Inspection on 09/02/06 for Barton House Nursing Home

This inspection was carried out on 9th February 2006.

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

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

Other inspections for this house

Barton House Nursing Home 27/09/06

Barton House Nursing Home 09/08/05

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 Nursing Home 68 Cemetery Road Cannock Staffordshire WS11 5QH Lead Inspector Mr Keith Jones Unannounced Inspection 9th February 2006 09:00 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 Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 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. Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Barton House Nursing Home Address 68 Cemetery Road Cannock Staffordshire WS11 5QH 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) 01543 504139 01543 504139 Mr John Richard Mansell Mrs Ann Carol Mansell Mrs Jayne Lesley Kelly Care Home 15 Category(ies) of Dementia (15), Dementia - over 65 years of age registration, with number (15), Mental disorder, excluding learning of places disability or dementia (15), Mental Disorder, excluding learning disability or dementia - over 65 years of age (15) Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 - Mental Disorder - for one named person only under Home Office Order Section 37 (41) Mental Health Act 1983 9th August 2005 Date of last inspection 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 Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over a half day, by one inspector, the care manager and senior staff, in a professional and cordial atmosphere. The last inspection report was discussed, and it was noted that there were no outstanding recommendations. On the day of inspection there were 15 service users in residence, categorised as requiring nursing care. A tour of the Home allowed free and open access to all areas for inspection. The opportunity was taken to speak with a number of residents, relatives and members of staff, who took an active role in the inspection process and contributed to the subsequent report. Throughout the entire inspection a sense of homeliness and familiar confidence pervaded into all aspects of daily activity expressed by those people met. A sample review of the administrative arrangements confirmed solid practice and effective management. A full verbal report was offered at the end of the inspection to the care manager. The inspector thanked all concerned for their contribution to a pleasing and constructive inspection. What the service does well: Barton House offers a high standard of care and service, is extremely 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. 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 for their efforts. Maintenance of good staffing levels, staff training and supervision are well established in safeguarding the interests of residents. Overall the attitude in meeting caring and organisational demands is highly commendable, with forward thinking, planning and application contributing to an excellent service. Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 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 Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 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 Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 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): 1,2,3,4,5 Barton House ensures that prospective residents have the necessary information to enable an informed choice to be made. Aims and objectives, terms and conditions are clearly presented in a way to facilitate easy understanding of services and standards of care. The provider ensures that the admission process is a reflection of a joint understanding that residents are aware, and that staff are able to meet expectations to realise a comfortable transition. EVIDENCE: The updated Statement of Purpose and guidelines reflect an expression of philosophy, and have been well established in representing the foundation on which the home operates upon. It presents an excellent description of the home’s aims and objectives, philosophy of care and terms and conditions. All the requirements prescribed in Schedule 1 are addressed. Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 9 The contract document reflects changed circumstances and conditions, including an identification of allocated bedroom agreed. The care manager adheres to a strict admission policy of personal supervision of the pre-admission assessment. Case tracking of four resident’s files demonstrated the presentation of a highly personal approach to prospective residents and their relatives on pre-admission. A detailed assessment was examined and found to collect a full profile of physical and psychological needs, as well as social, cultural and environmental circumstances. An appraisal is made, and discussed, to ensure the home can satisfactorily meet those needs. Case tracking and discussion with service users confirmed that this standard continues to be well met. Following an assessment the senior carer 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. Likewise the applicants are informed of those facilities and are encouraged to seek clarification concerning the general and specific services available for the prospective service user. Case tracking confirmed that a valuable exchange between service users and assessor took place and resources made available. These resources were seen to be an appraisal of staffing skills, equipment and general environment. Prospective service users and their relatives are able to visit and assess the quality, facilities and suitability of Barton House at any reasonable time, to meet with staff and management. 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 Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11 The pre-admission assessment is recognised as the foundation for a comprehensive care planning process. A profile of the service user’s social, physical and psychological status offers an individual plan of care to be implemented and reviewed. The policy of the home is to maintain service users own GP support wherever practical, otherwise local GPs covered on a regular basis. Service users spoken to were particularly pleased in the way their privacy and dignity was respected, not only by the care staff, but everyone connected to the running of the home. EVIDENCE: Examination of case track records identifies a continuing meeting of these standards. The pre-admission assessment represented the foundation for a well-considered and detailed care planning process. A profile of the service user’s social, physical and psychological status offered an individual plan of care, based upon an individual model of care need. Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 11 Inspection of four residents care records confirmed that each service user’s individual plan of care is reviewed monthly, including service users and relatives views, to reflect their changing needs. Included in the care records were established monitoring systems following a process of goals, care and evaluation models of monthly assessment. The assessment made at admission determines the initial health care needs of service users, and ensures that access to the necessary services is arranged. There was evidence of specialists’ health care input, attendance at hospital appointments and the use of specialist equipment. Case tracking confirmed the attention to detail that the senior staff had taken in prepared the plans for care. The inspector observed the free, courteous interaction between service users and staff based on a level of confidence of mutual trust and respect. The high quality facilities and bedrooms were presented to facilitate privacy for the individual, which included medical examinations and personal care procedures, being performed in private. Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Barton House’s main objective is to respect the individual, thus delivering care in a relaxed and easy environment, with routine flexible to accommodate needs, and not dictate daily life of service users. Personal choice and relative self-determination are respected in policy and action. Those who wish to bring in personal possessions are encouraged to do so. These policies are designed to match expectations and to achieve a harmonious relationship throughout. Activities were in evidence on the inspection day and a programme of in-house entertainment was available. Choices were available for every aspect of daily living and menus provided a varied and good choice of food available on a four weekly programme. 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. EVIDENCE: The Statement of Purpose and Guide indicate a flexible routine, established to meet the preferences of service users. The policy was evidenced in admission assessment, care plans examined, and talking to service users and relatives, a policy much appreciated and freely expressed. Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 13 Routine is seen as flexible to acknowledge individuality, yet maintain a focal point for service users to latch on to without dictating events. Staff were observed to hold a friendly, sympathetic and confident interaction with service users and family, in lounge areas and at lunchtime in helping those who required assistance. Service users’ life-styles and interests are recorded in their care plans, discussed with their relatives prior to admission, and documented as far as possible to enhance a position of supported independence. The care manager demonstrated the strength of protecting service user’s rights, which was secured through the robustness of the procedures in place. This was confirmed on examination of records. The tour of the Home demonstrated a high degree of expressed individuality in each of the bedrooms inspected. A varied menu is available for service users on a four-week cycle and represent a wholesome, appealing and varied balanced diet. Lunch was served during inspection and meals seen to be wholesome and nutritious with service users enthusiastically agreeing on the quality of preparation and serving. Special dietary needs are catered for and monitored as was evidenced through case tracking. Some service users choose to have their meals in their bedrooms. The dining area was pleasant, offering conducive ambience for a social meal. The kitchen was seen to be clean, well organised and with modern equipment. An effective cleaning schedule was seen to be in operation. Fridges/freezers and food temperature records were seen to be up to date and accurate. Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 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. 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. EVIDENCE: The complaints policy was seen and records examined. There were few minor complaints assessed, all dealt with at the source. On discussions it was evident that any small matters were handled immediately, discretely and to the satisfaction of all concerned. The CSCI had handled one alleged incident that was not upheld. 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. Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 15 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. Residents’ 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. 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 Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 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 the following 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 Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 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 was evident on several rooms and corridors, with carpeting and a new 3-piece suite. Redecoration of the front lounge was underway at the time of inspection. There is generally a good standard of furnishing with one or 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 continues to be impressed with the efforts that staff and management in achieving a high standard of environment, without distracting from the homeliness and familiarity. Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 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 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 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. EVIDENCE: Three weeks of off-duty were examined, i.e. 31/01/06 through to 19/02/06. 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 300 hours/week. Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 19 The occasional use of 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 4 almost completing their training. The care manager is confident that the home will meet the necessary level of commitment to the training requirements, and began level IV last September 2005. 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 (June 2005). 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 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. Student nurse allocation has commenced. 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 an excellent 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 Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 20 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, 32, 33, 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 continues to be 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 Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 21 EVIDENCE: The inspector observed at first hand the confident interrelationship that exist, not only between management and staff, but also between staff, service users and relatives. Evidence was secured to confirm that an effective quality monitoring system has been introduced, based upon audit of standards, care plans, general audits and feed back from service users and relatives. Standards are discussed at staff meetings, daily reports, direct observation and involvement and one to one staff meetings. Regular audits and on-site inspections by the provider offers written evidence of a management firmly in control, well organised and prepared to facilitate meaningful accountability. Examination of three staff records showed that employment policies are effective and meaningful. An examination of administrative, monitoring, planning and care records showed an organised and professional attitude to effective record keeping. In general they were found to be well maintained, accurate and up to date, ensuring that the service users’ rights and best interests are safeguarded. All records and medical notes are kept confidential and secure. Records inspected included, fire prevention tests on equipment, six monthly fire training and procedures, Health and Safety checks on equipment servicing, gas servicing, and call alarm maintenance and risk assessments. The accident books for staff and service users were checked and found to be accurate, up to date and Riddor sensitive. These issues and routines ensured the health, safety and welfare of service users and staff. The administration and management of the home is efficient, uncomplicated and sensitive to the needs of service users. Relevant legislation and prevailing care issues were discussed and are fully appreciated by the management. Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 4 4 3 x HEALTH AND PERSONAL CARE Standard No Score 7 4 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 Standard No Score 16 3 17 3 18 3 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 3 4 3 3 3 3 3 3 Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Barton House Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Stafford Office 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 Nursing Home DS0000022311.V271453.R01.S.doc Version 5.0 Page 25 - 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!