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Inspection on 04/07/06 for Arlington House Care Home

Also see our care home review for Arlington House Care Home for more information

This inspection was carried out on 4th July 2006.

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

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

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

What the care home does well

Arlington House offers a homely and well maintained environment. The home has a pleasant and relaxed atmosphere. The manager and staff encourage residents to be as independent as possible and to be part of the day-to-day running of the home. Bedrooms viewed by the inspector were comfortable, clean and personalised. On the day of inspection there was no malodour in the home. Residents are treated with a high level of dignity and respect and staff have an excellent understanding of the individual needs, preferences and personalities of each resident. There is a warm rapport between staff and residents. Residents presented as well groomed, relaxed and happy in the home. Care plans are comprehensive and form a good basis for an assessment of need and to provide the day-to-day support to enable residents to maintain their independence and be provided with appropriate care and support. Health care needs are well met and the staff at the home liaise well with health care and medical agencies. Staff spoken with stated they enjoyed working at the home, staff were observed carrying out tasks efficiently and were committed to their work The management team and staff form a cohesive team, with good communication between themselves, with the residents and with other professionals. Record keeping was well organised. The health and safety of residents is generally promoted and protected.

What has improved since the last inspection?

Since the last inspection staff members have been updated with the adult protection procedures. Two staff files viewed confirmed they had received training adult protection March 2006.

What the care home could do better:

Following this inspection there are only two requirements arising. Recruitment practices at the home need to be robust offering protection to the residents. Three staff files views did not contain all the information as listed in Schedule 2 of the Care Home Regulations 2001. One staff file contained two open references this should not be accepted unless the manager has checked themwith the referee and recorded the result. The best practice is for the home to write to the referees requesting a reference. A good practice recommendation has been made to ensure that water outlet temperatures are taken at regular intervals.

CARE HOMES FOR OLDER PEOPLE Arlington House Care Home 7 Arlington Drive Mapperley Park Nottingham NG3 5EN Lead Inspector Rehana Rashid Key Unannounced Inspection 4th July 2006 10:55 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 Arlington House Care Home DS0000002186.V302115.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. Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arlington House Care Home Address 7 Arlington Drive Mapperley Park Nottingham NG3 5EN 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) 0115 962 4397 0115 962 4397 Mrs Margaret Clarke Mr John Clarke Karen Margaret Clarke Mrs Margaret Clarke Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th December 2005 Brief Description of the Service: Arlington House is a large detached property, situated in a residential suburb of Mapperley Park, which has good public transport links to the city centre and there are local shops and a post office nearby. The house has been extended and converted to provide comfortable living accommodation for up to 18 older people. The home is set in landscaped and well maintained gardens. The property is well decorated and comfortably furnished with a choice of lounge areas. The bedrooms are provided over two floors; there is no lift access between floors. The home is well staffed and training is available. The homes current weekly fee range is £319 to £344. Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out on 4th July 2006 for the duration of 4.5 hours. This was the homes first inspection for this financial/inspection year April 2006. The main method of inspection was case tracking, which involved randomly selecting two residents and examining their care records. Case tracking is used to establish if the needs of the residents are being appropriately assessed by the home and their needs are being catered for. Indirect and direct observation of practice and interaction between staff and residents was also carried out as part of the inspection methodology. The officer in charge gave the inspector a partial tour of the building. Which included the communal areas, 1 bathroom, kitchen and three bedrooms. The garden area was also viewed. Residents were briefly observed during lunch. Other documentation including health and safety records were also examined. The management of medication was partly assessed. During the course of the inspection the Inspector spoke with three residents, the feedback was very positive about the level of care received. These residents spoke positively about the care staff and about the service provided by the home. The Registered Manager and the officer in charge assisted in the inspection process. Two members of staff were spoken with and three staff files were viewed. The registered manager and staff members were helpful and pleasant to the inspector throughout the inspection. The focus of the inspection was to concentrate on the key standards, which were assessed under the new methodology of Inspecting for Better Lives (IBL). One requirement set at the last inspection was discussed. Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Following this inspection there are only two requirements arising. Recruitment practices at the home need to be robust offering protection to the residents. Three staff files views did not contain all the information as listed in Schedule 2 of the Care Home Regulations 2001. One staff file contained two open references this should not be accepted unless the manager has checked them Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 7 with the referee and recorded the result. The best practice is for the home to write to the referees requesting a reference. A good practice recommendation has been made to ensure that water outlet temperatures are taken at regular intervals. 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. Arlington House Care Home DS0000002186.V302115.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 Arlington House Care Home DS0000002186.V302115.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,5 Quality in this outcome area is excellent this judgement has been made using available evidence including a visit to this service. Prospective residents individual aspirations and needs are assessed prior to moving to the home. Prospective residents and their relatives and friends have an opportunity to visit the home to assess the quality, facilities and the suitability of the home. EVIDENCE: There is an assessment of need process, records were available and had been included in each care plan. The care plans demonstrated that the resident, family members and representatives are included in the assessment process. Assessment of residents needs were thorough and well detailed. Two residents spoken with stated they had an opportunity to visit the home prior to the commencement of their placement. Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. 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. Health care records are well organised within the resident’s files. Resident’s health, personal and social care needs are generally set out in and individual plan of care. Medication is well organised, and there are robust policies and procedures in place around medication administration. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Two care plans were randomly selected and viewed on this inspection. Daily communication records are kept in a central file, these were viewed for the two residents case tracked. The daily communications records were signed and dated by the author, which contained significant information. Care plans were detailed and contained risk assessments. Medical histories, health assessments and how and who were involved in meeting these needs were recorded in each plan. The manager and staff on duty at the time of this inspection had a detailed insight into the medical and health needs of the residents. Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 11 The regular visits and details of consultations made by doctors, district nurses, the optician, chiropodist and other medical professionals are recorded. Records provided evidence that the home liaises with relevant medical agencies to seek advice and further consultation when necessary. The manager and owner have escorted residents to hospital appointments. There was a warm and respectful rapport between the staff and residents. Discussion with staff and observations throughout the visit evidenced a very sensitive and respectful approach to ensuring the privacy and dignity of residents is respected. Residents spoken with commented that their health has improved since living at the home. One resident was concerned about that he was having problems with his hearing. He stated he normally raises health issues with the staff and the appropriate action is taken. However for no apparent reason he has not informed the staff that he was having problems with his hearing and agreed that the inspector discuss this with the officer In charge. This was raised with the officer in charge who agreed to speak with the resident and make a GP appointment. During lunchtime the medication round was briefly observed. Medication is stored securely in a lockable cabinet. The home uses a monitored dosage system for the majority of the medicines. Medication administration record had been filled in and details of controlled medication administrated were recorded in the controlled drugs book, which was signed. One Staff training file viewed confirmed the member of staff had received training in medication management. Two staff members spoken with stated that they had received training in medication management. One care plan viewed contained a detailed risk assessment, as the resident is responsible for some of her medication. The file also contained a self-medication agreement form, which had been signed by the resident. There was a warm and respectful rapport between the staff and residents. Staff were observed to provide a sensitive level of care in terms of ensuring the privacy and dignity of residents is respected. The inspector observed positive interaction between staff and residents. Residents said that staff were very polite and kind, knocking on bedroom doors and speaking to people with respect. Residents said that staff help with personal care and take their wishes around privacy into account. Residents spoken with stated they receive their mail unopened and that there is a pay phone in the home should they need to make a phone call. They also stated they are able to use the cordless phone in their room ensuring privacy or the phone in the managers office. Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents find the lifestyle experienced in the home matches their expectations and preferences. The home arranges social activities for the residents. They maintain contact with family, friends and exercise control over their lives. Residents receive a balanced diet. EVIDENCE: Three residents spoken with stated they are happy with the level of social activities provided by the home. During the inspection residents were observed sitting in the lounges and garden area. Some were interacting with staff and fellow residents. Whilst others were reading the newspapers, watching television and after lunch some residents were snoozing. The residents spoken with talked about the different activities on offer at the home. This included movement to music, bingo, and holy communal. Residents confirmed last week some residents were taken to a local garden centre (Brookfields Nursery). June 2006 Social activities program was displayed outside the lodge. During the last residents meeting which took place June 2006 residents decided to either go to Rufford Park or Southwell during July 2006. Residents are able to sit in the main lounge and they have a quiet lounge. Residents were observed sitting in the quiet lounge reading books Residents spoken with Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 13 stated they are able to sit where they wish. One resident stated he enjoyed assisting with the small vegetable garden. The home has a welcoming and friendly atmosphere, which was witnessed at the inspection. Residents spoken with confirmed that visiting times were flexible and staff are welcoming of visitors. The manager stated residents are encouraged to maintain contact with the local community. Residents informed the Inspector that they are encouraged to make their own choices including meals, their daily routine and what they wish to wear. Resident’s rooms were very personalised, which was observed when three bedrooms were viewed. One resident stated during the recent local elections the home had arranged for him to receive postal vote, but he stated through personal choice he decided not to vote. The cook stated due to the hot weather the menu has been adjusted in consultation with residents. The meal on the day of the inspection was grapefruit as a starter, Beef stew and dumplings for the main course. The pudding was peach crumble. The menu was displayed in the dinning area. Residents spoken with said that the food in the home was of a very high standard and there are alternative choices. One resident commented that “the food is very good and at times its too good and I end up eating more”. Residents stated that the menus were varied and offered a nutritious diet. Menus were viewed which confirmed menus are varied. The kitchen was clean, and order. Lunch was observed briefly which was like a social occasion. One resident required assistance, she was assisted sensitively. The cook showed the inspector records of fridge and freezer temperatures. Records are kept of meals taken in the home together with details of alternative meal choices and the resident’s name. Due to the current heat wave the inspector observed that the home had arranged for cold drinks to be distributed around the home. During the partial tour of the buildings the inspector noticed jugs with water and soft drinks were left beside residents in the lounge areas. One bedroom viewed also contained a jug of water. Staff were also observed to be encouraging residents to drink plenty of fluids. One resident was going to sit in the garden area; a member of staff encouraged the resident to sit in the cooler shaded area. Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. 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 complaints are taken seriously. Staff members spoken to during the inspection were aware of the issues of protection of service users from abuse. EVIDENCE: A complaints procedure is in place, which was displayed in the home. Residents spoken with confirmed that they were aware of the complaints procedure. It was clear from residents that they would feel confident to complain and that they felt any concerns would be dealt with immediately and appropriately. One resident stated that he felt listened to and had no reason to complain. Residents felt that every effort was made by the staff to rectify any concerns Arlington House have a complaints book in which the staff record all complaints received this verified that concerns are appropriately dealt with in the home. Since the last inspection the home had received no complaints. Staff member spoken with demonstrated that she had an understanding of the whistle blowing procedure and were aware on the seriousness of the issues around abuse. The home has a protection of vulnerable adults policy in place. Two Staff training records viewed showed that staff had received training in adult protection during March 2006. Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. 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. Residents live in a wellmaintained environment, which is clean, pleasant and hygienic. The home was clean. Bedrooms are well equipped and personalised according to personal choice with resident’s own possessions around them. EVIDENCE: Arlington House provides its residents with a very clean and well-maintained environment. The atmosphere throughout the home was relaxing and homely. The garden area is very well maintained with a seating area. Inspection of bathrooms, bedrooms and communal areas such as the lounge and kitchen were found to be suitable for residents. The bathroom viewed was in a good state of condition. It was clean and free from mal-odours. The kitchen area was clean; the dining area attached to the main lounge was well maintained. The three bedrooms viewed were very well personalised with resident’s personal possessions including photographs, ornaments. Each room viewed Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 16 was decorated well and very clean. All rooms viewed had sufficient storage space. Residents spoken with stated they are very happy with their bedrooms. Communal rooms were comfortable, homely and spacious. The home also provides its residents with quiet sitting area in the quiet lounge. On the day of the inspection the home was free from mal-odour. The overall standard of cleanliness in the home was good. Carpets and furnisher viewed during the partial tour of the premises were free from stains and clean. Residents said they liked their bedrooms; the choice of lounges available and they were particularly complimentary about the well-kept gardens and views from the majority of rooms in the home. During the partial tour of the building the inspector noticed covers to radiators are not fitted. This was raised with the officer in charge regarding the health and safety of residents; he stated that the home had carried out risk assessments. At the previous inspection the inspector viewed risk assessments in relation to the surface temperature of radiators and associated pipe work, these were not viewed at this inspection. Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Residents are in safe hands. Arlington Houses recruitment policies needs to be robust ensuring the safety of residents EVIDENCE: On the day of this inspection, the home was adequately staffed. Staff were friendly and welcoming to the inspector and had positive relationships with the residents, demonstrating a caring attitude. The manager and many of the staff have worked at the home for an extensive period of time and provide a good level of experience. Residents spoken with on this visit gave positive comments about the staff, using terms such as “so kind”, “lovely, very kind and always helpful”. The resident’s felt safe and well looked after, with staff encouraging them to be independent and providing support when needed and requested. Three staff files were viewed which were well organised. Discussion with staff confirmed that training is available and identified that staff have an in depth knowledge of how to meet the residents’ needs. Staff training records viewed confirmed staff had received training in medication management, Dealing with abuse, first aid and food hygiene. The manager stated two staff members received confirmation last week confirming they had one had achieved NVQ 2 Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 18 and the other achieved NVQ 3. Confirmation letters had been taken home by the staff members so were not viewed on the day of the inspection. Recruitment practices at the home need to be more robust offering protection to the residents. Three staff files viewed did not contain all the information as listed in Schedule 2 of the Care Home Regulations 2001. One staff file contained two open references this should not be accepted unless the manager has checked them with the referee and recorded the result. The best practice is for the home to write to the referees requesting a reference. Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. 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. Arlington House is run and managed by a person of good character who is fit to be in charge. Resident’s financial interests are safeguarded. The health & safety of residents and staff at Arlington House is generally promoted and protected. EVIDENCE: The manager, who is a qualified nurse, was present during this inspection. Staff were very positive about the management of the home and felt very supported. In addition to this residents spoken with about the management were highly complimentary about the way in which the home is run and managed. The manager stated the Home has a quality assurance system in place. The manager stated the questionnaires are distributed to residents on a yearly Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 20 basis. However during the inspection the manager was unable to locate either the questionnaires or outcome of last years quality audit. The home also has a residents meeting which takes place every three months minutes were viewed for the last meeting. The minutes confirmed residents are involved in decision making including matters such as social activities. Resident’s financial interests are safeguarded by the homes financial procedures. Resident’s money is kept in a secure lockable cabinet. On the day of the inspection two financial records were viewed, which were satisfactory. The home maintains these records and keeps all the receipts for amounts spent. During the inspection the inspector randomly viewed a selection of records relating to health and safety. The Employers Liability Insurance Certificate was displayed in the manager’s office, which is due to expire 24th April 2007. The registration certificate was displayed in the office. The complaints procedure was displayed in the home. On the day of the inspection records viewed regarding fire testing showed that these take place at regular intervals as advised by the fire officer. The fire alarm system was serviced 29th June 2006. The gas-servicing certificate was not available for inspection, as the owner had taken it home. He stated gas servicing took place last week no evidence was seen to confirm this. Portable appliances testing (PAT) had taken place 15th March 2006, certificate was viewed appliances tested had passed. At this inspection records were viewed containing water outlet temperatures. These have not been recorded since April 2006; a good practice recommendation has been made to ensure that water outlet temperatures are taken at regular intervals. Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 21 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 X 3 X 3 X 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 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 22 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 OP29 Regulation 19 Sch. 2 and Schedule 4 19 Sch.2 Requirement The registered manager must ensure all staff files contain information as set out in schedule 2 and schedule 4 of the care homes regulations 2001. New staff must not commence work until 2 satisfactory written references have been received. Open references must not be accepted without proof of authenticity. Timescale for action 04/10/06 2. OP29 04/09/06 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 OP38 Good Practice Recommendations Ensure water outlet temperatures are taken at regular intervals. Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 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 Arlington House Care Home DS0000002186.V302115.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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