Care Home: Warren Heath Residential Home

Similar services:

• Claremont House
• Oak Ridge
• Sun Court Nursing Home
• Ashville House
• Bilney Hall
• Hill Barn
• Mabbs Hall Nursing Home
• Henrietta House

What the care home does well Warren Heath provides a safe, comfortable and homely environment. Visitors are made welcome and people tell us they like living there. Staff are competent, friendly and helpful, the food is good and the home is clean. Comments we received included; "They look after us very well". "We enjoy the meals. They are hot and appetising". "The home is always clean and spotless". "The staff are friendly and nothing seems too much trouble". "I am very happy here. Everybody is so cheerful I have no worries what so ever".Warren Heath Residential HomeDS0000073118.V377090.R01.S.docVersion 5.2 What has improved since the last inspection? At the time of the last inspection Warren Heath was managed by the previous owners. There were no requirements or recommendations made following that inspection and we found that people living at the home benefited from a good service. At this inspection we found that under the new ownership the home continued to provide good outcomes for people. In particular it was good to see that residents were benefiting socially from links that had been made with another home. We also found that the policies and procedures for the safe handling of medication had been developed to cover medication errors, covert administration, intrusive medication and homely remedies. This means that residents are better safeguarded. What the care home could do better: There were no significant areas identified for improvement and no requirements or recommendations have been made following this inspection. However, the homes future AQAA`s could be completed to a higher standard to fully evidence what they do well, how they can evidence it and where they intend to improve. Key inspection report CARE HOMES FOR OLDER PEOPLE Warren Heath Residential Home 593-595 Felixstowe Road Ipswich Suffolk IP3 8SZ Lead Inspector Tina Burns Key Unannounced Inspection 11th August 2009 09:00 DS0000073118.V377090.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Warren Heath Residential Home Address 593-595 Felixstowe Road Ipswich Suffolk IP3 8SZ 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) 01473 711624 01473 711624 Mrs Jane Olusimidele Adepetu Mr Charles Ayotunde Adepetu Mrs Jane Olusimidele Adepetu Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th September 2008 Brief Description of the Service: Warren Heath is a private residential care home that has been registered to provide care for older people since 1989. It has been owned and managed by the current owners, Mr and Mrs Adepetu, since January 2009. The home is registered for a maximum of twelve older people and accommodation is provided in ten single bedrooms and one double bedroom. Although none of the bedrooms benefit from en-suite facilities there are hand basins in each room, three communal bathrooms and five toilets. The first floor is accessed by either stairs or a stair lift and there is disabled access to the front and rear of the home. The home is located on the Felixstowe road on a main bus route providing easy access to Ipswich and Felixstowe town centres. It benefits from many local amenities including a large superstore, restaurants, a garden centre, post office and newsagents, GP surgery and church. There is visitor’s car parking to the front of the home and a large attractive and enclosed garden at the rear. Warren Heath Residential Home DS0000073118.V377090.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 two star. This means the people who use this service experience good quality outcomes. This was an unannounced key inspection, which focused on the core standards relating to older people. The report has been written using accumulated evidence gathered prior to and during the inspection. The inspection process included a tour of the premises and examination of a wide range of documents and records including three residents care plans and two staff files. We also observed activity at the home and spoke with several residents, visitors and care workers throughout the course of the day. Information has also been gathered from the homes Annual Quality Assurance Assessment (AQQA) submitted to the commission in June 2009, and survey forms completed by ten residents, five staff and three health care professionals. The providers, Mr Charles Adepetu and Mrs Jane Adepetu, were on duty at the time of our visit and fully contributed to the inspection. What the service does well: Warren Heath provides a safe, comfortable and homely environment. Visitors are made welcome and people tell us they like living there. Staff are competent, friendly and helpful, the food is good and the home is clean. Comments we received included; “They look after us very well”. “We enjoy the meals. They are hot and appetising”. “The home is always clean and spotless”. “The staff are friendly and nothing seems too much trouble”. “I am very happy here. Everybody is so cheerful I have no worries what so ever”. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can expect to be given the information they need to make an informed choice about living in the home. EVIDENCE: The homes AQAA tells us there is a pre admission process that includes a visit by the homes manager who undertakes an assessment of the individuals needs. People are also encouraged to visit the home prior to admission to have a look around, meet staff and residents, and discuss their personal requirements. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 9 Ten out of ten people that completed service user surveys confirmed that they were provided with enough information about the home before they moved in. A copy of the home’s brochure and Statement of purpose was available for inspection and contained all the information required, including a copy of the last inspection report, resident’s comments about the home and the procedure for making complaints. There had been one new resident since our last inspection and the records we examined confirmed that they had a month’s trial stay followed by a review to agree whether or not the home was appropriate. The files we looked at also included signed contracts that specified the terms and conditions of occupancy. Records examined evidenced that there is a thorough assessment process in place to ensure that people’s needs are clearly identified and can be met. The assessments we looked at were detailed and covered a wide range of needs, for example; diet and nutrition, communication, mobility, personal care, continence, cognition, social interests and family support. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can expect to be treated with respect and have their individual needs met. EVIDENCE: The AQAA tells us that everyone has care plans in place and care staff have good knowledge of people’s individual needs, preferences and requirements. The actions recorded in the care plans are set in consultation with the residents and their families and reviewed on a monthly basis. The records we looked at and the people we spoke with confirmed that the information provided in the AQAA reflected the practice that took place. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 11 The areas covered in the care plans we looked at included; Maintaining a safe environment, Mobility, Body Temperature, Continence, Breathing, Nutrition, Communication, Sight, Hearing, Personal and Oral Hygiene, Pain, Sleeping, Social Interests, Family Support, Spiritual needs and end of life arrangements, Dietary Needs, Mental Awareness, Foot care and Skin Care. The care plans we saw were individual and reflected people’s likes and preferences. People we spoke with confirmed that they were satisfied with the care and support they received at the home. Comments included; “They look after us very well”, “They’re very good and very caring”, “I’m very well looked after” and “I think they’re A1, very good”. Out of the ten surveys returned to us by people that use the service nine said that they always receive the care and support they need and one said usually. Nine said that they always receive the medical support they need and one said usually. Two out of three people that completed surveys for health and social care professionals said that people’s social and health care needs are always properly monitored, reviewed and met by the service and one said usually. Records of contact with resident’s GP’s or other health professionals were maintained together with the outcome of appointments. There was also good evidence that the home kept relatives appropriately informed about residents health care matters. Comments we received from health professionals when we asked what the service does well included; “Treat patients sympathetically and with dignity” and “Patients seem happy and always look well cared for”. Since our last inspection the homes policies and procedures for the safe handling of medicines had been developed to include medication errors, covert administration, intrusive medication and homely remedies. The home used a monitored dosage system (MDS), so blister packs were filled by a local pharmacy and delivered to the home on a monthly basis. Medication Administration Records (MAR sheets) examined were appropriately completed, signed and dated. Observations were that staff interacted positively with residents and were polite and respectful at all times. Residents spoke highly of care staff and confirmed that their privacy and dignity was respected. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 12 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can expect to maintain contact with their friends and family and enjoy a range of recreational activities. They can also expect to be offered an appealing and balanced diet. EVIDENCE: People we spoke with, surveys we received and observations made during our visit confirmed that resident’s friends and families are made welcome and people were seen coming and going throughout the duration of the inspection. Visitors we spoke with spoke highly of the home and told us that they visited their relatives regularly. As well as promoting family involvement the home also provided information on advocacy services and leaflets for these were displayed in the entrance to the home. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 13 The AQAA tells us that the home organises a range of activities and a programme is displayed on the notice board in the home. Planned activities had included; morning walks, music and movement, bingo, news, board games, reminiscence, mobile library, pass the parcel, cards and live entertainers. Staff from a range of ethnic backgrounds had also put on fashion parades wearing their traditional dress and this had been enjoyed by everyone and opened up interesting discussion about different cultures and backgrounds. It was also good to hear that the home had formed links with another home and started a scrabble tournament, with residents playing at home and away. This had proved enormously successful and was spoken of with great enthusiasm. The owners told us it had been so successful that they were intending to approach other homes to start an inter-home scrabble league. The home had a three week rolling menu in place. The range of meals looked varied and people were asked to choose their main meal from a range of options the previous day. Produce was purchased locally on a daily basis. On the day of the inspection the senior carer on duty was also responsible for preparing and cooking lunch; they had undertaken appropriate training and understood the principles of good food hygiene practices. We were advised that one person on each shift was responsible for preparing meals and this seemed to work well. People we spoke with said that meals were good and the lunch time meal we saw, which was beef stew and dumplings, peas and broccoli, looked appetising and nutritious. Out of the ten residents surveys returned eight people told us that they always liked the meals and two said usually. Comments we received included; “We enjoy the meals. They are hot and appetising”; “The food is very good” and “Good food”. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 14 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can expect to have complaints taken seriously and be protected from abuse. EVIDENCE: The homes complaints procedure was on display in the entrance to the home and included in the Statement of Purpose and Service User Guide. It was clearly detailed and included relevant contact details and information about the different stages of the complaints process. People that completed surveys told us that they knew how to make a complaint. They also told us that they knew who to speak to if they were not happy. The AQAA tells us that the manager welcomes complaints and suggestions and a suggestion box is positioned in the entrance to the home. People we spoke with during our visit confirmed that residents and their relatives are able to raise concerns and express their views via formal and informal processes, such Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 15 as reviews, surveys and meetings and the manager takes the opportunity to talk to everyone informally on most days. However we were advised that there had been no complaints raised since the home had changed ownership in January 2009. Staff we spoke with had undertaken Safeguarding Adults Training and there were clear and robust adult protection procedures in place that reflected local interagency safeguarding protocols. Since our last inspection the Commission has not received any complaints or concerns about the home. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24 & 26. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can expect to live in a safe, clean and comfortable environment. EVIDENCE: The home consists of two combined semi-detached properties which have a driveway and parking to the front and large enclosed garden to the back. There are ten single bedrooms and one shared bedroom. Although none of the bedrooms have the advantage of en-suite facilities they each have a hand basin and access to three communal bathrooms and five toilets. There are two Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 17 communal lounges, one at the front and one at the rear, which are joined by a walk through dining area. At the time of inspection all areas seen were tidy, safe and clean and there were no unpleasant odours. Ten out of the ten residents surveys returned said that the home was always clean. Comments included; “The home is always clean and spotless”, “Spotlessly clean and tidy” and “The cleanliness is exceptional”. The décor and furnishings were domestic in style and although in places a little dated they were of a good standard and well maintained. Bedrooms we saw were personalised with residents own belongings and people we spoke with said that they could chose whether to spend their time in the privacy of their own room or one of the communal lounges. There was also a large enclosed garden at the rear of the home, with disabled access and seating, and a visitor’s car park at the front. Observations on the day of our visit and information provided in the AQAA confirmed that the home has satisfactory infection control procedures in place. There were adequate laundry facilities and staff were provided with disposable gloves, aprons and hand wash. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can expect to receive a high standard of care from a competent and dedicated team of staff. EVIDENCE: The manager advised us that there is usually three care staff on duty between 7:00am and 2:00pm, two care staff between 2:00pm and 8:00pm and one from 8:00pm until 8:00am with support from a manager who “sleeps-in”. During the day one of the carers is a senior carer and Mr and Mrs Adepetu, the joint owners and managers, are usually present and supernumerary. On the day of our visit our observations were that there was a good staff presence and care staff were available at all times to attend to peoples needs. Nine out of ten residents that completed surveys told us that staff were always available when they needed them and one said that they were usually available. Nine said that they always received the care and support they need and one said usually. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 19 Comments we received from residents and their relatives gave high praise to staff and included: “Staff are polite and caring”, “They look after us very well”, “The staff are friendly and nothing seems too much trouble”, “I am very happy here, everybody is so cheerful I have no worries what so ever” and “Staff are friendly and accommodating, nothing is too much trouble for them”. With the exception of one person and the joint owners all staff working at the home were established members of staff employed by the previous owners. Consequently we looked at the recruitment records of the individual most recently employed and found that all documentation required was in place including evidence of a personal identification check, a Criminal Record Bureau CRB check (CRB) and POVA first check, a copy of their application form and two written references. The individual concerned had also had a face to face interview as part of the staff selection process and their original offer of employment was subject to a satisfactory period of probation. The AQAA tells us that the eight care staff employed have all undertaken thorough induction programmes and completed NVQ level 2 or above in care. Feedback from surveys, discussion with staff and training records examined confirmed this to be the case. Comments we received from staff included; “My training is up to date”, “I have lots of training” and “Training is good”. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 & 38. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the best interests of the residents. The health, safety and welfare of staff and residents is promoted and protected. EVIDENCE: The managers, Mr Charles Adepetu and Mrs Jane Adepetu, are the registered providers and joint owners of the home. Mr Adepetu is a qualified nurse but has a background in accountancy. Mrs Adepetu is also a qualified nurse and Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 21 her background is in catering and hotel management. The Adepetu’s jointly manage the home with Mrs Adepetu taking control for the management of care and Mr Adepetu the management of Administration. Mr and Mrs Adepetu were both present at the time of inspection. They were highly co-operative and provided all of the information we requested promptly, openly and in a professional manner. Discussion with the providers and documentation examined confirmed that the home has appropriate Quality Assurance processes in place such as internal audits, resident’s reviews and surveys. We also saw the minutes of staff and residents meetings giving everyone the opportunity to contribute their views to matters relating to the home. The home’s AQAA was adequately completed and submitted to us within the given timescale. It demonstrated that the manager has a good understanding of National Care Standards and included information about how they are able to evidence what they do well. The home does not handle large sums of resident’s personal monies or manage anyone’s personal accounts. We were advised that all current residents manage their own finances with support, if necessary, from their relatives or representatives. All bedrooms have lockable facilities for cash and valuables. Five out of five care staff that returned surveys told us that their manager gives them enough support and meets with them regularly to discuss how they are working. This was evidenced in documentation that we examined during our visit. Comments we received from staff included; “The manager is approachable and helpful”, “The manager is approachable and has always been supportive and helpful towards me”. It was very positive to hear that Mrs Adepetu recognised that one to one supervision or ‘coaching’ could personally benefit her own development and she had identified her own mentor by reading inspection reports written by the Commission and approaching a ‘suitable’ registered manager from a residential home with a 3* rating. Mrs Adepetu felt that this arrangement was already proving to be a very positive experience. The AQAA told us that all of the homes key policies and procedures had been reviewed since the change in ownership. The providers confirmed this to be the case but told us that they had mostly adopted the policies and procedures implemented by the previous owners as they had found them suitable and robust. Staff training included health and safety, food hygiene, moving and handling, first aid and fire safety. The AQAA tells us that manual handling equipment and fire protection equipment is regularly serviced. During our visit there was good Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 22 evidence of routine health and safety checks such as hot water temperature tests, call system tests, portable appliance tests, fire equipment tests and food hygiene temperature checks. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 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 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 3 3 X 3 3 X 3 Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 25 Care Quality Commission East Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Warren Heath Residential Home DS0000073118.V377090.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!