Care Home: Cliffe Vale

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What the care home does well The comments made by everyone connected with the home support our observations that the home is well managed and run in the best interests of the people who live there. The people who live at the home all made positive comments about the care and support they receive. People said the staff listen to them and act on what they say. One person described the home and the staff as `Champion` and said they could not wish to be anywhere better. Another said they are `Very very happy`. One member of staff said that the home `Always looks at the needs of the clients` and `Trains staff well`. People said they know how to make a complaint or raise a concern if they are not satisfied with any aspect of the service. They said they would either speak to the manager or discuss their concerns with their family or the staff. The care and support plans reflect each individual`s preferences and needs. People are involved in making decisions about the way the home they live in is run, and the management and staff make sure their views are central to any decisions. It was clear during the inspection that the staff know and understand each person and do everything they can to support people`s individual needs. People`s right to make individual choices is respected and supported. People`s cultural and spiritual needs are understood and met. The recruitment procedures are thorough, making sure that the staff who are appointed are safe and suitable to work with the people who live at the home. The staff are well qualified and are encouraged to keep up their professional development by taking training to keep their skills and knowledge up to date. What has improved since the last inspection? All the requirements of the last inspection have been met. The care plans have been completely redeveloped since our last inspection visit and are now straightforward, very well organised and easy to follow. Each area of the person`s needs is detailed in their plan. The medication administration system is now very well organised, the records are clear and accurate and weekly audits are carried out. Although there are still some improvements to be made, the activities available are more varied and better records are being kept.The home`s management is now sending us notices, as required by regulation 37 of the Care Standards Act 2000, to inform us of any events that significantly affect the people who live at the home. What the care home could do better: Now that the home is no longer managed by one of the registered providers, one of the providers needs to visit the home once a month and write a report on the visit and their findings, as required by Regulation 26 of the Care Standards Act 2000. This is to confirm that the providers are fulfilling their responsibilities and are aware of what is happening in the home. CARE HOMES FOR OLDER PEOPLE Cliffe Vale 228 Bradford Road Shipley West Yorkshire BD18 3AN Lead Inspector Liz Cuddington Key Unannounced Inspection 12 December 2008 11:15 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 Cliffe Vale DS0000048525.V373384.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. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cliffe Vale Address 228 Bradford Road Shipley West Yorkshire BD18 3AN 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) 01274 583380 Cliffe Vale Registered Care Home Ltd Shelley Jane Robinson Care Home 27 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (23), of places Physical disability (1), Physical disability over 65 years of age (3) Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th December 2007 Brief Description of the Service: Cliffe Vale is located on a main bus route that goes from Shipley to Bradford and parking is available nearby. The home is close to local shops. This detached property provides accommodation on ground, first and second floors. Access between the floors is by stair lifts. There are three separate communal areas, including two lounge/dining rooms. There is seating available outside. The majority of people living at the home are over 65 years of age. Cliffe Vale DS0000048525.V373384.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 stars. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated it is likely that enforcement action will be taken. The current weekly charge at the home is £390. This charge does not include chiropody, hairdressing, private dental treatment, optical or medical fees, newspapers, meals out or telephone calls. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Cliffe Vale. The visit to the home was carried out over one day by one inspector. Since the last inspection in December 2007, no complaints or concerns have been made to us about the home. The methods used to gather information included conversations with the people living at the home and the staff, looking at care plans and examining other records. Many of the people who live and work at the home returned questionnaires to us and we also received the home’s self-assessment questionnaire before the inspection visit. These questionnaires provide valuable information to help us form a judgement about the quality of the care and support the home provides. We would like to thank the people who live at Cliffe Vale and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the service does well: The comments made by everyone connected with the home support our observations that the home is well managed and run in the best interests of the people who live there. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 6 The people who live at the home all made positive comments about the care and support they receive. People said the staff listen to them and act on what they say. One person described the home and the staff as ‘Champion’ and said they could not wish to be anywhere better. Another said they are ‘Very very happy’. One member of staff said that the home ‘Always looks at the needs of the clients’ and ‘Trains staff well’. People said they know how to make a complaint or raise a concern if they are not satisfied with any aspect of the service. They said they would either speak to the manager or discuss their concerns with their family or the staff. The care and support plans reflect each individual’s preferences and needs. People are involved in making decisions about the way the home they live in is run, and the management and staff make sure their views are central to any decisions. It was clear during the inspection that the staff know and understand each person and do everything they can to support people’s individual needs. People’s right to make individual choices is respected and supported. People’s cultural and spiritual needs are understood and met. The recruitment procedures are thorough, making sure that the staff who are appointed are safe and suitable to work with the people who live at the home. The staff are well qualified and are encouraged to keep up their professional development by taking training to keep their skills and knowledge up to date. What has improved since the last inspection? All the requirements of the last inspection have been met. The care plans have been completely redeveloped since our last inspection visit and are now straightforward, very well organised and easy to follow. Each area of the persons needs is detailed in their plan. The medication administration system is now very well organised, the records are clear and accurate and weekly audits are carried out. Although there are still some improvements to be made, the activities available are more varied and better records are being kept. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 7 The home’s management is now sending us notices, as required by regulation 37 of the Care Standards Act 2000, to inform us of any events that significantly affect the people who live at the home. 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. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Standard 6 does not apply People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before they are admitted to the home, to make sure their needs can be met. EVIDENCE: People said that they were given enough information about the home before deciding to move in, and they have also received a contract. Where possible the home encourages people and their families to visit and talk to the people who already live at the home, their relatives and the staff. The home invites them to come and spend time there, share a meal and maybe take part in the days activities. This means that the home can get to know the persons needs and the individual has the information he or she needs to make a decision. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 10 One person said that ‘After seeing other homes previously Cliffe Vale was definitely the place we had the most confidence in’. Before moving into Cliffe Vale, peoples needs are assessed to make sure that the home is able to meet their needs. This assessment forms the basis for the individual plan of care and support. Any Social Services’ assessments are also taken into account when assessing people’s needs and developing initial care plans. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and healthcare needs are met. People are generally protected by the medication administration systems. Staff treat people with respect, care and consideration at all times. EVIDENCE: People receive the medical and healthcare support they need and any concerns about people’s health are followed up. One relative said that ‘Every aspect of … health is given priority’. The District Nursing service said that the home’s staff listen to their advice and are very good at doing what the District Nurses ask them to do. They said that people are generally well looked after and if they see anything that could be improved upon the home will listen to their advice and act on their comments. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 12 Everyone we spoke to said the care and support they receive is of a good standard. Peoples relatives also said they are very happy with the care offered. One person said that the staff do what people want in the way they prefer. They said they are very satisfied with the care and support they receive and feel that the staff understand their needs. One person said that the home is ‘Champion’ and they could not wish for anywhere better. Another person said the home provides ‘First class support’. People said the staff are kind and helpful. The staff approach to people is very calm, friendly and relaxed. Our observations also confirmed that the staff understand peoples care needs. A member of staff said that the staff are told about any important changes and are expected to read the daily reports before they start their shift. We looked at three care plans, to make sure that peoples health and personal care needs are being met in the way each person prefers. The plans cover each area of the individuals care needs. They contain enough information to guide staff in how to care for and support each person. The care plans have been completely redeveloped since our last inspection visit and are now straightforward, very well organised and easy to follow and each area of a persons needs is detailed. The plans include risk assessments and management plans where someone is at risk of falling, developing a pressure sore, becoming malnourished or any other area the staff feel may put the individual at any risk. The people themselves, and their relatives if they wish, are involved in reviewing and updating the care plans. Wherever possible, people or their relatives should sign the plans, to confirm they agree with the decisions that have been made. The manager said she will make sure this is done. To make sure they still reflect the individuals care and support needs, the staff regularly review the care plans. There are some parts of the plans that would benefit from having more detailed information. The manager is aware of this and is in the process of making the improvements that are needed. Detailed medical records are kept showing, for example, when the GP visited and the outcome, as well as any further healthcare support that is needed. The medicines are kept safe and secure and the Medicines Administration Record (MAR) charts are securely stored. For security, the medicine cabinet was locked during the time between giving each person their medication. Most of the medicines are supplied by the pharmacy in a monitored dosage system, but some is kept in the original packaging. The MAR charts, which must show Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 13 clearly the quantities of medicines received and in stock for each person, were examined. The medicines supplied in the monitored dosage system appeared to be administered and recorded accurately. There were signatures to confirm that staff had administered the medicine. The records of amounts received, administered and in stock of medicines that are supplied in their original packaging were accurate. The medication administration system is now very well organised, the records are clear and accurate and weekly audits are carried out. During the visit, all the staff were seen to treat people with respect and maintain their dignity. The people who commented said that they receive the care they need and are supported to maintain their independence for as long as they are able. Peoples relatives confirmed this. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 14 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in a range of activities. People are offered a good choice of meals to make sure their dietary needs and preferences are met. EVIDENCE: Several people said they would like there to be more activities, and others felt there were enough. This is an area the homes staff are developing. There is a monthly chart showing what activities are available each day. People said they enjoy the outings and activities that the home offers. On the afternoon of our visit people were enjoying a very lively game of bingo. One person said in their questionnaire that they ‘Like the quizzes’ and have DVDs and play dominoes. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 15 The meals are planned to include the wishes of the people who live at the home and to meet any special dietary needs. Drinks are available throughout the day. At lunchtime there is a choice of main course and dessert and the menus are flexible, to suit peoples preferences. There is always food available for staff to make a snack for people during the night. People said they enjoy their meals and the portions are ‘very generous’. The cook discusses the menus with people and makes changes to meet peoples preferences. The staff make sure that special diets are provided for those who need this. People seemed to enjoy their meals and staff were on hand to discreetly assist people who needed some help to eat and to encourage people to finish their meal. The tables were laid with tablecloths, cutlery and napkins. Drinks of juice and tea were provided. Conversations with people confirmed that the staff support people to maintain and meet their cultural needs. People are supported to attend religious services and follow their beliefs within the home, if they wish. Everyone confirmed that people are supported to make their own decisions about all aspects of their life. Visitors are always welcomed to the home. There is a relaxed atmosphere and a good relationship between people who live at Cliffe Vale and the staff. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. Most staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people at the home are safe. EVIDENCE: Any complaints or concerns are recorded in a complaints file. The actions taken and the outcomes are recorded. Staff said they know what to do if anyone has concerns. The relatives said the home responds appropriately to any concerns. People said they know what to do if they have a concern or complaint, one person said they would see the person in charge. Newly employed staff are made aware of the home’s whistle blowing policies and procedures, to be used if they suspect abuse or see examples of poor practice. Most of the care staff have had adult protection training, and further refresher training is planned. All the appropriate policies and procedures are in place to guide staff. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 17 The manager and the assistant manager plan to take the safeguarding training for managers in the New Year. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 25 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe, comfortable, attractive and well-maintained environment. EVIDENCE: The home is clean and well maintained and everyone we spoke to said the home is always kept fresh and clean. One person said that ‘The carers work very hard to make it so’. The rooms are comfortably furnished and have a welcoming feel. There are sufficient, accessible toilets and bathrooms on both floors of the house. Staff are employed to help look after the maintenance of the house and grounds as well as keeping the gardens tidy. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 19 Since the last inspection visit, some of the bedrooms have been redecorated, new furniture has been purchased and some carpets have been replaced. One person said they are very happy with their bedroom and said it is very comfortable. The lounge and dining rooms are comfortable furnished and the home has a warm and welcoming atmosphere. The gardens are attractive and there is seating for people to use in the better weather. The laundry is well organised and staff make sure that peoples personal clothing, as well as bedding and towels, are properly cared for. Protective gloves and aprons are available for staff to use, as part of the home’s infection control measures. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 20 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet peoples needs. People are protected by thorough recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require, to be able to meet peoples needs. EVIDENCE: The staff rotas, and peoples comments, confirmed our observations that there are enough staff on duty to meet peoples care needs. Since the last inspection the staffing levels have been increased and the rotas adjusted, to make sure there are always enough staff available to meet people’s needs. All new staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 21 One recently recruited member of staff described the recruitment process and said she had worked the first three days of her induction period alongside experienced staff, as a supernumerary member of the team. Other staff said the induction training they received was good. There is plenty of training available for staff. All the staff we spoke to said the training is good and keeps them up to date and the home keeps good records of staff training. The staff said the home provides the training they need and one said they ‘Support staff through training…’. The training planned for 2009 includes courses in the Mental Capacity Act, palliative care, falls assessment and prevention, dementia care, moving and handling and safeguarding. All new care staff complete induction training, which meets the Skills for Care criteria. This gives them good basic training to help them do their job effectively, and provides a sound basis for taking a National Vocational Qualification (NVQ) course. In addition staff attend training courses covering all areas of the general principles of care. Fourteen of the nineteen care staff have achieved an NVQ level 2 in care and two staff are currently taking the award. The assistant manager and one other member of staff have achieved and NVQ at level 3 and five staff are enrolled to start the level 3 course in the New Year. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 22 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, 37 & 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and well managed, in the best interests of the people who live there. EVIDENCE: The home’s manager has completed the registration process and is now registered with the Commission. Since our last visit the manager has worked hard to make improvements and meet the requirements of the last inspection. An assistant manager has been recruited to support the manager in this. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 23 The records, and the staff, confirmed that all the staff have regular one to one supervision meetings with their line manager. This supports staff to plan their personal and professional development and gives them the opportunity to discuss any areas of concern in a confidential setting. The home has a range of quality assurance systems in place, to help determine the quality of service the home offers and plan further improvements. Senior staff meetings are now being held each month and full staff team meetings are held every six months. The manager holds informal talks with the people who live at the home and their relatives and was in the process of compiling a questionnaire to send out. The assistant manager carries out weekly quality audits throughout the home. Peoples personal information is stored securely. Where the home helps people to manage their personal finances, accurate records are kept of all transactions and all monies are securely stored. The homes policies and procedures are kept up to date; to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. The fire safety checks are carried out regularly and staff have had the necessary training and practice fire drills. These measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. The home had an inspection by the fire safety officer in July 2008. We were told that the home has completed almost all of the work that was requested in their report. The homes kitchen had an inspection by an Environmental Health Officer in June 2008 and was awarded two stars. We were told that the home has completed all the work that was requested. When we looked, the kitchen was clean, tidy and hygienic. The home’s management is now sending us notices, as required by regulation 37 of the Care Standards Act 2000, to inform us of any events that significantly affect the people who live at the home. Now that the home is no longer managed by one of the registered providers, one of the providers needs to visit the home once a month and write a report on the visit and their findings. This is a requirement of the Care Standards Act 2000 and reports should be kept and made available for the inspector to see on request. These reports confirm that the providers are fulfilling their responsibilities and are aware of what is happening in the home. Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 24 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 3 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X X 3 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 X 3 3 Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 25 NO 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. 1. Standard OP38 Regulation 26 Requirement One of the registered providers needs to visit the home once a month and write a report on the visit and their findings. This is to confirm that the providers are fulfilling their responsibilities and are aware of what is happening in the home. Timescale for action 31/01/09 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 Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Cliffe Vale DS0000048525.V373384.R01.S.doc Version 5.2 Page 27 - 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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