Inspection on 25/10/07 for Amathea Care Centre

This inspection was carried out on 25th October 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.

Other inspections for this house

Amathea Care Centre 24/04/09

Amathea Care Centre 01/10/08

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Amathea Care Centre Newlands Lane Workington Cumbria CA14 3JG Lead Inspector Nancy Saich Unannounced Inspection 25th October 2007 08:45 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 Amathea Care Centre DS0000070233.V348423.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. Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amathea Care Centre Address Newlands Lane Workington Cumbria CA14 3JG 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) 01325 351100 www.southerncrosshealthcare.co.uk Trinity Care Limited Ms Collette Redhead Care Home 40 Category(ies) of Dementia (20), Old age, not falling within any registration, with number other category (0), Physical disability (0) of places Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home with Nursing - code N, to people of the following gender:Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP. Dementia - Code DE (maximum number of places: 20) Physical disability - Code PD The maximum number of people who can be accommodated is: 40 Date of last inspection Brief Description of the Service: Amathea is owned by Trinity Care Ltd which is a wholly owned subsidiary of Southern Cross Health Care Ltd. Southern Cross owns a number of residential care homes throughout Britain. Collette Redhead manages this home on their behalf. The house is a brand new purpose built nursing home for people in the categories listed above. The home is situated in a residential area of Workington and is in easy reach of all the amenities of the town. The town has both bus and rail connections. The home has its own secure garden and parking to the front of the property. Accomodation is in single, ensuite rooms and is on two floors. The top floor is for people with dementia and the ground floor for older adults and people with physical disability. Further details can be accessed from the manager or from the company. Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the main or ‘key’ inspection for this new home and was completed by the time the home had been registered for six months. We sent out postal surveys to residents, relatives, health care professionals, social workers and to staff. We had a good response to these and the returned surveys gave us a mainly positive picture of the home. We also asked the manager to complete the Annual Quality Assurance Assessment (the AQAA) and this was returned promptly and in detail. This document asks the provider to give us evidence of how they meet the minimum standards required and things they do to improve the service. We were also sent copies of the rosters and the menus. We also receive monthly reports from Southern Cross when they come to check that things are working well in the home. The manager or the operations manager contacts us if there is something of concern. We went out to inspect the home. The lead inspector arrived before nine o’clock in the morning and stayed until after 5p.m. She was joined at 10 a.m. by the pharmacy inspector Angela Branch who checked on all the medicines kept in the home. She stayed until mid afternoon and spoke to residents and staff. Another inspector Diane Jinks spent a little over two hours in the home completing what is called a Short Observational Framework for Inspection (the SOFI). This is used to measure well being in people with dementia who may find it difficult to tell us their opinions of the home. She observed residents and how they interacted with each other and with staff for a two-hour period during the morning and at lunchtime. This showed very good outcomes for how people with dementia were treated. We read files about residents care, walked around the building and talked to residents and to staff. We also observed how things were during the day and read other documents that backed up what we saw and what we were told. What the service does well: The home is good at giving people information about their service. They also make sure that they go out to learn about the needs of new people and only take those people they know they can care for properly. They give good standards of personal care to residents. They also know when to call in doctors or other specialists and can give people nursing care that they need. Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 6 Staff were knowledgeable in the medication needs of residents. Residents’ wishes were respected with regard to medication such as being able to look after and take them themselves. The home has made a very good start at providing activities and entertainments that will please all of their residents. We felt that they had given residents the opportunity to have a leisurely and informal lifestyle with plenty of choices. They look at issues like ethnicity, sexuality and culture and feel they have resources to meet all needs. They are good at listening to any concerns or complaints from residents. They have also shown us that they are capable of protecting vulnerable people from harm or abuse. The home has a good mix of trained nurses and carers in sufficient numbers to make sure that residents get good levels of care. New staff are thoroughly checked before they start so that only suitable people work with vulnerable residents. Staff then get good introductory and basic training. The home has a good training plan that will give staff new skills and knowledge. We checked on different management systems – these included the management of staff and resources and we found them to be well organised. We checked on health and safety and on financial arrangements and these were fine. We judged that Amathea is a neat, orderly home where residents felt they could be relaxed and ‘at home’. What has improved since the last inspection? What they could do better: The manager needs to just check the written plans of care to make sure all the details are in place and that all the residents needs are included. Records for the administration of medication to residents must be completed accurately to protect residents from errors that could affect their health. They need to make sure that all their records reflect the good outcomes that residents, their relatives and staff told us about. Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 7 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. Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 8 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 Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is good at giving people information and in making sure they only take new people they know they can care for properly. EVIDENCE: We saw all the documents given to new residents (or to the people who buy care on their behalf). We found these to be easy to read and to give plenty of detail about the home and the company. There was evidence to show that the manager or one of her staff go out to visit new residents so that they know they can meet their needs before they come into the home. Every person also had assessments of their needs and preferences that was the start of planning for their care in the home. Residents said they had been visited before they came in. A psychiatrist had diagnosed people with dementia. Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 10 Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager needs to strengthen the care plans and make sure medication management is always accurate to allow residents to continue to receive good standards of care. EVIDENCE: The inspectors saw all the residents and spoke to a number of them. One inspector completed a SOFI observation. There were good outcomes in this observation as we saw people interacting with each other and staff attending to their needs very well. We judged that people were receiving very good levels of care and attention because people were well groomed, happy and confident. We saw some very good interactions and we noted that residents asked for what they needed and were happy to be involved in all that was going on during the day. Surveys confirmed what we saw and generally residents and their relatives were very satisfied with the care given. Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 12 We read all the written plans of care for the people living in the home. We found that most of them were of a good standard and reflected the needs and preferences of the resident. We did however find that some plans need more specific details and some of the more subtle needs should be recorded in more depth. Some people in the home have very complex needs and their care plans need reviewed and some more details included to help staff lessen risk. We judged that some nursing needs, some psychological needs and some issues around mental health challenges need more prominence in the risk assessments and care plans. We did however think that the care plans show great promise of becoming very responsive to people’s needs. One resident spoken to at length was enthusiastic about the system and told us how he had been involved from the start and how this allowed him to have care needs met in a way that treated him as an individual. A relative said • ‘I am happy with the way (my relative) is being looked after…kept clean and tidy…the staff are a very caring lot and do all they can to keep (my relative) happy…and I am kept well informed…’. Residents were, for the most part, receiving good health care and notes showed that generally nursing procedures were happening when needed. Again we felt that more depth to some of the nursing plans would make things even better. G.Ps and other specialists were called when necessary. We heard one nurse standing up for a resident who she judged needed a visit right away. People with dementia see psychiatrists when they need to and the notes show that their advice is followed through. Staff showed good knowledge of the medication needs of residents living in the home, and were trained on the home’s medication policies. There was very little use of “when required” sedative medication and this protects residents from unnecessary treatment. Residents were able to look after and take their own medicines when they chose and this helped them remain independent. One resident was pleased with the respect shown to her when medicines were given saying: • “They do worry about the medicines and always ask if it is alright for me to have them. I do like to be asked”. The records for receipt of medicines into the home and disposal were good. Records for administration of medication required improvement so that they accurately show the treatment received by residents. For example, the record for one medication was repeatedly signed in mistake for another medication with a similar name and eye drops for another resident were not consistently signed. Medicines were counted to check that they were given in the prescribed dose. These checks were mostly in order however, there was more antibiotic left than there should have been for one residents showing that it Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 13 was not always given when it was signed for. This could place the resident at further risk from infection. Care plans for medication need to improve in terms of the detail such as administration of “when required” medicines, monitoring of the blood-thinning medicine warfarin, and administration of medicines through stomach tubes so that residents receive safe and effective treatment. Storage was good and residents received good quality medicines. Entries in the Controlled Drugs register were not always made on time. However, the manager was aware of this and had addressed it with staff to ensure that records were updated without delay. We asked residents about respect and dignity. They said that staff treated them in a very respectful way and were careful to support them in their care so that they retained their dignity and privacy. We saw staff knocking on doors, talking quietly to people, explaining things to them and gently guiding them. We also observed residents being allowed to make their own choices wherever possible. Staff did all these things in a cheerful way that was friendly but not over familiar. The SOFI observation showed us that people with dementia were treated with dignity and respect. Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home has worked really hard to develop varied activities that allow people to maintain their dignity and independence. EVIDENCE: We started our inspection before nine o’clock and some people were already up and dressed, other people were still in bed or having breakfast in their rooms. Residents on the day and in surveys spoke about how their lives suited their needs. They spoke about going out shopping, to church and to social and leisure activities. On the day of the visit the staff were decorating the home for a big planned Halloween party. A number of residents went out to a tea dance in the afternoon. There were conversations about music and about a planned trip to the ballet. Residents spoke about an enjoyable evening they had at the local theatre. The SOFI and general observations showed that people with dementia got lots of attention and were involved in what went on in the unit. It was nice to see Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 15 people busying themselves with daily tasks we all do routinely. We also liked the way staff encouraged people to socialise and take part in activities. The manager and staff talked about how they were still trying to fully understand all the social and cultural needs of residents. Each day there is a programme of activities and a plan for outings, parties and entertainment. These were all varied so that different needs could be met. The company is able to source all kinds of support for people from different cultures or with different needs in terms of gender or sexuality. Family and friends were visiting on the day and surveys showed they were always made welcome. People can invite friends to eat with them. The visitors’ book shows a good volume of visitors and they said they were invited to parties and entertainments. A social worker thought they were good at: • ‘…maintaining and developing family links…in a positive way’ One of the inspectors shared a very well prepared lunch with residents. We also saw people having a leisurely breakfast. There was plenty of choice available with alternatives to the written menu offered with no fuss or trouble. It was nice to see that people could help themselves to tea or drinks and condiments were on the table. These things help people to maintain their independence. Amathea Care Centre DS0000070233.V348423.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is good at listening to residents and in protecting them from harm. EVIDENCE: We asked residents about both of these standards. They said they felt comfortable about making suggestions and felt they could complain if they needed to. They said that nothing abusive was going on in the home. They said that there had been residents meetings and that they had time with staff on their own to talk about their care. We were told that the manager had received special training in how to handle complaints. She had managed a complaint to the satisfaction of the complainant. Staff knew how to support residents who had concerns. Staff said they had been trained in how to protect vulnerable people from harm or abuse. This was part of the initial induction programme. The company have good policies and procedures in place. The manager said further training was planned and she was going to remind staff of the procedures at staff meetings and supervision. She had also acted swiftly to protect someone from harm from outside the home. Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 17 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, 21,24,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Amathea is a modern, bright home that provides a comfortable environment that is designed to support vulnerable people. EVIDENCE: Amathea is situated just outside the centre of Workington. It is in a residential area and is near to local amenities. It is served by a regular bus service and has parking areas to the front. All areas of the building are fully accessible to people who may have mobility problems. We walked around the building both inside and out and observed how residents and staff use the space. Amathea is a purpose built home. It is on two floors with a passenger lift. Each person has a single room with a shower, wash hand basin and toilet ensuite. Both floors have a dining room and two sitting areas. Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 18 Bedrooms and shared spaces were decorated and had tasteful but practical furniture. There is subtle but effective use of colour and symbols used so that people with dementia can find their way around their floor. Outside there is a secure garden area and a decked area that residents said they enjoyed during good weather. Generally the home is bright, comfortable and airy. It is designed with the needs of residents in mind but it is done in such a way that it doesn’t seem to detract from the homeliness of the building. Residents said they were comfortable and happy with their rooms and the shared spaces. Most people had been helped to personalise their rooms. A lot of residents said they used their showers and liked the privacy this gave them. They said they found the decoration to be relaxing and the manager said the colours in the specialist unit were chosen for their relaxing properties. We judged that the unit for people with dementia had very subtle cues and design features that allowed people to have low levels of stress. The home has a brand new laundry where residents clothing and bedding is washed. Everyone was happy with the way their clothes were looked after. We saw evidence that staff are trained in preventing infection spreading. The entire building was clean and odour free even at the start of the visit. Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 19 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. This home has a new team that is developing so that their approach makes residents central to the way they work. EVIDENCE: We looked at rosters and asked residents and staff about the way the home is staffed. We found that there were usually enough staff to give a good mix of nurses, experienced carers and newer members of staff on each shift. One or two of the surveys questioned whether the balance was always right. We judged that the manager had carefully planned to have enough staff on duty as the numbers of residents increased. Residents and staff thought that the balance was good. Some staff do work quite long shifts but they were happy with the hours they worked. Generally staff told us they were happy in the home: • • • ‘I have never enjoyed working in a home as pleasant and friendly as ours’. ‘I am learning all the time’. ‘We are encouraged to give the very best to residents.’ DS0000070233.V348423.R01.S.doc Version 5.2 Page 20 Amathea Care Centre Care staff are encouraged to take National Vocational Qualifications in care. Several people are already trained to level 2 or 3 and more are registered to complete the qualification. New staff go through the company’s induction and we met people who had only been employed for a very short time but they had a good understanding of their responsibilities. After this staff said they did a ‘foundation’ training that helped them explore all the things that would help them to work safely and to respect residents’ rights. We observed and talked to staff who had gone through this and we saw them working well with residents. We saw individual files that showed the manager was helping staff to work on areas they were interested in or would make them better workers. Nurses undertake clinical training and everyone does specialist training in working with people with dementia. We checked recruitment files and talked to the manager about this. We judged that she is very careful to get the right candidate for the job. We also thought she was rigorous about checking that staff do not have a criminal record and have not been dismissed from another care setting. The files show that nurses are registered and have kept their practice up to date. Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are very good systems in place that the manager uses to make sure this new home is running smoothly in the best interests of the residents. EVIDENCE: Collette Redhead was judged to be a suitable person to be registered as the manager. She is trained as a nurse and has experience of managing residential homes. She is trained in the skills a manager needs. We judged from the evidence we saw and the evidence she sent to us that she is managing this new project in a measured and suitable way. Residents and staff were happy Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 22 with her management style and several people said they both trusted and respected her. One person said: • ‘I would have no hesitation in talking to Collette…she would listen and act on what I said without anyone else knowing if that’s what I wanted…’ The company has a suitable quality monitoring system and specific ways to do this throughout the year. We saw evidence that quality was being closely monitored in this new project. The company have audited various things in the home – like menus and food choices and made some changes but haven’t, as yet, completed a full audit. We look forward to having a copy of this annual review by the end of the first year of operation. We had evidence to show that the staff team take the residents opinions very seriously and actively look for ways to find out what they want and what they need. Surveys showed that people were generally happy with the management arrangements. We checked on residents’ financial arrangements. Many of them deal with their own money or have family, social services or solicitors dealing with this. The home can keep small amounts for residents and we checked on a number of these and they were being properly accounted for. There was evidence to show that the manager acted quickly where she was concerned about how someone was managing their money and she got social services to deal with this. Every member of the staff team had received one-to-one supervision from the manager and she is training senior staff to do this formal overview of staff capabilities. Staff had enjoyed this and felt it showed they were important to the manager and to the company. A number of these supervision files were read and they showed good planning for future needs and a commitment to getting staff approach right for the sake of individual resident care. We were given a large file about the property at registration that showed all aspects of the home were checked out before the residents moved in. We also saw lots of evidence showing that the staff make routine checks so that the house continues to be properly maintained. We saw the fire log book and evidence that the kitchen and laundry run efficiently. There was written evidence and practical common sense evidence that showed the staff were aware of their responsibilities in terms of health and safety. Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 4 4 X X 4 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 Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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 OP9 Regulation 17(1)(a) Requirement Records for administration of medicines must be accurate to protect residents from errors. Timescale for action 31/12/07 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 OP7 Good Practice Recommendations It is recommended that the manager review all the care plans to make sure that all the necessary details are in place. Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Amathea Care Centre DS0000070233.V348423.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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