Care Home: Rushcliffe Care T A Hayes Close

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What the care home does well The thorough person centred care plans and health action plans mean that the residents have care that is designed just for them. The staff call the residents by the name that they prefer, support them in making decisions about their lives and treat them with dignity and respect whilst giving them privacy. `The staff are good to me` The residents live in a comfortable and safe environment and have bedrooms that are personal to them and their needs. `I like my room` The staff receive excellent training to make sure that they can support the residents with their specific needs and disabilities. The staff always recognised peoples` different needs including cultural and spiritual and enabled them to continue with them. The home maintains good communication with the relatives of the residents. This was confirmed in the quality audit sent to the families by the home. What has improved since the last inspection? This was the first inspection of a service with new owners. There were no requirements or recommendations made at the previous inspection with the former owners. What the care home could do better: The Statement of Purpose should be updated to reflect the new owners aims and objectives and to put their name on the document. The Commission for Social Care Inspections` details should be updated. Consideration should be given to including the results of the quality audits in the Statement of purpose to help prospective residents and their families to make a decision about the home.The new owners should make sure that the level of activity previously enjoyed by the residents is not reduced. The complaints policy should be updated to make sure that accurate information is available for the residents and their families. Attention should be given to the removal of the unpleasant odour smelt in the home. The dirty carpets in the home should be cleaned or replaced. The dirty and torn wall -paper in the entrance hall could be replaced. There could be confirmation in the home of the receipt of all required documentation for staff employment. The taps that had been checked for hot water temperatures should be numbered to make sure that all are regularly checked. CARE HOME ADULTS 18-65 Rushcliffe Care T/A Hayes Close 9 Hayes Close Whitwick Coalville Leicestershire LE67 5PJ Lead Inspector Thea Richards Unannounced Inspection 9th July 2008 09:00 Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 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 Rushcliffe Care T/A Hayes Close DS0000071635.V368200.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 Adults 18-65. 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. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rushcliffe Care T/A Hayes Close Address 9 Hayes Close Whitwick Coalville Leicestershire LE67 5PJ 01530 837444 01530 451035 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) Rushcliffe Care Limited Mrs Mary Ann Beniston Care Home 7 Category(ies) of Learning disability (7), Physical disability (2) registration, with number of places Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only : Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD Physical Disability - Code PD The maximum number of service users who can be accommodated is 7 2. Date of last inspection New Service Brief Description of the Service: Hayes Close is a converted house providing care for 7 people with a learning disability, two of whom may additionally have a physical disability. Hayes Close is situated in the town of Whitwick, close to local amenities and can be reached by both public and private transport. There is limited parking available at the front of the house. The home has bedrooms on the ground and first floors each of which has ensuite facilities, three of these include a shower. There is a large lounge/ dining room on the ground floor and there are plans to provide a conservatory that will give an additional sitting room. The first floor can only be reached by stairs so is only suitable for those residents who are mobile. There is a pleasant, well -maintained garden with a patio area that has tables and chairs. This is accessible for the residents to enjoy. The home has its own transport to take the residents to the day centre and to other activities. The Rushcliffe Care Group has recently purchased the home. They are experienced care home- owners and have many homes in the area. Mrs Mary Beniston has managed the home for many years and is an experienced manager. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 5 The home can be contacted by telephone, fax or email. The weekly fees are negotiated on an individual basis according to the residents’ needs. There are additional costs for holidays, hairdressing, dry cleaning, chiropody and toiletries. The registration certificate from the Commission for Social Care Inspection, an up to date certificate of insurance and the latest inspection report are available in the managers’ office. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. There is an ‘easy read’ summary included with this report. The Quality rating for this service is 3 Star. This means that the people who use this service experience excellent quality outcomes. This was a key inspection of a care home for people with a learning disability, which ended with an unannounced visit to the service. Before the visit we (throughout the report the use of ‘we’ indicates the Commission for Social Care Inspection), spent four hours reviewing information received by the Commission for Social Care Inspection (CSCI) since the new registration of the home on 10th January 2008. The visit took place on the ninth of July 2008 and lasted four and a quarter hours. During the visit we checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that we looked at the care provided to two of the residents. To achieve this we spoke with the staff supporting their care and looked at the records relating to their health and welfare. We spoke with the residents although some of the communication was difficult; we managed to get some feedback from them. With their permission the residents’ bedrooms were looked at. We also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them was looked at. We looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. We looked at the Annual Quality Assurance Audit (AQQA) that the home had sent to us. This describes the services provided at the home for the residents, how the home is hoping to improve services and statistics about the residents and the staff. During the visit we spoke with the deputy manager, the staff and the residents. There were no visitors in the home on the day of the visit and we Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 7 had not received any surveys from relatives. We did look at the results of the homes’ quality audit that showed that the families were pleased with the service given. What the service does well: What has improved since the last inspection? What they could do better: The Statement of Purpose should be updated to reflect the new owners aims and objectives and to put their name on the document. The Commission for Social Care Inspections’ details should be updated. Consideration should be given to including the results of the quality audits in the Statement of purpose to help prospective residents and their families to make a decision about the home. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 8 The new owners should make sure that the level of activity previously enjoyed by the residents is not reduced. The complaints policy should be updated to make sure that accurate information is available for the residents and their families. Attention should be given to the removal of the unpleasant odour smelt in the home. The dirty carpets in the home should be cleaned or replaced. The dirty and torn wall -paper in the entrance hall could be replaced. There could be confirmation in the home of the receipt of all required documentation for staff employment. The taps that had been checked for hot water temperatures should be numbered to make sure that all are regularly checked. 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. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective residents have a thorough admission process and have enough information to make sure that the home is suitable for them. EVIDENCE: The home has not had any new residents for several years. The paperwork that was seen that included the Statement of Purpose and service user guide was comprehensive and contained all the information that was needed to make a choice of home. The Statement of Purpose has not been updated by the new owners and still shows details of the former owners and the old details about the Commission for Social Care Inspection. The Statement of Purpose and Service Users’ Guide provide all of the required information about the services offered and the Terms and Conditions that apply, making sure that residents can get the most suitable care. These guides can be produced in other formats such as ‘easy read, large print or other languages if needed. Consideration should be given to including the results of the annual quality questionaire into the Statement of Purpose, so that prospective residents can Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 11 read the comments from the residents and their families. This will help them in making a decision about the home. There is a pre admission assessment in place and the deputy manager described the process for admission, which included visits to the prospective resident, visits to the home for gradually longer times and introduction to the existing residents. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The residents are supported in maintaining their independence and in making decisions in all areas of daily living, giving them a good quality of life. EVIDENCE: The care plans and records looked at had thorough information about how the residents’ needs were identified and their choices made. Most of the residents in the home have considerable communication difficulties. The staff have developed different individual methods of communicating through words, noises and gestures as well as using recognised methods such as Makaton. The staff, with the residents have developed an excellent person centred care plan that has been produced in an ‘easy read’ format that describes the needs, choices and wishes of the individual. This helps the residents to understand what they have planned with their key worker. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 13 Key workers are members of staff who have particular responsibility and interest in an individual resident. They make sure that they have all that they need and that they have the activities and work or education needs met. Whilst it is difficult to communicate with most of the residents, those that we spoke with on the day of the visit were able to communicate with speech, facial expression and gestures. There are risk assessments in place where there may be a risk to the resident either in an activity or in the environment. This allows the staff and the resident to be aware of the possible risk and protects them whilst allowing the resident to continue with the activity. The residents are regularly spoken with to discuss choices in the home such as activities and menus. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff support the residents in maintaining their interest in their different activities and occupations and make sure that their nutritional and spiritual needs are met. EVIDENCE: There was evidence of daily occupation and leisure activity being provided for the residents. Most of the residents went out on a daily basis to day care activity. Two of the residents received day care in the home that included art, photography, buy and cook, aromatherapy, gardening and keep fit. On the day of the visit all of the residents were at a day care activity, except the two having activity in the home. The residents all returned home during our visit and their individual needs were catered for with one of the residents going to bed for a rest before the evening activity. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 15 There was an individual programme of activities in each care plan including activities in the evenings. The residents are part of the local community, visiting local pubs, restaurants, shops and parks. On the evening of the visit the residents were going to a disco and told us that they were looking forward to it. Holidays are arranged on an individual basis and four of the residents have recently visited Hunstanton. The residents spoken with said that they had enjoyed it. Staff were concerned that since the new owners had taken over they were unable to make the variety of trips and activities that they were used to and that this could affect the quality of life of the residents. Different cultural needs are recognised and catered for with language and religious needs. Meals are provided that cater for the cultural needs when needed. These areas were confirmed by the staff and the records seen. The staff were senn to be treating all of the residents as individuals and recognised their different personalities. The staff are good to me one of the residents told us. The activities are recorded in well documented care plans which are regularly reviewed as the residents needs change. The choice of food is excellent and the residents have choices every day. Meal times are flexible to suit the needs and the activities of the residents. The residents are encouraged to all eat together in the dining room, but may choose to have their meals where they wish to. We spent time with the residents during their dinner and they were all enjoying it. The residents are no longer able to go out as a family to purchase the food for the meals that they have chosen and need for the recipe. This used to be part of their activity, but food is now bought in bulk so local buying has stopped. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff meet the care needs of the residents safely, with a complete knowledge of their needs and how they wish to receive them. EVIDENCE: The ‘case tracked care plans were found to have excellent descriptions of the care needs of the residents. They had a ‘Health action booklet’ that describes all the care needs and how to deal with them, how each individual was able to give their consent for treatment and details about their medicines. This includes a regular assessment of the residents’ weight and their nutritional needs. There are records of the involvement of G.P.s, chiropodist, optician and dentist present, giving evidence of thorough health care being provided for the residents. The person centred care plans had details of how each individual wanted to be treated and included a sheet with information that was easily available if a resident needed to go to hospital. The staff and the records confirmed that Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 17 the residents received excellent care when they needed it. Four of the residents communicated with said that they were happy with the doctors. The daily record of care is up to date which makes sure that the residents receive the right care and the staff know what has happened to them during the day or night. There was information about each individuals type of disability and how it affected them. Medication records for the case tracked residents were in order. The staff spoken with were knowledgeable about the medicines and where to obtain information. They were aware of the requirements for the receipt, storage and disposal of medicines. Medicines are stored in a locked cupboard in the home. There is a regular audit of the medicines and record sheets completed by the deputy manager. The above makes sure that the residents are protected with the correct medicine administration. There are no residents responsible for their own medicines. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy in place which gives the details of how to complain and who to complain to if the residents or their families needed to. This needs to be updated to reflect the new owners and to give both the Social Services contact details and the updated Commission for Social Care Inspection (CSCI) details. Provision should be made to produce this in other formats such as large print and an easy read style. There have been no complaints received by the home or by the CSCI. since the home was re-registered with the new owners on 10/01/08. The staff spoken with were aware of how to handle a complaint if they received one. The residents spoken with were not able to communicate their understanding of the complaints process. The staff receive training in safeguarding adults from abuse and have completed the alerters or the referrers courses. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 19 The staff are given a copy of the General Social Care Council (GSCC) codes of practice, which tells them what their responsibilities are in making sure that the residents are kept safe. Training in safeguarding and whistle-blowing is given during their induction period and they are given regular updated training. The manager, the records seen and the staff spoken with confirmed that they had received this. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 30.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are protected by the policies and procedures in the home to provide a safe, clean and homely environment to live in. EVIDENCE: Hayes Close is a converted house in Whitwick a small town close to Coalville in Leicestershire. There was an unpleasant odour on arrival and the entrance hall was shabby with a carpet that needed cleaning and dirty and marked wall-paper. The staff and the residents were welcoming and the rest of the home was clean and well maintained, although the odour was present throughout. Cosideration could be given to providing a carpet cleaner in the home, as sharing one between homes means that spills cant be cleaned up quickly and that there is a potential risk of cross infection. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 21 The communal bathrooms are well planned and were found to be clean and free from inappropriate items, which could present a hazard for the residents. With their permission, we looked at the case tracked resident’s bedrooms. They provided good accommodation, which had been decorated to the residents’ choice. They were personalised with the resident’s belongings and the residents spoken with told us and indicated by speech, facial expression and gestures that they could have their bedrooms how they wanted them. I like my room Evidence was seen of equipment being provided for the residents’ needs such as mobile hoists, wheelchairs, special seating and mattresses. There are plans to provide a conservatory, which will give the residents a second lounge area. There are also plans to extend the kitchen and the laundry, which are both needed, as the staff currently have difficulties with the sizes of these rooms. The staff spoken with had received health and safety training and were aware of how to handle chemicals. These were all stored in a locked cupboard. The fire records for testing and drills was up to date. The water temperatures were up to date but did not show which taps had been checked. There were no outstanding safety or maintenance issues noted on the tour of the premises. There was a pleasant, well - maintained garden with a patio area with tables and chairs for the residents to enjoy. The registration certificate from the Commission for Social Care Inspection (CSCI) and a current insurance certificate were displayed in the managers’ office. The inspection reports from the CSCI are available in the office. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.. The recruitment and training of staff make sure that the residents are protected from harm and that their needs are met. EVIDENCE: We looked at three staff files and some of the required information was complete in them. This included evidence of identification, adequately completed application forms and two written references. Criminal Records Bureau checks and protection of vulnerable adult checks were not seen in the files. Staff spoken with confirmed that they had had them completed. The deputy manager said that she thought that they may be at Rushcliffe Cares head office. This is the practice for Rushcliffe and we will be checking staff records at head office at a later date. Consideration could be given to have some documentation in the home to confirm that the checks are complete. The home has a thorough induction programme in place for new members of staff that includes the specialist needs of this client group. This gives new staff Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 23 excellent knowledge for caring for the residents and will be included in the induction programme provided by Rushcliffe Care for all staff. Information given to us before the visit through the Annual Quality Assurance Audit told us that more than fifty per cent of staff have completed a National Vocational Qualification level 2 or above. The National Vocational Qualification is a qualification for care staff to ensure that they receive appropriate training in the needs of the resident group whom they are caring for Records show that the staff have had training on many subjects relevant to their work. Staff members spoken with were happy with the amount of training that they were given by the home. There was evidence in the records that was confirmed by the deputy manager and the staff that regular staff supervision was taking place. This process gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live their lives as they would wish to, with individual care being given in a safe environment. EVIDENCE: The registered manager of the home has managed the home for several years and has completed the registered managers award (RMA). She has completed several courses for the specific needs of her residents. The deputy manager also holds an RMA and is an NVQ assessor. The home has recently been taken over by Rushcliffe Care and the staff told us of some concerns about the change from a family owned home. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 25 The residents and relatives have regular meetings with the manager when their views are discussed and areas such as meals and activities are decided. The manager sees everyone individually every day when she is on duty. The manager gives the residents and their families a quality questionnaire every year, which looks at all the areas of care and the general opinion of the home. The AQQA received by us described the results of the audit of the questionnaires, which were positive. ’The staff receive supervision at the required frequency, this was confirmed by the staff spoken with, the manager and the records seen. This process gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 4 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 1 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 3 X X 3 X Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? 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 YA30 Regulation 23 (2)(d) Requirement That the responsible individual makes sure that the home must be kept free from unpleasant odours. Timescale for action 30/07/08 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 4 5 6 Refer to Standard YA1 YA1 YA12 YA22 YA30 YA30 Good Practice Recommendations The registered individual should make sure that the Statement of purpose is updated to reflect the new owners and that all details are correct. The Statement of purpose could include the results of the quality audit undertaken by the home. The registered individual should make sure that the residents continue to take part in the level of activity that they have had previously. That the complaints policy is updated to include accurate information for the residents and their families. That reliable cleaning procedures are in place to make sure that the carpets regularly cleaned or replaced where cleaning is insufficient. That the environment is maintained with clean and tidy wall – paper. DS0000071635.V368200.R01.S.doc Version 5.2 Page 28 Rushcliffe Care T/A Hayes Close 7 8 YA34 YA42 That written evidence that the documentation required in schedule 2 of the Care Standards Act is present in the care home. That the taps tested for their hot water temperature are identified. Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Eastern Region 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.eastern@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 Rushcliffe Care T/A Hayes Close DS0000071635.V368200.R01.S.doc Version 5.2 Page 30 - 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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