Inspection on 16/06/08 for Netherlands

This is the latest available inspection report for this service, carried out on 16th June 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Netherlands 19/06/06

Netherlands 03/10/05

Netherlands 25/04/05

Netherlands 17/01/05

Netherlands 16/08/04

Netherlands 22/03/04

Netherlands 05/12/03

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Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Netherlands Spilsby Road Horncastle Lincs LN9 6AL Lead Inspector Vanessa Gent Unannounced Inspection 16th June 2008 14:00 X10029.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 Netherlands DS0000002392.V366525.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 and Care Homes for Adults 18 – 65*. 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. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Netherlands Address Spilsby Road Horncastle Lincs LN9 6AL 01507 522009 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) info@prime-life.co.ukwww.prime-life.co.uk Prime Life Ltd Miss Valerie Evans Care Home 11 Category(ies) of Learning disability (11), Learning disability over registration, with number 65 years of age (11) of places Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Netherlands Care Home is registered to provide personal care to male and female service users who fall within the following categories :Learning Disability over the age of 65 years LD(E) 11 2. Learning Disability (LD) 11 The maximum number of persons to be accommodated at Netherlands Care Home is 11 18th June 2007 Date of last inspection Brief Description of the Service: Netherlands is a care home which provides personal care for up to eleven people who have learning disabilities, from the age of 30 years upwards. It is a detached, two storey house situated on a main road within walking distance of the town of Horncastle. Horncastle is a small town, which has a variety of facilities and services. All bedrooms are for single occupancy with the exception of one, which can be shared if needed or required. None have ensuite facilities. Bedrooms are located both on the ground and first floors. A stair lift is available for people who are unable to manage stairs. Communally, there is one bathroom and one shower room, and four toilets within easy reach of both communal areas and the residents’ bedrooms. There is one lounge and one dining room. The home has enough storage room for its needs. Outside there is a garden to the back and side of the property; there is also a decked area with outdoor furniture. There is car parking available to one side of the property. The weekly fees range from £407 - £750, depending on residents’ assessed needs. Additional charges are made for services such as chiropody, hairdressing, reflexology, trips out and holidays. Information about the home, including the certificate confirming registration conditions and a copy of the last inspection report are available in the reception area. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. An unannounced visit was made to the home as part of a key inspection. It started at 14.00 and lasted 3¾ hours. Before we visited the service the company and manager completed and sent to us a questionnaire called the Annual Quality Assurance Assessment (AQAA). This is a document we ask the manager to provide for us as it gives important information about how the service is operating, which we review and use as part of the overall inspection process. We also wrote to people who use the service to ask them to tell us what they think about the care they receive. Information from these sources, as well as that which we hold about the service, was used to plan the visit and produce this report. The main tracking’, care they care staff method of inspection we used during our visit was called ‘casewhich involves selecting a proportion of residents, and tracking the receive through the checking of records, discussion with them, the and observation of care practices. The visit to the home focused on whether key standards and requirements from previous inspections had been met and how people feel about the service provided. The care received by three people was followed in detail to check whether their health, safety and welfare was supported in the right way and that they are able, with support to maintain their dignity, autonomy and choice. During our visit we asked people about how they would like to be addressed. They told us they would prefer to be called residents for the purpose of our report. One staff member on duty and all of the ten residents, including those being case-tracked, spoke with us. Residents spoke about their experience of living at the home. Their personal records, general house records and staff records were looked at and the way care was given to the residents was observed. Before we made our visit people told us they were positive about the level and quality of care given, that there are activities they can join in, that staff listen to what residents say and that meals are enjoyed. One person told us “I feel the home does well.” Any comments we received from staff or residents will be mentioned in the main body of this report. The manager was present throughout this inspection. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 (OP) & 2 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The information available for prospective residents is detailed enough to help them to decide if they want to move into the home. The manager’s assessment procedure ensures that the manager and staff can cater for all the new resident’s needs. EVIDENCE: The manager provided a copy of the home’s statement of purpose, which contained enough information for people to decide if they want to come to live at the home. The Service User guide was also available in picture form, was descriptive and easy to read. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 9 The care plans contained detailed assessments of the residents before they came to the home to live. The manager told us that this enabled her to be sure they could meet the needs of new residents. During our visit, we spoke with one person and their visitor about their experience of moving into the home. They told us that they were provided with everything they needed and that the assessment completed was used to make sure their needs could be met. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 (OP) & 6, 9, 16, 18, 19, 20 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning, healthcare and medication practices in place help to keep residents safe and healthy. Residents are treated with respect and dignity and they have choices in their daily life. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 11 EVIDENCE: We saw the care plans of three residents. The manager showed us how she and staff are developing more personal-centred and personalised plans which put the resident ‘in charge’ of their own records, with assistance from their keyworker, to ensure the residents receive personal support in the way they want and need. All the care plans were very comprehensive, well-laid out and relevant to each person. They were all reviewed monthly to make sure the residents’ needs are met at all times. One person said that the staff always keep them informed of any health needs or changes in the resident they represent. The care plans demonstrate that residents are monitored and regularly checked to ensure their healthcare needs are met. Medication practices were looked at. At the time of the visit, all the people at the home need support to take their medicines. The supplying pharmacist visits regularly, audits their medication record sheets, practices and procedures and does training for staff to make sure they are knowledgeable when giving the medicines out and that their practices are safe. Each resident’s photo is on the front sheet of their medication record sheets for better identification of the individual, which is safe practice. Staff are in the process of adding instructions of how residents prefer to take their own medicines, so that any bank, agency or new staff know how to give them their medicines without any issue or problem. Residents told us they are treated with dignity and respect. They all have a key to their own rooms. They were seen being encouraged to make choices during our visit to the home. There was a positive rapport between staff and the residents throughout the visit time. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 (OP) & 12, 13, 15, 17 (Adult 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to help make choices about how they want to live their lives, and what they want to do. They benefit from a healthy diet that is based around their needs and preferences. EVIDENCE: Activities were observed and people confirmed that there is always plenty to do. Some residents told us they often go out to the town and local community, Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 13 with staff to assist them, and they enjoy it. Some residents go to day services several days each week. One resident told us they went on holiday to Devon last year with the others. Staff say they spend time helping residents with their activities but feel that more staff on duty would give each staff more individual time with the residents to help them achieve their potential as they can only give attention to residents one or two at a time. A relative said that they feel the care service supports the people at the home to live the life they choose. The manager said that they encourage the residents to keep in touch with family and friends. One resident said she has visits from a friend who lives nearby. The manager tried to research for a resident’s family through various means as the resident felt left out and sad when others had their families visit. The residents said they like the food and that there is plenty of it. One resident said they are a very fussy eater but there is always a different choice when they do not like what the others have chosen. The manager and staff are in the process of producing photographs of the food the residents like and would want, as well as healthy options, so that it is easier for them to make choices each day. The manager showed us she is in the process of engaging with the Environmental Health Officer in the project, ‘Safer food, better business’, which will improve the staff’s knowledge of food and hygiene and be a auditing tool of the progress they make in this area. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 (OP) & 22, 23 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by knowing they can voice any concerns and will be taken notice of, and by staff who are trained to prevent abuse and who are conscientious and caring to the residents at all times. EVIDENCE: Before we visited the home, people told us that all the residents know who to approach if they are not happy or if they wish to complain about anything at the home. The home’s complaints file showed that any concerns or complaints received were investigated, handled and actioned upon appropriately. Staff told us they are trained in and know how to keep the residents safe from harm. Staff training records showed that training for Safeguarding Adults is due to be renewed for most staff. Since our last inspection, any concerns have been responded to by the manager, as confirmed by records we saw at the time of the visit. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 15 The manager made a referral regarding staff issues and safeguarding adults since the last inspection. It was dealt with appropriately by the manager and within a reasonable timescale. The manager sends us notification of any untoward incidents or accidents as and when they occur. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, Reg 26 (OP) & 24, 30 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is maintained in a clean, tidy state and residents are protected by hygienic measures in place. People like their homely environment. EVIDENCE: The re-decoration programme both inside and out of the home has been completed. New furniture, carpeting and curtains are in place. A resident said, Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 17 “looks lovely, doesn’t it”. Residents told us they like their rooms and have helped to choose the colours and can put in them what they want. In their surveys, both residents ticked that the home is always clean and fresh. One commented, “I’m happy with everything.” A problem the home had with the boiler system for supplying hot water has been resolved and all residents said they now have hot enough water to meet their needs. The home has up-to-date policies and procedures for maintaining the hygiene standards in the home. In October 2007, the Environmental Health Officer gave the home a positive report and awarded them with three stars. The requirements from the last Fire Safety Officer’s report were acted upon. Staff have had training in safe hygiene and safety practices. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 (OP) & 32, 34, 35 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are kept safe and are cared for by staff who are friendly, caring and appropriately trained. However, residents would benefit from having additional staff time to promote the activities they wish to pursue. EVIDENCE: Both before and during our visit, staff members told us that they are wellstaffed enough to keep to residents safe and meet their needs. However, it was noted that the manager was included fully in the care staff duty rota so that when she has her administrative duties to do, there is additional pressure placed on her to complete both caring and administrative tasks. We spoke with the home’s owner after our visit who agreed to review staffing levels and provide any additional support that might be needed. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 19 A recently employed staff member’s records showed that they were recruited safely, with the appropriate checks and references in place. The assessment form, the AQAA (Annual Quality Assurance Assessment), sent to us by the manager stated that out of the eight permanent staff, two have acquired nationally–recognised qualifications. The manager told us that other staff are about to commence additional training and had application forms to confirm this. Staff said, and the manager confirmed, they have staff meetings mostly monthly and feel well-supported. Staff told us their training was good, and that some training is now to be renewed and updated. The manager told us that most training is done ‘inhouse’ with some assistance from outside trainers. Throughout our visit, we saw staff members using the outcome of their training to provide people with the support they needed. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 35, 38 (OP) & Reg 37, 39, 42 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has practices and maintenance in place to ensure the residents are comfortable and cared for in a safe and appropriate manner. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 21 The quality assurance in place covers most aspects of gaining the views, opinions and wishes of residents, relatives and staff. EVIDENCE: Staff said the manager had an open-door policy and felt they could go to her to discuss issues. Residents spoke well of the manager. The company statement, in the AQAA they returned, said, “we … attach great importance to gaining their views, to taking them into account and ensuring that our clients are fully informed and aware of the purpose of our actions. We do this by formal consultation through our internal quality assurance, where all clients’ views are sought; personal dialogue with our clients through the care plan review process; informal dialogue through our key worker network.” During the visit to the home, we saw the quality assurance measures that were in place. The manager audits many aspects of the service they provide, as demonstrated in documents we saw. A representative from the organisation visits monthly and completes a report, a copy of which is sent to us regularly. Staff confirmed that their opinion is sought and they are taken notice of. All staff have regular one-to-one supervision meetings with the manager, the contents of which are documented and agreed between the staff and manager. The manager also showed us an audit tool they maintain to keep staff one-toones up-to-date. The manager showed us how she is reviewing and supporting staff members to develop the way they work in order to continue improving the standard of care we observed during our visit. The home’s health and safety policies and practices in place are welldocumented and maintained to ensure that the residents and staff are safe at all times. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 22 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 3 2 3 3 X 4 X 5 X 6 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 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 3 33 3 34 X 35 3 36 3 37 X 38 3 Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard RCN OP27 Good Practice Recommendations It is recommended that the manager be given sufficient supernumery time to enable her to fulfil all her administrative duties. Staff duty rotas should provide for enough staff to care safely and as the residents want and need without always including the manager in those numbers. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. Netherlands DS0000002392.V366525.R01.S.doc Version 5.2 Page 25 - 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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