Inspection on 13/09/07 for Anglesey Court

This inspection was carried out on 13th September 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

Anglesey Court 09/09/09

Anglesey Court 17/11/06

Anglesey Court 06/02/06

Anglesey Court 14/09/05

Anglesey Court 24/01/05

Anglesey Court 01/06/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Anglesey Court 26 Crescent Road Alverstoke Gosport Hampshire PO12 2DJ Lead Inspector Gina Pickering Unannounced Inspection 13th September 2007 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 Anglesey Court DS0000011732.V344117.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. Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Anglesey Court Address 26 Crescent Road Alverstoke Gosport Hampshire PO12 2DJ 023 9258 2322 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) Anglesey Court Limited Mrs Anne Margaret O`Gorman Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th November 2006 Brief Description of the Service: Anglesey Court is a large detached house, situated in the village of Alverstoke, Gosport. The home has a garden at the front of the property and a car park to the rear. There is a public park opposite the house and the beach is a short distance away. Angelsey Court is registered to provide care and accommodation for up to twenty older persons. There are five double and ten single bedrooms. Residents also have access to the communal lounge and dining room. The manager informed the Commission that the current fees are from £335.25 to £376.60 per week. Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection considered information received by the Commission about the home since the last key inspection in November 2006. This includes information provided to the Commission in the form of the home’s Annual Quality Audit Assessment form in which the registered provider or manager tells the Commission how the service has developed over the past twelve months and how they propose to continue to improve the service. The Commission surveyed service users, relatives and staff; eleven service users, three relatives and five staff survey forms were returned to the Commission. The information in these was used to inform the inspection. An unannounced visit was made to the home on 13th September. The inspector case tracked four service users, looking at documentation relating to them, and speaking with the service users. The inspector had conversations with a further two service users, three staff members, the registered manager, (referred to as matron throughout the rest of this report), and one visitor as well as touring the home and looking at various documentation as part of the inspection process. Comments received from relatives included ‘as a relative I have found the home and staff to be kind and friendly’, ‘ all the staff are very helpful and extremely friendly. We are kept informed and up to date on any issues. They give as much normality to the individual as possible and provide a friendly and caring environment for all concerned. A homely feel to the house’ Comments from service users included ‘It’s like home from home’, ‘I am very happy here’, and ‘I am happy and well looked after’ As a result of this inspection one recommendation has been made. Two health and safety issues were raised as a result of the inspection process, which the matron commenced putting right during the course of the inspection. Because of this and the good history of the service complying promptly with recommendations and requirements made by the Commission no requirements have been made, but details of these issues are included within the body of the report. What the service does well: Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 6 Good preadmission assessment process ensures that people move into the home confident that their needs can be met. Effective care panning processes ensure that service user’s individual social, personal and health care needs are met and that they retain choices in their daily lives. Service users are supported to retain their individual interests and hobbies and a range of recreational activities are provided for them join in if they wish. Service users enjoy well-prepared meals, comments from service users include ‘I really enjoy my meals, just like being at home’ Service users and their representatives are confident to raise complaints and are confident that complaints will be taken seriously and responded to by the home. Staff have a good understanding about safe guarding adults which protects the service form the effects of abuse. A well-trained and competent staff team promote the wellbeing of those living at the home. Robust recruitment practices protect the welfare of service users. Good maintenance of the home allows service users to live in a pleasant and clean environment. What has improved since the last inspection? What they could do better: For service users prescribed a variable dose of medication a consistent manner of recording how medication a person has had should be implemented. Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 7 Staff must ensure that all substances hazardous to health such as cleaning fluids are stored in a way that do not pose any risks to service users; this issue was resolved on the day of the inspector’s visit to the home. The service should ensure that service users are not exposed to risks associated with hot water from washbasin taps; assessments of the risks associated with the hot water were being commenced on the day of the inspector’s visit to the home. 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. Anglesey Court DS0000011732.V344117.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 Anglesey Court DS0000011732.V344117.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): 3 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users move into the home confident that their needs can be met and with an understanding about the running of the service. The home odes not offer intermediate care. EVIDENCE: The matron of the home, prior to the decision being made as to whether the home can provide the correct care for a prospective service user, makes comprehensive assessment of that person’s needs. Care management assessments when provided support the decision process as to whether the service can meet that needs of the prospective service users. Copies of the assessments are retained within the service users care planning documents. Discussion with a visitor during the inspector’s visit to the home evidenced that the assessment of her relative involved herself providing information to the Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 10 matron as well as the matron assessing her relative. Information provided in the AQAA states that there have been no incidents where placements at the home have broken down indicating that the assessment process is working to ensure that the service user’s needs are met when moving into the home. As part of the assessment process information about the home is provided to the prospective service user and their representatives. Service users told the Commission in returned surveys that either they or their relative had sufficient information about the home before making the decision to move into Anglesey Court and that they have statements of terms and conditions of residency at the home. The home does not provide intermediate care. Anglesey Court DS0000011732.V344117.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 good. This judgement has been made using available evidence including a visit to this service. Good care planning processes ensure service users received the support and care to meet their individual personal, social and health care needs. EVIDENCE: As part of case tracking the inspector viewed four care plans. Care plans give clear instructions as to how a service user wishes to be supported or assisted in all aspects of their daily life. Information is detailed about specific medical problems, emotional needs, mobility and bathing preferences. Risk assessments for each service user are detailed resulting in guidance in the care plans that support that individual to retain maximum independence within the scope of their ability. Care plans are reviewed on a monthly basis and amended, as the service user’s needs change. The Commission received eleven service user surveys. Two service users told the Commission that they usually receive the care and support they need and they usually receive the medical support they need. Eight service users told the Commission that they always receive the care and medical support they Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 12 need. The Commission received three relative surveys; two of these indicated that their relative always receives the support and care they need and the third indicated that their relative usually receives the support and care they need. A visitor spoke to the inspector about the good care provided for her relative at the home, stating that her relative’s health has improved since moving into the home. Medication procedures and policies are in place and staff training records evidence that staff receive training about the administration of medications. Medication administration record charts were looked at for the four service users being case tracked. All medications administered are signed for and reasons why medications have not been given are documented. For medications that are prescribed as a variable dose it is not always clear how much medication had been administered. The matron confirmed that she will ensure the amount of medication administered in these cases is clearly documented, for example if a person has had one or two pain killing tablets. Throughout the inspectors visit to the home it was observed that staff speak to service users in a respectful and friendly manner. Care plans detail the service users individual wishes promoting their dignity as an individual person. All shared bedrooms have screening to protect the privacy of the service user whilst receiving care. The home also has portable screening that can be used to protect the service users privacy in any setting in the home. Service users spoken with said that staff are helpful, friendly and kind. Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 13 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. Service users are able to exercise control over their lives, participate in meaningful activities, receive visitors as they wish and enjoy nourishing meals served in a relaxed atmosphere. EVIDENCE: Details about service users past and present interests and family life are obtained through the assessment process and ongoing conversations with the service user and their families. These details are documented within the service user care planning documents and are used to plan activities that will interest the service users. A planned programme of activities is displayed in the lounge. There is also opportunity for service users to chat and play board games amongst themselves and with staff members. The communal areas are arranged so that different small group activities can be happening at the same time, but the areas can be made into one large room if there are visiting entertainers. During the inspectors visit one service spoke of her enjoyment of Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 14 listening to visiting musicians to the home, service users and a staff member were having a game of dominoes and a group of service users were chatting and listening to the television. Service users can chose what they want to watch and are able to use the remote control to change the television programmes. It was encouraging to see service users discussing which programme they wanted to watch amongst themselves and resolving conflicting wishes amicably. There is a good supply of books in normal print and large print throughout the home for the use of service users as well as many board games. Several of the service users spoke of their appreciation of the use of the varied book collection. A record is kept of all activities that service users participate in. Some service users spoke to the inspector about the enjoyment they have from the monthly church services that are held at the home. Service users told the Commission in the returned surveys that there are always activities arranged by the home that they can take part, but some of them choose not to take part in the activities. Comments included ‘ I love the fish tank’ and ‘ I love the singing when we have a service here and the social events that are here.’ Others described how they are supported to continue going to their family church and attend the day centre once a week that they were attending prior to moving into the home thus keeping contact with their friends. The matron discussed how service users are encouraged to be part of the local community. The home is a member of the local gardens that are opposite the home which means that service users are invited to attend events held at the garden, a local school visits the home to sing and chat with the service users and the home holds garden parties. Service users are able to receive visitors when they wish and are able to receive them in any of the communal areas or their private bedrooms. Conversations with service users and a relative confirmed that visitors are welcome at any time. Service users said in surveys and in conversation with the inspector that they enjoy the meals provided at the home. Comments included I ‘really enjoy my meals, just like being at home’,’ food is excellent’, and ‘very nice small meals’. The menu is planned around the service users known likes and dislikes. Choices are offered at breakfast and teatime. Lunch is usually a set meal, but the matron said an alternative is always available for those who do not want or like the meal. This was confirmed in conversations with service users. Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 15 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. Service users are confident that staff at the home will respond to complaints efficiently. Service users are protected from the effects of abuse by a staff team that has a good understanding about safeguarding adults. EVIDENCE: The complaints procedure is provided to all service users in the home information pack when they move into the home. Their representatives are made aware of the complaints process as well. Service users told the Commission in surveys and in conversations with the inspector that they are confident to express complaints and are confident that the home will respond to their complaints promptly. Relatives in surveys and conversation expressed the same opinion. A record of complaints received by the home is maintained in which the actions taken to investigate the complaint, the outcome and the response to the complainant are documented. The home has received one complaint in the last twelve months that was resolved within 24 hours. The Commission has received no complaints about the service. Polices about the protection of vulnerable adults are in place and were last reviewed earlier this year ensuring they are in line with regional procedures. Records evidence that staff have received training about safeguarding vulnerable adults. Conversations with staff members and the matron evidenced Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 16 that staff have a good understating of the procedure to take if they suspect an act of abuse has occurred. No safeguarding adult referrals have needed to be made by the home in the last year. Anglesey Court DS0000011732.V344117.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 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy living in a home that is well maintained and is continually striving to improve the environment for the benefit of the service users. EVIDENCE: Anglesey Court is a large detached house situated in Alverstoke, Gosport, close to a park and the sea front. Accommodation is provided over three floors for twenty residents. There are ten single and five double rooms plus two communal areas. Following decoration of these areas their use has been altered in line with service users wishes. There are now two lounge areas, one of which incorporates the dining area. This allows for a greater choice of resting and leisure areas for the service users. A passenger lift, chair lift and stairs give access to each floor. Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 18 Residents’ rooms looked clean and homely and contained many personal items such as pictures and ornaments. All the rooms have hand basins and lockable storage space. The home has sufficient bathroom and toilet facilities and at the time of the visits those seen looked clean. Following the previous inspection the soft toy storage area in one bathroom has been separated from the rest of the room reducing cross infection risks. Also procedures and equipment are being put in place to improve the storage of soiled linen in the laundry area to reduce risks of cross infection. In two of the bathrooms cleaning solutions and bars of soap were observed which could pose a risk to service users. This was discussed with the matron who promptly ensured that these items were put away in secure storage areas. The kitchen, which is domestic in style looked clean. An environmental health inspection for food hygiene was carried out earlier this year resulting in no requirements. Staff were seen to use disposable aprons and gloves as necessary to reduce the risk of cross infection. Staff have received training about infection control. The home was clean and tidy on the day of the inspectors visit. A cleaner is employed each morning to maintain the cleanliness of the home. The home has a garden to the front of the property where seating is provided. The service has recently been successful in obtaining a grant to improve the front garden area. The matron said that access to the garden for those with mobility problems will be improved as well allowing easier access for emergency services. The rear of the property is used for car parking. Anglesey Court DS0000011732.V344117.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. Robust recruitment procedures protect the welfare of those living at the home. Service users benefit from a staff team that has a good mix of skills and is well qualified to provide care and support. EVIDENCE: The home employs the registered manager (matron), a trained nurse, senior carers and carers. Separate staff are employed for catering, domestic, administration and maintenance duties. There is also a helper for three mornings a week to assist with duties such as bed making. The matron said that staffing levels are flexible to meet the needs of the residents. There is always a member of staff on call, either the matron or one of the senior carers that staff on duty can contact if they have any concerns. Staff spoken with said that they feel staffing levels are sufficient. Service users told the Commission that there is always or usually a member of staff available to assist them when they need assistance. Comments from service users included ‘ if I need help they’re always there to help me’ and ‘there is a member of staff to help when needed’. Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 20 Staff spoken with said they were encouraged by the registered manager to attend training sessions and obtain qualifications. The AQAA states that 82 of staff have or are working towards NVQ level 2 or above in care. This exceeds the required 50 of care staff who must hold or be in the process of obtaining NVQ level 2 or above. The home follows robust procedures when recruiting staff. Many of the staff have been employed for a number of years, with only three staff members employed since the last inspection. Records seen for these staff members contained all the information required including two written references and proof of identity. Criminal Records Bureau (CRB) and Protection of Vulnerable Adult (POVA) checks had been completed before the staff member started work at the home, protecting the safety of the residents. New members of care staff had undergone induction training that complies with Skills for Care Common Induction standards. The matron said that she felt strongly staff should be able to receive the training they required to do their jobs and records seen confirmed this. She explained that she is using Skills for Care information and guidance to improve the training programmes for staff members. Staff members told the inspector that they believe they have the training they need to perform their role. Staff surveys state that as their roles change the home provides the training to enable them to perform that role. Anglesey Court DS0000011732.V344117.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. Anglesey Court is run in the best interests of the service users, whose financial interests are safeguarded by the home’s clear procedures on handling money. Prompt response to health and safety issues protects the health and safety of anyone who enters the home. EVIDENCE: The registered manager (matron) Mrs Anne O’Gorman has been the manager of the home for sixteen years. She is a registered nurse and has completed NVQ level 4 in management. It was evident in conversation with her that she is committed to providing a quality service for the people living at the home and Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 22 allowing them to make their own decisions and continue with the life style and activities they had prior to moving into the home. During the visit to the home staff spoken with commented on the good support they receive from Mrs O’Gorman. It was observed that Mrs O’Gorman has a good rapport with service users and staff. Service users were observed chatting easily with her. Service user’s views about the running of the home are obtained during one to one meetings and group meetings that take the format of relaxed chats. Letters and cards containing comments from relatives and visitors were displayed for residents and staff to see. Three residents spoken with said that they felt able to give their views on the quality of their care at any time by talking with the registered manager. A member of the organisation responsible for the running of the home makes unannounced visits to the home on a monthly basis to check on the quality of care provided. Records seen confirmed these visits are taking place. Small amounts of residents’ money are kept in a locked drawer in a locked office. Records are kept of all transactions and records seen for three residents, matched that amount of money held. During the visit safe working practices were observed. Health and Safety information is displayed in the home and staff have received training in health and safety issues during induction and NVQ courses. It was observed that some substances hazardous to health such as cleaning fluids were accessible in some bathrooms. The matron attended to these promptly ensuring they were stored safely. Also the water distributed from hot water taps in some washbasins was very hot to touch that could pose a risk of service users scalding themselves. The matron discussed that a risk assessment will be done about the hot water and action will be taken according to the result of the risk assessment. Records seen indicate that all accidents are recorded and the information used to update risk assessments as necessary. Fire records seen indicate that all staff had received fire safety training and that fire safety checks are carried out at the intervals recommended by fire and rescue services. Certificates seen indicated that regular maintenance and service checks were undertaken for specialist equipment such as hoists and for services such as the electric and gas. Anglesey Court DS0000011732.V344117.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 X 3 X 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 3 13 3 14 3 15 3 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 2 Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations A consistent manner for the amount of medication administered for a person prescribed a variable dose of medication should be implemented. Anglesey Court DS0000011732.V344117.R01.S.doc Version 5.2 Page 25 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 ik Anglesey Court DS0000011732.V344117.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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