Care Home: Greenview

What the care home does well There was evidence that information about residents have been obtained before they went to live at the home. This means that staff can have an understanding of residents needs to ensure these can be met before an offer of admission is made. Residents made positive comments about the activities provided and examples were give of the variety. This means that residents have opportunities to engage in worthwhile activities and continue to be involved in hobbies and activities they enjoyed before they went to live at the service. Residents said there is a good choice of food available and they are consulted regarding the choice of food. Much of the fruit and vegetables are grown in the homes garden by one of the residents. All other food is sourced locally. This means that residents are able to express their opinions and are provided with a varied diet. Staff receive training and are engaged in a National Vocational Qualification training programme. There are weekly training sessions for all staff. This means that they have more knowledge and skills to provide care for residents. The registered provider is present in the home on a daily basis which means residents are able to have prompt communication directly with Mr Bradford. What has improved since the last inspection? A refurbishment programme has taken place with redecoration of four of the bedrooms and the lounge and dining area. This means that residents live in homely and comfortable surroundings. Risk assessments are in place for residents in respect of daily living tasks and undertaking activities. This minimizes risk to residents. All staff are have the necessary checks in place before they start work at the service such as POVA (protection of Vulnerable adults). This means that residents are not cared for by unsuitable people. Staff continue to receive training including moving and handling training. CARE HOMES FOR OLDER PEOPLE Greenview Lockerley Green Lockerley Romsey Hampshire SO51 8JN Lead Inspector Kathryn Emmons Unannounced Inspection 28th April 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Greenview DS0000011790.V360998.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. Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greenview Address Lockerley Green Lockerley Romsey Hampshire SO51 8JN 01794 341200 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) irbgreenview@btconnect.com Mr Bradford Care Home 8 Category(ies) of Dementia - over 65 years of age (8), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (8), Old age, not falling within any other category (8) Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th April 2007 Brief Description of the Service: Greenview is a detached property situated in a rural location in the centre of Lockerly village near Romsey, with a church and shop next to the home. The home provides accommodation and personal care for up to eight residents over the age of 65, some of whom have dementia or mental health problems. The accommodation is on two floors, ground and first floor, which are connected by a staircase. There is no passenger or chair lift in the home. There are a variety of aids and adaptations available to enable residents to move about more independently. Six of the bedrooms are single, five with an ensuite facility, and there is one double bedroom downstairs. There is one communal bathroom with a lavatory and a separate lavatory on the ground floor. Residents have access to the large lounge, which has a dining area at one end. There are large gardens at the rear of the home, with a large pond, a gazebo and areas where residents may sit. There is an upper floor to the home that is used as staff accommodation. The registered provider has a separate detached property in the grounds of the home. Information provided by Mr Bradford, the registered provider, at the time of the visit stated that the current fees ranged from £495 to £520 per week depending if the room was a double room or single. Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. A visit to the service took place on 28th April 2008. This visit was unannounced and took place over 4.5 hours. The registered manager no longer works at the service and the management of the service is currently shared between the registered provider and a senior care staff. Care received by three residents was looked at in detail. This is a method called case tracking. This included looking at their personal records, a range of general home records and staff detail records. Staff were spoken with and the care they provided was observed. We received comment cards back from residents, staff, relatives and health care professionals such as doctors and nurses who had an involvement with the home. During the visit we spoke with all of the residents, a relative and two members of staff. We also received a completed self-audit document completed by the provider to provide information before we did a site visit. This is called the AQAA (Annual Quality Assessment Audit).We also looked at how the provider makes information about their service, including CSCI reports available to prospective service users. We received very positive comments regarding the service . One member of staff told us in a comment card that the aim of Greenview is to “provide an environment where free spirits are encouraged and flourish, an environment where all are able to express themselves without fear.” What the service does well: There was evidence that information about residents have been obtained before they went to live at the home. This means that staff can have an understanding of residents needs to ensure these can be met before an offer of admission is made. Residents made positive comments about the activities provided and examples were give of the variety. This means that residents have opportunities to engage in worthwhile activities and continue to be involved in hobbies and activities they enjoyed before they went to live at the service. Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 6 Residents said there is a good choice of food available and they are consulted regarding the choice of food. Much of the fruit and vegetables are grown in the homes garden by one of the residents. All other food is sourced locally. This means that residents are able to express their opinions and are provided with a varied diet. Staff receive training and are engaged in a National Vocational Qualification training programme. There are weekly training sessions for all staff. This means that they have more knowledge and skills to provide care for residents. The registered provider is present in the home on a daily basis which means residents are able to have prompt communication directly with Mr Bradford. 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. Greenview DS0000011790.V360998.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 Greenview DS0000011790.V360998.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): 1,3,4 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Through pre admission assessment systems residents can be confident that their assessed needs can be met when they are admitted to the home. Up to date information enables residents to make an informed choice regarding living at the service. EVIDENCE: From looking at three resident files we could see that information regarding residents needs had been obtained before they had been admitted to the home. In one file we saw that the relative of the resident had been involved in the assessment and a comprehensive assessment had been obtained from a health care professional. This means that the service can be clear on a prospective residents need and will be able to be confident that the needs can be met if the resident decided to live at the service. Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 9 Two documents are in place called the service user guide and the statement of purpose. These two documents are available to residents and their relatives and inform them of the services they can expect if they live at the home. Details also include who the staff are and what jobs they do, what the environment is like and what to do if they have any concerns. We saw that contracts were in place, which had been signed by the resident or their relative. We saw on one file a letter to the resident confirming that they had been offered a place at the home and that their needs could be met. This enables residents to have confidence that they are going to live in a home where staff can meet their individual needs. All residents need to receive a letter confirming their needs can be met. Currently the service does not offer intermediate care but the provider told us that he is considering offering this service. Residents are able to live at the service for a short time and this is called respite care. Greenview DS0000011790.V360998.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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments, which are regularly reviewed, minimize residents risk of not having their needs met. Medication systems enable residents to receive their medication safely. Good access to health care services enables residents to have their health needs met. Resident’s dignity and privacy and individual identify is acknowledged and maintained. EVIDENCE: Through case tracking we looked at three residents care files. In each file there was a comprehensive assessment of residents needs. There were risk assessments for activities such as going out into the garden and moving around the home. Either the resident or their relative signed care plans and we could see that reviews were taking place. One resident we spoke to said “I was asked questions and I read about the help I get”. We saw from comment cards that residents felt their care needs were known and were met. During the visit Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 11 we were told comments such as “The girls know the help I need and are very good”, “the staff know I can’t see so leave everything where I can feel for it”. A verbal handover session takes place between each staff shift change and any change in a residents needs is recorded in the diary. Not all residents had a regular entry in their care notes and this was discussed with the provider. A regular entry would enable staff to see if there had been any gradual changes in the wellbeing and health needs of each resident. The provider has indicated that staff will now make at least weekly entries in care notes. Included in the fees for the service are reflexology sessions, chiropody and manicurist. We saw from care records that an aroma therapist also visits the home. One resident told us they enjoyed seeing the aroma therapist and reflexologist as “it means I can have help that way rather than tablets all the time”. Providing alternative therapies indicates that the service has an understanding of residents’ choices in how they receive treatment from varying methods. Residents who spoke to us said they had access to doctors, opticians and dentists when they needed them. We received comments back from health care professionals, which indicated they had a good relationship with the service. Comments included “The care provided at Greenview is excellent. It is a happy, caring, safe environment”, and “treat the residents with respect and give the best care they can”. Medication records were seen for all residents. Generally records had been competed correctly but we saw that there were a few occasions where it was not always clear why medication had not been given. This may make it confusing for staff to administer medication and impact on residents receiving their medication correctly. The provider disscused this with us and what action he was going to take to make the system clearer. Stocks of medication were stored safely and all staff who administered medication had received training and we saw these certificates in their staff records. Currently none of the residents are able to self medicate their medication and within care plans we could see this area had been assessed. Residents told us they were treated with respect and addressed in their chosen form. Interactions were seen by us that were valuing and appropriate. Staff were seen to knock on the doors to bedrooms and the bathroom before entering. The provider told us that staff work well at treating residents as individuals and focus on what residents are able to do for themselves and will only intervene when help and support are required. Residents made many positive comments about the care they received and comment cards all had positive comments such as ” I’m well cared for in this home,” this home is excellent in delivering care to vulnerable people” and “I’m blind but the staff never neglect my needs”. Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 12 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 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are provided with appropriate activities and are supported to continue with hobbies they enjoyed before living at the service. Staff have an awareness of residents’ spiritual and emotional needs. Residents have control over who visits them. Dietary needs and preferences are catered for. Residents have clear ownership of the home and are the people who decide how the service operates. EVIDENCE: Residents made very positive comments regarding the activity programme in place at the home. Examples given by some residents included managing an allotment in the garden of the service to produce fruit and vegetables for the residents, attending a local day support centre, garden parties and receiving outside entertainers such as a theatre workshop. The provider is currently in the process of installing relaxation areas in the main lounge and an Internet projector system so that residents can see their relatives on a screen when they speak to them over the Internet. Within the care plans detailed Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 13 information is in place to identify the lifestyle residents led before living in the service. The AQQA informs us that the staff support residents to continue to be as independent as possible. Examples we saw ranged from assisting with laying tables to visiting a local garden centre and going to the village shop. There was a choice of library books available, which are changed periodically. Photograph boards around the home show recent events, which took place at the home. The home has a policy in place for equalities and diversity and this was evident in care practices we saw. Residents gave us examples such as “Its up to me how much help I ask for”, “I can choose how I dress and if I want to keep a beard or not”, and “The girls help me with my hair and having my nails painted”. The staff group are multicultural and this is acknowledged by the provider in terms of some staff having shifts rostered so that they are able to attend their religious worship centres. Two of the residents attend the local church and another attends a different religious denomination church a little distance form the home. Visiting clergy are welcomed into the home. Resident all indicated through comment cards that they were “Always” satisfied with the activities and lifestyle they enjoyed at the home. On the day of the visit comments made included.” We’ve got a lot of activities in this home.” and “we could never compare this home. It is a wonderful place to live”. Residents told us that they could have visitors when they chose and there were various spaces around the home where residents can meet with visitors in private if they don’t want to use their bedroom. Staff were seen to be welcoming and accommodating to visitors who attended the home during our visit. We spoke to a relative during the visit who stated that they were always made to feel welcome and could visit the service whenever they wanted to. A resident told us that they were able to chose who they saw and the staff would always check with them first to see if they wanted to receive their visitor. Through comment cards and direct discussion with residents we were told that residents “always” enjoy the food and “I love the food, its excellent” and “I always have a choice and whatever I pick its lovely”. One comment card stated, “We’ve got an excellent cook”. We spoke with the cook who confirmed that specialised diets such as sugar free and high fibre are also catered for. Residents confirmed that they received the food they chose and that they were able to change their mind if they wanted to. Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 14 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints policy on display enables people to know how to make a complaint. Residents and relatives are confident that any concerns will be listened to and acted upon. A Safeguarding adult’s policy provides staff with a working awareness of what constitutes abusive practice. EVIDENCE: The AQAA we received and information we hold about the service identified that since the last inspection a safeguarding adult referral was made to social services. This was jointly investigated by social services and the provider and has been resolved. The issue surrounded a resident leaving the service without support and having to be returned to the service by a member of the public. A new risk assessment in now in place to enable staff to assist residents to leave the home with support. A complaints procedure is in place and is on display and at various points around the home. Comment cards received indicated that residents, relatives and staff were satisfied that any issues raised would be listened to and looked into. We saw from the complaint log that no complaints had been made since the last inspection. The provider said that he spoke to all residents each day and he felt that anyone could approach him if they had a concern. Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 15 Residents spoken with were clear who to speak to if they had any concerns. A safe guarding adults policy is in place. Two staff we spoke with confirmed they had received safeguarding adult training and were aware of the service policy. One of the staff spoken with was given a scenario regarding safe guarding adults and asked what action they would take. They answered appropriately and said that they were sure that all staff knew what constituted abuse and that all staff were expected to report any practice which they though was not appropriate. Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 16 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and pleasant home. Décor and furnishings are of resident’s choice, and specialised equipment such as audiovisual equipment and assisted baths enable them to be as independent as possible. EVIDENCE: Since the last inspection a refurbishment programme has been taking place. This has included the redecorating of four bedrooms and a new bathroom with sensory lights. Each resident is able to choose the décor of their room when they are admitted to the home, and on a rolling programme rooms are redecorated and furniture replaced when needed. Residents, who gave permission to us, were spoken to in their bedrooms. We could see that residents had been able to personalise their rooms with their own furniture, paintings and own décor choice. Currently the lounge and dining room are Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 17 being redesigned to include a relaxation area with sensory lights, a stage and large wall mounted projector so residents can enjoy slide shows and see internet pictures enlarged. Residents were involved in the new design and many of their choices have been incorporated in the final design. A large decked area is available in the garden for residents to use in the warmer weather, and has garden furniture so residents can sit outside in a comfortable environment. The home is set in large landscaped gardens, which end in a canal at the end of the garden. The home was clean, tidy and fresh throughout. We saw residents able to move independently around the service. All corridors were free from hazards and had hand rails fitted to provide support for residents. An infection control policy is in place and staff were seen wearing gloves and aprons when working with food. The laundry area is separate from resident’s areas and we could see that infection control measures were in place. The provider told us he was working with a local support group to find ways of making the physical environment more suitable for residents who may have a visual impairment so they can still be as independent as possible. Work is further planned to build a ramped exit from the back of the home as currently there are a few steep stairs which residents use to gain access to the back of the home if they don’t use the front entrance of the home. Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An enthusiastic and trained care team cares for residents. The service’s recruitment procedures ensure residents are cared for by safely recruited staff. An ongoing training programme enables staff to have the skills and knowledge to provide a good service to residents. EVIDENCE: Residents spoken with made positive comments about staff such as “they very good”, really lovely and patient” and “let me do the things I want to do”. Residents comment cards all informed us that they were satisfied with staffing levels. Staff comment cards indicate that staff felt they had sufficient staff on duty with them to provide the care that was required by residents. We spoke with 3 staff who told us that they enjoyed working at the home and that the atmosphere was “really good, Mr Bradford is very good and really cares about the residents”. The service employs nine staff in total and does not use agency staff as three of the staff team and the provider live on site so are always able to cover absence and sickness at short notice. This means that residents benefit from continuing to receive care from people who understand their needs. Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 19 Staff told us about and we saw, that an induction pack is in place. When staff start work at the service they work alongside a senior member of staff in a system called “buddying”. This means they are able to deliver care in a safe way and learn the individual needs of each resident. There are polices and procedures in place and each week staff are expected to re read a named policy to ensure that they are providing the correct care. Comment cards stated that training in health and safety, moving and handling and food hygiene and fire had been given. Staff records also showed us this. Pre inspection information showed that four staff are working towards a National Vocation Qualification (NVQ) in Care. This means that they have a more in depth knowledge and skill base to use when providing care which may improve the quality of the service residents receive. Three recruitment files were looked at. A recruitment policy is in place and all files seen contained the correct checks such as references, completed application form and Criminal Record Bureau checks and identification. This means that staff have been recruited safely and residents can be confident that they are cared for by people who have the necessary skills and attitude to care for them. Three of the nine employed at the service are trained nurses from their birth country. English is not the first language of these three care staff, however this has not been identified as an issue and the staff, provider and residents did not indicate that there had been any cultural differences which needed to be addressed. There is a very low turn over of staff and a couple of staff have worked at the service since it opened in 1987. Part time staff work with providing ancillary help such as friendship support, tidying rooms and observe care practices. When these staff are 18 years of age and able to provide personal care they are trained in this area. This enables the provider to provide a staff team which are well known to the residents. Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 20 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider and a deputy manager, who have a good rapport with residents, and visitors manage the service. Residents are protected by the services health and safety polices and procedures. Financial management systems keep residents monies safe. Quality assurance systems show how the service is run in the best interests of the service users. EVIDENCE: The registered manager no longer works at the service. Current day to day arrangements are undertaken by Mr Bradford the registered provider and a deputy manager. Mr Bradford intends to put forward the deputy manager within the next six months for consideration by the commission to be the Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 21 registered manager for the service. Residents we spoke with and comments we received on comment cards indicated that the Mr Bradford had a good relationship with all of the residents. One resident told us “Ian comes to see me each day and will always have a chat with me”, Mr Bradford lives here so is never far away if I need to see him”. Staff told us “I have worked here for a long time and have always found him (Mr Bradford) really easy to get on with. If I thought he wasn’t right about something and I would tell him straight away and I know he would listen and consider my view”. A quality assurance system is in place so residents and visitors to the home can see how the providers intend to improve the service and action any points residents raise. Residents and relatives are given a questionnaire to complete every year and all staff have an exit interview if they leave the services employment. Residents are always encouraged to make their views known. The service does not hold money for any residents, as all services except hairdressing are included in the fees paid. Residents do receive support from their families to assist them with managing their finances. Pre inspection information evidenced that polices and procedures are maintained. Records are in place at the home, which show that servicing of equipment and systems such as the fire safety system, heating system and waste contracts are up to date. Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 22 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 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 4 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 23 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 a medication administration code system is used when medication is not given to a resident. This will make it easier for staff to ensure medication is given in a safe way. Regular recording of resident’s welfare and progress will make it easier to follow resident’s progress and any changes in their well being. 2 OP7 Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 24 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 Greenview DS0000011790.V360998.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!