Care Home: Redholme Memory Care Ltd

What the care home does well The home provides service users with a high level of care. An extensive range of social opportunities and stimulations are provided to promote interaction and maintain skills. All staff are well trained and all nurses hold management qualifications to further improve the service. 90% of care staff hold NVQ qualifications and extensive training is given to all support staff. The home is furnished and decorated to a high standard and a programme of redecoration, refurbishment and modernisation ensures that the high standards continue. All areas of the home are clean and fresh. Relatives commented, in the surveys, of the high standard of care, the caring attitude and competency of the manager and staff and of the quality of the environment. What has improved since the last inspection? Improvements have been made to the handling of medications and all medications are dealt with in a safe manner to ensure the protection of the service users. The gardens are extremely well maintained and a summer house provides service users with a comfortable place to spend warmer weather. What the care home could do better: The home should continue to provide a high level of care. CARE HOMES FOR OLDER PEOPLE Redholme Memory Care Ltd 11 Carnatic Road Mossley Hill Liverpool Merseyside L18 8BY Lead Inspector Jeanette Fielding Key Unannounced Inspection 30th July 2008 09:45 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 Redholme Memory Care Ltd DS0000060551.V367285.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. Redholme Memory Care Ltd DS0000060551.V367285.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redholme Memory Care Ltd Address 11 Carnatic Road Mossley Hill Liverpool Merseyside L18 8BY 0151 724 2016 0151 724 4057 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) Redholme Memory Care Ltd Ann McCann Care Home 55 Category(ies) of Dementia - over 65 years of age (55) registration, with number of places Redholme Memory Care Ltd DS0000060551.V367285.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 10 PC (DE/E) within the overall number of 55 beds One named elderly person for general nursing care (OP) Date of last inspection 5th September 2006 Brief Description of the Service: Redholme is situated in the Mossley Hill area of Liverpool close to Sefton Park. Redholme Memory Care Home provides 55 places for people that have organic mental illness. Mrs Ann McCann is the owner and Registered Manager. Mrs McCann is a qualified nurse with many years experience working with the service user group. Nursing staff and qualified care staff are in attendance 24 hours per day to facilitate care. Accommodation is provided on three floors, because of the design of the original building, the first and second floor exit at ground level into a well maintained large garden area. The home has developed an additional garden facility for service users and this provides wheelchair access. There are pleasant well-decorated lounges, dining rooms and small sitting areas around the house. A selection of bathrooms and toilets are provided, walk in showers and assisted bathing facilities are available. 45 single rooms and 5 double rooms are available with some en-suite toilet and washbasin facility. The fees range between £418 and £520 per week depending on the level of care required. Redholme Memory Care Ltd DS0000060551.V367285.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 3 star. This means that people who use the service experience excellent quality outcomes. This inspection took place over a period of eight and a quarter hours. This was the key unannounced inspection and was carried out as part of the regulatory process. As part of the inspection process, all areas of the home were viewed including many of the service users bedrooms. Assessments and care plans for eight service users were inspected together with staff records and certification to ensure that health and safety legislation was complied with. Discussion took place with the owner/manager, nurses, care staff, service users and relatives to obtain their views and opinions of the service. If this was not possible due to communication difficulties, then through observing people using the service. A good response was received to the surveys that were issued to relatives of service users. The manager had completed an Annual Quality Assurance Assessment which gave further insight into the home. What the service does well: The home provides service users with a high level of care. An extensive range of social opportunities and stimulations are provided to promote interaction and maintain skills. All staff are well trained and all nurses hold management qualifications to further improve the service. 90 of care staff hold NVQ qualifications and extensive training is given to all support staff. The home is furnished and decorated to a high standard and a programme of redecoration, refurbishment and modernisation ensures that the high standards continue. All areas of the home are clean and fresh. Relatives commented, in the surveys, of the high standard of care, the caring attitude and competency of the manager and staff and of the quality of the environment. Redholme Memory Care Ltd DS0000060551.V367285.R01.S.doc Version 5.2 Page 6 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. Redholme Memory Care Ltd DS0000060551.V367285.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 Redholme Memory Care Ltd DS0000060551.V367285.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): 1 and 3. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Detailed information is gathered prior to admission to ensure that the home can meet the prospective service users individual health, social and mental health needs. EVIDENCE: The home has produced a detailed service user guide to provide full information regarding the facilities and services offered by the home. The document, together with the complaints procedure and information regarding the terms and conditions of residency are presented to the relatives of prospective service users in an attractive folder. Comprehensive assessments are undertaken on prospective service users prior to their admission. Information is gathered from the service user, their family Redholme Memory Care Ltd DS0000060551.V367285.R01.S.doc Version 5.2 Page 9 and any other care professional involved in their care. Some of the service users who are admitted to the home have previously attended the adjacent day care facility which is under the same ownership. The day care unit also gathers detailed information regarding the service users and this has proved to be particularly beneficial when planning long-term care. Hospital records are accessed to gather information regarding health care needs and hospital staff are spoken to whenever possible. The assessment process continues during the first few weeks of accommodation at the home to provide additional information. Details of individual abilities are recorded, together with a history of how long the service user has suffered their memory difficulties and how this has been displayed. Redholme Memory Care Ltd DS0000060551.V367285.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 excellent. This judgement has been made using available evidence including a visit to this service. Detailed and informative care plans provide staff with a high level of information to ensure that they can meet service users health and care needs to promote and enhance their quality of living. EVIDENCE: A random selection of eight care plans were inspected in the two areas of the home. All files inspected were found to contain comprehensive information regarding the care needs of the individual service users. Information is gathered from family members regarding lifestyle and individual preferences and are updated as the care needs of service users are more clearly identified. Each care plan is reviewed on a monthly basis or more frequently as necessary. Redholme Memory Care Ltd DS0000060551.V367285.R01.S.doc Version 5.2 Page 11 Specific care information is clearly recorded to ensure that all staff members are aware of each individual service users needs. The plans not only give details of the care to be given but also identify the preferred gender of staff who are to give that care to protect the service users dignity. Individual plans are prepared for each specific care need and are written in plain English to ensure that they provide information in a clear manner. Staff members are very alert to changes in service users’ mood, behaviour and general wellbeing and fully understand how they should respond and take action. Detailed risk assessments are prepared together with risk management plans to reduce or remove any potential risk to the service users. Wounds are mapped and photographed to provide evidence of improvement or deterioration and the advice given by the tissue viability nurse specialist is recorded and duly followed. None of the service users accommodated at the home have developed pressure sores since their admission but some had developed these in hospital prior to admission. Specialist pressure relieving equipment is provided where needed to further aid the healing of wounds and to prevent pressure sores from developing. Care staff work to a very high standard and constantly monitor pain, distress and other symptoms to ensure individuals receive the care they need. Families are involved in the preparation of care plans and are made aware of changes to service users needs and care provision. Daily records completed by the staff provide evidence of the actual care given by staff and of the activities that service users have enjoyed each day. Regular audits are undertaken on care files to ensure that they remain up to date at all times. Improvements have taken place with regard to medications. Clear information is recorded on medications that are prescribed on ‘as necessary’ (PRN) basis to ensure that staff have full details of the medication, the maximum dose that can be given in any 24 hour period and the minimum time between doses. Regular contact is made with GP’s to review all medications. Medication Administration Record sheets (MAR’s) were found to be clear and were signed appropriately by staff to provide evidence of the medications administered. When medications have not been given, or have been refused by service users, a record is made giving the reasons why the medication was not administered. The records show that GP’s are contacted when service users refuse medications or when their health changes. All medications were stored safely and no excess of medications are held in the home. None of the service users were able to give their views of the home or of the care they are given due to their condition and so observation of the interaction between staff and service users was undertaken. Staff were observed to respect privacy and dignity at all times and spoke in a calm and quiet manner to the service users. Personal care is given in bathrooms or in service users own bedrooms as appropriate to protect their privacy and dignity. Redholme Memory Care Ltd DS0000060551.V367285.R01.S.doc Version 5.2 Page 12 A high number of survey forms, completed by relatives, were returned to CSCI and were extremely complementary. One relative wrote a very touching letter giving details of the poor health of a relative at the admission to the home some years ago and commented on how the service user had improved and developed over time to now be able to enjoy a quality of life, retain independence and participate in activities within the home. Comments from relatives of other service users also include, ‘Redholme is second to none, it combines top professional care with love, kindness and support’, ‘I find Redholme provides excellent care for which I am extremely grateful’, ‘the very high standards I expected are always met’, ‘ everyone at Redholme is given love and care’. Redholme Memory Care Ltd DS0000060551.V367285.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 excellent. This judgement has been made using available evidence including a visit to this service. The home provides service users with a varied range of social opportunities and activities to promote interaction and stimulation to improve their lives. EVIDENCE: Detailed information is gathered from service users and their relatives at the pre-admission assessment with regard to the service users preferences and previous lifestyle. This information is used to prepare the first plan of care in relation to social activities and additional information is recorded over time as the abilities and preferences of the service users becomes known. Relatives are requested to complete a ‘This Is Me’ information sheet to further provide the staff at the home with details of their family, work history and social preferences to enable the home to meet their needs and enhance their lives. A very high number and range of social activities are provided by the home to ensure that service users are stimulated and entertained whilst promoting their individual abilities. The home employs two activities co-ordinators over seven Redholme Memory Care Ltd DS0000060551.V367285.R01.S.doc Version 5.2 Page 14 days each week. A physiotherapist visits the home three times each week to promote individual abilities and to offer information and advice for staff. Spiritual needs are met through a weekly visit by an Ecumenical Minister who provides services for all who wish to participate. A Roman Catholic Priest and a Church of England Minister visit the home on a monthly basis to provide services and spiritual support for service users and their relatives. Arrangements for the spiritual needs of non-Christian service users are in place. Entertainers visit the home every two weeks and relatives spoken to said that it was evident that this was enjoyed by all service users. Performances are also given by Liverpool College Choir and volunteers from Liverpool University also provide assistance with activities. Staff were observed to spend time on a one to one basis with service users. One member of staff was reading to a service user and others were enjoying board games with staff. The home has a reading group and read out loud from a range of books. Reading poetry has proved to be enjoyed by the majority of service users and this has shown to calm some service users who suffer agitation. Drama therapy sessions are provided and this has been extremely successful in allowing service users to express themselves, and has resulted in a lot of amusement and laughter. The home provides an Easyline Gym in the adjacent day centre which is available for service users under supervision. Chair based exercises are provided to enable those with mobility difficulties to participate in exercise. Tai Chi is provided weekly. Children from a local school visit at Easter, Lent and for Harvest Festival. Service users are also offered craft, art, bingo, puzzles and gardening. Newspapers are provided and staff will sit with service users to read to them. The manager and staff spoke of a recent activity involving a ‘Wii’ game. This was particularly enjoyed and promoted much laughter and team spirit and so consideration is being given for one to be provided by the home. Regular trips out are available and recent trips include Southport, Birkenhead Park, Cumbria, Pendle and Otterspool. Clothes parties are held in the home to enable service users and their relatives to choose items of clothing together where the service users are not able to go to shops. Significant occasions are celebrated i.e. birthdays, anniversaries, and relatives are invited to these celebrations together with other social events. Visitors are welcome at the home at any reasonable time and a high number of relatives were in the home at the time of the inspection. In the survey, one relative said ‘Matron funs a nursing home that looks after my mum, caters to Redholme Memory Care Ltd DS0000060551.V367285.R01.S.doc Version 5.2 Page 15 all her needs and more…. Food, day centre, training, days out, activities. The place is run to perfection’. Meals are taken in the dining room, lounge or the service users’ own bedroom as they wish. Tables are attractively laid and a range of condiments is provided. The home provides a choice of meal at all mealtime and some meals are prepared in addition to those detailed on the menu to meet service users individual preferences. Special diets are provided on the advice of the GP, dietician or on the service users request to meet medical, cultural or preferred needs. The meals served on the day of the site visit was attractively presented and smelled appetising. Assistance is given in a discreet manner to service users who require assistance with meals and the home has established a method, through the use of red trays, to clearly identify those service users who require assistance. This is to ensure that all service users who require assistance are given the appropriate level of support by the staff. Fresh fruit and vegetables are used in the preparation of meals although some frozen vegetables are used to give greater choice when the vegetable chosen is not in season. The kitchen is extremely clean and organised and information is held in the kitchen of service users individual likes, dislikes and special dietary requirements. Catering staff have all undertaken appropriate training in relation to health and hygiene and the chef, together with some of the other catering staff, have also undertaking training in dementia to give greater understanding of the needs of the service users. All kitchen equipment was found to be clean and in full working order. Redholme Memory Care Ltd DS0000060551.V367285.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Intensive training has been given to staff with regard to Adult Protection to ensure that service users are not placed at risk of harm or abuse. EVIDENCE: The home has an informative and robust complaints procedure which is detailed in the statement of purpose and is also displayed on notice boards within the home. No complaints have been made by service users or relatives since the last inspection. In the survey forms completed by relatives of service users, it was evident that all would feel comfortable in expressing any concerns that they had to the manager and one relative stated ‘I have never had a need to complain.’ All staff have been given training on the protection of vulnerable adults and programme of updating this training is currently taking place. Redholme Memory Care Ltd DS0000060551.V367285.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, 20, 24 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home continues to improve to provide service users with a pleasant and homely place in which to live. EVIDENCE: Service users bedrooms are decorated and furnished to a high standard and the on-going programme of redecoration, refurbishment and improvement continues to take place. Staff and relatives have assisted service users to personalise their bedrooms with pictures, photographs and items of memorabilia to provide a homely atmosphere and to help service users with orientation and reminiscence. Redholme Memory Care Ltd DS0000060551.V367285.R01.S.doc Version 5.2 Page 18 Lounges and dining areas are bright and welcoming and provide pleasant places where service users can spend their day. Armchairs are comfortable and the rooms have been decorated and furnished in a domestic style to make them warm and homely. Corridors are wide and are provided with handrails to provide assistance to service users. All necessary moving and handling equipment is provided and is only used following a thorough risk assessment and after staff have been given training on its’ use. New furniture continues to be provided as part of the ongoing improvement programme and this has further promoted and pleasant place for service users, visitors and staff. All areas of the home were clean and fresh and there were no unpleasant odours evident. The home is well lit throughout and is centrally heated. Windows can be opened to provide natural ventilation, although the amount that these can be opened is limited to ensure that service users are protected. All maintenance issues that are identified by staff are recorded and are addressed with immediate effect to ensure the safety and well being of service users and staff. Considerable work has taken place within the gardens since the last inspection. The gardens are accessible to service users at all times and provides seating. Lawns are bordered by trees, shrubs and plants and provide pleasant environment. A summer house has been provided and this is used during the warmer weather for activities with smaller groups of service users such as the reading group where a bright and quiet place has proved to be beneficial. Redholme Memory Care Ltd DS0000060551.V367285.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 excellent. This judgement has been made using available evidence including a visit to this service. The home employs a team of well-trained, enthusiastic staff who work positively with the service users to improve their quality of life. EVIDENCE: The home has a comprehensive recruitment policy and staff files inspected provided evidence that the procedure is followed. . All prospective staff are required to complete an application form prior to being called for interview. Two references are taken together with checks on the Protection of Vulnerable Adults and Criminal Records Bureau registers. The qualifications of nurses are validated through the Nursing and Midwifery Council and records are held in the home to demonstrate that the nurses PIN numbers are valid. The home has a comprehensive staff development and training strategy. All members of staff at the care home have access to mandatory and specialist training and records are kept of courses attended. 90 of the care staff now hold NVQ qualifications. Recent updates on training have recently been given or are underway which includes the protection of vulnerable adults, dementia care, moving and handling, first aid, fire awareness and basic food hygiene. In Redholme Memory Care Ltd DS0000060551.V367285.R01.S.doc Version 5.2 Page 20 house training is given in addition to external training to promote the staff’s knowledge and understanding. The staff team support each other and share skills and knowledge with colleagues. The roles and responsibilities of staff are clearly defined and understood, based on accurate job descriptions and specifications. Domestic and catering staff now hold specialist NVQ qualifications or are working towards these in relation to the field of work in which they are employed. One administrator holds NVQ at level 2 and the other holds office skills qualifications. The maintenance person has undertaken the Fire Safety Officers course. All staff receive documented supervision six times each year to ensure that their performance and work with service users is safe and protect the service users. Staff meetings are used for consultation and training and staff, including night staff, are involved in the development of the service. Agendas are developed, minutes are taken and relevant information is made available to staff and relatives. All staff have the opportunity to attend meetings and to be kept fully informed and able to contribute to meetings. Records are held of all training courses undertaken by the staff team in their individual files. Staff rotas show that the home is employing and deploying staff in sufficient numbers to meet the individual needs and preferences of the service users. Relatives were complimentary about staff in the surveys and comments include- ‘These staff are fantastic and deserve all the credit and praise in the way they care for all residents at Redholme – 100 ’, ‘Excellent care from all levels of staff’, ‘The quality of care given by staff at the grass roots is excellent in the true sense ‘caring’. I get the strong impression that this stems from the very top, Matron down through the nurses to the carers’. Redholme Memory Care Ltd DS0000060551.V367285.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, 32, 33, 35 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager is well supported by staff to ensure that service users are protected and provided with a quality lifestyle within a safe environment. EVIDENCE: Redholme is managed by the owner who is a qualified nurse, extremely experienced and is highly competent to run the home and meets its stated aims and objectives. The manager provides an excellent role model for all other staff. One relative stated in the survey ‘Mrs McCann runs a very tight ship and will stand fro no nonsense from the staff or visitors’. Redholme Memory Care Ltd DS0000060551.V367285.R01.S.doc Version 5.2 Page 22 The manager was able to provide evidence of on-going training and development in all aspects of care and business management to ensure that the home continues to run to a very high standard for the benefit of the service users. The manager has an open door policy and is accessible to service users, relatives and staff at all times. The home holds the Investors In People Award. Quality Assurance is further enhanced through surveys by the home and regular meetings with service users, relatives, staff and stakeholders. The home does not deal with any of the service users finances and family members are requested to collect the personal allowances of service users, on a weekly basis, where these payments are made to the home. Financial transactions made for service users on the request of family members are held in an independent bank account and the home’s accountant ensures that interest payments are apportioned appropriately. Record keeping is of a consistently high standard. There is full and clearly written recording of all safety checks and accidents, including analysis, and there is no evidence of a failure to comply with statutory reporting requirements and other relevant legislation. Health and safety systems are regularly reviewed and updated and all safety certificates were seen to be in place and up to date. Redholme Memory Care Ltd DS0000060551.V367285.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 4 X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 X X X 3 X 4 STAFFING Standard No Score 27 3 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 X X 3 Redholme Memory Care Ltd DS0000060551.V367285.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 Redholme Memory Care Ltd DS0000060551.V367285.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.northwest@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 Redholme Memory Care Ltd DS0000060551.V367285.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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