Care Home: Paddock Hill

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What the care home does well People living in the home were asked about the care they were receiving. They made comments such as:``The home and staff are 100% I could not have chosen better.`` ``I didn`t want to come here, but my life has improved``. ``Most of the staff are very kind``. ``They look after me well``. ``I enjoy the meals very much``. ``They keep it clean, and me!`` Comments received from questionnaires and from talking to relatives included: ``Staff are always on hand to discuss any issues``. ``They have good understanding staff who relate to people well``. ``Staff are kind and try their best, sometimes they are really busy``. People do not move in to the home until a full needs assessment has been undertaken and the home can confirm they can meet the needs of that individual. People`s health care was monitored and access to health specialists was available. Staff members were observed being respectful towards people, and provided a range of activities. The company had supported 77% of care staff to obtain NVQ level 2 or above showing that they are committed to developing people and improving standards. People said that they had a choice of food and that the quality of food served was "well cooked", and "enjoyable". Systems were checked and serviced to maintain a safe environment. What has improved since the last inspection? The garden area at the front of the home has been improved with seating and planting providing a pleasant area for people to sit outside. The kitchen was operating by providing all the meals for the home instead of them arriving from a central kitchen elsewhere. People were very pleased to be able to have a better standard of food and particularly liked to be able to smell the food cooking. A number of internal areas in the home had been redecorated and refurbished improving the surroundings for the people living there. The television reception had been improved by use of digital boxes so that people were also able to select from a greater number of channels. CARE HOMES FOR OLDER PEOPLE Paddock Hill 625 Gleadless Road Sheffield South Yorkshire S2 3RA Lead Inspector Ms Stephanie Kenning Key Unannounced Inspection 8th July 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 Paddock Hill DS0000002997.V366367.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. Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Paddock Hill Address 625 Gleadless Road Sheffield South Yorkshire S2 3RA 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) 0114 239 1449 0114 239 2278 www.sheffcare.co.uk Sheffcare Limited Miss Michelle Dent Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specific service user under the age of 65, named on variation dated 10th November 2006, may reside at the home. 3rd August 2007 Date of last inspection Brief Description of the Service: Paddock Hill is a purpose built home on three floors all serviced by a lift. The home is set in pleasant gardens in the Gleadless area of Sheffield, within easy reach of the city centre. The home provides residential care for 40 elderly people. The communal areas are spacious and the property is situated on a main road close to shops, pubs, parks and post office. Copies of the last Commission For Social care inspection report were kept in the entrance for people to read. The weekly fees range from: £327 to £383. This information was provided on the 8th July 2008. The home charges extra for chiropody, toiletries, clothing, telephone, holidays and hairdressing. The registered person makes information about the service available via the Statement of Purpose, and the Service User Guide. Paddock Hill DS0000002997.V366367.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 that the people who use this service experience good quality outcomes. This was an unannounced key inspection carried out by Stephanie Kenning, regulation inspector. This site visit took place between the hours of 9:30 am and 4:45 pm. The registered manager is Michelle Dent who was present during the site visit. Prior to the visit the manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. Questionnaires, regarding the quality of the care and support provided, were sent to people living in the home, their relatives and any professionals involved in peoples care. We received six from people living at the home, six relatives, and five staff surveys. Comments and feedback from these have been included in this report. On the day of the site visit opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home and check the homes policies and procedures. Time was spent observing and interacting with staff and people. Six staff, two relatives, a visiting professional and ten people living in the home were spoken to. The inspector checked all key standards and the standards relating to the requirements outstanding from the homes last key inspection in August 2007. The progress made has been reported on under the relevant standard in this report. The inspector wishes to thank the people living in the home, staff, and relatives for their time, friendliness and co-operation throughout the inspection process. What the service does well: People living in the home were asked about the care they were receiving. They made comments such as: Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 6 ‘‘The home and staff are 100 I could not have chosen better.’’ ‘‘I didn’t want to come here, but my life has improved’’. ‘‘Most of the staff are very kind’’. ‘‘They look after me well’’. ‘‘I enjoy the meals very much’’. ‘‘They keep it clean, and me!’’ Comments received from questionnaires and from talking to relatives included: ‘‘Staff are always on hand to discuss any issues’’. ‘‘They have good understanding staff who relate to people well’’. ‘‘Staff are kind and try their best, sometimes they are really busy’’. People do not move in to the home until a full needs assessment has been undertaken and the home can confirm they can meet the needs of that individual. People’s health care was monitored and access to health specialists was available. Staff members were observed being respectful towards people, and provided a range of activities. The company had supported 77 of care staff to obtain NVQ level 2 or above showing that they are committed to developing people and improving standards. People said that they had a choice of food and that the quality of food served was “well cooked”, and “enjoyable”. Systems were checked and serviced to maintain a safe environment. What has improved since the last inspection? What they could do better: Communication and supervision/application of training were raised as a concern that is being addressed by expanding the training. The underlying causes should be explored to ensure that similar problems don’t occur. The care plans could be looked at so that they are more up to date. There are some areas of the home that are ready for redecoration and refurbishment. The staffing levels could be reviewed following feedback that staff members are busy. Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 7 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. Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 8 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 Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 9 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): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 1, 3, 4 and 5. Intermediate care is not provided at this home. People do not move in to the home until a full needs assessment has been undertaken and the home can confirm they can meet the needs of that individual. EVIDENCE: All prospective people are able to have informal visits to the home. Some have been able to stay for a short period of time, prior to a permanent admission, to enable them to make an informed decision on where they live. This helps to assist people and their families to get to know the home and staff team better and hopefully assists them to feel less anxious about moving into a care home. Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 10 People who live at Paddock Hill have their needs assessed and they have been assured their needs can be met prior to admission. Detailed full needs assessments are completed by the referring social worker, and link to care plans which reflect individual needs. People have a written contract of care and a financial agreement. Further information is provided in the service user guide that is available in every room. A summary of the surveys carried out by the organisation was included in this document. It contained comments by people living in the home and their relatives that give valuable feedback about the home. People spoken to confirmed that they had sufficient information about the home before they made a decision about living there. People living in the home said: ‘‘They look after me well’’. ‘‘I’m much better since I came to live here’’. ‘‘The home and staff are 100 I could not have chosen better.’’ ‘‘I didn’t want to come here, but my life has improved’’. Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 11 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): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 7, 8, 9, and 10. People’s individual personal and health care needs are met, staff support them in this, and respect their privacy. Medication systems follow clear guidelines that promote the safety of people. EVIDENCE: People living at the home said: ‘‘They look after me well’’. ‘‘I get the help I need, even if they are busy’’. During the visit we noted that people were well presented, and were wearing items like jewellery, showing that the staff were paying attention to detail. Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 12 Care was carried out discreetly, removing people from the communal areas, and returning them quietly, showing respect and dignity for the people in their care. The care staff knew about the people in their care, and how to handle different situations. They were observed to reassure people in a kind and friendly manner. Staff offered them choices such as what they wanted to do or where they wanted to sit. People had individual care plans that included physical, social, health care, religious and cultural needs. They were linked to a variety of assessments and risk assessments, and were reviewed monthly. There were preferences recorded such as the whether they preferred a male or female carer for personal care, and mental capacity information. Health records showed visits by GPs, District Nurses, Chiropodist and Optician. Three peoples care files were looked at in detail and found to give a lot of information about how to support that person, and their health issues. Some information was out of date despite recently being reviewed. For example, one person had been having a number of creams applied, but no longer needed them, but neither the care plan nor the medication record were clear about this. Daily records were also not clear about some specific care carried out, using some general phrases, though in other records they were very clear. In addition a large notice was displayed in a bedroom with instructions for applying the creams, and another health issue, that did not respect their privacy or dignity. The notice was removed immediately and the care plan and medication were also updated. A detailed medication policy and procedure are in place and all staff that give people medication are trained and assessed prior to them being able to do this. This helps to protect the health and safety of people in their care. Individuals are assessed to see if they are able to attend to their own medication, with locked facilities provided to enable them to do so. During the visit the giving of medication was observed to follow safe practices. A visiting pharmacist had advised on storage and procedures to help the safety. The Registered Manager and senior staff team monitor the completion of care plans, formal reviews, medication assessments and training needs of staff by use of a quality assurance system recently introduced. The manager stated that further documents had been introduced to give a more detailed insight into the people using the service as well as their needs, wants and preferences. Senior staff had been undertaking specialist training courses to give them a better insight into common illnesses/conditions of the people in their care. The Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 13 District Nurses and Reviewing Officers had raised concerns about the communication of this training to more junior staff in procedures such as catheter care and infection control, from evidence they had seen at the home. In order to ensure that people receive the correct care and follow procedures, all staff will be trained in these areas. People using the service felt that they were receiving the care that they needed despite these concerns. Further reference to this is made in the staffing and management sections of the report and in a requirement. Case Management now undertake weekly visits to Paddock Hill and meet every fortnight with the local GP. The team have been working to minimise admissions to hospital by monitoring the peoples’ health and identifying who could be at risk of being admitted to hospital due to poor or deteriorating health. This has resulted in less admissions to hospital and improved health. Paddock Hill DS0000002997.V366367.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): People who use the service experience excellent outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 12, 13, 14, and 15. People are able to make choices about their lifestyle and activities, and a good range of activities is provided. People enjoy the meals and have a good range of choices. EVIDENCE: The home have listened to the feedback of people living at Paddock Hill and now try to provide more individual trips and activities. They said they have a more frequent activities program, with staff allocated on a rota to undertake this. Staff have been able to undertake smaller activity sessions with people that are more individual, such as fishing trips and horse racing. Paddock Hills’ team of residents were the recent winner of a quiz tournament, comprising of teams from each of the Sheffcare homes. A range of differing activities are offered on a regular basis with posters staing the activities taking place displayed on each corridor. A structured activity worker program is in place and Paddock Hill receives 3 visits a week from its activity worker. There Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 15 is involvement with the Gleadless Valley Community Group, Hackenthorpe Lunch Club and the Paddock Hill lunch club. More staff had taken the MIDAS driving test, which enables them to make more use of the minibus for outings, and this is incorporated into the staff rosta to ensure that it happens. The garden has had a contractor specialising in sensory gardens making improvements, and the area is now accessible for people and providing stimulation. People are now getting involved in maintaining the garden area independently. Following consultations with people living at the home, relatives and staff, Paddock Hill now has a working kitchen that prepares all the meals on the premises. This meets a recommendation from the previous inspection. The chef Philip Senior had just been a finalist in the National Association of Care for Catering’s ‘Care Cook of the Year’ competition, a great achievement for the home who were very proud of him. The lunchtime meal was observed during the visit and was enjoyed by everyone spoken to. People were eating in several small dining areas and the atmosphere was relaxed and pleasant. People living at the home said: ‘‘I enjoy the meals very much’’. ‘‘The meals are good’’. ‘‘I like the smell of the meals cooking, it gets me interested in them’’. ‘‘There are no activities for the more active minded people’’. Paddock Hill DS0000002997.V366367.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): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 16, 17 and 18. People at the home, and their relatives, are able to express their concerns, feel that they will be listened to, and action taken. EVIDENCE: One complaint had been recorded and investigated by a manager from another home. It involved some lost items of clothing and a concern about the way the home communicated. The complaint was upheld and action taken to prevent a recurrance. Copies of the complaints policy and procedure are displayed throughout the home with copies in every bedroom to ensure everyone has access to a copy. People felt that the manager and staff were approachable, and that they listened to what was said to them. Staff confirmed that they had training on Adult Protection that included recognising and reporting abuse, and the company whistle blowing policy. A serious incident review has taken place at the home following an accident, with the staff contacting the relevant people including the safeguarding team. Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 17 This had not been completed at the time of the visit. On recruitment all staff have an enhanced Criminal Records Bureau check, Protection Of Vulnerable Adults check, and provide two written references one being from the last employer. This helps to protect people from unsuitable workers. The AQAA stated that people living at the home are encouraged to participate in the political process by requesting postal votes or being assisted in any way to attend the polling station. This helps to protect their rights as citizens. Paddock Hill DS0000002997.V366367.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): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 19, 20, 21, 24 and 26. People live in a safe, well maintained, clean and comfortable home. It is suitable for the specific needs of the people that live there. EVIDENCE: Paddock Hill was clean, warm, homely, well lit and smelled fresh. The communal areas were spread over the three floors providing different areas for people to use and reducing the overall noise and bustle so that they were pleasant areas to be in. Some communal areas were identified as needing decoration, the top floor lounge and the stair carpet, but these were on the planned list for later this year and will be attended to. Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 19 Toilets and bathrooms are located on each corridor, and are fitted with assisted hoists or handrails to assist people with mobility needs. They were clean and plain, with few homely touches that would help to make people feel at ease. Bedroom doors are fitted with locks that people could use to be more private. People are provided with a key to their room or if unable to safely keep a key or do not wish to have one, this is recorded in their care plans. People had some of their personal possessions in their own rooms helping them to feel more at home. Some of the rooms were in need of redecoration and were planned for later in the year. The AQAA states that an award of excellence has been awarded by the Department of Enviromental Health for levels of cleanliness. It also says that several areas have been re-decorated/refurbished over the last 12 months including, 2 kitchenette areas, decorated and new kitchens fitted, 1 kichenette decorated, Rosefields lounge area redecorated, carpets replaced in 5 bedrooms, decoration of 5 bedrooms, decoration/refurbishment of 2 areas previously unused which are now an additional dining area and a visitors lounge/quiet area. All areas now have digiboxes in place to enable people to have additional channels and better quality of picture, meeting a recommendation from the previous inspection. Paddock Hill DS0000002997.V366367.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): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 27, 28, 29 and 30. People are satisfied with the care they receive, and staff members are well trained and competent. EVIDENCE: Thorough recruitment procedures are used including checks to protect people living in the home. Evidence of this was seen in the staff files examined and on computer records from the personnel department, who have the responsibility for ensuring each step is completed. The AQAA states that 77 of care staff members have a NVQ in level 2 or 3 in care, plus 14 currently undertaking, demonstrating the commitment to developing staff to provide a quality service. Staff members confirmed that they were encouraged to attend training and their training records contained certificates of attendance proving they had achieved these. Further training was planned in conjunction with POPPS team, as stated in section 2, in response to the concern raised about practices such as catheter care and infection control. Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 21 On the day of the visit staff said that although they were busy they were able to meet peoples needs, and especially personal care tasks. They would have liked more time to spend with individuals in conversation or doing an activity with that person. People at the home said: ‘‘Most of the staff are very kind’’. ‘‘They look after me well’’ ‘‘They are short staffed regularly’’. Relatives said: ‘‘Staff are always on hand to discuss any issues’’. ‘‘They have good understanding staff who relate to people well’’. ‘‘Staff are kind and try their best, sometimes they are really busy’’. Paddock Hill DS0000002997.V366367.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): People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at outcomes for standards 31, 32, 33, 35, 36, 37 and 38. The management of the home have implemented changes and systems to improve the lives of people living in the home. EVIDENCE: The manager is Michelle Dent who has several years of relevant experience and relevant qualifications in care and management. People said that she was approachable and would listen to concerns raised. She stated that she was committed to providing a high standard of care at the home. The concerns already referred to in section 2 show that there has been a problem with some elements of communication and the practical supervision of Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 23 staff. The issues raised have been dealt with by ensuring that all care staff members have specific training in order to ensure people get the care they need. The home still needs to address the communication and supervision issues in order to prevent a similar situation occurring. Surveys are sent by Sheffcare to people in the home, their relatives and other people involved with the home, to gain their views about what they do well and what needs to improve. The results are gathered together and published in the home, so that everyone can read them and see what is being done in response. Meetings for people living in the home are held to gain their views on the running of the home and where suggestions such as for activities can be made. The manager completes a range of audits to monitor the quality of different aspects of the service, such as medication, care planning, health and safety. The Operational Manager does a monthly visit, meeting CSCI requirements, and audits a selection of care plans, medication, and other records when he visits. He also talks to people and looks around the home, so that he can check that things are as they should be. Records of peoples finances were in place, up to date and safeguarded by policies, procedures and monitoring systems. The manager audits this every month to ensure it is accurate. Staff received formal supervisions and appraissals that were recorded, and demonstrated that people are helped to develop their skills and competency. The home has a comprehensive range of policies and procedures to promote and protect peoples’ safety. Checks and maintenance on equipment were recorded, and accidents were recorded. Paddock Hill DS0000002997.V366367.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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 X X 3 X 3 STAFFING Standard No Score 27 2 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 2 3 X 3 3 3 3 Paddock Hill DS0000002997.V366367.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 OP32 Regulation 18, 24 Requirement Address the communication and supervision issues raised by the visiting professionals. Timescale for action 01/11/08 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. 2. 3. Refer to Standard OP7 OP19 OP27 Good Practice Recommendations Care plans must always be up to date. The areas in need of redecoration and refurbishment should be addressed as planned. Review staffing levels in view of feedback from people at the home. Paddock Hill DS0000002997.V366367.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Paddock Hill DS0000002997.V366367.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. 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