Care Home: St Cross Grange

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What the care home does well Residents said that they liked living at the home. Comments included `you couldn`t find a better home`, `the staff are very good, very caring` and `I can`t emphasise enough how good the staff are`. The residents said that they were involved in their care planning and they felt their wishes were reflected in the documents. The home looked clean and welcoming and residents had personalised their rooms with items such as small pieces of furniture, pictures and ornaments. Residents said that they enjoyed the activities provided particularly since one member of staff had recently taken on the responsibility for the activities programme. Staff said that they received good support from the registered manager and were encouraged to attend training sessions and obtain qualifications such as National Vocational Qualifications (NVQ) in care. The registered manager has a good rapport with residents and staff. Residents said that they found her easy to talk with and would go to her if they had any concerns. Staff were aware of the need to prevent abuse to residents and had received training in the protection of vulnerable adults.The home uses robust procedures when recruiting new staff including the completion of Protection of Vulnerable Adults (POVA) and Criminal Record Bureau (CRB) checks to minimise the risks to resident`s safety. What has improved since the last inspection? Since the last inspection care planning has improved with care plans kept up to date to provide good information for staff on the changing needs of the residents. Risk assessments are in place for identified risks for residents including nutrition, pressure care and mobility. Systems for obtaining repeat prescriptions have been improved with prescriptions seen by the home before being sent to the pharmacy, enabling staff to check the medications are what are required. What the care home could do better: The temperature at which food is stored should be monitored to ensure it is at an appropriate level to minimise the risk to residents` health and safety. CARE HOMES FOR OLDER PEOPLE St Cross Grange 140 St Cross Road Winchester Hampshire SO23 9RJ Lead Inspector Marilyn Lewis Unannounced Inspection 09:30 24 October 2007 th 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 St Cross Grange DS0000011598.V347204.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. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Cross Grange Address 140 St Cross Road Winchester Hampshire SO23 9RJ 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) 01962 854865 stcross@greensleeves.org.uk www.greensleeves.org.uk Greensleeves Homes Trust Mrs Anne Patricia Taylor Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: St Cross Grange is one of seventeen care homes for older people, owned and operated by Greensleeves Homes Trust, a not for profit organisation. The home provides care for up to twenty-nine male and female residents over the age of sixty-five years of age. St Cross Grange is a large Victorian house, situated on outskirts of Winchester. Access to the M3 is a few minutes away and there is a local bus service nearby. There are local shops within a short distance and Winchester city centre is just over a mile away. The home comprises three floors, with accommodation provided on the ground and first floor and the top floor being used for additional storage space. Residents have access to a communal lounge, library, dining room and conservatory. The large garden is mainly laid to lawn, with car parking facilities to the front and side of the property. Fees at the home range from £415 to £530 per week and service users are responsible for paying for their own toiletries, hairdressing, chiropody and items of a personal or luxury nature. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information received since the last inspection including the Annual Quality Assurance Assessment completed by the registered manager and a visit to the home, was taken into account when completing this report. Information had also been gained from survey information provided by residents, relatives and staff. Two residents had performed the role of link residents for the inspector and had assisted with the providing of survey forms for people with an interest in the service. The unannounced visit took place on the 25th October 2007. The inspector met with residents, staff and the registered manager and looked at records including care plans, risk assessment and those for staff recruitment and training. What the service does well: Residents said that they liked living at the home. Comments included ‘you couldn’t find a better home’, ‘the staff are very good, very caring’ and ‘I can’t emphasise enough how good the staff are’. The residents said that they were involved in their care planning and they felt their wishes were reflected in the documents. The home looked clean and welcoming and residents had personalised their rooms with items such as small pieces of furniture, pictures and ornaments. Residents said that they enjoyed the activities provided particularly since one member of staff had recently taken on the responsibility for the activities programme. Staff said that they received good support from the registered manager and were encouraged to attend training sessions and obtain qualifications such as National Vocational Qualifications (NVQ) in care. The registered manager has a good rapport with residents and staff. Residents said that they found her easy to talk with and would go to her if they had any concerns. Staff were aware of the need to prevent abuse to residents and had received training in the protection of vulnerable adults. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 6 The home uses robust procedures when recruiting new staff including the completion of Protection of Vulnerable Adults (POVA) and Criminal Record Bureau (CRB) checks to minimise the risks to resident’s safety. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home completes care needs assessments for all prospective residents prior to their admission to ensure the home can meet their care needs. The home does not provide intermediate care. EVIDENCE: The registered manager said that following an initial enquiry from a relative or prospective resident regarding a place at the home, they are asked to visit to meet the residents and staff and tour the home. A full care needs assessment is undertaken either at the person’s own home or place of residence or during a day visit to the home. Assessments seen for three residents were very detailed and covered all aspects of care provision including cultural and religious needs, personal care and mobility. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 9 The registered manager said that the pre admission assessments were completed for residents admitted for respite care prior to each occasion they were admitted to ensure the home was able to meet their changing needs. Two residents said that the registered manager completed the assessments at their homes. The residents said that their relatives had assisted with the assessment and had visited the home with them before a decision to move there had been taken. The home admits people for respite care but does not provide intermediate care. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in their care planning and feel they are treated with respect at all times. Resident’s health care needs are being met and staff adhering to the homes’ clear procedures for handling medication protects them. EVIDENCE: Care plans seen for three residents provided staff with clear information about the residents care needs and the actions required to meet those needs. The plans were detailed providing information such as the resident is able to wash their face themselves or staff were required to clean the dentures but the resident was to be offered mouthwash. The preferences of the residents were documented in the care plans such as the time they wished to get up and their night routine. At the time of the last inspection care plans seen required updating. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 11 Care plans seen on this visit had been reviewed monthly and comments from residents were included such as they were happy with the care plan. The plans seen had been signed by the resident or when appropriate their relatives. Four residents spoken with regarding their care plans said that they knew what was written in their care plans as staff discussed the records with them regularly. All said that the plans reflected their wishes. Risk assessments were included in the care plans including those for mobility, nutrition and pressure care. The risk assessments were detailed such as the assessment for mobility, contained information on moving from the bed to chair, to the toilet, car and moving around the home. The risk assessments had been reviewed regularly and when changes to the ability of the resident had been recorded. The four residents said that they were able to see their GP as they wished. Records seen indicated that the health care needs of the residents were being met with visits by GPs and other health professionals documented and appointments at hospital outpatient clinics recorded. On the day of the visit a carer accompanied a resident to an appointment at the local hospital to provide support to the resident who was frail and to seek advice on the care to be given on return to the home. The home has clear procedures in place for dealing with medicines. A senior carer said that only senior staff who had received training in the safe handling of medicines were able to administer the medication and records seen confirmed senior staff had received the training. Systems are in place for recording medication brought into the home and on disposal. The majority of medication is provided in blister pack format. Records seen had been completed appropriately and medication was stored securely. At the time of the visit there were no controlled drugs prescribed but past records seen had been signed by two staff members as required. AQAA information states that improvement has been made in the last year in the manner in which repeat prescriptions are obtained. Repeat prescriptions are now sent to the home to be checked before going to the pharmacy, giving the home control over medication levels and ensures that there is not an excess of medication which aids the auditing of medication. Stock levels are being kept to a minimum. One resident who had been assessed as able to do so was responsible for some of her own medication. Checks were made to ensure the resident was taking the medication as prescribed. Another resident who had wished to take responsibility for their own medication had been assessed as a high risk and agreed to allow staff to take the responsibility for the medicines. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 12 During the visit staff were observed interacting well with residents, in a friendly and respectful manner. Staff knocked on doors and waited before entering rooms. All residents spoken with said that staff treated them with respect at all times. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents said that they enjoyed the activities provided and were able to receive visitors as they wished. EVIDENCE: A resident said that they enjoyed taking part in the communion service held at the home regularly. The registered manager said that none of the current residents attend services in local churches but staff would support them to go if they wished to do so. Residents said that the activities provided at the home had improved greatly since one of the staff members had taken the lead for the programme. The staff member said that she was enthusiastic about arranging appropriate activities for the residents and that she would like to have training to enhance her skills and to enable her to provide a wider range of activities. The registered manager said that she was going to arrange for training to take place. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 14 Residents said that they were involved in gentle exercises, dominoes, quizzes, music sessions and events were held at times such as bonfire night and the Christmas Fete. The registered manager said that a cook employed at the home had arranged to do a cake making session and a relative of one of the carers was visiting to support residents in making Christmas cards. The home has an open visiting policy and residents said that they could receive visits from their relatives and friends as they wished. AQAA information states that the home would benefit from a room being made available for residents to entertain their visitors. Residents said that at present they usually spoke with their visitors in their rooms. The home employs a cook on a part time basis two days of the week and is waiting for the recruitment checks to be completed for another cook who will work full time. The registered manager said that in the interim cooks are employed through an agency. Survey information from a resident and a relative commented on the occasional poor quality of the meals and the registered manager said that it was hoped the quality of meals would be improved when permanent staff were responsible for the catering. Some residents also said during the visit that the evening meal was served at 5.30pm, which they felt was a little too early. The registered manager said that this was being addressed. On the day of the visit a choice of meals were offered and the meals were well presented. All residents spoken with during lunchtime said that they had enjoyed their meals. Bowls of fresh fruit were placed on tables in the dining room for residents to help themselves as they wished. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel that any complaints will be taken seriously and acted upon quickly and they are protected by staff awareness and training in the prevention of abuse. EVIDENCE: Four residents spoken with regarding complaints said that they knew how to make a complaint but had not felt they needed to do so. The residents said that if they had any concerns they would talk with the registered manager and as one resident commented ‘it would be sorted out’. Records seen showed that the three complaints received in the last year had been taken seriously and acted upon quickly. The complaints procedures are provided for residents on their admission to the home and leaflets are available in the reception area for visitors. Staff spoken with during the visit said that they had received training in the prevention of abuse and were aware of the procedures to follow should abuse be suspected. The home’s procedures for the prevention of abuse, including Hampshire County Council’s Protection of Vulnerable Adults and Whistle Blowing were readily available to staff. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 16 St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean and welcoming environment for all who live and visit there. EVIDENCE: The home is a detached property situated in a residential area of Winchester. Over the past year a building programme has taken place alongside the home to provide apartments for the public and this has resulted in the driveway to the home being shared. Fencing has been erected to act as a boundary to the gardens of the home and the registered manager said that the gardens are being landscaped with new trees and shrubs planted to provide more privacy for residents using the garden to the front of the home. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 18 The registered manager also said that the home had been given a grant to provide further improvements to the garden including a ‘trim trail’ that would enhance the well being of the residents who used it. The disabled access via the front door and the patio area in the garden are due for improvement in the next year to provide improved facilities for those residents who use wheelchairs. The home looked clean and welcoming. During the visit the registered manager met with the maintenance man to discuss redecoration of some areas of the home such as the landing and stairwell. One of the bedrooms has been altered to provide an en-suite shower and toilet and work was taking place to complete the room at the time of the visit. Residents said that they liked their rooms and those seen contained many personal items such as small pieces of furniture and pictures. A resident said that they ‘had all they needed’ and another said that there was enough room All residents are accommodated in single rooms, provided on the ground and first floor. Stairs and a passenger lift give access to each floor. There is a lounge, conservatory, library and separate dining room on the ground floor and residents said that they were able to choose where they spent their time. Since the last inspection the staff and administration office on the upper floor had been moved to the ground floor so that staff are more accessible to residents. Staff said that they preferred this, as they did not feel ‘cut off’ from the residents and visitors. The upper floor is now used for additional storage space. The laundry room, which is away from areas accessed by residents, looked in good order. The registered manager said that a new washing machine and tumble drier had recently been provided to replace machines that were faulty. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are being met by the staff employed at the home. Robust procedures are used when recruiting staff to minimise the risk to residents’ safety and staff receive the training they require to fully support the residents. EVIDENCE: Residents said that they felt there were a sufficient number of staff on duty on each shift and one resident commented that they did not have to wait if they asked for assistance. Staff also said that they felt there were enough staff on duty to support the residents. The registered manager said that staffing levels were flexible to enable residents to be supported in social activities and for times when the dependency needs of some residents increased. Usually there were four care staff on duty in the morning, three or four in the afternoon, three in the evenings and two at night. The registered manager and the deputy manager were also normally on duty during the day. Staff said that they received encouragement from the registered manager to attend training sessions and obtain qualifications such as NVQ in care. Eleven of the sixteen care staff members hold or are in the process of obtaining NVQ St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 20 level 2 or more in care, with all the senior carers holding level 3. This training enhances the skills of staff to provide care for residents. Records seen for three staff members indicated that robust procedures were used when recruiting new staff. The records contained two written references and Protection of Vulnerable Adult (POVA) and Criminal Records Bureau Checks (CRB) had been completed before staff commenced work at the home minimising the risk to the safety of the residents. The registered manager said that the deputy manager, who was on annual leave at the time of the visit, was responsible for the training programme for staff. Records seen indicated that staff were receiving mandatory training such as moving and handling and first aid and also in topics relevant to the service group including dementia and challenging behaviour. The registered manager is a qualified teacher and provides some training in house and the deputy manager has trained to provide training in moving and handling to staff. The registered manager said that training sessions had been arranged for the senior carers in leadership including providing supervision for staff, which would give them additional skills and enable them to take on duties such as supervision of staff. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run. However the monitoring of the temperature for which food is stored could further reduce the risks to the health and safety of the residents. EVIDENCE: The registered manager, Mrs Ann Taylor, is a qualified nurse with over thirty years clinical and teaching experience. Mrs Taylor holds professional qualifications including a Masters Degree in Health Promotion and is currently undertaking the Registered Managers Award. She has managed the home since May 2006. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 22 Staff said that they received good support from the registered manager but felt that she would benefit from delegating some work to staff members. The registered manager was addressing this as noted in standard 30, by providing training for senior staff to give them the skills to take on some management duties. The registered manager reports to her Operations Manager, who visits on a monthly basis. Residents said that they found the registered manager easy to talk with and during the visit it was evident that Mrs Taylor had a good rapport with both residents and staff. Residents said that they had good opportunities to give their views on the quality of care provided at the home. Resident meetings were held quarterly and minutes were provided for all residents following the meeting. The registered manager said that she was hoping to develop a relatives and friends group in the next year to provide additional opportunities for discussion on the care provided. Residents had been asked to complete surveys on the quality and choice of food and life at the home such as the activities programme in the last six months. Information from the survey had been audited and changes to the laundry service and car parking had been instigated to improve areas that concerned residents. The organisation surveys residents annually to gain their opinions on the quality of care provided. The operational manager visits monthly, with alternate visits made unannounced. During the visits the quality of care provided is reviewed. Senior staff said that they attended meetings monthly and a general meeting for all staff followed this. The registered manager said that she discussed the records of meetings with staff who had not attended to ensure they were kept up to date and were aware of any changes taking place. The registered manager said that the systems for handling residents’ personal money was due to change at the end of the month when an invoice system came into place, resulting in no money being held at the home for residents. Currently very little money was held for residents and records seen for two residents matched the money held. The money was stored in individual containers in a secure place. Records and receipts were kept of all transactions. Some residents were responsible for their own money and locked drawers were provided in residents’ bedrooms for the storage of money and other personal items. Staff said that they received supervision from the registered manager and records seen confirmed this. Possible changes to the system for providing supervision for staff have already been documented. St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 23 During the visit staff were observed using safe working practices and they had received training in health and safety issues such as infection control and moving and handling. Protective clothing such as disposable aprons and gloves was readily available and staff were seen to use it as needed. Fire records seen indicated that staff were receiving fire safety training and attending fire drills. Checks were being undertaken regularly on fire safety equipment such as fire extinguishers. Records also indicated that specialist equipment such as bath hoists were being serviced appropriately and checks were taking place on electrical appliances. The maintenance man monitors and records the temperature of the hot water to ensure it is provided at a safe level. The kitchen looked clean and food stored in the refrigerator had been labelled with the date it was put in the fridge to provide guidance on when it should be used or disposed of. However the temperature of the fridge and freezers were not being monitored daily to ensure food was being stored at the correct temperature so that the risks to the health of residents was minimised. Records seen indicated that the temperature of the appliances had only been monitored on one or two days of the week. The registered manager said that she felt this would be rectified when the permanent cooks took over the responsibility for the kitchen but in the interim she gave one staff member responsibility for ensuring the temperatures were monitored and recorded. St Cross Grange DS0000011598.V347204.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 x x 3 x 3 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 3 3 x 3 3 x 2 St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP38 Regulation 13 (4) (c) Requirement The temperature of the fridges and freezers should be monitored to ensure food is stored at an appropriate temperature, reducing the risk to the health and safety of the residents. Timescale for action 26/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 St Cross Grange DS0000011598.V347204.R01.S.doc Version 5.2 Page 27 - 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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