Care Home: Eastcroft

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What the care home does well The home provided a warm, happy, relaxed and welcoming environment. The home is decorated and furnished to a high standard providing a comfortable home for people to live in. A relative surveyed said, "The home sets a high standard of decoration and the owner invests regularly into maintenance and improvement". People living in the service benefit from a consistent experienced staff team who had good awareness and knowledge of peoples needs. People have detailed and comprehensive individualised care plans, which have been carried out in consultation with people using the service and/or their representatives, which are regularly reviewed. Staff were observed to provide good interaction with people who were seen to be respectful, caring and attentive to the needs of people. A person spoken with said, "The staff are more then kind" and a relative surveyed said, the staff are caring and kind. A health care professional said, "The home provides excellent Care". There was a range of letters and cards displayed in the homes hallway from relative expressing their satisfaction about the care provided. The home carries out annual feedback surveys and it was seen that any matters that are raised that need following up is undertaken by the manager. A relative surveyed said, "the home is well run and it is very good indeed in both care and management". What has improved since the last inspection? Since the previous visit the homes local safeguarding adults from abuse policy has been reviewed and now makes reference to the local authority multi agency safeguarding adults from abuse procedures. The manager demonstrated that he is now ensuring that staff applicants are detailing there past work histories in the application form. Since the previous visit written notifications have been received from the home about any events that they are required to inform us about. What the care home could do better: One recommendation was made. CARE HOMES FOR OLDER PEOPLE Eastcroft Woodmansterne Lane Banstead Surrey SM7 3EX Lead Inspector Lisa Johnson Unannounced Inspection 30th January 2008 09: 30 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 Eastcroft DS0000013317.V357987.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. Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastcroft Address Woodmansterne Lane Banstead Surrey SM7 3EX 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) 01737 357962 01737 352719 eastcroft_nh@yahoo.co.uk Mr Ioannis Andreou Mrs Soteroula Andreou Mr Ioannis Andreou Care Home 21 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0), Physical disability over 65 of places years of age (0), Sensory Impairment over 65 years of age (0) Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home with nursing - (N) 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 aflling within any other category - (OP) Dementia - (DE) Physical disability - (PD) 2. Sensory Impairment - (SI) The maximum number of service users to be accommodated is 21. Date of last inspection 20th March 2007 Brief Description of the Service: Eastcroft is a care home providing nursing care for older people. Service provision includes dementia care and care of older people with physical disabilities and sensory impairment. The home is in private ownership and managed by the provider. The building is a large, detached property with car parking facilities, situated in a quiet residential area. Banstead village is within walking distance where there is a wide range of shops and other community amenities. Communal sitting and dining facilities are on the ground floor. The bedroom accommodation is arranged over two floors, which is accessed by a lift. There is an attractive, enclosed garden to the rear of the premises which is accessed by a ramp The fees for the home range from £550 to £650 per week. Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was part of a key inspection. The visit was unannounced and took place over eight hours commencing at 9.30am and finished at 5.20 pm. Mrs. L Johnson Regulation Inspector carried out the visit and Mr I Andreou who is both the registered provider and manager represented the home. ` The inspector spoke to four people who live in the home to gain their views on the care provided. Some people living in the home have limited communication; therefore their direct views about their care could not be obtained. Therefore observations of interactions and body language took place. During this visit we spoke to two relatives and three surveys were received. We also received a survey from a health care professional. These comments are reflected in this report. Information was provided by the manager prior to this visit with the Annual Quality Assurance Assessment (AQAA) prior to this visit. This provides information about the service and is referred to throughout this report. A tour of the home took place, staff recruitment, and training records, care plans and policies and procedures were sampled. The inspector also spoke to four members of staff. The inspector would like to thank people living in the home and staff for their time, assistance and hospitality during this visit. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. What the service does well: The home provided a warm, happy, relaxed and welcoming environment. The home is decorated and furnished to a high standard providing a comfortable home for people to live in. A relative surveyed said, “The home sets a high standard of decoration and the owner invests regularly into maintenance and improvement”. People living in the service benefit from a consistent experienced staff team who had good awareness and knowledge of peoples needs. People have detailed and comprehensive individualised care plans, which have been carried out in consultation with people using the service and/or their representatives, which are regularly reviewed. Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 6 Staff were observed to provide good interaction with people who were seen to be respectful, caring and attentive to the needs of people. A person spoken with said, “The staff are more then kind” and a relative surveyed said, the staff are caring and kind. A health care professional said, “The home provides excellent Care”. There was a range of letters and cards displayed in the homes hallway from relative expressing their satisfaction about the care provided. The home carries out annual feedback surveys and it was seen that any matters that are raised that need following up is undertaken by the manager. A relative surveyed said, “the home is well run and it is very good indeed in both care and management”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 &6 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that pre-admission assessments are completed prior to admission to the home. The home does not support people for intermediate care. EVIDENCE: The home provides a statement of purpose and service user guide, which is made available to prospective people moving into the home and their representatives. This document clearly describes the aims and objectives of the home and the services that the home is able to provide. Pre- admission assessments are conducted prior to any person moving into the home. These were detailed and covered personal, health, emotional, mobility, communication social and cultural needs. The manager visits people in their place of residence or in hospital to carry out these assessments. Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 9 The home also obtains assessments completed by care managers where these are required. People considering moving into the home and their relatives are provided with the opportunity to visit where the manager will answer any questions. The home does not support people with intermediate care. Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8, 9 & 10 People using the service experience good outcomes this area. This judgement has been made using available evidence including a visit to this service. Each person is provided with an individual care plan, which details their health, personal, emotional and social needs. The health care needs of people are met and they are treated with dignity and their right to privacy is respected. People are protected by the home’s medication policy and procedures EVIDENCE: People living in the home have an individualised plan of care based on full needs assessment. A sample of three care plans was examined in detail. Each one showed evidence of monthly reviews. Care plans are reviewed in consultation with People and/or their representatives. Clear details of the current needs and instructions of the care to be given were recorded. Three members of staff spoken with stated that they are aware of the care plan and are expected to familiarise themselves with them. The likes, dislikes and personal preference for support for each person are recorded. This information was available in people’s bedrooms to assist and provide guidance to staff in meeting people’s needs and preferences. Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 11 Information contained in care plans demonstrated that detailed risk assessments had been carried out including moving and handling. One person was identified as requiring support by two members of staff when standing. And this instruction was observed to be followed by staff. A care plan for another person identified that they are currently nursed in bed. A tissue viability assessment had been carried out and it was recorded that this person requires regular turning to alleviate pressure. It was observed that this person had been provided a specialist pressure-relieving mattress and turning charts were in place and completed in this persons bedroom confirming that this instruction was being followed by staff Nutritional risk assessments had been carried out and people’s monthly weights were recorded. Three people were identified as requiring bed rails, which was documented in their care plan. Records were maintained of health care professional appointments and consultations including the General Practitioner and chiropodist. A relative surveyed said, “ The home provides constant attention to the care needs of the residents” and a health care professional surveyed stated, “The home provides excellent care”. The home has a policy in place for respecting people’s privacy and dignity including their right to have their cultural and religious needs respected. During this visit staff were seen to be respectful, caring and attentive to the needs of people living in the home. One person spoken with said the, “The staff are more then kind”. A relative surveyed said, “The staff are kind and caring”. During this visit peoples privacy was respected by ensuring doors were kept shut when carrying out personal care in bedrooms and bathrooms. People were observed to be clean and appropriately dressed. The manager was aware of the Mental Health Capacity Act 2005 and information was present in the home. The manager said that he is planning to conduct these assessments shortly. One matter was discussed with the manager in respect of the appearance of the current chair protectors, which were seen placed on some people’s chairs. The manager was advised to explore alternatives. Since this visit the manager has stated that he has found a more suitable alternative and will be perusing this. Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 12 The homes medication policies and practices were examined. There is a clear policy in place. Medication is dispensed from the local chemist using the Monitored Dose System (MDS). Medication administration records sampled cards contained a photograph o of each person. All medications had been signed for following administration. The quantity of medication received by the home was recorded. The manager is in the process of arranging up to date training for qualified staff. It was observed that one person’s medication administration record stated that this person requires their medication to be given with honey due to their dislike of the taste of the medication. It is recommended that this be discussed with the General Practitioner or pharmacist. Eastcroft DS0000013317.V357987.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): 12, 13, 14 &15 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that people living in the home have access to a range of recreational and leisure activities and maintain links with their family/friends and the local community. Choices and individual preferences are respected and people receive well-presented and balanced meals. EVIDENCE: During this visit staff were seen assisting people with activities including word searches and puzzles. We were informed that activities take place daily if people wish to take part. The home also provides arts and crafts and a visitor attends the home to conduct a sing a long. The home has a range of Compact discs and videos for people to enjoy, which has been enhanced, by the home purchasing a new large, flat screen television. Newspapers are provided and a hairdresser visits the home weekly. The home holds seasonal parties and a relative spoken with said, “The home had a good Christmas party”. Due to the good staffing ratios it was observed that staff were sitting and spending time with people and talking with them on a more personal level. Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 14 The home benefits from having their own vehicle, which is wheelchair accessible where people can visit places of interest. As the local village is close by there are opportunities to visit the local shops. A relative surveyed said, “activities for the residents could be more encouraged and increased”. The manager has stated in the Annual quality Assurance assessment that he will continue to find ways of improving peoples daily lives and interests. The home has an open visiting policy. During this visit a number of visitors were attending the home throughout the day. A relative spoken with said, “I am made to feel welcome and I can visit at any time”. The religious preferences of people are respected. We were informed that the vicar and priest visit and Holy Communion is conducted. One person spoken with said that she likes to watch Songs of Praise, which she watches on the television. People were asked their preference for their preferred refreshments and activities. A member of staff said that one person enjoys watching quiz shows in the afternoon, which is made available. The home provides a five weekly rotating menu. Menus sampled provide a varied and well balanced diet. The cook has been working in the home for a number of years and therefore had a good knowledge of people’s likes, dislikes and preferences. Choices are accommodated and records are maintained of any alternative meals provided. The lunchtime meal was observed which was well presented. People were provided with a choice of refreshments and condiments with their meals. Some people were provided with aids to assist them maintain their independence when eating including plate guards and specialised spoons. People who required assistance with eating and drinking were appropriately supported by staff that were sitting and interacting with them throughout. There was a relaxed and unhurried atmosphere. Three people spoken with said that they enjoyed their meals. A relative spoken with said, “The meals are very good” and another relative surveyed said, “The food is excellent”. Eastcroft DS0000013317.V357987.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): 16 &18 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home and their representatives have access to an effective complaints procedure and their views are listened to and they are safeguarded from abuse. EVIDENCE: The home has demonstrated that they have an accessible complaints procedure in place, which is also included in the service user guide. A complaints book is available in the hall where complaints or concerns can be recorded. Since the previous visit the home has not received any complaints and the Commission has also received not received complaints or concerns. The manager has stated in the Annual Quality Assurance Assessment people living in the service and relatives are notified of the complaints procedure and that they would be supported and encouraged by staff to raise any complaints or concerns. Three relatives confirmed that they have been aware of the complaints procedure and two people said that they have not had to raise anything. The local authority multi- agency safeguarding vulnerable adults from abuse policy was present and the home also has their own policy including whistleblowing, which makes reference to the local authority policy. Relevant posters with contact information were also seen on display in the office. Three members of staff training records sampled confirmed that they had completed Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 16 safeguarding training. Four members of staff spoken with said that they were aware of the procedures and were clear about their responsibilities and the action that the they would take if they ever witness or are made aware of any incident where the safety or protection of a vulnerable person is compromised. Eastcroft DS0000013317.V357987.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): 19 & 26 People using the service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service People benefit from living in a well-maintained, clean, comfortable, homely and safe environment. EVIDENCE: The home is located is near to the local village which is accessed by some people who may wish to go to the shops. The home creates a warm, comfortable and homely atmosphere. All areas of the home are decorated, well furnished and maintained to a high standard. Bedrooms were colour coordinated and personalised with people’s belongings. The manager stated that there was a continuous programme of redecoration and maintenance. The home provides a lift and accessible assisted bathrooms and call bells are provided. Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 18 There is a large, well-maintained garden to the rear of the home which is accessible to people who live in the home by a ramp. Information supplied in the Annual Quality Assurance Assessment states that the manager has forwarded plans for a conservatory to provide an area where more in door activities can take place. A relative surveyed said, “The home sets a high standard of decoration and the owner invests regularly into maintenance and improvement”. During this visit the observed to be cleaned to a good standard and was hygienic and no pervading odours were present. Cleaning schedules are in place and the home has an infection control procedure in place. The manager said that he has obtained the Department of Health guidance and is planning to complete this pack. Staff were observed to be washing their hands and were provided with hand disinfectant. A relative surveyed said, “The home is always clean”. Eastcroft DS0000013317.V357987.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): 27, 28, 29 &30 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The numbers of staff on duty were adequate to meet the needs of people living in the home. People are protected by the homes recruitment policies and procedures and they were in the safe hands of the staff that were competent and trained to do their jobs. EVIDENCE: People living in the home benefit from sufficient numbers of staff being employed in the home. This was demonstrated by Information recorded on the duty rota and the numbers of staff on duty at the time of this visit. At the time of this visit six members of care staff including registered nurse supported people. In the afternoon there were five members of staff plus the registered manager who works supernummary. At nighttime people are supported by two waking members of staff. The home also employs a cook and ancillary staff. Information provided demonstrated that there is minimal staff turnover and the home does not employ agency staff. Staff spoken with were aware of their roles and responsibilities and confirmed that had received the General Social Care Code of conduct Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 20 Information supplied with the Annual Quality Assurance Assessment states that out of eleven care workers employed four have completed National Vocational qualifications (Level 2) or above and three members of staff are currently working towards the qualification. New staff receive training based on the skills for care core induction standards. These documents were viewed on individual’s files and staff spoken with told us about the induction process. Staff are supported to attend regular training including mandatory subjects. Three members of staff training files were sampled which confirmed that they had received training in moving and handling, first aid, infection control, food hygiene, safeguarding adults from abuse and fire training. All staff have been receiving training in the Mental Health Capacity act, tissue viability & dementia awareness. One person’s file confirmed that they had attended training in diversity. The manager showed us the programme for future staff training, which is to be conducted. Recruitment is based on an equal opportunities policy and people using the service are supported by staff from mixed ethnicity groups. Personnel files were sampled for three members of staff, which contained the required information including two references. The manager conducts Protection of Vulnerable Adult checks (POVA) prior to any person commencing employment in the home and also enhanced Criminal Record Bureau checks, which were available to view. One file sampled was for a registered nurse and contained a copy of their up to date personal identification number issued by the nursing Midwifery Council ensuring that they are registered to practice. Eastcroft DS0000013317.V357987.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): 31, 33, 35 &38 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The registered manager is able to demonstrate that she has the appropriate qualifications and experience. The home is run in the best interests of people living in the home and their financial interests are protected. The health, welfare and safety of people is protected. EVIDENCE: The registered manager is dual qualified registered nurse and holds a National Vocational Qualification (Level 4) in management. The manager has also obtained the Assessors qualification to assist staff that are completing National Vocational Qualifications. Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 22 During this visit the manager was observed to have an open approach and made him self accessible to people living in the service, visitors and staff. Staff spoken with said that they feel supported by the management structure in the home and that there is good teamwork and communication. The home holds regular staff meetings, which was confirmed by recorded minutes. A relative surveyed stated, “the home is well run and it is very good indeed in both care and management” and a relative spoken with said, “The manager is very good”. The home has a quality-monitoring programme in place, which includes annual surveys, which are provided to people’s representatives. Information seen demonstrated that the manager follows up any matters that may have arisen. Information supplied with the AQAA stated that the manager wishes to make further improvements to the survey to include more aspects of care. The manager was advised that when the results of the surveys are collated that these are made available with the service user guide for people to view. The manager has also developed an annual development plan, which included plans for future staff training. Policies and procedures viewed were up to date and staff spoken with said these are bought to their attention. The home does not hold any monies on behalf of people. Inventories of peoples personal items bought into the home on admission are recorded. Information seen demonstrated that water temperatures are regularly monitored and fire alarm checks are conducted. Accident and incident records were maintained. The Commission has received notifications where these are required. Examination of records and certificates identified that systems are in place for routine service and maintenance arrangements for the environment and equipment. During a tour of the laundry room it was observed that the fire door was wedged open which was bought to the attention of the manager who immediately responded to this matter. Eastcroft DS0000013317.V357987.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 X 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 4 X X X 4 X X 4 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 X Eastcroft DS0000013317.V357987.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 Refer to Standard OP9 Good Practice Recommendations It is recommended that the GP be consulted in respect of a person who requires their medication to be given with honey. Eastcroft DS0000013317.V357987.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Eastcroft DS0000013317.V357987.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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