Inspection on 09/08/05 for Barton House Nursing Home

This inspection was carried out on 9th August 2005.

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

Barton House Nursing Home 27/09/06

Barton House Nursing Home 09/02/06

Barton House Nursing Home 17/03/05

Barton House Nursing Home 14/09/04

Barton House Nursing Home 09/01/04

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

CARE HOMES FOR OLDER PEOPLE Barton House 68 Cemetery Cannock Staffordshire WS11 8AA Lead Inspector Keith Jones Announced Tuesday 9 August 2005 th 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 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. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Barton House Address 68 Cemetery Road Cannock Staffordshire WS11 5QH 01543 504139 01543 504139 chris@bartonneedwood.freeserve.co.uk Mr John Mansell Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr John Mansell Care Home 15 15 15 15 15 Category(ies) of DE(E) registration, with number DE of places MD MD(E) Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1) 1 - Mental Disorder - for one named person only under home office order section order 37(41) Date of last inspection 17 March 2005 Brief Description of the Service: Barton House is a 15-bedded care home with nursing, committed to caring for people with dementia and mental illness. The home provides a safe, secure and stimulating environment for the people who live there. The home has been extended to provide accommodation for up to fifteen service users and is conveniently located close to Cannock town centre. The Inspector found the home to be welcoming and friendly with a pleasant homely atmosphere. The proprietors and acting manager are experienced with all the necessary qualifications and actively promote training for all their staff. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection was conducted with the care manager and senior nursing staff. The last inspection report was discussed, and it was noted that recommendations made all had been attended to. The tour of the home was carried out in a relaxed, courteous and professional manner; everyone concerned expressed confidence in the atmosphere. All the service users approached were highly complimentary of the care, service and attention they received from a willing, attentive care team. There were 15 residents on the day of inspection, 3 categorised with high dependency needs. Three service users were case tracked, confirming the establishment of a well run home, very comfortable and ‘homely’. Everyone appeared comfortable and at ease with their surroundings A sample review of the administration confirmed solid practice and effective management. A feedback session was offered at the end of the inspection with open discussion involving the care manager. What the service does well: The Home is well organised, with a committed care management team. Emphasis goes into involving the residents and their families in the process of care, ensuring a highly personal approach to meeting individual needs. Nursing care is of a high standard with named nurses and key workers actively deployed. The emphasis is on the team spirit and family feel to create an environment conducive to good nursing care practice. Assessment procedures and care planning is of an excellent standard, offering detailed information on each resident’s progress in the meeting of objectives. The housekeeping and support services all contribute to the team approach, and are recognised by the management for their efforts. Maintenance of satisfactory staffing levels, staff training and supervision are well established in safeguarding the interests of residents. Overall the attitude in meeting clinical and organisational demands is highly commendable, with forward thinking, planning and application contributing to an excellent service. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 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. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 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 standard(s) 1,2,3,4 and 5 It is recognised that the Statement of Purpose represents the foundation on which the home operates upon, offering service users and their relatives the opportunity to make an informed choice about where to live. Following an assessment the senior nurse assessor determines the suitability of the application in view of the facilities available, and at the capacity of the home, to manage the individual and any special needs. The Home has demonstrated their commitment to promote a partnership of care, to meet the objectives of providing a home to meet individual needs. EVIDENCE: The recently reviewed Statement of Purpose presents an excellent explanation in to the aims and objectives, management and staffing, facilities and services that Barton House can offer. This gives residents and their relatives the opportunity to make an informed choice about where to live. Service users are admitted to Barton House following a comprehensive preadmission needs assessment, carried out by the provider and/or care manager. This assessment initiates the process of care, each individual having Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 9 a plan of care. Case tracking showed a detailed care assessment, offering substantial information to prospective service users on the services and facilities that Barton House can provide to meet their individual and special needs. This was confirmed by speaking to staff and residents. The management style is highly personable and inclusive, generating a warmth and comfortable environment. Relatives are welcome to view the facilities and participate in the planning and assessment of care. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 and 11 The service users’ assessment provides the base from which care planning is formulated. It is recognised that this reflects an individual profile of needs, discussed fully with family. The home has a GP that visits the home frequently and the majority of service users are registered with him. The Statement of Purpose, admission assessment and care plans are geared to engender a sense of individuality and privacy. The inspector observed the free, courteous interaction between service users and staff based on a level of confidence of mutual trust and respect. EVIDENCE: Three case records were examined and found to offer a clear, well balanced, up to date and accurate appraisal of requirements. Reviews were done on a minimum of once a month, usually more often, as needs dictate. Case tracking of those three residents confirmed the depth of care planning supported by a solid foundation of organisation and quality services. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 11 The home has good links with specialist services – continence advisor and tissue viability. A profile of the service user’s social, physical and psychological status offered an individual plan of care, based upon a Roper model of care, to be implemented and frequently reviewed. Each service user’s health, personal and social care needs were seen to be assessed in an individual plan of care that is reviewed monthly, including service users and relatives views, to reflect their changing needs. That review is more frequent, dependant upon the individual’s needs and clinical condition. A tour of the premises evidenced that there was a range of pressure relieving equipment. Examination of service user plans found that all are assessed in relation to pressure sore risk, falls risk and nutritional risk. The administration of medicines adheres to procedures to maximise protection to service users. The storage was secure with satisfactory added security for controlled drugs. A controlled drug register was examined and found to be in order. Family and friends have relative freedom of visiting, those spoken to remarking on the importance of maintaining social contact. The Statement of Purpose clearly and openly states that the wishes concerning arrangements after death would be discussed and respectfully carried out. It was advised that arrangements should be ascertained as soon as possible after admission. The spiritual needs of service users were recorded and observed by the staff with due respect. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 At pre-admission the service user’s personal interests and customs are determined, and where possible accommodated within the routine of the Home. That routine is seen as flexible; to acknowledge individuality, yet maintain a focal point for service users to latch on to without dictating events. Service users were able to see their relatives and friends in private and decide whom they see and do not see. Service users were offered a varied and nutritious choice of meals from a 4week rotating menu. EVIDENCE: The daily routine was seen to be flexible and non-institutionalised, offering choice for meal times, personal and social activities. Discussions with service users and staff clearly identified a relaxed and informal atmosphere in which the service user’s needs were paramount. A recent summer break for four residents with the care manager (and husband) and a carer was a great success, signifying the Home’s policy of staff engaging in socialisation and organising activities. The policy on visiting was seen, and staff confirmed that relatives and friends were able to visit at any time, as evidenced throughout the extent of the Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 13 inspection. Those service users’ rooms inspected showed a strong influence of personalisation in the inclusion of belongings, some furniture and general décor. Families generally took responsibility for the handling of service users pocket monies and valuables. Lunch was served during the inspection and found to be a very attractive and well-presented meal, enjoyed by service users and a relative. Special diets were accommodated with the cook making every effort to engage with service users to discuss personal preferences. Staff were seen to offer discreet assistance to those who required it. The choice of dining room, lounge or bedroom was at the discretion of service users. The kitchen was inspected with the cook and found to present a well equipped and organised area. It was advised that access to the kitchen area be controlled to authorised staff. All fridges and freezers were seen to be used in the appropriate manner, well maintained, and checked daily by the kitchen staff. A cleaning schedule was in place and found to be accurate, up to date and comprehensive. COSHH signs and notices were in evidence with cleaning chemicals secure, appropriate and under control. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17 and 18 The home had a meaningful complaints policy, clearly identifying the CSCI as a resource to approach with a complaint or grievance. On discussions it was evident that any small matters were handled immediately, discretely and to the satisfaction of all concerned. Service users’ legal rights are protected by the systems in place in the home to safeguard them, including their contract, the continual assessment of care planning and policies in place. EVIDENCE: The complaints policy was seen and records examined. There were few complaints, none recent, to assess. All service users had received information on the procedure to complain, including reference to the CSCI. On discussions it was evident that any small matters were handled immediately, discretely and to the satisfaction of all concerned. Case tracking confirmed the effectiveness of a care manager and staff sensitive to service users needs and readiness to test the robustness of their information and report structures. As part of the process of encouraging self-determination a policy exists to be able to offer advocacy services should they be required. Family involvement has been the usual means of representation in the past. Service users’ legal rights are protected by the systems in place in the home to safeguard them, including their contract, the continual assessment of care planning and policies in place i.e. the complaints procedure. This process was evidenced on examination, and case tracking as previously reported upon. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 15 The care manager showed satisfactory evidence of a protocol and response to anyone reporting any form of abuse, to ensure effective handling of such an incident. Staff induction and in-house training programmes clarified the responsibilities of all staff in their daily contact with service users, especially their privileged position in protecting service users from abuse, of all natures. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 16 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 standard(s) 19,20,21,22,23,24,25 and 26 The home is well appointed to meet the needs of an elderly and younger adult mentally ill population of service users, situated with easy access to nearby Hednesford and Cannock. The external state of repair and maintenance is generally very well maintained. The grounds are kept tidy, safe and are tended regularly, pathways were safe and recently attended to. The interior state of repair is at a high standard; bedrooms are well appointed, carpeted, of a good size. Communal areas are furnished and decorated to a good standard to present a homely and comfortable environment. Service users live in a safe and well-maintained environment with a planned preventative programme designed to sustain the high standards. The standard and presentation of all the toilets and bathrooms were of a high quality, clean, uncluttered and odour-free. The standard of cleanliness continues to be seen to be excellent throughout. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 17 EVIDENCE: The lounge areas are comfortable, odour free and popular centres for socialising and relaxation. The home provides sitting, dining room and outdoor communal facilities which all service users have access to, that are safe and comfortable. Facilities for wheelchair and disabled access were satisfactory, and residents have access to sufficient and suitable WCs that are accessible for all service users and within close proximity for all communal areas. The home is well equipped to meet the demands of each resident, with appropriate movement and handling facilities, hand and grab rails, ramps and call alarms. The care manager confirmed a willingness on the part of management to meet any reasonable demand for special needs. There is an on-going redecoration programme to further enhance the refurbishment of service users bedrooms, with the care manager actively pursuing a prioritisation of needs. Recent work in improving those bedrooms identified at the last inspection, have had a thorough review with very satisfactory improvements. There is generally a good standard of furnishing with only two bedrooms seen to have furniture in need of repair or renewal. Most rooms were complimented with a variety of personal belongings. The nurse-call alarm system was satisfactorily tested and service record checked. All personal electrical equipment where seen to be PAT tested. The heating is by thermostatic controlled central heating, with low surface temperature radiators, with pipe work guarded; this system is regularly serviced and maintained. Lighting is satisfactory in all bedrooms, corridors and communal areas, with emergency lighting tested monthly. Water supplies have been cleared, with chlorination carried out annually. Temperatures are well controlled, and recorded. Ventilation is via open window and natural airing. The laundry was well organised and equipped to a good standard. COSHH regulations were clearly displayed and relevant to solutions in use. Altogether the ambience throughout the entire building offers a high standard of comfort and safety. The Inspector was impressed with the efforts that staff and management in achieving a high standard of environment, without distracting from the homeliness and familiarity. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27.28.29 and 30 Staffing had maintained consistent levels to ensure equilibrium between numbers, skills and qualifications. The care manager informed the inspector of routine staff induction programmes, well established and well designed on which formed the base upon which in-service supervision and training are planned and achieved. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 19 EVIDENCE: Three weeks of off-duty were examined, i.e. 1/08/05 through to 21/08/05. The consecutive duty rotas were examined, providing evidence that the home is managing to maintain numbers, skills and qualifications to ensure the needs of the service users are met. On the day of inspection the staffing levels were: 0730 – 1500 1500 - 2100 2100 – 0730 1 Registered nurse 2 care assistants 1 Registered nurse 2/3 care assistants 1 Registered nurse 1 care assistant There are 6 registered nurses deployed working 167 hours/week, which meets recommended levels and 11 care staff working on average 297 hours/week. Agency staff and nurse bank with agreed overtime and flexible rostering meet identified shortfalls, usually holiday time. The care manager will continue to fulfil the management responsibilities, whilst maintaining a working commitment to the shift rota. There was 2 housekeeping/laundry staff to provide 40 hours a week. The Home employs a maintenance man working 20 hours. Two kitchen staff covered shifts between 0730 and 1500 amounting to some 51.5 hours per week established. There is 1 administrator supporting the Home based at Needwood Nursing Home. At the time of inspection there were 5 carers on level II NVQ course, a further 5 in training. The care manager is confident that the home will meet the necessary level of commitment to the training requirements, and hopes to begin level IV studies this year. Documentary evidence confirmed a continuing adherence to the quality of staff selection, recruitment effort and practice. Three staff files were sampled and found to be well organised and up to date, following a review of procedures. It was evidenced that CRB checks have been made and contracts of employment are up to date. It was advised to keep CRB registration information on the staff file for inspection. On going personal and training records were kept secure in accordance of the Data Protection Act 1998. Policy clearly states an equal opportunity position. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 20 Barton House has developed a significant commitment to staff training and education, conducted on a professional footing. Records show a broad spectrum of clinical and allied subjects covered, ensuring that staff fulfil the aims of the home and meet the changing needs of service users. Consideration is being given to seek a student nurse allocation. All staff receive training in care issues within the home from registered nurses and trainers. Evidence showed attention to supervised training involving a shared aspect of responsibility between staff and trainer, with the involvement of mentor trained staff. Plans drawn up were discussed and found to offer a more substantial commitment to the supervision and appraisal process. Evidence showed a diligent attention to clinical supervised training, involving a shared aspect of responsibility between staff and trainer, with the involvement of mentor trained staff. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,3,34,35,36,37 and 38 The care manager of the home accompanied the inspector for the day. Jayne Kelly has demonstrated her capacity as suitably qualified and experienced to manage the day-to-day care of the service users. Mr John Mansell is registered as the provider, and acts as a qualified member of staff on a regular basis. The inspector was impressed by the openness and confidence in the observed interactions of staff, relatives and service users. The relationships were seen to be of mutual trust and respect. Evidence was secured to confirm a quality monitoring system has been introduced, based upon audit of standards, care plans and feed back from service users and relatives. The administration and management of the home is efficient, uncomplicated and sensitive to the needs of service users. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 22 EVIDENCE: It was pleasing to see this standard well met. The care manager has developed a formal approach to monitoring quality across a wide range of activities. This includes a Quality Audit Schedule, care plan review process that is recorded at least once a month, a staff training programme and a risk assessment prevention programme. This includes the setting of objectives, effective budgeting of plans and target dates to aim for. Mrs Kelly has been able to grasp the management of forward planning in setting objectives on short-term and long-term planning Evidence was secured to acknowledge achievements, ongoing and planned objectives. Involved within this process are the views of service users and relatives, confirmed at case tracking and informal discussion. Social Workers’ review meetings are often a vehicle for assessing quality. Staff meetings are held monthly. Each service users has a personal file containing contractual, financial and personal information. Several files inspected evidenced a satisfactory standard of maintenance and security. Care plans were drawn up, implemented and reviewed with service users and relatives whenever possible. Case tracking and informal discussion provided evidence that participation is encouraged by the service user themselves, or by their relatives. A sample of administrative, maintenance and care records were examined and found to offer an accurate reflection of a service committed to providing a safe and comfortable environment for elderly service users. These included procedures on abuse, complaints and visiting. Service records for water supplies, PAT testing, hoist maintenance and fire equipment were examined. Planned maintenance and risk assessment ensures that essential services linked to utilities and safety, are monitored and serviced on a regular basis. Fire safety remains high priority for all staff evidenced in routine maintenance checks, regular fire drills and frequent staff training sessions organised by a member of staff recognised as a fire safety officer. Accidents were seen to be addressed, risk assessed, actioned and recorded in an effective way, with access to Riddor if needed. No serious accidents have been reported. The Regulations, Standards and Schedules as provided in the Care Standards Act 2000 are recognised and implemented. Records were seen to be generally well maintained, accurate and up to date in accordance with the Data Protection Act 1998. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 4 4 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION 3 3 4 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 4 3 3 3 3 3 3 Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation None 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 38.2 Good Practice Recommendations That access to the kitchen be limited to authorised staff. Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Barton House E51 E09 S22311 Barton House V232731 090705 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!