Inspection on 14/07/08 for Carntyne Residential Care Home

This inspection was carried out on 14th July 2008.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Carntyne Residential Care Home 26/06/07

Carntyne Residential Care Home 29/11/05

Carntyne Residential Care Home 10/05/05

Carntyne Residential Care Home 19/10/04

Carntyne Residential Care Home 29/06/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Carntyne Residential Care Home Hencotes Hexham Northumberland NE46 2EE Lead Inspector Alan Baxter Unannounced Inspection 14th July 2008 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 Carntyne Residential Care Home DS0000000601.V368543.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. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Carntyne Residential Care Home Address Hencotes Hexham Northumberland NE46 2EE 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) 01434-600195 01434 603479 carntynehome@aol.com Sisters of Mercy Mrs Jennifer May Dodds Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th June 2007 Brief Description of the Service: Carntyne is an old building providing personal care for older people. It is situated close to the centre of Hexham and convenient for public transport. The home is registered to provide care for up to 18 older people. Accommodation is provided over 3 floors. All bedrooms are single, all with ensuite facilities. There are several lounges and a pleasant dining room. The garden is large and enclosed at the rear of the home and can be used by residents and their visitors. All areas are accessible by disabled people. There is a lift to all 3 floors. Weekly fees are £419.08. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people using this service experience good quality outcomes. Before the visit: We looked at: • Information we have received since the last visit on 26th June 2007. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 14th July 2008, and additional information was sent through on 17th July. During the visit we: • • • • • • Talked with people who use the service, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager what we found. What the service does well: Very positive feedback was received from the residents, both in person and in surveys. Comments from residents included, “Excellent! Efficient, thorough, nothing is too much trouble”; “They have time to listen to you”; and “No complaints whatsoever”; “I do not think I could find a better home. I am very happy Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 6 here”; and, “Carntyne is perfect for me as no restrictions, staff do a marvellous job and meals very good”. Residents are treated with great respect, and the home is run in a very resident-centred way, with residents’ privacy respected and their dignity protected. Residents are encouraged to be as independent as possible, and to make their own decisions as to how they spend their time. They are very much part of their local community and make good use of local services and facilities. The health needs of the residents are carefully monitored, and fully met. Residents get a good, balanced diet, with choice, and are very happy with the quality and quantity of the food and the cooking. Residents are very confident that any concerns or complaints are taken seriously and will be looked into promptly (no complaints have been received in the past year). The building is clean, pleasant, warm and safe, and is well decorated and furnished. It is well maintained and very comfortable. Residents are free to walk in the spacious and very well–kept gardens. There are enough staff to meet the residents’ needs, and the staff group is very stable, with no staff leaving over the past year. Staff are given training to meet the needs of the residents. Residents say that the staff are always very kind, caring and hard working. The home is well managed. What has improved since the last inspection? More detailed assessments of residents’ needs are being introduced, and each time a need is identified a detailed care plan is now drawn up, to show how that need will be met. A new medication system is being introduced, on the advice of the home’s attached Pharmacist. This will bring safer storage of medicines and a safer system for giving and recording medicines given. Some staff have been given training in ‘safeguarding’ residents; the rest of the staff have had this training arranged to be given in September. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 7 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. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3. People who use the service experience adequate quality in this area. New residents have their individual needs assessed before they come into the home, so that they and the home know their needs can be met, but some assessment documents are not always fully completed. We have made this judgement using available evidence including a visit to this service. EVIDENCE: All ten residents who returned surveys said that they had been given enough information about the home before they decided to move in. All had been given contracts. Seven of the nine staff who returned surveys said that they are always given up to date information about the needs of the people they care for; two said ‘usually’. One said, “Always given updates when you come on shift”. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 10 It was a requirement of the last inspection report that a comprehensive assessment (including a risk assessment) of all potential new residents must be carried out before they are admitted to the home. This has been carried out. The manager has introduced an in-house assessment document that covers all the areas listed in the relevant National Minimum Standard. However, this document allows very little space for recording and lacks a space for date and signature of the assessor. The manager is considering a suitable alternative assessment document. There is also a range of appropriate specialist assessments, including social, falls risk, nutrition and skin care assessments in place. It was also a requirement of the last inspection report that all assessments must be fully completed, dated and signed. This has not been carried out. Some assessment documents had not been fully completed; some were unsigned and/or undated; and it was not clear who had been consulted in the course of the assessment (resident, relative, advocate etc.). This requirement is repeated in this report. The need to consider equality and diversity issues more clearly in the main assessment was discussed with the manager, who agreed to seek out further information regarding this, and to investigate training opportunities. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality in this area. The health and personal care needs of the residents are well understood and are properly met, and they are treated with respect and dignity. We have made this judgement using available evidence including a visit to this service. EVIDENCE: It was a requirement of the last inspection report that a detailed care plan must be drawn up for each assessed service user need. This has been carried out. There is now a good match between the assessed needs of each resident and their individual care plans (with a couple of minor omissions). The format used for describing the care needed is clear and appropriate. Residents are encouraged to read and sign their care plans to show they are in agreement with their plan of care. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 12 Nine of the ten residents who returned surveys said that they always receive the care and support they need; one said ‘usually’. The health needs of residents are assessed before admission, and regularly thereafter. Identified health care needs are met using individual care plans. Clear records are kept of visits to and from health professionals, and there was evidence of referrals to specialists, where necessary. A visiting District Nurse spoke very highly of the care given to residents by the staff at Carntyne. The manager said that she would involve partners, relatives or significant others in health care decisions, where this is the wish of the resident in question. The staff have had training in falls prevention. Nine of the ten residents who returned surveys said that they always receive the medical support they need; one said ‘usually’. One said, “If I do not feel well and cannot go to the doctor’s, he is called in for his help and advice”. Another said, “I feel confident that in any emergency I would be taken care of.” It was a requirement of the last inspection report that all handwritten entries made by staff in the Medication Administration Records (MAR) must be signed and dated; and that two staff members must sign all entries in the Controlled Drugs register. This has been carried out. Handwritten entries were signed and dated. There were no unexplained gaps in the MAR. There are no Controlled Drugs currently prescribed. The home is in the process of changing its medication procedures, following discussions with its attached Pharmacist. A ‘dosette’ system is being introduced to improve the safety of the medicines administration. A new drugs trolley and sit on weighing scales are on order. Care plans include appropriate references to the importance of preserving the privacy and dignity of the residents, and this is confirmed in entries in the daily recordings. Residents spoken with also confirmed that they are treated with respect by staff at all times, and this was seen in practice during the inspection. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 13 One staff member said, “We work well as a team and treat each resident as an individual. We try to meet the needs of every resident with respect and dignity”. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 14 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. People who use the service experience adequate quality in this area. Residents are encouraged to be as independent as possible and to be active in their local community, but are not offered many organised activities in the home. Residents enjoy a good, varied diet. We have made this judgement using available evidence including a visit to this service. EVIDENCE: The home provides only a very limited programme of social activities for its residents. Residents have said, when asked in residents’ meetings, that they are happy with the level of activities, and some residents confirmed this to the inspector. Five of the ten residents who returned surveys said that there are always activities for them to join in; five said ‘usually’. Several commented that they chose the home because they preferred their privacy and wouldn’t want to have too much group activity. However, two staff members commented on the lack of activities. One said, “I know it is hard to encourage some of the residents to get involved, but I think we lack in this area”. Another said, “We should offer more activities in the home”. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 15 Whilst acknowledging the right for individuals not to join in arranged activities, it is still important to provide a daily programme of activities for those who so wish. Also, the home should make better use of the social assessments it carries out to make sure that every resident has a detailed individual care plan to meet their social needs. The home encourages visitors, and has no unreasonable restrictions on visiting. Residents can choose whom they see, and can meet their visitors in the privacy of their own rooms, if they so wish. Residents are free to come and go as they wish and can access a wide range of shops and services within close walking distance. Those with mobility problems are assisted by staff. All ten residents who returned surveys said that the staff listen to them and act on what they say. This was confirmed in conversation with the inspector. Care plans and daily records also showed that residents are widely consulted and that staff encourage and support residents in maintaining their independence. Eight of the ten residents who returned surveys said that they always like the meals in the home; two said ‘usually’. Comments included, “Food is excellent”; “Meals are very good” During the inspection, residents confirmed that the food is of very good quality, and that there is good choice. Dining tables were pleasantly set, with fresh flowers as centrepieces. Menus appeared nutritious and appetising. Records are kept of residents’ meal choices. Special diets can be catered for. Meal times were discussed, with the outcome that breakfast will be made more flexible. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 16 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. People who use the service experience good quality in this area. Residents are confident that any complaint would be taken seriously and acted upon. Staff are being given the training necessary to protect residents from abuse. We have made this judgement using available evidence including a visit to this service. EVIDENCE: All nine staff who returned surveys said that they know what to do if they or anyone else has concerns about the home. Similarly, all ten residents said that they know how to make a complaint. Several residents commented that they had no reason to make any complaints. No complaints have been received since October 2006. Previous complaints were seen to have been responded to in a sensitive and appropriate manner. In discussion with residents, all said that they knew how to complain, but had nothing to complain about. It was a requirement of the last inspection report that all staff must be given suitable ‘Safeguarding of Adults’ training. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 17 This is in the process of being carried out. Eight staff were given such training in October last year, and the rest of the staff are booked to receive this training in September this year. There have been no safeguarding issues in recent years. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 18 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. People who use the service experience good quality in this area. Residents live in a safe and well-maintained environment that is clean, very pleasant and hygienic. We have made this judgement using available evidence including a visit to this service. EVIDENCE: The home was toured. It meets the residents’ needs in a comfortable and homely way. No safety hazards were found. The home is well furnished and well decorated, and there is a programme of routine maintenance. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 19 There are extensive gardens, which regularly win awards (1st prize in Britain in Bloom) and which are very much appreciated by the residents. Generally, the home provides a pleasant, calm and relaxed environment for the residents. The home is kept in a very clean and hygienic condition. There are no offensive odours. There are suitably located and equiped laundry facilities. The home has a policy for preventing infection and for managing any outbreak, and this has been based on Department of Health guidelines. Five staff have had training in infection control. All of the ten residents who returned surveys said that the home is always fresh and clean. One said, “Always! Conditions could not be better”. Another commented, “My room, bathroom toilet and wash hand basin are cleaned every day”. A relative said, “It’s like an up-market hotel, the décor is lovely. We were impressed with the spotless, immaculate, fresh interior”. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 20 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. People who use the service experience good quality in this area. Residents’ needs are being met with the current numbers, qualifications and skills mix of staff. Residents are also protected by the home’s rigorous recruitment policies. We have made this judgement using available evidence including a visit to this service. EVIDENCE: Staff rotas were examined. Staffing levels are being maintained at the previously agreed levels. These levels are 8am to 4pm, two carers; 4pm to 10pm, two carers plus one carer/kitchen assistant (who finishes at 8.30pm); 10pm to midnight, two carers; midnight to 6.30am, one waking night carer and one carer ‘sleeping in’; 6.30am to 8am, two carers. In addition, there are three housekeepers between 8am and 1pm; one cook from 8am to 2pm; and one kitchen assistant from 9am to 1.30pm. The manager works full time and is supernumerary to the rota. Six of the nine staff that returned surveys said that there are always enough staff to meet the needs of individual residents; three said ‘usually’. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 21 A resident said, “There are always staff on hand, day and night, to monitor me. They are very pleasant and responsive”. Eleven of the 14 carers hold National Vocational Qualification (NVQ) levels 2 or 3 in care. This exceeds the 50 required. Another three staff are studying for NVQ level 3. Three of the nine staff who returned surveys said that they always have the right support, experience and knowledge to meet residents’ needs; six said ‘usually’. Many commented on how caring the staff are. All nine staff who returned surveys said that the home carried out the proper checks before employing them. No new staff have been employed since the last inspection, but previous checks have always demonstrated that the policies and practices of the home are rigorous, and protect residents. Each staff member has a training needs analysis conducted as part of his or her annual ‘staff review’ (appraisal). Mandatory training is given as part of a ‘rolling programme’ of staff training. All nine staff who returned surveys said they are given training that is relevant, that helps them understand and meet the needs of individual residents, and that keeps them up to date with new ways of working. One commented, “Further training is always given to any change to a service user’s needs”. Another said, “Always given updates, training and information”. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. People who use the service experience good quality in this area. The home is run in the best interests of the residents, who enjoy a safe and well-maintained environment. We have made this judgement using available evidence including a visit to this service. EVIDENCE: The Registered Manager holds NVQ level 4 in care and management and the Registered Manager Award. She is competent and experienced in the management of the home. She is responsible only for Carntyne and works full time. She is supernumary to the rota. She undertakes periodic training to keep up to date with good practice. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 23 She has an appropriate job description and there are clear lines of accountability within the home. The manager sends out annual questionnaires to residents and their relatives, to gauge how satisfied they are with the service. It was agreed to draw up separate questions for each group to reflect their different aspects and experiences of care; also, to draw up a brief questionnaire for visiting professionals such as district nurses and general practitioners. The manager collates the results of these surveys and identifies area where improvement can be made. The format is being amended to clearly say how such improvements are to be achieved. There are residents’ meetings every two or three months, in which the residents’ views are canvassed. Regular agenda items include menus, choice, activities, outings and any other business. Staff meetings are held every six months. The manager is drawing up an annual development plan, as part of the overall quality assurance system, and is considering how to increase resident participation in the running of the home. The records of cash held on behalf of residents were examined, and found to be up to date and in good order. Receipts are kept and all entries have two signatures. Spot checks on several accounts found that the cash balance matched the account totals. All care staff are given formal supervision every two months. Ancilliary staff receive supervision every three months. Supervision sessions are recorded in good detail. Staff are encouraged to be frank in supervision. All nine staff who returned surveys said that they meet with their manager for support and supervision. One said, “I feel the manager can be approached to discus any queries which arise and gives her full support to residents and staff at all times”. Another said, “Supervision given on a regular basis”. The home’s health and safety policy is currently being reviewed. The accident book is fully completed with ‘follow up’ entries where appropriate. There are relatively few falls. Staff have had training in falls prevention. The fire logbook showed that all the required checks and tests of equipment are carried out at the necessary intervals. Since the last inspection, two staff members have been trained to be able to give fire instruction to the staff team. A fire risk assessment was carried out on the building by a fire safety consultant in January 2007. More recently, the manager checked with the Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 24 local Fire and Rescue Service and got confirmation that the current system of fire training and fire drills is acceptable. Servicing and maintenance documentation was up to date, with all necessary areas covered. One staff member commented, “Our home runs safely and smoothly…”. Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 25 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 3 2 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? YES. 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 OP3 Regulation 14.1 Requirement All assessments must be fully completed, dated and signed; and must make clear who has been consulted in the course of the assessment. (Outstanding from 31/07/07.) 2. OP12 16.2 (m) The home must provide a daily 31/08/08 programme of social activities for residents; and must draw up individual social care plans for each resident. Timescale for action 31/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Carntyne Residential Care Home DS0000000601.V368543.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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