Care Home: Haddon Court Limited

What the care home does well The residents in this home are well cared for. Staff were seen to be caring and supportive, looking after the residents well. One resident said "Everyone is good to us here". Another resident said, "The staff here are all nice, they always have a chat".Haddon Court LimitedDS0000072663.V375171.R01.S.docVersion 5.2Senior staff make sure that they have a detailed assessment of needs before residents are admitted to the home, so that they know how best to meet the residents` needs. Each resident has a plan of care and detailed daily records that guide staff in their care of residents. Staff talk to and assist residents frequently. One member of staff said," All the staff are kind and friendly and try their best to help residents. " Residents` relatives and friends are welcomed into the home ensuring that residents` relationships are maintained. Residents are involved in a variety of leisure activities. with support if needed. One resident said, " I like people coming in to sing." Residents are supported in their religious beliefs and observances ensuring that their spiritual needs are met. Mealtimes are relaxed and flexible. Residents like the meals and say there is a good choice of food on offer. " Several residents said the meals were very nice. Medication procedures and administration are well managed ensuring that residents receive their medication as prescribed. Staff recruitment is safe and thorough and makes sure that residents are protected. Staff training is very good. Most of the care staff have or are working towards qualifications in care and there are opportunities for other training. This helps them provide up to date, safe and effective care to residents. Discussions with the manager showed clear plans for the future and a good approach to managing the home. She is enthusiastic and knowledgeable about supporting people with Dementia and this is passed onto the staff. Residents and staff say they feel well supported. What has improved since the last inspection? What the care home could do better: Detailed care plans are in place but would be improved with the addition of a life book or box for each resident to provide additional information about residents. The unpleasant odour in some areas of the home needs attention and some areas of the home need refurbishing to make the home more pleasant to live in. All new staff should receive a detailed and recorded induction so that it is clear that they know how to carry out their work effectively. The provider must apply to CSCI to put forward a qualified, competent and experienced manager as the registered manager to run the home effectively. Key inspection report CARE HOMES FOR OLDER PEOPLE Haddon Court Limited 8-14 Haddon Road Norbreck Blackpool Lancashire FY2 9AH Lead Inspector Pauline Caulfield Unannounced Inspection 22nd April 2009 09:15 DS0000072663.V375171.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Haddon Court Limited DS0000072663.V375171.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Haddon Court Limited DS0000072663.V375171.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haddon Court Limited Address 8-14 Haddon Road Norbreck Blackpool Lancashire FY2 9AH 01253 353359 01253 357245 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) Haddon Court Limited Manager post vacant Care Home 33 Category(ies) of Dementia (33) registration, with number of places Haddon Court Limited DS0000072663.V375171.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia - Code DE The maximum number of people who can be accommodated is: 33 Date of last inspection New service Brief Description of the Service: Haddon Court Ltd is registered to accommodate thirty-three older people who have dementia. The home is situated in close proximity to the promenade and transport routes, and is close to local shops. Accommodation is provided on three levels. All bedrooms provide single accommodation and some of these have an en-suite facility. There are three lounge areas and a large dining room. The home provides a passenger lift and a laundry service for residents. The home has its own mini bus and outings are arranged when weather permits. Haddon Court Ltd is a no smoking home. The home has been in operation for many years but has recently become a Limited Company and as such is classed as a new service with the Commission. There is a Statement of Purpose/Service User Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are, and what the resident can expect if he or she decides to live at the home. Information received during this key inspection showed that the fees for care at the home are from £364.70 per week, with added expenses for hairdressing, chiropody and newspapers. Haddon Court Limited DS0000072663.V375171.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. An unannounced visit, which commenced at 9.15am for eight and a half hours was undertaken as part of the inspection process. The manager completed an annual quality assurance assessment before the inspection. This is a document that provides CSCI with written information and an assessment about the quality of the service the home provides. The registered person is asked to provide us with this each year. This information, in part, has been used to focus our inspection activity and is included in this report. Comments cards were received from six residents with support from relatives. We spoke to the owner, Manager and two staff. The inspection involved case tracking three residents as a means of assessing some of the National Minimum Standards. This process allows the inspector to focus on a small group of people living at the home. All records relating to this group of people are inspected along with the rooms they occupy in the home. They are invited to discuss their experience of the home with the inspector, however other people living at the home are not excluded and are also invited to chat. We chatted to several residents who were sitting in the communal areas. We also spent time observing residents in the lounges and dining room. Conversation with residents was very much dependent on their ability or wishes to speak to the Inspector. A tour of the home was carried out and a selection of staff, residents and administrative records were examined. From the observations made, comments received and written documentation seen, the information has been put together and the report produced from this. What the service does well: The residents in this home are well cared for. Staff were seen to be caring and supportive, looking after the residents well. One resident said “Everyone is good to us here”. Another resident said, “The staff here are all nice, they always have a chat”. Haddon Court Limited DS0000072663.V375171.R01.S.doc Version 5.2 Page 6 Senior staff make sure that they have a detailed assessment of needs before residents are admitted to the home, so that they know how best to meet the residents’ needs. Each resident has a plan of care and detailed daily records that guide staff in their care of residents. Staff talk to and assist residents frequently. One member of staff said,” All the staff are kind and friendly and try their best to help residents. ” Residents’ relatives and friends are welcomed into the home ensuring that residents’ relationships are maintained. Residents are involved in a variety of leisure activities. with support if needed. One resident said, “ I like people coming in to sing.” Residents are supported in their religious beliefs and observances ensuring that their spiritual needs are met. Mealtimes are relaxed and flexible. Residents like the meals and say there is a good choice of food on offer. ” Several residents said the meals were very nice. Medication procedures and administration are well managed ensuring that residents receive their medication as prescribed. Staff recruitment is safe and thorough and makes sure that residents are protected. Staff training is very good. Most of the care staff have or are working towards qualifications in care and there are opportunities for other training. This helps them provide up to date, safe and effective care to residents. Discussions with the manager showed clear plans for the future and a good approach to managing the home. She is enthusiastic and knowledgeable about supporting people with Dementia and this is passed onto the staff. Residents and staff say they feel well supported. What has improved since the last inspection? The home has been in operation for many years but has recently changed to a Ltd company – Haddon Court Ltd. Therefore it is classed as a new service. Haddon Court Limited DS0000072663.V375171.R01.S.doc Version 5.2 Page 7 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Haddon Court Limited DS0000072663.V375171.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 Haddon Court Limited DS0000072663.V375171.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3. Standard 6 is not applicable as the home does not provide intermediate care. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Assessments are in place are clear and ensure the care needs of residents are met EVIDENCE: We observed residents in lounges as well as chatting to residents case tracked. Residents have varying degrees of dementia and our questions to residents were very limited in some cases, as they were unable to remember recent events. We examined the records of two recently admitted residents. The records contained assessments of needs that had been carried out by the manager of the home and by health or social services if funded, prior to admission. Haddon Court Limited DS0000072663.V375171.R01.S.doc Version 5.2 Page 10 Residents said via the comment cards (completed with their relatives support) that the manager asked them about their needs before they moved into the home. Haddon Court Limited DS0000072663.V375171.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Resident’s health and personal needs are met well. EVIDENCE: The records of three residents were looked at. We looked at care plans, risk assessments, challenging behaviour strategies and diary entries as well as checking medication management. Each resident has a detailed plan of care and risk assessments. These are updated monthly. Care plans have information on any challenging behaviour and how to manage this and where appropriate a deprivation of liberty (DOLS) plan has been completed and discussed with social services. Detailed individual daily records are kept to provide a more informative picture of residents. Staff are making these much more informative than previously and the manager monitors all information to ensure that records are accurate, appropriate and written in a non judgemental way. Haddon Court Limited DS0000072663.V375171.R01.S.doc Version 5.2 Page 12 We discussed developing life books or boxes so that staff were familiar with each residents life history and could chat to residents about it. The manager said she wanted to develop this information and felt that it would help residents and staff to converse more effectively about the residents life. Residents have access to health care services that meet their needs. The records of residents case tracked showed regular professional involvement from doctors, district nurses, chiropodists and others. Staff members are fully aware of the healthcare and personal needs of residents and their likes and dislikes. Residents dietary, cultural and religious needs are met and residents have the aids and appliances that they need as part of their care. There are regular visits from ministers. The home has an equality and diversity policy and staff are encouraged to discuss appropriate ways of meeting residents diverse needs and dignity and privacy issues. Residents health issues are dealt with well. All residents have dementia care needs. Health needs of residents include diabetes, aftercare of strokes, mobility difficulties and the general effects of ageing. Medication administration was checked. This was safely stored, administered, recorded and disposed of. There were no residents who administered their own medication. There are no controlled drugs at present. At a previous inspection we discussed the practice of giving night time medication early in the evening with the manager. The manager had since checked with the GP’s surgery/pharmacy that it was safe to give medication for night time at 8pm and had been told that as long as the gap between medication times was sufficient this wouldn’t be a problem. The manager had checked and there were no very short or long gaps between administration of medication. The manager audits the medication regularly and medication is being recorded and signed when returned to pharmacy. Haddon Court Limited DS0000072663.V375171.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Cultural, religious, social and recreational activities meet most resident’s expectations, needs and choices. EVIDENCE: Staff were observed interacting with staff. Staff were cheerful and respectful to residents supporting them quietly and confidently. Staff interactions with residents were frequent, friendly, and helpful throughout the inspection. Mealtimes are flexible. Most residents choose to have breakfast at 9am but a small number have this earlier or later in the day. Some residents refuse to eat breakfast but will often accept a sandwich with a cup of tea later in the morning. There is a buffet style breakfast, with a choice of cereals or porridge, fresh fruit, yoghurt, toast and sandwiches. The manager said that staff do not wake residents up in a morning but assist people who are awake to get up. Residents said that the meals are good. Special diets are catered for. Menus and records of food served were checked and appeared nutritious and varied. Resident’s food likes and dislikes are well known to staff. Some residents choose to get up for breakfast in the dining room others have breakfast in bed. Haddon Court Limited DS0000072663.V375171.R01.S.doc Version 5.2 Page 14 The main meal is at lunch time and consists of a hot main course and a pudding. Alternatives are offered if the resident does not like the main meal. Tea time has been moved from 4.30pm to 5pm as everyone felt it was too early. There are several choices at this meal. Residents said through the comment card that they enjoyed the meals. One resident said, “It is good food here.” There are now regular indoor leisure activities such as softball and large skittles, hoopla, connect four, dominoes, manicures, reminiscence sessions and watching videos. There is also weekly hairdressing offered to residents. Entertainers come to the home every few weeks. In addition the home has a minibus and residents regularly go out for short trips. These activities help stimulate the residents and involve them in socialising. The manager now has an activity coordinator working each weekday to further develop activities. Most residents said that there were plenty of activities but some residents said in the comment cards that they would like more. One resident said how she enjoyed the activities. Another resident said she would like to go out more. A relative also requested more variety and more frequent activities. Family and friends are encouraged and welcomed in the home. There are plans to provide a private area for visitors to meet with residents if they wish, so they do not have to meet in the lounges or residents bedrooms. Residents’ birthdays and other special events are celebrated. Relatives are involved in many of these celebrations. The relatives of most residents at the home handle their financial affairs. The manager does not look after any residents’ personal money. Records are kept of any resident transactions and copies sent to relatives for reimbursement. Haddon Court Limited DS0000072663.V375171.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The arrangements in place for handling complaints and safeguarding adults ensure that people feel confident that they will be listened to and taken seriously. EVIDENCE: Residents spoken to knew who to complain to if they had any concerns and were confident that any concerns that they had would be taken seriously and acted upon. Minor niggles are resolved quickly and do not usually develop into complaints. There had been one recent complaint made to the commission regarding the care of a resident who left the home unaccompanied. The home accepted responsibility for the resident leaving the home but once aware of this staff had acted quickly and appropriately. The home has a procedure in place for dealing with safeguarding adults. Staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Staff had covered some safeguarding adults training in the home and on national vocational training. Haddon Court Limited DS0000072663.V375171.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment needs improvement to ensure a pleasant environment for residents to live in. EVIDENCE: We toured the home and found it generally clean and tidy but the décor and furniture in some areas needed attention. The carpets in communal areas and a small number of bedrooms needed cleaning as they were stained and or smelt of urine. The material on one side of a divan bed base was slightly urine stained. As such the feasibility of obtaining an easy clean bed frame should be explored. Some bedrooms had been repainted and new flooring was in place in some rooms. This makes the environment for those residents better. Haddon Court Limited DS0000072663.V375171.R01.S.doc Version 5.2 Page 17 Most residents said the home was clean and comfortable and they were happy in Haddon Court Ltd but we had received some comments from residents and relatives about the environment in the home needing attention. The manager needs to deal with the unpleasant smell from the carpets now rather than waiting until the planned refurbishment. Some rooms smelt strongly of urine which needs to be dealt with as soon as possible. The manager assured us that the home was due for a full refurbishment and new flooring and furniture was planned soon. Haddon Court Limited DS0000072663.V375171.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff recruitment and selection of staff and staff training provide safeguards in all areas to protect people living in the home. EVIDENCE: There were sufficient numbers of staff on duty during this unannounced inspection to provide care and assistance to residents. Several Weeks’ rotas were studied. The rota shows satisfactory numbers of staff on duty throughout this period. The staff records of three staff were checked. All the staff files looked at had PoVA 1st checks before the staff commenced employment and CRB checks shortly afterwards to make sure that they were suitable to work with vulnerable people. A PoVA 1st check is a ‘quick’ check to see if a person has a criminal record. The quick check is done so that employers can start a new staff member working under supervision whilst the more thorough CRB check is carried out. All staff had two references and a full work history in place. There is a basic induction for new staff, familiarising them with the home and residents with a record kept but it is very limited and does not meet sector skills standards. The manager agreed to use a detailed induction checklist for future new people commencing employment. Haddon Court Limited DS0000072663.V375171.R01.S.doc Version 5.2 Page 19 Staff training has improved and staff have dementia awareness, safeguarding and medication training. The manager will need to check whether all staff have received moving and handling training. Most staff have commenced on or completed National Vocational Qualifications (NVQ). National Vocational Qualification training (NVQ) a national qualification covering most aspects of caring for people and some staff have already completed this. This is very positive. Haddon Court Limited DS0000072663.V375171.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is effectively managed, with good health and safety systems that support and protect residents and staff. EVIDENCE: The acting manager has been in post for several months. The home owner has not yet applied to the commission for her to become the registered manager of the home. An application for registration needs to be submitted. The acting manager has continued making improvements and positive changes to the home and residents and staff said they felt well supported by her. Haddon Court Limited DS0000072663.V375171.R01.S.doc Version 5.2 Page 21 The acting manager is providing clear leadership and focus in the home. She is enthusiastic and knowledgeable about supporting people with dementia and this is passed onto the staff. The home is well managed and residents and staff say they feel well supported. One resident said about the manager, “She is good, always kind.” The home has written fire safety information, and staff know what to do in the event of a fire. There is general health and safety assessment and information in place. This is being used for basic staff training and induction. This has then been tailored into a Haddon Court specific health and safety assessment. This assists in protecting the health and welfare of residents, relatives and staff. Systems are in place for quality assurance. The home been reassessed against investors in people (IIP) standards. Investors in people is a national quality assurance award. The award is valid in Haddon Court Ltd until February 2012, when they will have the opportunity to be reassessed. There are regular staff meetings with minutes taken and the views of residents and their relatives are sought informally. The relatives of most residents at the home handle their financial affairs. The home does not look after any residents’ money. Records are kept of all transactions and relatives invoiced for any purchases made on behalf of residents. Staff spoken to said they felt well supported and that relationships and morale in the home were good. A member of staff said, “ I am so happy here. I worked in another home but the care wasn’t as good as here . Everyone is looked after well here.” Haddon Court Limited DS0000072663.V375171.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 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 2 X 3 X 3 X 3 X Haddon Court Limited DS0000072663.V375171.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? 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. 1. Standard OP31 Regulation 8 Requirement An application is required from a suitably qualified, competent and experienced person to be registered as the manager for the home. Timescale for action 22/06/09 2 OP26 16(2)(k) The unpleasant odour in some 01/06/09 areas of the home needs attention and some areas of the home should be refurbishing to make the home more pleasant to live in. 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 OP7 Good Practice Recommendations It would be beneficial to further develop care records by including life books or boxes for each resident, so that a more detailed life history is available to help provide support to residents. All new staff should receive a detailed and recorded DS0000072663.V375171.R01.S.doc Version 5.2 Page 24 2. OP30 Haddon Court Limited induction so that it is clear that they know how to carry out their work effectively. Haddon Court Limited DS0000072663.V375171.R01.S.doc Version 5.2 Page 25 Care Quality Commission North West Region Citygate Gallowgate Newcastle upon Tyne NE1 4WH National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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