Care Home: Silverdale Residential Home

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What the care home does well Care plans give full information about each resident, with their likes and dislikes recorded. These plans, which are agreed with each person, are reviewed regularly. This is especially important when some residents` needs are changing because of their behavioural needs or due to their ageing. This home is run by a family with well trained staff, and the family atmosphere is observable in the way staff and residents interact. Comments from NHS professionals highlighted the `homely, family atmosphere`. The residents we spoke to were all comfortable and content, with easy and friendly communication with staff. Staff offered support by encouragement and prompting to maintain the independence and daily living skills of residents where appropriate. Residents told us how they could make choices about their daily lives and activities.Silverdale Residential HomeDS0000024488.V376731.R01.S.docVersion 5.2The home does its best to keep residents in touch with their families if that is their wish. A relative told us how well the home kept them informed about any changes to their relative`s condition. The home managed the end of life care of a resident with extra staff time and commitment to enable them to live at the home until they died. What has improved since the last inspection? The owners have ensured that all fees due to the Commission are paid on the due date. This demonstrates the continuing financial stability of the home. What the care home could do better: No requirements have been made as a result of this inspection. However the AQAA told us about improvements to the life and environment of the home which it was planned to introduce. These included redecorating bedrooms, improving the security of the back garden with a different layout, and continuing to improve the choice and opportunities for all residents in how they spend their lives. Key inspection report CARE HOME ADULTS 18-65 Silverdale Residential Home 8 Buregate Road Felixstowe Suffolk IP11 2DE Lead Inspector John Goodship Key Unannounced Inspection 14th July 2009 09:00 Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silverdale Residential Home Address 8 Buregate Road Felixstowe Suffolk IP11 2DE 01394 278424 01394 278424 silverdalecarehome@hotmail.com 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) Mr David Austin Mr David Austin Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8) of places Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th August 2008 Brief Description of the Service: Silverdale is a privately owned care home registered to provide personal care and accommodation to up to 8 service users with a learning disability. It is owned and managed by Mr & Mrs Austin and their son, who operate with a family ethos. The home is situated in a residential area of Felixstowe town, close to the sea front and the town centre, where there are amenities such as shops, pubs and churches. The building is a three-storey Victorian terrace with a small front and back garden and on- street parking. Only 1 bedroom has an en suite toilet and shower facility. Stair lifts give access to all three floors. All bedrooms are single rooms. The range of fees at the time of this inspection was £550.00 to £750.00 per week. Silverdale Residential Home DS0000024488.V376731.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. It focused on the outcomes for the residents, using the national minimum standards and the Care Homes Regulations. This report includes evidence gathered during the visit together with information already held by the Commission. This inspection took place on a weekday during the afternoon. It lasted three hours. The deputy manager was in charge and assisted us during the inspection. We were able to speak to three residents and two staff, we toured the home, and we examined staff files, care plans, and health and safety records. In addition we were able to speak to a relative outside the home. We sent out survey questionnaires to the manager for residents (in easy read format), health and social care professionals, and staff. Five surveys were returned from residents (all who were then in residence) which had been completed with staff assistance, four from staff and two from NHS professionals. Their answers to the questions have been included in appropriate sections of this report. We also required the manager to complete an Annual Quality Assurance Assessment (AQAA) which was returned within the required date. Information from this document has also been incorporated into this report. What the service does well: Care plans give full information about each resident, with their likes and dislikes recorded. These plans, which are agreed with each person, are reviewed regularly. This is especially important when some residents needs are changing because of their behavioural needs or due to their ageing. This home is run by a family with well trained staff, and the family atmosphere is observable in the way staff and residents interact. Comments from NHS professionals highlighted the homely, family atmosphere. The residents we spoke to were all comfortable and content, with easy and friendly communication with staff. Staff offered support by encouragement and prompting to maintain the independence and daily living skills of residents where appropriate. Residents told us how they could make choices about their daily lives and activities. Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 6 The home does its best to keep residents in touch with their families if that is their wish. A relative told us how well the home kept them informed about any changes to their relatives condition. The home managed the end of life care of a resident with extra staff time and commitment to enable them to live at the home until they died. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 7 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 Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 8 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4. People using the service experience good quality outcomes in this area. New residents can be assured that they will only be admitted to the home if it can meet their needs, and they will have sufficient information to assess for themselves if the home will be suitable for them. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There were six service users living in the home at the time of our inspection. One person had been admitted very recently. The owner told us about another prospective resident who was waiting to come in. Two residents had died over the previous six months, one of whom had lived at the home for many years. We looked at the process for assessing and admitting residents. The preadmission assessment covered all aspects of daily living such as personal care, mobility, eating and drinking, hobbies, communication skills, health and day services. For the newest resident, the home also had a full description of the persons life and needs supplied by their family. Initial risk assessments had been completed covering risks in the kitchen, and going outside. In the five Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 9 days since admission, the daily handover and daily diary sheets had been completed with full details of the persons activities, personal care, and reaction to their new surroundings. The AQAA told us that prospective residents were invited down to meet the staff and the residents. The newest resident had visited the week before moving in. Although the home had a Statement of Purpose and Service User Guide containing the information needed by residents to make an informed choice about living in the home, it was not yet in a suitable format for all residents. The AQAA told us, and the owner confirmed that they were putting together a new brochure, following an easy read format used by one of the day services. A video was also planned giving a walk through of the home, to show the facilities and activities. Fee information was included in the documents explaining the range of fees and what they covered. The main factor determining the fee level was whether the home was contracted by the funding authority to provide a full day service. Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 10 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9. People using the service experience good quality outcomes in this area. Residents can expect to be fully involved in deciding how to live their lives. They will be encouraged to become as independent and responsible as they are able within a risk-assessed plan. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We examined two care plans, including that for the newest resident. The other resident was fully mobile and with good communication skills. The latter plan showed that that they were regularly reviewed, usually monthly but more frequently if changing needs required it. Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 11 Care plans showed evidence that residents had been involved in the review of them. There was also evidence of the choices which residents could make about their lives. We discussed these with two residents who told us about themselves and their daily routines. They told us about choosing the décor of their rooms, what time they got up, what they did each day, what they had for their meals, and who they chose to be friends with. They also helped to decide what evening and weekend activities all or some of them would go on. One resident told us that I like to take things easy in the evenings and weekends. Care plans included a range of risk assessments depending on each person’s needs and abilities such as crossing the road on their own, going to leisure activities, going to the pub, being hoisted, and causing unintentional harm to themselves. The staff told us that some residents had been assessed as able to go to a doctors appointment on their own or walk to the local shops safely. We observed how residents were supported to use the kitchen facilities safely. Some of them could also use the washing machines, which had been re-sited and placed at a height to make it easier for them to operate. Residents were observed talking to staff about aspects of their lives, either in communal areas, or in the garden. They appeared at ease with all the staff. Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 12 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): This is what people staying in this care home experience: 12,13,14,15,16,17. People using the service experience good quality outcomes in this area. Residents can expect to have opportunities for leisure and activities to suit their choice and abilities. They can expect support to maintain family links, and for their wishes to be respected. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: One person went to a day service for five days a week. This continued an arrangement from before their admission. Another went to a club for three days a week, and another person went on one day a week. The other days, and other residents day time activities, were organised by the home. The home was responsible for helping the other residents to find activities and clubs they would like to join. Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 13 The AQAA told us that the home had arranged for one resident to be taken to church each Sunday and the resident confirmed this. This person told us that they went to the local pub on their own some evenings, as they liked the karaoke. One resident was able, with some support, to cross the road, to go out by themselves, and liked to walk along the promenade. A risk assessment for this activity was filed in the care plan. The AQAA told us that staff supported residents to keep in contact with friends and relatives if they wished. A portable phone could be used by residents in private, and one person rang a relative daily. One resident talked to us about how often they saw their relatives and how they spent some weekends with a parent. All residents helped with domestic tasks in the house, especially in keeping their own rooms clean and tidy. One resident was given more support in this activity because of their health. Meals were prepared by the staff who had all taken the local council Food Hygiene certificate. The kitchen had been refurbished within the last three years and was clean and hygienic. Sometimes residents could assist staff under their supervision. The main meal was in the evening during the week. Two staff planned the menus by asking residents for suggestions. When we asked residents for their favourite food, the replies were varied. Staff were aware of the preferences of the residents. All food in the fridges was dated if opened, and daily temperature checks were recorded. A relative told us that the home always kept them up to date with any changes or issues with their relative. A health service professional wrote in their survey form that they would choose Silverdale if they had a relative needing care of this kind. A social care professional wrote that for my client, they have provided a very homely family atmosphere, well matched to their specific need to feel accepted and to belong. Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 14 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21. People using the service experience good quality outcomes in this area. Residents can expect that their healthcare needs will be met, and that they will be protected by the home’s medication policy and procedures. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We looked at the records of one resident who had needed a significant input of care. The records included comprehensive daily reports with two to three entries a day. These recorded what they had eaten, bowel movements and care of red areas. Visits by NHS professionals were listed as well as attention from the hairdresser and nail care. Bed changes both full changes and partial changes were recorded. Risk assessments showed evidence that staff were alert to new or changed risks. This resident’s bed had been fitted with bed rails for their safety. Consent to this had been given by the next of kin. The records showed that during the time the resident had been in hospital, staff had visited Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 15 them every day. The staff had been trained by the dietitian to maintain a PEG feed, with the help of the district nurse. The staff had experience of supporting a resident in the past who showed behavioural changes, with advice from a community nurse. One person described to us how they encouraged and motivated residents to stop them showing signs of depression. This might include suggesting activities which they liked to do, or changing the activity. The home was visited by a chiropodist, and the continence adviser came when asked. All appointments at GP surgeries and the hospital were recorded. The home used a monitored dosage system with the tablets in blister packs. The current stock was checked against two blister packs and the medication administration record (MAR) sheets. The amount of medication remaining was correct, and the MAR sheets were complete and signed. Each resident’s MAR chart was in a separate folder. A member of staff had put on their survey form that they would like to know what each persons medication was for. The deputy manager told us she would prepare a summary sheet for each resident. No controlled drugs were kept by the home and none were currently prescribed. Records showed that staff had either been trained by the pharmacy supplier in the safe administration of medicines or in-house by one of the owners. We spoke to a member of staff who confirmed that they had received the training. Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. People using the service experience good quality outcomes in this area. Residents can be assured that they are protected from abuse, with trained staff and clear policies. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home had received no complaints since the last inspection. All the residents who replied to our survey said that they knew who to speak to if they were unhappy. Safeguarding training for staff was included in their induction programme, and staff whom we spoke to were aware of abuse issues and able to state correctly the action they would take if they suspected any abuse. The homes policy had been revised to make clear how safeguarding issues should be reported to the local authority. We examined the procedures for the safe handling of residents’ finances. One of the owners was the co-signatory for the bank accounts of two residents, but we were told that they never took any money out of them. They would shortly become signatory for a third resident. Two residents could sign when taken to Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 17 the bank but both normally just used their personal allowances. These were collected weekly from the post office by the owner. We checked the cash held for one resident. The cash book detailed purchases with receipts. The cash in the wallet tallied with the balance in the cash book. Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,30. People using the service experience good quality outcomes in this area. Residents can be assured that they live in a safe and well-maintained home, and that they will be encouraged to personalise their rooms as much as they wish. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We toured the home. Some rooms had been recarpeted and had new curtains. The residents had chosen the colours. Following the changes last year, there were no shared rooms any longer. An extension had been built on the ground floor at the rear providing a secure office and record storage area. This room also contained the medication Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 19 cabinets. This had also allowed the washing machines to be repositioned between the kitchen and the office for easier access. The home had two washing machines and two tumbler driers. One set was for the use of residents, with the support of staff. Staff and residents understood that all laundry for washing had to taken round the kitchen and not through it. This was part of the cross infection control procedures. Rooms were highly personalised by décor and equipment. Residents were supported to keep their rooms clean, and as tidy as they wished. One resident showed us their room, and their books and DVDs. They were proud of their possessions and of their family photographs. All the surveys reported that the home was always fresh and clean. There was a stair lift to both upper floors, although all current residents were mobile and did not need to use it. Any maintenance need was written in a book which was consulted regularly, and items signed off when completed. Residents had access to the rear courtyard, where one of them was growing tomatoes. While we were there, they went to the front garden to do some weeding. The owners plan to fence off the garden to make it more secure. Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,45,46. People using the service experience good quality outcomes in this area. Residents can be assured that staff are properly and safely recruited, and supervised. Residents can be assured that they will be cared for by suitably trained and competent staff. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: As well as the three family members, two of whom were in daily attendance and on the staffing rota, the AQAA told us that there were five care staff employed. One person staff had left in the previous twelve months. Some additional hours were about to be advertised. We examined the file for a staff member recruited since the last inspection. Two references had been received. The POVA First check had been received before employment, and the full Criminal Records Bureau certificate had been Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 21 received shortly after employment. The file also held the induction checklist. There was no record that the member of staff had followed the Common Induction Standards described and recommended by Skills For Care. However all staff surveys told us that their induction covered everything they needed to know to do the job when they started. The file listed the training received by this person to date such as First Aid, and Challenging Behaviour. Sessions on Food Hygiene and autism were planned. We saw the records of supervision sessions for two staff members. These recorded training needs and were signed by the staff members. Another staff member confirmed that these sessions were held every two months. Two staff held NVQ 2 or above. Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 22 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,42,43. People using the service experience good quality outcomes in this area. Residents benefit from the homely and family feel of the home, with the close involvement of the owners in meeting their needs. The residents are protected by the health and safety procedures of the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The family who owned the home gave a significant commitment to the running of the home and the care of its residents. The registered manager was spending less time in direct management of the home. This was being taken on Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 23 by his wife managing the care, and his son managing the administration of the home. The latter had now completed his NVQ Level 4 in Care and Management. One of the carers was designated the deputy manager and was planning to start her NVQ Level 3. Staff told us in their surveys that the manager gave them enough support and met them regularly to discuss how they were working. One person said: I feel proud to be a team member and enjoy my role very much. The hot water temperatures were checked monthly and the record was up-todate. Bath temperatures were checked at each time of usage, and these records were up-to-date. The fire alarms and fire protection systems were regularly checked and maintained. It was clear that, at all times, residents felt able to speak to staff about any aspect of their lives, either in groups or individually. This was confirmed in their answers to the survey questions. In such a small home, the manager felt that it was not necessary to hold residents meetings as issues were discussed everyday. The owner felt that these close links with residents, the monthly care plan reviews, and the regular staff supervision sessions ensured that they were always evaluating the standard of care. The owners had kept up to date this year with the payment of the annual registration fee, and the owner confirmed that the home was financially sound in spite of the empty places. Certificates of Registration and Insurance certificates were on display and up to date. Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 X 3 3 Version 5.2 Page 25 Silverdale Residential Home DS0000024488.V376731.R01.S.doc NO 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. 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 Good Practice Recommendations The provision of information about the home in easy read or video formats would give all prospective residents the opportunity to make an informed choice about living there. Silverdale Residential Home DS0000024488.V376731.R01.S.doc Version 5.2 Page 26 Care Quality Commission Care Quality Commission East Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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