Care Home: The Heathlands Village

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What the care home does well What has improved since the last inspection? There have been improvements to the home environment. And the requirements made at the last inspection have been complied with. The senior management of the home have instituted a three year strategic plan that was written following consultation with managers and staff at all levels which has clear mission statements and year on year objectives for all departments. CARE HOMES FOR OLDER PEOPLE The Heathlands Village Heathlands Drive Prestwich Manchester M25 9SB Lead Inspector Mike Murphy Unannounced Inspection 2nd September 2008 09:00 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 Heathlands Village DS0000070098.V370601.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 Heathlands Village DS0000070098.V370601.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Heathlands Village Address Heathlands Drive Prestwich Manchester M25 9SB 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) 0161 772 4800 0161 772 4934 The Heathlands Village Joan Hughes Mrs Valerie Ogden Care Home 214 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0) of places The Heathlands Village DS0000070098.V370601.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 Dementia - Code DE No person may be admitted to the home who is under 50 years of age. The maximum number of people who can be accommodated is: 214 Date of last inspection 3rd September 2006 Brief Description of the Service: The Heathlands village is situated in several acres of grounds about 3 miles north of Manchester but within easy reach of public transport and the motorway network. There is ample car parking. Heathlands has been specially developed to care for elderly Jewish people and has a full-time Religious Director. Heathlands provides care and accommodation to people requiring general nursing, EMI nursing and ‘personal’ (residential) care. Fees at the time of this inspection range from £612.00 to £711.00 per week. (Contact the home for further details). The Heathlands Village DS0000070098.V370601.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. This inspection which included a site visit that the home did not know was going to take place was carried out over a twenty-seven and a half hour period between the 2nd and 5th of September 2008. The process of inspection included observing what went on in the home, talking to residents, relatives, staff, one of the registered managers, a deputy manager, other senior managers, looking round the home, and examining some important records. Before the inspection, we also asked the 2 registered managers of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home sees the service they provide the same way that we see the service. We felt this form was completed in sufficient detail and was informative in the inspection process. What the service does well: What has improved since the last inspection? There have been improvements to the home environment. And the requirements made at the last inspection have been complied with. The senior management of the home have instituted a three year strategic plan that was written following consultation with managers and staff at all levels which has clear mission statements and year on year objectives for all departments. The Heathlands Village DS0000070098.V370601.R01.S.doc Version 5.2 Page 6 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 Heathlands Village DS0000070098.V370601.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 Heathlands Village DS0000070098.V370601.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents admitted to the home have their care and support needs properly assessed before being admitted to the home. EVIDENCE: All Potential residents undergo a detailed assessment of their care and support needs prior to admission to the home. Senior staff from the nursing or personal care units (whichever is relevant) conduct this assessment and record their findings on a specially developed record. Inspection of 6 residents preadmission assessments revealed these to be detailed and to provide enough information for the assessor to judge if the home is able to meet the assessed needs of the prospective resident appropriately. Residents and relatives spoke The Heathlands Village DS0000070098.V370601.R01.S.doc Version 5.2 Page 9 positively about the pre-admission assessment and admission process stating that their views were central to the process. In addition to a service user guide the home provides other information to potential residents on their website (www.heathlandsvillage.co.uk) which includes information about funding. The home inform us that on request they will send out an up to date brochure about the home which includes a DVD. The Heathlands Village DS0000070098.V370601.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. The health and personal care needs of residents were being appropriately met. EVIDENCE: Nursing units Wolfson unit is on the first floor of the main building of the home. 24-hour general nursing care is provided for up to 29 residents on this unit. Hamburger unit is on the second floor. This unit is split into Hamburger East and Hamburger West. 24-hour nursing care is provided for up to 16 residents on Hamburger East unit. In addition Hamburger west unit provides 24-hour nursing care for up to 7 residents who require EMI nursing care. Wolfson and Hamburger units are each supervised by a unit manager (who are qualified nurses) who manage a team of qualified nurses and care staff. The overall management responsibility for both these units is the remit of one of the registered managers who is a qualified nurse. The Heathlands Village DS0000070098.V370601.R01.S.doc Version 5.2 Page 11 At the time of this inspection there were 20 residents on Wolfson unit, 16 residents on Hamburger East and 7 on Hamburger West. The nursing care records of 6 residents were inspected on this occasion – 3 from Wolfson, 1 from Hamburger East and 2 from Hamburger West. Care records contained care plans that were initially based on the preadmission assessment that is referred to earlier in this report. Care plans addressed the health, personal and social care needs of residents and were formally evaluated at least monthly and were completed in a way that reflected that the resident and their family had been consulted about the care to be provided. Risk assessments, that seek to protect resident’s health and safety were also recorded in respect of residents skin integrity, mobility, and nutrition (including weight monitoring) and other relevant areas and were also in the main evaluated at least monthly – however this was not always the case and needs to be addressed. All residents are registered with a local GP and it was evident that all were enabled to access optical, chiropody, dental, and other specialist services (such as community psychiatric services), as they required. Also local GP’s hold a surgery at the home 3 days a week. Relatives said they were kept informed of all significant changes in their relation’s condition. All medical consultations/examinations take place in the privacy of the resident’s own bedroom. A local pharmacy provides pharmaceutical service to the home that includes professional advice on medicines. The procedures and arrangements for the receipt, recording, storage, handling, administration and disposal of resident’s medicines were appropriate on both Wolfson and Hamburger units. The qualified nursing staff manages all aspects of medication in these units. Medication administration records had been completed appropriately. However it is recommended that handwritten transcriptions to resident’s medication administration records be signed by 2 members of staff. The registers for controlled drugs had been completed appropriately. Discussion with residents revealed that they felt they were treated with respect and that their right to privacy was upheld. Comments made included; ‘I am well treated by the staff’, ‘ I feel that I am treated with respect by the nurses and carers’, ‘ I never feel embarrassed when they are looking after me, ‘ I see the doctor when I am not feeling well’, ‘the staff are polite and helpful’. The Residential units The residential units at the home provide care and accommodation to those residents who have been assessed as requiring ‘personal/residential care’. Evanthall House is a purpose built three-floor property that is situated in the grounds of the home. The ground floor contains service areas and a day care department. The two upper floors can accommodate up to 38 residents on each level. The Flats are situated in the main building of the home. The ground floor and first floor units accommodate up to 38 residents each. The Heathlands Village DS0000070098.V370601.R01.S.doc Version 5.2 Page 12 A unit manager supervises each floor. The overall management responsibility for both these units is that of the Registered Manager for residential services A total of twelve residents care records were inspected on this occasion. These records were well-organised and contained information (in the form of care plans) that addressed residents’ health, personal and social care needs. Various risk assessments were in place including those for moving and handling, nutrition (including a body weight record), pressure sore risk and also a dependency-rating profile. A local pharmacy provides pharmaceutical service to the home that includes professional advice on medicines. The procedures and arrangements for the receipt, recording, storage, handling, administration and disposal of resident’s medicines were appropriate on the four residential units of the home. Senior care staff (who have been provided with appropriate training) manage all aspects of medication in these units. Medication administration records had been completed appropriately. The registers for controlled drugs had been completed appropriately. Residents spoken to were positive in respect of how their privacy and dignity was respected. They said staff were respectful and polite, chatted to them and ensured their dignity was maintained – particularly when personal care was being provided. We were informed the home is in the process of updating how they manage resident’s care records – and that this new system will be gradually introduced at the home in the near future. The Heathlands Village DS0000070098.V370601.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 excellent. This judgement has been made using available evidence including a visit to this service. People who live at the home are able to enjoy a stimulating lifestyle with an extensive variety of social and leisure activities to engage in. Residents are enabled to make personal choices in their daily routines, and the view of food provision is very positive. EVIDENCE: All residents at the home are able to access the extensive and varied social and activities programme. The home benefits from having a number of suitably adapted and equipped areas for residents to pursue their interests. The home hold a residents meeting every 6 weeks where there is an opportunity to discuss activities, menus or anything they wish. This meeting, attended by a Senior Manager and the Head Chef, is recorded and actions taken as appropriate. The home provides a wide range of activities in The Heathlands Village DS0000070098.V370601.R01.S.doc Version 5.2 Page 14 Recreational therapy, Arts and crafts, film shows in the Cinema, and entertainments that are all run by the home’s Welfare department with the assistance of volunteers. The home had recently refurbished the reception area and added a Sunny lounge and Coffee Bar so that residents can socialise with each other and their visitors and have hot and cold drinks and snacks, including on Sundays. Regular trips are organised that are suitable for the needs of residents. Recreational therapy sessions are also held on the individual units within the home to support residents who find it difficult to access communal activities: this includes exercise sessions. Residents spoke very positively about this provision and felt there was always something going on that appealed to them to participate in if they chose to. At the time of this inspection an exhibition of art and crafts made by residents was in the advanced stages of preparation. The commitment to providing such a varied and stimulating social/leisure environment for residents is to be commended. Residents spoken to said that the daily routines were as reasonable as possible in a communal living setting and confirmed – and this was also reflected in care records – that they can choose when they get up and go to bed, how they occupy themselves and retain as much control over their personal lives as they desire or are able to. Many have chosen to highly personalise their own rooms with their own possessions – including items of furniture. Residents and their relatives report no unreasonable restrictions to visiting at the home – which can be conducted in communal lounge areas, residents own rooms or the other extensive communal areas in the home – including the sunny lounge and coffee bar. Menus were balanced, varied and provided reasonable choices. Three meals a day are provided plus supper. Meals are served in pleasant and appropriate dining areas in the home’s individual units and a designated restaurant on the ground floor of the main building. Meal times are reasonable and as flexible as they can be in such a setting. Lunch was observed in one of the units on the first day of inspection. This was a hot and substantial meal. Staff assisted and served residents their meals appropriately. Residents spoke positively about the quality of the food provided and said their particular likes and dislikes were respected and that staff always tried to accommodate them with particular catering requirements. Only kosher food is provided and consumed on the premises. Staff are conversant with and adhere to the Kashrus laws, which are supervised by the religious director at Heathlands. This information is also reflected in the service users guide issued by the home. The Heathlands Village DS0000070098.V370601.R01.S.doc Version 5.2 Page 15 The home has residents and a relative on their ‘eating experience’ committee, which meets every two months. The Heathlands Village DS0000070098.V370601.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate arrangements were in place to ensure residents are safe and their concerns can be addressed. EVIDENCE: The complaints procedure was prominently displayed throughout the home and also is available in the ‘Service users guide’ that is provided for resident’s information. Residents and relatives are satisfied that any issues raised with the manager’s/senior staff’s attention are dealt with quickly and appropriately and therefore don’t often become ‘complaints’ in the formal sense. A complaints log/incident log is maintained. Complaints, concerns and incidents are managed appropriately and are reviewed regularly by senior managers of the home. Heathlands Village operates safeguarding and ‘whistle blowing’ policies that are designed to keep residents safe at the home. In addition, copies of Bury’s inter-agency protection procedure are held on site. Staff spoken to confirmed that they had received training and were aware of the whistle-blowing policy. Inspection of training records demonstrated that protection training is provided for staff on a regular basis. Appropriate pre-employment checks are conducted on all staff to help ensure that residents are being cared for by suitable staff. The Heathlands Village DS0000070098.V370601.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): 19,20,21,22,24 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, pleasant, comfortable and suitably adapted environment for residents. EVIDENCE: Heathlands is situated in several acres of well-kept grounds with ample car parking space. Care and accommodation for up to 214 residents and the infrastructure that supports that provision is housed in a number of large purpose built buildings within the grounds. It was evident that an ongoing programme of maintenance, redecoration and refurbishment was being operated particularly in those areas of the home occupied by residents. The Heathlands Village DS0000070098.V370601.R01.S.doc Version 5.2 Page 18 A general inspection of the 2 ‘nursing’ units and 2 ‘residential’ units was made during this visit. All areas inspected were clean and malodour was well managed in those areas where it can be problematical. Communal lounges and dining areas on all units (and in the general communal areas of the home) were clean, suitably furnished and residents spoken to were of the view that these areas were comfortable and always accessible to them. However the floor coverings (of quite a new nature) on the corridors of the ground and 1st floor flats were noted to be lifting from the floor in a large number of places and in need of attention. Also the floor coverings in the corridors of Eventhal house (one and two) were badly marked and damaged in a large number of places. These issues were discussed with the senior management of the home. We were informed that action was imminently planned to rectify these problems. All units have sufficient WC and bathing/shower facilities that have been suitably adapted to meet the needs of residents in relation to specialist equipment for example bath and portable hoists and grab rails. Individual resident’s specialist needs are met following referral of the individual resident to the relevant health care professional for example for wheelchairs or walking aids. 5 resident’s bedrooms were inspected on each unit. These were clean, appropriately furnished and equipped and all apart from those on Hamburger west unit are provided with an en-suite WC washbasin and shower. All the bedrooms seen were highly personalised and were fitted with privacy locks and a lockable space within the room. Residents spoke very positively about their rooms and said they could go to them when they wished and that their privacy was respected. They also said that they were encouraged to bring in personal items to make their rooms more homely. The laundry department services the laundry needs of the whole home. This was not inspected on this occasion. However comments from residents were generally positive about the laundry service provided. There is a quality committee that reviews laundry services and some residents are co-opted onto it. The Heathlands Village DS0000070098.V370601.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. The recruitment, provision and training of staff employed at the home are being managed appropriately. EVIDENCE: The provision of nursing (on the nursing units) and care staff (on all units) within the home appeared in the main to be satisfactory. However discussion with residents, staff and inspection of staffing rotas in respect of the ground floor flats unit indicated that staffing levels had on a number of occasions in the previous few months been slightly below the levels required (as identified by the management of the home). However we were informed that this issue had been recognised and care staff had been recently recruited to resolve the issue. Resident’s dependency levels are formally monitored on a regular basis. These are very useful indicators in determining the numbers and type of staff that are required to care for residents. The Heathlands Village DS0000070098.V370601.R01.S.doc Version 5.2 Page 20 There is a strong commitment to providing all staff at the home with appropriate training to ensure that they are able to care for and support residents and keep them safe. The arrangements for staff training ensure that when staff are recruited they receive appropriate induction training. The home has established links with Bury Training Partnership and Business Solutions (Bury College) to complement their own in-house training provision. Staff spoken to say they were able to access regular training in subjects that helped them do their job competently. The registered managers of the home play a prominent role in providing training and training generally within the home is co-ordinated by a designated training co-ordinator. Discussion with this person and inspection of training records maintained by the home demonstrated that training provision (and records relating to that provision) were in the process of review to ensure staff are provided with regular refresher training in relevant areas. Over 64 of care staff have obtained and NVQ 2 (or above) and provision has been made to steadily increase this figure. An appropriate recruitment process was in place to help ensure residents are being cared for and supported by suitable people. A total of 4 staff personnel records were inspected on this occasion. These all contained appropriate documents including completed application forms, health declarations, 2 written references, Criminal Record Bureau and POVA first checks, proof of identity and records of training undertaken. The Heathlands Village DS0000070098.V370601.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. This judgement has been made using available evidence including a visit to the service. The home continues to be appropriately managed by the 2 registered managers and the structured management team led by a Chief Executive Officer. EVIDENCE: The home continues to be managed efficiently and effectively by the 2 registered managers each of who has clear areas of responsibility. Both are very experienced in managing nursing or residential care services for the elderly and have achieved relevant qualifications in management and undertaken other periodic training relevant to their roles. The Heathlands Village DS0000070098.V370601.R01.S.doc Version 5.2 Page 22 Discussion with residents, their relatives and staff indicate that an open and inclusive style of management at the home with all groups commenting very positively how the managers of the services are accessible, approachable and respond to issues raised promptly. Each unit has a senior person in charge of the day-to-day management of their respective area who report to one of the registered managers. Quality assurance is an important feature of the management strategy at the home and the process has been significantly developed since the last key inspection with all the various departments within the home being subject to regular review (audits) with the ultimate purpose of improving the experience of residents in their daily life at the home. The home continues to actively seek the views of residents, their relatives and staff in respect of the services provided by the home. Residents also participate in committees that monitor the quality of services within the home for example catering and laundry provision. There is a senior management and management structure in operation with clear lines of responsibility and accountability. There are regular monthly meetings with all managers to ensure that communication reaches all areas of the organisation. There is a three-year strategic plan that was written following consultation with managers and staff at all levels which has clear mission statements and year on year objectives for all departments. Residents are actively encouraged to control their own money wherever possible. Where the home does manage resident’s personal allowances these are secure and appropriately documented. Monies in the residents account accrues interest and this we were informed is apportioned to each resident appropriately. The health, safety and welfare of residents and staff were being protected. Regular training was being provided in moving and handling, fire safety, food hygiene, infection control and other relevant areas of health and safety. Equipment and utilities within the home have been serviced regularly and records were being kept in respect of these. The home has in place a health and safety procedure and employs a health and safety officer. All accidents, injuries and incidents of illness or communicable diseases appear to be recorded and responded to appropriately. The Heathlands Village DS0000070098.V370601.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 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 3 3 X 3 X 3 STAFFING Standard No Score 27 2 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 The Heathlands Village DS0000070098.V370601.R01.S.doc Version 5.2 Page 24 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 OP27 Regulation 18(1)(a) Requirement That the CSCI is informed in writing that staffing provision is at the levels necessary to meet the assessed care/support needs of residents. That the CSCI is informed in writing that suitable arrangements have been made to ensure that the floor covering provided in the corridors of the four residential units at the home is adequate and appropriate. Timescale for action 30/10/08 2 OP20 16(2)c 30/10/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP8 OP9 Good Practice Recommendations That risk assessments relating to residents care/support needs are formally evaluated at least once a month. That handwritten transcriptions to residents medication administration records are signed by 2 members of staff. The Heathlands Village DS0000070098.V370601.R01.S.doc Version 5.2 Page 25 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 The Heathlands Village DS0000070098.V370601.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!