Care Home: The White House (Curdridge) Ltd

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What the care home does well When asked this question one relative said "I am always impressed by the lovely atmosphere in the home. All the residents are calm and content and I`ve never experienced anyone being upset or unhappy. The carers are always interacting with the residents and would spot instantly if anything was amiss. Staff are described as "always very helpful and supportive" The home provides a very relaxing homely environment for service users. It is decorated to a good standard. Service users have freedom to move around the home and access the garden in a safe way. Training is provided in the home and nearly 70% of staff have obtained a National Vocational Qualification (N.V.Q.) Level 2 in Care, with a large percentage of staff carrying on to achieve level 3. The home is well managed and staff have a good understanding of peoples health and care needs. There is good liaison with health care professionals. What has improved since the last inspection? The main house has been redecorated. The service now has its own moving and handling trainers. A personal assistant has been recruited to help in the office. CARE HOMES FOR OLDER PEOPLE The White House (Curdridge) Ltd Vicarage Lane Curdridge Hampshire SO32 2DP Lead Inspector Kathryn Kirk Unannounced Inspection 19th March 2008 10:30 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 White House (Curdridge) Ltd DS0000059982.V359503.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 White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The White House (Curdridge) Ltd Address Vicarage Lane Curdridge Hampshire SO32 2DP 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) 01489786633 01489785203 julietwh@aol.com The White House (Curdridge) Ltd Ms Emma Hampton Care Home 42 Category(ies) of Dementia (42), Mental disorder, excluding registration, with number learning disability or dementia (42), Old age, of places not falling within any other category (42) The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users in the category MD are not to be admitted under 55 years. From time to time service users in the category DE may be admitted under the age of 65 years. Date of last inspection Brief Description of the Service: The White House is a care home providing care and accommodation for 42 older and younger people, including those with dementia. The home is located in a rural setting, in 18 acres of land. There are extensive gardens which are both secure and interesting, and are also home to animals such as pot bellied pigs and peacocks. The original home opened in 1983, and is an old, character property. In 2005, a new building was built, and accommodates twenty- four people. The building links in with the main house, and is divided into three units for eight people. Each unit is themed on a local area, as well as a colour, and has eight, en-suite bedrooms, two lounge/diners, and bathing facilities. Residents can walk around in a square. The accommodation in the main house is provided in 3 double and 11 single rooms, plus a single, en-suite room specifically used for respite care. There are three lounges, which incorporate dining facilities. There is a passenger lift and assisted baths. The fees for the home range from £554 to £796 per week. The White House (Curdridge) Ltd DS0000059982.V359503.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 star. This means the people who use this service experience good quality outcomes. Evidence for this key unannounced inspection was gathered from the following sources: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us information about the service, such as how many people have specific needs. Surveys were provided by the Commission for Social Care Inspection (CSCI), to obtain the independent views of people who use the service, their representatives, staff and healthcare professionals. Eight surveys were returned to us by the relatives of people using the service and three from staff members. The previous key inspection which took place in January 2007. This visit to the home lasted for 6 hours. The needs of the majority of service users are such that they were unable to contribute verbally to the inspection process. Time was therefore spent in their company and by observing interactions between them and staff in the commmunal areas. One service user gave their views about the service as did seven staff three visitors and one visiting health professional. All communal areas and some bedrooms were seen. Time was spent with the manager and some administrative records were viewed. What the service does well: When asked this question one relative said “I am always impressed by the lovely atmosphere in the home. All the residents are calm and content and I’ve never experienced anyone being upset or unhappy. The carers are always interacting with the residents and would spot instantly if anything was amiss. The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 6 Staff are described as “always very helpful and supportive” The home provides a very relaxing homely environment for service users. It is decorated to a good standard. Service users have freedom to move around the home and access the garden in a safe way. Training is provided in the home and nearly 70 of staff have obtained a National Vocational Qualification (N.V.Q.) Level 2 in Care, with a large percentage of staff carrying on to achieve level 3. The home is well managed and staff have a good understanding of peoples health and care needs. There is good liaison with health care professionals. 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 The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3, intermediate care is not provided. Quality in this outcome area is good. Enough information is gathered and provided to ensure that service users have an informed choice about where to live and to ensure that the service can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is an informative service users guide in large print, which describes the principles and values of the service as well as giving information about the environment and staffing levels and skills. The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 10 When people who use the service were asked “Did you receive enough information about the home before you moved in so that you could decide that it was the right place for you?”, all eight replied “yes”. One person commented, “the home went out of their way to accommodate our parents. They spent time showing me round and answering questions at what was a very traumatic time” Another said “Very welcoming, helpful and informative a visit while just looking. Felt that they would give me all the time I needed, not at all like a 15 minute appointment.” The annual quality assurance assessment confirms that assessments of people’s needs are conducted before people move into the home. This helps to ensure that the service offered will be an appropriate one. Pre admission assessments had been seen on previous visits and one was seen on a file for a person who had recently moved in. This shows that the process is still being carried out. The information gathered included details of peoples’ medical physical and emotional needs. Staff confirmed that where a person has had a care manager assessment or a specialist health assessment, this information is always requested. Intermediate care is not provided, so Standard 6 does not apply. The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good People’s support and health needs are well managed. The privacy and dignity of people who use the service is respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Quality in this area was found to be good at the last inspection All service users have a plan of care, which is generated from the initial assessment of needs. Two care plans were looked at on this occasion and time was spent with the individuals concerned. The care plans detailed all care health and social needs as well as any communication issues. The care plans had not always been reviewed monthly although there was evidence to support that changes had been made where necessary, for example when a persons mobility had deteriorated. The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 12 When people who use the service were asked “Do you receive the care and support you need?”, five out of eight people said “always”, and three out of eight said “usually” Comments included: “At the yearly review, time is taken to go through the care plan and any other concerns are able to be addressed” “Initially had very good keyworker system and built up an excellent relationship where information was shared well both ways” Staff confirmed that the keyworking system is still in place although it has been subject to some changes due to staff leaving. Staff who were asked confirmed that they are given up to date information about the needs of the people they care for. This is provided not only through care plans but also in daily records that are completed at the end of each shift for each person. Risks are also considered as part of the care planning process and action plans were seen to provide staff with guidance on how to minimise any risk identified. It was discussed with staff that a reference should be made to the recent Mental Capacity Act when balancing risk with the service user’s right to make decisions. As most staff have not yet had training in this it is recommended that this should be arranged. When people who use the service were asked, “Do you receive the medical support you need”, seven out of eight people said “always”, and one person said “usually”. There was evidence on file of regular visits from community psychiatric nurses, doctors and that a physiotherapist had been consulted when a need to do so had been identified. There was also information on file for staff to refer to about aromatherapy, as one service user was interested in this, and also information about particular forms of dementia. Records showed that staff monitored service user’s food and fluid intake where a need had been identified to do so. The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 13 A visiting health professional said that home has good links with health care workers and felt that the home had a very good reputation. Staff confirmed that they worked closely with consultants and community nurses and there was evidence on file that they followed advice and guidance given. No people at present are able to administer their own medication. Two staff were observed to be involved in giving people their medication, one checking and one administering. Staff said that this is always the system they use to ensure that no errors are made. Staff confirmed that only people trained in the safe handling of medication are allowed to administer it. Medicines were observed to be securely and appropriately stored. The AQAA confirms that the home has up to date procedures in the safe handling of medicines. Medication administration sheets were checked for two service users and they were found to be accurate with no omissions. Care plans seen recorded service users preferred names. Asked in surveys “do staff listen and act on what you say”, eight out of eight people said “yes”, and one person commented - “The staff are very helpful and friendly and treat their clients with dignity and respect”. This was observed to be the case during the visit. The AQAA states that Equality and Diversity are promoted through training staff during their induction and in ongoing training. There was evidence through looking at records that peoples’ religious beliefs are supported, although it was noted that people were not always able to attend church as often as they wished, because of lack of escorts. The White House (Curdridge) Ltd DS0000059982.V359503.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 and 15 Quality in this outcome area is good. Although activities are generally well received, the range of activities need to be reviewed to ensure they meet the lifestyle needs of the younger adults who live at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has activity coordinators who are employed to work both in the home and in the attached day centre. When asked do you feel there are activities in the home that you/your relative can take part in, people replied “usually”. One person commented that there seemed to be more offered to day care service users. The manager said that people were welcome to join in any activity anywhere in the building should they wish to do so, and this was found to be the case during the visit. People from other units were participating in armchair exercises, which were being held in the main house. The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 15 Another person commented “has musical therapy regularly, my mum attends motivational therapy regularly evening entertainment in the conservatory, outings by minibus. day and evening” One younger service user described how they enjoyed the outings but said that they would like more. Staff spoken with had recognised this need and were looking at ways of addressing it. The service user guide states that relative’s active participation in the care of their loved ones is encouraged if this is their wish. Relatives spoken with confirmed that they were always made welcome. The annual quality assurance assessment states that the home caters for special diets. There was a choice of menu offered on the day of the visit, however the AQAA identifies that as a result of listening to people who use the service, more alternatives are being looked at. One mealtime was observed. Staff gave service users appropriate support, did not rush them and did not assume that because they sometimes needed assistance, that this was always the case. For example, staff helped one person with their main meal but gave them the opportunity to manage their own pudding. Staff communicated well with service users throughout and demonstrated a good understanding of peoples likes and dislikes. The White House (Curdridge) Ltd DS0000059982.V359503.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 There is an effective complaints procedure in place and staff understand how to protect service users from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a comprehensive complaints procedure, which details all the necessary information including names, addresses, telephone numbers and timescales. Details of the complaints procedure are included in the homes brochure, which is given to all service users. All service users relatives surveyed said that they know how to make a complaint and staff confirmed that they know what action to take if a service user or relative expressed concerns. The service has a complaints log, and this was seen. No complaints have been made in the last twelve months. The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 17 The annual quality assurance assessment confirms that the home has relevant procedures and information relating to abuse and adult protection. Staff spoken with confirmed that they have received training on abuse from an outside trainer. This was verified in staff records seen. The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good The living environment is appropriate for the needs of the residents and is homely, clean, safe, comfortable and well maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is made up of the older main building, which has 3 double and 11 single bedrooms, and three units each having eight single en-suite bedrooms. The home also has a day care facility, but this was not inspected. All units and the main building have their own staff, supervisor, medication trolley, office, at least two lounge/diners and bathing facilities. The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 19 All parts of the home are connected and service users have the freedom to move around the home. If a service user chooses to have a meal in another part of the home this is arranged. All parts of the home have access to the courtyard, which has two patios and access to part of the homes grounds. All this has been risk assessed to ensure it is safe for service users. The annual quality assurance audit states that the home has a maintenance contract and there was evidence on the day of the visit that the building subject to regular improvement. A further sun lounge is being built for example. Service users relatives surveyed were asked is the home fresh and clean, and five out of eight said “always”, and three out of eight said “usually”. One said, “the space and layout of the building adds to the calm atmosphere”. Communal areas and some bedrooms were looked at during the visit. Rooms had been personalised to reflect peoples’ interests and tastes. All areas of the home were clean and smelt fresh. The home has a large, functional kitchen, which was built when the three units were added to the home in 2005. On the day it was clean, well organised with plenty of space. The home has a separate laundry, where all the homes laundry is completed. It is equipped with both industrial and domestic washing machines and dryers. Communal hand washing facilities were observed to be in line with infection control procedures, with the supply of liquid soap for example. Staff confirmed that they are given and use, protective clothing such as gloves and aprons. The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good The home has mix of staff that has a range of skills and there are sufficient numbers of staff on duty to meet the needs of service users. The homes recruitment policy and practice supports and protects service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The annual quality assurance assessment states that ten staff have left within the past twelve months. The changes have been noted by relatives who commented “seems to have been a lot of changes of staff recently and don’t know who a lot are now.” “Just recently there seem to be fewer permanent staff around and more agency staff ” The manager discussed how she is recruiting new staff and is in the meantime employing agency staff who are familiar with the environment and with the service users. The evidence would suggest that the recent staffing changes have not had a significant effect upon the quality of care and support provided, as the service continues to meet all National Minimum Standards. The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 21 That said, the changes have obviously had some impact. For example, the service ensures that new staff are given a lot of support from experienced staff, and the time that they spend doing this obviously has an effect upon how efficient they can be in fulfilling their own role. Each unit and the main home have their own staff to ensure continuity of support for service users. Each unit has two care staff and the main building has three care staff from the hours of 8:00am until 10:00pm. The home also has activity co-ordinators and domestic staff. Two cooks share the responsibility of ensuring the home is covered from 8:00am until 5:00pm seven days a week. The manager and the proprietor are also available in the home and work extra to the duty rota. When relatives were asked “Are there staff available when you need them”, all answered either “always” or “usually”. Asked “do staff listen and act on what you say”, all said yes. Other comments included: “Always helpful and supportive” “As a regular visitor I find the staff helpful and always willing to listen” “On the whole have a very high regard for staff who are always cheerful considerate polite and kind and calm with all residents Especially appreciate longstanding staff who have built lovely relationship with “x” Out of 49 staff, 32 have achieved a National Vocational Qualification (NVQ) to level 2 or above and 1 working towards this. This exceeds the minimum ratio of 50 of staff trained to this level, as recommended by the National Minimum Standards. Staff who were surveyed felt that their induction training generally covered everything that they needed to know for their job. The manager said that she oversees staff induction and training for the first six months and then hands the responsibility for training over to the unit leaders. All staff records seen had a skills appraisal, which helped to identify if there were any training needs. Staff surveyed were asked “are you given training which is relevant to your role, help you understand and meet the need of service users and keep you up to date with new ways of working”, and all said yes. This was confirmed by staff spoken with at the time of the visit. One spoken with for example had recently completed training in managing challenging behaviour, which they said was very helpful. The service has in house moving and handling instructors to ensure that all staff are up to date in this area and all staff complete some training in dementia care as part of their induction. A visiting health professional said that staff have a good understanding of peoples’ needs. The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 22 Staff do not at present have specific training in the Mental Capacity Act although some have covered it in their NVQ4. It was discussed with the manager that training in this area would assist staff in their role. The annual quality assurance assessment confirms that all staff have had the necessary recruitment checks. This was found to be the case at both of the last inspections. Two staff records which were checked on this occasion also contained completed application forms, two satisfactory references, a completed CRB check, health declaration and a statement of terms and conditions of employment. Recruitment processes were found therefore to be complete on this occasion as well. The White House (Curdridge) Ltd DS0000059982.V359503.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 The home is well managed in the best interest of service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home, Mrs Emma Hampton has been registered for several years. She has completed her Registered Managers Award. Her mother, who owns the service, supports her. Staff were asked, “does your manager meet with you to give you support and discuss how you are working” and all The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 24 answered “regularly” or “often”. One relative commented, “I believe the home to be generally well run”. The service conducts its own quality assurance process by giving relatives an annual questionnaire for them to complete about the home. Completed questionnaires were seen for 2007 and these were generally positive. The results of surveys are published as part of the service user guide. The annual quality assurance assessment was found to provide a brief, but an accurate portrayal of how the service is operating. The annual quality assurance assessment shows that policies and procedures have all been reviewed and updated where necessary in November 2007 The home manages the personal allowance of several service users monies. Staff confirmed that records are maintained of money going in and out and that receipts are kept There are notices on display to promote the health and safety of service users. All hazardous products are locked away. There had been a food hygiene inspection in February 2007. There were no requirements issued as a result and staff confirmed that action had been taken to address the two recommendations made. Records showed that the temperature of the fridge and freezers are monitored on a daily basis. The annual quality assurance assessment confirms that all equipment in the home has been serviced or tested as recommended by the manufacturer or other regulatory body. Records of accidents were observed to have been completed appropriately. The White House (Curdridge) Ltd DS0000059982.V359503.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 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 White House (Curdridge) Ltd DS0000059982.V359503.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. Refer to Standard Good Practice Recommendations The White House (Curdridge) Ltd DS0000059982.V359503.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 White House (Curdridge) Ltd DS0000059982.V359503.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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