Care Home: Longshaw House

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What the care home does well What has improved since the last inspection? Plans of care had been developed with the assistance of residents or their families to ensure their wishes were taken into account. Plans of care had been reviewed to ensure staff were aware of each resident`s health and care needs. CARE HOMES FOR OLDER PEOPLE Longshaw House Crosby Road Blackburn Lancashire BB2 3NF Lead Inspector Mr Graham Oldham Unannounced Inspection 24th September 2008 09:30 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 Longshaw House DS0000034743.V367081.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. Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longshaw House Address Crosby Road Blackburn Lancashire BB2 3NF 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) 01254 260627 01254 681094 longshawhfe@blackburn.gov.uk www.blackburn.gov.uk Blackburn with Darwen Social Services Not filled Care Home 34 Category(ies) of Dementia (7), Old age, not falling within any registration, with number other category (27) of places Longshaw House DS0000034743.V367081.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 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: Old age, not falling within any other category - Code OP (maximum number of places: 27); Dementia - Code DE (maximum number of places: 7). The maximum number of service users who can be accommodated is: 34. 10th October 2007 Date of last inspection Brief Description of the Service: Longshaw House is a purpose built residential home belonging to Blackburn with Darwen Local Authority. Thirty-four residents can be accommodated at the home including seven in the short-term dementia unit. Twenty-one residents were accommodated at the home. One wing was closed for extensive upgrading. The home is single storey with the exception of staff quarters situated in a dormer. The home has a variety of lounges and a large dining room. Several corridors have seating arrangements for residents who have become friends to sit together. Residents with dementia have their own facilities. The home is domestically furnished and decorated. There is also a hairdressing salon and treatment room where medication is stored. All bedrooms are single and have been personalised to residents’ tastes. Aids and adaptations are available for disabled or infirm residents in toilets and bathrooms. A new bath for the disabled was due to be fitted in the current upgrading of facilities. The home is situated on the outskirts of Blackburn. Local amenities are accessible to residents. There is a bus route a short walk from the home. Garden and patio areas are available for all residents. There is a car park to the front of the property. A statement of purpose and service users guide is available for residents or their families to be informed of the facilities and services the home provides. The fees for Longshaw are £9.55 per night for respite care or £333.97 per week for long stay. Hairdressing, newspapers or periodicals and outings are not included in the fee. Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key unannounced inspection took place on the 24th September 2008. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. Two residents from the residential side and one resident from the dementia side were case tracked. No residents case tracked were able to give an account of their care and evidence was supplemented by asking a visitor and another resident about life at the home. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to staff. Two staff members were questioned about the care of the residents case tracked. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted. The service returned an AQAA. This is a document which the service provides us with key information on how they feel they have progressed since the last key inspection and on how they can improve their service. Two staff members returned survey forms to the Commission for Social Care Inspection (CSCI). Both members of staff thought there was always enough information supplied about the residents they cared for. One staff member said – We get all the information on each individual either prior to them coming to our setting or as soon as it is given to the office. One member of staff thought employment checks were professionally undertaken and one did not. This staff member said: CRB checks had not been introduced when I started here. Both members of staff thought the induction process covered what they she needed very well. Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 6 Both members of staff thought training was relevant to the role, helped them understand the needs of each individual and kept them up to date with ways of working. One member of staff thought management met regular to give support and supervision and one often. One member of staff knew what to do if she had any concerns and one did not. One member of staff thought communication was always good and one usually. Both members of staff thought there were usually enough staff to meet the needs of residents. One said: There are times when staff are stretched due to the deterioration or admission of service users who are high dependency relating to their care needs. One member of staff thought she always had the necessary skills to meet each resident’s diverse needs and one usually. Members of staff thought the service did well by: We deliver a person centred case system. We treat each service user as an individual and I think the care service offers a high standard of care and excels in offering service users choice and privacy. All staff are committed to provide, where possible, a service that is tailored to individual needs. One member of staff thought the care service could improve by: The service could do better by improving the staff to service user ratio when the home is experiencing a high level of very dependent service users such as new admissions with acute needs or service users who are extremely ill and require more care. Extra staff would benefit service users and staff would welcome the extra time this would afford them to spend with service users. Both members of staff were satisfied with the support and knowledge they had to meet the needs of residents. Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 7 What the service does well: The assessment process ensured residents were suitably placed at the home. Residents case tracked said, “I have a nice room here” and “I have a nice room, it’s a bit small but I have all I need”. Visitors said, “It is more inviting since the new manager took over with the flowers in the lobby. The lobby is also much more inviting with chairs to sit on”. Residents and visitors spoken to were satisfied with the facilities at the care home. One resident said, “They treat me with care and privacy”. Two visitors said, “Our friend had an accident and she was distressed but staff treated her in a dignified way”. Staff were observed to treat residents politely and were careful to preserve residents’ dignity when delivering personal care. Two visitors said, “We have been visiting for two years – she has family who visit and there are no restrictions. We are treated like royalty, absolutely marvellous, they cannot do enough for us”. A resident case tracked said, “I think my son is coming today. They can visit when the want”. Visiting was encouraged for the benefit of residents and their families. One resident said, “They let choose my own clothes. They always ask me what I want. I go to bed when I want to. They may help me get ready earlier but I don’t go until I am ready. I get up at 8am, which is fine with me. I get up earlier at home”. Care plans clearly showed residents were offered choice within the daily routine to help promote independence. Residents case tracked said, “The food has been all right and if not I have let them know” and “The food is very good and you get plenty. I am full up”. Four other residents said food was good. Residents spoken to were satisfied food met their tastes. One resident said she felt safe at the care home. Staff had received safeguarding training. Two staff spoken to were aware of the abuse procedures, which helped protect residents from possible abuse. Residents case tracked said, “I like the girls and if not I would say I want to go home. They are very nice. I can make them laugh here and I can make them cry” and “the staff are very nice and helpful. Staff are very good and they try to help in any way they can”. Two visitors said, “We can get more than one cup of tea. We like the way the general atmosphere is pleasant. The staff are very caring and it is not regimented. Staff are friendly and always smiling. We are happy with her care”. The caring attitude of staff ensured residents and visitors thought care was to their liking. Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 8 One resident case tracked said, “Staff help with medication and it comes on time”. Medication policies, procedures and staff training ensured medication was administered safely. Staff said, “I get support and supervision and feel it is enough. I think there is a good staff team” and “I have been here six years. I like it here and like helping out in the office. It’s hard sometimes but the staff are good. I get supervision and have had appraisals”. Two visitors said, “personally we think it is nicer since the new manager took over”. Staff, residents and visitors appreciated the open and transparent management system. Health and safety policies, procedures and the maintenance of equipment helped protect the health and welfare of residents and staff. What has improved since the last inspection? What they could do better: The registered person must ensure the manager is registered with the Commission for Social Care Inspection to meet current regulations. The registered person must ensure risk assessments for falls, tissue viability and nutrition are undertaken using a recognised tool to help meet each resident’s health care needs. The registered person should ensure the garden continues to be upgraded to provide good outdoor space for residents. The registered person should ensure self-closing apparatus is fitted to doors to meet fire authority recommendations. The registered person should undertake quality assurance surveys for relatives and stakeholders to gain and react to their views of the care home. The registered person should produce a summary of any surveys undertaken to demonstrate a positive reaction to the views of family and stakeholders. Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 9 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. Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 10 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 Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 11 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): OP3 The quality outcome for this standard group was good. This judgement has been made using available evidence, including a visit to this service. The good assessment of residents ensured they were suitably placed at the care home. EVIDENCE: Three plans of care were examined during the case tracking process. Plans of care contained assessment documentation gained prior to admission. A suitably experienced member of staff visited hospital or a resident’s home to undertake the assessment. Families were involved, where possible, for residents who suffered from dementia. The assessment of residents ensured their needs could be met at the home. The care home did not provide intermediate care. Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 12 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): OP7, OP8, OP9 and OP10 The quality outcome for this standard group was good. This judgement has been made using available evidence, including a visit to this service. Plans of care contained good information for staff to deliver care to residents. Staff arranged suitable access to specialists to meet their health care needs. Administration of medication was satisfactory and protected the health and welfare of residents. Residents were treated with respect and dignity to ensure they were comfortable with the personal care they received. EVIDENCE: Three plans of care were examined during the case tracking process. Plans of care detailed the care each resident received. Plans of care were updated regularly and residents or their family members signed documents to show their involvement. Staff members were accurate in describing the care they gave matched what was written in the plans. One resident was able to say her care was what she needed. Plans of care gave staff updated details to deliver effective care. Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 13 The plans of care for three residents case tracked contained information that residents attended specialists such as their GP, District Nurses, Psychiatrists, Chirpodists and Opticians. Plans contained a falls risk assessment, nutritional assessment and pressure area care assessment, although residents would benefit from a more detailed assessment using a recognised tool. Appropriate equipment was provided when necessary. Residents’ health care needs were met by attending health care specialists. There were policies and procedures for staff to follow for the administration of medication. There was a controlled drug cupboard and register. Drugs were securely stored. The medication administration chart was examined and contained no errors. Two staff signed for hand written prescriptions. Records were maintained of medication entering and leaving the home. There was a British National Formulary and a copy of the Royal Pharmaceutical Society’s guidelines. Staff had undertaken medication training. The temperature of stored medication was recorded. One resident was able to say staff administered her medication and it was given at required times. Residents or their family members gave consent for staff to administer medication. The good administration of medication protected residents from possible harm. Staff were observed interacting with residents. Staff had a professional yet friendly attitude and were observed asking residents what they would like to do. Residents spoken to during the inspection said care was good. Staff gave personal care in a caring way to help protect the dignity of residents. Longshaw House DS0000034743.V367081.R01.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): OP12, OP13, OP14 and OP15 The quality outcome for this standard group was good. This judgement has been made using available evidence, including a visit to this service. Sufficient leisure activities were offered to residents to provide stimulation and prevent boredom. Visiting was open and unrestrictive to encourage families to enter the home. Residents were able to exercise choice and retained some independent living. The good quality and quantity of food served at the home met residents’ needs. EVIDENCE: Three residents case tracked demonstrated choice was well documented in the plans of care in areas such as how much assistance they needed, what they liked to wear and their daily routine. One resident was able to say staff gave her many choices. The leisure activities record showed attendance at quite a lot of different activities from listening to the radio to games and entertainment. Leisure activities included activity sessions such as ball games or other activities that helped residents exercise. Healthy communities (an incentive to promote a healthy lifestyle) were assisting the home to provide exercise activities. Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 15 Residents also liked to play dominoes, cards, memorabilia games, baking and decorating cakes. Films, karaoke, monthly entertainers and trips such as to Blackpool were also offered on a periodic basis. The manager said “this week and next week it is national British food week so we have altered the menu to take account of it. We plan to hold a Halloween party and Christmas Fair. We also help provide the talking newspaper”. One resident said there were activities on offer. The leisure activities on offer for those who wanted to attend helped residents lead a fulfilling life. The kitchen was clean and tidy. Environmental records were maintained such as fridge, freezer and food temperatures. There was a record of food taken. Three cooked meals were offered each day with the main meal at teatime. There was a choice of meal and the manager said residents could take a meal when they wished. There are two or three relatives who are allowed to take the Sunday meal with their relatives. Two relatives said from what they saw of the food, it was very good. The menu is currently following British food week and there are regional dishes such as Somerset pork and Manchester tart, etc. Tonight is British ale and steak pie. The tables were set with cloths and condiments. All residents spoken to said food was good. Residents were observed to be fed in an individual and dignified manner. Food served at the home suited residents’ tastes. Two visitors said that visiting was a pleasant experience and they were welcomed into the home for the benefit of their friend. Longshaw House DS0000034743.V367081.R01.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): OP16 and OP18 The quality outcome for this standard group was good. This judgement has been made using available evidence, including a visit to this service. Residents were aware of their right to complain and confident to approach management with any concerns. Policies, procedures and safeguarding training for staff protected residents from possible abuse. EVIDENCE: There was a complaints policy and procedure which met CSCI guidelines. No complaints had been made to the Commission or the service since the last inspection. The manager holds an open door policy for anyone to give their concerns or compliments. The complaints procedure was accessible. Residents each had a copy and there were also copies for all contained within the statement of purpose and service user guide located in various seating areas around the home. The accessible complaints procedure ensured people had the information to raise any concerns. The care service retained a copy of the Blackburn with Darwen adult abuse procedures to follow a local initiative. There had not been any safeguarding issues since the last key inspection. Training was available for aggression and many staff had received Caldecott training (a type of training to combat aggression). There was a copy of the ‘No Secrets’ document. Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 17 There were policies and procedures for the protection of adults. Some staff had received training in the protection of vulnerable adults. Staff spoken to were aware of abuse issues and the whistle blowing policy. Residents were protected as much as possible from abuse. Longshaw House DS0000034743.V367081.R01.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): OP19 – OP26 The quality outcome for this standard group was good. This judgement has been made using available evidence, including a visit to this service. Residents lived in a clean, tidy and safe environment. The garden area for the dementia part of the home had been improved but needed further updating to be safe for residents. The home’s décor and furnishings were domestic in character and provided a homely atmosphere for residents. EVIDENCE: A tour of the building was conducted on the day of the inspection. All areas of the home were warm, clean and fresh smelling. There was a maintenance man who dealt with day-to-day repairs and tidying up the décor. He worked from a diary from which the manager could check his progress. Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 19 Outdoor space was accessible but more work was needed to upgrade the gardens to make them pleasant and safe. The manager said there were plans to upgrade two sections of garden and, when complete, would add to the good facilities on offer at this care home. Communal space meets current specifications. The dining room is large and was decorated in Union Jacks and the flag of St George to commemorate British food fortnight. There were also balloons and a special menu for the week. All furniture was domestic in character and of a good standard, as were the lounges. Lighting was good and residents were observed reading and watching TV. Lounges contained plenty of seating and included specialised chairs, such as recliners. Two visitors said the communal areas of the home were more inviting since the new manager took over. Bedrooms visited, approximately 12 had been personalised to residents’ tastes and contained good levels of equipment. The temperature of water was controlled and there was under floor heating. One resident said the facilities were sufficient to meet her needs. There were policies and procedures for the control of infection. The laundry was well equipped with two dryers and three washers. There was a sluicing facility. Walls and floors could easily be cleaned. Some staff had undertaken infection control training. In general, the care home was suitable to the needs of the residents accommodated. Longshaw House DS0000034743.V367081.R01.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): OP27, OP28, OP29 and OP30 The quality outcome for this standard group was good. This judgement has been made using available evidence, including a visit to this service. Resident’s needs were met by the numbers and skill mix of a well-trained staff group. The robust recruitment procedures protected residents from possible abuse. EVIDENCE: Two staff files contained evidence staff had undertaken training relevant to their role. More than 66 of staff had successfully completed NVQ 2 or 3 training. There was a staffing rota which demonstrated there were sufficient numbers of well trained staff on each shift. Two staff files examined during the inspection contained documents to prove the home had recruited staff in a responsible manner. Copies had been retained of training undertaken. Staff had received a copy of the codes of conduct. Supervision had been ongoing and staff had been supervised at least six times per year. Two members of staff confirmed the training had been undertaken and gave a good account of the staff team, management and care. There was a well-trained staff team to care for the residents needs. Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 21 New staff undertook a three day induction course. On the course, topics such as health and safety, moving and handling and food hygiene were taught to ensure staff had the basic knowledge needed to meet the needs of residents. Longshaw House DS0000034743.V367081.R01.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): OP31, OP33, OP35 and OP38 The quality outcome for this standard group was good. This judgement has been made using available evidence, including a visit to this service. The manager was suitably qualified and competent to run the home but needed to be registered with the Commission for Social Care Inspection to meet current regulations. Quality assurance systems had not been fully developed to take into account the views of residents, family members and stakeholders. The good financial system protected residents from possible financial abuse. The health, safety and welfare of residents and staff were promoted and protected. Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 23 EVIDENCE: The financial administrator said the care home were not responsible for residents’ finances except some pocket money. There was a good system for recording any cash that was used for items such as hairdressing. Two staff witnessed any transaction and receipts were held with the records to ensure residents’ monies were safe. The new manager had the necessary qualifications and experience to manage the home. The manager took over in May and is changing some of the paperwork with the assistance of key staff. The manager said, “I have taken medication training, moving and handling, finance training and improving mental health and well being training”. The manager updated her training to provide knowledge and leadership to staff. The manager held monthly meetings with staff and residents, which were recorded to gain their general views of the home. The manager had undertaken quality assurance work such as surveys with residents but not yet with relatives and stakeholders. There was a corporate business plan. When other more pressing documentation has been completed the manager should complete the quality assurance work to react to the expectations of family members and stakeholders. There were health and safety polices and procedures for staff to access. There was a system for reporting accidents and handling substances hazardous to health. There had been a fire risk assessment and the system had been serviced. Fire alarm testing and drills had been completed. The maintenance man undertook a weekly health and safety check and reported problems back to the manager. The manager was aware of where she can locate current health and safety legislation. The water system complied with current legislation. Electrical equipment and installation had been maintained. Health and safety policies, procedures and training helped protect the health and welfare of residents and staff. Longshaw House DS0000034743.V367081.R01.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 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 3 3 X X 3 Longshaw House DS0000034743.V367081.R01.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. 1 Standard OP8 Regulation 12(1)(b) Requirement The registered person must ensure health risk assessments for falls, tissue viability and nutrition are undertaken to fully meet each residents needs. The registered person must ensure there is a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Timescale for action 30/11/08 2 OP31 8 31/12/08 Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 26 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 The responsible person should ensure the garden for the residents in the dementia unit is safe to use and contains plants and equipment suitable for this vulnerable service user group. The responsible person should ensure that when the forthcoming upgrading is undertaken doors to bedrooms have a self-closing device fitted. The registered manager should undertake periodic quality assurance questionnaires to react to the changing needs of those connected to the home. The registered person should produce a summary of any surveys undertaken to demonstrate a positive reaction to the views of family and stakeholders. 2 3 4 OP19 OP33 OP33 Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North West Regional Office Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Longshaw House DS0000034743.V367081.R01.S.doc Version 5.2 Page 28 - 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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