Care Home: Cambridge House

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What the care home does well People are appropriately assessed prior to moving into the home and the home does not admit people whose needs they cannot meet. Each person that lives in the home has an individual plan of care that is reflective of his or her current care needs and that`s reviewed on a monthly basis and as and when required basis. People`s health care needs are well met and they are supported to access health care professionals as and when appropriate. Medication administration systems in place adopted by the home are safe. There is a varied programme of activities in the home and people are encouraged and supported to access the community on a regular basis. People are able to participate in helping to run the home if they are able, willing and it is safe to do so. People are supported to access their preferred religious services and their believes are respected. The meals provided are homemade, varied and nutritious. Feedback indicates that the majority of people like the food all the time and that alternatives are available. Peoples different needs and preferences in relation to food and the support required to eat are catered for. People are supported and encouraged to make choices in their lives. The recruitment and induction practices adopted by the home are safe and staff are appropriately trained and supervised. The home always has a sufficient number of staff on duty in order to meet the needs of the people who live there.The Providers are experienced and appropriately qualified. The management and administration systems are good and the home is run in the best interest of the people who live there. The health and safety of the people who live and work in the home is protected and promoted. What has improved since the last inspection? The recommendation that residents` religious preferences are included in the `end of life` plan to enable these to be carried out at the appropriate time has been met and this is now specified in peoples` plans of care. A further recommendation made in respect of behavioural guidelines being drawn up to guide and support staff in the management of people who displaying aggression is only partly met. Some information is recorded in the individuals` plans of care and staff are aware of the interventions they need to take however specific guidance is not included. What the care home could do better: A recommendation is made that the preadmission assessment should include an assessment of whether or not a person can administer, store or assist in the storage and administration their own medication. A further recommendation is made that care plans are reviewed and amended to include more specific guidance for new and agency staff to follow when supporting people with personal care, moving and handling, and the interventions to be used when supporting people to manage behaviour that may be challenging. CARE HOMES FOR OLDER PEOPLE Cambridge House Cambridge House 141 Gordon Avenue Camberley Surrey GU15 2NR Lead Inspector Elaine Green Unannounced Inspection 30th November 2007 12:30 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 Cambridge House DS0000013583.V353025.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. Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cambridge House Address Cambridge House 141 Gordon Avenue Camberley Surrey GU15 2NR 01276 691035 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) Mr Naushad Heeroo Mrs Christine Anne Heeroo Mr Naushad Heeroo Care Home 16 Category(ies) of Dementia - over 65 years of age (13), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (3), Old age, not falling within any other category (16) Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th May 2006 Brief Description of the Service: Cambridge House is a care home accommodating up to 16 people aged over 65 years. Up to thirteen of the people living at the home may have dementia and up to three people may have a mental disorder. The home is a large, two storey building, situated in a residential area of Camberley, a short distance from the town centre. It is well served by public transport, with the towns station within walking distance. Mr. and Mrs. Heeroo are the registered providers and Mr. Heeroo is the registered manager. As the registered manager, Mr Heeroo is in day-to-day control of the home and Mrs. Heeroo provides administrative support. The fees charges range from £525 to £750 per week. Fees vary according to the individuals’ assessed needs and cover staffing and hotel costs. Additional charges are made for chiropody, hairdressing, newspapers and outings. Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The National Minimum Standards refer to individuals who reside in Care Homes as “Service Users”. In this report individuals who reside at Cambridge House will be referred to as ‘the people who live at the home’. As part of the unannounced Key Inspection of Cambridge House, a site visit took place to the home on the 30th November 2007. Issues relating to the dayto-day running of the home were discussed with the Registered Manger, a senior member of staff and another member of staff. Discussions also took place with two of the people who live at the home. A range of documents was examined including five care plans, three recruitment files, a selection of the homes’ policies and procedures and some of the homes daily records. In addition to this the Registered Manager completed an Annual Quality Assurance Assessment. This document provides the Commission for Social Care Inspection (CSCI) with statistical information relating to the home. Eleven people who live at Cambridge House, 8 of their friends and relatives, one health care professional, one care manager and 6 six members of staff completed surveys feedback from which will be included in this report. What the service does well: People are appropriately assessed prior to moving into the home and the home does not admit people whose needs they cannot meet. Each person that lives in the home has an individual plan of care that is reflective of his or her current care needs and that’s reviewed on a monthly basis and as and when required basis. People’s health care needs are well met and they are supported to access health care professionals as and when appropriate. Medication administration systems in place adopted by the home are safe. There is a varied programme of activities in the home and people are encouraged and supported to access the community on a regular basis. People are able to participate in helping to run the home if they are able, willing and it is safe to do so. People are supported to access their preferred religious services and their believes are respected. The meals provided are homemade, varied and nutritious. Feedback indicates that the majority of people like the food all the time and that alternatives are available. Peoples different needs and preferences in relation to food and the support required to eat are catered for. People are supported and encouraged to make choices in their lives. The recruitment and induction practices adopted by the home are safe and staff are appropriately trained and supervised. The home always has a sufficient number of staff on duty in order to meet the needs of the people who live there. Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 6 The Providers are experienced and appropriately qualified. The management and administration systems are good and the home is run in the best interest of the people who live there. The health and safety of the people who live and work in the home is protected and promoted. 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. Cambridge House DS0000013583.V353025.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 Cambridge House DS0000013583.V353025.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): 1,3,4&5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users have a detail assessment of need before they are admitted to the home. The information provided to people enables them to make an informed decision about whether or not the home can meet their needs. EVIDENCE: As part of this Inspection, surveys were sent to the people who live in the home. Of the 11 completed forms that were returned to us 10 people sated they had enough information abut the home before they moved in so they could decide if it was the right place for them. The one person who did not feel they had sufficient information had moved into the home from a hospital in another area of the country so they could be closer to family. In addition to this surveys were also returned from the relatives and friends of 8 people who live in the home 7 of which confirmed that they felt that the home could always meet their relatives needs and 1 that the home usually does. Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 9 Comments included “My mother needs constant 24 hour care and I feel this is being provided.” and 2 We believe it’s the right decision to have mum here she has been very well treated here.” The plans of care and pre admission documentation of 5 of the people who live in the home were examined. Each person had been assessed before their admission to the home by the manager. The assessment process includes information provided by the referring social services, the person concerned their families and other relevant healthcare professionals as needed. Peoples’ physical health, mental health and their interests are assessed and documented. People are encouraged to visit the home prior to making a decision about whether or not to move into the home. All enquiries, telephone conversations and visits to the home made in relation to a potential admission to the home are documeted and signed and dated to give an audit trail of the whole assesment process. This is considered good practice. The first 6 weeks following admission to the home is on a trial basis and this is stated in the homes’ Statement of Purpose and Service User Guide. It was noted that these documents had not been updated since May 2005. However the provider is in the process of updating these documents and ensuring that they contain all the required information, everyone living in the home will be given an updated copy. Cambridge House DS0000013583.V353025.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&10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live in the home are provided with the personal care and support that meets their diverse assessed needs. EVIDENCE: The surveys sent to the people who live in the home asked if people receive the care and support they need. Of the 11 returned surveys 10 people stated that they do receive the care and support that they need and one person stated they usually do. One person wrote “Very aware of emotional needs as well as physical.” Another wrote, “They are always very helpful if we have anything we need to ask.” “Mum is looked after very well we are very happy with the medical care that she receives.” Seven surveys from relatives and friends stated that the home give the support or care to their friend/relative that they expect or agreed and one that they usually do. All of them stated that they are kept up to date with important issues affecting their friend or relative for example being admitted to hospital or having an accident. A Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 11 returned survey form a health care professional states that individuals’ health care needs are met by the home and a care managers survey stated that individuals health care needs are always properly monitored and attended to by the home. The plans of care for the people who live in the home detail information about the individual including a profile of the service users relevent personal history, medical history, hobbies and interests. The staff are provided with information about the service users awareness of surroundings, ability to talk and interact with others and any special needs for them to have their medication. The plan of care is accompanied with the necessary risk assessments and monitoring tools. These plans are reviewed on a monthly basis and updated as required. However the guidance provided in these plans for staff to follow is very breif and it does not always provide staff with the specific guidance they would need in order to provide appropriate support. For example it may state that support required for bathing and that a belt is required for moving and handling but no specific guidance is provided as to how this support should be delivered. The staff spoken to were able to explain what support they give and had a good knowledge of poeples’ needs. Observations on the day of the site visit confirmed that peoples need were being met. It is recommended that more detailed and specific information is included in the plans of care so that new or agency staff would have the detailed guidance they would need to support people appropriately e.g. specific moving and handling when assisting someone to bathe. The people who live in the home are assisted to obtain medical support from visiting opticians, dentists and chiropodists. Staff also access further assistance through the service users own GPs’ for District Nursing service and any specialist healthcare that is required. All visits and appointments are recorded in detail. People are visited by their medical and health care proffessionals in the privacy of their own rooms. Staff were seen to knock before entering peoples’ own rooms. People who live in the home are provided with their prescibed medication by staff who have had specific training to be able to do this. The home use the services of a local pharmacy to supply the medication. The manager has also instigated monitoring checks of the medication administration, storage and the recording processes. People who wish to and are able to self administer their medication would be supported to do this, it is recommended that a risk assessment in respect of people administering or assisting to administer their own medicaiton is completed as part of the admission process. Records relating to the administration of medicaiton were examined and found to be in order. Cambridge House DS0000013583.V353025.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&15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live in the home are enabled to continue with an active social life should they wish and they are provided with a varied nutritional diet. EVIDENCE: People who live in the home were asked on their surveys about the activities provided in the home. Of the 11 returned forms 4 people stated that there is always activities arranged by the home that they can take part in, 4 stated that there usually are and 3 that there sometimes are. Comments included “At Christmas we are asked if we want to go to a show.” “We are always asked to the Christmas party.” Another person wrote that they like playing cards, playing bingo, and music, sing-a-longs and going out into town. Some other activities specified in comment cards included; bowling, colouring, shopping, basketball, sit and keep fit and singing. Feedback indicated that relatives and friends are often invited to participate in the activities in the home and come along to shows etc. The manager also stated that trips are organised to the cinema, garden centres and other places of interest that the people of the home have expressed an interest in visiting. Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 13 Peoples’ interests are recorded in their care plans and they are supported to continue with their interests they had prior to admission to the home. The manager stated that once a week 2 or 3 people get the opportunity to be supported by staff to go out into the community to do some shopping, have a coffee. When friends and relatives were asked whether the home supports people to live the life they choose 5 returned forms stated that this always happens. One person stated that they usually were. The other 2 forms stated that their relatives were unable to make choices about their lives but that they were cared for. The religious beliefs of the people who live in the home are supported by providing a weekly holy communion service for the Catholic residents, a Sunday church service and monthly songs of praise for church of England residents and visits by the Jehovah witness community are arranged for those who require it. The manager explained that any other religious believes would be supported as required and arrangements would be made accordingly. People who live in the home are able to receive visitors as and when they wish in the privacy of their own rooms or in one of the communal areas. They are enabled to bring their personal possessions which is reflected in the individualism of their rooms. The home has a rotational menu plan that is reviewed on a regular basis and routinely provides alternatives to the planned meals if requested. On the day of the site visit people were offered a choice of three different desserts and those who needed support to eat were supported apprpriately. A choice of drinks was also available. The atmosphere in the dining room was informal and relaxed. People are encouraged to take their meals in the dining rooms but are equally able to have them in their rooms should they wish. Each persons food preferences are recorded in their care plans and any special dietary needs are noted. Peoples’ nutritional needs are assessed with ongoing monitoring of their weight and health. One relative wrote “Quality of food is good and assistance assistance in eating and all other help is provided.” Another stated that he menues were good. When asked if the people who live in the home like the meals provided at the home 8 people stated they always did and 3 that they usually liked them. One resident wrote “When I don’t like what is on the menu I am offered something else.” One of the people who lives at the home helps the staff to lay the table and clear away after meal times. Staff also stated that the people who live in the home are encouraged to participate in the running of the home if they are able and willing to do so. People are able to make choices in respect of their daily lives e.g. when to get up or go to bed, what to wear, where and what they would like to eat etc. Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 14 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&18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes policies and procedures in respect of complaints and protection are safe and protect the people who live in the home from harm. EVIDENCE: When asked if people know who to speak to if they are not happy 8 people stated that they always did and 3 that they usually do. The complaints policy was examined and was in order. A record book is available in the main lounge, for anyone to note a complaint, comment or compliment. Previous entries that had been made had been addressed by the manager and stated what action had been taken. The manager explained that if a someone is unable to read the complaints procedure themselves that their relative or representative is asked to read it to them and sign to confirm that this has happened. Staff are aware of their role in the protection of residents. Two members of staff stated that they have been made aware of issues relating to adult protection and of what constitutes abuse. They also knew who to report any suspected incidents of abuse to. Staff undertake the Surrey Multi-Agency training in the safeguarding of vulnerable adults as and when this is available and an up to date copy of the policy and procedure is held in the home. Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 15 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&26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides the people who live in the home with a safe, clean and hygienic environment. EVIDENCE: All areas of the home were seen on the day of the site visit and were clean, hygienic and well maintained. Hand-washing facilities with liquid soap and paper towels are provided in all appropriate places to maintain hygiene and staff were observed to use appropriate procedures to prevent the spread of infection. Protective clothing is provided for staff to use. The home is spacious and light and comfortably furnished to meet the needs of the people who live there. The garden is accessible by a ramp and the manger stated that in the summer month’s tables and chairs are provided for the use Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 16 of the people who live in the home. One person told us that they enjoy sitting outside in the warmer months. The manager stated that a programme of annual, planned improvements and renewal is maintained. In line with this the kitchen had been refurbished in a modern style to a good standard and a new industrial washing machine has been purchased and fitted. This provides a sluice facility. In addition to this and industrial tumble dryer has also been provided, the hall carpet has been replaced, 8 new armchairs, some new beds and new dining chairs have been provided. The provider stated that he is now looking at the possibility of refurbishing the bathroom on the first floor, which is currently not adapted. He stated that he is looking into the different options for providing an adapted bathroom or shower room. At present the people who have rooms on the first floor that want to have a bath need to use the one located on the ground floor. The provider is also looking into the possibility of providing a portable hoist however he stated that a the moment there is no one living in the home that has been assessed as needing to use one. Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 17 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&30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment and induction practices adopted by the home protect the people who live there from harm. The staff team have the collective skills and competecies required to meet the diverse needs of the people who live in the home. EVIDENCE: The recruitment and personnel files of 3 staff were examined confriming that the pre employment information such as application form, work history, health declaration, references and the appropraite identity and security checks had been completed prior to staff being deployed to work in the home. The staff files also showed that they have a staff profile, letters of employment, job descriptions and copies of qualifications, training and receive supervision on a regular basis. The staff are provided with both an in house induction and a Skills for Care induction. The homes’ training programme enuses that they have the key skills to carry out their work. There is a rolling programme of training that is provided by the manager, who is a qualified nurse, and some which is accessed externally through local authorities and specialist providers. Some of the training the staff have attained has included infection control, intermediate Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 18 food hygiene, first aid, equality and diversity, nutrition and health, and dementia awareness. The provider has stated that 9 members of staff have had attended a 16 week course in Dementia run by a local college. Of the 15 members of staff employed a the home 7 have completed a National Vocational Qualification (NVQ) in Care at Level 2 or above and 3 are working towards obtaining this qualification. Feedback from the people who live in the home and their relatives and friends and an examination of the staff rota confirms that there are sufficient numbers of staff on duty at all times to meet the needs of the peole who live there. Either the manger or a senior member of staff are on call at all times. The provided has stated that nthe majority of the staff employed in the home have worked there in excess of four years indicating that the staff turnover is low. Comments included on the returned surveys include “They always treat my father with care, concern and dignity. From my observations of the way they treat the other residents this applies universally.” and “A small home with enough staff to give constant supervision night and day.” Another relative wrote, “They are a small and friendly home and know their residents well.” The niece of someone who lives in the home stated, “The care home and the staff are excellent. The staff are very attentive and generally care about the people they look after.” Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 19 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&38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The management and administration systems are good and the home is run in the best interest of the people who live there. The policies and procedures adopted by the home ensure that the health safety and well fare of the people who live and work at the home are protected and promoted. EVIDENCE: The registered providers both work full time at the home one of which is also the registered manager. The manager is a qualified mental health nurse, holds a National Vocational Qualification (NVQ) in care at Level 4 and has many years experience in care including managing the home for the last 11 years. The other provider carries out the administrative role, and also holds an NVQ Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 20 in Care at Level 4. Both providers are in day-to-day involvement with the home, to ensure a high standard of care and the smooth running of the home is achieved. Two experienced team leaders provide support and manage the home in the absence of the manager. All staff receive supervision a minimum of 6 times a year and this documented. Feedback from the surveys returned from the people who live in the home, their relatives, friends, staff, a care manager and a health care professional and the examination of records all confirm that the home is run in the best interest of the people who live there. The records examined were all up to date, relevant and accurate. Health and safety records were examined confirming that the temperature of the water accessible to people from hot water outlets is regulated safely, fire alarms and equipment are tested and serviced as required and the home has appropriate insurance cover. The home does not manage the finances of any of the people who live there. Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 21 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 3 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 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 3 Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations It is recommended that care plans are reviewed and amended to include specific guidelines for staff to follow when supporting people in particular with moving and handling and personal care and the interventions to be used when supporting people to manage behaviour that may be challenging. It is recommended that each person be assessed as to whether or not they can administer, assist in administering and storing their own medication and that this forms part of the pre admission assessment. 2. OP9 Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Cambridge House DS0000013583.V353025.R01.S.doc Version 5.2 Page 24 - 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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