Care Home: The Bellingham Residential Home

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What the care home does well What has improved since the last inspection? CARE HOMES FOR OLDER PEOPLE The Bellingham Residential Home 47 Church Road Lytham St Annes Lancashire FY8 5PR Lead Inspector Phil McConnell Unannounced Inspection 8th May 2008 09:30 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 The Bellingham Residential Home DS0000068550.V360826.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. The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Bellingham Residential Home Address 47 Church Road Lytham St Annes Lancashire FY8 5PR 01253 737356 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) anne.roberts@homecall.co.uk A1 Residential Care Ltd Anne Louise Roberts Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 15 service users to include:*Up to 15 service users in the category of OP (Old age not falling within any other category). 22nd June 2007. Date of last inspection Brief Description of the Service: The Bellingham is registered to accommodate 15 people of either sex aged 65 years and above. Mr and Mrs Roberts, with Mrs Anne Louise Roberts being the registered manager, own the home. The Bellingham is situated close to the centre of Lytham, affording people easy access to shops, cafes, banks and many other community resources. All of the bedrooms in the home provide ample space for people to create their own sense of home and to entertain guests as they please. Communal accommodation is situated on the ground floor, bedrooms are situated on the ground and first floor, and a chair lift is in place to assist those service users who require assistance to negotiate the stairs. The present rate of charging is between £366-£420 per week. The Bellingham Residential Home DS0000068550.V360826.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. Various information was gathered in order to assess the key standards that are identified in the National Minimum Standards for Care Homes for Older People including: the Annual Quality Assurance Assessment (Completed by the registered manager) service users surveys, relatives surveys and some staff surveys were received by the commission for social care inspection (CSCI). There was an unannounced key inspection visit to the service on the 8th of May 2008. Five service users’ files were examined and all relevant documentation was in place. Four staff files were also examined and found to contain all of the appropriate documentation that is needed for inspection purposes. Discussions were held with some of the service users, relatives and some of the staff. There was the opportunity to observe the support and care being provided to the service users. It was a warm day and lunch was served outside in the attractive garden (for those that wanted it) and in the afternoon some garden games were played, with a good number of people joining in. The home’s policies, procedures and all other documentation including health and safety files and certificates were examined. (See management section). A full tour of the home was also carried out. (See environment section). What the service does well: There is a dedicated and committed staff team, helping to give the service users confidence and trust in the people who are supporting and caring for them. The home is very well maintained, has good décor, it is comfortable, pleasant and is a safe and healthy environment to live and work in. The management of infection control within the home is really good, with really good facilities in place to maintain hygiene. The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 6 The home is well managed, with excellent comments from relatives, service users and staff of how much the home has improved under the present ownership and management. 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. The Bellingham Residential Home DS0000068550.V360826.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 The Bellingham Residential Home DS0000068550.V360826.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, 6 N/A. Quality in this outcome area is good. There is a thorough pre admission assessment procedure in place, helping to demonstrate that peoples’ care needs will be clearly identified and determined if the care and support needed can be provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five service users’ files were examined including the most recent person to go and live at The Bellingham and all of the files contained thorough assessment documentation including: pre-admission assessments, care plans, reviews of plans and up to date daily record sheets. There is a ‘lifestyle and Interests’ document in each person’s personal file, with the information being gathered at the assessment stage. One member of staff wrote, “An assessment is completed when the resident arrives at The Bellingham, also before they arrive the manager visits the The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 9 person at their home, where she can assess their care needs” and a service user said, “The manager visited me in hospital, so she could assess my needs. She spoke about the home, the staff, and the good food and how the home worked. The leaflet was a nice insight too”. All of the feedback received by the CSCI regarding pre admission assessments and relevant information given to people before admission to the home was positive. One person who visits the home on a weekly basis and has been for over six years said, “it’s unbelievable to what it was before, I would recommend this place to anyone, I wouldn’t have before”. It was evident that a thorough and robust pre-admission process was in place and in discussion with the manager it was clear that the process is successfully used for all new service users who to come to live at The Bellingham. The Bellingham Residential Home DS0000068550.V360826.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. Service users’ care plans are thoroughly detailed, with specific health care needs clearly identified. It is evident that peoples’ assessed needs are being appropriately provided and people are treated with respect and dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five service users’ care plans were examined and they were well detailed, containing thorough and relevant information. This gives the carers clear and concise guidance in how to appropriately provide peoples’ needs. The ‘lifestyle and Interest’ document (previously mentioned) is incorporated into the individual’s care plan. Care plans are reviewed on a monthly basis and more frequently if needed. One member of staff wrote, “When I arrive on duty I receive a detailed report about each resident which allows me to care for their needs” another said, “A handover is completed at the start of every shift, also updates are put in the The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 11 communication book, which is to be read at the start of every shift. Case notes are completed during the shifts, which inform other staff about how the residents have been, etc”. The AQAA states, “The monitoring of peoples’ needs has greatly improved, with information being passed on at handover. The introduction of the communication book has helped in the passing on of changes in peoples care needs. The communication book requires staff to sign when read so allowing the manager to monitor that all staff are informed”. Information was available with regard to peoples’ specific health care needs and there was evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out. There is a policy in place for staff to adhere to regarding the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. The medicine administration records (MAR) were observed and were found to be accurate with medication being correctly administered. Medicines were securely stored and managed. Only appropriately trained members of staff administer medication, with ‘Boots’ pharmacy providing the training. They provide a workbook that needs to be completed by the staff member and then the manager does an observation. This is also done as part of a person’s supervision. Senior staff carry out regular audits of the medicines and procedures, with ‘Boots’ carrying out an annual audit. It was commented, “they would come anytime we ask, they are really good”. Members of the staff team were observed demonstrating a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. Some of the comments received from relatives were, “All of the staff are wonderful” “staff act as replacement family members, as we all live far away” and a service user wrote, “The service and everything in general is excellent, I am very happy and satisfied. Excellent support and care and the staff are always there for me”. The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 12 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. There are meaningful and stimulating activities made available to all people, with people being actively encouraged, enabled and motivated to participate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was evidence to demonstrate that a number of activities are provided within the home. These included, bingo, various board games, quizzes, regular entertainers coming into the home, beauty sessions, ‘stimulation session’, with three Guinea Pigs now being resident in the home, this has caused considerable interest with some of the service users. A number of people made very positive comments about these pets during the inspection visit. Some of the comments regarding the leisure activities received from service users were, “Everything is wonderful, things have definitely improved” “Anne and Dave (homeowners) have such a good interest, it’s just marvellous” and “I love playing bingo and the sing-alongs” Some of the relatives wrote, “There is regular entertainment to stimulate the residents” “She was encouraged to The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 13 come down to the lounge and join in with other residents, which she now enjoys” and “We are so grateful to all the staff for the dedicated one to one support and the encouragement she receives, to be involved”. One visitor to the home said, “The entertainment is excellent. I go into a number of homes and this is by far the best”. The AQAA states, “At the last inspection (June 2007) we were only seeing the start of changes to social activities and benefits to daily living activities. Now the atmosphere in the home is completely different. All residents are encouraged to take part in the activities programme”. An ‘activities board’ was prominently placed in the home, displaying the daily activities available and any forthcoming attractions and events. The home has an open house policy with visitors to the home being made welcome and service users are encouraged to maintain relationships with their families and friends. Some of the comments received were, “I am always made welcome, it’s a nice homely home” and “The home is run as a family unit, what a great team of people”. It was observed that some of the service users had their own telephones in their bedrooms; helping to demonstrate that people’s independence is promoted. Overall it was evident that people are encouraged and enabled to maintain contact with friends and relatives. There was the opportunity to have a brief discussion with the homes chef and he was very positive about the newly refurbished kitchen saying, “excellent kitchen” “we have introduced a summer menu” and “people are asked in the morning what they would like for lunch, with an alternative being offered”. It was apparent that the kitchen is very well organised with peoples’ dietary needs being paramount. Some of the comments from the service users were, “the food is very good” “the food menus are now excellent” and “It’s good home cooked food”. As previously mentioned lunch was served in the garden and I was invited to lunch by one of the people living there, it was really good. It was also apparent that people were given adequate and appropriate assistance when it was needed. Some of the other service users decided to have lunch in the dining room and the staff were able to meet the needs and wishes of all. The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 14 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. There are satisfactory policies and procedures in place, helping to give the assurance that people are protected from harm and abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A comprehensive complaints policy and procedure is in place. The statement of purpose and the service users guide, both contained guidance on how to make a complaint. A copy of the complaints procedure is provided to all new service users who are admitted to the home. The AQAA states, “The home offers visitors, families, residents and professionals the opportunity to comment on the home via a suggestions, comments and complaints box in the main reception area” All of the questionnaires that had been returned to the commission (CSCI) indicated that people are fully aware of the complaints procedure and how to complain if they needed to including, “No issues or complaints, would know what to do if I needed to complain” and “I have never had to raise any concerns or complaints”. No complaints have been received within the last twelve months. The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 15 There was a thorough policy in place to deal with a suspicion or allegation of abuse. In discussion with some staff it was clear that people are aware of any potential abuse situation that a vulnerable person could encounter and would know the correct procedures to follow in the event of a safeguarding adults issue. The registered manager has provided ‘one to one’ awareness training in safeguarding adults and a more structured formal training course is planned for the near future, this will help ensure that training is up to date with current legislation and guidance regarding protection issues. The AQAA states, “The home has a whistle blowing policy and procedure and staff are fully aware they can raise any concerns with the manager or the CSCI through the complaints procedure”. The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 16 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. The décor and general maintenance of the home is of a very good standard, helping to give the assurance that people live and work in a safe, comfortable and pleasant environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a good standard, it was clean, homely and fresh smelling. Many areas of the home have been redecorated and re-carpeted to a very good standard. It was stated by the manager that the redecoration programme is to be continued throughout the home, with all of the corridors planned to be redecorated before the end of 2008. The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 17 Two of the homes bathrooms have been completely refurbished to a very good standard since the last inspection visit. Ten out of the fourteen ensuite bedrooms have been redecorated, again to a very good standard. Peoples bedrooms were observed to contain their own personal belongings, helping to demonstrate that people are encouraged to bring in these particular items, in order to promote familiarity, and comfort. The newly refurbished kitchen was clean, hygienic and well equipped, with stainless steel worktops. This helps with hygiene management, making it easier to maintain a good level of cleanliness. A service user said, “It’s a very nice kitchen now. ‘Stainless steel’ easy to keep clean”. A visitor to the home said, “the kitchen used to be a disgrace, now it’s marvellous” and “gradually everything is getting redone”. The lounge has also been recently redecorated, with one person saying, “The lounge is really very nice, with new curtains”. The homes laundry was neat and tidy with adequate equipment to cater for the needs of the people who live at The Bellingham. Throughout the home hand washing facilities were conveniently placed, with automatic anti-bacterial soap dispensers, helping to effectively manage infection control. The homes housekeeper has taken a particular interest in infection control and in the control of substances hazardous to health (COSHH). This helps to provide a healthier and safer environment for the people who live and work at The Bellingham. Throughout the home appropriate specialist equipment was observed including, lifting hoists, walking frames and wheelchairs, helping to show that people are enabled to maintain mobility and to be as independent as possible. The outside grounds are maintained to a good standard and on the day of the inspection visit it was a warm day and lunch was served outside, with outdoor games being played in the afternoon. It was very pleasant and it was obvious that people enjoyed being in the garden. Once person said, “this is the best day I have ever had here”. Portable ramps were used to enable people using wheelchairs to access the outside garden. The provision of a permanent ramp would be beneficial to all with mobility problems. The comments received regarding the environment were all very positive including, “The manager is continually updating and improving the home to make it a better place to live for the residents and a better place to work for the staff” “the renovations which have gone ahead are excellent and give a The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 18 much better feel to the home” and “the home has a relaxed atmosphere, providing a good standard of care and support in a homely environment”. Overall since the last inspection visit a number of positive changes have taken place, making the homes environment much safer, comfortable, pleasant and enjoyable for the people who live and work at The Bellingham. It is envisaged that the provider will continue to make further improvements to the home. The Bellingham Residential Home DS0000068550.V360826.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 30. Quality in this outcome area is good. People are supported and cared for by a competent, dedicated and skilled staff team, helping to give people and their relative’s confidence and an assurance of receiving a good quality service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing levels for The Bellingham were examined and they were found to be satisfactory, with extra staff being on duty at peak times. Staff files contained information with regards to the experience, skills and training that staff have received with a full and thorough mandatory-induction programme being in place. People are positively encouraged to attend training courses, with very flexible times and alternative dates being provided to accommodate everyone. Comments received from members of staff were positive including, “I feel there is enough staff at present to meet all the needs of residents and the staff team are always willing to cover for holidays etc,” “I always find that we work well together as a team, helping each other out” “the manager ensures that our training is kept up to date” and “the residents and staff are much happier now, there has been a tremendous change”. The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 20 The training matrix was examined and it was clear that the provider is committed to providing satisfactory and relevant training. Some of the training is provided by the manager on a one to one basis including ‘safeguarding adults’ training. It was recommended to the manager that it would be appropriate to ensure that this particular training is formalised with certification provided. This would help ensure that people are protected and safeguarded by a qualified and well-trained team. An assurance was given that this would be addressed as soon as possible. Four staff files were examined and they contained all of the necessary recruitment information including, application forms, two written references, contracts of employment, and job descriptions. Criminal records bureau checks (CRB) and POVA checks had also been carried out, prior to the commencement of employment. The recruitment procedure is robust and thorough, helping to give the assurance that people are protected and safeguarded from harm or abuse. As previously mentioned people were seen to be treated with respect and dignity and it was apparent that good trusting relationships existed between the staff and the service users. Comments from service users and relatives regarding the staff team were all positive including, “The home has a relaxed atmosphere, with friendly staff that are dedicated” “The staff are very pleasant” and “She always tells me how kind the staff are to her and how much she appreciates them”. The national vocational qualification in care (NVQ) training programme is ongoing and there was evidence that the provider is committed to ensuring that this NVQ training is accessed for all staff, with over 60 of staff having achieved this award at level2. Overall there is a committed and dedicated staff team, helping to give the assurance that people living at the home will receive a good level of care and support. The Bellingham Residential Home DS0000068550.V360826.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, 33, 35 and 38. Quality in this outcome area is good. The home is well managed and organised, helping to give service users and their relatives assurance that the care and support provided, will be of a good standard. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has many years of experience in social care and she is also the joint owner with her husband who also works at the home, being mainly responsible for the homes maintenance. The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 22 The manager is qualified to provide some of the staff training. She is an NVQ assessor and is proactive in supporting members of staff through their NVQ qualification. Some of the comments received from staff regarding the management were, “I find the manager very approachable and I can go to her with any problem I may come across” “the manager regularly informs us of new ways of working, regarding standards etc,” “They (owners) are really making a difference for the residents, it’s a wonderful environment to be in” and “ the manager is ‘brill’ she’s good with all of the staff and residents, she really cares and is totally committed to the residents”. Some of the comments from relatives and service users were, “They are doing all they can to make the home homely and look after the residents very well” “they provide a homely non institutional environment to live in” and “I am very satisfied with the running of the home”. Many of the comments written expressed thanks and gratitude to the homeowners. The home’s policies and procedures were examined and they were found to be up to date and of a good quality. The Bellingham continues to maintain the Investors in People award, which is an external quality-monitoring organisation. The home is also recognised as a preferred provider with the Social Services Department. There was an up to date health and safety policy, with comprehensive, individual and corporate risk assessments in place. The assessments were very thorough and robust. This helps to show that everything is done to manage people’s safety, whilst promoting independence. All health and safety inspection certificates were in place and up to date, including: gas safety certificate, electric check certificate, fire extinguisher and alarm checks, PAT (portable appliance testing), emergency lighting certificate, hoists, legionella water check and a satisfactory food hygiene (environmental health) inspection report (15/4/08). There was sufficient evidence to demonstrate that the health and safety of people who live and work at The Bellingham is promoted as much as possible, to help ensure that a safe and healthy environment is maintained. There were procedures in place, regarding service users’ finances, with appropriate and adequate records being kept, helping to ensure that people’s finances are safeguarded. The AQAA states, “We encourage service users to be in charge of their own financial affairs and in the event they are no longer capable, then a system of recording is in place for their protection”. Once again this shows that peoples independence is positively promoted. The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 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 4 X 3 X X 3 The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NONE. 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 OP18 Good Practice Recommendations Provide a formal ‘Safeguarding Adults’ training course that provides certificates of achievement to staff. This would help give the assurance that people are adequately protected from harm or abuse. Make clear plans to provide a more suitable and robust ramp. This would give easier access to the home for people with mobility problems and for wheelchair users. To regularly send notifications to the CSCI in order to maintain up to date and accurate records. 2 3 OP19 OP37 The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 The Bellingham Residential Home DS0000068550.V360826.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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