Inspection on 19/06/07 for Ashmeade

This inspection was carried out on 19th June 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

Ashmeade 19/11/08

Ashmeade 05/01/06

Ashmeade 19/07/05

Ashmeade 09/11/04

Ashmeade 01/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ashmeade 379 Padiham Road Burnley Lancashire BB12 6SZ Lead Inspector Mrs Julie Playfer Unannounced Inspection 09:30 19th June 2007 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 Ashmeade DS0000009464.V332560.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. Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashmeade Address 379 Padiham Road Burnley Lancashire BB12 6SZ 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) 01282 425142 01282 454956 Ashhfe@aol.com Mrs Kathleen Mary Rhodes Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: Ashmeade is registered with the Commission for Social Care Inspection to provide accommodation and personal care for 15 Older People. The home is a detached property set in its own grounds with well-maintained and attractive gardens. There are car-parking facilities at the rear of the building. The home is located close to local shops and is on a major bus route. Accommodation is provided on two floors, linked by a passenger lift, in 9 single rooms and 3 double rooms. Three of the single rooms have an ensuite shower room and one shared bedroom has an ensuite toilet and hand wash basin. Communal space is provided in two lounges and one dining room. A visitors’ room is also available adjacent to the green lounge. At the time of the inspection, the fees were £386.00 per week. Additional charges were made for hairdressing, chiropody, trips/outings and incontinence pads. Information was made available to prospective residents by means of a statement of purpose and service users guide. The guide was usually given to prospective residents and/or their relatives on viewing the home or at the point of assessment. Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted at Ashmeade on 19th June 2007. At the time of the inspection there were 14 people accommodated in the home, plus one person in hospital. The inspection comprised of spending time with the residents, looking round the home, looking at the residents’ care records and other documents and discussion with the staff and the registered person. As part of the inspection process the inspector used “case tracking” as a means of gathering information. This process allows to the inspector to focus on a small group of people living at the home. Prior to the inspection the registered person completed a questionnaire, which provided useful information and evidence for the inspection. Satisfaction questionnaires were sent to the home for the residents and their relatives. Four questionnaires were returned from relatives/visitors to the home and six questionnaires were received from the people who live in the home. In addition a survey was sent to visiting health professionals to the home, two forms were returned. What the service does well: The admission procedures was well managed and involved a full assessment of peoples’ needs. This enabled the registered person and prospective residents to determine whether or not their needs could be met within the home. Each resident had a comprehensive plan of care. This document provided details about the residents’ personal, social and healthcare needs, which meant the staff had guidance on how best to meet the residents’ needs. The residents spoken to felt they received a good standard of care and the staff respected their rights to privacy and dignity. One resident described the staff as “Full of the joys of spring, really cheerful and happy” and another person said, “Everything is very good, we’re all well looked after”. Varied, nutritious and well-presented meals were served. All the residents spoken to said, the meals were “very good” and confirmed there was always plenty to eat, with a choice each mealtime. Visitors were welcome in the home at any time and the residents were supported to maintain good contact with their family and friends. All the relatives and visitors who completed a questionnaire expressed satisfaction with the overall care provided. One person commented, “The care home provides a clean, warm, safe and friendly environment”. Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 6 Residents were provided with clean and nicely decorated bedrooms that were maintained to a high standard. All the residents spoken to said, they felt the home was kept clean and was comfortable. A high percentage of staff had achieved NVQ level 2 or above, this meant the staff had received the necessary training to enable them to carry out their caring role effectively. Good arrangements were in place for the supervision of staff, which ensured staff were given the opportunity to discuss their work and future training needs. The registered person had developed a quality assurance system, which was based on the outcomes for the people living in the home. This meant the residents and their relatives were able to have some input into the future development of the service. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission procedure was well managed. The people who live in the home had their needs properly assessed and they were provided with appropriate written information to enable them to make an informed choice about where to live. EVIDENCE: Written information was available for the people who live in the home in the form of a statement of purpose and service users guide. The guide was presented in a suitable format and was readily accessible in the home. The guide was also available in a large print format and could be downloaded from the internet. Both the statement of purpose and service users guide provided useful information about the services and facilities available in the home. All residents were issued with a statement of terms and conditions of residence or contract. It was noted the contract had been signed by the residents and/or Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 9 their representative and included information about the current level and payment of fees. The ‘case tracking’ process demonstrated the residents had their needs assessed prior to admission to the home by a social worker and/or the registered person. Copies of the preadmission assessments were seen on the residents’ files. The registered person had also informed the residents in writing that, having regard to the assessment, their needs could be met within the home. Prospective residents were actively encouraged to spend some time in the home prior to making the decision to move in. This gave them the opportunity to meet the other residents and staff and experience life in the home. One resident spoken to had spent half a day in the home before moving in. Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care received by the people living in the home was based on their individual needs. The systems in place to manage medication were well organised and the residents were protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: From the case files seen, it was evident each person had a plan of care, based on their assessment of needs. The plans were used as working documents and set out the action required of staff to ensure the residents’ needs were met. It was evident the plans had been reviewed once a month and updated in line with any changing needs. The plans were detailed and written in a suitable format for staff to understand. Personal profiles had been incorporated into the care plans and provided details about past life experience. The care plans also covered all aspects of the residents’ religious and cultural needs. There was documentary evidence to indicate the relatives were involved in the care of their relative and had participated in the care planning process. This approach was reflected in the questionnaire responses received from relatives/visitors, Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 11 which indicated they were all kept up to date with important issues affecting their friend or relative. One person commented, “The home keeps us informed of any problems or worries”. The care plans were supported by records of personal care, which provided information on changing needs and any recurring difficulties. All records seen described the residents’ needs in respectful terms. The residents’ preferences about how they wished their care to be provided were sought, wherever possible. Risk assessments in respect to moving and handling, pressure sores and nutrition had been incorporated, where necessary, into the care plan documentation. The assessments included management strategies to manage, reduce or eliminate an identified risk. Healthcare needs were appropriately assessed and were included in the care plan. There was evidence in the records of personal care to indicate the residents had access to NHS services and advice from specialist services had been sought as necessary, for instance the District Nursing Team and the Continence Service. A separate chart was maintained to monitor the residents’ weight. Prior to the inspection, a survey was sent to visiting healthcare professional staff. Two forms were returned. Both people expressed satisfaction with the service and one person commented, “Holistic approach - personal care excellent ”. The residents spoken to felt the staff respected their rights to privacy and dignity and all made complimentary remarks about the staff, for instance one person said the staff were “very good, they always treat me in a respectful way”. The residents, who completed the questionnaires prior to the inspection, also made positive comments about the staff, for instance one person commented, “We are very well looked after. The staff work hard and are very caring”. The staff were observed to interact with the residents in a positive manner and they referred to the residents in their preferred term of address. Policies and procedures were in place to cover all aspects of the management of medicines. The home operated a monitored dosage system for the administration of medication, which was dispensed into individual blister packs by a local pharmacist. All records seen in respect to the receipt, administration and disposal of medication were complete and up to date and all staff designated to administer medication had received accredited training. If necessary, the residents were able to take medication with them when they went out. Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents were supported to live a full and stimulating lifestyle and maintain good relationships with their families. EVIDENCE: The residents said the routines were flexible and they were able to get up and go to bed at a time of their choosing. Breakfast and supper was served to meet the preferences of the residents. The residents’ interests were documented in the assessment and care plans. A broad range of activities were planned and implemented by the staff. Records were maintained of activities arranged in the home, which included, music and movement, aromatherapy, tabletop games and film afternoons. Some residents had also been on trips to Chatburn garden centre and Ingleton. In addition four residents had been on a five day holiday to Blackpool, with one relative and two members of staff. One resident spoken to said “I had a really lovely holiday in Blackpool, it was all good”. The residents were consulted about the activities provided in the home as part of daily discussion and at the residents’ meetings. Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 13 Visitors were welcome at the home and there were no restrictions placed on visiting times. The residents were able to entertain their guests in any area of their choice, including their bedrooms. All the relatives/visitors who completed a questionnaire were satisfied with the overall quality of care. Comments included, “My Mum is very happy at Ashmeade. She is cared for well and is very fond of the staff” and “the quality of care is superb”. The residents were supported to continue with their chosen form of religion and various representatives from local churches visited the home on a regular basis. An ecumenical service was also held in the home once a month. Residents spoken to described the meals as “very good” and “lovely”. They also said there was always plenty to eat and the food was a good quality. There was a choice of food at every mealtime and residents were asked what option they preferred. One resident commented, “They always ask you what you want”. The meal looked appetising on the day of inspection and was well presented. Drinks and snacks were served at set times throughout the day and other times on request. Residents were observed asking for drinks during the inspection and were promptly served by the staff. Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were able to express their views and had access to a clear complaints procedure. Policies and procedures were in place to respond effectively to any allegations or suspicions of abuse. EVIDENCE: Both informal and formal arrangements were in place to ensure the registered person and staff listened to and acted on the views and concerns of residents. This was achieved during daily conversation, one to one discussion, satisfaction questionnaires and residents’ meetings. The residents spoken to said, they felt comfortable expressing their views and were aware of whom to speak to in the event of a concern. A copy of the complaints procedure was displayed behind wardrobes doors in each of the bedrooms and included in the service users guide. The procedure contained the necessary information should a resident or their representative wish to raise a complaint with the home or direct to the Commission. The registered person had not received any complaints about the service. The policies and procedures for safeguarding vulnerable adults were available and provided guidance to staff should they suspect or witness any harmful practice. These issues were incorporated into the induction training and staff received specific tuition as part of their NVQ training. Staff spoken to were aware of whom to refer any incident to and the various agencies involved. Ashmeade DS0000009464.V332560.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents were provided with an attractive, clean, comfortable and well maintained environment. EVIDENCE: Ashmeade is a detached house set in its own grounds. The home is located close to local shops and other amenities. Accommodation is provided in nine single bedrooms and three shared bedrooms. Four of the single bedrooms have ensuite facilities. The home also provides two bathrooms and three separate toilets. The bathrooms were homely and included aids and adaptations to meet the residents. Shared space is provided in two lounges, a dining room and a visitors’ lounge. The residents had free movement around the home and were able to choose where they wished to spend their time. It was evident from a partial tour of the home that residents had personalised their rooms with their own belongings and decoration was a high standard Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 16 throughout. The residents said they liked their bedroom, one person said, “I really like my room, it’s very nice and is always kept very clean” and another person said, “My room is really comfortable”. Since the last inspection, a new kitchen and laundry had been installed and two bedrooms had been repainted. All work had been carried out to a good standard. Residents had been provided with aids and adaptations to assist their independence skills, these included grab rails, handrails, raised toilets and an oxford hoist. The passenger lift provided access to the first floor accommodation. The provision of specialist equipment was determined by the needs of the people living in the home. Residents had access to a well-maintained garden at the front of the property. The garden looked very attractive and residents said they enjoyed sitting on the patio area in fine weather. Radiators had been fitted with guards. To prevent scalding all water outlets, including the baths and showers had been fitted with preset valves to guarantee water was delivered close to 43°C. The home was clean and odour free at the time of the inspection. A resident spoken to said, “It is always very clean and comfortable”. The systems for maintaining hygiene included procedures for infection control. Plastic aprons and gloves were available for staff when undertaking care duties. Ashmeade DS0000009464.V332560.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The numbers, skills mix and competencies of the staff met the residents’ needs. The recruitment procedures were thorough and ensured the protection of the residents. EVIDENCE: The registered person maintained a staff rota, which indicated which staff were on duty and how many hours they had worked. All staff providing personal care were aged over 18 and all staff left in charge of the building were aged over 21. There were plentiful staff available at all times to support the needs, activities and aspirations of individual residents. For instance additional staff were made available to facilitate a holiday for some of the residents. All new employees undertook an in house induction programme and where appropriate a “Skills for Care” induction. The latter provided underpinning knowledge for NVQ level 2. At the time of the inspection, the equivalent of 75 of the care staff were trained to NVQ level 2 or above. The deputy managers had also achieved NVQ level 4 in Care. Staff were supported and encouraged to attend both internal and external training courses. The training courses included care of people with dementia, prevention of falls and palliative care. A staff training plan was displayed in the hallway and each member of staff had individual training plans. The training plans demonstrated Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 18 that the deputy managers had undertaken courses and then shared their skills and knowledge with their colleagues. The registered person operated a recruitment and selection procedure for new staff, which reflected current legal requirements. The procedure was based on an Equal Opportunities Policy and the registered person had a good understanding of the issues associated with this. The file of one employee, who had commenced work in the home during the last 12 months, was examined. The person had completed an application form, provided a full working history and had attended the home for a face-to-face interview. Appropriate police checks and written references had been sought and received prior to the staff commencing work in the home. The residents had a good relationship with the staff. As such, the residents were observed throughout the inspection conversing freely with the staff and participating in a shared humour. Ashmeade DS0000009464.V332560.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service provided is well managed and run in the best interests of the residents. EVIDENCE: The registered person has the overall responsibility for the management of the home and had completed the Registered Manager’s Award and, is also a Registered General Nurse. The registered person had undertaken periodic training to update her knowledge and skills whilst managing the home. Since the last inspection, the registered person had completed various management courses, a caring for people with dementia course and had been involved in the standardisation of the Skills for Care induction training. In addition, the registered person had a sound understanding and knowledge about the best Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 20 ways to care for older people, this was communicated to the staff by means of daily interactions, formal supervisions and staff meetings. There was a programme in place for staff supervision and the topics discussed during supervision were recorded on a suitable format. In addition to supervision, staff were given an appraisal of their work performance, which included a discussion about the policies and procedures and future training needs. The home achieved an Investors in People Award in 2001, which was reaccredited in 2004. The registered person had developed a quality assurance system to monitor the quality of the service received by people living in the home. Satisfaction questionnaires had been distributed to residents, their relatives and visiting professional staff in December 2006. The results of the questionnaires had been collated and fed back to all interested parties, to inform them of the outcome of the survey. An internal quality audit had been carried out in March 2007, which included all aspects of the operation of the care home for example care plans, staff supervision and environment. A development plan had been produced setting out the objectives for the forthcoming year based on the results of the quality monitoring process. Since the last inspection, the registered person had produced a newsletter, which was distributed to the residents and their relatives. Appropriate arrangements were in place for handling money, which had been deposited with the home by or on behalf of a resident. A random check of monies was found to be correct. Records were also maintained in respect to the amount of fees charged and received. There was a set of health and safety procedures available, which included the safe storage of hazardous substances. Staff received health and safety training, which included moving and handling, food hygiene, first aid and fire safety. Documentation seen during the inspection and information contained in the pre inspection questionnaire indicated the electrical, gas and fire systems were serviced at regular intervals. The fire log demonstrated the staff and residents were involved in fire drills and staff had received instruction about the fire procures during their induction. Since the last inspection, a professional fire risk assessment had been carried out and regular audits were undertaken of the residents’ bedrooms and the general environment. Risk assessments had been completed in respect to safe working practice topics. Arrangements were in place to record accidents and incidents in the home and the Commission had been notified as appropriate of any significant event in the home. Ashmeade DS0000009464.V332560.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 3 3 3 3 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 3 3 3 3 3 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 4 X 4 Ashmeade DS0000009464.V332560.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. 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. Refer to Standard Good Practice Recommendations Ashmeade DS0000009464.V332560.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Ashmeade DS0000009464.V332560.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. 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