Care Home: Haddon House Care Home

What the care home does well Haddon House provides a comfortable and safe environment for the people living there and has developed a specialist service, based on modern principles, for looking after older people who suffer from dementia. This is reflected in residents` and relatives` positive comments about the home and the staff. Some imaginative touches have been applied to the physical environment of the home and these are aimed at providing stimulation as well as assisting people to find their way round. People are also encouraged to personalise their private space to their own liking and to bring in their own possessions and small items of furniture.The staff team are a committed group who work well together to provide a good standard of care for people living at the home; they are were supported to do this through good training and increasing opportunities to obtain the recommended qualifications. Staff work in planned ways and have clear documentation to help them care for and support people in their day-to-day needs. In particular staff have a good understanding of the needs of people with dementia and were observed to be patient, relaxed and professional in the way they communicate and help people retain dignity and individuality. The manager is regarded as approachable and responsive by everybody involved with the home and she has the support of a large organisation that aims to improve quality and make sure things are the best they can be for people living at the home. The home has been generally well maintained and there were satisfactory standards of cleanliness throughout. What has improved since the last inspection? All of the six legal requirements that were made at the last inspection have been addressed and good progress in improving the home was noted at this inspection; this is reflected in the overall quality rating noted above. Improvements have been made in the documents that support care activities and storage arrangements of medicines have been improved for better safety. The new activities coordinator has been appointed and there are plans to improve the social life of the home further. The physical environment of the home has been developed to reflect the needs of people with dementia and a sensory room is in place to help broaden the range of specialist activities. Staff training has been continued and staff have been able to demonstrate how this has improved the standard of their work. CARE HOMES FOR OLDER PEOPLE Haddon House Care Home 38 Lord Haddon Road Ilkeston Derbyshire DE7 8AW Lead Inspector Brian Marks Unannounced Inspection 7th August 2008 09:00 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 Haddon House Care Home DS0000052159.V369641.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. Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haddon House Care Home Address 38 Lord Haddon Road Ilkeston Derbyshire DE7 8AW 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) 0115 9441641 0115 9445132 haddon.house@fshc.co.uk www.fshc.co.uk Tamaris Healthcare (England) Ltd Rita Flanaghan Care Home 30 Category(ies) of Dementia - over 65 years of age (30) registration, with number of places Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of persons to be accommodated at Haddon House Care Home is 30 22nd August 2007 Date of last inspection Brief Description of the Service: Haddon House is registered as a home providing personal and nursing care for up to 30 people with dementia. Built approximately 12 years ago, the accommodation is on two floors with all communal areas being on the ground floor. Bedrooms are located on both floors, with 14 of the places in shared rooms, and a passenger lift is available to ease access within the home. There is a small secure garden at the rear of the home, which is gained from patio doors in the lounge. The home is within easy access of the town centre of Ilkeston and all local shops and community facilities. The fees for Haddon House provided by the manager at this visit are between £374 and £670 per week. The most recent inspection report was on display in the entrance of the home. Haddon House Care Home DS0000052159.V369641.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. This was a Key unannounced inspection that took place at the home over one day. Additionally, time was spent in preparation for the visit, looking at key documents such as previous inspection reports, records held by us, the written Annual Quality Assurance Assessment document (AQAA), which was returned before the inspection, and surveys that had been previously sent out to the agency, its staff and the people receiving help. All of the above material assisted with the preparation of a structured plan for the inspection. Four resident and relative surveys were returned before the inspection and the information supplied in this way was analysed and the outcomes included in the inspection process and reflected in this written report. At the home, apart from examining documents, files and records, time was spent speaking to the manager, who was in charge of the home during the visit, and eight of the staff working on the day shifts. Because of the nature of their disability, none of the people living at the home were personally interviewed. However an extended period of time was spent observing the care being given to a small group of people in one of the lounge areas. The care records of three people who live at the home were examined in detail and the relatives of two of these, who were at the home on the day of the inspection, were spoken to. No other inspection visits have been made to the home since the last Key unannounced inspection on 22 August 2007 and the assessment was made against the key National Minimum Standards (NMS) identified at the beginning of each section of this report, as well as other Standards that were felt to be most relevant. What the service does well: Haddon House provides a comfortable and safe environment for the people living there and has developed a specialist service, based on modern principles, for looking after older people who suffer from dementia. This is reflected in residents’ and relatives’ positive comments about the home and the staff. Some imaginative touches have been applied to the physical environment of the home and these are aimed at providing stimulation as well as assisting people to find their way round. People are also encouraged to personalise their private space to their own liking and to bring in their own possessions and small items of furniture. Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 6 The staff team are a committed group who work well together to provide a good standard of care for people living at the home; they are were supported to do this through good training and increasing opportunities to obtain the recommended qualifications. Staff work in planned ways and have clear documentation to help them care for and support people in their day-to-day needs. In particular staff have a good understanding of the needs of people with dementia and were observed to be patient, relaxed and professional in the way they communicate and help people retain dignity and individuality. The manager is regarded as approachable and responsive by everybody involved with the home and she has the support of a large organisation that aims to improve quality and make sure things are the best they can be for people living at the home. The home has been generally well maintained and there were satisfactory standards of cleanliness throughout. 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. Haddon House Care Home DS0000052159.V369641.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 Haddon House Care Home DS0000052159.V369641.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): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People do not come to live at the home without the care they need being properly identified. EVIDENCE: Since the last inspection the manager has improved the care records in use at the home and all those looked at were completed to the same comprehensive and high standard. They were all for people admitted to the home during the past three months and indicate current practice at the home. They all contain a substantial assessment tool, in use throughout all the company’s homes, and this was completed by the manager before and when people move in. Additionally all files contain assessments of the general and specific areas of risk that are relevant to the individual concerned, such as safe moving and handling, skin breakdown and pressure sores, falls, nutrition and mental wellbeing. Feedback from relatives indicated that the home meets people’s needs, particularly in relation to the other homes they had experience of and the level of difficulty that caring sometimes presents: Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 9 ‘I am very happy with his care here; they have helped greatly with the times when he is not eating’. ‘There always seem to be staff around in attendance when people need help’. The home does not provide intermediate care so Standard 6 does not apply. Haddon House Care Home DS0000052159.V369641.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. The people living at the home have care plans and risk assessment records that promote safety and consistency, and staff work in ways that respect individuality, privacy and dignity. EVIDENCE: In the AQAA the manager told us about the monthly audits that are carried out to make sure that the home’s care and medicines systems are working properly and how she feeds back any shortfalls to staff so action can be taken to quickly address any issues. The care records of three people living at the home were examined and these indicated that the assessments carried out when people come to the home (see previous section) linked up with the activities of staff in a planned way and included the key areas of risk affecting their lives. For example where people are identified as having a history of falls their care plans direct staff in ways for this to be controlled. All aspects of the assessments and staff interventions are reviewed on a monthly basis. Access to health care professionals such as chiropodist, optician, General Practitioner, district nurse and mental health specialists is routine and these Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 11 visits are recorded on all the files looked at. People confirmed this in the written surveys received. The home has continued to develop the storyboard for all residents, which is a brief outline of their unique life history and interests, past and present, on display outside their bedrooms. The relatives spoken to said that these contain useful information, not only about their relative but also about other residents they come into contact with. The manager confirmed that they help staff and visitors to see the resident as a whole person and support ‘person centred care’. The manager also described how they planned to further expand the amount of information they acquire about people’s histories and lives to make this a central part of care records The period of observation, referred to in the introduction of this report, looked specifically for indications of residents’ wellbeing and/or distress, levels of engagement with activities or objects and types of staff interaction; four residents were observed as part of this exercise. There was no evidence of distress in the residents observed and some staff were proactive in engaging with them in a positive manner, such as offering drinks and helping with a craft activity that all involved verbal contact. However, there were a small number of contacts that were less positive and when staff behaved in a casual manner. One of the people observed spent some of the time asleep or was withdrawn from contact. Examination of the arrangements for the receipt, storage and administration of medicines indicated that these are generally satisfactory and all entries in the written records had been made properly. Medication is stored securely and the home uses a Monitored Dosage System for administration. There are a number of people living at the home who are using ‘controlled’ drugs and storage and administration arrangements for these are satisfactory. There are also a number of medicines for ‘occasional use’ (PRN) and specific instructions for their administration were included in the records. Since the last inspection the identified problems with the refrigerator had continued and this has resulted in the old one being replaced and staff instructed in ways to calibrate the thermometer, so that accurate temperatures within the safe limit are being recorded daily. The Home Manager conducts random care profile audits on a weekly basis, and this ensures that identified risks are transferred into care plans. Discussion with staff and relatives, and observations made, indicates a good level of respect for personal privacy and individuality of the people living at the home. Conversations and verbal responses from staff were polite, patient and respectful, and discussions with them individually indicated a good understanding of how to relate to people who have difficulties with communication and memory loss. All staff confirmed that the special training they had all received in this subject had helped them. Haddon House Care Home DS0000052159.V369641.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 good. This judgement has been made using available evidence including a visit to this service. People at the home enjoy lifestyles and routines that suit their varying levels of ability and interest, and have the opportunity to take part in organised leisure and social activities. EVIDENCE: In the AQAA the manager told us how the activities co-ordinator spends time with individuals living at the home and their family members, getting to know them, and drawing up a social activities plan. As mentioned previously, she is responsible for the “storyboard” about people’s lives. We were also told how visitors can call in at any reasonable time and how links with the community are encouraged and promoted through a new project financed by the owning company. Residents are able to entertain visitors in their own rooms in private, who are welcome to stay for a meal if they so wish. We were also told how the hours of the activities co-ordinator has been increased to enable more time to be spent with the residents. Since the last inspection a sensory room has been created which can be used by individuals to help with relaxation and wellbeing. As well as regular craft, music and games being organised to help with mental Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 13 and physical stimulation, the manager has arranged for the corridors to be decorated in themes such as sport, music, wildlife. These include multisensory items that also provide interest and stimulation, and other areas of recent redecoration in bright colours have also been provided to aid orientation. A volunteer from ‘Pets As Therapy’ has recently become a regular visitor to the home with her dog, which proved to be a popular interest. Those relatives spoken to confirmed that they were made to feel welcome at any time and were able to visit when they wished and also that ‘communication is very good and I am kept informed about any important changes or incidents that occur’. A brief visit was made to the kitchen and the cook described current arrangements. Good standards in the catering service have continued, and a 4-week menu is being followed which has been improved with the help of a dietician. The menu indicates a choice at the main meals of the day and a hot option available for breakfast and afternoon tea, with a snack and hot drink available at suppertime. Feedback indicated that people enjoy their meals at the home and that staff are aware of their preferences when they come to live at the home, and if there are any difficulties such as low or high weights. The cook routinely deals with people who have special dietary needs, and at the time of the inspection these included diabetic and softened, and she described how she will be employing a new system to improve the quality of the latter. Haddon House Care Home DS0000052159.V369641.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. The home responds to complaints made by residents and their representatives according to a written procedure, and aims to protect them from harm. EVIDENCE: The AQAA told us how the home’s residents and their relatives are given information about how to complain and how the procedure is enclosed in the service users guide and also displayed in the reception area. We were told how the home’s management welcome complaints and suggestions about the service and use them to learn from and to make improvements. Records contained in the AQAA indicated five complaints or concerns received in the past 12 months and how they had been resolved properly. Written and verbal feedback indicated that people were clear about how to get problems resolved and confident that they would be listened to. Safeguarding adults procedures are in place and records indicate that in the past year all staff, apart from very recent starters, have attended the full day training about dealing with abuse, provided by the Social Services Department. The staff spoken to were able to describe an understanding of their responsibilities in reporting suspicions of abuse, and the manager was familiar with reporting procedures and how to refer to the Protection of Vulnerable Adults (POVA) list; there have been no allegations made involving people living at the home since the last inspection visit in August 2007. Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 15 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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment within the home has been maintained and improved to meet the special needs of the people living there; it provides them with a homely, modern place in which to live. EVIDENCE: The AQAA told us how the home has an ongoing maintenance programme and that all checks are carried out and recorded appropriately, and that at recent a inspection by the Environmental Health Department the home was awarded five stars for excellent standards in the kitchen. From a brief tour of the building and visits to some of the bedrooms we saw how individual touches to aid orientation and stimulation had been provided through a new sensory room, themed corridors and individual storyboards (referred to above) and that new furniture had been purchased for the lounge areas of the home. The manager also described how each bedroom is redecorated and fitted with new furniture and furnishings as they become vacant, and some bedrooms have already been provided with modern furniture as part of the home’s Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 16 improvement plan. All bedrooms have been supplied with ‘nursing type’ or ‘full profiling’ beds, and where bedrails are in use, for additional safety, an hourly check form is in place for staff to sign. On the day of the inspection the home was clean, tidy and free from odours and all residents observed in the home wore clean and well-presented clothing. All staff have received training in the management and control of infection. Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 17 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. The home has adequate numbers of staff on duty that support a safe environment in which to live and work, and they have received training that helps them do their jobs in a more professional way. EVIDENCE: The AQAA indicated a low turnover of care staff in the past twelve months and also told how staff are arranged on duty and about levels of qualification of care staff being in excess of the national target. We were told that all (new) staff have induction training when they start, and how this continues on to foundation training and NVQ; as an organisation they recruit in a fair and open way ensuring they employ the right people. This information was confirmed by the staffing records that we looked at and from what staff told us. Examination of the duty roster and information provided in the AQAA indicated satisfactory levels of care staff on duty during the week of the inspection, although with the recent rearrangement of nurses on duty and annual leave commitments there were a number of shifts when only one, rather than two, nurses were on duty. The manager explained that an extra carer would be on shift and she would be available to support during these times, rather than employ the inconsistent cover of agency staff. The feedback from family members indicated that they felt that there were staff available when needed and in suitable numbers to provide the right support Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 18 Although the programme of NVQ training (referred to above) has been the main focus for attention since the last inspection, we were told by staff that there are extensive opportunities for further training – ‘all the training is excellent and to a high standard’. As well as updates in the required heath and safety subjects nearly all care staff and nurses had attended for instruction in managing challenging behaviour, customer care, person centred dementia care, tissue viability and conflict resolution. A nurse spoken to also told us that they benefit from regular instruction about a range of health related topics. We looked at the files of two recently appointed staff for evidence of the procedure that had been followed for their recruitment, and they contained safe and satisfactory information showing that proper checks had been carried out. These included two written references and a check by the POVA1st system obtained before they started work. Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 19 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, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is a well-managed and safe environment in which to live and work. EVIDENCE: The AQQA told us how the manager has is an experienced general and mental health nurse and has completed the Registered Managers Award. She has been in post for some years and was able to demonstrate a good range of skills, knowledge and experience in the operation of care services for older people with mental health problems. Changes brought in since the last inspection indicate a willingness to try creative and imaginative things to improve the lives of people living at the home. The AQAA told us that the manager is approachable and operates an open door policy and feedback received from staff and relatives confirmed this; staff and residents feel that they have a say in how things are done. Since the last inspection a new deputy manager has been appointed and this should assist with further Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 20 developments and improvements in the home’s operation. We were told he will take on the key tasks of staff support and supervision since, although the system for meeting with staff is in place, the arrangements are not yet occurring regularly enough to meet the National Standard. Staff also said that ‘the manager is from the right background and leads from the front’ and that ‘the manager is very supportive and understands our problems’. The company owning the home has established an extensive system for finding out how well its services are operating, and the manager is required to carry a number of activities and written audits to support this. The second full audit of the home has just been completed and the company have issued a full report, which indicated that the home is meeting their standards in all areas, with an overall score of 88 being recorded. Other areas that the manager regularly looks include the care records of people living at the home and medicines management. Since the last inspection the annual survey of residents and relatives has been carried out and these are collated at company HQ and the results distributed. The home’s regional manger regularly visits the home and carries out the monthly formal visit as is required by law – written reports from the last six were seen on file - as well as a comprehensive home review every 2 months. The AQAA told us that residents and relatives meetings were held regularly and all staff, including the night staff, are consulted for their views and ideas for improvements. The systems in place for looking after residents’ money were found to be satisfactory at the last inspection and remain unchanged. The AQAA indicated good standards of health and safety activity and regular servicing of equipment; the home’s handyman makes sure that any problems are dealt with quickly. Observations made around the building and a sample of fire safety and servicing records indicate that the home is hazard free. Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 21 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 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 2 X 3 Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 22 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 OP36 Good Practice Recommendations Staff supervision should take place every two months and include career development needs, and philosophy of care in the home. Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Haddon House Care Home DS0000052159.V369641.R01.S.doc Version 5.2 Page 24 - 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!