Inspection on 25/09/07 for Bellevue Court

This inspection was carried out on 25th September 2007.

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 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

Bellevue Court 30/01/09

Bellevue Court 12/08/08

Bellevue Court 30/01/07

Bellevue Court 30/10/06

Bellevue Court 10/03/06

Bellevue Court 02/11/05

Bellevue Court 13/12/04

Bellevue Court 09/08/04

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

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

CARE HOMES FOR OLDER PEOPLE Bellevue Court Bellevue Court Woodcross Street Woodcross Wolverhampton West Midlands WV14 9RT Lead Inspector Rosalind Dennis KEY Unannounced Inspection 25th September 2007 09:30 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 Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bellevue Court Address Bellevue Court Woodcross Street Woodcross Wolverhampton West Midlands WV14 9RT 01902 662166 01902 6722300 bellevuecourt@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross Care Homes No 2 Limited 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) Mrs Gail Emma Goddard Care Home 68 Category(ies) of Dementia (38), Mental disorder, excluding registration, with number learning disability or dementia (30) of places Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 2007 Brief Description of the Service: Bellevue Court provides care for persons with a mental illness or dementia. It is a purpose built care home located on the borders of Wolverhampton and Dudley and is a short distance away from local shops and amenities. A bus stop is located nearby. Bellevue Court operates over three floors with lift and stair access between floors. People who have a dementia related illness are accommodated on the ground and top floor (Nightingale and Lark Units) and people with a mental illness reside on the first floor, ‘Kingfisher’ unit. Bellevue Court has recently reduced the number of shared rooms to enable a greater number of single bedrooms to be available, which is considered to be a positive move-the total number of people who can be accommodated is now 60. At the time of this Inspection fees for care ranged from a minimum of £418 per week up-to a maximum of £996 per week. Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was conducted by one inspector over a period of seven hours, with additional input from an ‘expert by experience’-this phrase describes a person whose knowledge about social care services comes directly from using social care services and this person spent time obtaining feedback from people who are currently living at Bellevue Court to receive mental health care and support. Another inspector attended for a short while for the purpose of observing people with dementia to establish whether Bellevue Court is promoting well-being for people with communication difficulties who, because of their illness are unable to give their views on the care they receive. The inspection involved speaking with staff, people living at the home, as well as looking at records and observing staff in their work. Prior to the inspection the manager, Gail Goddard had submitted information to CSCI in the form of an annual quality assessment, which provided information to supplement the inspection process. All ‘key’ standards were assessed during the day- that is those areas of service delivery that are considered essential to the running of a care home. What the service does well: Staff assess and plan care to take account of peoples’ likes/dislikes and preferences, and also recognise diversity and cultural needs. The home has a committed staff group who communicate effectively with people and show kindness in their approaches. People living at Bellevue Court have access to activities, which are based on individual interests and capability and are regularly reviewed to ensure they are suitable and meet people’s needs. The meals at the home are good, offer variety and cater for different nutritional needs. The home continually monitors and reviews processes to ensure that people receive a good range of quality services. Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: An Annual Quality Assurance Assessment (AQAA) completed by the manager and submitted to CSCI shows that Gail Goddard is able to recognise where the home could improve and the steps needed to achieve those improvements to benefit people living at the home. For example it was identified through consulting with people and observation of care plans that a greater emphasis on a ‘person-centred’ approach to meeting individual mental health needs would be beneficial-it was established that the deputy manager is already involved in a ‘project group’ to develop this area. The manager has recognised that the training programme needs to be developed and two staff members are currently receiving training to take on the role of in-house trainers. This inspection confirms that the training programme needs further development to ensure that staff are provided with training to equip them with the skills and competencies to support people with a mental illness. The home needs to look at ways to keep people living at the home and/or their significant others informed of action taken by the home in response to any feedback obtained from ‘satisfaction’ surveys. A review of the process of how people access their finances is necessary to ensure that people’s dignity is not compromised. Please contact the provider for advice of actions taken in response to this Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 is not applicable. Quality in this outcome area is good. Bellevue Court has a good assessment and admission procedure, which ensures that the home is able to meet people’s needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The admission process involves at least one member of senior staff visiting people prior to admission to assess their needs, copies of these assessments were present on all the files seen which also incorporated information on cultural, spiritual needs and preferences. The manager described how a ‘review meeting’ usually takes place soon after the person’s admission to the home, involving the person and any relevant professionals involved in their care so as to determine whether the home is meeting the person’s needsobservation of a care file shows that this had taken place for someone recently admitted to the home. Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 10 Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. There is clear and consistent care planning in place, which provides staff with the information they require to meet people’s needs. The proposed development of a more ‘person-centred’ approach to meeting individual mental health needs should further enhance the care planning process. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Time was spent observing staff interactions with people with dementia living on ‘Nightingale’ and ‘Lark’ units and this showed that staff interact well and have the necessary skills to care for people with dementia. People appeared well-cared for and staff were attentive in attending promptly to people’s needs. Observation of care documentation for three people shows that care plans identify preferences and provide information for staff on how to meet individual needs. A range of risk assessments provides additional information on any recognised or potential risks to the individual such as pressure sore risk, the use of bed rails and equipment needed to safely move people. Observation of Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 12 care records also showed regular contact with health and social care professionals, with the home seeking advice when appropriate. The home has recently sought feedback from people living on the middle floor of the home, ‘Kingfisher unit’ and observation of these responses showed that some people were aware of their care plan and others not. Discussion with people living on this unit also provided a range of responses, one person confirmed that he had read and signed his care plan, and another person described care plans as ‘things that kids do’. The manager described how the deputy manager is looking at ways to improve care planning so that there is a greater emphasis on meeting individual mental health needs through a more ‘person-centred’ approach to care. Observation of care records showed that people living on Kingfisher unit are enabled to access appointments with health professionals, who also visit to the home. An incontinence specialist had recently visited the home to provide advice and guidance to one person and the staff involved in her care, however it was noted that the person appeared distressed about her continence issues and this was brought to the attention of staff during the inspection. One person described how staff provided him with verbal encouragement after recently giving up smoking, another person spoke of how he had not been offered support to give up smoking –the manager confirmed that smoking cessation clinics can be arranged via a GP and cigarette smoking is regularly discussed at meetings as part of promoting healthier lifestyles. The home conducts comprehensive audits of medicine management, and examination of a selection of medication administration record sheets found these to be completed accurately, with all medication signed and accounted for. The medication storage rooms were not seen at this inspection. Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. People living at Bellevue Court have access to activities, which are based on individual interests and capability and are regularly reviewed. The meals at the home are good, offering variety and catering for different nutritional needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One person spoke very positively about the many activities he chooses to take part in at the home, how he enjoys going to church and visiting places in the community. Another person spoke of how he goes to the pictures and regularly attends a ‘day centre’-this individual could not think of anything he would change at Bellevue Court, however one person felt that there was very little stimulation, stating he was ‘bored’ and described how he did not engage with activities because he viewed them as ‘kids’ stuff’. The Home employs two full-time staff as Activities Co-ordinators, who plan and lead leisure and social activities. Minutes of meetings held on ‘Kingfisher’ unit Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 14 show that the provision of activities is regularly discussed, which enables a flexible approach to provision and most people confirmed their awareness of trips out and weekly planning meetings. One of the activities co-ordinators spoke of how a range of activities suitable for the different needs and capabilities of people living at the home are provided and how they regularly review the effectiveness of these activities describing the action recently taken to ensure musical entertainment is tailored for younger people living at the home. Written records are kept to show the activities provided which includes quizzes, exercise to music, visits by musical entertainers, PAT dog, aromatherapy and regular visits to a Bowling Alley and cinema, followed by a meal out. Records and photographs show that some people went on holiday in the summer and future planned events include a visit to Blackpool. Information on activities and events is advertised on notice boards throughout the home. The manager confirmed that the local church usually visits, although changes within the church have meant this hasn’t happened lately. There appears to be a good rapport between the activities co-ordinators and people living at the home. People who were able to communicate their views spoke of how the food at the home is good, with choices always available and drinks in between. The manager confirmed that menus are planned in consultation with the people who use the service and observation of menu’s shows that the meals offered are balanced and nutritious. Staff were observed throughout the day providing assistance with food and drink to those people who needed help. The manager has identified the development of supervised kitchen areas and the offer of more practical skill based activities such as cooking as areas for improvement. Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. Bellevue Court has a complaints procedure, which provides people with clear guidance on how to raise any concerns or complaints. Staff are provided with training to equip them with the knowledge to protect people from the risk of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complaints procedure is displayed in the main hallway-the procedure is clear and most people spoken with said they would feel happy that any concerns they raise would be dealt with appropriately by the home. Observation of the process used to record and respond to any complaints is robust. Three staff who were spoken with confirmed attendance at adult protection training and could describe procedures to follow should an allegation of abuse or neglect be made. A newly appointed member of staff who has not yet received training spoke of how staff explained procedures during induction. Some staff were aware of recently introduced mental health legislation and the manager confirmed that training is to be cascaded to all staff. Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. People at Bellevue Court are provided with an environment which is comfortable and which can be personalised according to individual wishes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection the home has continued with its refurbishment programme, such as replacing carpets and redecorating certain areas of the home. On the ground floor the creation of a partition wall in the main lounge has added some degree of privacy to the dining area for people living on this floor and an ‘activities room’ has been developed within the hairdressing salon –one person was seen busily completing a ‘craft activity’ in this room. The environment on the top floor is good and provides bright, well-decorated areas Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 17 creating a homely atmosphere, however corridors on the ground floor were observed to be rather bland-information received before the inspection shows that the manager has recognised that improvements are needed for this area, such as decorating corridors and painting murals on walls. The lounge area on the middle floor acts as the main thoroughfare for people accessing rooms either side of the lounge and it was felt that this did not create a feeling of privacy or relaxation-senior management agreed with this observation and confirmed they would look at ways to address this. A small room is provided for people who choose to smoke and on the day of inspection there were no smells of cigarette smoke outside of this room, the manager spoke of the intention to provide an air purifier to ensure that any smells are contained within the room. The home has reduced the number of shared rooms to provide more single accommodation; a selection of bedrooms on Kingfisher unit were observed and décor found to be satisfactory. One person has developed their room into an almost complete self-contained unit, choosing to take responsibility for cleaning the room and the provision of a key ensures that this ‘personal space’ is not readily accessible to other people living at the home. This person spoke of how he is free to come and go and has been entrusted with the door code. Another person confirmed that they have a key to their bedroom, this room was also personalised with pictures and photographs. The manager described how people are encouraged to clean and tidy personal spaces, and this is supplemented by the home’s own cleaning schedule-all parts of the home were clean although an odour was present on the ground floor. Staff confirmed training in infection control procedures and were seen throughout the inspection wearing appropriate protective clothing. Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is on balance good. Bellevue Court provides a range of training opportunities for the staff who work at the home, however the management team recognise that some improvements are needed to the training programme to ensure that all staff have the skills and competencies to support people with a mental illness. The recruitment procedure is robust and protects people from the employment of inappropriate staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff spoken with felt that there are generally sufficient staff on duty to enable them to respond to people’s requests promptly. However one person living on Kingfisher Unit spoke of how he had to get up for a bath at 06.00 on the morning of the inspection, when asked the reason for getting up so early the person responded ‘because it is the night staff’s job’-one staff member confirmed that people are sometimes got up early to help the day staff. This issue was discussed with the manager and operations manager, who agreed that this is an unacceptable practice needing further investigation-both were informed that if it is established that this practice is happening because of insufficient staff then additional staff must be provided. Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 19 Information provided by the home shows that around 80 of staff have either attained or in the process of studying for NVQ Level 2 in care. Discussion with staff who care for people with dementia confirmed good training opportunities, including support for studying for NVQ in care and more specific training in meeting the needs of people with dementia. Additional training in dementia care is due to be cascaded to all staff. The manager and other staff confirmed that a Registered Mental Nurse (RMN) is always available on Kingfisher unit, however it was established that other care staff on this unit do not always have the supportive skills and knowledge of mental health care. Three staff spoken with on this unit felt that although RMN’s on this unit provide day-to day guidance, training geared specifically to meeting the needs of people with mental illness is needed-one member of staff described how the unit is busy and needs competent staff. These issues were brought to the attention of the manager and operations manager during feedback who agreed that specific training and awareness of mental illness is needed. Information provided prior to the inspection shows that the manager has already recognised a need to continue to develop the training programme. Staff files that were observed contained all the required pre-employment checks confirming that the home operates a robust recruitment procedure, and evidence was available to show that staff have regular appraisals and access to formal supervision. Staff working in different areas of the home spoke of how the supervisory approach used by the home is beneficial. Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is good. Improvements in management systems and processes has resulted in a service, which is focussed on achieving positive outcomes for people living at Bellevue Court. Bellevue Court is continually monitoring and reviewing processes to ensure that people receive a good range of quality services. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager, Gail Goddard, has considerable experience of managing care services and information obtained at this inspection show that management and leadership skills are put into practice. Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 21 The deputy manager also assists in the day to day running of the home and staff spoke positively about the management arrangements in place. For the purpose of this inspection the manager had responded to a request by CSCI to complete an annual quality assessment document (AQAA)- information within this document demonstrates that the manager monitors the service provided, recognises where the home could improve and the steps needed to achieve those improvements to benefit people living at the home. Information was available to show that the home continues to operate a comprehensive process of auditing quality and practice, which includes care documentation, health and safety, and medication. The operations manager also conducts regular visits to the home for the purpose of monitoring, auditing and to obtain feedback from staff and people living at the home. Questionnaires are available in a large print format with pictorial symbols, designed to assist people who may have communication difficulties. The questionnaires enable people to comment on different aspects of the home such as the environment, support services, core values, consultation and involvement in the home. Questionnaires recently completed by people living at the home showed a range of responses, some included very positive feedback whilst others included negative responses. It was established through discussion with the manager and operations manager that the collated results of surveys are not published-it was agreed that this process of monitoring quality would be enhanced by publishing the overall results of survey’s so that people are kept informed of results and the action taken by the home in response to feedback. Individual financial records were not seen at this inspection; the manager confirmed that the process remains the same as at the last inspection where it was assessed that the home has robust processes in place for safekeeping of money. However an issue which requires review is the process involved when people require access to money-on one occasion during the inspection four people were seen queuing in the main reception area waiting to have access to their money -this meant that visitors to the home could overhear people’s requests. The manager and operations manager agreed to review this process to ensure that people’s dignity is not compromised, whilst ensuring staff safety is maintained. The manager provided detailed information within the AQAA submitted to CSCI that servicing and maintenance of equipment is consistently undertaken and policies and procedures are regularly reviewed. Observation of a training matrix shows that staff training in safe working practices is provided, the manager spoke of two staff who are currently undergoing training so that they Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 22 are able to deliver training in-house, therefore enabling a continuous access to training. Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP30 Good Practice Recommendations It is strongly recommended that staff are provided with training specific to meeting the needs of a person with a mental illness. This is to ensure that staff have the skills and knowledge to meet the needs of the people living at the home. It is recommended that the home looks at ways to increase access to the results of ‘satisfaction’ survey’s-this is to keep people living at the home and/or their significant others informed of action taken by the home in response to any feedback The home should review how people are enabled to access their finances. This is to ensure that the process is conducted without compromising the dignity of people living at the home. 2 OP33 3 OP35 Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection 1st Floor Chapter House South Abbey Lawn Abbey Foregate Shrewsbury SY2 5DE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Bellevue Court DS0000039462.V346231.R01.S.doc Version 5.2 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!