Care Home: The Old Rectory

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What the care home does well People considering moving into The Old Rectory receive a full assessment and are provided with the opportunity to visit and spend time at the home to make sure that it is able to meet their needs. Discussion with residents indicated they are generally satisfied with the home; and a written comment made by a resident`s relative in advance of the inspection observed "I have always found this home to have a friendly environment, well run and comfortable and pleasant surroundings for elderly people to reside in". On the days of inspection the home was clean, comfortably warm and adequately staffed. It is well equipped, attractively decorated and suitably furnished. The standard of health care is good and each resident has a documented plan of care. What has improved since the last inspection? In accordance with requirements and recommendations contained in the report of the previous inspection, the standard of documentation for care provision and medicine handling has been improved, additional policies and procedures have been developed and implemented and the use of the minibus for resident excursions is in accordance with an established standard. A `suggestion box`, hairdressing salon, `in house shop` and a small kitchen for residents to make beverage drinks have been provided. What the care home could do better: This report contains no requirements for improvement. To ensure prospective service users can obtain sufficient information about the service a recommendation is made in this report for the provision of information in the service user guide to be offered in alternative formats. To minimise risks of residents becoming bored and unhappy, more should be done to provide recreational and social activities suited to the abilities and preferences of the individual residents. To promote opportunities for choice and to ensure residents are satisfied with the standard of food provision the home should increase the menu options and improve the ways in which residents choose from the menu. In response to the draft inspection report, registered provider Mr Wagner stated "Our organisation provides two in house activities on weekdays and two minibus outings on average each week. Evidence for this and who attended, can be found clearly recorded in our activities record. The provision, the frequency and the choice of activities are based on our years of experience and on the ethos of our home. We adjust the themes of activities and venues for outings according to feedback from our clients collected during residents meetings. We have no credible evidence that what we are providing is in need of adjustment." CARE HOMES FOR OLDER PEOPLE Old Rectory (The) High Street Stalbridge Sturminster Newton Dorset DT10 2LL Lead Inspector Gloria Ashwell Key Unannounced Inspection 22nd November 2007 13:00 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 Old Rectory (The) DS0000026853.V355390.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. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Old Rectory (The) Address High Street Stalbridge Sturminster Newton Dorset DT10 2LL 01963 362624 01963 363533 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) Mrs Grietje Wagner Mr Richard Wagner Mrs Kelly Anne Henshall Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Additional assisted bathing facilities must be provided prior to registration of the proposed Phase 2 of building work, to ensure compliance with the ratio stated in 21.3 of the National Minimum Standards and present arrangements must, until additional available facilities are provided, accord with the identified needs and wishes of service users accommodated. One named person (as known to CSCI) in the category MD(E) may be accommodated. One named person (as known to CSCI) in the category DE (E) may be accommodated. 6th June 2006 2. 3. Date of last inspection Brief Description of the Service: The Old Rectory is a large traditional style house, previously extended, in the centre of the small village of Stalbridge. The village has bus transport to local towns, including Blandford, Dorchester, Sherborne, Wincanton and Yeovil. The Old Rectory is within walking distance of local amenities including shops, post office, church and a public house. Mr Richard Wagner and Mrs Grietje Wagner are the registered providers; the registered manager is Mrs Kelly Henshall. Resident accommodation is on the ground, first and second floors. A passenger lift provides access to all floors. There are 28 single bedrooms; all except 4 have en-suite hygiene facilities comprising at least a toilet and wash hand basin. There are 2 assisted baths for use by residents with impaired mobility. On the ground floor are communal rooms, comprising the main lounge at the front of the house, a smaller lounge close to the dining room and a small lounge on the top floor. To the front of the home is a small walled garden, at the rear is a large walled garden. During recent months extensive construction work has been ongoing, to construct additional rooms including an Orangery for use as another lounge, and to provide a rear garden with raised beds and wide pathways, specifically designed for the use and enjoyment of people who have mobility difficulties. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 5 Car parking spaces are provided at the rear of the premises; nearby roads offer unlimited parking and there are usually spaces close to the home. The fee range quoted in the service user guide at the time of inspection was £400 to £600 per person per week. Up to date fee information may be obtained from the service. Information regarding the subjects Value for Money and Fair Terms in Contracts can be obtained from the web link: www.oft.gov.uk A report entitled Care Homes in the UK - A Market Study is available on web link http:/www.oft.gov.uk/NR/rdonlyres/5362CA9D-764D-4636-A4B1A65A7AFD347B/0/oft780.pdf Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a statutory inspection required in accordance with the Care Standards Act 2000. The inspection was unannounced; the inspector arrived at 1pm on 22 November 2007, toured the premises and spoke to residents and staff. By arrangement with registered manager Mrs Henshall she arranged the next visit which took place at 9.30 am on 5 December 2007 when documentation relating to care provision and the premises was discussed and examined. On this occasion the home was also visited by an expert-by-experience who spoke to residents while the inspector concentrated on assessing documentation. The duration of the inspection (both days, inspector and expert-by-experience combined) was 6½ hours. Staff interaction with residents and the carrying out of routine tasks was observed. During the inspection, particular residents were ‘case tracked’; for example, for evidence regarding Standards 3, 7 and 8 records relating to the same residents were examined and the residents spoken with. The care records of four people who live at the home were examined in detail. The expert-by-experience was able to meet and speak with most of the residents both individually and in small groups in the communal areas. Additional information used to inform the inspection process included the Annual Quality Assurance Assessment completed in advance of the inspection by Mr Wagner and Mrs Henshall and ‘Have Your Say’ questionnaires completed and sent to the Commission by 7 residents, 3 representatives (e.g. relatives, friends) of residents and 1 health care professional. During this inspection compliance with all key standards of the National Minimum Standards was assessed. What the service does well: People considering moving into The Old Rectory receive a full assessment and are provided with the opportunity to visit and spend time at the home to make sure that it is able to meet their needs. Discussion with residents indicated they are generally satisfied with the home; and a written comment made by a resident’s relative in advance of the Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 7 inspection observed “I have always found this home to have a friendly environment, well run and comfortable and pleasant surroundings for elderly people to reside in”. On the days of inspection the home was clean, comfortably warm and adequately staffed. It is well equipped, attractively decorated and suitably furnished. The standard of health care is good and each resident has a documented plan of care. What has improved since the last inspection? What they could do better: This report contains no requirements for improvement. To ensure prospective service users can obtain sufficient information about the service a recommendation is made in this report for the provision of information in the service user guide to be offered in alternative formats. To minimise risks of residents becoming bored and unhappy, more should be done to provide recreational and social activities suited to the abilities and preferences of the individual residents. To promote opportunities for choice and to ensure residents are satisfied with the standard of food provision the home should increase the menu options and improve the ways in which residents choose from the menu. In response to the draft inspection report, registered provider Mr Wagner stated “Our organisation provides two in house activities on weekdays and two minibus outings on average each week. Evidence for this and who attended, can be found clearly recorded in our activities record. The provision, the frequency and the choice of activities are based on our years of experience and on the ethos of our home. We adjust the themes of activities and venues for outings according to feedback from our clients collected during residents meetings. We have no credible evidence that what we are providing is in need of adjustment.” Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 8 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. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 9 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 Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service user guide contains relevant information about the home providing prospective residents and their representatives with an accurate understanding of the people for whom the service is intended although the format of the information may not be suitable for service users who have specific needs for example those with impaired sight. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. EVIDENCE: The service user guide is made available to all residents and prospective residents. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 11 The Statement of Purpose and service user guide are available in a standard format; it is recommended that this information be made available in alternative formats, appropriate to the needs and capacity of individual prospective residents or their representatives who might find the standard format difficult to read and fully understand. The records of two recently admitted residents included details of preadmission assessments carried out by the manager. In advance of making the decision to enter the home one of the prospective residents and the closest relatives of the other prospective resident visited The Old Rectory to view the premises and meet residents and staff. Following pre-admission assessment of the persons needs and circumstances the home writes to them confirming agreement and ability to accommodate and care for them. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and social care needs of residents are fully met by suitably trained staff; doctors and other professionals visit as necessary and the home employs care workers who properly respect and promote the privacy and dignity of the residents. EVIDENCE: Residents representatives believe they are properly cared for; comments received in advance of the inspection included “I have always found the staff kind, capable and caring”, “Staff are very kind and helpful and always do what I ask…always answer the bell when I ring” and “The carers are very hard working and very polite”. Care provision is in accordance with a written plan of care for each resident thereby ensuring that staff have sufficient information upon which to base their Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 13 care practice. These processes would be improved by reliable evidence that residents are actively involved in planning their own care and are encouraged to sign records to confirm their agreement. Care records of 4 residents were examined and contained risk assessments forming the basis for care plans and daily records describing the care of each resident. Medicines prescribed by doctors are safely stored and carefully administered to residents by staff trained in this work, thereby protecting residents from medicine errors. Medication administration records (MARs) were properly kept indicating that residents receive prescribed medicines at the correct times and in correct amounts - those wishing to do so can manage their own medicines in accord with a risk assessment process; one of the currently accommodated residents manages some medicines. To ensure correct identification of residents the home provides a recent photograph of the resident with the MAR; one of the records examined during the inspection did not include a photograph and it is therefore recommended that the home reviews all records to ensure that for each resident a recognisable photograph is available. In the presence of staff residents appeared relaxed, confident and at ease; staff interactions with residents were of a friendly and considerate manner and the atmosphere throughout the home was calm and unhurried. Residents are treated with respect and their privacy and dignity is protected at all times. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 – 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and assisted to maintain as much independence as possible. The range of social and leisure activities is not sufficiently suited to the preference and ability of each resident. Residents are encouraged to maintain contact with the local community and visits by their friends and relatives are welcomed by the home. A number of residents are dissatisfied with the meal provision; greater opportunities for choice and snacks would be of benefit. EVIDENCE: There was a list of scheduled activities displayed on the wall outside the dining room, but none of the residents spoken with by the expert-by-experience could describe any of the intended or recent activities. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 15 In response to the draft inspection report, registered provider Mr Wagner stated “comments collected should be supported by a footnote that 42 of the clients spoken to suffer from severe memory loss and 39 from moderate memory loss, 11 from mild memory loss and only 7 have no memory problems.” A resident described another care home which arranged discussion groups with visiting speakers and a trip out to lunch every week but said nothing like that happened at The Old Rectory; the resident said that more activity would be welcomed. The manager said that activities advertised for the second date of this inspection did not take place because Mrs Wagner, who is responsible for providing the activities, did not attend the home. In response to the draft inspection report registered provider Mr Wagner stated “on the day of the first unannounced inspection activities had taken place in the lounge as advertised and were organised by Mrs. Wagner. A mention should also be made that a mini bus outing to a local shop and tearoom had been arranged to take place on that day after lunch…. Mrs. Wagner spends on average 25 hours actively involved in the home. Most of Mrs. Wagner’s time is spent supporting social activities.” In conversations with the expert-by-experience a resident recalled going out to bingo in the village, and another had been on an outing. Some had newspapers and one resident said there was a library of books in the home. In the ‘Have Your Say’ questionnaires completed by residents in advance of the inspection none made comment about the provision for recreational and social activities. Most residents were spoken with during the course of this inspection. None indicated that they were asked to make a choice from the menu for main meals. One resident said they only ever had toast and marmalade for breakfast, two said if there was something they did not like they would be offered cheese and biscuits as an alternative, and two others said they usually only had sandwiches for tea. In response to the draft inspection report, registered provider Mr Wagner stated “These comments reflect the personal choice of the clients who made them and in no way reflect the overall provision of the service offered by the home in respect to standard 15. This is potentially misleading and should be reworded to read that the client has chosen this meal. Proof of the client’s choices can be verified in our menu records.” Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 16 One resident recalled asking for the soup to be strained, but had been told there was not the time, and another described telling staff she did not like cooked cheese but said this preference was never remembered. However, three residents said the food was good. When morning drinks were being offered the staff member was observed to look around the room and say “X number of coffees and X number of teas” without asking residents what they wanted, and some residents were automatically served a piece of pork pie, a small piece of cheese, and a small sausage while others were given a sweet biscuit. This may have been due to dietary requirements but one resident said she would much have preferred a sweet biscuit. ‘Have Your Say’ questionnaires completed and sent to the Commission in advance of the inspection included the differing comments “I am glad they are now using more fresh vegetables”, “I love the food and if I don’t like it they will always find an alternative” and “Variety is poor”. Visitors are welcome at any time and those the inspector spoke to said they are always made to feel welcome and placed at ease by the staff. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 – 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure provides information on the procedure to follow to persons wishing to make a complaint. All complaints are recorded and investigated and the home has implemented an adult protection procedure. EVIDENCE: To ensure residents and their representatives have access to the complaints procedure it is included in the service user guide to the home, displayed at the entrance and a copy is provided to each residents’ relative/representative. Residents know how to complain and feel confident that if they had concerns or complaints they will be listened to and taken seriously. The home keeps records of all complaints received and investigated. Since the last inspection two complaints against the home have been received and investigated. One alleged that an item of clothing had been damaged during laundering; Mr Wagner promptly rectified the matter to the satisfaction of the resident. The other complaint was investigated by Social Services and found to be unsubstantiated. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 18 The home has developed and implemented written policies and procedures for the protection of residents from abuse or neglect and provides all staff with training in the understanding of abuse and their role in protecting residents from abuse in its many forms, including neglect. Care staff spoken with during the inspection said they think the standard of training available to them is good and sufficient to their needs. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 19 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 premises are comfortable, clean, suitably equipped and subject to a continuous programme of improvement to ensure the standard is routinely maintained. EVIDENCE: The Old Rectory is a partly traditionally built house, and partly purpose built extension. It offers good-sized bedrooms, bathrooms equipped for the use of persons requiring assistance and comfortable communal rooms. On the day of inspection the home was clean, tidy and comfortable throughout; there were no unpleasant odours. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 20 ‘Have Your Say’ questionnaires completed and sent to the Commission in advance of the inspection included the comment from a resident that the home was “Spotlessly clean; we have very good cleaners”. During recent months extensive construction work has been ongoing, to construct additional rooms including one for use as another lounge, and to provide a garden with raised beds and wide pathways, specifically designed for the use and enjoyment of people who have mobility difficulties. Mr Wagner expects this work to complete during February 2008. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 21 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. This judgement has been made using available evidence including a visit to this service. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and maintenance of the good condition of the premises. Recruitment practices protect residents from potentially unsuitable staff. The home provides to staff the training they need to be able to properly care for residents. EVIDENCE: At all times the home is in the overall charge of an experienced care worker. Staffing levels are provided in accordance with the assessed needs of residents to ensure that at all times sufficient staff are available to properly meet their needs. Staff are enthusiastic about their work and feel they provide a good standard of care to residents and are properly supported by the management and training provision. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 22 The records of 2 recently employed staff members were examined and found to contain essential information including an interview assessment, at least two written references, evidence of identity and of induction training. The home meets the standard for at least 50 of the care staff to hold a National Vocational Qualification in care and there is an ongoing programme of distance learning in relevant subjects including infection control, moving and handling, and health and safety. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 23 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 this service. The home is well managed, suitably staffed and generally liked by residents. The quality assurance system ensures maintenance of standards and the ongoing involvement of service users in developing and reviewing the standard of service provided. Policies and practices promote the health, welfare and safety of residents and staff of The Old Rectory. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 24 EVIDENCE: Registered manager Mrs Kelly Henshall and registered provider Mr Wagner maintain a regular presence in the home; both are well respected and liked by staff and service users. The home has ongoing systems for quality assurance; satisfaction surveys are periodically issued and occasional meetings for residents and their relatives take place. There is a selection of clear and appropriate policy and procedure documents, including those for care provision, management and the premises. Records are kept of all accidents and there is subsequent investigation, review of the care plan and periodic audit to identify any trends e.g. time, place, person, activity. With the exception of safe keeping some amounts of cash (for which all transactions are confirmed by receipt), the home does not manage the finances of residents. Staff trained in First Aid are on duty in the home at all times. All staff are supervised and each has a personal profile containing records of appraisal. The home records details of equipment servicing and maintenance; to verify this some were examined during this inspection including the records of regular checks/tests of fire safety equipment and the passenger lifts. The home has recorded a fire safety assessment complemented by reference to the currently accommodated residents. There is a written assessment of the ‘Health & Safety’ of the premises and working practices designed to ensure the continued safety of all who live in, work and visit the home. Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 25 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 2 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 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 26 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. 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. 2. Refer to Standard OP1 OP9 Good Practice Recommendations The service user guide should be made available in alternatives to the standard format. The home should review all records to ensure that for each resident a recognisable photograph is available, to aid identification with particular regard to medicine administration. The frequency and variety of recreational and social activities should be improved. Arrangements for meal provision should be improved, to increase residents choice and satisfaction. 3. 4. OP12 OP15 Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Old Rectory (The) DS0000026853.V355390.R01.S.doc Version 5.2 Page 28 - 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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