Care Home: Middleton Manor Care Centre

Similar services:

• Claremont House
• Oak Ridge
• Sun Court Nursing Home
• Ashville House
• Bilney Hall
• Hill Barn
• Mabbs Hall Nursing Home
• Henrietta House

What the care home does well People living in the home and their relatives are complimentary about the environment and the care provided. One relative said, "the care here is wonderful" and someone living in the home said, "this home is very nice to live in and it is warm and cosy". Care plans are detailed and thorough as are the accompanying risk assessments. Care staff are well-trained, committed, warm and caring, and genuinely want the best for the people living in Middleton Manor. The food in the home is of good quality and people are very happy with the choice that they are given. People are happy and content to live in Middleton Manor and have a very good experience while living there.Complaints are taken seriously and people are well protected from harm or abuse. The home has a thorough protection procedure with all levels of the staff team knowing what must be done to protect individuals in the home. What has improved since the last inspection? All new staff have received structured induction training, which is based on the Skills for Care common induction modules. Evidence has been provided to the Commission to confirm that the home`s electrical installation supply is safe. What the care home could do better: The results of the home`s 2007 quality assurance surveys must be collated, with the results of any actions identified and/or taken made available to service users and the Commission. CARE HOMES FOR OLDER PEOPLE Middleton Manor Care Centre Middleton Hall 48 Wantz Road Maldon Essex CM9 5DJ Lead Inspector Sharon Thomas Unannounced Inspection 09:00 21 October 2008 st 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 Manor Care Centre DS0000017886.V371141.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 Manor Care Centre DS0000017886.V371141.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Middleton Manor Care Centre Address Middleton Hall 48 Wantz Road Maldon Essex CM9 5DJ 01621 856464 01621 851535 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) www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Susan Elizabeth Freeman Care Home 41 Category(ies) of Dementia - over 65 years of age (16), Old age, registration, with number not falling within any other category (41) of places Middleton Manor Care Centre DS0000017886.V371141.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 41 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 16 persons) The total number of service users to be accommodated in the home must not exceed 41 persons 11th September 2007 Date of last inspection Brief Description of the Service: Middleton Manor is a large three-storey property adjoining other properties in a residential area close to the centre of Maldon. The home is owned by Ashbourne (Eton) Limited, which is a subsidiary of Southern Cross. Peoples’ bedrooms are located on all three floors of the home and comprise of 31 single rooms and 5 shared rooms. On the ground floor of the home there are two communal lounge/dining rooms and two communal lounges. On the first floor there are also two small conservatory type lounges available for residents, although one of these is often used for staff training, and the position of both does not lead to general usage by residents other than those with private rooms directly adjacent. Two passenger shaft lifts provide access between all floors. The home provides 24-hour personal care and support to residents with varying dependency levels, including some places for those diagnosed with dementia. Visitor car parking is provided to the side of the property. At the rear there is a patio style garden that is fully enclosed and assessable to service users. Information from the home states that maximum weekly fees are £377 - £650 dependent on the room. Past inspection reports are available from the home, and from the CSCI internet website. Middleton Manor Care Centre DS0000017886.V371141.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. A range of evidence was looked at when compiling this report. Documentary evidence was examined, such as menus, staff rotas, people’s care plans and staff files. Completed surveys were received from members of staff, people living in the home and their relatives. The manager completed an Annual Quality Assurance Assessment with information about the home. However we did not receive a copy before the publication of this report, the evidence will be used to inform future activity with this service. This document will be referred to as the AQAA throughout the report. An announced visit to the home took place on 21st October 2008; this visit was unannounced. On the day of the visit the atmosphere in the home was relaxed and welcoming and we, the Commission for Social Care Inspection (CSCI), were given every assistance from the manager and the staff team. The visit included a tour of the premises, discussions with people living in the home, the manager, members of staff and 1 visiting relative. Observations of how members of staff interact and communicate with people living there have also been taken into account. What the service does well: People living in the home and their relatives are complimentary about the environment and the care provided. One relative said, “the care here is wonderful” and someone living in the home said, “this home is very nice to live in and it is warm and cosy”. Care plans are detailed and thorough as are the accompanying risk assessments. Care staff are well-trained, committed, warm and caring, and genuinely want the best for the people living in Middleton Manor. The food in the home is of good quality and people are very happy with the choice that they are given. People are happy and content to live in Middleton Manor and have a very good experience while living there. Middleton Manor Care Centre DS0000017886.V371141.R01.S.doc Version 5.2 Page 6 Complaints are taken seriously and people are well protected from harm or abuse. The home has a thorough protection procedure with all levels of the staff team knowing what must be done to protect individuals in the home. 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. Middleton Manor Care Centre DS0000017886.V371141.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 Middleton Manor Care Centre DS0000017886.V371141.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): 3 and 6: Quality in this outcome area is good. People choosing to live at Middleton Manor receive sufficient information about the home and can be confident their needs will be assessed before admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Written information is provided to people thinking of coming to live in the home detailing the services and facilities that will be available to them. The home’s pre-admission needs assessment document is unchanged. This included assessment headings of: mobility, continence, personal care, eating, speech, sight, hearing, memory, orientation, awareness, social needs, breathing, sleep, oral health, diet, weight, dying, hobbies and interests. The manager says that the manager or senior staff would be responsible for the pre-admission procedure. Middleton Manor Care Centre DS0000017886.V371141.R01.S.doc Version 5.2 Page 9 The care files and pre-admission documents of three of the newest people choosing to live in Middleton Manor were looked at. All of these had all of the information relating to a good admission process. We found that these files were detailed and contained good quality information. This information is then used to produce the individual care plan for the person, which in turn tells staff what care the person will need. The care plans included assessments from professional agencies including the local authority funding the placement. The relative spoken to during the inspection was complimentary about the skills of staff that support and care for people. The manager was approachable and if there were any concerns, staff always kept them informed. Comments included in survey questionnaires completed by relatives, felt the home was a ‘real’ home rather than an institution and visitors were made to feel welcome as well as staff being respectful. Staff spoken with stated that they were happy with the information they receive when someone is admitted to the home; they said that there is enough information and that they have no problem understanding them. Middleton Manor does not provide intermediate care to people. Middleton Manor Care Centre DS0000017886.V371141.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. People can be confident that their personal and healthcare needs will be met in Middleton Manor, and they may be confident that they will be treated with respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were examined and each has a photograph of the individual. They contain a comprehensive profile that includes a medical history, wishes around end of life, finances, preferences around clothing, personal hygiene, dietary requirements including likes, dislikes and allergies, where the person likes to eat meals and the level of assistance required. Care plans contain sufficient detail to ensure that staff are able to support people in ways that they prefer. Staff spoken with are able to demonstrate a good awareness of people’s needs. One member of staff who completed a survey said they “I support the person individually” and “the management and the staff make Middleton Manor Care Centre DS0000017886.V371141.R01.S.doc Version 5.2 Page 11 great effort to meet the needs of the people who live here by giving them quality care”. People living in the home are also positive about the care they receive. One said, “I am very happy here, I have a good hairdresser and the chiropodist comes in and I feel pampered”. A relative who completed a survey said, “It is a very friendly home and everybody seems to be very happy. My [relative] is being looked after very well and is very happy”. The sample of care plans examined contains records of input from a range of healthcare professionals including chiropodist, optician, practice nurse and G.P. The manager is able to demonstrate a good awareness of people’s healthcare needs and confirmed that GPs are always informed if staff have any concerns about anyone. Staff spoken with confirm that people are taken to hospital appointments and records confirm this. The district nurse comes in regularly. The home uses a Monitored Dose System for medication that is dispensed by a local pharmacy and delivered to the home. The storage and administration of medication was examined. Medicines are stored in a securely locked trolley. The manager said that any medications requiring storage at controlled temperature would be kept in a sealed box in the fridge. Medication that is not in dispensed blister packs is clearly marked with the date that it is opened. The storage of medication is well organised. Medication Administration Record (MAR) sheets examined were all completed correctly and contain photographs to minimise risk of errors and protect people living in the home. The deputy manager said that she audits medication regularly and this is confirmed by staff. There are controlled drugs in use at present, and there is a system in place for the storage and recording of these. The manager is able to demonstrate a good awareness of her responsibilities around safe storage and administration of medication. Middleton Manor Care Centre DS0000017886.V371141.R01.S.doc Version 5.2 Page 12 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. People living in Middleton Manor have opportunities to participate in activities that are appropriate to their needs and they are supported to build and maintain relationships. People have varied diet that they enjoy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The sample of care plans we looked at showed us that there is information relating to peoples’ personal and social histories, personal choices, and daily social routines. Some assessments of people’s social needs is evident in care plans and their participation in activities is recorded. The home has a formal activity programme and staff in the home provide activity on a go with the flow basis, they watch people and their moods and match the activity to the needs of that moment, providing a more person centred approach. One relative said that “there is always something going on and they offer nice activities to people but they can choose whether to get involved or not they take into account if the person’s history it would be no good encouraging people to do bingo if they always hated bingo ”. The home brings external entertainment into the home and also provides a host of activities including: exercise, board Middleton Manor Care Centre DS0000017886.V371141.R01.S.doc Version 5.2 Page 13 games, memory recall, DVD’s, music, supporting people to undertake domestic tasks that makes them feel productive to name a few. One person spoken with said that “I don’t always take part in the activities on offer but that is my decision and I could if I wanted”. Relative comments and staff spoken with indicated that the service encouraged relatives to maintain an active role in the people lives following admission. One relative who completed a survey said the home always provides a warm welcome, and they are able to visit family members or friends in private. Generally, people were observed to be able to move around the home and involve themselves in activities and routines they felt happy doing. Peoples’ rooms that were seen were personalised, showing that people could bring their own possessions into the home with them. All rooms had locks and people are able to have keys to their room should they wish. People spoken with said they were supported to choose how to live their daily lives (e.g. time in getting up, going to bed, where and what they ate etc.). On the day of the inspection we saw people making some choices including whether they wanted to stay in their room or the lounge for lunch. People spoken with who are able to express their opinions are very positive about being able to choose the way they want things done. One person who chooses to spend most of their time in their room watching television is supported to do so, while others socialise in the lounges. People spoken with said that although generally they may choose not be involved in group type activities, they could if they wished to join in occasionally. One person spoken with said, “I like living here it is such a family type home”. People spoken with are positive about the menu that they have in the home. The chef on duty has the skills and knowledge around providing nutritional appetising meals. Food stores were examined and there was evidence of a variety of fresh, frozen and dried foods available. The chef stated that the budget for food is generous and the home is never short of stocks. The dining room has a domestic type layout, which ensures that meals are served up fresh and hot. We saw that mealtimes for people at Middleton Manor are sociable occasions with people enjoying their meal in a relaxed supportive environment. Surveys received said there are “very good cooks with a choice of menu” and “The meals are varied and of a high standard”. Breakfast is served in the dining room, but people did have the choice of eating in their bedrooms should they choose to do so. People are offered a choice of cereals or porridge, fruit juice, toast and marmalade and on Sundays they are offered a cooked breakfast in addition to the standard choice. The lunch on the day of inspection was appetising and people were offered a choice plus another alternative. This was confirmed in discussion with people who said Middleton Manor Care Centre DS0000017886.V371141.R01.S.doc Version 5.2 Page 14 they could have soup, omelettes, or salad or nearly anything they wanted if they did not want the main choice. People spoken with said they had “a good choice of puddings, cakes and snacks”, and “the food here is lovely and we get more than enough” one person who enjoys the puddings invited us to try some and it was tasty. The chef stated that special diets such as diabetic, high fibre, low salt, low fat diets could be catered for. Middleton Manor Care Centre DS0000017886.V371141.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. People living in Middleton Manor are kept safe by the home’s policies procedures relating to complaints and safeguarding vulnerable adults. People can be confident that their concerns will be taken seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaint policy and procedure that is up to date and clear. People living in Middleton Manor, their relatives and staff are aware of the procedure and know who to contact should they need to raise a complaint. People spoken with are able to point out senior members of staff and the manager who they confirmed that they would speak with should they be concerned about their care or staff practices. The home’s complaint log was looked at and no new complaints had been entered since the last inspection. Previous complaints stated what the complaint was, the action taken by the home, and the outcome of the complaint and action taken into any practice or procedure not working for the people living in the home. The home has a Safeguarding Adults policy and procedure in place and all staff has received up to date training on this subject. Staff genuinely care about the people they work with and confirmed to us that they would report bad practice, they also said that they would contact external agencies if they were not satisfied with the management response. Senior staff and management staff are able to describe the procedure that they would take should an allegation of Middleton Manor Care Centre DS0000017886.V371141.R01.S.doc Version 5.2 Page 16 abuse be made. The steps that they described would protect the people living in the home from abusive situations. All staff have received safeguarding adult training. The home has referred two situations to the local safeguarding team and the home’s process was followed and all actions were well recorded the process enabled people in the home to remain protected. Middleton Manor Care Centre DS0000017886.V371141.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. Middleton Manor is safe, well maintained, and has a homely environment; peoples’ rooms are individually furnished and equipped for their safety, comfort and privacy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A full inspection of the premises was made that included communal areas, a number of peoples’ rooms, the kitchen, the sluices, kitchen and the laundry. The home is well maintained and well decorated and is furnished in accordance with the client group needs and wishes. Positive comments were received from relatives spoken with and in completed surveys from both individuals and their representatives: “the home is kept clean and fresh and is always welcoming” ”the home has an excellent atmosphere and staff do their best to get to know their people”. Middleton Manor Care Centre DS0000017886.V371141.R01.S.doc Version 5.2 Page 18 The home has a passenger lift to enable access throughout the premises and to the gardens. There are grab rails, and aids in bathrooms, toilets and communal rooms to meet the needs of the people living there and making their daily lives safer. The home has succeeded in creating an extremely homely atmosphere despite its size. The layout of the home is such that it feels like a warm and cosy domestic setting. The people living in the home are comfortable enough to move around the various parts of the home. People are found in various parts of the home, using the communal areas, lounges and dining rooms and also using their bedrooms to spend their time watching television, reading and snoozing. The home has policies and procedures for infection control in place for staff to use. The home is clean and hygienic throughout. The laundry room is well maintained, the staff working here are proud of the good service that they provide. Positive comments was received from people spoken with: “the laundry service is excellent” and “not a word to fault it” “nothing gets messed up”. Systems are in place to minimise risk of infection via the use of red bags for any soiled laundry that is placed directly in the washing machines, which had the capacity to carry out sluice wash cycles. Personal protective clothing (gloves and aprons) and appropriate hand washing facilities are provided for staff safety. Middleton Manor Care Centre DS0000017886.V371141.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. People living in Middleton Manor are looked after by competent, well trained and well supervised staff. The recruitment procedure provides the safeguards that ensure appropriate people are employed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The weekly staff rotas were looked at and these showed that there is enough staff on duty with a variety of skills that addresses the needs of the people living in the home. Of 23 staff 13 have gained their NVQ level 2 or above while the remaining 10 members of staff are currently working toward or planning to do the qualification The staff training programme indicates that all staff have received training around the Protection of Vulnerable Adults. Staff training certificates are kept in personnel files. Records examined confirm that staff have received training in dementia, medication, pressure sore management, continence care planning bedrail safety, infection control and moving and handling. The manager said that dementia training is ongoing and more in-depth courses are planned for staff. Staff spoken with are able to demonstrate a good knowledge of their responsibilities and ensuring they follow good practices. The training and Middleton Manor Care Centre DS0000017886.V371141.R01.S.doc Version 5.2 Page 20 support that staff receive is reflected in the way that they deliver care to people. The staff team genuinely care for the people that they work with; they are kind caring and patient. Observations on the day of the inspection confirm that staff carry out their roles in a caring and professional manner. People living in Middleton Manor benefit from being cared for by a competent staff team. Three members of staff spoken with were positive about working at Middleton Manor. One person said, “working here is very satisfying, it is a really friendly home and the staff team really get on it feels like home and family”. We looked at staff personnel files that provided evidence that the management only employs staff after receiving two written references and carrying out Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks. The records examined confirm that appropriate checks are carried out and relevant documentation is in place. The files are well organised and have a check list on the front. The recruitment process is robust and people living in the home can be confident that they are protected by the home’s procedures for recruiting staff. Middleton Manor Care Centre DS0000017886.V371141.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. The home is competently managed and run in the best interests of the people who live there. The health and safety of individuals living and working there is promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home is skilled and competent she has achieved her Registered Managers Award and the NVQ Level 4 in care. During our visit to the home she was approachable, knowledgeable, and supportive to the people living in the home and her staff team. The manager understands the needs of the people living in the home and is an asset to the organisation. Her passion for older people and providing them with the best possible experience is Middleton Manor Care Centre DS0000017886.V371141.R01.S.doc Version 5.2 Page 22 evident and she has passed this on the staff team. Staff who we spoke with praised the manager’s skill and the ability to support them on a daily basis. Completed surveys from people using the service and their relatives are complimentary about the way the home is run. A relative said, “the manager is good and lovely with the clients” and a resident stated, the “manager is very good”. The home has an established quality assurance system in place that is supported by the upper management. The home has produced a written report. A copy of which is to be sent to the CSCI. The people living in the home, representatives and staff are involved in the user surveys and the information gathered from those surveys has been used to enhance and improve peoples’ lifestyles within the home. The home has systems in place that ensures that any amount of money held on behalf of people living there is safeguarded. Records examined show that appropriate maintenance checks are carried out. These include Portable Appliance Testing certificate, emergency lights, electrical installation, gas certificate, lifting equipment, hoists, passenger lifts, and a current local authority environmental services premises inspection. The homes Health & Safety policy contains clear guidelines for staff setting out staff responsibilities. The manager is committed to the welfare and safety of both people living there and staff working in the home. Risk assessments are in place for individuals, the staff, and the environment. Middleton Manor Care Centre DS0000017886.V371141.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 X X 3 X X X 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 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 Middleton Manor Care Centre DS0000017886.V371141.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Middleton Manor Care Centre DS0000017886.V371141.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Manor Care Centre DS0000017886.V371141.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!