Care Home: Housteads

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What the care home does well The home is a pleasant building generally well maintained and comfortable. There is a well-established staff group, with more than 50% qualified to NVQ or above. People are supported well by kind and caring staff, and can take part in a good range of activities that is constantly increasing. People are listened to and changes are made because of what they say. The meals are praised and mealtimes are pleasant for the people living in the home. The home is well managed and problems are dealt with quickly so that people feel things happen when they voice their concerns. Examples of what people living in the home said: `I didn`t like being on my own, so this place is great. I have some friends here. I could bring a lot of things with me such as my music and books.` `I enjoy learning new things like the computer and Tai Chi.` `The staff are kind and helpful and make me laugh` What has improved since the last inspection? There is a new enclosed garden with raised flower beds and garden furniture for people to enjoy in fine weather. Some areas of the home have been redecorated, such as dining areas and bedrooms, and a new television has been purchased. The recommendations from the previous inspection have been dealt with. The activities program has been reviewed and includes more outdoor activities and outings as requested by people at the home. New indoor activities have also been popular including Tai-Chi and using the computer. The staff have continued to have training and supervision and are therefore able to protect people more. What the care home could do better: There is some damage to the skirting boards particularly in corridors that is unsightly and needs redecorating to make it a nicer place to live in. There is a plan for decorating in the next year that includes the corridors. CARE HOMES FOR OLDER PEOPLE Housteads 1 Richmond Park Grove Sheffield South Yorkshire S13 8HX Lead Inspector Stephanie Kenning Key Unannounced Inspection 16th September 2008 9:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Housteads DS0000002975.V372699.R02.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. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Housteads Address 1 Richmond Park Grove Sheffield South Yorkshire S13 8HX 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) 0114 269 2469 0114 254 0903 martha.buchanan@sheffcare.co.uk www.sheffcare.co.uk Sheffcare Limited Ms Martha Buchanan Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th October 2007 Brief Description of the Service: Housteads is a purpose built 40-bed home for older people. It is in a residential area of Sheffield with good access to public services and amenities (e.g. bus services, shops, libraries etc). It is a bungalow type building. All the rooms are single rooms and it has a suitable number of lounges and dining rooms. The gardens are landscaped and it has a large car park. Copies of the last Commission For Social care Inspection reports were kept in the entrance for service users and their families to read. The weekly fees range from: £327 to £383 on 9th October 2007. The home charges extra for chiropody, toiletries, clothing, telephone, holidays and hairdressing. Housteads DS0000002975.V372699.R02.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 3 star. This means that the people who use this service experience excellent quality outcomes. This was an unannounced key inspection carried out by Stephanie Kenning, regulation inspector. This site visit took place between the hours of 9:30 am and 4:30 pm. The registered manager is Martha Buchanon who was present during the site visit. Prior to the visit the manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. Questionnaires, regarding the quality of the care and support provided, were sent to people living in the home, their relatives and any professionals involved in peoples care. Six from people living at the home, one visiting health professional and four staff surveys were returned to CSCI. Comments and feedback from these have been included in this report. On the day of the site visit opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home and check the homes policies and procedures. Time was spent observing and interacting with staff and people living in the home. Five staff, two relatives and ten people living in the home were spoken to. The inspector checked all key standards and the standards relating to the requirements outstanding from the homes last key inspection in October 2007. The progress made has been reported on under the relevant standard in this report. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 6 The inspector wishes to thank the people living in the home, staff, and relatives for their time, friendliness and co-operation throughout the inspection process. What the service does well: What has improved since the last inspection? What they could do better: There is some damage to the skirting boards particularly in corridors that is unsightly and needs redecorating to make it a nicer place to live in. There is a plan for decorating in the next year that includes the corridors. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Housteads DS0000002975.V372699.R02.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 Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standard 3. Intermediate care is not provided at this home. People do not move in to the home until a full needs assessment has been undertaken and the home can confirm they can meet the needs of that individual. EVIDENCE: People living in the home made the following comments: ‘I came here because it was the nearest place to where I lived and I always get the care I need’. ‘Staff are very good, they gave me information about the home so that I could think about it before I came’. ‘Social services admitted me into Housteads’. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 10 ‘I didn’t like being on my own, so this place is great. I have some friends here. I could bring a lot of things with me such as my music and books.’ All people moving in to the home have their needs assessed and they have been assured their needs could be met prior to admission. Detailed full needs assessments were completed for the people whose files were read. These had been completed by the referring social worker, or the Registered Manager for those people self- funding. Relatives confirmed that this process happened prior to admission and that their relative had opportunities to visit the home prior to making a decision about moving there. Staff members sometimes visit prospective residents in their own homes before admission to get to know them and tell them about the home. People are usually placed at the home for a four- week trial period before having to make a decision to stay or not. All of these things help people know if their needs can be met by the home. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 7, 8, 9 and 10. People’s individual personal and health care needs are met, staff support them in this, and respect their privacy. Medication systems follow clear guidelines that promote the safety of residents, and allow some people to be independent. EVIDENCE: People living at the home said: ‘I usually get the care and medical support I need’. ‘The staff are good and listen to what I say’. ‘The staff always help me when I need it’. ‘Staff are always very helpful and kind’. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 12 Health professionals said: ‘The staff always liaise and refer to us appropriately’. ‘Residents are always well-dressed, therefore looking well cared for’. ‘Any medical problems identified by carers are always acted upon’. ‘Staff are always helpful and co-operative’. Of the 31 people living at the home at the time of the visit most needed some assistance with personal and health needs and 10 were classed as being disabled, and requiring a lot of support in their daily living. All of the people living at the home were classed as white British and their first language was English, which was not felt to represent the local community. There were only 11 men living at the home, more typical of the community for people over 65 years. The manager explained how they were analysing and monitoring the number of accidents involving people living at the home, and had noticed a reduction recently that may be a result of this. Care staff had attended training for a basic awareness of dementia and a person centred approach to dementia care, so that they can recognise individual needs more. They had also attended training in depression, so that they can recognise the symptoms and help the people in their care. They have been involved with some of the specialist teams in the city, getting advice and training to improve their care. The Registered Manager is a member of the Best Practice Group and Medication management group, which helps to raise standards of care within the company. All people living at the home have individual care plans that include physical, social, healthcare, religious and cultural needs. The files detailed what these needs were and the actions staff needed to take to help meet these needs. They linked to assessments, that were regularly updated, usually monthly, and then a review of the care plans so that each person gets the right care. Recent changes to health, and therefore needs and care required, were recorded, showing that they were up to date. People using the service and their relatives felt involved in this process and were able to specify individual preferences, such as they liked to spend time in their room, which was respected by staff. Relatives were pleased that staff treated them with kindness and respect. Staff members communicated well with the people at the home, including those people with communication difficulties, demonstrating that they were experienced and familiar with individual needs. Within the care plans were details of healthcare issues and the treatment required, including from visiting nurses, GPs, dentists, opticians, and chiropodists, showing the importance placed on accessing healthcare. During the visit 2 GPs, and a nurse visited the home and saw people for treatments in the privacy of their rooms. They felt that they had developed good working Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 13 relationships with the home, and that their regular visits were valued, helping people to address problems quickly. The medication administration uses a monitored dose system from trolleys in the different units, helping to reduce the risk of mistakes. Staff members that administer medications are trained and assessed prior to them being able to do this, to improve the safety for residents. The medication records were completed correctly, and staff followed safe procedures during the visit. A small number of people partly manage their own medication with risk assessments and lockable facilities to improve safety. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience excellent outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 12, 13, 14 and 15. People living in the home have opportunities to take part in a wide variety of activities if they wish, have good links with the community and relatives, and are very positive about the meals provided. EVIDENCE: People living at the home said: ‘I usually attend activities, but only when I want to.’ ‘There are always activities I can take part in.’ ‘I’ve never had a bad meal yet.’ ‘I don’t always like to attend activities even when I’m asked.’ ‘I always like the meals at the home.’ ‘I always like the meals even though I have a poor appetite.’ ‘I enjoy learning new things like the computer and Tai Chi.’ Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 15 People living at the home talked about the different activities they chose to do, including watching television, bingo, going on outings to the coast or country, and events at the home. They felt able to choose which activities to join in with and some people felt able to spend time on their own or watching others participate, without pressure to join in. One person demonstrated the activities that they can access on the computer including communicating with people at other Sheffcare homes. They also played a video on the computer of themselves during the Tai Chi classes, which they felt had helped their suppleness. People living in the home can attend meetings where they can make suggestions for group activities and outings and other aspects of living at the home, which they felt was valuable as their views were listened to and acted upon. One recent suggestion by people at the home is the purchase of a Nintendo Wii to encourage the movement of people, and this is to be arranged in the near future. Relatives visiting the home said that they were invited to events and to go on outings, which made them feel welcome and involved, helping to support their relative. One relative spoke about how the home kept them informed about the health and progress of their relative. The local Anglican Church holds a religious service at the home every month, and local councillors (elected members), hold regular surgeries at the home, showing good links with the local community. The manager was in the process of arranging hydrotherapy sessions at a local pool for some of the people at the home. The home had been taking part in the Youth Parliament where young people talk to the people at the home about their views of the world and what is important to them. The consequence is that the people in the home appear to have respect for the younger people and are less afraid of them. People living at the home were generally very happy about the meals, saying that they could choose from a menu and alternatives were available if they didn’t like what was offered. Most people felt that the quality and quantity of food was good, that it was hot and appetising. Meals were served in the dining areas of the 3 different units of the home and were observed to be relaxed, with sufficient staff assisting sensitively, making it a pleasant experience. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 16 and 18. People living at the home felt able to make their views heard and were confident that concerns would be listened to and acted upon. EVIDENCE: People living at the home said: ‘I know who to speak to if I’m not happy about something.’ ‘Yes, I know how to make a complaint.’ ‘I’ve never had anything to complain about.’ There have been no complaints or safeguarding issues at the home since the last inspection in October 2007. There was a lot of praise for staff by people living at the home and their relatives, and in the thank you cards sent to the staff, and also for the way the home was welcoming. The home has established policies and procedures that relate to complaints and safeguarding of people who use the service, and these were familiar to staff, who were able to promote the rights of individuals. People living in the home felt able to talk to staff, including managers, when they had a concern and felt that they were listened to. The manager was aware of the need to Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 17 ensure new staff were made familiar with these processes, and had a system of cascading information through supervision and meetings. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 19 and 26. People living at Housteads found it a comfortable, clean, warm and homely place to live. EVIDENCE: People living at the home said: ‘The home is good, always fresh and clean.’ ‘I like my room, it is cosy’. ‘I can be myself here in my room, do whatever I want’. ‘I’ve got lots of my belongings here’. ‘My bed is comfortable’. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 19 People living at the home said that they found the home comfortable, clean and pleasant. Bedrooms contained many personal items, which people said helped them to feel at home. They had noticed improvements to the décor and facilities that they were pleased with, and said that problems were put right quickly making it a safe place to live. Some bedrooms had been redecorated and new carpets fitted improving those areas for the people living in those rooms. Previous damage to décor in bathrooms and toilets had been redecorated, and radiator covers removed and cleaned behind them improving the appearance as well as cleanliness. One radiator cover in a bathroom had no top to it and had collected a number of items such as tissues behind it. During the visit the manager organised for a new cover to replace this one. The storage of equipment in bathrooms was much reduced. There were some areas of damage to décor on skirting boards, particularly on corridors that need to be addressed to improve the appearance, though the manager stated that the corridors were scheduled for redecoration during the next year. A good range of bathing and lifting aids were available to assist people with disabilities. Since the previous visit an enclosed garden area has been made, with raised flower beds and seating, providing a safe and pleasant area for warmer days. An award of excellence has been awarded by the Department of environmental health for the levels of cleanliness at this home. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience excellent outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 27, 28, 29 and 30. People living at the home found the staff to be helpful, kind and well trained. EVIDENCE: People living at the home said: ‘Staff listen to me and help me when needed.’ ‘The staff are always available when I need them’. ‘The staff are kind and helpful and make me laugh’. ‘The staff are like my family, and I couldn’t manage without them’. ‘The staff are very good’. ‘The staff are always very helpful, kind and good.’ Staff at the home said: ‘We have some very caring staff who really do enjoy their job.’ ‘Sickness is a problem but usually staff are willing to do extra shifts and we do have bank staff that are quite flexible with shifts.’ ‘Sometimes there are enough staff’. ‘Usually there are enough staff.’ ‘They could give better rates of pay to encourage staff to stay’. ‘The training is very good and we can ask for what we need’. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 21 ‘The induction covered everything very well and I got a buddy to work with until I was confident.’ During the visit we checked the staff rotas, observed staff working and talked to people living at the home, relatives and staff about the quantity and quality of the staff. People living in the home were very positive about the staff caring for them, saying things like ‘they work really hard and will always help when I need them’. Relatives also said positive things about the staff, for example ‘I feel that I can trust them to care for mum’. There have been some staff changes but not as many as last year and the home have recruited to the vacancies. The home has access to the company bank staff at times of shortages, though has not needed this often recently, showing that they are meeting their minimum recommended staffing levels. Staff members were clear about their roles and enjoyed their jobs, and felt that the training and support they got was excellent. The staff did appear to be relaxed and though busy, did not seem rushed in their work, making it easier for the older people in their care. They were able to facilitate social activities including some individual ones, during the visit. There were 58 of staff trained to level 2 NVQ or above, and all the others working towards it. This shows a commitment to training and development of staff that is reflected in the quality of care they provide. A sample of staff files were seen and contained evidence that a thorough recruitment procedure had taken place including checks on gaps in employment history, and other checks to safeguard the people living in the home. Evidence of supervisions, appraisals and refresher training was also seen showing that there is a continuation of staff development for all people working at the home, which helps to improve the quality of care to residents. Examples of recent training held are moving and handling, fire, health and safety, first aid, and the mental capacity act. The training matrix identified that one person was not up to date with fire training, (for a number of reasons), and this was addressed during the visit. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience excellent outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 31, 33, 35, 37 and 38. People living in the home are safeguarded by the clear systems and approachable management style, which is influenced by the views of the people living at the home. EVIDENCE: People living at the home said: ‘I’m happy with everything about the home’. ‘The set up here is very good, we get what we need.’ Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 23 Staff at the home said: ‘We are given the information we need to care for people’. ‘This service treats service users and staff as individuals and problem solves to stop any disagreements’. ‘We have regular supervisions but if there are any problems the manager is always approachable and they get sorted straight away.’ The registered manager of the home is Martha Buchanon, who has the Registered Managers Award, is a Registered general Nurse, and has 8 years management experience, all relevant to the job she is doing. The atmosphere at the home was welcoming and friendly and people living in the home said that it was always like that, with managers and staff being approachable about anything they wanted to discuss. There are more formal ways that they can have their say such as at review meetings, through surveys, and at meetings. This was demonstrated as part of their quality assurance system that records these meetings and surveys and shows the action taken. Samples of financial records were seen and were recorded accurately, with evidence that they are monitored by the manager, showing that safe systems are in place. The management of the home carry out regular quality monitoring of different aspects of the home to ensure that the home does what it says it does for the people living there. One of the team leaders demonstrated the computer based quality assurance system that helps them to monitor their teams. All records seen were up to date and accurate showing a commitment to providing a good standard for the people in their care. Health and safety for people in the home is managed well by regular maintenance and checks on equipment, and the building. Staff members have appropriate training in fire safety, first aid, health and safety, moving and handling, and other areas to promote the safety and well being of the people in their care. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 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 4 13 3 14 4 15 4 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 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X 3 3 Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP19 Good Practice Recommendations Attend to damage décor particularly skirting boards in corridors. Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Housteads DS0000002975.V372699.R02.S.doc Version 5.2 Page 27 - 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!