Care Home: Druids Meadow

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What the care home does well This is a well managed home with a core staff group committed to delivering good care to residents. The home has lots of communal space, which residents can access for company or quiet space. There are good links with an array of multidisciplinary health professionals, which ensure that residents` health needs are being met. Residents` rooms are individualized with personal possessions. Residents` clothes were nicely laundered. Staff interaction with residents was relaxed and friendly ensuring a happy atmosphere within the home. Residents and relative commented "staff were kind" and "staff friendly and helpful". A variety of leisure and recreational facilities are available for residents. Staff are recruited safely ensuring all required checks such as CRB disclosure are made before appointment. Visiting was flexible and the staff welcome visitors. The staff were able to demonstrate that pre-admission documentation was comprehensive, ensuring that residents are not admitted to the home unless their needs have been further assessed. What has improved since the last inspection? Redecoration and refurbishment of the home and ground continue to enhance the environment for residents Care planning and assessments have improved and only minor work is required to ensure it meets the standard. Supervision frequency has increased ensuring staff are supported to meet the needs of residents`. The Service Users Guide has been updated to ensure that residents` are aware of what the home has and can offer. Further work is required to this document to ensure that residents are fully aware of the fees charged by the home. All residents have a contract of residency available to them so they are fully aware of their rights and obligations. A review of systems for monitoring tissue viability and nutrition has taken place, with the aim of identifying residents at risk so that appropriate interventions can take place. What the care home could do better: The medication management has improved but will require further attention to ensure that residents are safe and protected Training has occurred in a wide variety of areas however further training is required in a number of areas to ensure staff have the skills and competency to protect and maintain the well-being of residents. CARE HOMES FOR OLDER PEOPLE Druids Meadow 6 Manningford Road Kings Heath Birmingham B14 5LD Lead Inspector Karen Thompson Key Unannounced Inspection 12 November 2007 13:25 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 Druids Meadow DS0000033439.V337079.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. Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Druids Meadow Address 6 Manningford Road Kings Heath Birmingham B14 5LD 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) 0121 430 5421 0121 430 8603 Not known Birmingham City Council (S) Mrs Sandra Ann Middleton Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. The home is registered to accommodate 45 adults over 65 years who are in need of care for reasons of old age and may include mild dementia Registration category will be 45(OP) Minimum staffing levels are maintained at 6 care assistants plus a senior member of staff throughout the waking day of 14.5 hours In addition to the minimum staffing levels above, there must also be 3 waking night care staff plus a senior on waking or sleeping-in duty. Care/shift manager hours and ancillary staff should be provided in addition to care staff. 27th July 2006 Date of last inspection Brief Description of the Service: Druids Meadow is purpose built, 45 bedded home for older people. The home offers a service to forty long stay and five short stay residents with a variety of needs. The home is situated on the outskirts of a residential estate in Druids Heath and is close to local shops and amenities with easy access to several public transport routes. The home is a three-storey building that offers single bedroom accommodation on each floor. The ground floor has a large dining room, a hairdresser’s room, two communal lounges, one visitors lounge, the laundry, main kitchen, medical room and office. There are two lounges and kitchenette on the first floor. On the second floor there is also a lounge, dining room and kitchenette. There are bathing/showering and toilet facilities throughout the home that are equipped to enable staff to assist Service users where necessary. To the rear of the home is a large fenced garden and to the front a large car park. Fees at the time of inspection ranged from £66.85 to £140.55 per week. The Department of Adults and Communities do financial assessments. For up to date fee information the public are advised to contact the home. Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by us is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that needs further development. This inspection was unannounced and conducted over two days commencing on 12 November 2007. This was the first statutory key inspection for 2007/2008 and the manager was present for the duration of the inspection. Information was gathered from a number of sources: a questionnaire was completed prior to the inspection by the manager (AQAA) and on the day of the inspection a tour of the building was undertaken, records and documents were examined in relation to the management of the home, conversations took place with managerial and care staff plus visitors and residents. A number of residents were unable to communicate their views verbally to the inspector so direct and indirect observation was used to assist with the inspection process. Three residents who live in the home were ‘case tracked’ which involved establishing the individuals’ experience of living in the care home by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes of their lives in the home. Tracking people’s care helps us understand the experience of people who use the service. What the service does well: This is a well managed home with a core staff group committed to delivering good care to residents. The home has lots of communal space, which residents can access for company or quiet space. There are good links with an array of multidisciplinary health professionals, which ensure that residents’ health needs are being met. Residents’ rooms are individualized with personal possessions. Residents’ clothes were nicely laundered. Staff interaction with residents was relaxed and friendly ensuring a happy atmosphere within the home. Residents and relative commented “staff were Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 6 kind” and “staff friendly and helpful”. A variety of leisure and recreational facilities are available for residents. Staff are recruited safely ensuring all required checks such as CRB disclosure are made before appointment. Visiting was flexible and the staff welcome visitors. The staff were able to demonstrate that pre-admission documentation was comprehensive, ensuring that residents are not admitted to the home unless their needs have been further assessed. What has improved since the last inspection? What they could do better: The medication management has improved but will require further attention to ensure that residents are safe and protected Training has occurred in a wide variety of areas however further training is required in a number of areas to ensure staff have the skills and competency to protect and maintain the well-being of residents. Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 7 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. Druids Meadow DS0000033439.V337079.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 Druids Meadow DS0000033439.V337079.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): 1.2.3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information about the service or facilities was available to residents and/or their representatives to enable them to make an informed choice about the home. The pre-admission assessment process was consistently comprehensive and therefore residents can be assured that staff at the home are aware of their needs. EVIDENCE: The Statement of Purpose was not inspected during this visit. The Service Users Guides were observed in residents’ bedrooms. The Care Manager stated Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 10 that the Service User Guide was in the process of being revised to incorporate a revamped complaints procedure. The Service User guide needs to contain information in relation to the range of fees charged by the home. Fees are worked out on an individual basis by the social work team however the home will still need to state the highest and lowest fees charged to give potential residents an idea as to the possible range of fees. Since the previous inspection the inspector was informed that all residents have been issued with a contract. The contract seen in one of the resident’s files met the standard. A number of residents’ files were inspected to determine the admission process. The pre admission assessments information obtained by the home met the standard. Individual details were recorded on these pre admission assessments and there was good evidence of recording residents’ choices, preferences and wishes and of these being implemented when the resident was living in the home. There was also evidence to demonstrate that residents are offered a trial visit to the home. During this pre-admission visit staff gather further information to ensure that they can fully meet the needs of potential residents. Residents are shown the bedroom available to them prior to admission. One resident informed the inspector that they had been shown a bedroom during a pre admission visit to the home and they did not like the décor so alternative was offered, thus demonstrating that staff at the home want to ensure residents live in an environment that is suitable to their needs and aspirations. The home does not provide intermediate care, but respite care is available to residents. Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7.8.9.10.11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The quality of the care plans for the majority of residents was good demonstrating needs were being assessed and that there were strategies in place to meet them. There was evidence of good multidisciplinary working taking place on a regular basis. The arrangements for medication administration were variable potentially placing residents at risk. EVIDENCE: The care records of three of the people living at the home were looked at in detail and other records were sampled. Care plans are based on the assessment that is completed before the person moves into the home. The care planning documentation is comprehensive with an array of risk assessments taking place such as skin integrity, nutrition and moving and Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 12 handling. Food and fluids charts were found to be completed for resident who had been identified as being at risk. The staff have worked as a team in reviewing the format used to record care planning needs and this is to be commended. The care plans are individualized setting out the action to be taken by care staff to ensure aspects of health, personal and social care needs of residents are met. There were good examples of individual detail in these new plans. The majority of daily recordings were detailed so ensuring that care delivery and the monitoring of needs could be ascertained and met. Residents’ files demonstrated that a variety of multi-disciplinary team members were visiting the home and referrals were being made. Staff were also able to demonstrate a pro-active approach to meeting residents health needs. Two health care professional were seen to be visiting the home at the time of the inspection. On talking to one of these professionals they stated that “the home works well with.. to meet the needs of residents.” The medication room temperature is being monitored to ensure they do not exceed 25c. Strategies have been put in place to reduce the temperature of this room, as medication should not be stored at above 25c. The Care Manager stated that all staff dispensing medication have received accredited training. Medication trolleys were observed to be clean and organized. The home’s medication system consisted of a blister and box system. The Medication Administration Record (MAR) charts are printed by the staff at the home and not by the dispensing pharmacist. Staff photocopy the original prescribing script (FP10), which are on the back of the MAR charts. Staff checking procedures need to be more robust as it was found that a controlled drug had not been counted into the home and staff had subsequently failed followed to notice this error. The Care Manager on day one of the inspection dealt with this error appropriately. On returning to the home for day two of the inspection the management team had implemented new guidance and procedures to ensure the risk of this reoccurring was minimized. Creams found in residents’ rooms were being dated on opening but were not always being recorded on the MAR chart. The home accepts residents with dementia. Staff were able to demonstrate that residents needs in relation to cognitive impairment were being meet via a variety of means such as monitoring behaviour and referral to the appropriate professionals to meet such needs. Staff were also seen to deliver care based on acknowledging residents strengths to compensate for residents cognitive weakness. Some staff have received training in dementia awareness. Residents were observed to be appropriately dressed and their clothes were nicely laundered. Staff were observed knocking on residents rooms prior to entering them. Phone calls can be made in private and a call box is available a designated area. Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 13 Care of the dying was not fully inspected at this inspection but staff do attend funerals of residents that have deceased. Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12.13.14.15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were no rigid routines and visitors could visit at times that suited them enabling residents to maintain contact with them. The home is good at providing residents with a stimulating and purposeful life. EVIDENCE: Since the previous inspection large screen televisions have been purchased for the three main lounges in the home. These televisions are linked to free view. Residents spoken to during the visit were very pleased with the new televisions and the quality of picture and sound provided. The home has also been successful in acquiring money to purchase activities for residents living at the home. The Care Manager stated they were looking at setting up craft sessions for residents with the use of this money. A variety of activities were taking place inside and outside the home. Newspapers are delivered to the home for residents. Residents are informed Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 15 of what activities were taking place via a variety of methods such as the new letter, notices and staff. Activities included trips out, entertainers visiting the home, fish and chip nights and a visit to the local supermarket for a coffee and so forth. A Roman Catholic priest visits the home on a regular basis and staff at the home were looking to re-establish links with the local Anglican Church to meet the spiritual needs of residents. Residents are asked what activities they would like and when via questionnaires and meetings. A film projector for residents has been purchased. The home has DVD nights where a choice of films is offered to residents, from old classics to recent releases. On the second day of the inspection residents informed the inspector enthusiastically about the film they had seen the night before which they thoroughly enjoyed. Residents confirmed there were no restrictions on their activities and that they could go to bed when they wanted and get up when they liked. Visitors are welcomed to the home and offered drinks with the residents. Staff chatted to during the inspection were able to demonstrate an individual approach to residents care. Residents’ bedrooms were personalized with their own possessions. Staff were observed to assist residents discreetly and sensitively. Tables were laid nicely with linen tablecloths and condiments. Menus have been revised since the last inspection. The management team acknowledged that there have been problems recently due to staff changes in ensuring the menu has been followed, however residents comments about food were positive. Residents stated “food good” and “food lovely”. Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16.18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that residents are protected and their concerns listened to and processed in a sensitive and professional manner. EVIDENCE: The home has a comprehensive complaints procedure. The home has received one formal complaint since the last inspection. The home was able to demonstrate that they had investigated the concerns appropriate, professionally and an action plan was drawn up to ensure any findings were addressed. The home was also able to demonstrate that a number of compliments had been received in relation to staff conduct and standard of care provided at the home. Residents spoken to during the inspection stated that they would go to the management team with concerns and that the management team was approachable. Arrangements for protecting residents within the home were in place. The Care Manager informed the inspector they had a copy of the multi-agency guidance policy and procedure. Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 17 Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19.20.21.22.23.24.25.26 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to this service. Progress has been made in addressing outstanding maintenance issues and as a result the building externally and internally has improved making it homely, safe and pleasant in a number of areas. Residents’ private accommodation is suited to their needs and personalised according to their tastes and preferences. EVIDENCE: The home has made progress in a number of areas in addressing outstanding maintenance, redecoration and refurbishment issues. Blinds have been fitted to windows throughout the home. A variety of mirrors have been fitted in the home, this gives residents the ability to access along mirror as well as the one Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 19 available in their bedroom but also reflects light into the corridors enhancing the living space. A number of window frames have been replaced and areas of external woodwork painted however further work is still required in this area. Some armchairs are worn and showing signs of age. The Care Manager had ordered replacements but these were found to be unsuitable to meet the needs of residents. The garden fence, which previously had been broken in a number of areas had been repaired and metal structured protection place on it. This structure appears to have prevented further damage to the fence. There are a number of aids and adaptations provided throughout the home. Air conditioning units have been fitted along the corridors in the home, which have reduced the heat in these areas during the summer. The home felt cold on the second day of the visit at 7:45 in the morning. This was not discussed with the Care Manager as they were observed advising another member of the management team that morning to liaise with the maintenance operative about ensuring all radiators were working correctly in the home. There are six rooms that are large enough to accommodate all the furniture stated in standard 24. The home has offered residents who have these rooms small table, to meet the standard. Residents are also offered a key lockable facility and to their bedroom door there was written evidence to support that this. The home was clean and residents had recently been asked via a questionnaire to comment on the standard of cleaning in the home. The analysis of the questionnaires demonstrates that the majority of residents felt the home to be clean. Bins were observed in bathrooms and sluice areas were foot operated. A good supply of gloves and protective clothing was available in the home. The home has systems in place to deal with soiled linen. The laundry was visited and found to clean with two working washing machines and tumble dryers. Thus ensuring both residents and staff are protected from cross infection. Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27.28.29.30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels are adequate to meet the needs of residents. The recruitment and selection procedures ensure that residents are protected. The home has a committed workforce but training has elapsed in some areas and this needs to be resolved so that residents receive a service from a competent and skilled team. EVIDENCE: There were thirty-five residents living in the home at the time of the inspection. Rotas demonstrated five to six carers along with senior staff support is available during the day. There are two night staff on duty with a senior member of the team sleeping in the home but available in case of emergency. Staff files were inspected and it was found that a satisfactory recruitment process had been implemented with an application form, health declaration, two references and Criminal Record Bureau Check. Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 21 Staff files sampled did not always contain photocopies of qualifications; the Care Manager stated that this was sometimes due to delays in the training provider forwarding them onto the home. Seventeen of the thirty staff have completed NVQ 2 or above bring the percentage of staff with this qualification to approximately 55 . Thus ensuring that staff have the skills and competences to meet the needs of residents. Each member of staff have an individual training programme which gives an overview of what training has occurred. The home has a training matrix, which gives an overview of what training has occurred for all staff working at the home. The training matrix identifies shortfalls in manual handling, first aid, food hygiene and health and safety. The inspector was informed that various staff have been nominated recently to attend these courses. The induction programme meets the Skills Council standard and is carried out at the home and also at the providers training venue. Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32.33.35.36.38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This is a well-managed home run for the benefit of residents. The health, safety and welfare of residents and staff are generally promoted and protected. EVIDENCE: The home has a Care Manager with a wide breath of experience and knowledge. The Care Manager is assisted by a management team and group of staff that work well together as a team. There was a friendly happy relaxed Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 23 atmosphere in the home. The home’s documentation was well organized and easy to access. There is a written record of residents’ money with receipts. Money is held individually and securely. The comfort fund was audited and systems are now in place to monitor and retrieve money that is loaned from this fund to residents whose finances temporarily run short. Staff supervision is taking place. The one file sample demonstrated that this had occurred eight times in twelve months. The home has various systems in place to monitor quality assurance, which include environmental checks, and audits carried out against CSCI standards, resident, staff and quality assurance meetings. The home conducted resident questionnaires and was in the process of obtaining questionnaires from staff. From the information gathered the home was able to demonstrate that the service was being tailored to residents aspirations and needs. Health and safety matters on the whole were well managed. A fire risk assessment was in place. Fire drilling for staff has occurred four times in the past twelve months. Staff confirmed that as well as these drills they walk round with the management team on a regular basis and go though what is required in the case of a fire within the home. Weekly checks were being carried out by the maintenance operative for a number of things. Hot water outlets were being tested. There was evidence that both hoists and lifts were being served and maintained. Gas appliances were being serviced and had the appropriate safety certificates. Druids Meadow DS0000033439.V337079.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 2 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 2 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Druids Meadow DS0000033439.V337079.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. 1 2 3 Refer to Standard OP1 OP9 OP20 Good Practice Recommendations The Service Users Guide must contain range of fees charged for accommodation to ensure residents are fully informed. Prescribed creams must be recorded on the MAR chart. Window frames and external wood structures in a poor condition or rotten must be repainted or replaced. To ensure that the external structure is kept in a good state of repair. Armchairs which are worn should be replace or repaired with seating that is suitable for residents, thus ensuring resident live in a comfortable and homely environment. All staff must receive up to date training in fire awareness, food hygiene, manual handling, health and safety and first aid. 4 5 OP20 OP30 Druids Meadow DS0000033439.V337079.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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. 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