Care Home: Longacre Care Home

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What the care home does well The manager has established a dedicated staff team who are committed to providing a good quality of life for the people who live at Longacre Nursing Home. Staff spoken with said they work very well together and understand people`s needs; they said they feel well supported by the manager. There is a programme of training including specialist training in dementia care. The management team encourage and support staff in their personal development. The home is well decorated and furnished. The gardens are well cared for and people said they enjoy using them in good weather. The food is home cooked and meals are provided in a pleasant dining room. One of the people living in the home said: "I find staff most helpful and kind" another person said: "the food is excellent I can`t fault it". Two relatives said that they are very happy with the care provided in the home and everything is "perfect". Comments people made on the surveys include: "They understand my uncle`s character and personality and manage to find the time to give him the attention he needs", " I think Longacre is a good nursing home, the staff are warm, caring and cheerful", "Always very helpful, obliging and polite to visitors and makes the time to discuss any points" and "Any problems or worries mum has had are dealt with quite quickly". What has improved since the last inspection? This was the first inspection since the home was registered under the new ownership. What the care home could do better: The programme of activities should be developed based on people`s interests and personal choice of activity so that they experience the lifestyle they prefer and expect when they move to the home. CARE HOMES FOR OLDER PEOPLE Longacre Care Home 12-14 Chute Way Worthing West Sussex BN13 3EA Lead Inspector Annette Campbell-Currie Unannounced Inspection 09:30 31st March 2008 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 Longacre Care Home DS0000070314.V361320.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. Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longacre Care Home Address 12-14 Chute Way Worthing West Sussex BN13 3EA 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) 01903 261648 longacre.nursinghome@ntlbusiness.com Longacre Care Homes Ltd Mrs Diane Thorp Mr Hemnarayansingh Doorga Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 30. Date of last inspection New Registration Brief Description of the Service: Longacre Nursing Home is registered to provide personal and nursing care for up to thirty older people. The home is a detached, converted, two storey building situated in a quiet residential area north of Worthing. The town and sea front are approximately three miles away. Accommodation is provided in both single and double bedrooms. Nine single rooms have en-suite facilities. There are three communal areas that include lounge and dining facilities. There are spacious well-maintained gardens with attractive seating areas. Longacre Care Homes Ltd owns the home. Mr Hemnaravansingh Doorga is the responsible individual for the company and is also one of the two registered managers. Mrs Diane Thorp is the second registered manager. The current fees are from £550 to £750 per week. Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating of this service is Two Star. This means that the people who use this service experience good quality outcomes. Longacre Nursing Home registration changed in October 2007 and this was the first key unannounced inspection since the new registration. Annette Campbell-Currie carried out the site visit over five and a half hours. One of the two registered managers assisted with the inspection and all the information and documents that were needed were available. There were twenty-six people staying in the home at the time. The manager had completed an annual quality assurance assessment form (AQAA) before the inspection and this provided some information that was used in the planning of the site visit. During the visit seven people living in the home were spoken with and seven members of staff including the cook and the cleaner. The gardens, communal areas and a number of bedrooms were seen. The following documents were read: the case records of four people living in the home, the recruitment records of four staff, training records, quality assurance documents, key policies and other relevant documents. The lunchtime medication round was also observed. Surveys had been sent out to people living in the home, relatives, staff and healthcare professionals to find out what people think about the home. Replies were received from sixteen residents; two people had completed these by themselves, one with the help of a relative and thirteen with the help of staff. Nineteen relatives returned surveys, seven staff, three health care professionals and two care managers. A number of people made comments about the care provided at Longacre Nursing Home and the information gathered has been used to help make an assessment of the service. The outcome for people living in the home has been assessed in relation to twenty-two of the thirty-eight National Minimum Standards for the care of older people, including those considered to be key standards to ensure the welfare of people living in the home. What the service does well: The manager has established a dedicated staff team who are committed to providing a good quality of life for the people who live at Longacre Nursing Home. Staff spoken with said they work very well together and understand people’s needs; they said they feel well supported by the manager. Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 6 There is a programme of training including specialist training in dementia care. The management team encourage and support staff in their personal development. The home is well decorated and furnished. The gardens are well cared for and people said they enjoy using them in good weather. The food is home cooked and meals are provided in a pleasant dining room. One of the people living in the home said: “I find staff most helpful and kind” another person said: “the food is excellent I can’t fault it”. Two relatives said that they are very happy with the care provided in the home and everything is “perfect”. Comments people made on the surveys include: “They understand my uncle’s character and personality and manage to find the time to give him the attention he needs”, “ I think Longacre is a good nursing home, the staff are warm, caring and cheerful”, “Always very helpful, obliging and polite to visitors and makes the time to discuss any points” and “Any problems or worries mum has had are dealt with quite quickly”. 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. Longacre Care Home DS0000070314.V361320.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 Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have the information that they need to help them make a decision about moving to the home. Prospective service users have their needs assessed to ensure that the home could meet their needs. EVIDENCE: There is a Statement of Purpose and Service User Guide. The manager takes a copy of the information with her when she goes out to carry out the assessment so that she can show people what they can expect if they decide to move in. A welcome pack of information is given to everyone when they arrive in the home and these were seen in people’s rooms. Seven people living in the home who returned comment cards said that they had not received enough information about the home before they moved in although the majority of relatives felt they had received adequate information. Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 9 One of the managers or a senior member of the nursing staff carry out an assessment of need with the prospective resident and their relatives if appropriate. Mrs Thorp said that she makes sure that the home could provide for the person’s needs and if this is the case she confirms this by letter. Samples of pre-assessment forms were seen and included details of each person’s needs so that an informed decision could be made about them moving to the home. All relatives who returned comment cards said that the home always or usually meets the needs of their family member indicating that the assessment process is effective. Longacre Care Home DS0000070314.V361320.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. People’s health, personal care and social care needs are set out in an individual plan of care. People’s health care needs are met and they are protected by the home’s policy and procedures for dealing with medicines. People feel they are treated with respect and their right to privacy is upheld. EVIDENCE: There is a process for care planning and review. There is a standard format that is used; this includes a detailed assessment of need that is completed when people arrive at the home and includes information gathered before the person moved in. The assessment and care planning booklet includes: a personal profile and life history, information about important relationships, personality, falls, improvements that could be made in their life, wishes in the event of death, social and leisure interests, religious wishes, medical history, medication taken, mental health assessment and aids required. Four of the documents were read and included details of each person’s needs and wishes Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 11 in all aspects of their life. Risk assessments had been carried out in general areas of risk, nutritional screening, skin integrity and mobility. The care plans provided guidance to staff and the care staff spoken with said they understand people’s needs and use the care plans if they need to know certain information or if there have been any changes. They said that they are also informed of any changes at handover sessions. Residents had signed their agreement to their care plan. There is also space on the forms for people to sign their consent if they require bed rails for their safety. It was clear that care plans are reviewed monthly and changes of need had been noted with new guidance for staff. There was space to document comments from residents to show that they are involved in their reviews. People’s health care needs were documented and there were records of GP visits and outpatients appointments. Mrs Thorp said that there is a private dentist who visits the home and one person said that she had had a visit from the dentist recently. Chiropody services are available and people are supported to see an optician if necessary. Nutritional assessments were seen on the care plans and people are weighed monthly so that any weight gain or loss can be monitored and action taken if necessary. The care plan of one person showed that there had been concerns about his appetite from time to time; this was clearly documented in the care plan however it was not so clear from the daily recording sheets that his intake of food was being monitored from day to day. Mrs Thorp said this would be discussed at the handover meetings but she would make sure that the daily record sheets reflected how much the person had eaten so that progress or deterioration could be monitored. A recent safeguarding investigation led by the Social and Caring services raised concerns about the home’s management of one person who had diabetes. Since concerns were raised Mrs Thorp has attended a study day on diabetes management, she is in close contact with the nurse who specialises in diabetes and is available for advice and guidance. Staff have been given information and guidance about monitoring the health of someone who has diabetes and a blood sugar testing kit has been purchased by the home. The records for someone who has diabetes were seen and showed that their blood sugar levels were being checked on a regular basis. Mrs Thorp said she would make sure that staff contact with this person would be documented so that it would be clear that their wellbeing is being monitored. There are policies and procedures in place regarding medication in the home. No one in the home at the moment administers their own medication. Only qualified nursing staff administer medicines. The administration of the lunchtime medication was observed; medicines were appropriately stored and recording was in order. There are times in the day when Mrs Thorp is the only qualified staff member on duty, this could have implications for the Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 12 administration of medication if she were called away to deal with urgent management matters during a medication round. Care staff are given advice and guidance about the way to provide personal care as part of their induction. The staff spoken with were clear about their responsibilities and during the day people were being treated with sensitivity and respect. Call bells were being answered and when one member of staff was in the middle of helping another resident she explained this to the person and returned without delay. The majority of people who returned comment cards said that staff listen and act on what they say; two people said this sometimes happens. Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. 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 do not always find the lifestyle experience in the home matches their expectations. People are supported to maintain contact with relatives and friends. People are supported to make some choices in their daily lives. People are provided with a balanced and nutritious diet. EVIDENCE: There are some activities available in the home including arts and crafts, music sessions and games. A hairdresser visits the home once a week and the manager said that this is a very social occasion. An activities coordinator visits the home for two hours each week and either spends time with individual residents or organises arts and craft or games. In the morning some people were sitting in the lounge either watching television or dosing. During the afternoon there was a singer in the home and a number of people were in the lounge enjoying the entertainment. There were photographs around the building of outings that people had enjoyed. Four residents who returned surveys said there are always enough activities, six said there are usually and six said there are sometimes or never enough activities. Five of the relatives Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 14 who returned surveys said they felt there should be more activities and staff said they would like to be able to spend more time with residents. People’s interests and hobbies were noted on their care plans and it was discussed with the manager that an activities programme should be drawn up based on people’s wishes and ideas. Participation in activities should be recorded and monitored to make sure that everyone is receiving the stimulation that they need to keep them active and alert. It is clear that relatives and friends are encouraged to visit the home and people are supported to keep in touch with their family. One person had been out with relatives in the morning and another relative visits the home three times a week and has lunch there. Everyone said that their visitors are made to feel welcome. People have some choices in their lives and this was documented in the care plans. Staff spoken with said it is difficult to make sure people are able to get up when they wish to due to pressure of time in the mornings. All residents were up and dressed during the morning. There is an advocacy service available and people would be supported to access this service. Food is home cooked and people are provided with a choice of food at meal times. The cook and care staff were asking people what they would like for lunch and there was a choice of two main meals and three desserts. The manager is planning to put up a white board showing people the daily menu to help them make a choice. People are provided with a varied and balanced diet and special diets are catered for. Thirteen of the people who returned surveys said they like the meals and all those spoken with said they enjoy their food. The dining room is not large enough to accommodate all residents and some take their meals on trays in the lounge. People assisted with eating take their meals in the lounge or in their rooms. Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. 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. People can be confident that their complaints will be listened to and taken seriously. Policies are in place to help protect people from abuse. EVIDENCE: There is a complaints policy that is provided to everyone who comes to the home. Fifteen of the relatives who returned surveys said they know how to make a complaint and people commented that their concerns or complaints had been dealt with promptly. The home has received seven complaints in the past twelve months; these have been documented and actions, timescales and outcomes recorded. The Commission has received two anonymous complaints that were investigated and found to be unsubstantiated. There are policies and procedures in place regarding the safeguarding of vulnerable adults and the West Sussex multi disciplinary policy is available in the home. All staff have attended training in adult abuse so that they understand how to recognise abuse and the importance of reporting concerns. All staff have recently been given new booklets about safeguarding adults. The staff spoke with were clear about the need to immediately report any concerns that abuse may have occurred. The Social and Caring services recently carried out a safeguarding investigation following an allegation that the health and welfare of a person with diabetes had not been well managed. The manager Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 16 has produced an action plan as part of the ongoing investigation. The action that has been taken is noted under standard nine above. Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 17 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. People live in a safe and well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: Longacre Nursing Home provides a comfortable environment and is well decorated and furnished. Mrs Thorp said that she is able to call on outside contractors if urgent repairs or maintenance work is needed. There are two lounges for people to enjoy. The dining room is not sufficiently large to accommodate all residents at meal times and some people eat in their rooms or on trays in the lounge. The bedrooms are well decorated and furbished and people spoken with said they are very happy with their rooms. The double rooms have screens to Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 18 provide some privacy. The information in the annual quality assurance assessment form (AQAA) showed that all equipment is serviced as required. The building meets the requirements of the fire officer and the environmental health department. The gardens are well maintained and the manager said that people enjoy spending time in the grounds when the weather is good. There are handrails on stairways and in some parts of the building to help people with mobility problems. One of the corridors is narrow for the provision of handrails and Mrs Thorp said that people who have rooms in that area of the home all have assistance from staff with their mobility. The laundry facilities in the home are suitable for personal and soiled laundry. There is a part time member of staff responsible for laundry duties. There is one cleaner who cleans the home throughout each day during the week and someone comes in on Sundays to clean. The sluice facilities are clean and suitable for the needs of the home. All staff have attended courses in infection control and disposable gloves and aprons are readily available for staff to use to prevent the spread of infection. The home was clean and pleasant at the time of the site visit. Fourteen of the sixteen people who returned surveys said that the home is always or usually fresh and clean; one relative who returned a comment card said that there is sometimes a ‘smell’ when entering the building, this was not apparent during the unannounced inspection. Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 19 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 needs of people living in the home are being met by the numbers and skill mix of staff on duty. The home’s recruitment policy protects people living in the home. Staff are trained and competent to do their jobs. EVIDENCE: The staffing rotas were seen and showed that there are sufficient numbers of staff to meet the needs of people living in the home at the moment. When the number of residents in the home or the level of dependency increases the numbers of staff on duty would need to be reviewed. The manager said that a number of staff choose to work between 48 and 60 hours each week; she was advised to monitor this as mistakes or accidents could occur if staff are tired and do not have sufficient breaks from their work. During the morning staff were very busy with tasks such as changing beds and making sure people had a drink. The staff spoken with said that they would like to be able to spend more time with residents; these comments were discussed with Mrs Thorp. Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 20 All staff are encouraged and supported in their professional development. Eleven of the twenty-five care staff have achieved the National Vocational Qualification (NVQ) award at level two or above. There is a recruitment policy and a sample of recruitment records for three recently appointed members of staff were seen. All applicants complete an application form and gaps in employment are explored with them during the interview with the manager. All the required checks including two written references and Criminal Record Bureau (CRB) checks are carried out before people begin work. There is a structured induction programme for care staff in line with the Skills for Care guidance. Staff who responded to the surveys said the induction process gave them the information and knowledge that they needed. There is an excellent training programme within the company. All staff have an annual appraisal and regular supervision to identify their training needs. The manager is committed to staff training and provides staff with information about courses that are available. The staff spoken with said that they are well supported and encouraged to attend training and that cover is arranged in their absence. Training records showed that all staff have attended mandatory training and updates as required. Some staff have attended additional training including dementia care. Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a home that is well run by managers who have the knowledge and experience to do so. The views of people living in the home are sought. People’s finances are being protected. The health, safety and welfare of people living in the home and staff working there is being promoted and protected. EVIDENCE: There are two registered managers; Mrs Thorp works during weekdays and Mr Doorga covers some night shifts. Mrs Thorp is a registered nurse and has been managing the home for eight years prior to the change of ownership. She maintains her registration with the Nursing and Midwifery Council by attending training required by post registration education and practice framework. Mrs Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 22 Thorp has recently attended training in dementia awareness, tissue viability and wound care, assessing competence in medication administration, blood sugar monitoring, care of older persons, food hygiene, the foundation certificate for health and safety in the workplace and a first aid appointed person’s course. Mr Doorga is also a registered nurse. Mrs Thorp said that there is an exchange of communication between both managers at handover meetings and they keep in communication with each other. There is a quality assurance system in place and questionnaires are circulated annually to resident, relatives, visitors and GPs; these will be collated at a later stage in the year. Mrs Thorp said that there was a clerical assistant who made sure questionnaires were circulated, this is now part of her role. Residents meetings are held regularly and minutes taken. The provider carries out Regulation 26 visits monthly and provides a written report which is discussed with Mr Doorga. People are supported to manage their financial matters by relatives or solicitors. The home supports people with their day-to-day monies and there are safeguards in place to make sure people are protected. There are health and safety policies and procedures in place. All staff have attended the mandatory training sessions so that they know how to keep themselves and other people safe. Equipment is serviced as required and fire precautions are in place. Accidents are recorded and monitored so that preventative measures are taken where possible. Longacre Care Home DS0000070314.V361320.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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 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 2 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 X X 3 Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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. Refer to Standard Good Practice Recommendations Longacre Care Home DS0000070314.V361320.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Longacre Care Home DS0000070314.V361320.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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