Care Home: Valley View Residential Home

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What the care home does well The home provides a good range of information to people thinking of coming to the home, so they can make an informed decision. The home makes a full assessment of a person`s needs before deciding if it can meet all those needs. The home draws up detailed plans to meet the care needs of its service users. Service user`s health care needs are also fully assessed and properly met. The home stores medicines safely, and administers them correctly. Medication audits have been introduced. Service users say that staff treat them well, treat them with respect and maintain their dignity. The home is working hard to provide a stimulating atmosphere in the home, with appropriate social activities available. The home now employs an activities co-ordinator. Service users are encouraged to keep in regular contact with family and friends, who say they are always made welcome in the home. One relative said, "Since the new manager started working here, the home has improved vastly. It is now a super home and my Mother receives fantastic care". Another relative said, "The standards here are very good, we don`t have any concerns at all". Service users are also encouraged to take as much control over their own lives as they are able, and make their own decisions. Service users were very complimentary about the food, and there is a balanced diet, with a good choice available. Special diets are prepared as needed. Complaints and concerns are taken seriously and are responded to properly. The home is kept clean, hygienic and free from odours. Additional domestic and laundry staff have been employed since the last inspection visit. The home has enough staff to meet the needs of the service users, and staff numbers are being increased as the home fills up. The home is very careful as to how it recruits new staff, and runs all the necessary checks on them to protect its service users. The manager is experienced and is providing very positive leadership to the home. Service users` finances are protected by the home`s policies and accounting systems. The health and safety of the service users and of the staff are protected by the home`s policies and systems. One service user said, "The staff are very cheerful and are always there whenever I need them, nothing is too much for them." Another said, "I like it here very much, the food is excellent and I have a lovely bedroom". Others were also complimentary about the service, staff and the food. Two said that they had been given information about how to make a complaint. All service users were very well groomed. What has improved since the last inspection? The manager has been in post since last November. She is supported by the proprietors in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities, and service users best interests being promoted. Since the last inspection visit, she has worked hard to address all of the requirements identified, and those identified by the Local Authority. The service users care records clearly identify each individuals holistic needs and the support they require from staff to achieve these. The care records also demonstrate how staff will maintain each service users privacy and dignity. All staff have completed statutory training, and safeguarding adults training. Dementia awareness training has also commenced. 98% of the staff have completed NVQ level 2/3. Service users and their relatives now have access to refreshment areas located in the dining rooms, where they can help themselves to hot and cold drinks. There are new lounge chairs, and the dining rooms have been decorated. A macerator has been installed in the laundry, and there is also a new washing machine. The home has employed additional domestic staff and a designated laundry assistant. The kitchen staff serve the meals, and care staff eat their meals with the service users. This also frees up their time to assist those that need help to eat in a dignified and discreet way. The home has a walk on weighing machine, and service users weights are recorded. There was evidence that staff act appropriately on any sign of weight loss. Nutritional assessments are now routinely completed. CARE HOMES FOR OLDER PEOPLE Valley View Residential Home Burn Road Winlaton Blaydon Tyne & Wear NE21 6DY Lead Inspector Jim Lamb Key Unannounced Inspection 30 June 2008 10:00 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 Valley View Residential Home DS0000007382.V367479.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. Valley View Residential Home DS0000007382.V367479.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Valley View Residential Home Address Burn Road Winlaton Blaydon Tyne & Wear NE21 6DY 0191 414 0752 F/P 0191 414 0752 pttrsln@aol.com 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) Valley View Residential Homes Limited Elizabeth Clark Care Home 41 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (41), of places Physical disability over 65 years of age (4), Sensory impairment (2) Valley View Residential Home DS0000007382.V367479.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th July 2007 Brief Description of the Service: Valley View provides personal care for up to forty-one older persons, with care staff available at all times over the twenty-four hour period. Nursing care is not provided at the home. It is a two-storey building, the first floor being accessed by stairs and a passenger lift. Apart from one bedroom, all have en-suite facilities; all are nicely decorated and well furnished. Car parking is available to the front of the home. A large landscaped garden area is available with seating areas for service users. Valley View is situated in a semi-rural area on the outskirts of Winlaton Village, close to the shops, bus route and local amenities. Fees for the home range from £395 to £445 per week. Information about the service is available in the home. Valley View Residential Home DS0000007382.V367479.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 home is 2 stars. This means that the people who use the service experience good quality outcomes. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 30/06/08 During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager/provider what we found. Valley View Residential Home DS0000007382.V367479.R01.S.doc Version 5.2 Page 6 What the service does well: The home provides a good range of information to people thinking of coming to the home, so they can make an informed decision. The home makes a full assessment of a person’s needs before deciding if it can meet all those needs. The home draws up detailed plans to meet the care needs of its service users. Service user’s health care needs are also fully assessed and properly met. The home stores medicines safely, and administers them correctly. Medication audits have been introduced. Service users say that staff treat them well, treat them with respect and maintain their dignity. The home is working hard to provide a stimulating atmosphere in the home, with appropriate social activities available. The home now employs an activities co-ordinator. Service users are encouraged to keep in regular contact with family and friends, who say they are always made welcome in the home. One relative said, “Since the new manager started working here, the home has improved vastly. It is now a super home and my Mother receives fantastic care”. Another relative said, “The standards here are very good, we don’t have any concerns at all”. Service users are also encouraged to take as much control over their own lives as they are able, and make their own decisions. Service users were very complimentary about the food, and there is a balanced diet, with a good choice available. Special diets are prepared as needed. Complaints and concerns are taken seriously and are responded to properly. The home is kept clean, hygienic and free from odours. Additional domestic and laundry staff have been employed since the last inspection visit. The home has enough staff to meet the needs of the service users, and staff numbers are being increased as the home fills up. The home is very careful as to how it recruits new staff, and runs all the necessary checks on them to protect its service users. Valley View Residential Home DS0000007382.V367479.R01.S.doc Version 5.2 Page 7 The manager is experienced and is providing very positive leadership to the home. Service users’ finances are protected by the home’s policies and accounting systems. The health and safety of the service users and of the staff are protected by the home’s policies and systems. One service user said, “The staff are very cheerful and are always there whenever I need them, nothing is too much for them.” Another said, “I like it here very much, the food is excellent and I have a lovely bedroom”. Others were also complimentary about the service, staff and the food. Two said that they had been given information about how to make a complaint. All service users were very well groomed. What has improved since the last inspection? The manager has been in post since last November. She is supported by the proprietors in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities, and service users best interests being promoted. Since the last inspection visit, she has worked hard to address all of the requirements identified, and those identified by the Local Authority. The service users care records clearly identify each individuals holistic needs and the support they require from staff to achieve these. The care records also demonstrate how staff will maintain each service users privacy and dignity. All staff have completed statutory training, and safeguarding adults training. Dementia awareness training has also commenced. 98 of the staff have completed NVQ level 2/3. Service users and their relatives now have access to refreshment areas located in the dining rooms, where they can help themselves to hot and cold drinks. There are new lounge chairs, and the dining rooms have been decorated. A macerator has been installed in the laundry, and there is also a new washing machine. The home has employed additional domestic staff and a designated laundry assistant. Valley View Residential Home DS0000007382.V367479.R01.S.doc Version 5.2 Page 8 The kitchen staff serve the meals, and care staff eat their meals with the service users. This also frees up their time to assist those that need help to eat in a dignified and discreet way. The home has a walk on weighing machine, and service users weights are recorded. There was evidence that staff act appropriately on any sign of weight loss. Nutritional assessments are now routinely completed. 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. Valley View Residential Home DS0000007382.V367479.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 Valley View Residential Home DS0000007382.V367479.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 2 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are properly assessed and are provided with enough information about the service to enable them to make a choice about where they want to live. EVIDENCE: The care records for three service users were examined. These showed that the manager makes sure that a full assessment of a new service users needs is carried out by the person’s social worker before they come into the home. The manager also carries out her own assessment, to be doubly sure that the home can meet all of the new person’s needs. Valley View Residential Home DS0000007382.V367479.R01.S.doc Version 5.2 Page 11 More detailed assessments are carried out once the new service user has come into the home. These include assessments of risk; of nutritional needs; of social needs; of moving and handling needs and of behavioural needs. A dependency rating scale is also completed. Skin care assessments are also carried for those at risk of developing pressure sores. As a result of all these levels of assessment, the manager can clearly demonstrate that all the service users are in a home that can give them the care that they need. The home’s service users guide is available in large print, and information is also available on compact disc. All are provided with a contract explaining the homes terms and conditions, and fees. The manager should ensure that all prospective service users and their representatives have access to the homes most recent inspection report. This will help individuals to make an informed choice about where they want to live. Valley View Residential Home DS0000007382.V367479.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. Meeting the health and personal care needs of the service users in the way that they prefer is taken seriously, and there is good multi disciplinary working taking place. EVIDENCE: There are comprehensive assessments in the service users’ care plans. There is also a comprehensive risk assessment of service users. There are advocacy arrangements, as well as family input to represent service users. Care plans are drawn up with service users and their relatives. Plans are amended and reviewed on a regular basis. Valley View Residential Home DS0000007382.V367479.R01.S.doc Version 5.2 Page 13 There are systems in place that will ensure that the placement and the service users plans are reviewed annually. These involve the care managers and the service users representatives. The service users care records demonstrate how staff maintain each persons privacy and dignity. The service users confirmed that their privacy and dignity are respected at all times. Service users care records showed that they have access to external health care services. G.Ps visit when necessary. Service users are referred for specialist health care if appropriate. All service users receive regular health care checks. Only staff that have completed relevant training administer medication. A sample of medication records was examined. These include photographs for identification purposes. Clear directions were recorded and each dose of medication was signed for, or a code entered to verify the reason not given. The Controlled Drugs register was appropriately recorded. Privacy and dignity issues are built into the home’s policies and procedures and staff training. All personal care and medical examination/treatment is carried out in private. People are as well as they can be because their health and personal care needs are met in a way that is sensitive to their race, age, gender, sexual orientation, disability, religion or belief. Service users’ said that they are able to make decisions for themselves, and that they are happy with all aspects of the care that they receive. Valley View Residential Home DS0000007382.V367479.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 good. This judgement has been made using available evidence including a visit to this service. The service users are offered a good quality lifestyle, which includes social contact, activities and choice. EVIDENCE: Each service user has a social assessment carried out. This is reviewed and updated on a regular basis. ‘This is your life plans’ are also completed. All service users or their representatives participate in this process. Service users are supported and encouraged to be in control of their own lives, to enjoy their own interests and hobbies. There are daily activities available, and entertainers frequently visit the home. Outings are also arranged to local places of interest. A community mini bus is used for outings. Valley View Residential Home DS0000007382.V367479.R01.S.doc Version 5.2 Page 15 All service users are supported to maintain very close links with their families. They can choose who they want to see, and when, and in private. People feel their rights as citizens are recognised and promoted, including fairness, equality, dignity, respect and autonomy over their chosen way of life. The home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided each day. The menus examined are varied and well balanced. Special diets are provided as and when needed. The cook had good knowledge of the service users preferences and special needs. A soft diet she was preparing for one service user looked attractive and well presented. The lunchtime meal was well presented, and appropriately served by the catering staff. Care staff now have their meals with service users, and staff assisted those service users that needed help to eat in a dignified and discrete way. All those spoken to said that the meals were very good and that they were always offered a choice. Refreshment areas are now available in the dining rooms. This enables service users and their relatives to access hot and cold beverages at anytime. Valley View Residential Home DS0000007382.V367479.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 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good, clear, user-friendly complaint and protection system. Service users are safe and their views are listened to and acted upon. EVIDENCE: There is a complaints procedure. It contains details of how to contact the CSCI to make a complaint, if complainants are not happy with the homes investigation and response. The procedure is written in a way that ensures service users fully understand its contents. Two service users said that they had been given copies of the procedure and that staff listened to their concerns/complaints and always dealt with them fairly. The home keeps a record of complaints. Since the last inspection visit there has been no complaints received from service users or their relatives. However, Gateshead Local Authority investigated concerns they had received about the quality of care provided. This resulted in an admission ban being imposed for several months. The new manager and the proprietors have Valley View Residential Home DS0000007382.V367479.R01.S.doc Version 5.2 Page 17 carried out all the improvements asked of them, and the ban was lifted earlier this year. The home has a Whistle Blowing policy, the Local Authorities Vulnerable Adults procedures, and a copy of the Department of Health’s document, “NO SECRETS”. Staff are aware of these procedures and have easy access to them. Safeguarding adults training is now ongoing for all staff. People are treated fairly and their concerns are responded to in a way that respects their race, age, gender, disability, religion or belief. Service users can deposit cash for safe keeping in the home’s safe and records are kept of accounts. A sample of personal finances records was examined. Transactions were appropriately recorded and had two signatures for each entry. There was plenty of evidence of personal spending. Receipts are obtained for purchases and numbered to cross-reference to the transaction. Regular checks of balances and cash are carried out. Valley View Residential Home DS0000007382.V367479.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 20 21 22 23 24 25 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, clean, safe and pleasant environment for those living there. EVIDENCE: The home was clean, well decorated and well maintained. The grounds were tidy, safe, attractive and accessible. To the rear of the building there is a highly attractive landscaped garden, and there is a covered in seating area for service users. There are also plans to create a sensory garden area. Valley View Residential Home DS0000007382.V367479.R01.S.doc Version 5.2 Page 19 The fire service and the environmental health department had made visits to the home. Requirements made by these organisations had been met. The home has an appropriate amount of sitting, recreational and dining space. There are enough rooms for a variety of activities to take place. Service users can see visitors in private in their own rooms. Furnishings and fittings were domestic in design and in very good condition. All doors have privacy locks and room sizes meet the minimum required. There is space on either side of beds when necessary, to enable access for carers and specialist equipment. Service users’ bedrooms have opening windows and restrictors are in place where needed. The rooms were centrally heated and the heating level could be controlled within each bedroom. Radiators and pipes were guarded. All exit doors are alarmed. There was emergency lighting throughout the home. Water is stored at over 60°C. Valves at water outlets ensure water is provided close to 43°C to prevent scalding. The home was clean and free from any offensive odours. The kitchen was well-organised and clean, and stock levels were good. An open window in the kitchen did not have a fly screen, the proprietor said that he would make arrangements to have one fitted. The laundry facilities are well organised, particularly now that the home has a designated laundry assistant. The laundry has also had a macerator installed. This is a machine that disposes of clinical and soiled waste. An additional washing machine has also been purchased. The washing machines have the specified programme to meet disinfection standards. The environment is fully able to meet and promote people’s diverse needs. Valley View Residential Home DS0000007382.V367479.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 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good match of well-qualified staff, who are appropriately recruited and supervised and who offer consistency of care within the home. EVIDENCE: Staffing levels on the day of the inspection met the agreed level. The required numbers of staff were on duty: 7 staff between 8am and 9pm with 5 staff between 9pm and 8am. The manager is supernumerary to the staffing rota. The home is registered with two care staff agencies, who will provide temporary staff if needed. All staff were over 18 years of age and those left in charge were at least 21. Additional domestic and laundry staff have been employed since the last inspection visit. The manager will ensure that staffing levels will continue to increase as the home fills up. Currently there are 11 vacancies. Valley View Residential Home DS0000007382.V367479.R01.S.doc Version 5.2 Page 21 The training needs of the staff are identified in supervision and appraisal sessions. The manager was reminded that staff must receive a minimum of six supervision sessions each year. The staff-training matrix was up to date. The homes training programme meets the National Training Organisation requirements for the first six months. Equality and diversity training has been organised for the staff. Staff receive at least three days paid training each year. The service has a rigorous staff recruitment and selection process to ensure that all appropriate checks and references are in place prior to employment. The service has a good staff training and development programme in place. All statutory training was up to date and 98 of the staff team has completed NVQ level 2/3. People are well supported by a staff team that recognises and responds appropriately to their diverse needs and human rights. Valley View Residential Home DS0000007382.V367479.R01.S.doc Version 5.2 Page 22 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 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is supported by the organisation in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities, and service users best interests being promoted. EVIDENCE: The manager has the appropriate qualifications, experience and skills necessary to manage the service. She is a qualified RGN with over 30years experience, and she is working towards completing the registered managers award. Valley View Residential Home DS0000007382.V367479.R01.S.doc Version 5.2 Page 23 People enjoy as good a quality of life as possible because the home is managed in a way that takes into account and promotes their human rights and equality and diversity needs. Staff interviewed were clear about their responsibilities, and they had good knowledge about the needs of the service users. The staff spoke positively about the manager saying that she had improved standards, and that she was always fair and approachable. Service users are told when inspections take place, and there are regular service users and relatives meetings. The service must make sure there are copies of reports available for relatives and others to see. A quality system is in place to monitor the quality of the service provided. This involves gaining feedback from service users, relatives and professionals involved with the home. The outcomes will be published and made available to all prospective service users. The home also has an annual development plan. There is a health and safety policy and a range of associated procedures. Staff receive training in health and safety and safe working practices (fire safety, moving and handling, first aid, food hygiene, and infection control). Servicing and maintenance agreements are in place for facilities and equipment. All fire safety checks; tests and instructions to staff are conducted at the required frequency and recorded. Requirements previously made by the Fire Service have been addressed. Water storage tanks, gas and electrics are checked annually. Valley View Residential Home DS0000007382.V367479.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 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 3 3 3 3 3 3 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 Valley View Residential Home DS0000007382.V367479.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. 2. 3. Refer to Standard OP30 OP1 OP25 Good Practice Recommendations The staff must receive a minimum of six supervision sessions annually. Inspection reports must be displayed in the home and made available for prospective service user/relatives to read. The kitchen window must be fitted with a fly screen Valley View Residential Home DS0000007382.V367479.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Valley View Residential Home DS0000007382.V367479.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. 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