Care Home: Spring Bank Care Home

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What the care home does well Prior to admission residents` health, social and psychological care needs are assessed by the manager. The assessment information is then used to form the basis for a plan of care. Care files seen were organised, easy to read and provided good detail with regard to individual care needs. Through discussion and observation it was evident that residents were treated respectfully and the home ensures good standards of privacy and dignity. Comments received included: "The manager and staff provide me with excellent care and support" "I am extremely pleased with the care my mum gets at Springbank" "All the staff treat the residents with respect and give a high standard of care" The residents` personal and health care needs were being met. All of the residents looked well cared for and if they were ill, the G.P or district nurse is immediately sent for. The catering arrangements are well organised and residents interviewed were pleased with the quality of the food served. The cook meets with residents to ask what they would like from the menu each day and has information on their individual dietary needs and preferences. Residents interviewed commented on the good choice of hot and cold foods served. The home is very pleasantly decorated and areas viewed were clean and well furnished. Residents interviewed were pleased with the general maintenance and cleanliness of the building. Bedrooms had personal items and a number of residents commented on how homely the whole place was. A resident stated, "Springbank is a very friendly home and I enjoy living here. The staff are very caring." What has improved since the last inspection? This is the first key inspection since the new owners acquired the home. What the care home could do better: The storage of certain drugs requires a fixed metal cabinet and the manager has been asked to purchase this and have the cabinet installed in the medicine room, so that drugs stored in the home are safe. A plan of training needs to be undertaken by staff during the coming year needs to be developed, so that the care staff can develop their skills further and therefore be able to give the residents better care. The provision of activities inside the home should be further developed and consideration given to the possibility of employing a member of staff with responsibility for this, so that the social needs of residents can be better met. To reduce the possibility of cross infection paper towels and liquid soap must be provided in the residents bedrooms for use by the staff. CARE HOMES FOR OLDER PEOPLE Spring Bank Care Home 143 Rochdale Road East Heywood Lancashire OL10 1QU Lead Inspector Bernard Tracey Unannounced Inspection 30th January 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 Spring Bank Care Home DS0000070716.V358069.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. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Spring Bank Care Home Address 143 Rochdale Road East Heywood Lancashire OL10 1QU 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) 01706 365497 01706 365497 Antoni & Rienzie Ltd Mrs Carol Fielding Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Spring Bank Care Home DS0000070716.V358069.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 people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP The maximum number of people who can be accommodated is: 20 Date of last inspection New Registration. Brief Description of the Service: Springbank is a well established care home on the outskirts of Heywood Lancashire, the ownership having changed in December 2007. Originally the vicarage of the church opposite, the accommodation has been extended to provide both single and double rooms, lounges and a conservatory. The home is situated near to the main bus route to Heywood and Rochdale. The home provides 16 single and 2 double bedrooms. Level access is provided to the home. Accommodation is on two floors, a passenger lift is provided. A small patio area is provided and is used by residents in fine weather. Parking for approximately 6 cars is provided to the rear of the home. The most recent report from the Commission of Social Care Inspection was available in the reception area. The home makes the following charges over and above the weekly care and accommodation fees that are listed after this section: Chiropody £8.00 Hairdressing £3:00 - £12:00 Newspapers and Magazines Fees charged by the home provided in January 2008 are as follows: £339.90 per week personal care The home does not provide Nursing Care. Spring Bank Care Home DS0000070716.V358069.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 stars. This means the people who use this service experience good quality outcomes. We (the Commission of Social Care Inspection) undertook a key inspection, which included an unannounced visit to the home. The staff at the home did not know the visit was going to take place. The home is well established but has changed owners and this is the first inspection since the change of ownership. Several weeks before the inspection, questionnaires were sent out to the residents and their relatives. The questionnaires asked what people thought of the care and services provided by the home. The manager was also asked to fill in a questionnaire, called an Annual Quality Assurance Assessment (AQAA), telling us what they thought they did well, what they need to do better and what they have improved upon. Where appropriate, these comments have been included in the report. We spent over five hours at the home. During this time, we looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A tour of the building was undertaken and time was spent looking at records regarding safety in the home. We also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. We spent time speaking to six residents, one relative, as well as speaking to five staff, including the manager. We have not received any complaints about the service What the service does well: Prior to admission residents’ health, social and psychological care needs are assessed by the manager. The assessment information is then used to form the basis for a plan of care. Care files seen were organised, easy to read and provided good detail with regard to individual care needs. Through discussion and observation it was evident that residents were treated respectfully and the home ensures good standards of privacy and dignity. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 6 Comments received included: “The manager and staff provide me with excellent care and support” “I am extremely pleased with the care my mum gets at Springbank” “All the staff treat the residents with respect and give a high standard of care” The residents’ personal and health care needs were being met. All of the residents looked well cared for and if they were ill, the G.P or district nurse is immediately sent for. The catering arrangements are well organised and residents interviewed were pleased with the quality of the food served. The cook meets with residents to ask what they would like from the menu each day and has information on their individual dietary needs and preferences. Residents interviewed commented on the good choice of hot and cold foods served. The home is very pleasantly decorated and areas viewed were clean and well furnished. Residents interviewed were pleased with the general maintenance and cleanliness of the building. Bedrooms had personal items and a number of residents commented on how homely the whole place was. A resident stated, “Springbank is a very friendly home and I enjoy living here. The staff are very caring.” What has improved since the last inspection? What they could do better: The storage of certain drugs requires a fixed metal cabinet and the manager has been asked to purchase this and have the cabinet installed in the medicine room, so that drugs stored in the home are safe. A plan of training needs to be undertaken by staff during the coming year needs to be developed, so that the care staff can develop their skills further and therefore be able to give the residents better care. The provision of activities inside the home should be further developed and consideration given to the possibility of employing a member of staff with responsibility for this, so that the social needs of residents can be better met. To reduce the possibility of cross infection paper towels and liquid soap must be provided in the residents bedrooms for use by the staff. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3. Standard 6 does not apply Quality in this outcome area is good. Detailed assessments are undertaken before people come into to the home and information is provided to people so they can feel confident that their needs can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Potential residents and their relatives were given a copy of the Service User Guide either when they visited the home or during their assessment visit. The assessment documents of 3 residents were looked at. The assessments were detailed and gave a clear indication of the residents’ needs and their capabilities. The assessments looked at the physical, mental and social care needs of the residents as well as the involvement if any, of their relatives. We spoke with the relative of a resident who had been admitted from home, who told us that the manager had been out to the residents’ home to Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 10 undertake an assessment of her needs. When the Local Authority funded people, care manager assessments were also in place. Feedback from discussion with residents, who had moved into Springbank, indicated that they were given sufficient information about the home prior to moving in. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. Residents receive consistently high quality personal and health care in a way that was acceptable to them, and benefited their general sense of well-being This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were inspected, two of which related to residents who had lived at the home for a relatively short time. Each resident in the home had a detailed up to date and individual plan of care, covering all personal, health and social care needs. Any areas of risk for the resident were highlighted along with the planned action to reduce that risk. Care plans demonstrated those residents’ personal choices and preferences had been taken into account by staff. Preferences around care delivery were also recorded, such as who liked a bath and who would prefer a shower. This information was generally gathered from families or through recording the residents’ expressed wishes. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 12 We spent time talking with care staff who were working in the home, they were able to demonstrate knowledge, skill and a caring manner in carrying out their specific tasks. Care plans demonstrated staff’s respectful approach to residents. It was evident that staff upheld residents’ privacy and dignity, and this was especially so where residents were no longer able to maintain the social graces they would have had in the past. All care plans had been regularly reviewed by staff on a monthly basis. Evidence of resident or relative involvement was seen on two of the care plans, one of which had recently been reviewed with relatives. The care plans of the two residents who had moved in recently had been signed or agreed with them. Care plans clearly recorded GP, Psychiatrist, District Nurse, CPN and care management involvement. Residents and relatives spoken with said these health professionals were contacted when necessary. One resident described the care as “extremely good” and other residents and relatives spoken with were satisfied with the overall care provided at the home. Residents said they could have a laugh with staff, which they enjoyed. Observation supported this view and relationships appeared to be relaxed with residents enjoying the interchange with staff. Healthcare arrangements were also good. Residents had good access to their local doctors, dentist and optician and some were also under the care of a district nurse. A resident told us that the “The staff really care for us” The management of medicines in the home was safe and served to protect residents from harm, and ensure they benefited from the medicines prescribed for them. Records of medicines received into and leaving the home were upto-date. The home is required to provide a fixed metal cupboard for the safe storage of Controlled medicines. The manager is also advised to contact the supplying pharmacist to obtain a current list of all medicines that the home is required to record when administered to the residents, through prescription. Personal care was provided privately in bedrooms or bathrooms, and door locks or engaged signs were used. Residents wore their own clothes and were dressed appropriately for the weather and their activity. Hair care, nail and teeth care had been attended to. A relative told us “I feel the home gives my mother the care and dignity she requires, well. She is always clean and tidy with her own clothes on. She is physically quite well. Staff do their best to keep her occupied Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 13 Healthcare arrangements were also good. Residents had good access to their local doctors, dentist and optician and some were also under the care of a district nurse. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. Staff are aware of the need to provide opportunities for leisure and activity for people living at the home and in the main meet these needs well. Dietary needs of residents are well catered for with a balanced and varied selection of food available that meets residents’ tastes and choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information supplied to us prior to the inspection by the manager told us that the manager has identified that social activities could be better and that she plans to develop social activities to provide more variation and interest for the residents. We were told that some activities do take place and this was confirmed in discussions with residents, and with staff. Birthdays and special celebrations observed – lots of photographic evidence of activities e.g. Xmas St Patrick’s day VE day celebration Halloween. Staff and residents in fancy dress Staff said that care plans clearly identify what would be suitable for each individual and staff, say as much as possible, the activities programme supports people in their social interest and needs. We spoke with one relative who told us “ Very good place, plenty of entertainment – plenty to do. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 15 Residents are taken to coffee morning to church across the road from the home. They are always the same staff which leads to consistently good care” “ I can visit at any time and I am always made to feel welcome” Two local Christian clergy visit the home regularly to offer spiritual support to the people in the home. The manager emphasised that people with different religious needs would also be supported because she would seek out the appropriate support for them. A weekly menu is in place, which offers a range of choices of food, and we observed the food served to residents during the lunchtime period. The menu is changed weekly on a four weekly cycle. Excellent meals – was a frequent comment made from different residents. Residents we spoke to said they enjoyed the food, that they receive enough to eat and drink, We observed staff being attentive during the lunchtime period, asking if people had finished their meal before they removed their plate, asking if they wished for some more and offering a choice of starter, main meal and dessert. The dining tables were set appropriately – table clothes, cutlery, serviettes and jugs of water. We talked with the cook who has worked at the home for several years. She informed us that she I able to plan the menu to meet the choices of the residents and has sufficient provisions to provide varied and nutritious meals. Staff were observed assisting the residents during mealtimes in a discreet way but ensuring each person was able to enjoy food of their choice. Staff carried out their care and support duties in a way that enables residents to maintain choice and control over their daily lives wherever possible. Spring Bank Care Home DS0000070716.V358069.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): 16,18 Quality in this outcome area is good. The home has a clear complaints procedure and residents and their families know action will be taken to resolve their concerns. Staff have a good knowledge and understanding of Adult Protection issues which safeguards residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is available in the main entrance of the home for all visitors to see and the procedure is also provided to each resident on admission. Visitors spoken with said they knew of the complaints procedure but had not had any occasions to use it. They said that staff were approachable and if they had any concerns they would speak with staff. Records show that most of the staff have received training in the protection of vulnerable adults. Staff spoken with said they had training in understanding what abuse was and what to do if they suspected abuse. Records were available of staff training. Staff also confirmed they had undertaken NVQ training and this also included information and training in abuse. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 17 The staff are provide with information in what to look for and how to recognise abuse and what actions to take if they suspect potential or actual abusive situations. In the AQAA the manager informed us that: Protection of our service users is very important and we have a complaints procedure in place also an abuse policy which is very comprehensive in its coverage. Staff are encouraged to observe monitor and report any suspicious incidents, however trivial. Training is provided in induction, foundation and the Springbank training programme. We suggested to the manager that a record should also be kept of minor concerns from residents and visitors as this will help the manager to ensure that any frequent concerns can be recorded and subsequent remedial action be taken. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this outcome area is good. Residents live in pleasant, safe, comfortable and well-maintained surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home presented as clean and free from unpleasant smells and the fabrics and furnishings were of good quality. Residents said staff kept the building clean and odour free, inspection of the premises supported this view. Discussion with staff verified that sufficient staff and equipment were provided to ensure the home was maintained in a clean and hygienic condition. An infection control policy was in place and training was provided in this area. However it was noticed that there was no hand washing facilities, liquid soap and paper towels, for staff in residents’ Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 19 bedrooms, needed to prevent cross infection and maintenance of good hand hygiene for the staff members. Satisfactory practice was in place with regard to disposal of clinical waste. Four residents spoken to were very pleased with their individual rooms and one said that they had “brought in a number of personal possessions, to make it feel more homely” We looked at a number of bedrooms, all were clean and comfortable and all of them were personalised with pictures and ornaments. The laundry was sited away from the food preparation area and was seen to be clean and orderly. Sufficient and suitable equipment was provided and laundry was attended to efficiently. The manager told us that side garden and seating area was in the process of being developed and this is being done under the Capital Grants scheme, and will provide residents with an extra facility to enjoy during the warmer months. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. The residents were cared for by sufficient numbers of staff that were suitably qualified and trained and therefore had the knowledge and skills to meet the needs of the residents This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff group has the skills and management support it needs to ensure that residents receive good care. There is a comprehensive recruitment policy and procedure and when three staff files were checked it was evident that the manager follows the procedure, and ensures the interview process, CRB checks, written references, health checks and past work history are all obtained and satisfactory before the person starts work. Residents and relatives spoken to were very happy with the amount of staff on duty and said “they are always helpful and available to see to anything you need doing and nothing is too much bother”. “The attitude of all the staff is excellent”. We checked the rota which told us that sufficient staff were on duty, and we observed this to be the case when we where there. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 21 Comments from relatives during the visit and in comment cards were all complimentary. Relatives said, “The staff are wonderful nothing is too much trouble”; “You feel they all genuinely care” and staff are “caring and well trained”. One comment card received stated “Encouraged to participate in the care of the residents as much as possible. and I have nothing but admiration for the way in which they all carry out their duties. There is a happy atmosphere and friends/relatives encouraged to participate in the care. She has always been shown the utmost kindness, consideration and loving care from the hardworking staff “ Records were available to indicate that staff received training from the start of employment with induction training to on-going training and NVQ. The induction training was in line with Skills for Care requirements. Staff were positive about working in the home; they said that they enjoyed working there; that they delivered a good quality service and they said they received a good standard of training. However the manager should ensure that a new training programme is provided for the following year as one was not available on the day we visited. The staffing rotas were available and indicated that staffing levels were maintained at appropriate levels to meet people’s care needs. The staff team were well established and the turnover of staff was low. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 Quality in this outcome area is good The registered manager provides guidance and support to staff, ensuring that the residents receive a consistently high standard of care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has the required qualifications and experience and is competent to run the home, and is registered as the manager with the Commission for Social Care Inspection. She works to improve services and provide an increased quality of life for residents. There is a strong emphasis of being open and transparent in all areas of running of the home. The manager is supported well by a competent staff team, and the home generally has a low staff turnover rate. Care staff reported that they received good support from Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 23 the manager and have regular supervision to discuss their role and personal development. Discussion with people in the home, staff and visitors and information from comment cards all indicated that the manager’s style of management was one of openness. Relatives of the people living in the home praised the manager for the individual support she gave them. Comments included, “The manager genuinely cares for the patients and relatives – all the staff do”. The manager was able to demonstrate that she is able to critically analyse the strengths of the home and identify areas where improvements can be made. An example of this was referred to in the AQAA in relation to quality assurance in the home. “QA needs developing (AQAA) agrees with this. The manager of the home has a questionnaire but there is no evidence that it has been used recently. Previously we have recorded how the manager dealt with minor complaints and how this contributes to an audit of quality assurance Health and safety issues were satisfactory with regular maintenance checks of equipment being undertaken. All essential equipment had been appropriately maintained with records kept. Periodic inspections of gas, electricity and Service of the passenger lift were examined and were current. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Not Applicable Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 26 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 OP9 Regulation 13 (2) Requirement The manager must ensure that an appropriate metal cupboard fixed to the wall is available in the medicine room. This will ensure that controlled drugs are safely stored. Liquid soap and paper towels must be supplied in all bedrooms so that staff and visitors are encouraged to wash their hands and prevent the spread of infection, Timescale for action 30/03/08 2. OP26 16(2)(j) 30/04/08 Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 27 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. Refer to Standard OP12 OP30 Good Practice Recommendations An activity programme must be implemented which meets the differing needs of the people living at the home so they will not be bored and unfulfilled. A training plan for the staff must be developed, to show that staff are competent in meeting the needs of the residents, and a copy sent to the Commission of Social Care Inspection. Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Spring Bank Care Home DS0000070716.V358069.R01.S.doc Version 5.2 Page 29 - 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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