Please wait

Inspection on 22/11/07 for Rapkyns

Also see our care home review for Rapkyns for more information

This is the latest available inspection report for this service, carried out on 22nd November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People living in the home were seen to be treated with care and respect by staff and daily routines are flexible ensuring that people using the service have the opportunity to maintain control over their daily lives. Care planning systems are used effectively to enable all staff to provide high quality and consistent care. A range of activities is provided during the morning and afternoon with additional assistance to access the wider community, each of which provides mental and physical stimulation. People are encouraged to bring their own possessions in order to personalise their individual rooms and many have done so. The home is well maintained throughout as are the rear and front gardens which ensure the home is a comfortable and attractive place in which to live. Meals are good ensuring that those living in the home have a varied and well balanced diet. Systems for dealing with complaints are satisfactory ensuring that any concerns are listened to and acted upon. There are satisfactory systems for consulting with people living in the home, their family and representatives and staff to ensure it is run in the best interests of those using the service.

What has improved since the last inspection?

No requirements or recommendations were made as a result of the last inspection.

What the care home could do better:

Although there is an on-going maintenance programme which has highlighted the need to clean equipment such as wheelchairs, commodes and overbed tables action has not been taken. This needs to be addressed, as this equipment is a potential source of bacteria.

CARE HOMES FOR OLDER PEOPLE Rapkyns Guildford Road Broadbridge Heath Horsham West Sussex RH12 3PQ Lead Inspector Gwyneth Bryant Key Unannounced Inspection 08:15 22 November 2007 nd X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rapkyns DS0000024199.V354047.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. Rapkyns DS0000024199.V354047.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rapkyns Address Guildford Road Broadbridge Heath Horsham West Sussex RH12 3PQ 01403 265096 01403 751059 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) Dr Shafik Hussien Sachedina Mr Michael Wooldridge Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50), Physical disability (20), Physical disability of places over 65 years of age (20) Rapkyns DS0000024199.V354047.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of fifty (50) service users may be accommodated Of whom a maximum of 20 service users in the category physical disability (PD) age 40 years and over may be accommodated. Only rooms identified in the letter of agreement signed by the Registered Provider, Dr Sachedina dated 1st November 2004 may be used by service users with a physical disability A maximum of 20 service users in the category physical disability elderly PD(E) may be accommodated. 7th September 2006 4. Date of last inspection Brief Description of the Service: Rapkyns is a care home providing nursing and registered to accommodate up to fifty service users in the category OP (persons over 65 years), twenty of whom can be in the category PD (physical disabilities). Rapkyns Nursing Home is a large detached property, surrounded by beautiful countryside, in the village of Broadbridge Heath, near Horsham. The accommodation comprises 45 rooms of which 13 have full en-suite facilities and all other rooms have at least a hand washbasin. The building is arranged over two floors, which are served by two passenger lifts. All of the residents are accommodated in single rooms. There are sufficient communal bathrooms equipped to ensure the needs of people living in the home are fully met. There are well maintained accessible grounds including a duck pond and sensory garden. As from April 2007 the fees are £650 to £750 per week, with enhanced charges for those people whose needs are particularly complex, in-house activities are included in the fees. Additional charges are made for hairdressing, aromatherapy, outings, chiropody, newspapers and dry cleaning. The homes email address is rapkyns@sussexhealthcare.org and the website address is www.sussexhealthcare.org. Rapkyns DS0000024199.V354047.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place over seven hours. The purpose of the inspection was to check compliance with the key standards and other standards as necessary. There were 40 people in residence on the day of which three were spoken with individually, in addition to two carers, the physiotherapist, the chef, the administrator and the activity organiser. The Deputy Manager facilitated the inspection in the absence of the Registered Manager. A tour of the premises was carried out and a range of documentation was viewed including care plans, personnel and medication records. Eleven surveys were returned to the inspector of which five were from staff, three from families and three from people living in Rapkyns. In the main, comments were positive with people praising the level of care given. Comments included: • All the nurses attend to my needs and listen to me. • Care is very good especially when the night staff get me washed and dressed ready for church. • If I need anything the staff are always there to help me. • If I ask them something the staff will go and get what I need or help. • If I have any problems I go and see the manager who is always available for me when I want to speak to him. • The nurses are always there when I need them. What the service does well: People living in the home were seen to be treated with care and respect by staff and daily routines are flexible ensuring that people using the service have the opportunity to maintain control over their daily lives. Care planning systems are used effectively to enable all staff to provide high quality and consistent care. A range of activities is provided during the morning and afternoon with additional assistance to access the wider community, each of which provides mental and physical stimulation. People are encouraged to bring their own possessions in order to personalise their individual rooms and many have done so. The home is well maintained throughout as are the rear and front gardens which ensure the home is a comfortable and attractive place in which to live. Meals are good ensuring that those living in the home have a varied and well balanced diet. Systems for dealing with complaints are satisfactory ensuring that any concerns are listened to and acted upon. There are satisfactory systems for consulting with people living in the home, their family and representatives and staff to ensure it is run in the best interests of those using the service. Rapkyns DS0000024199.V354047.R01.S.doc Version 5.2 Page 6 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. Rapkyns DS0000024199.V354047.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 Rapkyns DS0000024199.V354047.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The pre-admission process ensures that people moving into Rapykyns have detailed information on the services provided and that their needs will be met. EVIDENCE: Pre-admission documentation was viewed for recent admissions and found to be comprehensive and it was evident that input from social and healthcare professionals was an integral part of the process. In addition there was evidence to show that both the individual and their family were consulted on all aspects of the care provided at Rapkyns. The Deputy Manager confirmed that all prior to moving into the home a copy of the Statement of Purpose and service users guide is provided along with a brochure. Comments in returned surveys included: Rapkyns DS0000024199.V354047.R01.S.doc Version 5.2 Page 9 • • • • • My brother and sister visited the home and were given information. I went round the home and was given information by the manager. I spent the day at the home before I decided to move here and was shown round by the manager and met staff and other residents. The home has a family atmosphere which is welcoming for new service users and visitors. They enquired about his background and work at the outset so they could build a picture of him and treat him appropriately. Rapkyns DS0000024199.V354047.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Care planning systems reflect the current needs of people living in the home and effective risk assessments processes are in place as are the arrangements for the safe handling, recording and administration of medication. EVIDENCE: Six care plans were viewed and found to be satisfactory in that they included clear information on the care needs of people living in the home and the necessary action to be taken to meet those needs. Care plans are held in the individuals’ room and additional information based on input from the activity organiser, physiotherapist, carers and other social and healthcare professionals are held in the office. This system ensures that care needs are closely monitored and changes quickly identified and met as required. The Deputy Manager has begun carrying out full reviews of people living in the home and these were found to be very informative as they track the progress of individuals from the time of admission, including where input from staff have resulted in significant improvements in the mental and physical well being of individuals. Rapkyns DS0000024199.V354047.R01.S.doc Version 5.2 Page 11 People living in the home are encouraged to remain independent within a risk assessed framework. Daily notes are maintained with input from both carers and trained nurses each of which facilitates the review process. People spoken with said that they felt their care needs were met and all mentioned the kindness of staff. Throughout the site visit staff were seen to treat individuals with care and respect and it was evident that comfortable working relationships had been developed. Medication Administration Records were viewed and found to be clear, accurate and up to date ensuring that it is clear whether or not medication has been given. The controlled drugs records were equally satisfactory as were medication storage arrangements. Currently no one living in the home handles their own medication but the Deputy Manager explained that people who stay for respite usually handle their own medication as it enables them to maintain their preferred daily medication routines. Comments in surveys included: • • I am happy with the care and support I get here. The nurses are always there when I need them (and) regular weekly visits from the doctor who is available to me. Rapkyns DS0000024199.V354047.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. . People in the home have the opportunity to experience a lifestyle that matches their expectations, choice and preferences in respect of leisure activities and meals. EVIDENCE: People living in the home are offered a comprehensive range of activities, based on their preferences. Discussion with the activity organiser found that activities included board games, cake making, crosswords, quizzes, arts and crafts, card games, walks, bingo, woodworks and films. During the woodwork classes people make and paint the wooden plant holders used in the gardens. A number of people are enabled go out independently, visit family and friends or the local churches. Although contractors built the sensory garden, people living in Rapkyns chose the flowers and were involved in the process at all stages. Themed parties are arranged, such as for Halloween and people living in the home make appropriate decorations and masks. The home has good links with local colleges and schools with health and social care students undertaking work in the home and others who are working towards their Duke of Edinburgh Awards. Each of the people spoken with said how much they enjoyed the activities and comments in surveys included: Rapkyns DS0000024199.V354047.R01.S.doc Version 5.2 Page 13 • • • • • (activities) - all very good There are always activities going on but recently I have bought a laptop and spend time on that. I love to read and listen to the music. The staff appear to make great efforts to treat people as individuals with different preferences and needs. They are all, including cleaners etc, seem very caring towards him and are considerate and friendly to visitors. During the site visit people were observed to be enjoying a range of chosen activities including watching television in the quiet lounge or just sitting in the conservatory enjoying the sunshine. Care plans included the individual preferences of people living in the home and the Deputy Manager confirmed that every effort is made to ensure they have a good quality of life. He added that even if someone really wanted to smoke in the home he would try to find a way to meet that need as currently people may only smoke in the grounds. Discussion with the chef found that he is knowledgeable about dietary needs including for those people who are diabetic. In addition he was aware of the importance of ensuring meals look appetising even for those whose food needs to be liquidised. Menus were viewed and found to be varied, well balanced and nutritious. People spoken with commented on the quality and choice of food and comments in surveys included: • • The food is a lot better than the other home I was in; there is more choice. The staff and chef make sure I have something that I like even if it’s not on the menu that day. Day and night notes showed that people living in the home are offered frequent snacks and drinks and staff will also provide a snack on request at any time. Rapkyns DS0000024199.V354047.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure with evidence that those living in the home feel that their views are listened to and acted upon. People living in the home are further protected by satisfactory adult protection systems. EVIDENCE: The home has policies and procedures on complaints and all people living in the home are provided with a copy as part of the pre-admission documentation. Comments in returned surveys included: • • • (If I was not happy) I would tell the person looking after me at the time. If I have any problems I go and see the manager who is always available for me when I want to speak to him. I am happy to speak to most people here – the manager and deputies are here to speak to if I have a real problem. One person spoken with said they had raised an issue and said that the Deputy Manager dealt with the matter effectively but he was still offered the opportunity to make a formal complaint. The home ensures all people living in the home are given a form to enable them to evaluate the service, ensuring any queries are recorded and dealt with quickly. Rapkyns DS0000024199.V354047.R01.S.doc Version 5.2 Page 15 There are detailed policies and procedures on Protection of Vulnerable Adults and all staff have received appropriate training so are aware of the procedure in the event of an allegation. One safeguarding adult alert has been made since the last inspection and the outcome was that no one in the home was at fault. However, procedures were reviewed to ensure that all precautions in place are put into practice satisfactorily. Rapkyns DS0000024199.V354047.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The standard of decor within the home is good, providing people living in the home a safe, homely and comfortable environment. EVIDENCE: A tour of the premises was carried out and a random selection of rooms inspected. The home continues to provide a safe and comfortable place in which to live. Individuals’ bedrooms were well maintained and pleasingly decorated and it was evident that people are able to bring in their own possessions in order to personalise their bedrooms. The communal bathrooms are such that regardless of individual care needs, preferred ways of bathing can be met as there are ‘wet’ rooms, showers and assisted baths provided. There are hoists and lifting equipment provided that fully meet the needs of people living in Rapkyns. A number of commodes, wheelchairs and overbed tables need to be deep cleaned to ensure that sources of infection are eliminated. The need for this cleaning has been highlighted by a number of inRapkyns DS0000024199.V354047.R01.S.doc Version 5.2 Page 17 house checks but action has yet to be taken in this matter. In addition, some commodes were rusty and again this minor maintenance needs to be addressed to ensure equipment is maintained as highly as the rest of the environment. Surveys comments included: • • • No aprons are supplied for visitors, they rely on good hand washing and we think it may not be enough in a known infection situation. The home fresh and clean- beautifully done. There are always cleaners around, they ask if it’s ok to clean my room. The laundry facilities are satisfactory and washing machines are able to wash clothes at temperatures that control the risk of infection. Staff are trained in infection control and were seen to be working in ways that minimised the risk of cross infection. Care plans identified those with hospital acquired infections in order to alert staff to observe the required controls. Rapkyns DS0000024199.V354047.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. . There are sufficient numbers of trained staff to ensure the needs of people living in Rapkyns are met and people are protected by robust recruitment practice. EVIDENCE: Staff rotas were viewed and discussed with the Deputy Manager and there are currently three trained nurses on duty for each daytime shift and nine care staff. In addition the Registered Manager and Deputy Manager are also available as are the activity organiser, the administrator, physiotherapist and domestic and kitchen staff. Night staffing comprises two trained nurses and five staff. While people spoken with said they felt well cared for and highly praised the care and kindness of staff, one person said that more night staff would help as if painkillers are needed during the early morning it can often take staff some time to answer the call bell. It would be good practice to monitor response times during the early hours to assess whether additional staff are necessary. Comments from surveys included: • We have 2 monthly supervisions and daily handover meetings. We have regular training updates. • The company and the home provide workshops on different topics, giving me a better understanding of needs. Rapkyns DS0000024199.V354047.R01.S.doc Version 5.2 Page 19 • • • • • • • Morning hand over gives staff time to talk about issues about service users. It can be hard sometimes, especially when staff are sick or during holiday periods. The staff genuinely care about service users in Rapkyns You are always learning something new. Nothing to improve in the home but the company could pay staff better wages. Communication between staff could be improved. The deputy manager has been overstretched due to the absence of the Registered Manager. Extra staff should be supplied to fill the gap as attempting to cover 2 positions in an already stressful job appears to put an intolerable strain on one key person. Recruitment records for the last five people to be employed were viewed and these showed that all the required information had been provided including Criminal Record Bureau and Protection of Vulnerable Adults checks, two written references and proof of identity. Although some documents are held in the Head Office, each personnel file includes a checklist and the administrator confirmed that she checks all records are in place and sent to the Head Office for filing. All staff have induction and one carer spoken with confirmed that this had taken place when she was first employed. All staff spoken with and observed appeared knowledgeable about the individual needs of people living in Rapkyns and one carer pointed out the importance of one-to-one chats, especially with the older people in the home. Staff training files showed that all staff receive both mandatory training such as manual handling and additional training related to the particular conditions of individuals living in the home. Rapkyns DS0000024199.V354047.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The service is well managed and all aspects of the welfare, safety and health of people living in the home are protected and promoted. EVIDENCE: Both the Registered Manager and his Deputy have the skills, qualifications and experience to manager the home and provide clear leadership and direction to staff. The atmosphere of the home is open and throughout the site visit staff and visitors were obviously comfortable coming to the office and approaching the Deputy Manager with any concerns. Comments in staff surveys included: • The manager is very passionate about the right care for service users and this filters through to the staff, encouraging them to do their best for individuals. DS0000024199.V354047.R01.S.doc Version 5.2 Page 21 Rapkyns • • The manager is available to give support whenever it’s needed. Our care manager regularly praises us for our efforts. There is a detailed quality monitoring system covering all aspects of the service that ensures the home is run in the best interests those living there. An area manager carries out monthly visits and the subsequent reports are available for inspection. These reports could be improved by including the subjects discussed with people living in Rapkyns and staff. All accidents are recorded and monitored as part of the quality monitoring process to ensure that any risk areas can be addressed promptly. Small amounts of money are held for people living in the home and all transactions are recorded and receipts provided as necessary. Records provided showed that regular safety checks are carried out on all equipment, electrical and gas appliances and systems. In addition there is an on-going programme of maintenance, upgrading and renovation of all parts of the home, including individual rooms. All staff receive regular fire safety training and a fire risk assessment has been carried out to ensure no part of the home poses a fire risk. Regular fire drills are carried and fire alarm systems regularly tested ensuring neither staff nor people living in the home are at risk in the event of fire. Self-closing devices, triggered by the fire alarm are fitted to all internal doors that require them. Rapkyns DS0000024199.V354047.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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 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 Rapkyns DS0000024199.V354047.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. 1 Standard OP19 Regulation 23(1)(d) 16(2)(j) (k) Requirement That all equipment is thoroughly cleaned with particular attention to commodes, wheelchairs and overbed tables. Timescale for action 22/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP27 Good Practice Recommendations That night staffing levels be reviewed. Rapkyns DS0000024199.V354047.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Rapkyns DS0000024199.V354047.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. 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!