Care Home: Vale House

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What the care home does well The home offers a choice of lounges for residents to choose where they would like to sit and with whom. The home offers residents good food with plenty of variety and choice.Visitors are welcome at any time; there are no restrictions of when people can visit. Residents can meet with visitor in the lounge or dining area or in the privacy or their own rooms. The premises are clean and safe and offer residents a comfortable home to live in. What has improved since the last inspection? A statement of purpose and a service user guide is available to all prospective residents and residents living at the home. The board in the hallway provides residents and relatives with information about what is going on in the home and the improvements that are going to be made in the future. The hall way and staircase have been decorated; this gives a much brighter and airy look to the home. The dining room has been decorated with new dining furniture, a new carpet and new window blinds. Work has commenced on decorating and purchasing new furniture for the bedrooms. Several new fire doors had been fitted. Some new plug sockets had been fitted in bedrooms. A fence has been erected at the side of the home making this area safe for residents to access. The range of activities provided both in the home and with trips out has improved. A bath hoist has been fitted in the downstairs bathroom to allow residents to get safely in and out of the bath. The kitchen floor has been resealed, to prevent the harbouring of any germs. Staff hours have been addressed to allow the cook to serve the meal at a later time and staff are now available to cook the tea and serve the teatime meal. The company`s representative is now producing a written report of his monthly visits as required. What the care home could do better: The home must continue with the improvement plans to ensure the home is offering a good standard of accommodation for residents. CARE HOMES FOR OLDER PEOPLE Vale House Vale House Vale Avenue Horwich Bolton BL6 5RE Lead Inspector Judith Stanley Unannounced Inspection 09:00 22 November 2007 nd 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 Vale House DS0000068829.V354765.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. Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Vale House Address Vale House Vale Avenue Horwich Bolton BL6 5RE 01204 699292 01204 699292 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) Vale Residential Limited Mrs Angela Owen Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 15 service users to include: *up to 15 service users in the category of OP (Older People). 29th May 2007 Date of last inspection Brief Description of the Service: Vale House care home is registered to offer care and support for 15 older people. The home is a large detached property and is set in own grounds with mature gardens. Car parking is available within the grounds. The home is close to the Horwich and Blackrod town centres and other local amenities and public transport. The home offers five shared rooms and five single rooms; there are no rooms that offer en suite facilities. There are two communal lounges and a separate dining room. Bathrooms and toilets are available on both floors and in close proximity to resident’s accommodation and communal areas. There is a passenger lift to the first floor. The current scale of fees ranges from £319:00 to £370:00. Additional charges are made for hairdressing, newspapers and for private chiropody. Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included a site visit and was unannounced and was carried out over a 5-hour period on one day. This was a second key inspection carried out at Vale House to check that the requirements made at the key inspection of 29 May 2007 had been addressed. Part of the time was spent in the office looking at the information the home holds on residents (care plans) and other records the home needs to keep to ensure that the home is being properly run. The inspector spoke with staff and residents during the course of the day and also looked around the home. Prior to the inspection the home’s manager was asked to complete an Annual Quality Assurance Assessment form (AQAA). This informs the inspector of how the home meets the National Minimum Standards, what the home thinks they do well at, what has improved since the last inspection and in what areas they need still need to improve. To find more out about the home comment cards were sent to residents, staff, relatives and to other people who visit the home such as doctors and district nurses. Four members of staff returned comment cards, one said, “ As there are only 15 residents at Vale House the staff can spend more one-to-one time with the residents”. Another said, “In the community of Vale House each residents personal needs are known. The residents are all treated on their individual needs”. Three residents completed comment cards, one said,” The home is improving since the new owners took over last year, things are being done, the home looks brighter and the dining room has been decorated”. Other residents did not add any further comment but have indicated that they were happy with the services provided. Six relatives returned comment cards, one said, “ I think the residents are well looked after. The cooks are very good they get good meals, sometimes the staff need to be a little more observant with the residents but since Angela (manager) has been at the home things have improved”. To the question, what do you feel the home does well? A relative has responded, “ Everything, the food is super, the care is great, I can’t find fault with the care my mother receives”. What the service does well: The home offers a choice of lounges for residents to choose where they would like to sit and with whom. The home offers residents good food with plenty of variety and choice. Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 6 Visitors are welcome at any time; there are no restrictions of when people can visit. Residents can meet with visitor in the lounge or dining area or in the privacy or their own rooms. The premises are clean and safe and offer residents a comfortable home to live in. What has improved since the last inspection? A statement of purpose and a service user guide is available to all prospective residents and residents living at the home. The board in the hallway provides residents and relatives with information about what is going on in the home and the improvements that are going to be made in the future. The hall way and staircase have been decorated; this gives a much brighter and airy look to the home. The dining room has been decorated with new dining furniture, a new carpet and new window blinds. Work has commenced on decorating and purchasing new furniture for the bedrooms. Several new fire doors had been fitted. Some new plug sockets had been fitted in bedrooms. A fence has been erected at the side of the home making this area safe for residents to access. The range of activities provided both in the home and with trips out has improved. A bath hoist has been fitted in the downstairs bathroom to allow residents to get safely in and out of the bath. The kitchen floor has been resealed, to prevent the harbouring of any germs. Staff hours have been addressed to allow the cook to serve the meal at a later time and staff are now available to cook the tea and serve the teatime meal. The company’s representative is now producing a written report of his monthly visits as required. Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 7 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. Vale House DS0000068829.V354765.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 Vale House DS0000068829.V354765.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): 1,2, 3, and 4 were assessed. Standard 6 does not apply at Vale House as the home does not provide an intermediate care service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides residents and their supporters with up to date information that helps them in making a decision about moving in to the home and the services provided. A full pre admission assessment is carried out prior to admission to ensure the home can meet the needs of the individual. EVIDENCE: The home has a statement of purpose and a service users guide. This is available to prospective residents and to residents already living at the home. The information is clear and concise and informs people about the services and facilities available and about the staff and their role and qualifications. Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 10 All residents are provided with a written contract/statement of terms regardless of how his or her care is purchased. A full pre admission assessment is carried out prior to any resident being admitted in to home. The assessment ensures that the home and staff can fully meet the needs of the individual. In the two care plans inspected there was evidence of the pre admission assessments having being undertaken. The areas covered included: personal care required, physical well - being, sight, hearing, mental state, medication, foot care, mobility etc. The assessment is carried out at the most convenient place for the prospective resident, either at their own home or at the hospital. There are four residents living at the home with a diagnosis of dementia. The manager confirmed that currently there is only herself that has undertaken training in caring for people with a dementia related illness. Staff who have completed NVQ level 2 have briefly covered this subject, however not in depth. The manager has cascaded information down to her staff about caring for residents with dementia and has booked a training course for staff to attend to ensure that they are providing the right care to the residents. Vale House DS0000068829.V354765.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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans were clear and concise and provide staff with the information they need to meet the needs of the residents. Personal care and support is offered in such a way as to promote and protect resident’s privacy and dignity. EVIDENCE: Two care plans were chosen for inspection. The information contained in the care plans gave staff detailed information about the care each resident required. The care plans contained a pre admission assessment, personal details, a social profile for example past family and life experiences. The care plans covered physical well being, dietary needs and preferences, allergies, hearing, sight, communication, mobility, falls, oral care, foot care, continence, metal state and medication etc. Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 12 Other information in the care plans includes risk assessments, for example moving and handling, risk of falls and mobility, nutrition and a pressure and skin assessment. Residents are weighed, where possible, every two weeks and weights were recorded. There was evidence to demonstrate in the care plan that outside agencies such as doctors, district nurses and the chiropodist are contacted and visit the home as required. Observation throughout the inspection showed that the personal care needs of the residents were being met. Attention to all residents was given to personal grooming; residents were seen to be clean and clothes were nicely washed and ironed and were coordinated. Ladies had had their hair done and the gentlemen were clean-shaven. The care plans had been reviewed and updated as required. Staff were heard speaking with residents in a friendly and respectful manner and were seen knocking on doors before entering a room or toilet. It was evident that good relationships between staff and residents had been formed. The senior carer gave out the morning medication; this was done swiftly and efficiently. Most residents were given their medication, as they were finishing breakfast. Water was offered with their tablets to help them swallow them. As soon as the medication was given it was recorded on the individuals MAR sheet (drug sheet). Vale House DS0000068829.V354765.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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are offered a wide range and varied range of activities to meet their capabilities and expectations. Residents are provided with well-cooked food, which they like, with good portions at times that suit them. EVIDENCE: Since the last inspection the range of activities offered both in and out of the home had improved. Activities offered include general exercises, quizzes, dominoes, bingo, crosswords, ball games etc. Some residents have enjoyed trips out to Rivington Barn, Barton Grange garden centre and the Middlebrook retail park. Activities are recorded of who did what and whether they enjoyed the activity or not. The manager discussed that trips further a field were not really an option at this moment in time as several residents would find it too much for them and that they appeared to enjoy trips out that were more local. Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 14 On the day of the inspection, staff were seen sitting in lounge with the residents reading and discussing the morning papers and laughing about their horoscopes. Visitors are welcome at any time; there are no restrictions as to when people can visit. Residents can meet with their relatives in the communal rooms or in the privacy of their own rooms. Although there were no visitors available to speak with the inspector, the returned comment cards expressed their satisfaction of the standard of the home and the care provided. The manager encourages residents to maintain links with the local community for example one resident goes to mass every week. The minister from the local church visits the home and offers communion to those residents who wish to partake. The manager said she would look in to registering residents with the ring and ride service, as the use of taxis that will take a person that uses a wheelchair is very expensive. This will enable residents more freedom out of the home if they wish. The dining room had been decorated with a new carpet and window blinds. The old furniture had been replaced with new and the chairs are fitted with slides to help residents and staff to move easily up to and away from the table. All the tables were nicely set with place mats, napkins, appropriate cutlery and crockery and condiments, flowers were placed on each table and an attractive laminated menu was on every table so that residents could pick what they wanted to eat. Residents and staff spoken with were impressed with the new décor and furniture. A flexible breakfast is served between 08:00 am and 10.00 am to allow those residents who wish to have a lie in the opportunity to do so. Breakfast consisted of a range of cereals, grapefruit, porridge, or a cooked breakfast, toast and preserves and a choice of tea or coffee was available. Lunch is the main meal of the day, since the last inspection this is now being served a little later. On the day of the inspection residents were offered bacon hotpot with swede and carrot mash, cabbage and red cabbage, followed by pears or peaches and cream. The meal was nicely cooked and presented and generous portions were served. An alternative to the main meal is always available. A lighter afternoon tea is served at about 17:00. The cook before going home will prepare as much of the tea as possible. A carer prior to offering any personal care will then come on duty about 16:00 to cook and serve the teatime meal. Suppers are available before residents retire for the night. Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 15 Drinks and snacks were served during the day. Any special diet or preference can be catered for. The cook was seen to be very organised with a clean and tidy kitchen to work in. Feedback from surveys described the cook as ‘marvellous’ and another said, “ The food is wonderful”. Vale House DS0000068829.V354765.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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives can be assured that residents will be protected from abuse and have their rights, including the right to complain, protected by staff training and procedures. EVIDENCE: The home has a satisfactory complaints procedure in place; this is displayed in the hallway. The manager has a complaints book for documenting any complaints or concerns that may arise. There had been no complaints made to the manager of the home since the last inspection and no complaints have been made to the CSCI, There have been no safeguarding issues reported since the last inspection. All staff had received training in the protection of vulnerable adults and some staff had also covered this topic of NVQ level 2. The home has a copy of the local councils’ adult safeguarding procedure; this is available for staff to refer to if needed. Vale House DS0000068829.V354765.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): 19,24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment had improved making the home clean and comfortable for residents to live in. EVIDENCE: From a tour of the premises it was apparent that the owner had started to invest money into the home to improve the environment. The hallway and stairs had been decorated this giving the home a brighter and more airy feel about it. There has been great improvement in the dining area with the new décor, furnishing and fittings. Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 18 The inspector was shown a bedroom that had been refurbished and the manager confirmed that eventually all bedrooms would be to the same standard. The before and after plans displayed in the hallway give residents and relatives a good overview of what is happening within the home. In accordance with the Greater Manchester Fire Officers report the owner has had several new fire doors fitted with the correct door seals, these are waiting to be painted. A new hoist had been fitted to the bath on the ground floor; therefore residents can now use the bath safely without having to climb in and out. The lounges are clean and comfortable, however these remain the same as at the last inspection and will be decorated and refurbished as part of the ongoing maintenance programme. The inspector looked in several bedrooms, these were found to be comfortable, clean and tidy and most residents had personalised their rooms with some of their own possessions brought with them from home. The home has provided a small smoking room for one resident who smokes. The externally areas of the home were well maintained and part of the garden area has been fenced off to make this a secure area for residents to sit outside. Hygiene procedures were seen to be good. Staff were observed wearing different protective clothing for different tasks. At the last inspection the staff were seen assisting in the kitchen after they had provided personal care. This practice has now ceased and a member of staff cooks and serves the teatime meal before going on to the floor to provide any care. The home was clean and no offensive odours were detected. The laundry is sited away from food preparation and food storage areas and does not intrude on the residents. Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be sure that their needs will be met by good staffing levels and with a competent, well trained staff team. EVIDENCE: The staff rotas showed that there were sufficient staff on duty each day and through the night. The ratio of staff to residents takes into account the needs of the residents. There are two waking staff on duty each night. Since the last inspection the staff rota has been changed to alter the shifts, this now enables the cook to serve the meal a little later and to tidy the kitchen before she goes and for a member of staff to come in to cook the teatime meal. Staff spoken with confirmed this had been a positive step. Domestic staff are employed in sufficient numbers to cater for the needs of the residents and to support care staff. From entering the home there was a pleasant atmosphere and staff morale appeared good. Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 20 Staff training is progressing well with seven of the twelve permanent staff having achieved NVQ level 2 or above and the remaining five staff working towards the NVQ level 2. The staff training matrix and certificates showed that all staff have completed mandatory training as required, for example moving and handling, fire safety, protection of vulnerable adults, some staff have medication awareness training, infection control and first aid. The manager confirmed that there is a first aider of each shift. A full copy of each members of staff’s employment file is kept in the home in a secure location. The file of the last most recently recruited employee was looked at and was complete and up to date. A second file of a longer standing member of staff was also examined and found to be up to date. Files contained copies of CRB disclosure numbers, application form, references, job descriptions etc. Staff undertake a full induction programme on commencement of work. There was evidence to show this in one of the staff files inspected. Staff were happy with the training they received and confirmed it was relevant to their job. Vale House DS0000068829.V354765.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, 36 and 38 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being well run by a well-qualified, suitably experienced and competent manager. EVIDENCE: The home’s manager has a significant number of years experience in working with elderly people and has the Registered Managers Award and has almost completed NVQ Level 4. Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 22 The manager is committed to her own training as that of her staff and has recently completed a training for trainers course in moving and handling, this will allow her to train her own staff. The way the home is managed is open and transparent and residents, staff and relatives can approach the manager at any time. The office was well organised so that staff have access to the paperwork and contact information they need during a shift. Systems were in place for the self - monitoring of the home, a company representative visits the home monthly as required and his reports were available on site, copies are also faxed monthly to the CSCI. The home holds staff meetings and residents meetings, minutes were available. The manager has sent out satisfaction surveys of which a few had been returned. The manager will collate the results of the survey and make them available to all interested parties. Some of the residents at Vale House had handed over the responsibility for their financial affairs to their families but keep a small amount of money with the manager for safekeeping. Of the two care plans inspected, one resident dealt with his own money and the family deals with the other resident’s finances. There was evidence to show that other resident’s monies are held separately and balance sheets and receipts for any transactions are kept. The manager described the process of staff supervision, which ensures accountability and support for staff at all levels. The manager has good support from the company’s business manager. Records kept and required by regulation were seen to be in good order and up to date, all records are kept securely as required. Equipment and systems used in the home are serviced and maintained, and the records are well kept and easily accessible. The following checks have taken place and certificates were available to verity that: Gas serviced- 27/09/07 Electrics serviced – 25/01/07 Lift and hoist- 22/05/07 Fire alarms and fire equipment – 08/07 Water testing was due again in 11/07 The home last fire drill was carried out on 15/10/07. All accidents, incidents and illness that occur are documented and the CSCI informed as necessary. Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 23 Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 2 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 3 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 3 x 3 Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP19 Good Practice Recommendations You should continue with the programme of maintenance and improvement throughout the home. Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 26 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 Vale House DS0000068829.V354765.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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