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Care Home: Middleton Hall

  • 205/207 Grimshaw Lane Middleton Manchester Greater Manchester M24 2BW
  • Tel: 01616553492
  • Fax: 01616553483

Middleton Hall is a care home providing care and accommodation for up to 24 older people. Accommodation is provided on both levels of the home in 22 single bedrooms and one double bedroom. 12 bedrooms have the added provision of an en-suite toilet. A passenger lift serves both levels of the home. A lounge, dining area and conservatory are provided on the ground floor. A pleasant garden/patio area can be easily accessed from the rear of the home. The home is situated approximately three miles from the town centre and a regular bus service to the town passes the home. A small car park is available to the front of the home, and on street parking is also available. The weekly fees range from £339.90 to £385.44 at March 2008. Additional charges are made for private chiropody, hairdressing, toiletries and trips out. The provider makes information about the service available upon request in the form of a service user guide and a statement of purpose. All new residents are given a copy of this guide. A copy of the most recent Commission for Social Care (CSCI) inspection report was displayed in the entrance hall.

  • Latitude: 53.542999267578
    Longitude: -2.1800000667572
  • Manager: Mrs Lorraine Young
  • Price p/w: £363
  • UK
  • Total Capacity: 24
  • Type: Care home only
  • Provider: Southern Cross BC OpCo Ltd
  • Ownership: Private
  • Care Home ID: 10695
Residents Needs:
Old age, not falling within any other category

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Middleton Hall.

CARE HOMES FOR OLDER PEOPLE Middleton Hall 205/207 Grimshaw Lane Middleton Manchester Greater Manchester M24 2BW Lead Inspector Ann Connolly Unannounced Inspection 6th March 2008 09:15 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 Middleton Hall DS0000071066.V360523.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. Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Middleton Hall Address 205/207 Grimshaw Lane Middleton Manchester Greater Manchester M24 2BW 0161 655 3492 0161 655 3483 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) Southern Cross BC OpCo Ltd Ms Kim Lesley Pearce Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Middleton Hall DS0000071066.V360523.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 category: Old Age, not falling within any other category, Code OP. Maximum number of places 24. The maximum number of service users who can be accommodated is: 24 This is the first inspection 2. Date of last inspection Brief Description of the Service: Middleton Hall is a care home providing care and accommodation for up to 24 older people. Accommodation is provided on both levels of the home in 22 single bedrooms and one double bedroom. 12 bedrooms have the added provision of an en-suite toilet. A passenger lift serves both levels of the home. A lounge, dining area and conservatory are provided on the ground floor. A pleasant garden/patio area can be easily accessed from the rear of the home. The home is situated approximately three miles from the town centre and a regular bus service to the town passes the home. A small car park is available to the front of the home, and on street parking is also available. The weekly fees range from £339.90 to £385.44 at March 2008. Additional charges are made for private chiropody, hairdressing, toiletries and trips out. The provider makes information about the service available upon request in the form of a service user guide and a statement of purpose. All new residents are given a copy of this guide. A copy of the most recent Commission for Social Care (CSCI) inspection report was displayed in the entrance hall. Middleton Hall DS0000071066.V360523.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 stars. This means the people who use this service experience good quality outcomes This was a key inspection that included a site visit to the home. The manager and staff were not told beforehand that we were coming to inspect, this is called an unannounced inspection. This inspection looked at all the key standards and included a review of all available information received by the Commission for Social Care (CSCI) about the service provided at the home since the last inspection. The manager was on leave during this visit, however, the deputy manager and other members of staff were able to support us and provided all the necessary information during our visit. During the site visit a selection of records, care plans, policies and procedures were examined. Discussions took place with the manager, staff working in the home and some relatives who were visiting. Prior to the inspection, questionnaires were sent out to the people who live in the home, asking them to comment on how the home is run and managed, and for their views about how the staff supported them, however, none of these were returned. A tour of the home was undertaken and residents were asked for their comments and views about the environment. Several residents living in the home were spoken to in private during the visit and discussions took place with them to find out what they thought about the home and what they felt about how the staff supported them. Before the inspection, we also asked the manager of the service to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This is one of the ways that we get information from the manager of the service, about how they are meeting outcomes for people using their service. Information that was provided in the AQAA for this service, contained limited information and needs to be developed so that it provides an overall view of the service and an accurate and detailed reflection of the service. Even though there was limited information in the AQAA the inspection visit found evidence of a staff team that was committed to focusing on positive outcomes for the people who use the service. Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 6 No complaints had been made to the home or to the Commission for Social Care Inspection since the registration of the home on 2 November 2007. There was evidence of an open and transparent approach to complaints, and all the people spoken to felt confident that if they had a concern they could raise it directly with the manager or staff and were confident that this would be addressed. What the service does well: From observations made during this visit, there was evidence of a commitment to improving and developing systems within the home. Staff demonstrated an understanding of good care practice and adopted a holistic approach when providing care services to residents in the home. There was a strong focus on seeking the views of the residents, and in providing flexible care and support arrangements. All the residents spoken to were extremely positive about their experiences in the home, and about the way the home was run and managed. They were very complimentary about the way in which staff provided care and support. Some of the comments from residents were as follows: “It’s very good here, all staff are friendly”. “Very good staff here, we have no complaints”. “”There are no restrictions here, it’s free and easy”. “It’s very homely here. We all get on and everybody knows everybody”. “I don’t want to go anywhere else”. “The staff are very good. They work hard and they listen to you and they really help those that need help. I feel grand living here, if you don’t like it here you won’t like it anywhere”. Comments from relatives and visitors were also positive, and mirrored the experiences and comments made by residents in the home. One visitor said, “It’s excellent here, the girls (staff) are wonderful. You can always talk to the staff, it doesn’t matter what time of day or night you call, they have always got time for you”. Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 7 Other comments included: “We looked at two or three homes, but this one was ‘bustle’ you know, a busy atmosphere, a real buzz”. “I hope the change in owners don’t affect the home. I love the personal touch, it’s like a big family and the staff are really nice, you are always offered a cup of tea.” “They help keep me involved in care changes”. “I don’t think we could get a better place. They really look after the people here, there’s always a member of staff to help out”. There is a motivated staff team and a supportive management structure. Staff and residents in the home expressed confidence in approaching the manager with any issues of concern. The staff team provided care and support in a caring and sensitive manner. Nothing seemed too much trouble, and during observations made during the site visit there were several examples of good care practice when staff responded to residents in a positive and spontaneous manner. Middleton Hall provides a ‘homely’ atmosphere, and the layout of the building provides residents with a choice of places to sit and relax. A group of residents said they really enjoyed sitting in the conservatory, “We love it here in the conservatory, you can see out and don’t feel fastened in”. What has improved since the last inspection? What they could do better: General improvements need to be made to the fabric of the building. An audit should be done to identify areas that require attention and to develop a programme of renewal. Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 8 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. Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 9 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 Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 10 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. Residents and their relatives are given sufficient information about the home to help them in making a decision about their care arrangement. Residents’ needs are assessed prior to admission to the home so they are confident their needs will be met. EVIDENCE: Middleton Hall has recently been taken over by Southern Cross. The information provided by the home had been changed and updated to reflect the change in ownership. A copy of the guide was available in each bedroom and in the reception area. The complete statement of purpose and a copy of the most recent inspection report were also available in the reception area. Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 11 The service user guide was detailed and comprehensive and provided existing and prospective residents with useful information about the facilities and service available to residents. This is useful in helping prospective residents to make an informed decision about their future care arrangements and what they can expect if they decide to move into Middleton Hall. The guide provides useful information about the admission process and states that the manager or a senior member of staff visits all prospective residents in order to undertake an assessment of care needs. Prospective residents are also informed that trial visits can be arranged. Three care plans were looked at, including the file of a resident who had recently been admitted. This showed that an assessment had been undertaken by the placing authority and an assessment had been carried out by a representative from the home. The information from the assessments was used to generate a working care plan so that staff had the information required to meet individual care needs in an appropriate manner. Middleton Hall DS0000071066.V360523.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): Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The health and personal care received by residents is based on individual needs. EVIDENCE: The staff are currently in the process of transferring all paperwork onto the corporate care plans used by the Southern Cross Group. Two of the new files were examined. These were arranged in a clear and methodical manner making it easy for care staff to reference to and find the appropriate section. All individual care needs were clearly documented with detailed instructions for staff on how residents wanted to be supported. There is space on the new care plans to include the signature of the resident and relative to demonstrate that they have been involved in the process. Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 13 Records were in place to monitor nutrition, weight, falls and general risk assessments, including moving and handling. One file which was looked at showed that a resident was experiencing difficulty with maintaining an adequate nutritional intake. This need was clearly documented and recorded, with strategies and interventions for staff to follow to help them to support this person. There was documentation to show that regular monthly reviews were taking place, and where changes had taken place in health care needs, these had been updated in the care plan. There was evidence to show that residents were supported to access healthcare services and records were kept of all these visits, including visits from the General Practitioner. One resident said, “If you don’t feel well the Doctor comes out to see you. We get weighed, I’ve put weight on since I moved in here”. All the residents who were spoken to during this visit were highly complimentary about the staff team. Staff were observed carrying out their duties in a sensitive, polite and caring manner. Residents were supported to maintain their privacy and dignity at all times. Medication was administered using a monitored dosage system and there were plans in place to change to a new supplier using the ‘venalink’ monitored dosage system. Medication administration records were appropriately maintained. Stock levels of medication balanced with the written records. Staff who are responsible for the administration of medication receive appropriate training so that residents can be sure that they will receive their medication safely. Middleton Hall DS0000071066.V360523.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): Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents are supported to engage in the social activities and daily life in the home. Residents are supported and encouraged to maintain links with their family and friends, and to exercise as much choice and control over their lives as they can. EVIDENCE: A part-time activities organiser is employed by the home. The activities available were listed in the reception area and were also included in the service user guide. All residents spoken to confirmed that there were always a wide range of activities available, including trips out, bingo, arts and craft, etc. One resident said, “I really like it when we have our quiz”. Other residents said they preferred their own company and enjoyed reading or chatting to other people. One resident said, “There are no restrictions here, we can come and go as we want, it’s free and easy. We have got an activities lady, she does all sorts, we join in and have a bit of fun”. Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 15 Residents spoken to said they could come and go as they pleased. This was evident during the course of this visit, when staff were seen supporting residents to get on with their daily lives and routines in a way that suited them. Staff responded spontaneously to the requests of residents. One resident wanted to go to the local shop, and a member of staff fitted this into the daily routine and supported the resident with this request. The lunchtime was a relaxing and pleasant occasion. The dining room was bright and spacious and consisted of small group seating arrangements. We participated in this activity and sampled a wholesome and tasty menu. The meal was well presented and tasty. There was a choice of meals available every day and on the day of the inspection, the menu consisted of Lancashire hot pot or meat balls with mashed potato. The dessert menu was a choice of poached pears, ice cream or yoghurt. The cook uses fresh vegetables and most meals on the menu are home made. Residents seemed to enjoy the mealtime occasion. Staff engaged in meaningful and pleasant conversation and there was a warm ‘homely’ feel generated. All residents spoke highly of the meals in the home. Comments included: “Food is quite good”; “We can’t grumble about the food here”. Individual dietary needs were catered for and one resident was served a pureed meal which was presented well. One member of staff provided one to one support for this resident throughout the whole lunchtime period. The care and support provided were sensitive and caring, and the carer focused on this person throughout the whole period to ensure that her dignity was maintained. Middleton Hall DS0000071066.V360523.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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents’ rights are protected by robust polices and procedures and there is an open, transparent approach to managing complaints. EVIDENCE: Middleton Hall has a comprehensive complaints procedure, which is made available to existing and prospective residents and their representatives. The complaints procedure is displayed in a prominent position in the reception area of the home. There have been no complaints made to the home recently and the Commission has not received any complaints about this service. During discussions with the deputy, there was evidence of an open and transparent approach to any complaint and concern. The deputy said the staff were pro-active in supporting staff to respond quickly to concerns raised by residents and their families. This meant that issues of concern could be managed and addressed quickly and efficiently, so that positive outcomes were experienced by any complainant. Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 17 There was evidence in documentation and in the information provided by the manager in the AQAA document, that safeguarding and adult abuse issues were reinforced to staff in supervision sessions and staff meetings. The training programme included training in the protection of vulnerable adults. All of the staff who were spoken to had a good understanding of issues around abuse and what to do in the event of an allegation of abuse. Training in safeguarding had been extended to all staff on the team. They had a sound knowledge that social services must be informed and take the lead in allegations of abuse and that the Commission must be informed. Middleton Hall DS0000071066.V360523.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): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. The home provides residents with a safe, hygienic and generally pleasant environment. However, some refurbishment is needed so all areas of the home provide pleasant areas for residents and their families to enjoy. EVIDENCE: A part-time handyman is employed and he has responsibility for general maintenance and re-decoration throughout the home. A maintenance book was in place in which staff recorded work to be done. Most residents expressed satisfaction with their bedrooms, and many had taken the opportunity to personalise them with their own small items of furniture, ornaments and pictures. Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 19 There was a high standard of hygiene and cleanliness throughout the building and all areas were tidy. Infection control policies were in place and liquid soap and paper towels were provided in most bathroom and toilet areas. A group of residents sat in the conservatory, and said they really liked the feeling of being outdoors. They also commented that the patio area had been recently improved and they were already planning BBQ’s for the summer months. During this visit, there was evidence that areas of the home were being improved. The deputy manager said that the new owners had said that there would be an ongoing programme of refurbishment implemented, so that residents and their families had the benefit of a pleasant environment. Middleton Hall DS0000071066.V360523.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): 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. Robust recruitment and training programmes were in place. Residents using the service can be confident that staff receive appropriate support and training to ensure that they have the right skills to help them to meet the needs of the people they provide care and support to. EVIDENCE: During this visit, there appeared sufficient staff on duty to meet the needs of the residents in the home. Staff were observed engaging in meaningful conversations and responded quickly to any resident asking for support. There are a part-time administrator and an activities organiser employed. A part-time handyman is responsible for keeping the building maintained and ensuring that all areas are safe. Information provided in the annual quality assurance assessment provided evidence that over 50 of staff have NVQ level 2, or above, in care. Staff who were spoken to confirmed that they had access to training and development opportunities. Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 21 Three staff files were examined and contained the appropriate paperwork and documentation as required by regulation. Files examined contained two written references and Criminal Record Bureau (CRB) checks. During discussions with staff it was evident that there were good opportunities for training and development. All staff had a good understanding of adult safeguarding. Staff in the home said they felt that they worked well as a team. One member of staff said that she had noticed recent improvements in the paperwork. She said the new owners had taken a greater interest in improving the environment, for example, the garden and patio had been improved using a grant from Rochdale council, and new flooring had been ordered. All staff said they felt well supported with training and development opportunities. Middleton Hall DS0000071066.V360523.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): 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. This service is run in the best interests of the residents, and the management ensure that the safety and welfare of residents and staff is promoted. EVIDENCE: The registered manager was on leave on the day of this inspection, however, the deputy and other member of staff were able to provide us with the information we needed. Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 23 Residents and staff expressed confidence with the way in which the manager managed the home. All people spoken to said that the manager was always approachable. One of the relatives spoken to during this visit said that she had found the manager very responsive to any problems, and that the manager was approachable and quick to respond to any complaints. There was documentary evidence of regular staff and residents meetings. The meetings were used as a forum to exchange views and to seek the views of residents about how the service could be developed. Information in the AQAA stated that quality monitoring systems were in place, but acknowledged that more could be done to develop this process, so that an accurate overview of how the service is performing could be obtained. Information in the AQAA provided evidence that good standards were maintained for the maintenance of equipment for health and safety including fire prevention equipment. The handyman had up to date records available for inspection, which confirmed that all health and safety checks relating to fire equipment were up to date. The administrator was in the process of changing some of the administrative systems to comply with the new organisation. This included the managing of residents’ finances. The record system was explained and confirmed that systems were in place to protect the interest of individual residents. The findings during this visit provided evidence of a service that is committed to developing the service so that residents experienced positive outcomes. Middleton Hall DS0000071066.V360523.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 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 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 Middleton Hall DS0000071066.V360523.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP19 Good Practice Recommendations The manager should ensure that an ongoing plan of refurbishment is available and implemented to ensure that the environment and furnishings in the building are at a satisfactory standard so that resident benefit from a pleasant environment. Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local 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 Middleton Hall DS0000071066.V360523.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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Middleton Hall 06/03/08

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