Care Home: Crossways Residential Care Home

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What the care home does well The home is comfortable, clean and attractively decorated and furnished throughout. Residents are encouraged to personalise their own rooms and these are decorated and furnished to a good standard. Residents confirm that the home is always clean & well kept and provides a homely and comfortable place to live.There are enough staff on duty at all times to meet the needs of residents effectively. The written care records are well kept and up-to-date and provide staff with the information they need to provide the right care to the residents. Residents are involved in planning their care and feel their views and opinions are valued and listened to. Residents are complimentary about the qualities of staff and management and feel they do a good job. The home offers residents a wide range of leisure activities including games, crafts and quizzes as well as the opportunity to see outside entertainers and to join in parties and special events. Food provided by the home offers residents variety and choice and is well presented in pleasant comfortable surroundings. What has improved since the last inspection? Since the last inspection the recruitment practices have improved to ensure the safety of residents. The residents, their relatives and visiting professionals are asked to express their views as part of the homes quality assurance system. Feedback is used by management to improve services to residents. Residents are provided with choices of menu on a daily basis and their choices are recorded. What the care home could do better: There were no new legal requirements arising from this inspection. CARE HOMES FOR OLDER PEOPLE Crossways Residential Care Home 306 Yorktown Road Sandhurst Berkshire GU47 0PZ Lead Inspector Julie Willis Unannounced Inspection 20th February 2008 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Crossways Residential Care Home DS0000011116.V357584.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. Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crossways Residential Care Home Address 306 Yorktown Road Sandhurst Berkshire GU47 0PZ 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) 01276 34691 shotum@excite.com Mr Tom Neehaul Mrs Naz Neehaul Mr Tom Neehaul Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th July 2006 Brief Description of the Service: Crossways is a residential care home providing 24-hour care to 10 older people over the age of 65. The home is an extended domestic dwelling over two floors with a passenger lift in situ. The home is within close proximity to local amenities and is well served by public transport and is close to the M3 and M4 motorways. The fees are from £430.00 to £500 per week. Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 11:00 am and was in the service for four and a half hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that CSCI has received about the service since the last inspection. Prior to the visit a questionnaire was sent to the Manager along with survey and comment cards for residents. Replies were used to help form judgements about the service. Consideration has also been given to other information that has been provided to the Commission since the last inspection. The inspector toured the building, examined records and met all of the residents. The inspector also spent time talking to staff and observing how care was being delivered to the residents. From the evidence seen by the inspector and comments received, the inspector considers that this service has a good awareness and understanding of equality and diversity issues and would be able to provide positive outcomes for residents in the areas of race, ethnicity, age, gender, sexuality, disability and belief. The inspector gave feedback about her findings to the senior member of staff on duty at the end of inspection. There were no legal requirements made as a result of this inspection. The Commission has received no information concerning complaints since the last inspection. What the service does well: The home is comfortable, clean and attractively decorated and furnished throughout. Residents are encouraged to personalise their own rooms and these are decorated and furnished to a good standard. Residents confirm that the home is always clean & well kept and provides a homely and comfortable place to live. Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 6 There are enough staff on duty at all times to meet the needs of residents effectively. The written care records are well kept and up-to-date and provide staff with the information they need to provide the right care to the residents. Residents are involved in planning their care and feel their views and opinions are valued and listened to. Residents are complimentary about the qualities of staff and management and feel they do a good job. The home offers residents a wide range of leisure activities including games, crafts and quizzes as well as the opportunity to see outside entertainers and to join in parties and special events. Food provided by the home offers residents variety and choice and is well presented in pleasant comfortable surroundings. 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. Crossways Residential Care Home DS0000011116.V357584.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 Crossways Residential Care Home DS0000011116.V357584.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): Standard 3 Quality in this outcome area is good. All prospective residents are fully assessed by the home before admission to ensure that the home will be able to effectively meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspector had the opportunity to meet residents and staff. It was clear from the discussions that prospective residents are only admitted to the home if the service is confident staff have the skills, knowledge and ability to meet their assessed needs. Examination of the documentation of the two most recently admitted residents confirmed that the home carries out a full holistic assessment of each residents needs before they are admitted to the home. The assessment is usually carried out by the homes Registered Manager in the prospective residents home or occasionally in hospital. The assessment is very thorough and involves the resident and their family or representative. Where a referral has been made by Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 9 the Local Authority Social Services department the home insists on receiving a summary of the care management assessment and care plan. From discussion with residents it is evident that the home provides residents with sufficient information during the assessment visit to prepare the resident for admission. All prospective residents and their relatives are invited to the home informally to meet staff and other residents, to view the room to be occupied and acquaint themselves with the homes daily routines. It is evident that significant planning is undertaken pre-admission to ensure that the resident’s move to the home is uneventful. This includes ensuring that the home has in place any specialist equipment needed by the individual during their stay. All residents are admitted on a trial basis to ensure that the resident is happy with their decision to move to the home. Following the initial 4 – 6 week trial period a review of the placement is held before the residents move to the home is confirmed as permanent. The inspector had the opportunity to meet both of the residents that were being case tracked. One of the residents confirmed that they had been visited by the management of the home pre-admission and had been provided with sufficient information about the home to enable them to make a decision as to whether to live there or not. They confirmed that they had been offered the opportunity to visit the home informally before they were admitted in order to tour the home and meet staff and other residents. Comments from residents were made about the admission process such as “everyone seemed so kind” and “I’ve never regretted my decision”. “Its nice to know you’re not alone and that people are there to help you”. Crossways Residential Care Home DS0000011116.V357584.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): Standards 7, 8, 9, 10 Quality in this outcome area is good. Residents are encouraged to make choices about their lives and to take everyday risks. The written records accurately reflect the individual needs, aspirations and lifestyle choices of each resident. The system for the administration of medication is good with clear and comprehensive arrangements in place to ensure the safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From discussion with staff, management and residents and from observation of practice the home was able to evidence that it understands that the delivery of care must be tailored to meet the needs of the individual. Observation of practice concluded that the staff were mindful of the need to provide care in a discreet manner, respecting the residents right to dignity, privacy, choice and independence. Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 11 Provision of personal care is not task oriented or rushed, and is wholly person centred. The staff are provided with sufficient time to over-see self care in order to maintain the residents abilities and independence. Examination of the care plans for five of the current residents evidenced that the plans maintained residents right to remain independent and promoted choice and autonomy. Residents confirmed that they have the opportunity to say how they wish to be cared for and have the opportunity to express choice in relation to all aspects of their life. All of the residents have a nominated key-worker that pays special attention to his or her needs and is responsible for ensuring the care plan is kept under review. The information contained in the care plan considers all aspects of a person’s lifestyle including their personal, health and social care needs. It recognises the person’s needs to be central to the care plan process. The resident’s involvement in the plan is fully documented. Within the service there is evidence of a good understanding of equality and diversity and staff are able to translate this knowledge into positive outcomes for people who use the service. Care plans are regularly reviewed and updated and any changes to the plan are discussed and agreed with the resident and their family. All risks to residents are fully assessed using a range of clinical tools and effective guidelines and equipment is in place to reduce the likelihood of occurrence. Residents told the inspector that they were provided with access to health and social care professionals when required. They said that screening and preventative treatments are offered routinely by their local GP. Several residents said that they had been vaccinated against flu this winter. Residents said that they could ask to see their doctor when they need to and community nurses visited to provide treatment. There was evidence on file that residents have regular chiropody treatments, hearing tests and sight tests and residents confirmed that they could choose who they consulted. From examination of the medication administration system and discussion with staff it is clear that the home follows best practice guidance in relation to the storage, administration and disposal of drugs. The system used for administration is the NOMAD system, which helps reduce the likelihood of drug error. All staff have been trained in the safe administration of medicines. All of the staff were observed to be polite and courteous to residents at all times. The inspector had the opportunity to speak with nine of the residents. All of the residents made favourable and complimentary comments about the quality of care provided by Crossways. Comments made were “its very good here, they really look after you” and “the staff are kind, they are always smiling and that cheers me up”. Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 12 Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14, 15 Quality in this outcome area is good. A range of activities is offered that provide opportunity for mental and physical stimulation. Residents are encouraged to maintain contact with their family and friends and are able to have visitors at any time. The home provides a varied and nutritious menu designed to meet the needs of its residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From discussion with the staff and residents it was clear that residents are offered the opportunity to participate in a range of activities suited to their needs. The Activity Organiser works from 9am until noon each day and is responsible for arranging the activities during the mornings. At the time of inspection residents were playing ball games and doing a reminiscence quiz which they appeared to enjoy. During the afternoon and early evening staff engage residents in dancing, sing-a-longs, board games, cards and various one-to-one activities. Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 14 The home has celebrated several peoples birthday and has held a number of special events when visitors and local dignitaries have been invited to attend. The inspector was shown an album of photographs, which have recorded these memorable events. Residents confirmed that their visitors are made most welcome at any time and are offered appropriate hospitality during their visits. A number of social events are held throughout the year which promotes community involvement and which provide residents families with the opportunity to engage with the staff and residents on an informal and regular basis. The residents spiritual needs are met by the local clergy who are regular visitors to the home. One resident has chosen and is supported by staff to spend time alone in prayer on a daily basis. The resident likes to go back to their bedroom away from the distraction of the homes daily routines and staff are aware of the need for the resident to have this quiet period of time each day in privacy. The menu provided by the home is varied and nutritious and has recently been changed to provide more individual choice and variety. The residents are encouraged to take meals in the dining room to aid socialisation. The residents were eating lunch on the day of inspection of pork stew, carrots, cabbage and creamed potatoes followed by semolina. Tea was sardines on toast followed by jelly and ice-cream. Residents confirmed that the food was well cooked and tasty. Residents commented, “ the food is tasty but there is always too much for me” and “its nice to have meals cooked for you, the food is reasonable and there is choice”. Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is good. The home has a satisfactory complaints system. Residents feel their views are listened to and acted upon. Residents are protected from abuse and exploitation by staff that can demonstrate knowledge of the homes abuse of vulnerable adults and whistleblowing policies. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaint policy in the home meets the requirement of Regulation and Standard it has been reviewed recently and has been produced in larger print for resident’s ease of use. Residents are provided with information on how to make a complaint, the predicted response time and the various stages in the procedure. The complaints process is displayed in the lobby and lounge area and all relatives have been provided with their own copy. Examination of the complaint records indicated that there have been no complaints made to the home since the last inspection. There has been no information about complaints reported to the CSCI since the last inspection. Residents said that that they felt confident that any concerns or complaints would be taken seriously by the home and efforts would be made to remedy any problems in a timely fashion. Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 16 There was evidence in staff files and from discussion with staff, that they receive training in ‘Safeguarding Adults’ as part of their formal induction to the home. The initial learning is later consolidated when staff undertake NVQ (National Vocational Qualifications) training in which it forms a core module. Staff interviewed were aware of the homes whistle-blowing policy and understood the importance of protecting residents from abuse and exploitation at all times. Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 Quality in this outcome area is good. The standards of décor and furnishings in this home offer residents a comfortable and homely place to live. Standards of hygiene are good throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the communal areas and a number of bedrooms were seen during the course of inspection. The lounge and dining areas have recently been redecorated to reflect the colour preferences of the majority of the residents. The dining room, lounge and corridors have been recarpeted and there are curtains on order to match the changes in decor. Residents say that they like the new decoration as its cheerful and bright. All bedrooms were highly personalised. Residents have been encouraged to bring with them small items of furniture, pictures and ornaments to individualise their room and make them homely. The home has recently Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 18 acquired two profiling beds with cot sides for two of the residents that are prone to falls. These have proven to be successful in keeping the residents safe. Residents confirmed that the home is always clean and well maintained and staff work hard to provide a pleasant environment for the residents. There are suitably equipped bathrooms and toilets conveniently situated around the home. The laundry has appropriate facilities for the laundering of resident’s clothes and linens and there are appropriate infection control procedures in place to protect residents from harm. The garden is very attractive and is laid to flower beds, an ornamental pond and lawns which are easily accessible to residents. There is a large patio outside the conservatory, which has comfortable seating and sun umbrellas in the summer. One of the residents confirmed that the conservatory was their favourite place in the home because it was always cooler than the lounge. In the warm weather the French doors are left opened so that residents may use the gardens Residents commented on the quality of the décor and furnishings in the home. Comments such as “its always warm and comfortable here”, “this home is kept nice and clean and tidy”. Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 27, 28, 29, 30 Quality in this outcome area is good. There were sufficient numbers of staff on duty at the time of inspection to meet the needs of residents. The skill mix of the staff team was appropriate for the size, layout and purpose of the home. Recruitment policies and procedures at the home are robust and transparent and ensure the safety of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From discussion with staff it was clear that the policies and procedures relating to selection and recruitment ensure residents safety and are robust, transparent and meet the requirements of current good practice guidance and legislation. The staff employment files were not available during this inspection but training and the inspector saw supervision records and discussion with staff clearly evidenced that the home was following proper recruitment practices to keep residents safe. Staff said that all new care staff undertake induction training to ‘Skills for Care’ specification within 6 weeks of appointment. Foundation training follows within the first six months. Core skills training is encompassed in the induction training and includes fire safety, first aid, health Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 20 & safety, manual handling, infection control, food hygiene and protection of adults. The staff training records evidenced that most of the current staff have either gained or are in the process of attaining NVQ qualifications at levels 2 & 3. All staff receive regular support and supervision. Staff confirm that they regularly attend team meetings at which they are encouraged to express their views and opinions. It is evident that the small staff team work well together. The domestic assistant is aware of the need to engage with residents as part of her work role and the Activity Organiser will happily help to feed residents or support them on a one-to-one basis as part of her duties. It is clear that the home is small and friendly and staff are committed to working with the residents in a flexible manner to improve their quality of life. The residents were highly complimentary about the staff team. Comments such as “excellent girls work here, they are all so kind” and “The staff here help us when we need it, and nothing is too much trouble” were made to the inspector. It is clear that the staff work well as a team. They are well-qualified and express caring attitudes towards residents. Staff turnover at this home is low and there is no reliance on agency staff to cover gaps in the roster. The care staff works overtime to ensure continuity of care to residents. Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 & 38 Quality in this outcome area is good. Resident’s benefit from living in a well managed home, where there is evidence that their health welfare and safety is of primary importance. The registered persons are qualified, competent and experienced to run the home for the benefit of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Homes Manager is an experienced registered nurse and has attained an NVQ 4 and the Registered Managers Award to further enhance her knowledge and skills. She has been appointed by Farnborough College to assess NVQ students and is a qualified facilitator for moving and handling training. Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 22 Staff confirm that the Homes Manager is a caring and effective leader and is always keen to support individual members of staffs personal and professional development. Staff confirm that they have the opportunity to express their opinions openly and have regular staff meetings, which follow a shared agenda. These meetings, supervision sessions and staff handover times provide plenty of opportunity for the staff to feel included and involved in the way the service is delivered. The whole team aspire to providing quality care to residents in line with the aims and objectives of the home and are kept well informed and up-to-date. Residents are complimentary about the management of the home. They say that the office is always open and accessible and the manager always makes time to speak with them. From discussion with residents it was evident that they are regularly consulted on issues that affect them and feel that their views are taken into account. A residents meeting is scheduled next week. From examination of the minutes of residents meetings there was evidence that when requests are made or concerns expressed in the meetings the issues raised are followed up promptly by management. The home undertakes regular quality audits and regularly provides residents with satisfaction surveys to complete. The most recent survey was carried out in December 2007. The outcomes have been collated to identify trends and to help identify where improvements can be made to services. Responses to recent questionnaires were generally very positive. The residents manage their own financial affairs or have family members that deal with their finances on their behalf therefore the home does not hold personal money for residents. Residents are regularly consulted about their care needs as part of the formal review process. They can ask to see their records at any time and will be given access. All records required by regulation were found to well maintained, secure and up to date. All staff were aware of the needs to treat information confidentially and to maintain records securely in accordance with the Data Protection Act 1998 and other statutory requirements. A number of health and safety records relating to fire safety and the maintenance of the hot water system were sampled and found to be accurately documented and up to date. Routine servicing and maintenance of equipment is carried out in accordance with the requirements of legislation and good practice guidance. Activities that pose a risk to users are fully assessed and procedures are put in place to reduce the risk of occurrence Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 23 Crossways Residential Care Home DS0000011116.V357584.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 x 3 x x 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 Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations Crossways Residential Care Home DS0000011116.V357584.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office 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 Crossways Residential Care Home DS0000011116.V357584.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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