Care Home: Daw Vale

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What the care home does well The people using the service had their care needs had been assessed and they had been reassured that their needs could be met, right from the start of their stay in the home. This was achieved through good information and communication prior to people coming into the home. People using the service had their health, personal and social care needs fully met. People were involved in decisions about their lives, and played an active role in planning the care and support they received. For example; Care Plans and assessments were well completed and included information focused on people`s needs and preferences. This meant that staff had the information they needed to care for people safely. Surveys returned to the Commission from the people using the service said, "they look after me well I have no complaints." I haven`t needed any help but I know the that others get the best of attention" The surveys consistently indicated that people were happy with the care and attention they received. Medication administration systems in the home were good so that staff dealt with peoples` medication safely and reliably. People who used the services were able to make choices about their life style, and were supported to develop their skills.Social, educational, cultural and recreational activities met most people needs and expectations. Activities and social events were available to people so that people enjoyed a varied lifestyle. People enjoyed an appealing, varied diet in pleasant surroundings, at a time that suited them. People said that the meals were "very good" and that there was "always a choice". People felt listened to and able to raise any concerns, and complaints and know they would be dealt with. The Staff were trained, skilled and competent and been subject to rigorous recruitment checks. This meant that people were well cared for by staff who were suitable to work with vulnerable people. One survey said, the staff cannot be praised more they are first class" People lived in a comfortable, clean well -maintained house, which offered a range of facilities and was safe. People lived in a well managed home, with the management, administration and staff team, working together to provide a stimulating, safe environment that respected and protected peoples` rights. One survey described the home as "an old fashioned home with very caring staff". What has improved since the last inspection? The Annual Quality Assurance Audit lists improvements in care planning and assessment, ensuring reviews of care plans have been completed, an increase in social outings, regular residents quality meetings and the redecoration and refurbishment of peoples rooms. What the care home could do better: There was a storage area for some medication that although secure was made of wood. This did not comply with good practice standards in the safe storage of medication. Consideration should be given to replacing this area, so that it is in line with good practice standards. The recording of complaints could be improved. The recording of complaints should become routine and should include clearly recording the outcome of the complaint and how it was resolved The numbers of staff on duty could be reviewed. Staff said that the numbers of staff on duty for the numbers and needs of the people living at the home weresufficient at the moment. Staff were concerned that should needs change or numbers increase they may have more difficult in caring for people. The numbers of staff employed needs to be continually monitored and the numbers of staff increased as required to ensure peoples` needs are consistently and fully met. The induction for new staff employed in the home, while affective, is not as detailed or as up to date as it could be. The induction process and record should meet the current induction standards as recommended through skills for care. This will ensure that all staff are consistently and comprehensively meeting standards. CARE HOMES FOR OLDER PEOPLE Daw Vale 56 West Cliff Road Dawlish Devon EX7 9DY Lead Inspector Andrea East Unannounced Inspection 14:20 1 October 2008 st 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 Daw Vale DS0000032522.V369412.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. Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Daw Vale Address 56 West Cliff Road Dawlish Devon EX7 9DY 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) 01626 863447 01626 888854 lesley.valentine@devon.gov.uk http/www.devon.gov.uk Devon County Council Lesley Jane Valentine Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (19), Physical disability (12) of places Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the physical disability category may be accommodated from the age of 55 years. 10th October 2007 Date of last inspection Brief Description of the Service: Daw Vale is a care home providing personal care and accommodation for 31 Older People within the category of old age, with or without physical disability. It has 12 beds for short stay use and for rehabilitative care, for people with physical disability over 50 years of age. The home is located on the outskirts of Dawlish, close to shops, a library, churches, doctors surgeries, hospital, pharmacies, communal gardens, public houses, a post office and a railway station. All bedrooms are for single occupancy. The home has gardens and patio areas with seating and ample parking spaces to the front. The service users guide can be found in the homes entrance and is also available on request. The weekly cost of care at the home is: lowest £281.00 and the highest £372.00. Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star, This means the people who use this service experience good quality outcomes. The inspection site visit was carried out over one day. A range of documents including staff and individuals’ files, policies and procedures were examined. People were spoken to in the homes lounge and in private rooms and assistant managers care and domestic staff were also spoken with. The homes manager was present throughout the inspection. Feedback about the home was also received by post in survey questionnaires, in the homes Annual Quality Assurance Audit, and by the homes own quality assurance system. What the service does well: The people using the service had their care needs had been assessed and they had been reassured that their needs could be met, right from the start of their stay in the home. This was achieved through good information and communication prior to people coming into the home. People using the service had their health, personal and social care needs fully met. People were involved in decisions about their lives, and played an active role in planning the care and support they received. For example; Care Plans and assessments were well completed and included information focused on people’s needs and preferences. This meant that staff had the information they needed to care for people safely. Surveys returned to the Commission from the people using the service said, “they look after me well I have no complaints.” I haven’t needed any help but I know the that others get the best of attention” The surveys consistently indicated that people were happy with the care and attention they received. Medication administration systems in the home were good so that staff dealt with peoples’ medication safely and reliably. People who used the services were able to make choices about their life style, and were supported to develop their skills. Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 6 Social, educational, cultural and recreational activities met most people needs and expectations. Activities and social events were available to people so that people enjoyed a varied lifestyle. People enjoyed an appealing, varied diet in pleasant surroundings, at a time that suited them. People said that the meals were “very good” and that there was “always a choice”. People felt listened to and able to raise any concerns, and complaints and know they would be dealt with. The Staff were trained, skilled and competent and been subject to rigorous recruitment checks. This meant that people were well cared for by staff who were suitable to work with vulnerable people. One survey said, the staff cannot be praised more they are first class” People lived in a comfortable, clean well -maintained house, which offered a range of facilities and was safe. People lived in a well managed home, with the management, administration and staff team, working together to provide a stimulating, safe environment that respected and protected peoples’ rights. One survey described the home as “an old fashioned home with very caring staff”. What has improved since the last inspection? What they could do better: There was a storage area for some medication that although secure was made of wood. This did not comply with good practice standards in the safe storage of medication. Consideration should be given to replacing this area, so that it is in line with good practice standards. The recording of complaints could be improved. The recording of complaints should become routine and should include clearly recording the outcome of the complaint and how it was resolved The numbers of staff on duty could be reviewed. Staff said that the numbers of staff on duty for the numbers and needs of the people living at the home were Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 7 sufficient at the moment. Staff were concerned that should needs change or numbers increase they may have more difficult in caring for people. The numbers of staff employed needs to be continually monitored and the numbers of staff increased as required to ensure peoples’ needs are consistently and fully met. The induction for new staff employed in the home, while affective, is not as detailed or as up to date as it could be. The induction process and record should meet the current induction standards as recommended through skills for care. This will ensure that all staff are consistently and comprehensively meeting standards. 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. Daw Vale DS0000032522.V369412.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 Daw Vale DS0000032522.V369412.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people using the service were confidant that their care needs had been assessed and that their needs could be met, right from the start of their stay in the home. The services provided did not include intermediate care. EVIDENCE: Two files holding a range of information were examined. Files held preadmission assessments on peoples, needs, preferences and details of how people wished to be cared for. People said that they had been offered the opportunity to visit the home before moving into the home on a more permanent basis. Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 10 The manager, said that people were welcome to stay in the home on a probationary period, to ensure that they settled into the home and were happy with the services provided. This had included a tour of the building, lunch and the opportunity to talk to staff and some of the people living at the home. People had received a range of information about the home and had a chance to talk about there individual needs before moving into the home. People received information about the services provided, through informal discussion and in a service users guide and statement of purpose. These documents had been made available to everyone living at the home. These documents were also available for people thinking of moving into the home and available on request. Daw Vale DS0000032522.V369412.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People using the service had their health, personal and social care needs fully met and this was set out in an individualised plan of care. People were involved in decisions about their lives, and played an active role in planning the care and support they receive. People were treated with dignity and respect and their privacy was upheld EVIDENCE: Two files, including a range of information, on peoples needs were examined. Care Plans and assessments were well completed and included information focused on people’s needs and preferences. The assessment process included asking people what name they wished to be called by and what routines they wanted to continue with: for example what time people wanted to get up, what time they wanted to go to bed and how they wished to spend the day. Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 12 Assessments also included detailed medical histories, personal safety issues, including any history of falls and any mental health concerns or considerations. People said that they felt well cared for by staff and that they were asked about how they wished to be cared for. Care Staff were observed offering a range of choices to people, so people were actively involved in their care. For example; staff offered the choice of what bubble bath individuals wanted to use, where they wanted to sit at the dining area and if they wished to remain in their room. Ongoing daily records such as diaries, communication books, reviews of care plans and daily evaluations showed constant consideration to peoples changing needs. Records also included information on health professionals visits. Staff described peoples’ needs and preferences and demonstrated a gentle, flexible approach in meeting peoples’ needs. Surveys returned to the Commission from, service users and staff said “they look after me well I have no complaints” and “I haven’t needed any help but I know that others get the best of attention”. The surveys consistently indicated that people were happy with the care and attention they received. Medication administration systems in the home were good. Medication was stored safely and administered by staff who knew the medication policy and procedures well. People said that staff dealt with their medication safely and reliably. Medication records examined were well maintained and the manager and staff looked for ways to continually improve medication systems. There was a storage area for some medication that although secure was made of wood. This did not comply with good practice standards in the safe storage of medication. This in no way affected the security or safety of peoples’ medication. However consideration should be given to replacing this area, so that it is in line with good practice standards. Daw Vale DS0000032522.V369412.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People’ s lifestyle in the home met their expectations and satisfied their needs. People who used the services were able to make choices about their life style, and were supported to develop their life skills. Social, educational, cultural and recreational activities met individual’s expectations. People enjoyed an appealing, varied diet in pleasant open surroundings, at a time that suited them, with attentive considerate support from staff. EVIDENCE: People said that friends and family were welcomed into the home at any time. People also described how relatives and friends were also invited to join in with fundraising events, special celebrations and activities. The manager described in the homes Annual Quality Assurance Audit how people are supported in pursuing interests and hobbies and making choices. Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 14 The Annual Quality Assurance Audit said “We have an activity plan that the service users contribute to as part of quality meetings. These activities are run on a daily basis and all service users are actively encouraged to take part if they wish” The activities were posted on the notice board and included trips out of the home for coffee and shopping. Surveys from the people using the service said that activities were provided “always” and “sometimes”. Staff also undertook activities with some of the people in the home and this was monitored and recorded. People said that they really valued the time and energy staff spent on trying to provide a stimulating and varied range of entertainments and activities. They also appreciated the one to one discussions with the staff. A range of documents including risk assessments, care plans and ongoing daily records showed how those people using the service were encouraged to maintain links outside of the home and with families and friends. Staff described how people were supported to make day- to- day choices in care, for example; in making sure that people wore their favourite accessories to, people deciding how they wished to spend their time. The people using the service praised the quality of the meals provided and said that they were pleased with the level of choice of menu on offer. Lunch was served as the main meal of the day. People said that there was always a choice of menu and people were welcome to have visitors join them for lunch. Care and management Staff was observed helping people in the upstairs lounge and dining areas. Staff were kind, considerate and gave people the opportunity to eat at a pace that suited them. Daw Vale DS0000032522.V369412.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who used the service were able to express their concerns, and complaints and suggestions from those using the service, relatives or other visitors to the home were treated seriously. People were protected from abuse, and had their rights protected. EVIDENCE: The people using the service said that they felt able to talk to all the staff including the manager about any concerns issues or worries. There was a format for writing down complaints, this did not include clearly recording the outcome of the complaint and how it was resolved. The last entry in the “complaints book” was dated May 2007 indicating that this book is not routinely or consistently used. Staff said that people rarely made complaints and that minor concerns were often so quickly addressed that they were not really seen as complaint. More formal complaints were addressed through Devon County Council policies and procedures and recoded on individuals’ files. Surveys from the people using the service said that people were aware of how to make a complaint “but had no need to”. Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 16 Staff records showed that care staff had received training in issues relating to the protection of vulnerable adults. The manager had recently completed extended training in investigation of complaints and how to deal with potential abuse issues. Since the last inspection there had been two safeguarding referrals about possible abuse issues. The manager responded positively to the findings of the referral, which highlighted some areas of improvement in reporting safeguarding issues. The manager and staff team had introduced changes in procedures, so that all staff, were aware of how and when to report possible safeguarding issues. Staff, were aware of the newly introduced procedures and knew how to raise concerns if necessary. Daw Vale DS0000032522.V369412.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People lived in a well -maintained house, which offered a range of facilities and was comfortable, clean and safe. EVIDENCE: Daw Vale l presented as a spacious environment that provided people with wide corridors, good -sized bedrooms, bathrooms equipped for the use of persons requiring assistance and comfortable communal rooms. The manager described the home, in the homes Annual Quality Assurance Audit. It said “Daw Vale has thirty one beds that are split into three categories of care. We have some large bedrooms but most are used as single rooms. all out communal lounge and dining areas are decorated to a high specification. We have a private lounge that people use when they need more space for visitors. We also have a telephone and writing room for clients to use”. Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 18 On touring the premises the home appeared to be clean, tidy and comfortable. The lounge and dining areas presented as pleasant, welcoming areas, that the people using the service were observed enjoying, as they were using these areas to socialise in. People were chatting in the lounge with staff and the other people living at the home. Surveys from staff and the people said the home “was always clean and fresh”. The manager, assistant managers and staff in other parts of Devon County Council had reviewed and updated a range of information for staff in policies and procedures, including health and safety and risk assessments for the premises. All areas of the home including peoples’ individual rooms had been personalised with items of furniture, photographs and ornaments. Daw Vale DS0000032522.V369412.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people using the service, were supported by Staff, who were trained, skilled and competent. Staff had been subject to rigorous recruitment checks. EVIDENCE: The people using the service described the staff as kind and caring and one survey said; “the staff cannot be praised more they are first class” The manager and staff said that the home continued to support staff to complete a range of training based on the needs of the people using the service. This included training in key areas such as infection control, health and safety and first aid. Staff training records and supervision records for staff showed that staff had completed internal and external training. This included staff completing National Vocational Training in Care at level two or above. A sample of staff files were examined and they included completed application forms, interview notes, proof of identity, reference and police checks. Staff files also held details of staff induction into the home, staff supervision and any disciplinary action the home had taken. These records demonstrated the homes commitment to ensuring that only those suitable to work with vulnerable adults were employed in the home. Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 20 Surveys from staff gave mixed comments on communication in the home. Some surveys said the home could be improved by “Better communication between all members of staff “, “we need better communication within the service” and “ once passed on information it is not always passed on to the management.” Other surveys said the opposite praising the communication between staff. For example: “Our home communicates well, which ensures that the right care is given to individuals” Staff said that they felt well supported and that communication in the home was good. Surveys from staff, expressed concern at the numbers of staff employed at the home. “Very caring staff who have limited resources and staff shortages which impinges on clients”. “As we currently have the rehab and respite unit closed we have enough staff. Before it shut were at times understaffed. We have recently recruited staff.” Staff said that the numbers of staff on duty for the numbers and needs of the people living at the home were sufficient at the moment. Staff were concerned that should needs change or numbers increase they may have more difficult in caring for people. The numbers of staff employed needs to be continually monitored and the numbers of staff increased as required to ensure people’s needs are consistently and fully met. The manager had developed a detailed induction process and record for staff newly employed in the home. This induction process and record did not meet the current induction standards as recommended through skills for care. Daw Vale DS0000032522.V369412.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People lived in a well managed home, with the management, administration and staff team, working together to provide a stimulating, safe environment that respected and protected peoples’ rights. EVIDENCE: The home was well managed by the manager, assistant manager and staff team who worked together with the people living at the home to make sure that people received the services they wanted. The manager and assistant managers had a range of training and skills that they had continued to update to ensure that good care practices were carried out. Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 22 One survey from someone living at the home said “if I was to see an inspector it would only to say how good the home was” People said that they felt safe and that what they wanted or were concerned about someone in the home would “always sort out”. Throughout the visit to the home people repeatedly said that the home “was well run and they “enjoyed living here”. Records required to be kept on the management of the home and the care people received were well completed and regularly reviewed and updated. This included risk assessments for the premises and for individuals’ specific needs. In addition a detailed recorded quality assurance system was in place in the home. The manager and staff team had implemented a range of quality assurance systems including asking the people living at the home their views Staff training and supervision, was carried out on a routine regular basis, so that staff were aware of peoples needs and how to care for them. Peoples’ finances and personal allowances were well managed by the home. People were supported to manage their own finances with support of relatives and outside advocates such as solicitors. Good record keeping systems were in place to safeguard people’s finances and these records were audited. Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 23 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 x x 3 Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 24 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 2 3 Refer to Standard OP9 OP16 OP27 Good Practice Recommendations Consideration should be given to replacing a storage area for medication, that although secure was made of wood. The recording of complaints should become routine and should include clearly recording the outcome of the complaint and how it was resolved The numbers of staff employed should be continually monitored and the numbers of staff increased as required to ensure people’ needs are consistently and fully met. The induction process and record should meet the current induction standards as recommended through skills for care. 4 OP30 Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Daw Vale DS0000032522.V369412.R01.S.doc Version 5.2 Page 26 - 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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