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Inspection on 26/09/06 for Aslockton Hall Care Home

Also see our care home review for Aslockton Hall Care Home for more information

This inspection was carried out on 26th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

The home is well maintained and homely, residents` bedrooms are spacious, well decorated and personalised. The registered manager is aware of her responsibilities and gives clear guidance and leadership to staff regarding the standard of care provided. The registered manager ensures that the home is able to meet the needs of prospective residents prior to their moving to the home. Care plans are reviewed on a regular basis, ensuring staff are aware of residents changing needs at all times. Staff were knowledgeable about their caring role and were clear about their responsibilities in maintaining residents privacy, dignity and safety. Residents were mostly positive about their experience if living in the home. All residents spoken with felt safe, commenting on the kindness of staff and the different activities that took place. All residents spoken with were positive about the food and the manager and the cleanliness of their bedrooms and the communal areas of the home. The registered manager ensures that there is an effective quality monitoring system in place and keeps residents up to date with what is happening buy means of a newsletter and a monthly coffee morning. (This is good practice) Training records show that staff are able to access a wide variety of training and that each qualified nurse has lead responsibility for different areas in the home, such as Tissue Viability and Moving and Handling this ensures that staff keep up to date with new practice and that they receive regular training to maintain their level of skills.

What has improved since the last inspection?

The registered manager constantly strives to improve standards within the home and is improving communication amongst staff by providing a monthly newsletter for them to make them aware of practice issues and other matters that impact on residents` life within the home. Evidence was seen that the manager is to start monthly residents meetings on 2nd October 2006 to ensure that residents are fully involved in the live of the home. A requirement was made at the last inspection regarding the signing of Medication Administration Records, evidence was seen that this is now being done and so the requirement is met.

What the care home could do better:

The Registered Person should provide a menu that reflects what choices are available for the midday meal. Prescribed creams were noted in communal bathrooms, the Registered Person must ensure that such items are stored in residents` bedrooms not in communal areas. The doors to the sluices were regularly left open by staff, the Registered Person should ensure that doors are closed after use to minimise risk of infection.

CARE HOMES FOR OLDER PEOPLE Aslockton Hall Care Home New Lane Aslockton Nottingham NG13 9AH Lead Inspector Susan Lewis Key Unannounced Inspection 26th September 2006 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 Aslockton Hall Care Home DS0000026412.V306641.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. Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aslockton Hall Care Home Address New Lane Aslockton Nottingham NG13 9AH 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) 01949 850233 01949 851660 Clare Grange Limited Caroline Julie Brown Care Home 62 Category(ies) of Old age, not falling within any other category registration, with number (62), Physical disability (1), Terminally ill (1) of places Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Old age, not falling within any other category (OP) - 62 Physical disability (PD) - 1 Terminally ill (TI) - 1 Date of last inspection 1st November 2005 Brief Description of the Service: The fees for 2006/07 are from £423-£595. This does not include hairdressing, newspapers, chiropody and manicures. The last inspection report is available in the office. Aslockton Hall provides personal and /or nursing care for up to sixty-two older people. The registration includes 1 physical disability and 1 terminally ill place. The premises are located in a rural setting comprising a period building adapted and extended to offer spacious and attractive accommodation. There are various seating areas and lounges around the home, which offer different views of the gardens. There are extensive grounds and gardens maintained to a very high standard, which are made use of during the warmer months when parties and garden fetes are held. The home has been adapted to meet specialist’s needs and there is a range of equipment available to support service users personal requirements. Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting clients and tracking the care they received through looking at their records, talking with them where possible, and observing staff in their practice. The inspection was unannounced and took place over 7 hours one Tuesday in September 2006, and was conducted by one inspector as part of the annual inspection process. A partial tour of the building took place and a selection of residents’ bedrooms was inspected. Residents’ records were inspected and seven residents and a selection of staff on duty were spoken with. What the service does well: The home is well maintained and homely, residents’ bedrooms are spacious, well decorated and personalised. The registered manager is aware of her responsibilities and gives clear guidance and leadership to staff regarding the standard of care provided. The registered manager ensures that the home is able to meet the needs of prospective residents prior to their moving to the home. Care plans are reviewed on a regular basis, ensuring staff are aware of residents changing needs at all times. Staff were knowledgeable about their caring role and were clear about their responsibilities in maintaining residents privacy, dignity and safety. Residents were mostly positive about their experience if living in the home. All residents spoken with felt safe, commenting on the kindness of staff and the different activities that took place. All residents spoken with were positive about the food and the manager and the cleanliness of their bedrooms and the communal areas of the home. The registered manager ensures that there is an effective quality monitoring system in place and keeps residents up to date with what is happening buy means of a newsletter and a monthly coffee morning. (This is good practice) Training records show that staff are able to access a wide variety of training and that each qualified nurse has lead responsibility for different areas in the home, such as Tissue Viability and Moving and Handling this ensures that staff keep up to date with new practice and that they receive regular training to maintain their level of skills. Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 6 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. Aslockton Hall Care Home DS0000026412.V306641.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 Aslockton Hall Care Home DS0000026412.V306641.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 The quality outcome for this area is good. This judgement has been made using available evidence including a visit to this service. Residents are assessed prior to moving into the home and are assured that the home is able to meet their needs. EVIDENCE: Intermediate care is not provided in this service. Four care plans were viewed as part of this inspection visit. All plans showed that the Registered Person manager had made every attempt to obtain information regarding the person’s needs prior to moving to the home including speaking to ward staff for those residents who were in hospital at the point of referral. The assessment covered all aspects of daily life and ensures that staff have information necessary to provide appropriate care to the resident. Two residents spoken with confirmed that they had been involved in the decision to come to the home and had been given sufficient information to make their choice to come to the Aslockton Hall. One resident commented ‘I had heard good reports of this home locally before I came and that helped me make my mind up’. Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 9 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, 9and 10 The quality outcome for this area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social care needs are set out in an individual plan of care. Residents’ health care needs are met. Residents, where appropriate are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. Residents feel they are treated with respect and their right to privacy is upheld. EVIDENCE: All four plans viewed followed the same format, starting with the assessment from which risk assessments were carried out looking at the persons nutritional needs, skin integrity and risk of falls, which in turn led to a moving and handling risk assessment. Each risk assessed was linked to an action plan, identifying how the risk was minimised. The care plans set out what the aim of the plan was and what action carers took to ensure that residents’ needs were met. Diary notes provided evidence that residents were receiving the care they needed including referrals to Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 10 doctors, speech therapists for advice on swallowing as well as tissue viability nurses. There was some evidence that residents, where possible, were involved in the creation and review of plans, however residents spoken with could not remember seeing their plan. Staff spoken with also said that they talked to residents about their care plans. All care plans viewed were regularly updated including a resident who had only recently moved to the home, this plan was being evaluated every one or two days to ensure the care identified actually met the needs. (This is good practice) Residents spoken with were positive about the care staff saying how kind they were. ‘The staff look after me’, ‘The staff treat me well’, ‘I think this is a good home’. Risk assessments are carried out on all residents’ ability to self medicate, ensuring where possible those residents who wish to and are able can remain in control of their own medication. Staff were observed during the day administering the medication. Staff spoken with whether they administered medication or not understood what the procedures were and what should happen. Residents spoken with said that they received their medication regularly and staff explained what it was for, particularly if the prescription had been changed by the doctor. (This is good practice) Records were up to date and appropriate methods of storage and destruction were used for unused medication. A requirement was set at the last inspection to ensure that Medication Administration Records were signed appropriately; evidence was seen that this is being done. Through out the day staff were observed interacting with residents, there were polite and pleasant, showing respect and care. Help was provided when needed and staff spoken with had a clear understanding of how important it was to maintain residents’ privacy and dignity. Staff were able to give good examples of how they ensured that residents were able to make choices in their day such as getting up and getting dressed, including where a resident may have a visual impairment. Residents commented that staff always knocked on their door before entering, it was also noted on one care plan viewed that for a resident who has a hearing impairment that staff should knock on the door as usual but to also announce who it was when the staff member walked in. Staff spoken with were all aware of this instruction. Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 11 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 and 15 The quality outcome for this area is good. This judgement has been made using available evidence including a visit to this service. Residents’ state that the lifestyle experienced in the home matches their expectations and preferences Residents are encouraged to maintain contact with family and friends. Where possible residents are encouraged to make decisions about their individual lifestyles. Residents are helped to exercise choice and control over their lives. Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: Evidence was seen that a variety of activities are provided at the home including coffee mornings with matron, theatre trips, musical recitals and clothing sales. During the course of the inspection visit exercise classes were taking place. Residents spoken with said they enjoyed the entertainment and could choose whether they took part or not. Notices regarding activities were seen throughout the building as well as tannoy system being used to announce when activities were due to start. Residents also confirmed that the local vicar visits to provide a religious service. Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 12 Residents confirmed that they could have visitors any time they wanted to and they were always made to feel welcome by staff. Residents confirmed that staff supported them and encouraged them to make decisions about their lifestyle in the home, including what time they got up to what clothes they wore. Information was readily available on how to contact advocacy services, but residents spoken with said that they were unaware that they could look at their care plans. The Registered Person must ensure that residents are bale to access their care plans. The manager provided evidence to show that she is starting residents meetings on 2nd October 2006. This will ensure that residents are informed and consulted on activities and important matters within the home. The meal was observed and appeared to be appetising and nutritious. Sample menus had been provided prior to the inspection and showed that meals were varied throughout the week. Four out of the seven residents spoken with were positive about the food. In discussion with the registered manager it was clear residents had been consulted in meal choice, as some meals offered, lasagne and curry, were as a result of residents’ requests. However menus did not reflect that there was a choice available to residents if they did not like the meal on offer. Staff spoken with were aware of nutritional needs of residents and where residents needed particular support. Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 13 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 and 18 The quality outcome for this area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are confident that their complaints will be listened to, taken seriously and acted upon. Residents are protected from abuse. EVIDENCE: The Commission has received one complaint about the home, this was passed to the Registered Person to investigate. The outcome of this investigation was passed to the Commission and no further concerns were raised. One other complaint was received by the home since the last inspection and again the registered manager investigated this and appropriate action was taken. Residents spoken with all knew whom they could complain to and all felt that it would be dealt with promptly. One resident commented ‘I would go straight to matron and she would listen sympathetically I am sure. I have spoken to her in the past and she has dealt with things. I have great faith in the matron, she does a difficult job well’. Staff spoken with knew what to do if a resident wished to complain. This ensures that the complaints procedure for residents is effective. Staff spoken with confirmed that they received adult abuse awareness training, and all understood what constituted abuse and what to do if they witnessed or suspected it. Residents spoken with said that they felt safe with the staff. Procedures are in place to protect residents from any financial abuse. Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 14 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 and 26 The quality outcome for this area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: A partial tour of the premises was completed as part of this visit. The accommodation is comfortably furnished and well decorated. There are a number of lounges for residents to access they are all well decorated with chairs grouped together to enable residents to sit and talk in small groups. There is a separate room for residents who wish to watch television. The home has recently had an Environmental Health Officer visit and any issues identified have been met. Information available on the EHO website indicates that Aslockton Hall is considered a 3* service by the Environmental Health Officer. The Fire Officer also visited and the home meets the fire regulations. Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 15 Seven residents spoken with during the inspection said that they liked their bedrooms and confirmed that they can use them at any time. They said that they had been encouraged to personalise their rooms with small items of furniture, photographs and ornaments. The residents confirmed that the home is always kept very clean. Residents spoken with confirmed that they had been offered a key to their bedroom this will help to maintain privacy and protect their personal belongings. The laundry is a reasonable size and is well equipped with washable wall and floor covering. This helps minimise the risk of infection. It was noted in the communal bathrooms that residents prescribed creams were left in view, this places residents at risk of infection if they were to be used by other residents. During the course of the tour of the building it was noted that the sluice room doors were left open. It is recommended to minimise risk of infection that these doors be kept closed when not in use. Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 16 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 and 30 The quality outcome for this area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by the number and skills mix of staff. Residents are in safe hands at all times. Residents are not always supported by the home’s recruitment practices. Staff are trained and competent to do their job. EVIDENCE: The staff rotas provided prior to the inspection and those viewed on the day of inspection, showed that sufficient staff are being provided to comply with previously agreed staffing levels and meet the needs of residents. There are also sufficient domestic staff on duty to meet the standards relating to food and hygiene. The registered manager employs separate staff to make residents, beds, ask what meals choices they want as well as check they have sufficient drinks, this leaves care staff to get on with the job of providing hands on care. (This is good practice). From information provided prior to the inspection 50 of care staff have NVQ level 2; staff spoken with on the day confirmed that they were supported to access NVQ training courses. Three staff files were viewed as part of this inspection and showed that references were obtained prior to the person starting work and Criminal Records Bureau checks were obtained shortly after. From these records it was Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 17 also clear that the Pova First checks were not being obtained prior to the person starting work, thus enabling the person to work with supervision until the Criminal Records Bureau check arrived. The Registered Person must ensure that Pova First checks are obtained prior to any staff starting work. The registered manager has recently obtained a new Induction pack, which is very detailed and will ensure that standard 30 regarding induction of staff is easily met. Training records showed that staff have been on a variety of training courses including Leg Ulcer Management Promotion of Continence as well as mandatory training such as food hygiene. Staff confirmed that the manager supports them attending training. Qualified nursing staff spoken with reported that all qualified staff take lead roles in different aspects of care in the home such as Tissue Viability, Manual Handling and Continence, this ensures that all staff have access to up to date information regarding good practice. Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 18 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 and 38 The quality outcome for this area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home, which is run and managed by a person who is fit to be in charge, The home is run in the best interests of the residents. Residents’ financial interests are safeguarded. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: The manager is a qualified nurse with many years experience in the care of the elderly. She is aware of her responsibilities as manager and the importance of maintaining her level of knowledge. This means that residents benefit from a knowledgeable manager who understands the needs of older people. There are clear lines of accountability within the home between the registered Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 19 manager and the registered provider. Ensuring staff, residents and visitors know whom they should speak to in the event of concerns. Staff spoken with said that the manager was supportive and that she was a good leader. The manager has regular coffee mornings with residents where she is able to sit and talk to them informally and ensure they are happy with the care they are receiving. This is good practice. Evidence was also seen that a residents meeting is to take place on 2nd October 2006. The manager also carries out two quality assurance questionnaires a year; the last being May2006, evidence of this was seen. The focus of the questionnaire changes each time to cover areas such as care and food. This ensures the manager and provider are able to respond to the needs of the residents and provide a good quality service. Residents spoken with said that they felt they were listened to, that the manager was approachable and responded to their concerns. The home produces both a residents newsletter and a staff newsletter, this ensures that residents are kept up to date with activities in the home as well as changes in inspection practice and what the Commission is. This is good practice. The manager is not involved in residents personal finances and this is either dealt with by the resident themselves or by family members. The home is well maintained with appropriate checks such as PAT checks are made to ensure that equipment is safe to be used. Evidence was seen that regular checks are made for the water temperatures and that the risk of Legionella is minimised. Fire drills and checks to fire equipment are regularly carried out to maintain the safety of residents and staff. All accidents are recorded appropriately and the manager audits these regularly to ensure that safe working practices are maintained Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 20 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 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 4 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 4 X 3 X X 3 Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 21 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 2 3. Refer to Standard OP15 OP26 OP26 Good Practice Recommendations Provide information to residents in a format that meets their needs regarding the choice available at meal times. Make arrangements for residents prescribed creams not to be left in communal bathrooms. To minimise risk of infection, these doors be kept closed when not in use. Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 22 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 Aslockton Hall Care Home DS0000026412.V306641.R01.S.doc Version 5.2 Page 23 - 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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