Inspection on 10/09/07 for Bexton Court

This inspection was carried out on 10th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Bexton Court 21/09/09

Bexton Court 31/10/08

Bexton Court 25/09/08

Bexton Court 11/05/06

Bexton Court 28/09/05

Bexton Court 18/05/05

Bexton Court 12/10/04

Bexton Court 24/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOMES FOR OLDER PEOPLE Bexton Court Bexton Court Bexton Road Knutsford Cheshire WA16 0BZ Lead Inspector Sue Dolley Unannounced Inspection 10th September 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bexton Court DS0000036255.V344821.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. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bexton Court Address Bexton Court Bexton Road Knutsford Cheshire WA16 0BZ 01625 374166 01625 374167 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) http/www.cheshire.gov.uk Cheshire County Council Ms Jill Greenwood Care Home 23 Category(ies) of Dementia (5), Dementia - over 65 years of age registration, with number (22), Learning disability over 65 years of age (1) of places Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 23 service users to include: * Up to 22 service users in the category DE(E) (Dementia over 65 years of age) * Within the 22 DE(E) service users 5 may be in the category DE (Dementia aged between 55 and 65 years) * No more than 1 service user may be accommodated in the category LD (E) (Learning disability over 65 years of age) Date of last inspection 11th May 2006 Brief Description of the Service: Bexton Court is a purpose built community support centre owned and managed by Cheshire County Council. It is near to Knutsford Town Centre, where there are a wide range of shops and other amenities. The fees at Bexton Court are based on a financial assessment of the individual. Bexton Court provides accommodation on a single floor with some office accommodation sited on a second floor. The premises are physically linked to a ward in the adjoining hospital. The home is registered to provide care to a maximum of 23 service users. Bexton Court is an established provision. It is a well-equipped facility offering a range of short- term respite services for people with dementia, which are tailored to an individual’s needs. Care can include short breaks, flexible day and overnight care. There is a day care unit, which provides 5 places each day from Monday to Friday. In Bexton Court, all rooms are easily accessible to wheelchair users. All bedrooms have wash hand basin facilities, with hot and cold water, door locks and facilities for calling staff should assistance be needed. There are several specially equipped bathrooms with bath and shower facilities. There is a secure garden area for service users and visitors to use. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit took place on 10th September 2007 over 7 hours to assess if service users’ needs were being met. Survey forms were sent to a number of service users family members, General Practitioners and social work staff to gain their views about the care and facilities provided at Bexton Court. A partial tour of the premises was undertaken and included 5 bedrooms, shared areas such as the bathrooms, the lounges and dining area and the kitchen and laundry. What the service does well: What has improved since the last inspection? The service has established itself as a valuable resource within the area with increasing demand for short stay, emergency stay and day care provision. Community groups within the area have been encouraged to get involved, to volunteer help and to sponsor particular projects for the benefit of service users and to help develop community spirit. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 6 The dedicated staff team are highly motivated. They have continued to undertake relevant training and qualification to build upon their skills and expertise to provide high quality and responsive care and support. The management and staff members work in partnership with service users and their relatives to ensure individuals care needs are met and communication links are maintained during each period of care and support. Record keeping has improved within the centre, in house training has increased and staff members are now much more involved in person -centred care. Since the last site visit, decoration within the centre has improved and a sensory garden has been created. 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. Bexton Court DS0000036255.V344821.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 Bexton Court DS0000036255.V344821.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): 1,3 and 6. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users and their family carers are provided with full and useful information about Bexton Court to enable them to make an informed choice about using the service. Assessments of need are thoroughly completed to ensure all identified needs can be met and to ensure all involved feel reassured and supported. EVIDENCE: Bexton Court offers varied and flexible care services to dementia sufferers and their carers. The statement of purpose was updated in June 2007 and is available to each service user. This sets out the aims, objectives, philosophy of care, service and facilities, and terms and conditions of the provision. A service user guide and information supplied in, an information folder help to describe the provision and provides comprehensive information to enable people to make an informed choice about using the facility. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 9 In addition a very useful practical guide is available to service users and their family supporters to help people plan for a stay at Bexton Court. All service users’ needs are assessed before they receive care at Bexton Court. Information is gathered from the potential service users, their relatives, social services and health care representatives to ensure individual needs are identified and can be met. Staff members at Bexton Court are keen to involve potential service users and their family members in the processes of gathering and reviewing information to be sure of their needs and wishes and to ensure person-centred care is provided. Three service users’ care files were checked and it was evident that a significant amount of time and effort had been spent making introduction and admission to the service very personal well managed events. Each of the files contained included evidence of very through initial assessments prior to placement and each file contained an individual plan of care including information from various sources. Health and social services had contributed information via, assessment documents, copies of G.P. letters etc. The level of need and support was clearly recorded for each person. All contact information had documented and social history information provided the care staff with background information. The files each contained a good quality photograph of the service users to aid identification. Family members had been encouraged to supply supplementary information to help staff understand and care for each person appropriately. During the site visit a number of family carers visited their relatives at Bexton Court. People were warmly greeted and welcomed into Bexton Court. Personal and telephone interactions between staff and family carers were observed to be very positive, informative and friendly. Service users were included in all interactions. Advice was given as a medication on admission sheet had not been completed for one person and one file contained two handwritten lists of personal effects none of which were dated. Bexton Court DS0000036255.V344821.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. Health and personal care needs are fully assessed, addressed and met and service users are referred to health professionals as appropriate. Service users are treated with respect, are closely monitored and receive attentive, sensitive care and support. EVIDENCE: Three service user plans of care were checked. The service users health, personal and social care needs were set out in an individual plan of care/support and functional ability assessments and safer handling assessments had been completed as necessary. The care records provided information regarding medical history and ongoing investigations. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 11 There was evidence of careful health monitoring and of staff promptly seeking medical help and advice to address the existing and changing needs of service users. During the site visit a Registered Mental Nurse visited to assist staff in the assessment and review of service users. The Nurse Advisor now attends each Wednesday instead of Fridays so any urgent requirements are met before a weekend. Bexton Court staff members over time have fostered good relationships with health care colleagues within the various health care trusts and have developed good relationships with general practitioners in Knutsford and the surrounding areas for the benefit of service users. The daily records of care had been completed at least twice daily during each planned short stay. The recordings provided evidence of all care delivered and of reassurance and emotional support given. The high standard of recording helped to build a complete picture of care necessary and the difficulties experienced by the service users. They helped the care staff to provide continuity of care and support. Detailed records of discussions with social workers and family carers were kept and provided evidence of frequent liaison and communication. All the medication administration records were checked from the beginning of September 2007. Staff had carefully recorded and administered medications and reported any changes. They had undertaken close monitoring of health and wellbeing. Information relating to care for people with any known allergies was highlighted. Advice was given about the recording of controlled drugs and how to improve the stock balance records to provide a full and accurate drug audit trail. When possible service users are aided to retain responsibility for their own medication and all are protected by the policies and procedures for dealing with medicines. At feedback to the inspection a discussion was held with the registered manager about a service users wishes in the event of an accident and illness. The manager intended to gain more information and clarity about the wishes recorded. The provision of care at Bexton Court was seen to be very flexible to respond to individual needs and preferences. Survey responses from caring relatives were very positive. Many of the respondents thought the care and support to service users and their family supporters is excellent, and most respondents said they would recommend the use of the service to others. Many respondents hoped to be able to use the service again. One person said that Bexton Court had surpassed all their expectations and thought the staff members were very patient and understanding to both clients and relatives. Another relative was appreciative that staff would often ring them to enable the person being cared to chat with family members and to prevent raised anxiety. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 12 Another relative explained that they had visited Bexton Court each day and became aware of the consistency and considerable high level of skills and experience the staff had. They said that at no time did they worry that their relative’s needs weren’t being met. Respondents in general had been pleasantly surprised and impressed with the service provided and were very appreciative of the individualised care and support. During the site visit, all personal care was given discreetly in the privacy of service users bedrooms or bathrooms. All observed interactions between staff members were respectful and courteous and staff members demonstrated an ability to anticipate need and took prompt action to ensure the comfort of service users. Bexton Court DS0000036255.V344821.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 excellent. This judgement has been made using available evidence including a visit to this service. The service is flexible and responsive to meet individual needs and wishes. A wide range of activities, are available to suit individual preferences and meal times are regarded as social occasions during which a wide variety of foods are presented and enjoyed. EVIDENCE: Time is taken to gather much social history information prior to a service user having a first stay to establish their interests and to ensure their recreational and social needs can be met. Sufficient staff resources are provided to allow time for activities and stimulation. Throughout the site visit, staff members appeared relaxed and motivated and helped service users to maintain their interests. Usual daily routines are maintained as far as possible and service users are helped to keep in touch with those important to them. There was a high level of staff and service user interaction observed and conversation and activity was meaningful and shared. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 14 The records of activity provided after the site visit provided evidence of regular and varied activities including, reading, sing- a- longs, watching television, discussion about the news and events of the day, religious services, quizzes, outings, shopping trips, knitting, baking, board games, jigsaws, skittles, hairdressing and hand and nail care. A four- week activity planner provided detail of past and future activities. Notice boards gave news of forthcoming events and displayed photographs of residents involved in various activities during the year. The care staff members encouraged service users to participate but were mindful of people needing, distraction, their own space and quiet times and helped to facilitate as necessary. The activities were well planned, organised and varied. This is a small kitchen designed to assist and support service users living with Dementia to enable them to make a drink whenever they wish with support and guidance from staff. The local community has been encouraged to help create a sensory within the enclosed grounds. The local Scout movement and others have donated flowers and plants and pleasant outdoor seating areas have been created and are available to use. Meal choices were displayed on daily menus on dining tables and sample menus indicated a wide range of traditional foods available. The menus incorporate the use of seasonal vegetables and were re written and agreed several months ago with the help of a dietician at Macclesfield General hospital. The lunchtime meal was observed to be an unhurried and social event and was much enjoyed by service users. Alternatives were on offer and staff members sat and ate their meals with service users, they provided discreet help when needed and helped to make the mealtime pleasurable. Bexton Court DS0000036255.V344821.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 excellent. This judgement has been made using available evidence including a visit to this service. When complaints are received they are responded to positively to bring about improvements to the service. Staff members are alert and aware to the potential for abuse and have received training to raise their awareness and to help protect service users. EVIDENCE: No complaints had been received since the last inspection in May 2006. Cheshire County Council has a robust complaints procedure in place and information to enable people to raise concerns or to make a complaint is widely available within Bexton Court. Staff members are encouraged to make their feelings known and every effort is made to resolve problems quickly. In addition the quality standards process invites people to make positive and negative comments at regular intervals. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 16 The Department of Health guidance ‘No Secrets’ was available for staff to refer to and a whistle blowing policy is available to staff to enable them to respond appropriately to any suspicions or evidence of abuse. All except one member of staff have received training regarding the protection of vulnerable adults and all staff members are aware of various forms of abuse and have received written information on the various ways service users can be safeguarded and protected. Bexton Court can facilitate access to available advocacy services. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 17 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. This judgement has been made using available evidence including a visit to this service. Bexton Court is very well maintained, well equipped, clean, decorated and furnished to a good standard, which helps to create a comfortable and welcoming environment in which to stay. EVIDENCE: Bexton Court provides ground floor accommodation for service users. There is some office accommodation on the second floor. Service users’ rooms are in two wings. There are twelve rooms in wing 1 and eleven rooms in wing 2. Bedroom sizes are adequate and bedrooms are well equipped. There are various layout options to suit individual needs. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 18 A partial tour of the building was undertaken and included 5 bedrooms, shared areas such as the bathrooms, the lounges and dining area and the kitchen and laundry. The premises were well presented throughout, well maintained, clean, fresh, bright and airy. The registered manager acknowledged that two of the bedrooms seen were in need of redecoration in the near future. Three additional bedrooms are to be fitted with attractive and practical impervious flooring. Ample and attractive communal space is available for various social activities. The communal areas have been recently repainted, a new bathroom for disabled users provides a nova bath and a walk in shower and all toilets and bathrooms are accessible and clearly marked for guidance especially designed for people living with Dementia. There is a large secure garden with pathways and seating available for both service users and visitors. Recent remedial work has taken place to reduce the risk of Legionella and new cleaning trolleys have been provided to aid general assistants in their work. Bexton Court has recently become a smoke free environment. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 19 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. Staffing levels are good and staff members are motivated, well trained, and experienced in the provision of care to older people with dementia. They share the caring role with family carers to provide individualised, person centred care to support and reassure all involved. EVIDENCE: Staffing levels are good to ensure staff members have time to spend with individual service users and to complete all necessary care and support. The staffing levels also ensure staff members can take necessary breaks when they have experienced caring challenges. Bexton Court offers an outreach service and a ‘Take a Break’ service for service users who reside in Knutsford and are known to Bexton Court. Main family carers can use the ‘Take a Break’ service for a maximum of three hours. During this time they can leave their relative at the centre at no extra cost and in safe care whilst they attend personal appointments. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 20 Three recruitment files were checked and were well organised, each with a contents list. Advice was given at feedback to the inspection as one file did not contain a photograph of the member of staff employed and another file did not contain clear written evidence of a Criminal Records Bureau Check being received prior to commencement of employment. The staff team at Bexton Court are well trained and well motivated to meet the needs of service users. Staff members are keen to undertake training to advance their skills and knowledge for the benefit of service users and to provide high quality care. Planned training was evident and examples of personal development portfolios provided proof of achievement and qualification. There is a data -base to show which staff require training in various subjects. It is recommended that an overall staff -training matrix be kept to show at a glance training needs and achievements. Currently approximately 40 of the staff team and general assistants have completed NVQ level 2 or above and training is this area is to continue. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are clear lines of accountability within Bexton Court and a proactive approach to management. The management team are very experienced in the provision of care for older people with dementia. The provision is well organised and responsive and is run in the best interests of service users and staff members to promote and protect their health, safety and welfare. EVIDENCE: The registered manager explained that a consultation period was under way about possible changes to residential short stay and day services for older people in Cheshire and that staff and service users families had been informed of this. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 22 It was explained that it had been proposed that three residential centres across the County would close, one each in West, Central and East Cheshire. Early indicators had suggested that Bexton Court would be one of three most likely centres to close, based on the criteria of size, location, potential of the building and demand for services. Feasibility studies and a consultation process are taking place, the results of which are awaited. Despite the uncertain future the management and staff team have continued to provide high quality care and support to service users and their families. The consultation period ends in mid October 2007. Individuals have been encouraged to participate in the consultation and to use the consultation process to make their views known. The earliest time for any changes will be April 2008. Whatever the outcome Cheshire County Council intends to make information available to ensure people are made aware of any plans and developments. The registered manager has worked in various caring environments for a period of nineteen years. She has previously managed domiciliary care services and a specialist home for people living with dementia. Both the registered manager and group leader are trained in Dementia Care Mapping. There are clear lines of accountability within Bexton Court and with external management and good organisational systems in place. The registered manager has a proactive approach to management, effective leadership skills and shares her dedicated enthusiasm for providing good quality care and support with experienced team members. There is a creative learning environment for staff members. There is a positive and inclusive atmosphere within Bexton Court, and peoples’ views are listened to and valued. All staff members and service users relatives are encouraged to promote and participate in providing person-centred care for service users. A large number of letters of appreciation and thanks had been received by Bexton Court and provide evidence of a high level of satisfaction with the service. The group leader and senior staff members have designated responsibilities. These help to ensure that Bexton Court is well organised and well run. Suitable accounting and financial procedures are in place to safeguard service users money held for safekeeping. A sample of seven, service users personal allowances balance sheets and money were checked and were accurate with receipts available for all transactions. The report of the previous inspection was available within the reception area along with quality standards results. During the site visit all appropriate environmental risk assessments were in place and there were no health and safety concerns. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 23 Health and safety guidance was available to staff and staff members have been appropriately trained to recognise and report any health and safety issues. The accident records were fully completed, maintenance records and the fire precautions records book were up to date. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 4 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 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 25 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 Keep an overall staff -training matrix to show at a glance staff training needs and achievements. Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Bexton Court DS0000036255.V344821.R01.S.doc Version 5.2 Page 27 - 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. 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