Inspection on 25/04/07 for Belmont Residential Care Home

This inspection was carried out on 25th April 2007.

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

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

Other inspections for this house

Belmont Residential Care Home 30/04/08

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

CARE HOMES FOR OLDER PEOPLE Belmont Residential Care Home Inglewhite Road Longridge Lancashire PR3 2DB Lead Inspector Phil McConnell Unannounced Inspection 25th April 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 Belmont Residential Care Home DS0000065793.V330851.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. Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Belmont Residential Care Home Address Inglewhite Road Longridge Lancashire PR3 2DB 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) 01772 782031 www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited vacant post Care Home 49 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (48) of places Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 49 service users to include 48 service users in the category OP (of old age, not falling in any other category over 65 years of age). 1named service user in the category DE (Dementia). The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 27th September 2005 2. Date of last inspection Brief Description of the Service: Belmont Residential Care Home is situated in a rural location on the outskirts of Longridge and can accommodate a maximum of 47 service users of both sexes. The home provides personal care with any requirements for nursing care provided by community nurses. All the bedrooms have the facility of an en suite toilet and basin. The home is a single storey building divided into four units, each with its own lounge and dining room. There are two other large communal rooms mainly used for activities and social functions. Landscaped gardens and water features surround the home. The current rate of charging is £445 (private fee) Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Various information was gathered in order to assess the key standards that are identified in the National Minimum Standards for care homes for older people, including: the pre inspection questionnaire, which was completed by the manager, an unannounced inspection visit to the service on the 25th of April 2007, which lasted approximately 7hrs. There were only 5 service users’ questionnaires and 2 GP’s questionnaires returned to the Commission for Social Care Inspection (CSCI). All of the returned questionnaires were positive and complimentary about the level of care being provided at Belmont Care Home. No relatives’ questionnaires were returned to the CSCI. The homes care manager was available during the inspection visit. The homes manager (unregistered) was on leave. During the visit to the home 6 service users’ files were examined, including the most recent person to go and live at the Belmont care home. All of the files were well organised with all relevant documentation being in place. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. Six staff files were also examined, including the last person to be employed at the Belmont, with all documentation being found appropriate. Throughout the visits there was the opportunity to have conversations with other staff members. The homes policies, procedures and all other documentation including health and safety files and certificates were examined. (See management section). A full tour of the home was also carried out. (See environment section). What the service does well: There is a good pre admission assessment process in place. This helps give prospective service users and their family’s confidence that their needs will be provided. The activities provided at the home are relevant, varied and regular, with individual interests being catered for. There is a committed activities coordinator who carries out specific assessments of new service users, in order to determine the person’s interests or hobbies and is proactive in adjusting or including activities to provide motivation and stimulation to people. Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 Page 6 The staff team are dedicated and generally consistent. This helps give the service users stability, confidence and helps develop open and trusting relationships with the staff and the service users. The meals provided are of an excellent quality, nutritious and wholesome. People are given varied menu choices. The home’s environment is of a good standard, with regards to the décor, cleanliness and the general maintenance. 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. The summary of this inspection report can be made available in other formats on request. Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 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 Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 standard 6 N/A Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory pre admission process is in place, including detailed assessment documentation. This helps ensure that individuals’ needs are accurately evaluated and provided for. EVIDENCE: The homes admission policy and procedures were examined and they were found to be thorough and up to date. The service users’ guide and the statement of purpose were both observed. Neither of the documents contained dates of compiling, review dates nor the present providers name was included. Confirmation was given that this will be addressed. Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 Page 9 Five of the service users’ files were examined including the last person to be admitted to the Belmont care home. The files were well-organised, containing all of the relevant assessment documentation including: admission assessments, contracts, full care plans (signed by the service users), in depth social services assessments and up to date daily record sheets. It was commented by the care manager, “we usually carry out assessments at hospitals to see if we can meet peoples’ needs. I oversee care and ensure it’s of a high standard”. The service users’ questionnaires were all positive with regards to receiving sufficient information prior to going to live at the home and in conversation with some of the service users it was apparent the people were issued with pre admission information and that visiting the home prior to going to stay on a more permanent basis is the normal practice. One person who regularly stays on respite said, “I have visited other homes to see relatives and friends, but they don’t come up to the standard here”. Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ care plans are thoroughly detailed, with specific health care needs clearly identified. This means that peoples’ assessed needs are being appropriately provided for and that people are treated with respect and dignity. EVIDENCE: Five service users’ care plans were examined and they were found to be welldetailed and up to date with evidence that they are reviewed in depth on a six monthly basis and a monthly overview is also carried out. The plans contained relevant information with guidance on how to provide individuals’ care needs. Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 Page 11 Service users’ individual ‘detailed’ personal hygiene records were also available for inspection. When possible service users are included in the care planning and reviewing process, helping to demonstrate that people are encouraged and enabled to participate as much as possible in the monitoring of their care needs. Service users spoken to were fully aware of their care plans and knew whom their named key worker was. Individual information was available with regard to service users’ specific health needs and there was evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out. A message/communication book is maintained, giving a brief description of the person’s illness and the outcome i.e., GP’s visit, medication prescribed, advice or referral for an x-ray. A message was also observed, stating to contact a service users relative after the GP had visited. The book was up to date, with only relevant information documented. This helps to demonstrate that people’s health needs are monitored and treated correctly when necessary. The questionnaires returned to the Commission for Social Care Inspection CSCI from GP’s were positive about the level of care being provided by Belmont Care Home. One GP wrote, “Provide a high standard of medical care and appropriately ask for GP visits” and “Provide a high standard of caring. Cope well with patients in a sensitive way”. There is a policy in place for staff to adhere to regarding the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. The medicine administration records (MAR) were observed and were found to be accurate with medication being correctly administered. It was recommended during the inspection visit that it would be beneficial if a photograph of individual service users were placed on each persons file. This would help avoid any confusion and help eliminate any potential medication errors. Medicines were kept in a secure locked room and provision was made for the correct storage of controlled drugs. The controlled drugs register was examined and it was found to be accurately recorded, with only appropriately trained members of staff administering medication. Members of the staff team were observed demonstrating a caring, sensitive, dignified and respectful approach, with service users responding positively. It was evident that good relationships existed between service users and the care staff. Some of the comments from service users were, “The staff are always available and courteous” and “I always get first class treatment”. Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Relevant and appropriate, recreational and leisure activities and interests are supported, demonstrating that people are positively motivated and stimulated. This helps give people a sense of wellbeing and of being valued. EVIDENCE: The home employs an activities coordinator (20 hrs per week) and there was evidence that a varied and regular activities programme is provided within the home, including: relaxation sessions, bingo, sing along, (observed in the morning) which was taking place in the aptly named ‘The Drop Inn Bar’, Pat dogs (observed in the afternoon) art and crafts, massage and knitting circle. Outings to local places of interest occur regularly and entertainers visit the home frequently. The service users also have access to a library and daily newspapers. Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 Page 13 There was the opportunity to have a brief discussion with the activities coordinator and she said, “we try and provide something for everyone, we change the programme as new people move in, depending on their interests”. The coordinator had received specific ‘activity training’ and said, “the training took place in Liverpool and it was very good and gave me some really good ideas”. Service users’ birthdays are always acknowledged and people usually have a party (if they want) and receive a present and a card. There were very detailed recreational and activities records, showing what has been provided and what is planned for the future, for example a ‘summer fete’ is being organised for the month of June. The homes notice board also displayed the forthcoming events and the weekly and monthly activities that are available. The availability of varied activities and the willingness to change things, in order to accommodate peoples’ interests, helps to demonstrate that there is a commitment to provide stimulation and motivation to individuals. There was a key worker (service users have a named worker) system in place; helping to promote trust and confidence between the service user and the staff member, thereby, aiming to ensure that a service users’ changing needs are identified and acted upon as quickly as possible. The home has an open house policy with visitors to the home being made welcome and service users are encouraged to maintain relationships with their families and friends. Staff were observed supporting people calmly in a relaxed atmosphere, with sensitivity. There was a choice of menus available, which were seen to be nutritious, varied and appetising and people can choose to have their meals in their rooms if wish. This helped to demonstrate that individual choices are accommodated as much as possible. There was the opportunity to have lunch in the home and the meal was really good and well presented. The mealtime was unrushed, with appropriate help being given to the people who needed it. Some comments regarding the meals were, “ the food is always very good”. “I can’t complain, I always have enough to eat” and a GP wrote, “In my observation the food is of a high standard”. The kitchen records were observed and they were seen to detailed, informative and well organised. Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good quality policies and procedures are in place, with up to date ‘protection of adults’ training being provided. This helps to demonstrate that people are protected as much as possible from harm or abuse. EVIDENCE: The home had a comprehensive complaints policy and procedure in place, regarding the safeguarding and protection of vulnerable adults. There have been no complaints received by the Commission for Social Care Inspection (CSCI) since the last inspection visit. Questionnaires and comment cards received from service users indicated that people are aware of the complaints procedure and how to complain if needed. One person wrote, “I have never had to make a complaint”. Service users knew whom they could speak to in the home if they had a complaint. They were also aware that the inspector for CSCI could be contacted if they chose to do so. Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 Page 15 There was a thorough policy in place to deal with a suspicion or allegation of abuse. The inspector spoke with staff members and they were fully aware of the procedures to follow, if there was any suspicion or alleged abuse and would be confident in the process. One person said, “I have had vulnerable adults training and I am familiar with the whistle blowing policy, I wouldn’t hesitate to blow the whistle if I thought someone was being abused in any way”, helping to show that staff have been trained in ‘safeguarding adults’. Belmont Residential Care Home DS0000065793.V330851.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 adequate. This judgement has been made using available evidence including a visit to this service. The home is well decorated and clean. However some aspects of safety need to be addressed, to further promote the safety of vulnerable people. EVIDENCE: A tour of the home was completed and throughout it was found to be of a good standard .It was clean and hygienic with a fully equipped and well-maintained kitchen. A recent environmental health report stated that,” the premises and practices are of a very good standard” Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 Page 17 The laundry was very well organised, with adequate machines to cater for the homes needs and it was stated that a new washer and dryer are on order. There were hand-washing facilities in the laundry and conveniently placed in other parts of the home, this will help prevent any possible cross contamination. The laundry door was unlocked and the local Health and Safety inspection unit had also recently identified this in their report. A cleaning trolley was also left unaccompanied in one of the bathrooms (containing potential harmful and hazardous materials). These issues were immediately addressed and confirmation was given that correct procedures will be followed in the future. An excellent standard of décor was evident throughout the home with all service users’ bedrooms being ensuite and containing personal belongings, such as televisions, photographs, ornaments and some of their own furniture items. This demonstrated that people are encouraged to bring their own personal possessions into the home, in order for it to be familiar and as comfortable as possible. The home consists of four blocks with each one containing a smaller kitchen “Where visitors and residents can go and make themselves a drink. Visitors are told to just make themselves at home” There was appropriate specialist equipment observed around the home, such as lifting hoists, walking frames and wheelchairs, thereby helping to ensure that individual needs are catered for, whilst independence is promoted. The home employs a full time maintenance man, who carries out any minor repairs, decorating and he is also responsible for the gardening. There is a history of the drive up to the home containing ‘pot holes’ and the maintenance man regularly maintains the drive. However consideration needs to be given to having the drive properly repaired. This would help prevent any potential accidents. There are two large ponds in the grounds and neighbouring land also has a large pond. There is some concern that these ponds are too easily accessible to people who live at the home. It is recommended that these areas of water are either adequately fenced off or the ponds filled in. This would help protect vulnerable people from potential harm. Belmont Residential Care Home DS0000065793.V330851.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 good. This judgement has been made using available evidence including a visit to this service. The staff team have been correctly recruited and have the necessary skills and experience to provide a good standard of care to vulnerable people. EVIDENCE: The staffing levels were examined and found to be adequate and satisfactory, with skilled and well-trained staff. Six staff files were examined and they each contained all of the requirement information, including: an application form, job description, contracts of employment, supervision and annual appraisal records and evidence of training received. As already mentioned the staff demonstrated a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. One GP wrote, “The staff don’t change often so know residents well, which improves care”. There is a thorough recruitment process in place, with staff files also containing evidence that Criminal Record Bureau (CRB) checks had been carried out and staff are only employed on the satisfactory completion of these checks with Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 Page 19 two independent satisfactory references being obtained. This process helps to ensure that service users are protected and safeguarded by having a robust recruitment and selection process. Staff supervisions are held on a six weekly basis. A supervision format was observed and items for discussion at a supervision session are, work practice, communication, health and safety, privacy and dignity, care plans, key worker role and training needs. One person said, “Supervisions are regular and always beneficial”. There was a training programme available for inspection and it was well organised with specific, appropriate and relevant future training planned. This helps to demonstrate that staff are appropriately trained in order to meet to individuals assessed needs. Belmont Residential Care Home DS0000065793.V330851.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 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The homes manager needs to obtain registration, this will help give the assurance that the home is appropriately managed and organised. EVIDENCE: The manager has been in post since May 2006,but unfortunately at the time of the inspection visit, no application for a registered manager for the Belmont had been received by the Commission (CSCI). This was discussed with the operations director, who visited the home during the day. An assurance was given that this would be addressed as soon as possible. Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 Page 21 In discussion with some of the staff members, there was a general opinion that the manager is approachable and fair. Two members of staff said that they felt they could approach the manager if they had a problem. The home’s policies and procedures were examined and they were found to be up to date and of a good quality. The provider carries out their own ‘quality assurance monitoring’ auditing, which includes the home managers monthly audit, which comprises of checking, staff records, files, finances and health and safety. The operations manager also carries out a ‘validation audit’. It was evident that there is a regular and detailed quality assessment of the service provision. A GP wrote, “The home has good record keeping and provides a holistic approach”. There was documented evidence that all staff have received mandatory training, including: moving and handling, protection of vulnerable adults (POVA), the control of substances hazardous to health (COSHH) and infection control, with refresher courses being available when needed. There was an up to date health and safety policy, with comprehensive, individual and corporate risk assessments, promoting the health, safety and independence of service users. All inspection certificates were in place and up to date, including: gas safety certificates, electric check certificate, fire extinguisher checks, lifting hoists certificate, PAT portable appliance testing, emergency lighting certificates and inspection records were available with regard to the testing of Legionella. A satisfactory health and safety inspection report was provided by Preston Council in October 2006. There was sufficient evidence to demonstrate that the health and safety of service users and staff is promoted within the home as much as possible, however as previously mentioned (Environment) there is a need to pay particular attention to the outside ponds and the main drive to help ensure that people live and work in a safe and healthy environment. There were procedures in place, regarding service users’ finances, with appropriate and adequate records being kept, helping to ensure that people’s finances are safeguarded. The registration certificate that was displayed in the home was out of date. The revised certificate was found in the office and immediately replaced the incorrect one. Notification of the death of a service user or the serious injury to a service user, were not being provided (without delay) to the Commission (CSCI). This is a requirement in the care homes regulations. Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NONE 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 OP19 Regulation 13 (4) (a) (c). 37 (1) (a) (c). Requirement All parts of the home are so far as reasonably possible free from hazards or unnecessary risks to vulnerable people. (Ponds) The commission (CSCI) should be informed without delay of the death of a service user or any serious injury or other event. Timescale for action 31/08/07 2 OP38 31/05/07 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 2 3 Refer to Standard OP19 OP19 OP31 Good Practice Recommendations Ensure that the laundry door and any other potential areas of risk are kept locked to un-authorised people. Hazardous substances and cleaning materials should not be left unattended. The organisation needs to ensure that the homes manager is registered with the CSCI Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Belmont Residential Care Home DS0000065793.V330851.R01.S.doc Version 5.2 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. 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