provided as required. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The care planning strengths and needs information highlights the support required with personal care, with both the current service users needing assistance, such as when bathing and washing their hair. The manager provides the support required. Information about preferred routines, such as for one person getting up in the morning, is in place. This will be useful, should the service develop and staff be employed. The care planning strengths and needs information addresses any health care issues and highlights any support required. The two service users, who stay at the home, only do so for short periods of time and their parents take the main Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 16 responsibility for monitoring any health issues and providing support for attending health care appointments. However, there are occasions when this support is provided by the manager of the home and records of this were viewed. The manager keeps records of weight for both service users and actively provides support and guidance regarding exercise, such as walking her dogs and healthy eating. A first aid kit is kept, for the treatment of any minor household accidents. One of the current service users takes regular prescribed medication, which is administered by the manager, who has information about the medication and any potential side effects. Medication is kept in a locked cupboard and a record of medication administration is kept. At present, it is only the manager who administers this medication and the medication administration record is ticked to indicate that medication has been given. It is recommended that the record is initialled to indicate who has given the medication. This will be essential, should staff be employed and/or the other registered provider begin administering medication. Signing of records is always good practice as it creates ownership of the record. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using the service experience good quality outcomes in this area. Service user views are listened to and acted upon. The manager is aware of issues regarding vulnerability and protection. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There is a complaints policy in place and this was viewed. The Service User Guide, which has been produced using pictures and symbols, also includes information about how to raise a complaint. This is a very small care home, which operates very much as a family home, where any minor concerns or issues are addressed and resolved as part of day to day life. Meal times generally provide a good time for all to chat about their day and how they are feeling. The manager explained that good contact is kept with the service users family, such as when returning the two service users to their family home after a period of short term care. At these times, the manager will chat with the parents and exchange any important information about the visit. No concerns or complaints have been received by the home or by the CQC. It is clear that the current arrangements for providing short term care to the two service users are working well for all parties. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 18 Training undertaken by the manager has included issues of vulnerability, protection and abuse and an adult protection policy is in place. Although no staff are currently employed at the home it is important that all policies provide clear guidance. This will be vital when staff are employed, but it is also important that both the registered providers are aware of locally agreed procedures for responding to any allegations of abuse. The current policy should be amended to state that the local authority is the lead agency in such matters and that this agency should be contacted prior to any internal investigation commencing. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 23 and 30 People using the service experience good quality outcomes in this area. This is small care home which is maintained and decorated to a good standard. Service user’s bedrooms are personalised to reflect the needs and interests of the two people who regularly stay at the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Bloomfield Care Home is a five bedroom detached house and is the home of the registered providers Mr and Mrs Towler. The house is in a quiet cul de sac, with room for parking at the front of the home and is maintained, decorated and furnished to a good standard. One service user bedroom is on the first floor and one on the ground floor. There is a bathroom on the first floor, which is for the sole use of service users. The first floor also has a room currently used as an office and a small bedroom, which, if the service develops, could be Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 20 used for staff sleeping in. On the ground floor there is a kitchen, utility room, dining room/sitting room and lounge. There is a small enclosed rear garden with seating areas, a covered ‘bar’ area, with lighting for outdoor parties and a decked area. Service users have been able to personalise their bedrooms with their own special things, such as posters and books. Both bedrooms have a television, music system and DVD player. The current service users choose to leave some of their belongings in their bedroom even when not staying at the home. There is a small utility room on the ground floor, which meets the needs of the current service users. No special laundry arrangements need to be in place, just what would normally be required in a family home. The home appeared very clean. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): These standards are not applicable as no staff are employed at the home. EVIDENCE: No staff are employed at the home. All care and support is provided by the registered providers. Should the service develop, then staff would be employed and recruitment procedures, job descriptions and application forms have been developed for this purpose. Links have been made with the Lancashire Workforce Development Partnership in order to access training, such as refresher training for the manager and training for any staff employed in the future. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 and 42. People using the service experience good quality outcomes in this area. The home is well managed with good systems in place to promote the health and safety of service users. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: This is a small care home, which is also the home of the registered providers, Mr and Mrs Towler. Mrs Towler is the registered manager in day to day control of the care service and is supported in her role by Mr Towler. Mrs Towler has had many years experience in childcare and worked voluntarily alongside a manager in an existing care home for adults who have a learning disability in Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 23 order to gain further experience. During this period Mrs Towler gained the NVQ level 4 in care and the Registered Manager’s Award. Training regarding working with people with a learning disability was also undertaken. Preparation for registration with the CQC was thorough, with Mrs Towler working hard to ensure that all requirements for registration had been met. This first key inspection evidenced that the home is run in an organised manner and although staff are not yet employed, recruitment and training issues have been explored and prepared, should the service develop. At present Bloomfield Care is only providing short term care to two service users, who regularly come to stay at the home. The service has been personalised and developed with the care of these two service users in mind and clearly meets their needs. Quality Assurance and quality monitoring take place informally as part of day to day life at the home. Service users are encouraged to air their views and to say what activities they would like to do. The manager explained that good contact is kept with the service users family, such as when returning the two service users to their family home after a period of short term care. At these times, the manager will chat with the parents and exchange any important information. This informal quality monitoring is suitable for the size of the service and would be further developed if necessary. A number of records were viewed as part of this key inspection and generally these were of a good standard and well maintained. At present records of activities and how people have spent their time are kept in a diary. This recording system was discussed with manager. It is recommended that these records are kept separately for each person, enabling an individual record to be built up. Joint records should be avoided as they may not comply with data protection best practice guidance. In order to register with the CQC, certain health and safety requirements had to be met. These included a satisfactory report from the local fire and rescue service, a gas safety certificate, confirmation of legionella testing and the testing of all portable electrical equipment. Because the home is small, an emergency lighting system was not required to be installed, however there are torches, held in a wall bracket in each of the service user bedrooms, which could be used in any emergency situation, should the lighting system fail. Thermostatic valves have been fitted to water outlets, helping to ensure that water is always at a safe temperature. Records were seen of checks regarding fridge and freezer temperatures, smoke alarms and water temperatures. Information regarding the control of substances hazardous to health, such as the potential risks when using certain cleaning products is available. There is a locked cupboard in the utility room, Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 24 where any items which may pose risks can be safely stored. Records are kept of any accidents. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X 2 3 X Version 5.3 Page 26 Bloomfield Care DS0000073116.V378103.R01.S.doc N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations At present the manager ticks the medication administration record when medication has been given. It is recommended that the medication administration record is initialled by the person who has given the medication. The abuse policy should be amended to state that the local authority is the lead agency in such matters and that this agency should be contacted prior to any internal investigation commencing. It is recommended that records are kept separately for each service user, enabling an individual record to be built up and complying with data protection good practice guidance. 2. YA23 3. YA41 Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 27 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Bloomfield Care DS0000073116.V378103.R01.S.doc Version 5.3 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!