Inspection on 27/01/06 for Bridge House

This inspection was carried out on 27th January 2006.

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

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

Other inspections for this house

Bridge House 22/05/07

Bridge House 11/08/05

Bridge House 03/02/05

Bridge House 26/07/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Bridge House 31 Rectory Road Frampton Cotterell South Glos BS36 2BN Lead Inspector Odette Coveney Announced Inspection 27th January 2006 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bridge House Address 31 Rectory Road Frampton Cotterell South Glos BS36 2BN 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) 01454 772888 NONE bridgehouserh@aol.com Bridge House (Residential Home) Limited Miss Rachel Louise Parnell Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 16 persons aged 65 years and over requiring personal care only 11th August 2005 Date of last inspection Brief Description of the Service: Bridge House is a purpose built care home that the owners, Jane and David Parnell, built in the grounds of their cottage. The Brochure states that a family, as a family, runs the home. Jane and David’s daughter Rachel Parnell is the registered manager of the home. Bridge House is located in a semi-rural position, with the River Frome running alongside the grounds. Bridge House is sited at the end of a quiet residential area and provides a home for sixteen older people. The home also provides day care and will also offer respite care when a vacancy is available. In the grounds there is a model railway and on Bank Holidays the home has open days. The steam engines are available for rides and the home provides refreshments. Although there are small shops available in Frampton Cottrell, the nearest main shops are in Yate, approximately five miles away, and Bristol about ten miles away. There is a bus service from Frampton Cottrell to both places. The home has good community links and is run on Christian based principles. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection conducted as part of the annual inspection process to examine the care provided, and monitor the progress in relation to the two requirements and one recommendation from the last inspection that was conducted in August 2005. The requirements and recommendations were met. The home has consistently strived to meet the National Minimum Standards and to provide a good environment for the residents to live. Prior to the inspection the inspector received a completed pre inspection questionnaire, which provided information about the establishment, policies and procedures, menus, management and staffing arrangements. There was information about those receiving a service at the home. Information was also provided about healthcare and visiting professionals. Thirty Comment comments cards were received prior to the inspection, information provided within these has been shared with the manager and have also been incorporated within this report. The inspection took place over eight hours. During the process twelve residents, two staff a visitor and the registered provider, the registered manager and other members of the management team were spoken with. The inspector looked around the home and a number of records were examined. What the service does well: What has improved since the last inspection? Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 6 Only two requirements were made at the last inspection. Residents can be assured that they are supported appropriately to maintain their independence and retain some of their medication within a risk management framework. Residents can also be assured that controlled medication within the home is well managed. 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. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3,4, 5 Information is provided to residents in order that they are aware of their rights and responsibilities. No one is admitted to the home without having their needs assessed and that they have been assured that these will be met. EVIDENCE: The statement of purpose for the home contains clear information of the aims and objectives of the home and gives information about the services and facilities, which are provided. This document also gives information about the rights of the residents and the responsibilities of the registered provider. The document is well written and had been updated in January 2005 in order to update the details of the registered manager to include Miss Rachel Parnell and to also update the information in respect of additional staff training undertaken at the home. The admission process for the most recent individual into the home was discussed with the registered manager. Miss Parnell was very clear and had a Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 9 consistent approach about the home’s admission procedure and whom the home is able to provide a service for. Clear policies about the homes admission procedure are also in place, this records that individuals are given the opportunity to visit the home prior to admission and when admitted have a six week trial to ensure the placement is an appropriate one. In place were assessments that had been completed by the placing care manager prior to individuals being admitted to the home. The assessment completed by Mrs Parnell when the individual was admitted to the home. The inspector also saw that Mrs Parnell had completed the care plan for this individual this was extremely detailed it was clear that time had been spent with this individual discussing with her the care and services at the home in order that her transition into Bridge House would be a smooth one. The inspector also saw that a review meeting had been arranged which would involve a meeting with the resident, their family, the placing care manager and a representative from the home in order to confirm the placement was an appropriate one and that the home were able to meet the needs of the individual. Time was spent with the most recent person admitted to the home, they told of their visit to the home and the reasons why they had chosen Bridge House, they also said they were well supported and were ‘settling in’ at the home. There are staff employed at the home who have been there for a number of years and staff of various ages with varying knowledge and abilities. Staff individually and collectively have the skills and experience to meet the needs of those living at the home and to deliver the services and care that the home provides. Intermediate care is not provided at the home. A copy of the last inspection report is freely available to residents and visitors. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Individual’s health, medication, personal and social needs are well met, responded to and reviewed on an ongoing basis with appropriate access made to services when required. EVIDENCE: A number of care files were examined during this inspection. There was clear information within care records that evidenced that individuals are supported by staff in order to make decisions about their lives, that they have been given appropriate assistance and that support had been tailored to the needs of the individuals in order that they can make an informed decision. It was clear that where able individuals had been consulted and their input within assessment processes had been recorded in care records. Each person’s plan sets out the in detail the action which needs to be taken by staff to ensure that all aspects of health, personal and social care needs of residents are met, records were seen to be detailed. Staff knowledge on individual’s expectation’s and support was sound and care plans are reviewed and updated on a regular monthly basis. Residents had signed to confirm they were aware of their care plan and it’s contents. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 11 Information seen within care records maintained at the home show that the registered provider/manager promote and maintain residents health and ensures access to health care service in order to meet assessed needs. Comment cards received from a district nurse and a general practitioner who visit residents at the home on a regular basis confirmed that the home communicates and works in partnership with them, that any specialist advice is incorporated within individuals care plans, that staff demonstrate a clear understanding of the care needs of residents. Both also agreed that they are satisfied with the overall care, which is provided to residents at the home. Residents told the inspector that they see the doctor when they request it and another resident said that they have ‘never been in better health’. Information seen in individual’s records showed that individuals have received specialist healthcare support such as dermatology and a community psychiatric nurse. The inspector observed part of the staff handover; staff communicated clearly the needs of residents and how staff would meet these. These handovers are a good process of ensuring continuity of care and clear communication. Residents told the inspector they receive their post unopened and that they vote when the time comes and are supported to visit polling stations if they wish. Residents who are responsible for their own medication are protected by the homes polices and procedures. Rachel Parnell have reviewed and updated the homes medication procedures, the information in place covered all areas to ensure the safety and protection of residents. Miss Parnell consulted with others and cascaded the policy to staff. A requirement was made at the last inspection that a risk assessment must be completed re use of controlled medication for individual who self medicates. Although the individual no longer manages their controlled medication they still retain some of their medicines and the home have completed a full risk assessment to encompass all areas of potential risk whilst still supporting the individual to retain some independence. Another requirement was made at the last inspection in respect of medication, the home were required to ensure that controlled medication to be stored and administered as per the Royal pharmaceutical guidelines a review of the medication administered at the home found that this had been met. Records of medication received, administered, stock held medicines and returned medication were all found to be well recorded, audited and well managed. A staff member was observed giving out medication at lunchtime, they explained to residents what their medication was for and supported them to take their medication appropriately. This manager was able to demonstrate a sound understanding of their role and responsibility in this area. The home have consulted with residents and their families to ensure that they have a record of individuals wishes and choices at the end of their life. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 12 Residents at the home can be assured that at the time of their death, staff will treat them and their family with care sensitivity and respect. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 Resident’s lifestyle matches their expectations and preferences and satisfies their social and recreational interests and needs. Residents are supported to exercise choice and control over their lives. EVIDENCE: At previous inspections the residents at the home have been keen to speak with the inspector in order that they can tell them about the kindness and care shown to them by the owners of the home and the staff team, this inspection was no exception. Residents were extremely complimentary about the support and attention they receive. Residents said that they are treated as part of an extended family and one said the home is ‘run by a family for the family’. Another resident told the inspector that Jane Parnell ‘should get a medal for her hard work and love she shows to us’. From discussions with residents and from information contained within the fourteen returned comment cards it appears that residents find the lifestyle experienced within the home matches individuals expectations, and preferences and satisfies their social, religious and recreational interests. A record of scheduled activities that take place at the home is on display with group activities taking place every afternoon and additional time allocated each morning for one-to-one time with individuals. Residents confirmed that they enjoyed participating in these sessions and also enjoyed it when entertainers Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 14 came to perform at the home. Residents said they enjoyed craftwork and quizzes and going for walks in the local area. Many of the residents spoke of their enjoyment during an outing to Porthcawl South Wales last year, one of the residents said that the highlight of their day was to paddle in the sea, ‘the first time in many, many years’. From discussion with staff it was clear that activities undertaken are dependent on individuals choice as to whether they participate or not. Clear posters were on display announcing forcoming events to be held in and out of the home these include; hand bell ringers, pantomime at the local community centre, an aromatherapist, male voice choir, meal at Harry Ramsdons and a slide show. Lunch being served during the inspection was either scampi or chips with peas or fresh fish with sponge pudding and custard for dessert. Special diets are catered for. Residents told the inspector that the food was always ‘delicious and tasty’ with alternatives offered. A residents support system is in place at the home, this is where residents are allocated individual time with a member of the management team on a monthly basis, this provides an opportunity to discuss their care, any concerns or queries they may wish to discuss. Residents meals are discussed and comments recorded from residents included ‘plenty of variety’, ‘adequate portion’ and ‘marvellous’. At the time of the inspection their was a minister visiting one of the residents other residents were spoken with by a visiting ‘befriender’ to the home, residents enjoyed time spent with this person and relationships seem to be well established. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Residents are confident that their complaints would be listened to and taken seriously and staff demonstrated a clear understanding in this area with clear policies and procedures in place. Those living at the home are protected from the potential of abuse due to staff training and understanding in this area. EVIDENCE: A copy of the homes complaints procedure was on prominent display at the home. Information on how individuals are able to raise issues or make a complaint was seen in individual licence agreements, with information including the arrangements for contacting the commission if individuals were not happy with the outcome of a complaint. A poster informing people of a ‘care aware’ helpline was on display in the dining room. The complaints logbook for the home was viewed; it was found that reported incidents had been dealt with effectively to the satisfaction of those involved. The last recorded complaint was in December 2005. The logbook identifies and records both formal and informal complaints, which is consistent with good practice. The record also has signatures of residents to confirm that the are happy with the outcome of their complaint, this is consistent with good practice. Comments from residents during the inspection included ‘I have never had to make a complaint…. No need to’ ‘how can there ever be anything here to complain about, it’s wonderful’. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 16 No staff at the home are on the protection of vulnerable adults list. No areas of concern were recorded on care documentation. All of those spoken with during the inspection were positive about the care they receive and said they were happy with no complaints or concerns raised to the inspectors. Relationships with the registered manager and staff are well established. The registered manager has contacted the Commission for Social Care Inspection to inform of incidents that have affected the wellbeing and safety of those living at the home. Training records held at the home confirmed that all staff have attended protection of vulnerable adult awareness training. One of the managers told the inspector of the content of the training and demonstrated a sound understanding in this area. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 25, 26 The relationships between staff and those living at the home are good, and this creates a warm, supportive, homely environment, which promotes a good quality of life for the individuals living at Bridge House. EVIDENCE: Bridge House was purpose built by Mr and Mrs. Parnell and is set in a semirural location of Frampton Cottrell. The home provides a residential care service for 16 older people with varying levels of support and need. The home is well managed and safe and the quality of furnishings and fittings in the home is good, providing a warm comfortable and homely environment ensuring individuals needs are met. Since the last inspection a new carpet has been laid in the dining room and hallway leading to the lounge with future plans for the entrance hall and stairs to also have new carpeting. The upstairs corridor had been redecorated since the last inspection, as had a number of individual’s bedrooms. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 18 There is a high standard of décor and furnishings in the lounge and dining areas, which were also spacious. Residents were observed sitting in the communal areas of the home and looked very relaxed and settled in their environment. There is a payphone available for resident’s use, with a number of residents having their own telephone in their room. No areas of health or safety concern for those living at the home were seen at this inspection. The home was clean, tidy and odour free throughout. Domestic staff are employed at the home and were carrying out their duties during the inspection. Infection control at the home is well managed with staff being provided with protective clothing and appropriate products to undertake their duties. The home has a well-tended rear garden which residents told the inspector they enjoyed, it was noted that a full garden wall was not in place in a small area of the garden. Mr Parnell told the inspector of the plan to extend the homes model railway along this area and that railings will raise the wall. Until this work has been completed the home is required to complete a risk assessment of this area in order to demonstrate that residents are not at risk Lighting within the home is domestic in style and of a good standard, emergency lighting is provided throughout the home, the inspector saw that this is checked on a monthly basis. A hand test of the water temperature found the temperature was not excessive and was at a safe level, the temperature in the home was warm and comfortable. During the inspection the water board turned off the water to fix a burst pipe further up the road. Staff responded promptly to ensure that the residents were not adversely affected and are to be commended for ensuring minimum disruption for the residents. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Resident’s needs are met by the appropriate numbers of staff who have been trained and appointed within robust and effective recruitment and selection practices. EVIDENCE: There were sufficient numbers of staff on duty at the time of the inspection. The manager was asked to explain the recruitment process for the home, the information given, in conjunction with documents seen in staff files confirmed that staff are employed following robust recruitment and selection. In place were references from the most recent employer, criminal records and protection of vulnerable adults check. Job descriptions record the duties and responsibilities of staff Copies of the General Social Care Council code of conduct is available to staff. The significance of a National Vocational Qualification is well promoted at the home with four staff who have achieved NVQ at level 2 in direct care, two managers who have NVQ level 3 and the registered manager Miss Parnell is an assessors for candidates supporting them through their award. Other training undertaken at the home includes health and safety, fire awareness, manual handling, first aid and medication competency. The home has a clear training matrix in place which records training that has been undertaken and identifies areas for future development. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 20 Miss Parnell was fully conversant with the common induction standards and is attending a conference provided by skills for care. Staff support residents on a daily basis with the manager being involved with the overall monitoring of individual care. It was clear that staff have developed relationships with individual’s and have worked together with them and others in order to identify the needs of a resident and then support the person in achieving their goals and future aspirations. There was information in individual care plans these provided information to guide staff to the appropriate level of support that individuals require. A manager said that staff are committed to ensuring that the residents are happy and that there needs are met, this is achieved by a ‘Total team effort’ Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 37, 38 The registered manager is qualified, skilled and experienced. The management of the home ensures an open and inclusive atmosphere is present, which is run in the best interest of those living at the home. The health, safety and welfare of resident’s at the home are promoted and protected. EVIDENCE: Bridge House is a residential care home in Frampton Cottrell, which has been established with the registered providers Mr. and Mrs. Parnell; Mrs. Jane Parnell was also the registered manager for the above service. The home was purpose built in 1991 and the principles of care are based on Christian values. The registered provider Mrs. Parnell has over 14 years experience within residential services. Mrs. Jane Parnell has worked closely with Rachel Parnell for over 14 years, providing her with experience and knowledge during that time, Rachel has received an extensive induction in order that she is fully able Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 22 to undertake her role as registered manager and has been preparing to undertake this role for over two years. Rachel Parnell has been an active member of the management team at the home for a number of years. In March 2005. Miss Parnell was successful in her application to become the registered manager of Bridge House; during that process Miss Parnell demonstrated a sound understanding of the diverse and changing needs of older people and of her roles and responsibilities as the registered manager. The inspector viewed the organisational policies and procedures in place at the home, these are appropriate to the service provided at the home and all of the documents had been recently reviewed. The inspector viewed the fire logbook for the home. The home was completing the appropriate checks on the fire equipment and the recording of training, fire drills and the testing of equipment were satisfactory. The inspector saw the fire panel in working order. Individual’s records and home records are secure, up to date and in good order and are kept secure. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 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 3 X 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X X X X 3 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 3 3 3 X X X 3 3 Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 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. 1. Standard OP19 Regulation 13(4) c Requirement Risk Assessment to be completed in respect of resident’s safety and a garden wall. Timescale for action 27/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations Individuals preferred daily routines to be reviewed. Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Bridge House DS0000003316.V270733.R01.S.doc Version 5.0 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. 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