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Care Home: Pendlebury Court Care

  • St Mary`s Road Glossop Derbyshire SK13 8DN
  • Tel: 01457854599
  • Fax: 01457860703

Pendlebury Court is a care home registered for 31 places for the care of older people and people with dementia. The home is situated in the town of Glossop in the High Peak and is within walking distance of the town centre where there are many shops and amenities, including the post office, chemists and newsagents. The home offers single room accommodation, with 25 bedrooms having en suite facilities, and is split over two floors with communal and dining areas on each level. The home has a shaft lift. The current accommodation fee for Pendlebury Court is £336 - £428 per week. Additional charges are made for hairdressing, toiletries, podiatry and newspapers.

  • Latitude: 53.443000793457
    Longitude: -1.9559999704361
  • Manager: Manager post vacant
  • UK
  • Total Capacity: 39
  • Type: Care home only
  • Provider: Pendlebury Care Homes Limited
  • Ownership: Private
  • Care Home ID: 12210
Residents Needs:
Dementia, Old age, not falling within any other category

Latest Inspection

This is the latest available inspection report for this service, carried out on 6th May 2008. CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

For extracts, read the latest CQC inspection for Pendlebury Court Care.

What the care home does well What has improved since the last inspection? All of the requirements made at the last Key and Random inspections have been attended to and this demonstrates the seriousness that everybody involved with the running of the home has taken their responsibilities to see it improve: Apart from improvements in the decoration and layout of the communal areas, modifications have been made to the home`s water supply to make it safe for everybody. A new layout for care records has been fully implemented and these have allowed for better record keeping and for staff to work in more consistent and safe ways. Training has been provided to staff so that they are better prepared to work more professionally, and to safeguard the vulnerable people in their care. Staffing numbers have been improved and a full complement of staff has been recruited using consistent and properly designed procedures. The management of the home now listens to what people involved with it are saying about how well or how badly it is doing, and are quick to change things to make it a better place to be. What the care home could do better: No legal requirements have been made as result of this inspection and there are two recommendations that relate indirectly to care practices. CARE HOMES FOR OLDER PEOPLE Pendlebury Court Care St Mary`s Road Glossop Derbyshire SK13 8DW Lead Inspector Brian Marks Unannounced Inspection 6th May 2008 09:00 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 Pendlebury Court Care DS0000028409.V363875.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. Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pendlebury Court Care Address St Mary`s Road Glossop Derbyshire SK13 8DW 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) 01457 854599 01457 860703 pendlebury@btconnect.com Pendlebury Healthcare Ltd Vacant Care Home 31 Category(ies) of Dementia (19), Old age, not falling within any registration, with number other category (31) of places Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons 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 are within the following categories: Dementia - Code DE. Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is 31 5th July 2007 2. Date of last inspection Brief Description of the Service: Pendlebury Court is a care home registered for 31 places for the care of older people and people with dementia. The home is situated in the town of Glossop in the High Peak and is within walking distance of the town centre where there are many shops and amenities, including the post office, chemists and newsagents. The home offers single room accommodation, with 25 bedrooms having en suite facilities, and is split over two floors with communal and dining areas on each level. The home has a shaft lift. The current accommodation fee for Pendlebury Court is £336 - £428 per week. Additional charges are made for hairdressing, toiletries, podiatry and newspapers. Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a Key unannounced inspection that took place at the home over one day. Additionally, time was spent in preparation for the visit, looking at key documents such as previous inspection reports, and records held by us. This allowed for the preparation of a structured plan for the inspection. The written Annual Quality Assurance Assessment document (AQAA) was completed by the manager and submitted shortly after the inspection and its contents are reflected in this report. At the home, apart from examining documents, care files and records, time was spent with the manager of the home, who was present throughout the visit, and talking with all eight of the staff working on the day shift. Additionally four written surveys were completed and returned shortly after the inspection. The care records of three people who live at the home were examined in detail and two of these were interviewed along with seven others who were living there on the day of the inspection. Because of the capability of the majority of residents of the home, they were unable to contribute directly to the inspection, but during the day we were able to observe life at the home and the activities of staff caring for them. Four family visitors, who were at the home during the visit, were also spoken to and four also we spoke by telephone with a local Social Services manager both before and after the inspection. Four written surveys were returned shortly after the inspection. A Random unannounced inspection was carried out on 18 January 2008 following the receipt of a number of concerns about care practices at the home. The last Key unannounced inspection was made on 2 April 2007. What the service does well: Following a number of difficulties at the home in the latter half of last year a new manager was appointed in October 2007 and she has made substantial progress in stabilising the standards of care at the home and started to return the home to a good level of performance. An independent consultant is at the home regularly to support the progress being made and also to monitor the care being provided. The staff team has been re-established and numbers increased since the last key inspection and the use of agency staff, which hindered consistent and safe working, has been eliminated. Staff morale is high and all of the staff spoken Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 6 to were positive about working at the home and showed commitment to good standards of care and supporting the manager in making the home a success. The home was purpose built in the early 1990’s, it gives a comfortable and safe environment in which to live and work and good standards of decoration and furnishing have been maintained. The residents and visitors that were spoken to praised the meals and laundry services. There is a clear commitment to staff training at the home and all of the staff will shortly have achieved at least the NVQ level 2 in care or other subjects appropriate to their jobs. Additionally all staff have completed awareness training in the needs of people with dementia which will help them provide a more sensitive style of caring. The administrative systems of the home have continued to be developed and care activities are supported by clear and well laid out care plan documents, which staff said are easy to use. People living at the home and their families are very positive about current standards at the home and the ones spoken to were all positive about life there: ‘I like living here a lot’. ‘I’m very happy at present because everybody’s very nice to get along with’. ‘Last year I wanted to take mum away from the home – nobody was taking responsibility. Now the staff are lovely and things have improved dramatically’. ‘She’s been in three homes and this is one of the best around here’. ‘Both management and staff have an excellent understanding and caring attitude towards the residents and their relatives’. What has improved since the last inspection? What they could do better: Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 7 No legal requirements have been made as result of this inspection and there are two recommendations that relate indirectly to care practices. 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. Pendlebury Court Care DS0000028409.V363875.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 Pendlebury Court Care DS0000028409.V363875.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): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People do not come to live at the home without the care they need being fully identified. EVIDENCE: The revised format for care records has been fully launched since the last inspection, and all three files looked at contained a range of assessment forms that were completed by the manager when the people concerned came to live at the home. These include a brief initial enquiry/assessment and a more detailed assessment that covers all the important areas in people’s lives and the problems they are facing. All the records looked at have further additional assessments of areas of risk such as safe moving and handling, skin breakdown and pressure sores, falls and nutrition. Two of the records also contain life histories of the people concerned and describe their lives in terms of positive achievements rather than just the problems they are facing at the present. The AQAA indicated that people wanting to come and live at the home are welcome to visit the home at any time without making an Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 10 appointment, and all the people spoken said that all of their needs are met and that they ‘get all the help we need’. The home does not provide intermediate care so Standard 6 does not apply. Pendlebury Court Care DS0000028409.V363875.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): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessment records promote safety and consistency and care is given in a ways that respect individuality and privacy. EVIDENCE: All of the files looked had been updated and renewed since the last inspection and they were completed to the same standard. As noted above they contain clear and comprehensive descriptions of the areas where people need help or where they experience risk, as well as their preferences and abilities and areas in which they are independent. Care activities to be carried out by staff are clearly identified and each file looked at contained a record that indicated a full monthly evaluation taking place. Areas where people need help to access healthcare services such as chiropody, district nurse and GPs are clearly identified, and a district nurse and a GP were seen in the home on the day of the inspection. The AQAA confirmed that relationships and communication with other professionals had much improved and relatives spoken to confirmed that support to attend the local hospital and outpatient clinics is arranged and they are kept informed of any difficulties, Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 12 including accidents, that may occur. They also said that staff care in ways that respect people’s dignity and privacy and their right to remain as independent as possible, and this was echoed by entries in the care plans. Observations of care practice by staff in the communal areas indicated that they take care to relate to all residents in a sensitive and friendly way, and the style of communication is appropriate to the needs of people with dementia. People said that: ‘Personal care is given in a sensitive and careful way’. ‘I’m quite independent in my wheelchair and come and go from my room when I like’. ‘Communication skills of staff are very good’. Examination of the arrangements for the receipt, storage and administration of medicines to residents indicated these to be satisfactory. Medication is stored securely and the home uses the ‘Monitored Dosage System’ for administration; all entries are properly checked, signed and dated. There are a small amount of controlled drugs in use at present and these are stored and administered appropriately. The home also had its own policy on dealing with medication and all senior staff have undertaken medication training. Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Opportunities for people living at the home to take part in leisure and social activities are organised, and they enjoy lifestyles, routines and meals that meet their requirements. EVIDENCE: The people spoken to confirmed that they have a happy life in the home and are able to do much or as little as they like – ‘they had a party here last week but I didn’t want to go to it’. An activities coordinator has now been in post for just over a year and was able to report a steady improvement in the range of social life at the home. She reported good levels of support from the home’s management – ‘it’s seen as an important part of what we do here and they encourage me to get people involved’. Relatives reported that more outings had occurred recently and they were able to speak out at the more regular residents/relatives meetings with suggestions for things to do. The monthly planner for May indicated a weekly visit by the hairdresser and monthly church service along with a number of activities carried out with individuals and with small groups of residents. Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 14 Contact with families is encouraged through an ‘open door’ policy, and a number were seen at the home during the inspection. Those spoken to were positive about relationships with the home’s staff: ‘The staff are very welcoming and I can call at any time’ ‘They’re really pleasant and I feel comfortable if we have to raise any issues or concerns’. Some family members visit very regularly, including daily, and one described how they had been involved with resolving problems over their relative taking prescribed medicines. A brief visit was made to the kitchen and the cook described current arrangements. Good standards in the catering service have continued, and a regular 4-week menu is now being followed. This indicated a choice at the main meals of the day and the cook described how, for example, one person had had something not listed for lunch on the day of the inspection. This was conformed by comments from the residents and relatives spoken to, who were positive about the quality of food served. A hot option is regularly available for breakfast and afternoon tea, and staff said that sandwiches are available if required at suppertime. The cook makes arrangements for people with special dietary needs, and these include one resident whose diet is gluten-free and two who are diabetic. Pendlebury Court Care DS0000028409.V363875.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home responds to complaints made by residents and their representatives according to a written procedure, and aims to protect them from harm. EVIDENCE: The home has a complaints procedure, which is available to residents and their friends and relatives and the AQAA indicated that the home’s management has recorded ten complaints since the last inspection. In addition six other matters were referred either to the Commission or the local Social Services Department for investigation; two of these resulted in application of the Statutory Safeguarding Adults procedures. The proprietor for the home was directly involved in discussions about dealing with issues arising from these concerns and was prompt in taking direct action to resolve the difficulties. Following the departure of the previous manager, the new manager has had a brief to improve staff training in key areas. This has included a programme aimed at raising awareness about responsibilities to safeguard vulnerable adults and all staff will have attended this by the middle of May. In addition an outside management consultancy has been available to support the manager in making improvements and their representative has been a regular visitor to the home to monitor standards. The home’s written procedures for safeguarding vulnerable people have now been revised to reflect their responsibilities in relation to the abovementioned Statutory Procedures and staff have been given information about ‘whistleblowing’. Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 16 The relatives of people living at the home who were spoken to confirmed that they were comfortable about approaching the home’s management about any problems and are confident that they will always be listened to. From the records that have been kept in relation to the incidents above the current manager and staff have demonstrated a good awareness about how to react to possible situations where people might be harmed and all those spoken to showed awareness about what they have to do. Pendlebury Court Care DS0000028409.V363875.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, 23 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People at the home live in a clean comfortable and well-maintained environment. EVIDENCE: The home is set in a residential area close to Glossop town centre and gives good access to local facilities. It is purpose built and remains homely, light and comfortable in appearance with open communal areas and wide corridors for easy access. Refurbishment activities have continued to take place and during a tour of the building the following changes from the last inspection were noted: • Both ground and first floors have been redecorated with a lighter colour scheme. Bedroom doors on the ground floor have been painted in primary colours and ‘sensory’ boards have been attached to the doors of service rooms to aid orientation. Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 18 • • New laminated floors have been fitted in the dining areas and the open plan communal area on the first floor has been separated into dining and sitting rooms. All hot water taps that people have access to have been temperature controlled to eliminate the risk of scalding. The home has an infection control policy and procedure, and records indicate that staff have continued to receive training in this subject. The laundry is well laid out and the washing machines have a sluice wash facility. On the day of the inspection the home was clean, tidy and free from odours and the residents spoken to had no complaints about the laundry service; all residents observed in the home wore clean and well-presented clothing. Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home benefit from staff who are on duty in sufficient numbers and who have been properly recruited and trained. EVIDENCE: Soon after the last Key inspection in July 2007 the home underwent another unstable period and a significant turnover of staff took place in the latter half of the year. Eleven new staff were taken on during this period, the majority of whom were interviewed by the current manager following her appointment at the beginning of October 2007. At the time of this inspection there were no vacancies in the staff group and staff roster indicated that the use of agency staff has again been eliminated. The roster also indicated that the level of care staff on duty had been increased back to four on all shifts. People who gave written or spoken feedback said that staffing levels were satisfactory and that care needs are being met: ‘Staff are always around and there are enough of them to help me’. ‘I get all the help I need’. ‘Staff are very pleasant and hardworking’. ‘I can’t find fault with the numbers of staff on duty’. The numbers of care staff undertaking NVQ training has continued to increase and approximately 90 will have achieved a minimum of level 2 later this year. Additionally all domestic and kitchen staff have been supported to get appropriate NVQ training as well. This is well above the nationally set target Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 20 and should be commended. All staff have recently completed a 2-day course in dementia care awareness provided by the Alzheimer’s Society and the staff spoke in strong terms about the positive and powerful impact this had had on them. Staff spoke about a substantial amount of other training activity that had occurred since the appointment of the new manager and staff records supported this, with the use of outside trainers from the company noted. Recently appointed staff described a one-day induction but nothing more structured beyond that. The AQAA indicated that the manager has acquired the training material from ‘Skills for Care’ to improve this situation and will use it for all new appointments. The recruitment files of the most recently appointed care staff were looked at and a systematic approach to selection was in evidence, and the AQAA indicated that all the checks required by law are made before new staff start work at the home. The staff spoken to had a wide range of experience both inside and outside the care industry, and all described in positive terms the current state of staff morale at the home: ‘Everyone works as a team, we are all getting on really well’. ‘Everybody’s doing their best, it’s a very happy home’. ‘The home is the best I have seen it in the two and a half years I have worked here’. ‘All the new staff are good and everybody’s pulling together’. Pendlebury Court Care DS0000028409.V363875.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, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is a well-managed and safe environment in which to live and work, and everybody involved with it is given the opportunity to give their views on how it is being run. EVIDENCE: The current manager was appointed in October 2007 following a gap of some months since the departure of her predecessor. Her application to register with the Commission is currently being assessed. All of the comments received from staff, relatives and people living at the home were very positive about the impact she has made, and about the level of organisation she has introduced. We received comments about the improvements in the building, improvements in communication, better administration systems and the approachability of the manager if they had any concerns: ‘The manager has done a lot since she came’. Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 22 ‘Last year was not good but the management have listened to complaints and started the new manager who has made a difference’. ‘Any problems and I go straight to the manager’. ‘The manager’s door is always open, she’s very approachable’. ‘Everything is working well now with the new manager’. ‘Nothing is too much trouble for her’. Within the priorities for the manager’s workload has been the need to make sure that staff are working efficiently and safely, and systems for informal and formal support and supervision have been put into place. Records indicate that not all staff have been meeting formally at the recommended regularity however. The AQAA indicated that systems have been put into place to monitor the quality if care being provided at the home. The manager is supported to maintain the improvements by a consultant from an independent company and between them they have been responsible for carrying out a number of these regular audits of the home’s performance. These have included a regular meeting with people living at the home and their relatives, a quality survey and the legally required monthly visit on behalf of the proprietors. The systems for the safe keeping of residents’ personal spending money have been in place for some time and these remain unchanged from the last inspection. Information about maintenance activities are retained in the handyman’s records and these indicate good standards of health and safety activity and regular servicing of equipment. Additionally observations made around the building indicated it to be hazard free. Pendlebury Court Care DS0000028409.V363875.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 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 3 X X X 3 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 3 X 3 Pendlebury Court Care DS0000028409.V363875.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. 1. Refer to Standard OP30 Good Practice Recommendations All new care staff employed to work at the home should follow the Skills for Care induction programme so that they are properly prepared to start work in a professional and safe way. Staff supervision should take place every two months and include career development needs, and philosophy of care in the home. 2. OP36 Pendlebury Court Care DS0000028409.V363875.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 Pendlebury Court Care DS0000028409.V363875.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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