Care Home: Lester Hall Apartments

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What the care home does well Assessment procedures involve the prospective resident and ensure residents individual aspirations needs are assessed. Individual plans accurately reflect resident`s needs, with residents well supported to take reasonable risks. All residents spoken with were very positive about the staff and the care they received. The home encourages residents to take control of their lives and actively be involved in the running of the home. Staff at the home are aware of the importance of appetising food and it is served at times that are convenient to residents. Residents told the Inspector, "Extremely nice food here, I asked the chef for mashed potatoes as I can`t eat the chips." "I had chips and pork steaks followed by rhubarb crumble. There is a choice of desserts from the trolley." Special dietary requirements are catered for. Residents can request a tray of food is brought to them and eat in their private apartments or eat in the dinning area. Residents concerns are listened to and acted upon and good systems are in place to protect them. There is a well-maintained garden with garden furniture at the back of the home and a stone water fountain display at the side of the home. One of the residents confirmed enjoying sitting outside to watch the water feature. The home is furnished and decorated to a high standard with period furniture and furnishings. Apartments are well maintained each decorated individually with resident`s personal possessions. There is a resident`s kitchen on the third floor. Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 6Residents are effectively supported and protected by well trained staff and through good recruitment practices. Managers give regular supervision and daily guidance and support to staff. All staff are encouraged to undertake National Vocational Qualifications in Care and Management including the managers and registered provider. Resident`s finances are safeguarded with a dedicated staff member with responsibilities for overseeing resident`s finances. What has improved since the last inspection? Medication sheets include all the required information and the medication trolley displays written guidance in the event of a drugs error. Liquefied meals are presented in a manner, which helps towards maintaining an individual`s appetite and nutrition. Staff training records have been updated and now include only the current staff group. Managers are undertaking training around drugs and alcohol abuse in order to gain a better understanding of the needs of residents in the home. Two signatures are required on resident`s financial records in order to safeguard resident`s finances. Staff recruitment records include all the required information including a criminal record certificate. What the care home could do better: The care plan format to be simplified and clearly show they are different from the assessment format. This remains outstanding since the last inspection in January 2007. No requirements or recommendations for improvements were made at this inspection. CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Lester Hall Apartments 15 Elms Road Stoneygate Leicester Leicestershire LE2 3JD Lead Inspector Helen Abel Unannounced Inspection 5th October 2007 11:00 X10029.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 Lester Hall Apartments DS0000006347.V352360.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 and Care Homes for Adults 18 – 65*. 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. Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lester Hall Apartments Address 15 Elms Road Stoneygate Leicester Leicestershire LE2 3JD 0116 2745400 0116 2745800 marinalester@btconnect.com www.lesterhallapartments.co.uk Lester Hall Apartments Limited 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) Mr David Goodwin Mrs Marina Philomena Lester Care Home 20 Category(ies) of Past or present alcohol dependence (20), Past or registration, with number present alcohol dependence over 65 years of of places age (20), Past or present drug dependence (20), Past or present drug dependence over 65 years of age (20), Dementia (20), Dementia - over 65 years of age (20), Mental disorder, excluding learning disability or dementia (20), Mental Disorder, excluding learning disability or dementia - over 65 years of age (20), Old age, not falling within any other category (20), Physical disability (20), Physical disability over 65 years of age (20) Lester Hall Apartments DS0000006347.V352360.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 service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Physical disability - Code PD and Code PD(E) Mental disorder excluding learning disability or dementia - Code MD and Code MD(E) Old age, not falling within any other category - Code OP Dementia - Code DE and Code DE(E) Past or present dependence - Code D and Code D(E) Past or present dependence - Code A and Code A(E) The maximum number of service users who can be accommodated is: 20 22nd January 2007 2. Date of last inspection Brief Description of the Service: The fees for 2006/07 are £310-£450 The most recent inspection report is available in the office. Lester Hall Apartments is situated on Elms Road, Stoneygate off London Road and is registered for 19 service users of multi categories. The home is close to local amenities, bus routes and places of worship. The accommodation is made up of spacious apartments and single and double accommodation. The home has a service users kitchen on the third floor. The home is furnished and decorated to a high standard with period furniture/furnishings. There is an attractive private garden accessible for service users. A minibus exclusive to service users is also provided with a driver. Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they received through looking at their records, talking with them where possible, and observing staff that provide their care. Care plans for the three residents were examined and aspects of their care and support discussed in detail. Documents relating to medication, staff training and recruitment were examined and a part tour of the building was made. The inspection was unannounced and took place on Friday. The registered manager and registered provider were also involved in the inspection. What the service does well: Assessment procedures involve the prospective resident and ensure residents individual aspirations needs are assessed. Individual plans accurately reflect resident’s needs, with residents well supported to take reasonable risks. All residents spoken with were very positive about the staff and the care they received. The home encourages residents to take control of their lives and actively be involved in the running of the home. Staff at the home are aware of the importance of appetising food and it is served at times that are convenient to residents. Residents told the Inspector, “Extremely nice food here, I asked the chef for mashed potatoes as I can’t eat the chips.” “I had chips and pork steaks followed by rhubarb crumble. There is a choice of desserts from the trolley.” Special dietary requirements are catered for. Residents can request a tray of food is brought to them and eat in their private apartments or eat in the dinning area. Residents concerns are listened to and acted upon and good systems are in place to protect them. There is a well-maintained garden with garden furniture at the back of the home and a stone water fountain display at the side of the home. One of the residents confirmed enjoying sitting outside to watch the water feature. The home is furnished and decorated to a high standard with period furniture and furnishings. Apartments are well maintained each decorated individually with resident’s personal possessions. There is a resident’s kitchen on the third floor. Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 6 Residents are effectively supported and protected by well trained staff and through good recruitment practices. Managers give regular supervision and daily guidance and support to staff. All staff are encouraged to undertake National Vocational Qualifications in Care and Management including the managers and registered provider. Resident’s finances are safeguarded with a dedicated staff member with responsibilities for overseeing resident’s finances. 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 Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Assessment procedures involve the prospective resident and ensure residents individual aspirations needs are assessed. EVIDENCE: Written information about the service is available electronically on a website address and can be provided in a printed version when visiting the home. A written Statement of Purpose and Service User Guide together with a copy of the last inspection report are also displayed around the home. Copies of these Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 10 are also freely available. The registered manager reported seeing visitors and residents frequently reading them. Visits to stay for one day is available for free to a prospective resident to test- drive the home. A resident case tracked is in the process of having an assessment carried out by the Registered Provider. This has been conducted whilst the resident was in the home due to individual circumstances but usually assessments are carried out before a resident comes into the home. Family, supporters and health and social care professionals are all contributing to the assessment process and will continue to be involved at any subsequent reviews of the placement. The placing authority and family and supporters have been provided with full written information about Lester Hall Apartments. Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individual plans accurately reflect resident’s needs; with residents well supported to take reasonable risks. EVIDENCE: Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 12 Two residents care plans were examined and were very detailed covering all aspects of support in relation to health, personal and social care needs. The registered manager confirmed a new care plan format is being considered as recommended at the last inspection. This would provide a simpler easy read version for staff to refer to and gain information from. Comprehensive risk assessments form part of each plan and address risk to the resident as well as those around them. Daily records inform and respond to individual residents daily lifestyles. One resident case tracked care has urgent changing needs. Because of this the residents and family members supporters, and care professionals are meeting soon to discuss how to best meet personal goals and aspirations. Evidence was seen that where residents have health care needs that these are met by involvement of health care professionals. One resident case tracked weight is sensitively monitored to ensure that they are maintaining nutritional levels. Residents spoken with were very positive about the staff and the care they received. Residents said, “It’s okay here. I still feel new. I am getting to know the staff and they are getting to know me. There is a mix of people here which is what I like.” “Staff are okay, they listen to us and tell us what’s happening.” Medication was stored appropriately and records were kept of all medication received, administered and leaving the home. All senior staff responsible for medication management has received appropriate training. Staff are reminded to refrain from using tippex from medication sheets instead simply cross out any errors with a pen. A prominent sign is displayed for staff on the drugs trolley on what to do in the event of a drugs error. Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home encourages residents to take control of their lives and actively be involved in the running of the home. Staff at the home are aware of the importance of appetising food and it is served at times that are convenient to residents. EVIDENCE: Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 14 The homes chef works with the resident case tracked to ensure extra efforts are made to prepare food they like. Through discussions around choice before the meal and through getting feedback from the resident the chef will make changes to make it better next time. Special dietary requirements are catered for. Residents can request a tray of food is brought to them and eat in their private apartments or eat in the dinning area. Residents spoken with said, “Main meals are good. I can ask for some food from the kitchen and able to go into the kitchen with staff” “ The meals fill you up they are very good.” “There are four to five choices everyday on the menu” “Extremely nice food here, I asked the chef for mashed potatoes as I can’t eat the chips” “I had chips and pork steaks followed by rhubarb crumble. There is a choice of desserts from the trolley.” The chef was seen preparing hot dogs with a vegetarian option for tea and was preparing his own onion relish. One of the residents case tracked has specified interest and managers are looking into meeting these interests and needs through local community resources and providing additional staffing resources. One resident has a computer in their room and uses the Internet and is actively supported to maintain their interest. Residents said, “I have my own kitchenette in my apartment. I have a microwave and can make something to eat for my friend when she comes around” “I go to pottery class once a week from October.” “We can sit in the garden and have drinks outside” “I can come and go as I please. I go for walks. I go and see my friends.” “The music man comes once a month.” One resident case tracked will do small errands around the home and will go out with staff to pick up items from local shops, for example pick up the newspapers. There is a small upstairs kitchen where residents are able to access to make their own drinks and snacks if they so wish. Suitable risk assessments are carried out to ensure residents are safe when using it. Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents concerns are listened to and acted upon and good systems are in place to protect them. EVIDENCE: The National Care Standards Commission has not received any complaints about this service since the last inspection. Residents spoken with know who to complain to and are confident that any concerns will be dealt with. A resident said, “Staff are good I will tell them if something is wrong. They will sort it out” “I will tell David (Registered Manager) if I am unhappy and he will sort it out. If he can’t do it straight away he will do it later and tell me what happening.” Managers confirmed that all staff have had Adult Protection training and in discussion with staff they were aware of what to do if they suspected a resident was being abused. This ensures that residents are protected at all times from potential abuse. Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 16 Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents live in a safe clean environment, which meets their needs well. EVIDENCE: Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 18 The home is located in a residential area close to a main road. The home itself is on three floors and the upper floors are accessed via a through floor lift enabling people with mobility issues to access their apartments with minimal support. The home is furnished and decorated to a high standard with period furniture and furnishings. There is a private garden with garden furniture at the back of the home and a stone water fountain display at the side of the home. One of the residents confirmed enjoying sitting outside to watch the water feature. There is a resident’s kitchen on the third floor, which maximises resident’s independence to make their own drinks and refreshments if they choose. A maintenance person is employed to carry out general maintenance around the home. A resident reported to the Inspector a fault with a door latch, and a broken chair. This was passed onto the registered manager who immediately recorded this on the maintenance list to be done the next day. A resident told the Inspector “I clean and tidy my own apartment.” Staff confirmed this resident is fairly independent and wishes to clean their own apartment. There is a programme of routine maintenance and apartments are well maintained each decorated individually with resident’s personal possessions. Domestic staff are employed and the home appeared very clean and tidy in all areas inspected. Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are effectively supported and protected by well trained staff and through good recruitment practices. EVIDENCE: Staff have a comprehensive induction and mandatory training such as Moving and Handling, Infection Control, Food hygiene and Fire training. Managers give regular supervision and daily guidance and support to staff. This was observed taking place upon the inspection visit. All staff are encouraged to undertake National Vocational Qualifications in Care and Management including the managers and registered provider. Managers reported just started some new training around alcohol and drug addiction as some people living at the Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 20 home are recovering from some of these illnesses. One the training is completed managers hope to train the staff group which will benefit residents. Two staff recruitment records were examined, both contained all recruitment records required including an application form, two written references, and evidence that enhanced criminal record bureau checks, and checks against the protection of vulnerable adults register were made before the employees started work. The registered provider is considering creating a new post and job description for a staff member to provide non-personal care support to residents on a oneto-one basis. Supporting individual residents and going to places of interest or pursing activities in their apartments. This is a good initiative and will benefit individual residents. Staff spoken to confirmed a need for such a post particularly for the younger residents. Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents finances are safeguarded and residents protected. Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 22 EVIDENCE: Residents case tracked finance records were examined. One resident manages their own finances, the other resident finances were clearly documented and safely held. A dedicated staff member has responsibilities for overseeing resident’s finances. A system for residents to sign and staff countersign is now in place and safeguards residents finances. The remaining key standards were inspected at the last inspection in January 2007. Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 x 3 3 4 x 5 x 6 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 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 ENVIRONMENT Standard No Score 19 4 20 x 21 x 22 x 23 x 24 x 25 x 26 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 x 34 x 35 3 36 x 37 x 38 x Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 24 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. 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 OP7 Good Practice Recommendations Care plans are simplified and show they are different from the assessment. Outstanding since last inspection from the 22nd January 2007 Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. Lester Hall Apartments DS0000006347.V352360.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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