Inspection on 13/12/07 for Asra House

This inspection was carried out on 13th December 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

Asra House 26/06/06

Asra House 11/04/05

Asra House 14/10/04

Asra House 18/05/04

Similar services:

Applegarth

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Asra House 15 Asha Margh, Holden Street Leicester Leicestershire LE4 5LE Lead Inspector Kim Cowley Unannounced Inspection 13th December 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Asra House DS0000006410.V355940.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. Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Asra House Address 15 Asha Margh, Holden Street Leicester Leicestershire LE4 5LE 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) 0116 266 2727 0116 266 6051 husaina.hirani@asra-midlands.org.uk ASRA Midlands Housing Association Mrs Husaina Hirani Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38), Sensory Impairment over 65 years of age of places (4) Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No person to be admitted to ASRA House in category SI(E) when 4 persons of category SI(E) are already accommodated in the home. No one falling within category OP may be admitted to ASRA House where there are 38 persons of category OP already accommodated within this home. No person to be admitted to ASRA House in categories OP or SI(E) when 38 persons in total of these categories/combined categories are already accommodated in this home. To be able to admit the named person under the age of 65 years old named in variation V26884 dated 4 November 2005. 26th June 2006 Date of last inspection Brief Description of the Service: Asra House is registered to accommodate up to 38 older people, including up to four with sensory impairment. The home is part of the Asra Midlands Housing Association and provides care for older persons with an Asian lifestyle. The home is purpose built and residents are accommodated in single or double self-contained flats. There is a large communal lounge on the ground floor, a quiet/private lounge for special family gatherings, and a dining room adjacent to the kitchen. The home is on two floors, has a passenger lift and is wheelchair accessible throughout. Outside are gardens and seating areas. Asra House is in the heart of a multicultural community with shops, places of worship, and community facilities on the main road nearby. There are bus stops close to the home and Leicester city centre is a 10 minutes bus-ride away. Fees range from £280 to £383 per week depending on care needs. Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, the inspector spent half a day reviewing information relating to the home. During the course of the inspection, which lasted five hours, the inspector checked the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means the inspector looked at the care provided to four residents living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. The inspector also met eight residents, the Manager, Deputy, Administrator, one senior carer, and two care assistants. An interpreter accompanied the inspector. She was present for three hours of the inspection, and assisted the inspector in interviewing residents. What the service does well: Asra House provides care and accommodation to older people with an Asian lifestyle. The Manager and staff aim to cater for their social, cultural, and religious needs and preferences. All residents interviewed during the inspection praised the home, and comments included ‘I like everyone here, the people who serve my food, the other residents, and the staff who care for me’, and ‘I’m happy here. I like it a lot.’ The home has a lively and sociable atmosphere and residents appear to get on well together and enjoy each other’s company. A range of activities is provided including daily religious readings, monthly religious groups, trips out in the home’s minibus, exercise classes, and videos. Asian TV is available in the home and residents can watch it in the lounges and in their rooms if they wish. Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 6 Home-cooked culturally appropriate meals are served. The food is predominately vegetarian, although non-vegetarian food is available two to three times a week for residents who want this. Residents’ comments about the food included ‘The food is as good as I used to have at home’, ‘Proper Indian style food’, and ‘The food is good every day.’ The home employs Asian staff from a variety of different cultural backgrounds. Gujarati is the main language spoken in the home, and staff also speak Hindi, Urdu, and Punjabi. Residents said that staff were friendly and responded quickly to their needs. One resident said ‘The staff help me when I need them to.’ Another commented ‘The staff are very kind. They are all good.’ The Manager is a registered nurse with 13 years management and care experience. She has worked at Asra House since 1994, and prior to that managed a nursing home. During the inspection she was seen to have good relationships with the residents and to know them all personally. One resident said ‘I am happy to approach the Manager about anything.’ What has improved since the last inspection? What they could do better: The home’s statement of purpose and complaints procedure are not yet available in languages other than English. If they were translated they would be more accessible to potential and current residents. The ‘Resident Detail Sheets’ needs updating and improving to make it more inclusive. One resident said they were ‘mostly happy’ with the food but would like more fish. The menu should be reviewed to ensure that residents are satisfied with the amount of fish served. The flats are minimally decorated and furnished so residents can bring their own items and furniture to personalise them. Some residents have done this Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 7 but others have not. The latter should be approached and asked if they need any help in making their flats more homely. The carpets in all the flats need replacing as they are worn and, although clean, marked and stained in places. The gardens that surround the home are not secure and need risk assessing. 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. Asra House DS0000006410.V355940.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 Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. This judgement has been made using available evidence including a visit to this service. (Standards 1 and 3 were inspected.) EVIDENCE: At present the home’s statement of purpose is only available in English. The Manager said that, where necessary, it is explained to residents/relatives in their own first language. Consideration should be given to having this information translated into one or more ethnic languages for the benefit of prospective residents. The Manager assesses all prospective residents before they move into the home. Copies of her written assessments are kept on residents’ files. Four assessments were inspected, and found to contain comprehensive information about residents’ needs. This will help staff to produce effective care plans. Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 10 Basic information about residents is recorded on ‘Resident Detail Sheets’. This form would be improved if it had spaces to record race and religion. Although this important information is kept elsewhere in each resident’s file, it was not always easy to find. In addition the ‘Resident Detail Sheet’ asks the prospective resident for their ‘marital status’, and gives the option of being ‘married/widowed/divorced’. This excludes single people or those in partnerships and should be updated. New residents are immediately assigned a key worker when they move into the home to help them settle in. Residents’ comments about choosing this home included: ‘Mr brother found this home for me. He looked round until he found one that would be right for me.’ ‘My children chose this home after looking at some others. I visited once and I liked it so I decided to move in.’ ‘My social worker recommended this home, but if I didn’t like it when I saw it I didn’t have to come here.’ Standard 6 was not inspected, as this home does not provide intermediate care. Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Staff in the home, and in the wider community, meet residents’ health and personal care needs. This judgement has been made using available evidence including a visit to this service. (Standards 7, 8, 9, and 10 were inspected.) EVIDENCE: Care records belonging to case tracked residents were inspected and found to be satisfactory, with appropriate risk assessments in place. Information had been regularly updated and reviewed, and clear instructions were in place for staff to follow. This will help to ensure that residents’ needs are identified and met. One resident said he was pleased with the care he received at the home and commented ‘I have got stronger since I’ve been here, I can get about more.’ The home provides care for up to four residents with sensory impairment. Appropriate aids and adaptations are in place for these residents and their particular needs are identified in their care plans. The Manager said she is in the process of booking training for staff with the Society for the Blind. Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 12 A GP surgery is held in the home once a week. One resident said ‘I like it because the doctor comes here so I don’t have to go out to him.’ District nurses and a continence nurse also provide services to the home, and a community matron provides advice if a resident appears to need hospital care. A chiropodist, dentist, and optician visit the home when required. Health care records show that staff are quick to respond should a resident’s health deteriorate. Medication is administered by senior staff who have been trained by the home’s contract pharmacist. The contact pharmacist carries out annual inspections to help to ensure medication is safely kept and administered, and records are in order. Since the last inspection improvements have been made to the way residents who are self-medicating store their medication. Previously bottles have been used, but self-medicating residents are now issued with medication storage cassettes which makes administration simpler for them. Staff are trained in maintaining residents’ privacy and dignity during their induction, and later when they study for NVQs. Four senior carers are responsible for mentoring less experienced staff and showing them how best to provide discreet care. Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents’ social and cultural needs are identified and met. This judgement has been made using available evidence including a visit to this service. (Standards 12, 13, 14, and 15 were inspected.) EVIDENCE: The home has a lively and sociable atmosphere and residents appear to get on well together and enjoy each other’s company. A range of activities is provided including daily religious readings, monthly religious groups, trips out in the home’s minibus, exercise classes, and videos. The Link Library scheme provides books in different languages and these are changed every month. Residents were particularly enthusiastic about the exercise classes and demonstrated some of the moves to the inspector. One resident commented ‘I like the exercise classes, I always go to them.’ Another said ‘I go to an exercise class here twice a week with a good teacher.’ Asian TV is available in the home and residents can watch it in the lounges and in their rooms if they wish. Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 14 All residents interviewed were satisfied with the social activities provided in the home. Comments included: ‘The socialising is good with the other residents.’ ‘I like to sit with my friends in the lounge and watch television.’ ‘The staff play board games with us if we want.’ ‘I listen to the Asian news on the radio.’ The home caters for residents from a number of different religions within the Asian community including Hindus and Muslims. In discussions staff gave examples of how they help to ensure residents’ religious needs are met, including providing opportunities for prayer in the home and helping residents to get out to local temples and mosques. One resident said ‘I can practice my religion here. I listen to prayers on the radio and go to the mosque with my family. The staff here have a awareness of the Koran and sometimes read to me.’ Residents who are partially-sighted or blind are helped to access talking books/newspapers in their own language. Handrails in corridors make it easier for these residnets to get around the home. Two residents attend a day centre for people with visual impairment. The home has an ‘open house’ policy for visiting. Visitors who have travelled long distances can stay for meals for a small charge, although this service is not offered to relatives who live nearby as the Manager said staff would be unable to meet the demand. Relatives can see residents in their flats, which have living room areas, or in one of the lounges. There is a guest room for visitors who wish to stay overnight. Asra House provides home-cooked culturally appropriate meals for its residents. Three full-time and one part-time cook are employed and cover the hours from seven o’clock in the morning to nine o’clock at night. The food served is predominately vegetarian, although non-vegetarian food is available two to three times a week for residents who want this. At mealtimes vegetarians and non-vegetarians sit separately. Diabetics are catered for, as are residents who need to have ‘mild’ food. English food is rarely served, except for soup and cobs, which the Manager said are popular with some of the residents. Residents’ comments about the food included: ‘The food is as good as I used to have at home.’ ‘Food very good – they make it very well, especially the lamb curry.’ ‘Proper Indian style food.’ ‘The food is good every day.’ ‘The food is very good.’ Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 15 ‘The dhal and rice is enough for me but there’s so much more and I like that too!’ ‘I like the food because they don’t serve pork.’ One resident said they were ‘mostly happy’ with the food but would like more fish. It is recommended that staff review the menu to ensure that residents are satisfied with the amount of fish served. Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents and their relatives are encouraged to talk to staff about any concerns they might have. This judgement has been made using available evidence including a visit to this service. (Standards 16 and 18 were inspected.) EVIDENCE: The home has a complaints policy and procedure which is made available to all residents and their representatives. At present this is in English, although it is explained to residents in their own language. The Manager acknowledged that these documents need to be produced in appropriate ethnic languages and said she intends to have them translated. This will make it easier for residents to raise any complaints or concerns they might have. All residents spoken to said they would complain in person or through their relatives if there was anything wrong. Comments included ‘If there is a problem the Manager will sort it out’, and ‘I would tell my son and he would speak to staff or the Manager.’ There is also a suggestion box for residents and their relatives to use if they wish, and a ‘customer services help line’ which residents can call if they want to discuss anything about the home they are not happy with. The Manager and staff are aware of their responsibilities with regard to safeguarding residents, and appropriate policies and procedures are in place which they can refer to. Staff are booked to attend safeguarding training in January 2008 and will be undertaking ‘referrers’ or ‘alerters’ courses depending Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 17 on their seniority. The Manager said safeguarding is discussed regularly at staff meetings to help to ensure that staff know what their responsibilities in this area are. Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good. Residents live in an environment that is safe, comfortable, and well maintained. This judgement has been made using available evidence including a visit to this service. (Standards 19 and 26 were inspected.) EVIDENCE: Residents at Asra House live in either single or double self-contained flats. These are a good size and include a living area with a kitchenette, a bedroom, and a shower room/toilet. All flats have doorbells and residents can have own keys if they wish. There are call bells in every room so staff can be alerted if a resident needs assistance. The flats are minimally decorated and furnished so residents can bring their own items and furniture to personalise them. Some residents have done this and their flats look attractive and homely. Others have not, or have brought very little with them, and as a result their flats look bare and empty. Although the latter group of residents may be satisfied with their living accommodation, Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 19 it is recommended that they are approached and asked if they need any help in making their flats more homely. Since the last inspection new carpets have been laid in communal areas and new dining room furniture has been purchased. All communal areas were inspected and found to be homely, comfortable and well furnished. The carpets in all the flats need replacing as they are worn and, although clean, marked and stained in places. The Manager is aware of this and has requested new carpets from the Owning Body. Consideration is also being given to purchasing some garden furniture for use in summer months. The gardens that surround the home are not secure. The Manager said this is not a problem as residents at Asra House are unlikely to wander. While this is understood, it is recommended that a written risk assessment is carried out with regard to residents using the gardens unsupervised. Care staff are responsible for keeping the home clean and it is identified on the rota whether staff are cleaning or caring on each shift. All areas inspected were cleaned to good standard and well maintained. Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. An established staff team meets residents’ needs. Relationships between staff and residents are warm and caring. This judgement has been made using available evidence including a visit to this service. (Standards 27, 28, 29, and 30 were inspected.) EVIDENCE: The home employs Asian staff from a variety of different cultural backgrounds. Gujarati is the main language spoken in the home, and staff also speak Hindi, Urdu, and Punjabi. Residents said that staff were friendly and responded quickly to their needs. The following comments were made: ‘The ‘The ‘The ‘The staff staff staff staff help me when I need them to.’ are very kind. They are all good.’ are OK. They are respectful and polite.’ look after me.’ Staff files were sampled and contained documentation to show that CRB/POVA checks and references have been obtained. The Manager said that all checks are carried out by the Owning Body’s human resource department and if staff start work while waiting for their CRB check to be returned, they must have a satisfactory POVA check and work under supervision at all times. Staff training records were also inspected. Staff receive good training opportunities. For example one member of staff was employed six months ago Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 21 with NVQ Level 2 and a certificate in Moving and Handling. Since then she has passed courses in Infection Control, Fire Safety, and Emergency First Aid. Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good. The home is well run in the best interests of residents by an experienced Manager. This judgement has been made using available evidence including a visit to this service. (Standards 31, 33, 35, and 38 were inspected.) EVIDENCE: The Manager is a registered nurse with 13 years management and care experience. She has worked at Asra House since 1994, and prior to that managed a nursing home. During the inspection she was seen to have good relationships with the residents in the home and to know them all personally. All residents interviewed praised the Manager and the following comments were made: ‘The Manager sees the staff look after us well.’ ‘I consider the Manager to be my daughter.’ Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 23 ‘I am happy to approach the Manager about anything.’ The Manager said there a number of ways in which residents and relatives are involved in the running of the home. These include meetings, surveys, a suggestion box, and one to one discussions. Findings are anaylysed by the Owning Body’s Executive Management Team (EMT) with the aim of identifying any changes that are needed to the way the home is run. Residents’ finances are handled by the residents’ themselves, or their representatives. However, staff at the home will look after small amounts of cash for residents if they need to pay the chiropodist or hairdresser. Appropriate records are kept. There is a range of policies and procedures in place to maintain health and safety in the home. The Owning Body employs a health and safety officer. The Manager said he advises her and her staff on health and safety, carries our risk assessments, and provides training and information where necessary. Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X 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 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations Consideration should be given to having the home’s statement of purpose translated into one or more ethnic languages for the benefit of prospective residents. ‘Resident space to single or ‘status’ is Detail Sheets’ should be updated to include a record race and religion. The option of being in a partnership should also be included when asked for. 2 OP3 4 OP16 Consideration should be given to having the home’s complaints procedure translated into one or more ethnic languages for the benefit of prospective residents. Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 26 3 OP15 The menu should be reviewed to ensure that residents are satisfied with the amount of fish served. Consideration should be given to having the home’s complaints procedure translated into one or more ethnic languages for the benefit of prospective residents. Residents who have not personalised their flats should be approached and asked if they need any help in making them more homely. A written risk assessment should be carried out of the gardens to help to ensure they are safe for residents to use unsupervised. 4 OP16 5 OP19 6 OP19 Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Asra House DS0000006410.V355940.R01.S.doc Version 5.2 Page 28 - 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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