Inspection on 28/06/07 for Carrington Court

This inspection was carried out on 28th June 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

Carrington Court 07/02/06

Carrington Court 13/10/05

Carrington Court 16/11/04

Carrington Court 05/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Carrington Court Darby Lane Hindley Wigan Lancashire WN2 3DU Lead Inspector Judith Stanley Unannounced Inspection 09:15 28th June 2007 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 Carrington Court DS0000005675.V320011.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. Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Carrington Court Address Darby Lane Hindley Wigan Lancashire WN2 3DU 01942 526220 01942 526260 carringtoncourt@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Healthcare Services Limited Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Marcella Ann Lade Care Home 48 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (48), Physical disability (2), of places Physical disability over 65 years of age (5) Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 48 service users to include:*up to 48 service users in the category of OP (Older People). *up to 5 service users in the category of PD(E) (Physical Disabilities over 65 years of age). *up to 2 service users in the category of PD (Physical Disabilities under 65 years of age). *up to 1 service user in the category of DE (Dementia). 7th February 2006 Date of last inspection Brief Description of the Service: Carrington Court is situated close to Hindley Town Centre, on the main road from Atherton to Wigan. The Home is close to shops, pubs, a library, a dance hall, and other community and social amenities. Carrington Court, part of the Southern Cross group of care homes, is registered to provide nursing and personal care services to male and female residents over the age of 65. Additionally, the home may accommodate 2 people under 65 years of age who have a physical disability, 5 people who are over 65 years of age who have a physical disability, and 5 people over 65 years of age who are terminally ill. The total number of people who can be accommodated is 48. Carrington Court is a purpose-built care home. Accommodation is provided over two floors. There is ample communal space. All private accommodation is provided on a single occupancy basis. All bedrooms have en suite facilities. Car parking for visitors is provided at the front of the home. The current scale fees charged ranges from £354.62 to £550.00 per week, with additional charges made for hairdressing, private chiropody and toiletries. Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 28 June 2007 and included a site visit. The inspection was carried out from 09.15 am until 15.45 pm. The inspector looked at records the home holds on residents (care plans) and other records it needs to keep to ensure that the home is being run properly. The inspector looked around the building at first with the home’s manager and also unaccompanied. To find out more information about the home the inspector spoke with number of residents, staff and visitors. Comment cards were sent to the home prior to the inspection asking people who use the services at those who visit the home what they thought about the care provided. Ten relatives returned comments cards, one from the palliative care nurse specialist and one from a doctor; there were no returned comment cards from residents. One relative said,” During my fathers time at the care home we have always found the staff to be dedicated, friendly and very caring. We appreciate them very much for all they have done and continue to do”. One relative made comment that staff are not always visible. This was discussed with the manager who confirmed that sufficient numbers of staff are on duty at all times, but staff may be seeing to a resident in their room so may not always be in view. Another relative said, “Staff always ‘go the extra mile’, I have no complaints in a long stay for my mother who I’m sure would be less contented elsewhere”. Other comment cards indicted overall satisfaction with the care provided. The doctor has not added any additional comments but is satisfied with the care his/her patients receive. A comment from the palliative nurse is with regard to communication and that this was difficult at times. This was discussed with the manager who confirmed that the comment was regarding overseas staff and their command of English also that she was not always informed of a change in patient’s condition. The manager said there had been no complaints made to the home. complaints had been to the CSCI since the last inspection. No What the service does well: Carrington Court is a well-managed and well-run home ensuring high standard of care for the people living there. The manager and staff ensure that residents have everything they need to live a comfortable life. Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 6 The premises are clean and safe and the standard of the accommodation is good, there are effective systems for keeping the home maintained to a good standard. There have been few staff changes so residents are looked after by people they know and trust. Staff are well trained and show commitment towards giving good care to residents. Records are kept to a good standard and the manager is well supported by the excellent skills of the home’s administrator. There are additionally checks and procedures in place to ensure that everything is properly accounted for. The home does exceptionally well in seeking the views of residents, relatives, staff and others who visit the home so that the service can further improved. What has improved since the last inspection? What they could do better: The lounge chairs are in need of replacing on both floors and the bathroom on the first floor requires attention. The manager is fully aware of this and is dealing with it. Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 7 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. Carrington Court DS0000005675.V320011.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 Carrington Court DS0000005675.V320011.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): 1 and 3 were assessed. Standard 6 does not apply, as the home does not provide intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides residents and their supporters with up to date information about the home that helps them in making a decision about moving into the home and the services provided. A full pre admission assessment is carried out prior to admission to ensure the home can meet the needs of the individual. EVIDENCE: The home has a statement of purpose and a service users guide. This is available to all prospective residents and to residents all ready living at the home. The information is clear and concise and informs people of the services and facilities available, the communal areas, qualifications of the manager and staff and the homes complaint procedure. Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 10 Four care plans were chosen for inspection. On examination all contained a pre admission assessment to ensure that the resident’s health, personal and social care needs could be met. Assessments are carried out at the most convenient place for the prospective resident, either at their own home, hospital or during a visit to the home. The assessment is detailed and covers the residents well being, all areas of risk, including falls, mobility continence, bathing, dressing, assistance with personal care, nutritional status, medication, likes and dislikes and general activities. The assessment provides staff with the information they need to ensure that the individuals care needs can met and provides the base line for the drawing up of the care plan. Carrington Court DS0000005675.V320011.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): 7,8,9,10 and 11 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans were clear and concise and provide staff with the information they need to meet the needs of the residents. Personal support is offered in such a way as to promote and protect resident’s privacy and dignity. EVIDENCE: Four care plans were chosen for inspection. The information contained in the file provided staff with all the necessary information about the individual to ensure that all their care need could be met. Care plans included details of medication, a brief medical history a physical and social assessment and a new client checklist. Other information in the care plans includes risk assessments, for example the risks of falls and mobility, nutrition, pressure and wound care, use of bedrails and moving and handling. Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 12 There was evidence to demonstrate in the care plans that outside agencies, such as doctors, chiropodist and the speech and language team had been contacted as and when required. There was evidence to show in the care plans that relatives had been involved in the drawing up of the care plans and had been informed of any changes. Relatives are invited to attend all reviews. Care plans had been updated as required. Observation throughout the inspection showed that that the personal care needs of the residents were being met. Attention to all residents was given to grooming, residents were seen to be clean and clothes were nicely washed and ironed. Gentlemen were clean-shaven and ladies had has their hair done by the hairdresser. Staff were seen knocking on bedrooms, bathroom and toilet doors and waiting for a response before entering. Staff were heard speaking with residents in a friendly and respectful manner. It was evident that good relationships had been formed between the residents and with staff. The nurses in charge of each floor administer medication. The nurse on the ground floor was observed by the inspector giving out the morning medication. This was done efficiently, in a pleasant manner with time given to allow residents to take their tablets. Medication given was promptly recorded on the individual’s drug sheet. Training in palliative care (care for people who are dying) was due to commence Monday 2 July 2007 under the Gold Standards Framework. This will benefit all staff when offering care to residents who are dying but will remain at the home. Training will ensure that all staff is confident in providing this care and that trained staff will provide treatment and pain relief when required. Carrington Court DS0000005675.V320011.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. Residents are offered a wide range of activities to meet their capabilities and expectations. Residents are provided with well–cooked food, which they like, in good portions at times that suits them. EVIDENCE: The home has an activities coordinator who with the help of residents plans a wide range of activities to suit the needs of the residents. In the main activities are carried out the activity room on the ground floor and residents from the first floor come down and join in. There are planned activities most days and on the morning of the inspection residents were observed enjoying a game of bingo. Other activities include gentle exercises, aromatherapy, foot massages, arts and crafts, one-to-one chats, trips out by mini bus, balls games, group discussions, musical afternoons, quizzes, word games, poetry reading and in June 2007 involvement in World Elder Abuse day. Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 14 A resident’s notice board keeps people informed of what’s going on and when. Visitors are welcome to visit the home at any time; there are no restrictions as to when people can visit. Residents can meet with their visitors in one of the lounges, in the dining rooms or in the privacy of their own rooms. Although there were no visitors at the time of the inspection, the returned comment cards expressed their satisfaction of the standard of the home, the commitment of the staff and the facilities provided. The inspector observed both breakfast and lunch being served. Most residents dine in the main dining rooms, however some residents were being nursed in bed and staff assisted them in their rooms if they needed help. Residents have the choice to dine where they choose. A good choice of hot and cold cereals and other dishes were available for breakfast accompanied by toast and preserves, fruit juice and a tea or coffee. Lunch is the main meal of the day, which consisted of chicken casserole, creamed potatoes and Brussels sprouts or a mixed grill, followed by dessert or a creamed caramel tart. Some residents require a pureed diet; the food was seen to be blended separately to allow residents to experience the different colours, textures and tastes of the food. Suitable aids such as plate guards and cutlery and crockery were provided. Staff were seen sitting down with residents when assisting them with their meal. It was noted that the mealtime was not rushed and residents were given time to eat their meal. The company have introduced new menus and a nutritional programme. The menus are planned and calculated for the nutritional value. All soups are homemade and for other meals the recipes and the quantities required for the number of residents is worked out and accompanies the planned menu. For pureed meals the recipes inform the cook about adding extra cream or butter etc to fortify the meal. There was evidence to demonstrate the success of the new menus, when residents were weighed for the month of June 07, and 37 out of 48 residents had gained weight. The cook comes on to the floor to serve the meal from the hot trolleys, therefore she can see how much residents are eating and if they are enjoying the food. Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 15 Residents spoken with after lunch confirmed their satisfaction with the food served, with one resident saying, “The food is always good, we get good meals and plenty of choices”. Carrington Court DS0000005675.V320011.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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives can be confident that complaints well be listened to and taken seriously and that residents are protected from abuse in any of its forms. EVIDENCE: A complaints procedure exists and records of any complaints would be kept and properly recorded, along with the outcome. There has been no complaints made to the manager of the home and no complaints have been forwarded to the CSCI. There have been no adult safeguarding issues reported by the home within the last year. There was evidence in staff files to show that staff had undertaken training in the protection of vulnerable adults and that further training dates have been planned. Staff were familiar with the home’s policy on protecting people from abuse and whistleblowing. Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 17 Carrington Court DS0000005675.V320011.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 were assessed Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Carrington Court is maintained to a high standard making it a homely, comfortable, clean and pleasant home for residents to live in. EVIDENCE: From a tour of the premises, it was evident that the home is maintained to a high standard both internally and externally. The manager confirmed that a new carpet had been ordered for the ground floor lounge. The lounges would also benefit from new chairs, as the existing ones are looking shabby and past cleaning. Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 19 Several bedrooms were looked at. These were seen to be clean and tidy, and residents had personalised their rooms with their own possessions brought with them from home. All bedrooms were tastefully decorated with matching furnishings. The bathrooms were decorated in a domestic style so to offer a relaxed atmosphere for residents when bathing. The home has both showers and baths for resident’s personal preference. The outside of the home is well maintained and the grounds were seen to be neat and tidy. The garden is safe and secure and has appropriate seating available. Residents also have use of a large summerhouse in the grounds. Systems were in place to control the risk of cross infection. Staff were seen wearing protective clothing when carrying out different tasks. The laundry is sited away from food preparation and food storage areas and does not intrude on the residents. The inspector spoke with a member of the domestic team, who took pride in her work in keeping the home clean and free from any offensive odours. Carrington Court DS0000005675.V320011.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 were assessed. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can be sure that their needs can be met by good staffing levels and with a competent, committed, experienced and a well trained staff team. EVIDENCE: The staff rotas showed that there are sufficient numbers of staff on duty each day. The ratios of staff to residents takes into account the needs of the residents, and the home’s manager felt the staffing levels were right at the time of this inspection and confirmed that extra staff are on duty at peak periods of the day, for example lunch time. Neither staff nor residents expressed any concerns about staffing levels within the home. There is five waking staff on duty each night when the evening shift finishes. Domestic staff and maintenance staff are employed in sufficient numbers to ensure the home is maintained to a high standard. Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 21 There is a qualified nurse on each floor at all times who has the responsibility of running the floor during her shift and in keeping the manager informed at all times. Several of the staff had worked at the home for a number of years, this provided residents with good, reliable and consistent care by people they are familiar with and trust. From discussions, staff showed they know the residents well and they demonstrated a strong commitment to providing a good standard of care. Staff were clear about the work they were employed to do and that they were happy to help each other out. From the inspectors’ observations, staff morale appeared to be good and the staff seemed genuinely happy to be working at the home. Staff training is ongoing with 78 of staff having achieved NVQ level 2 or above in care. Domestic staff are also encouraged and supported with training with some staff having completed NVQ training. Ten care staff hold a current first aid certificate. The manager has provided details to the CSCI indicating that during the last twelve months staff had completed training in fire safety, food hygiene, abuse awareness, basic first aid, moving and handling, health and safety, ethical issues in palliative care and COSHH training. Training certificates were available for inspection. A full copy of each member of staff’s employment file is kept in the home in a secure location. Four files were chosen for inspection. Files contained CRB disclosures, application forms, references, job descriptions and other forms of identification, for example passport and birth certificate and a declaration of health. Staff undertake a full induction programme on commencement of work. Staff spoken with said the training was good and relevant to the work. They felt that the manager encouraged and supported them all areas of training. Carrington Court DS0000005675.V320011.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 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Carrington Court is run by a suitably experienced and competent manager. Residents can be sure that their best interests will be the central focus, with a positive and inclusive approach to making the service better. Residents and staff can be sure that their health, safety and welfare will be promoted and protected. EVIDENCE: Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 23 The home’s manager has a significant number of years experience in working with the elderly and is a qualified nurse and has completed the Registered Manager’s Award. The manager is committed to her own training and that of her staff team and sees it as an essential element to delivering good quality care for residents. The way in which the home is managed is open and transparent. The manager operates an ‘open door’ policy so that she may be approached at any time by staff, residents or their families. The manager was observed to know her residents and they in turn related to her well, they were comfortable in speaking with her. There are good systems of continuous monitoring in place in the home, with several types of auditing the quality of the service and in seeking the views and opinions of staff, residents and relatives. The manager holds monthly meetings and coffee mornings for residents and relatives. The home produces a monthly newsletter along with a corporate one. Surveys are sent out on a regular basis to gather information on the services and facilities provided. The homes operations manager visits the home at least once a month and a written report is completed, these were available for inspection. Monthly validations are completed and sent to the operations manager, these include audits on medication, accidents, pressure wounds, day to day running of the homes, sickness etc. The homes manager felt the needs of the staff were just as important in delivering good quality care as those of the residents. Staff confirmed they felt valued and their opinions and views listen to and respected. The office is well organised by the homes experienced administrator so that staff have access to all the paperwork and contact information they need during a shift. The homes administrator has also achieved NVQ in care and is currently working towards the Registered Managers Award. Some residents living at Carrington Court have handed over the responsibility for their financial affairs to their families but keep a small amount of money with the manager for safekeeping. A sample of residents’ monies was checked and found to be in order and matching the written record of transactions. Records kept and required by regulation were seen to be in good order and up to date, all records are kept securely as required. The records showed that staff are trained in safe working practices and that training is updated at regular intervals. Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 24 Equipment and systems used in the home are serviced and maintained, and records are well kept and accessible. Repairs carried out by the company (Southern Cross Healthcare), and other maintenance and service contracts are in place. A random sample of maintenance certificates were inspected and showed that checks had taken place. : The accident file was examined and all accidents, incidents and injuries are documented and the CSCI are informed as required. Monthly monitoring by the manager is carried out and the company receives a copy of this. Carrington Court DS0000005675.V320011.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 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 4 x 3 x x 3 Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 26 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. Refer to Standard Good Practice Recommendations Carrington Court DS0000005675.V320011.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Carrington Court DS0000005675.V320011.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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