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Inspection on 02/05/06 for Baytrees Nursing Home

Also see our care home review for Baytrees Nursing Home for more information

This inspection was carried out on 2nd May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a comfortable, safe and homely environment with a positive atmosphere. The communal space allows for residents to spread out and residents who use wheelchairs can easily access a pleasant decking area in the garden. Staff were noted to be happy going about their work. The staff team are friendly and work hard to meet the needs of the residents in a caring, professional manner. There is a relaxed atmosphere in the home. Practices and procedures have been improved to the benefit of the residents and staff. Staff training at the home is given a high priority and is planned by the Deputy Manager who carries out much of the training, staff were very positive about the arrangements for training. Residents interviewed were complimentary about the staff and the way they care for them. Visitors of the residents are made welcome at the home.

What has improved since the last inspection?

Staff roles and pay scales have been reviewed leading to a pay rise for all care staff. The organisation and compilation of staff recruitment records continues to improve. Fire safety training planning and records have improved and are clearer to track. Residents said that the meals have improved and there is more choice and the activities/trips are more regular. An unused bathroom has been turned into a nicely furnished small private sitting room should residents wish to use and a new storeroom has been built. The requirements of a recent environmental health inspection have been completed. Mrs Mc Wilton the manager has recently been interviewed by The Commission for registration as manager.

What the care home could do better:

Any information about residents should kept in a confidential manner. The chef should have access to further training in nutrition.Some of the en-suite doors in the new build did not close to ensure privacy for residents. The laundry room was dirty, the walls need maintenance and the floor needs renewing and waste bins should be covered and foot operated where possible to avoid spread of infection. The enclosed garden and areas seen off the decking to the rear of the home needs attention, the garden was untidy and the areas to the side of the home were cluttered. A number of the resident`s room doors did not close properly which could be a hazard if there were to be a fire. Wedges were apparent in many rooms and used to prop doors open, again this would be a hazard if there were to be a fire. The width the windows can be opened should be checked with Health and Safety Executive to ensure windows do not open too wide to be a hazard.

CARE HOME ADULTS 18-65 Baytrees Nursing Home 1 Highfield Road Worthing West Sussex BN13 1PX Lead Inspector Mrs A Peace Unannounced Inspection 2nd May 2006 11:15 Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 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 Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 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 Adults 18-65. 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. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Baytrees Nursing Home Address 1 Highfield Road Worthing West Sussex BN13 1PX 01903 693833 01903 206635 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) Bay Trees Homes Limited Post Vacant Care Home 30 Category(ies) of Physical disability (30) registration, with number of places Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Only service users in the category Physical Disability (PD) 18-65 years may be admitted. Rooms 21 and 27 can only be used for service users who are not independently mobile through the use of a wheelchair. 6th October 2005 Date of last inspection Brief Description of the Service: Baytrees is a care home proving nursing care and accommodation for 30 younger adults with physical disabilities. Baytrees Homes Limited owns the service and the Responsible Individual on behalf of the company is Mr T Francis. The home is located in Worthing and is close to shops, pubs and other amenities. The main house consists of a three-storey building which has been extended and adapted. In 2004 a new extension for 10 service users was added to the premises this increased the registration to 30 service users. All rooms in the new extension and a small number of rooms in the main house have en-suite facilities. All rooms are accessible by a passenger lift. Service users have level access to two lounges/dining rooms, a conservatory, a smoking room and a large decked area to the rear of the property. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors carried out this unannounced inspection on 2nd May 2006. The inspection was made to assess the provider’s compliance with requirements and recommendations made at previous inspection. Prior to the inspection based on information received and outcomes for residents noted at previous inspections, the inspectors agreed the standards that would be assessed during this inspection visit and what types of evidence need to be gathered. This included previous reports, letters, complaints and other reports held on file. Managers, staff and residents were interviewed during the visit to find out how it is to live and work in the home. Four visitors were also spoken to. All comments made were positive, especially from the visitors. It was clear from their comments and by observation that residents are encouraged to make choices about their daily lifestyles and be involved in the running of the home where able. A general tour of the home was undertaken and the majority of residents’ rooms visited. Case tracking from records to care given was carried out for a number of residents. Staff records and relevant records relating to the management of the home were examined Mrs Mc Wilton the manager for the home was not on duty during the visit the inspectors were ably assisted by deputy manager. The Inspectors discussed the findings of the inspection and the judged outcomes for residents with the providers at the conclusion of the inspection. What the service does well: The home provides a comfortable, safe and homely environment with a positive atmosphere. The communal space allows for residents to spread out and residents who use wheelchairs can easily access a pleasant decking area in the garden. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 6 Staff were noted to be happy going about their work. The staff team are friendly and work hard to meet the needs of the residents in a caring, professional manner. There is a relaxed atmosphere in the home. Practices and procedures have been improved to the benefit of the residents and staff. Staff training at the home is given a high priority and is planned by the Deputy Manager who carries out much of the training, staff were very positive about the arrangements for training. Residents interviewed were complimentary about the staff and the way they care for them. Visitors of the residents are made welcome at the home. What has improved since the last inspection? What they could do better: Any information about residents should kept in a confidential manner. The chef should have access to further training in nutrition. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 7 Some of the en-suite doors in the new build did not close to ensure privacy for residents. The laundry room was dirty, the walls need maintenance and the floor needs renewing and waste bins should be covered and foot operated where possible to avoid spread of infection. The enclosed garden and areas seen off the decking to the rear of the home needs attention, the garden was untidy and the areas to the side of the home were cluttered. A number of the resident’s room doors did not close properly which could be a hazard if there were to be a fire. Wedges were apparent in many rooms and used to prop doors open, again this would be a hazard if there were to be a fire. The width the windows can be opened should be checked with Health and Safety Executive to ensure windows do not open too wide to be a hazard. 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. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The pre admission process ensures that staff, relatives, placing social workers and residents know that the care needs of the perspective resident can be met by the home prior to them being admitted. Trial visits are encouraged. EVIDENCE: The homes assessment tool shows that all aspects of personal and health needs are assessed. Copies of Care Management assessments undertaken by local authority are also held of individual care plan files. Information form these documents form is used to formulate a basic plan of care prior to the resident being admitted. Trial visits take place. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7,9 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents assessed needs and personal goals are reflected in care plans. Service users are assisted to make decisions about their own lives and residents are supported to take risks. EVIDENCE: Five care plans were reviewed. Each gave information on the personal, health and social needs of residents. Due to the profound learning disabilities of some of the residents it is difficult to assess whether all know of their assessed needs. Not all residents who were being case tracked were able to talk with the inspector. Those who did said that care is provided in a manner that they prefer. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 11 The risk assessments seen at this inspection indicate that all residents are supported to lead an independent lifestyle with in a risk-assessed framework. Action plans to minimise risk are also devised and kept on individual care plans. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy a flexible routine within the home, adequate activities are provided and a wide range of trips are arranged. Residents do go out into the local community either independently or with staff. Resident’s rights are respected and that they are encouraged to take responsibility where possible in their daily lives. Home cooked meals are available with choices for those who wish. EVIDENCE: The home owns minibuses, which are available for residents to go out on organised trips, or for private appointments. Trips that are being arranged are displayed on the notice board in the hallway of the home. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 13 Notices showed that shopping trips to Worthing, Portsmouth, Brighton and Shoreham were arranged on regular basis. There is a library trip weekly and various other trips for pub lunches, bowling, Bluebell railway, Wildlife Wetland, The Zoo, a wine tour, garden centres and to Shoreham airport. 7 trips were organised in April, 9 in May, 9 in June, 8 in July and 8 in August. Residents are encouraged to go out on their own and risk assessments are carried out. One resident told the inspector that Mr Francis one of the directors had taken him to a football match the weekend before the inspection. One resident who had been bed bound at his previous home had been out to the pub and shopping for the first time. In house activities included exercise classes, aromatherapy and massage, bingo, art classes and a musician visits the home monthly. There were posters around the home advertising a party which was to be held on 5th May 2006 the poster invited residents, families, friends and staff. Residents were able to tell the Inspector that they can make choices about personal, family and sexual relationships and that they are supported by staff. The kitchens were visited and the cook spoken with. There was a record of the meals prepared and cooked and the cook was aware of any diets, allergies, likes and dislikes of the residents. There was Chinese meal being served during the visit which looked appetising and residents said tasted good. The inspector sampled one of the alternative choice of meals and it was tasty. Staff were noted to help those residents who could not manage to feed themselves in a patient and unhurried manner. Mrs Mc Wilton and the cook have attended a basic course on nutrition in the last year but it is a recommendation that more specialised training should be made available in this area. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s receive personal support in a manner most suited to their individually assessed needs. The health and emotional needs of residents are met. Appropriate systems are in place for dealing with medicines. EVIDENCE: Care plans seen at this visit indicate and residents spoken with confirmed that they receive support in the way in which they prefer. All residents are registered with a GP. Records of visits of health professionals are recorded. Records also indicate that residents have access to other paramedical services such as opticians, chiropodists and dentists. . The home has an agreement with a local pharmacy. The monitored dosage system is used. Appropriate systems are in place for the receipt, recording, administration and disposal of medication. Trained staff administer medication, the Medicine Administration Record is signed at time medication is Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 15 administered. The home has a contract with a clinical waste company who collect all out of date or unused medication. Records of medicines received and disposed of are kept. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are handled in accordance with the home’s procedure. Residents have stated that their views are listened to and acted on. The recruitment procedures have improved and training for staff is available to ensure the protection of residents. EVIDENCE: No complaints have been received by CSCI since the last visit to the home. The complaint book kept in the home was examined and did record any complaints with investigation required and outcomes. Training for staff in adult protection is part of the homes training plan and staff confirmed that they knew the procedure to follow if abuse was suspected. Since this inspection an adult protection alert has been instigated by the home, Social and Caring Services are presently investigating the issue. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30. The quality in this outcome area in the majority is adequate. This judgement has been made using available evidence including a visit to this service. There is homely friendly and relaxed atmosphere in the home and the resident’s accommodation and communal areas are clean. The home provides comfortable surroundings for residents and specialist equipment is provided to meet needs. A small number of en-suite facilities do not provide sufficient privacy. The laundry facilities are not to an acceptable standard. EVIDENCE: The home is warm, clean, homely and comfortable. During a tour of the home, bedrooms and communal areas were visited Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 18 Residents are encouraged to furnish their rooms with personal possessions to make them more homely. Residents have access to two large lounge/dining rooms, both have televisions and one has a large screen television. A conservatory with a decking area is available and also a smoking room. A spare room has been converted into a pleasant small sitting room for residents to use and there is an area with a computer terminal for residents to use. Two passenger lifts are available, one in each house, both were in working order and the call bells were tested. A new food storeroom has been recently built, but the laundry needs a lot of work to bring it up to an acceptable standard. The walls are not impermeable and the flooring ripped and uneven. Mrs Chappell told the inspectors that they were planning to start work on it in the near future. During the tour of the premises it was noted that a number of the doors to the ensuite facilities in the new part of the home did not close properly and therefore do not protect the privacy and dignity of residents. Some of the resident’s room doors did not close properly and would be a hazard if a fire should occur. There were also wedges in a number of rooms which are used to prop doors open. Mrs Chappell was reminded that if residents wished their doors to be open then appropriate automatic closures should be provided that would close the doors automatically if the fire alarm sounds. One hoist was in poor repair, however Mrs Chappell said that another had been ordered and as soon as it was delivered the rusty one would be taken out of service. Following risk assessments radiator covers are fitted if necessary. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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. The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The procedures for the recruitment and training of staff have been improved to the benefit of residents. Residents are supported by an effective staff team who have positive leadership. Staff numbers and skill mix meet the needs of the residents and a staff appraisal and supervision programme is in operation. EVIDENCE: Adequate staff numbers have generally been maintained, however recently due to sickness the numbers have occasionally dropped slightly. Mrs Chappell told inspectors that agency staff are provided when necessary and that they try to use the same people to provide continuity for residents. Inspectors were aware that one of the ancillary staff was due to have planned sick leave and this would leave the home short. Mrs Chappell said that alternative arrangements had been made to fill the position on a temporary basis. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 20 The subject of inadequate staffing levels has been a concern at the home in the past and Mrs Chappell was reminded that it was the providers responsibility to ensure the home is adequately staffed to meet residents needs at all time. A 10-week training plan that had been implemented previously for carers and qualified staff is still working well. This is due to the hard work of the deputy manager who is supported positively by the manager. Staff were positive about the training provided and said that it was interesting. A number of staff were coming back to the home for a training session on the day of the visit and others said another was planned for the following day. Four new staff were interviewed, they were all positive about the home and the support they have from other staff. Appraisal and supervision of staff is a high priority and the staff are working well as a team to the benefit of the residents. The home’s recruitment procedures have improved. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,42,43. The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is run around the interests of the residents and they benefit from the management approach to their needs. Resident’s best interests are safeguarded by the home’s policies and procedures. In the majority of cases resident’s health, safety and welfare are promoted and protected. EVIDENCE: The home has sent regular reports on the conduct of the care home to The Commission. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 22 There is no registered manager at present although an application from Mrs Mc Wilton is being processed. Mrs Mc Wilton has achieved NVQ 4 in management and the successful completion of the Registered Managers Award. Mrs Mc Wilton and the deputy manager have managed more administrative time to oversee the management of the home, due to this improvements are continuing. The Inspector was aware that Mrs Mc Wilton may be absent from the home for a while and the providers were told that the deputy manager must have additional qualified nurse help during this period. Residents told Inspectors that their views are listened to and acted on. Various clinical quality assurance systems to record and monitor practices and aspects of the care for the residents are in operation. A general quality assurance survey was carried out last year, Mrs Chappell told the inspectors that this is now being reviewed and a copy will be sent to the Commission. Residents all said they enjoyed good relationships with the managers and staff who are friendly and helpful. Resident and staff meetings have been held and from the minutes it was concluded that residents and staff are listened to and changes have been made as a result. Maintenance and safety check records were examined and found to be up to date. A number of health and safety issues of concern were identified and requirements have been made in relation to fire safety. Some of the resident’s room doors did not close properly and would be a hazard if a fire should occur. There were also wedges in a number of rooms which are used to prop doors open. Mrs Chappell was reminded that if residents wished their doors to be open then appropriate automatic closures should be provided that would close the doors automatically if the fire alarm sounds. Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 23 Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 2 28 3 29 3 30 2 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 3 3 2 3 2 3 Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 25 Yes 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 YA37 Regulation 8 Requirement The registered providers shall appoint a registered manager to manage the care home. (CSCI at present processing an application). The registered provides shall make adequate arrangements for detecting, containing and extinguishing fires. CSCI to be informed in writing that action has been taken. En-suite rooms should offer privacy and dignity. CSCI to be informed of action taken by The laundry room should be kept in a good state of repair. CSCI to be informed of action that will be taken by Timescale for action 02/06/06 2 YA42 23 02/06/06 3 YA27 12 02/06/06 4 YA30 23 02/06/06 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 Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 26 1. YA35 Advanced nutritional training should be provided for the chef Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Baytrees Nursing Home DS0000024113.V290250.R01.S.doc Version 5.1 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. 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!