Inspection on 03/07/08 for Albion Court

This inspection was carried out on 3rd July 2008.

CSCI found this care home to be providing an Adequate 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

Albion Court 20/07/07

Albion Court 24/07/06

Albion Court 01/12/05

Albion Court 01/11/04

Albion Court 22/07/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Albion Court Albion Way Blyth Northumberland NE24 5BW Lead Inspector Karena M. Reed Key Unannounced Inspection 3rd July 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Albion Court DS0000052603.V367848.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. Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Albion Court Address Albion Way Blyth Northumberland NE24 5BW 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) 01670 362354 F/P 01670 362354 sartoria@freenet.co.uk Heathdale Care Ltd Mrs L Jones Care Home 31 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (14) of places Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th July 2007 Brief Description of the Service: Albion Court is a detached home situated in a residential area very near to the centre of Blyth, it is close to local shops, doctors and public houses. It is also close to the Northumbrian coast and the nearby countryside. It is on a bus route. It is registered to provide personal care to thirty-one older people, some of the places are registered for people with memory loss. The home does not provide nursing care. All bedrooms are for single occupancy. There are two large lounges, one at the front of the building and one at the back of the building, there is a separate dining room. There are three bathrooms, one of which contains an assisted bath. There are sufficient lavatories around the home. There is a well-tended garden to the rear of the property. A Statement of Purpose and service user guide are available for prospective residents and their relatives to give them information about the services provided by the home and the relevant charges. CSCI Inspection reports are also available at the home detailing the quality of care provided. Fees payable for living at the home at the time of inspection in July 2008 vary between £419.08 and £424.52. Additional charges are payable for hairdressing, chiropody, personal toiletries and personal newspapers. Albion Court DS0000052603.V367848.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 1 star. This means the people who use this service experience adequate quality outcomes. How the inspection was carried out Before the visit: We looked at: • • • • • Information we have received since the last inspection on July 20th 2007. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service and their relatives, staff and other professionals. The visit An unannounced visit was made on July3rd 2008. The visit was made with an Expert by Experience. An Expert by Experience is someone who uses social care services. They are part of the inspection team and can help inspectors to get a picture of what it is like to use care services. Mrs Betty Fellowes, an Expert by Experience, talked with residents and staff, joined them for a lunchtime meal, and looked at parts of the home. Her comments are in this report in bold text. • During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager and visitors. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last inspection. DS0000052603.V367848.R01.S.doc Version 5.2 Page 6 Albion Court We told the provider what we found. 10 surveys were sent to residents and relatives; 2 were returned. 5 surveys were sent to care professionals; 1 was returned. 5 surveys were sent to staff; 3 were returned. Comments include: “Service listens well to service users wishes.” “I find the staff very helpful.” “If I need staff and they are busy they see me as soon as possible.” “I don’t like the way night staff dress my mother in morning or the way they iron her clothes.” “The home is usually fresh and clean.” “Each service user is treated as an individual and the care is adjusted to suit their needs. Management and staff liase with care managers, doctors and other medical staff to ensure continuity of care.” “The home treats everyone as individuals. Training is supplied. Information is passed about service users from care plans and health professionals.” “Service users’ and families seem happy with the care given. We have good relationships with families and we are open to suggestions from them.” What the service does well: Arrangements for service users to maintain contact with their family and friends are good. Visitors confirmed that they are always made welcome and kept informed and involved. Detailed information is given to prospective residents about the services provided by the home. The home offers prospective residents whatever length of time they need to decide if they wish to live at the home. Detailed information is collected about a new resident to ensure staff can provide the necessary levels of care and support to the person. The level of staff training is very good to give staff more understanding of the care and support needs of residents. Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 7 A varied menu is available for residents. Residents who were able to comment said that meals were very good. The Expert by Experience said, ”Lunch was a lovely hot meal with the choice of main menu and pudding- all fresh vegetables.” Residents have the opportunity to pursue their religion if they wish to. What has improved since the last inspection? What they could do better: Care plans must show the identified areas of need of residents in order that staff know how much support to provide to the resident. All residents must have all their care needs reviewed at least annually. The hallway and ground floor bathroom skirting boards must be decorated and made good. More effective odour control must be provided around the home. Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 8 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. Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4 and 5. (Standard 6 is not applicable to this service) 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 good procedures in place to ensure that prospective residents are making an informed choice about the home and that the home can meet their needs. EVIDENCE: The Home’s Statement of Purpose and service user guide were examined. They contained the necessary information as required by the Care Homes Regulations 2001. Records for five people who live at the home showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. The person living at the home and relevant people who Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 11 knew them were involved in the initial assessment. The assessment form encourages staff to explore issues relating to equality and diversity as it refers to gender, cultural, religious/spirituality, educational and social histories, preferred daily routine and preferences. It also looks at mood, speech, behaviour, mental health, risks, sexuality and living skills. This information and the care manager’s assessment of the resident’s care needs were used by the home to help ensure the needs of the resident could be met by staff. The records contained a range of information. Staff receive training so that they know how to meet the needs of the residents. Staff have received the necessary statutory training: fire training, food hygiene, moving and assisting, safe handling of medication, first aid, protection of vulnerable adults and National Vocational Qualifications. Staff have also received training about; infection control, low vision, reminiscence, diabetes, promoting independence, falls awareness, risk assessment, challenging behaviour, communication skills, equality and diversity, continence, dementia awareness, diabetes and health and safety. Residents have the opportunity to visit the home as often as they need in order to decide if they want to live there. A resident may come for meals, have overnight stays and be introduced to other residents at the home at a pace suitable to the individual. Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ plans of care do not reflect the amount of care and support provided by staff. EVIDENCE: After a resident has moved to the home a care plan is designed around their assessed needs, this is so staff should know how to provide the right amount support. The sample of care plans examined however did not clearly outline each resident’s needs and how these should be supported. Care plans are written in a respectful way that that promotes the individuality and dignity of each resident. The sample showed that most care plans had been evaluated at least three monthly and showed there may be a change in need but the care plans did not Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 13 reflect the amount of care and support that staff would need to give to residents. There was a system for the external reviews of residents by the Local Authority there was one resident whose care needs had not been reviewed for some years and the documentation was awaited from the local authority for other residents who had been reviewed earlier this year. Health care record showed that residents are supported to have good access to health care services such as GPs, psychiatric services, and continence advisors. The staff are responsible for managing resident’s medication. This is delivered to the home by a pharmacy within individual blister packs or containers for each resident. Medication is securely stored, and only transported around the home in a locked medication trolley. Administration of medication was carried out correctly, and medication records were in good order. During the inspection visits there were many instances of good practice where staff supported residents in a sensitive and respectful way. For example, sitting with individual residents to provide sensitive support at mealtimes, and supporting people with their mobility at the resident’s own pace. Residents are supported with their personal grooming and appearance. A weekly hairdressing service is available at the home, which several residents use. In surveys staff and relatives had many positive comments about the way that people who live at the home are supported. Their comments included, “Service listens well to service users wishes.” “Each service user is treated as an individual and the care is adjusted to suit their needs. Management and staff liase with care managers, doctors and other medical staff to ensure continuity of care.” “The home treats everyone as individuals. Training is supplied. Information is passed about service users from care plans and health professionals.” Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to this service Overall, residents have sufficient opportunities to make choices about activities, daily routines and menus so that they lead a lifestyle that matches their social care needs. EVIDENCE: There have been very good improvements to the activities available to residents since the last inspection. An occupational therapist is employed by the home for five hours a week and staff continue with activities she may have introduced. Mind Active, a voluntary organization, also visits the home to take residents out and provide some social activities. Residents are supported and encouraged to follow their own interests and hobbies. Some residents were watching television or playing dominoes in the communal areas. A programme of activities is in place for residents which includes: videos, sing-a-long, arts and crafts, tai chai, pottery, bowls, reflexology, flower arranging, skittles, Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 15 darts, manicurist, music making, sensory sessions, dominoes, cards, gardening, bingo, quizzes, crafts and hairdressing. Musical and theatrical entertainers also visit the home. Various seasonal parties are also arranged, which are well supported by relatives. Church services take place within the home. Residents have the opportunity to go out with relatives or with staff into the local community .The residents have the opportunity to go out weekly in groups of four to the coast, the shops, a local tea dance, meals out, a drink, picnic or whatever is of interest to them. The expert by experience said,” the best bit came when residents mentioned going out in the taxi with a member of staff to Blyth beach to walk the dogs or even better going to the Community Centre for the tea dance…all agreed this was great whether you danced or not and they couldn’t wait for their turn to come around again.” Staff support residents to keep in touch with relatives. Staff ask each resident about their wishes, interests and choices. A residents’ committee also meets monthly. Residents and their families also receive questionnaires to complete as part of the home’s quality assurance. Residents’ spoken to said that they are able to make decisions for themselves, and that they are happy with all aspects of the care that they receive. All were very complimentary about the staff and the support they receive. The home’s menu is made up of the known likes and dislikes of the residents. The cook was planning to meet with residents at the weekend to discuss new menus with them and get their suggestions. Residents are also asked daily what they wish to eat from the menu selection. The menu was on a whiteboard clearly displayed. At least two hot meals are provided daily and an alternative is available. Residents were very positive about the food. The expert by experience observed at the mealtime, ”then came lunch – lovely hot meal with the choice of main menu and pudding-all fresh vegetables-and staff on hand if anybody needed assistance. Some of the guests had lunch in their room and I saw the staff checking on them too.” There was a choice of gammon, potatoes and vegetables or sausage rolls, chips and beans and mixed fruit sponge and custard or trifle for lunch. Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good, clear, user-friendly complaints and protections system and residents’ views are listened to and acted upon. EVIDENCE: The home’s complaints procedure is given to new residents as they move into the home. The procedure assists and supports them to bring any matters to the attention of staff outside of the home in case they felt uncomfortable bringing any complaints or concerns to the attention of staff within their home. There is a complaints procedure on display within the home for the use of residents and their relatives. The home keeps a record of complaints. There have been no complaints received since the last inspection but there was one safeguarding incident which was investigated and satisfactorily resolved. The home has the Local Authorities Vulnerable Adults procedures. Staff have received training about Protection of Vulnerable adults. Staff have also received training about behaviour that may be difficult to work with as Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 17 part of a dementia awareness course as well as support and training from the challenging behaviour team which works in Northumberland. Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23 ,24, 25 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable and safe environment for those living there and all areas are quite well maintained, clean, tidy and almost free from offensive odours. EVIDENCE: There is an ongoing programme of decoration and refurbishment around the home. Some bedrooms have been decorated and new carpets provided. In the hallway the skirting boards were chipped and required painting this damage was due to new carpets which had just been laid. The ground floor bathroom required decorating due to wheelchair damage. Most of the home was clean, well decorated and well maintained however more effective odour control was required in some rooms and areas identified at the time of inspection. Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 19 The home is accessible and is placed in the centre of a local community surrounded by houses and shops. The home has an appropriate amount of sitting, recreational and dining space. There are enough rooms for a variety of activities to take place, including a visitor’s lounge. Residents can also see visitors in private in their own rooms. Furnishings and fittings were domestic in design and in good condition. Most room sizes meet the minimum required. Residents have their own bedrooms. The expert by experience said, “ I was shown around the bedrooms –some smaller than others but everyone of them homely and comfortable with plenty of personal things-most of them were empty all the guests were in the two lounges enjoying morning drinks. They had the choice to stay in their room or join the others in the lounges for dominoes or just watch television.” There was emergency lighting throughout the home. Laundry facilities appeared well organised. The washing machines have the specified programme to meet disinfection standards. Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough staff, who are appropriately recruited and well trained, to meet the needs of the residents. EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team showed that the numbers of staff are as follows: 8. 00 am - 4.00 4.00 pm pm 5 staff 4 staff 3 staff - 10. 00 pm 10.00 pm - 8.00 am These numbers include the manager. There is a senior staff member on each shift. All the staff were over 18 years of age and those left in charge were at least 21. There are no staff vacancies currently. Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 21 Other staff members are employed for duties such as food preparation, maintenance and cleaning. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. The expert by experience said, “I felt nothing was too much trouble for the carers-this was borne out with the fact that most of them had been at the home for a long time.” A stable committed staff team works at the home. “The domestic staff were busy but happy at their work and doing a good job.” The necessary checks are being carried out prior to the workers being appointed. Two written references were available on the staff files examined from the most recent employers. An application form had been completed for each staff member. CRB checks are carried out before a person is appointed. Staff receive Skills for Care induction. Training needs of staff are identified in supervision and appraisal sessions. 100 of the care staff team have now achieved National Vocational Qualifications at level 2 and are now studying for levels 3 and 4. Staff and their records showed that they also receive advice and /or training in other areas such as fire training, moving & assisting, food hygiene, safe handling of medication, infection control, first aid and protection of vulnerable adults. Staff have also received training about; ” infection control, low vision, reminiscence, diabetes, promoting independence, falls awareness, risk assessment, challenging behaviour, communication skills, equality and diversity, continence, dementia awareness, diabetes and health and safety. Comments include: “Service listens well to service users wishes.” “I find the staff very helpful.” “If I need staff and they are busy they see me as soon as possible.” “Service users’ and families seem happy with the care given. We have good relationships with families and we are open to suggestions from them.” Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ live in a home that is well run and managed for the benefit of residents and where the welfare of all is promoted. EVIDENCE: The manager has worked at the home for many years. She has the necessary skills and qualifications needed to manage the home. The expert by experience said, “this team have got the balance right. They share their lives with their guests (including their dogs, cat and sometimes a horse). It’s no palace and the decorating is a work in Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 23 progress but the care is there. The guests are clean, tidy, well fed and most of all loved and that is more important.” Staff spoken to were clear about their duties and responsibilities. Lockable facilities are available for residents to keep their own money if they wish. If a resident does not wish to keep control of their own money, the home is able to provide the facility to hold a small amount of money on behalf of the resident for everyday living. Individual records show the home has a system for accounting any monies held on behalf of residents. There was plenty of evidence of personal spending. Receipts are kept of any money spent on behalf of residents. All records as required by the Care Homes Regulations 2001 were well documented and completed. There is a health and safety policy and range of associated procedures. Staff receive training in health and safety and safe working practices (fire safety, moving and handling, first aid, food hygiene, and infection control). Servicing and maintenance agreements are in place for facilities and equipment. Risks in the environment and tasks, including safe working practices are assessed and reviewed. All fire safety checks, tests and instructions to staff are conducted at the required frequency and recorded. Accident reporting was suitably recorded. Staff files showed staff are supervised regularly. Staff meetings take place regularly. Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 3 3 Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15(1) Requirement Timescale for action 31/08/08 2 3 4 OP7 OP19 OP26 Care plans must be broken down, to identify the needs of residents’ and to show the amount of support that staff need to provide. 15(2)(b)(c All residents must have six ) monthly or annual reviews of all their care needs. 23(2)(d) The hallway skirting boards and bathroom on the ground floor must be decorated. 16(2)(k) There must be more effective odour control within the home. 30/12/08 31/08/08 01/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Albion Court DS0000052603.V367848.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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