Care Home: Derwent Care Home

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What has improved since the last inspection? What the care home could do better: The provider and manager have their own plans to continue to develop and improve the quality of the care provided.Derwent Care HomeDS0000072397.V374787.R01.S.doc Version 5.2 Page 8 Key inspection report CARE HOMES FOR OLDER PEOPLE Derwent Care Home Newcastle Road Low Westwood Newcastle upon Tyne NE17 7PL Lead Inspector Mary Blake Key Unannounced Inspection 3rd April 2009 09:30 DS0000072397.V374787.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Derwent Care Home Address Newcastle Road Low Westwood Newcastle upon Tyne NE17 7PL 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) 01207 563 886 01207 563 905 Dolphin Property Co Ltd Marion Lydia Redhead Care Home 44 Category(ies) of Dementia (44), Old age, not falling within any registration, with number other category (44) of places Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP, maximum number of places 44 Dementia - Code DE, maximum number of places, 44 The maximum number of users who can be accommodated is 44 2. Date of last inspection New Registration Brief Description of the Service: Derwent Care Home is purpose built and provides personal and social care for older people some of whom have dementias, the home does not provide nursing care. The home is accessible to all local amenities and public transport. The residents’ accommodation is on three levels. Staffing and support services such as kitchen and laundry are on the base level. All are en-suite bedrooms. There are several communal lounges and two dining rooms. There is a hairdressers, coffee room, sensory room and a conservatory, and balcony area. There are bathrooms, shower rooms and toilets on all floors and close to all resident areas. There is level access for wheelchairs users to the main entrance and lift access to all floors. The fees for the home are from £475 to £495 per week. The statement of purpose is available to residents, families and visitors. Derwent Care Home DS0000072397.V374787.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 3 star. This means that the people who use this service experience excellent quality outcomes. An unannounced visit was made on the 3rd April 2009. The manager and company representative were present throughout the inspection. Before the visit: We looked at: • Information we have received since previous inspection. • How the service dealt with any complaints and concerns. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff and other professionals. • The Annual Quality Assurance Assessment (AQAA), which is a selfassessment document, was sent to the home for their completion. During the visits we: • Talked with people who use the service, relatives, staff, the manager and company representative. • Looked at information about the people who use the service and how well their needs are met, • Looked at other records which must be kept, • Checked that staff had the knowledge, skills and training to meet the needs of the people they care for, • Looked around parts of the building to make sure it was clean, safe and comfortable. • Checked what improvements had been made since the last visit We told the manager and company representative what we found. What the service does well: Staff were kind and considerate when helping people who use the service. People who use the service and relatives explained the admission process; this usually includes a visit from the manager. This helps new residents identify their own needs and enables staff to meet their needs during their stay. Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 6 The service gives excellent support to enable individuals to make decisions and participate in the running of the home. People who use the service said, and it was seen, that staff were kind, considerate and supportive. People who use the service and their families are fully involved with their care plans. Staff were friendly and relaxed with the inspector and were keen to discuss their work and the care needs of people who use the service. The home and staff create a positive atmosphere, which people commented upon and which is welcoming to families and visitors. The home has strong links with supporting health professionals, who give excellent health support to people who use the service. An extensive range of social activities takes place both within and outside of the home and this gives people who use the service the opportunity to meet, mix and socialise with others. The food provided is of a good standard, with good choice and variety. The dining rooms are well laid out with good staff attendance enabling people to have a pleasant and social mealtime. There is a complaints procedure and in addition the views of people who use the service are actively sought. They felt their views were listened to and acted upon. The home is furnished and decorated to a very high standard and provides comfortable and pleasant surroundings for people who use the service. Individual bedrooms are very well furnished and all are ensuite. Aids and adaptations assist people to move freely and independently around the home. Bathrooms and showers are of a high standard with a number of assisted facilities to enable people who use the service to feel more comfortable and supported to enjoy this time. The communal areas are well decorated and used for a range of social events. The home is well staffed with a skilled, consistent and trained staff team giving security to people who use the service. Staff recruitment and training records were clear and concise and contained all relevant information. The vetting process helps protect people who use the service. The staff have a good understanding of the individual needs of people who use the service, who were very complimentary about the staff. More than fifty percent of staff have undertaken National Vocational Training in Care at level Two or above and exceed the minimum standard, ensuring people Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 7 who use the service receive care from a skilled and knowledgeable staff team. Staff have continued to undertake training and spoke of using this knowledge in their practice. People who use the service live in a home, which is very well run and managed. What has improved since the last inspection? What they could do better: The provider and manager have their own plans to continue to develop and improve the quality of the care provided. Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 8 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 9 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 Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 10 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5 6 Intermediate care is not provided People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service and their families have clear information they need to make an informed choice on where they live and have their needs fully assessed before admission to the home. EVIDENCE: The statement of purpose and service user guide are available to people who use the service and their families, these gave all relevant information and are in an easy to read format. There are additional copies of this information at the entrances to the home. Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 11 All people who use the service are given a contract to which they have agreed, it gives clear information about fees and extra charges. The use of advocates to support service users is encouraged. People who use the service and their families have the information they need to make an informed choice before their stay and receive a written agreement. They have their needs assessed and are reassured how these needs will be met. Pre-admission assessments are undertaken and reflect the needs of the people who use the service. Care plans had good information to ensure that the home can meet the needs of the prospective service user. The manager is involved in the decisions and in the majority of instances visits the people herself prior to their admission. The service is efficient in obtaining a summary of any assessment undertaken through care management and working closely with the care management team. The assessment focuses on achieving positive outcomes for people and ensuring that the facilities, staffing and specialist service provided by the home meet the diverse needs of individuals. People who use the service and their relatives spoke of visiting the home prior to admission and that this was useful to reduce anxiety and make the settling in process easier. Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 12 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are having their health and personal needs met by the staff in the home and the staff are skilled in providing the care in a sensitive and dignified manner. They receive their prescribed medication in line with safe working practices and good systems were in place to provide end of life support for people who use the service and their families. EVIDENCE: The key principle of the home is that people who use the service, where able, are in control of their lives and they direct the service. Staff support individuals to lead purposeful and fulfilling lives as independently as possible. The care plans are developed with the individual based on a full and up to date holistic assessment. Three care plans were examined; they were of a good Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 13 standard, with relevant risk assessments for the prevention of falls, nutrition, moving and assisting, continence promotion. The plans had been consistently reviewed and updated on a regular basis. These plans were clear and easy to understand. Staff and families have been particularly involved in the development of life history books, which were excellent and used positively with people with impaired memory. Individuals were aware of the advocacy support available and had used this to support their views. The care plans showed that people who use the service have access to all NHS services and facilities if required. A number of assessment tools are in use. Daily reporting of peoples care was good with any changing health care being reviewed and updated in the care plan. Staff ensure that personal support is flexible and is able to meet changing needs and people have their wishes recorded on how they prefer their care. Excellent links are established with the local general practitioner who holds weekly health clinics at the home and provides pharmacy support and advice. The medicines in the home are well managed and safely disposed. The medicines were stored safely. The controlled drugs procedures were satisfactory. Monthly medication audits are undertaken and the local general practitioner provides pharmacy support and advice in general and on an individual basis for people who use the service. Staff were treating people who use the service with respect and dignity. Personal care was given in privacy. Staff used peoples preferred name at all times. Relatives and people who used the service were very complimentary about the staff in the home “they give you time” “they always knock” “I can have help when I need it but they don’t intrude” and they felt that they were able to have privacy in their own rooms. The end of life wishes of people who use the service were recorded within their care plans, links had been established with supporting health workers and staff were undertaking training in palliative care. Derwent Care Home DS0000072397.V374787.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Daily life and experience of activities meets people’s expectations of the service. People are very well supported to live full and active lives, and keep links with family and the local community. EVIDENCE: Central to the homes aims and objectives is the promotion of the individuals right to live an ordinary and meaningful life, both in the home and in the community. People who use the service were generally happy and enjoyed being able to move freely around the home. Relatives and people who use the service felt that there was an extensive social activities programme both within and outside of the home and this was thoroughly enjoyed by all. People had been involved in photography, art and researching the history of their community. Each individual has a ‘pen picture’, which outlines their interests and activities they have taken part in on a daily basis. Individuals have the choice to follow their spiritual beliefs and attend church services if they wish. Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 15 The home has sought the views of the people who use the service by questionnaires, meetings, individual social assessment and family reviews. Social activities staff are employed but each staff member had a holistic approach to meet individual needs. The daily activities that had been provided were varied and thoroughly enjoyed. People who use the service are encouraged to go to places in the local area and families are encouraged and supported to take them out and about. The local community participates in home events, which people said they really enjoyed. People who use the service take control of their daily routines in simple but important ways including the time they get up, what and when they eat and how they spend their time. They said they are able to make choices about how they spend their day. The individuals’ bedrooms were personalised and people who use the service said they were very happy with the decoration and furnishings. People who use the service have visitors at any time and are able to use their own rooms, the small lounges or the larger, busier lounges to receive them. The meals served were good and people said they enjoyed the food, which was well cooked. Staff support was on hand. The tables were nicely set and lunch was seen as social occasion. Hot and cold drinks were readily available. The chef is part of the staff team and made themselves available to people who use the service for comments and requests. Pictorial menus are being developed to support people’s choice at mealtimes. Derwent Care Home DS0000072397.V374787.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 and 18 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns, and have access to an effective complaints procedure, and are protected from abuse, and have their rights protected. EVIDENCE: The home ensures that people who use the service and their relatives are aware of the complaints policy by making it available in a variety of places. Complaints are managed satisfactorily and the necessary action taken and recorded. The complaints procedure is displayed in the home and available to individuals and their families. The records of the complaints made to the home was examined and was satisfactory. People who use the service and their relatives spoken to knew how and who to complain to and were confident that their concerns would be dealt with commenting, “we know they will listen to any issues” “the manager always available when needed” “they always respond”. Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 17 People who use the service have their legal rights protected by the use of advocates and staff have undertaken training in deprivation of liberty and the mental capacity act. The manager stated that staff were aware of the whistle blowing policy and informing the manager of any incidents or issues of which there are concern. Staff confirmed this. The manager and the majority of staff had completed Protection of Vulnerable Adults training. Further staff training is planned. Derwent Care Home DS0000072397.V374787.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 and 26 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enable people to live in a safe, well maintained and comfortable environment, which encourage independence. EVIDENCE: The new home is purpose built over four floors to provide care for a range of need. The people who use the service accommodation are divided across three floors. The lower floor is used for support services like the hairdresser, office, staff room, kitchen and laundry. The location and layout is suitable for the people who use the service. There are lounges and dining rooms. These are pleasantly decorated and furnished. Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 19 People who use the service were able to move freely around the communal areas and there was a range of television and audio equipment available for their use. The décor and use of objects such as lights switches, rummage bags, pictures and various materials have provided added interest for people with memory loss and were seen as a positive factor in the occupation and fulfilment of people who use the service. Individuals are involved in personalising their own rooms. The rooms are of a very high standard, ensuite, the fixtures and fittings are of a high quality, well maintained and adapted to meet the wishes of the individual. There are assisted bathrooms and showers on each floor, toilets near to all communal areas as well as ensuite facilities in each bedroom. People who use the service were very positive about the home There are additional services such as a coffee lounge, hairdressers and sensory room. The home was extremely clean and has good hygiene practices. Derwent Care Home DS0000072397.V374787.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager ensures there are adequate numbers of staff on duty that have appropriate skills and experience to care for the people who use the service. The recruitment processes in place protect people who use the service and external and internal training takes place providing a skilled, consistent staff team. EVIDENCE: Staffing rotas showed that there are enough staff are on duty to meet the necessary staffing levels for current number of people who use the service. When sickness and staff holidays occur home staff provide cover. Agency staff are not used. The manager is currently building her own bank staff team to provide consistent, trained staff during staff absence. There is minimal staff turnover, which provides consistent care for people who use the service. The home operates with two senior carers and six carers during the day and one senior care and four waking night staff. Management and excellent ancillary support is also on hand. There is daily kitchen and domestic support. Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 21 Social activities staff work over the seven days. Staff have experience on working on all floors enabling a consistent approach to care. People who use the service commented, “The staff cannot do enough to help us” “staff are easily contactable day or night”. Three staff recruitment files across all grades were examined and were satisfactory. Staff undertake induction, mandatory training, National Vocational Qualifications in Care and other training. This was clarified from the sample of records inspected and discussions with staff. Staff spoke knowledgably about the individual needs of people who use the service. All staff receive a staff handbook and the General Social Care Code of conduct booklet. Sixteen staff had completed NVQ two or above and an additional sixteen were undertaking this course, exceeding the minimum standard of 50 of qualified staff. Each staff member has an individual training plan and receives an annual appraisal. Twelve staff have undertaken training in the care of people with dementias with a further ten staff currently attending. Staff share training with the local health service and on the day of inspection were receiving individualised training on transferring and use of aids by an occupational therapist. Regular staff meetings are held for management, carers (day and night) and ancillary staff and these were documented. Policies and procedures are available with one being highlighted monthly for staff to read, question and confirm their understanding. Derwent Care Home DS0000072397.V374787.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37 and 38 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service live in a home, which is well run and managed by an experienced and qualified person. The manager has good systems in place to organise the home taking into account the needs and wishes of the people who use the service. Excellent quality systems have been established and are being developed. EVIDENCE: The registered manager has the Registered Managers Award and National Vocational Qualification in Care (level 4), as well as many years experience and supporting training. The manager has undertaken additional training in palliative care, nutrition and well being, health and safety, leadership and Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 23 management, safeguarding investigations, dementia, mental capacity and deprivation of liberty. The manager is only responsible for Derwent Care Home. The manager has an open and inclusive style that was commented upon by staff, residents and relatives. She undertakes daily walkabout to talk to people who use the service, staff and visitors, has an open door policy and holds weekly evening surgeries for any queries. The people who use the service and staff made positive comment about the provider, manager and staff team; they gave examples of improved practices and of the staff team taking time to listen and respond to any concerns they may have. Regular meetings had been held for people who use the service, relatives and staff to discuss and review practices and the running of the home. Relatives meet regularly at the home to provide information and support for one another. Three monthly questionnaires are given to people who use the service, relatives (posted to those not within the area) and any supporting service. These are reviewed and any issues acted upon and feedback given. The providers quality assurance and audit systems are comprehensive covering areas such as medication, home manager audit, catering. Weekly provider visits are undertaken with good written reports and any issues addressed. Accidents are recorded effectively with accident analyses being completed and risk preventions being undertaken to safeguard people who use the service. A sample of individual monies showed that the system for checking monies was satisfactory. Staff supervision records showed a comprehensive process and that the timescales of six per year would be met. Records, policies and procedures were established, clear, concise and appropriately recorded and stored. Fire and other system testing had been undertaken at the recommended timescales and systems established for maintenance to be undertaken when necessary. Derwent Care Home DS0000072397.V374787.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 3 3 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 3 18 3 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 3 4 4 4 4 Derwent Care Home DS0000072397.V374787.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 Derwent Care Home DS0000072397.V374787.R01.S.doc Version 5.2 Page 26 Care Quality Commission North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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