Inspection on 18/12/06 for Chesterholm Residential Care Limited

This inspection was carried out on 18th December 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

Chesterholm Residential Care... 30/10/07

Chesterholm Residential Care... 18/01/06

Chesterholm Residential Care... 31/05/05

Similar services:

21 High Street

Vale House

Chestnut Walk

Dunwood Manor Nursing Home

The Old Vicarage

Excelsior

Cherwood House Care Centre

Durban House Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Chesterholm Residential Care Limited 10 Britten Road Lee On Solent Hampshire PO13 9JG Lead Inspector Marilyn Lewis Unannounced Inspection 18th December 2006 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 Chesterholm Residential Care Limited DS0000064256.V319568.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. Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chesterholm Residential Care Limited Address 10 Britten Road Lee On Solent Hampshire PO13 9JG 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) 023 9255 0169 023 9279 6812 Chesterholm Residential Care Limited Susan Stacey Care Home 15 Category(ies) of Dementia (15), Dementia - over 65 years of age registration, with number (15), Mental disorder, excluding learning of places disability or dementia (15), Mental Disorder, excluding learning disability or dementia - over 65 years of age (15) Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users in the categories MD and DE must be at least 50 years of age 18th January 2006 Date of last inspection Brief Description of the Service: Chesterholm Lodge is a care home providing personal care and accommodation for up to fifteen male and female service users over the age of 50 years with various old age, dementia and mental disorder care needs. Mrs Kay Moss owns the home and employs Mrs Sue Stacey as the registered manager. The home is registered as a limited company. Chesterholm Lodge is situated in a quiet residential area within walking distance of the seafront and local amenities. The home is a two-storey domestic house in keeping with the local area. There is a mature front garden laid mainly to lawn with a patio area and ample parking at the rear of the house. A chair lift provides level access between the ground and first floor. The home has nine single bedrooms of which five have en-suites and a further three double bedrooms without en-suite facilities. There are two lounges with dining areas and a conservatory that is used as a smoking area. The registered manager stated on the 18th December 2006 that the current fees were £395 for a shared room and £410 for a single room. Chesterholm Residential Care Limited DS0000064256.V319568.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 18th December 2006. The inspector toured the home and met with seven of the fifteen residents, a visitor, two care staff and the registered manager. Care plans and risk assessments were sampled and records seen included those for medication, complaints, accidents, staff training and staff recruitment. Prior to the visit to the home information was gathered from previous inspections and information received regarding the service. Service users at the home wish to be known as residents and this has been respected when writing the report. What the service does well: The atmosphere at the home was warm and relaxed. Residents spoken with said that they liked living there and one commented that ‘it was the best home in the south’. Residents said that the staff were ‘lovely’, ‘wonderful’ and ‘kind’ and they felt they were treated with respect at all times. Good interaction was observed between staff and the residents. A visiting relative said that she was very satisfied with the care provided at the home for her relative. Prospective residents are asked to spend time at the home for a care needs assessment to be undertaken to ensure the home can meet their care needs. The home’s Statement of Purpose and Service User Guide provides clear information about life at the home. The care needs assessment forms the basis for the individual care plans. Care plans sampled were detailed and contained risk assessments for daily living and social activities. The home has clear procedures in place for dealing with medicines and staff receive training in the safe handling of medicines. Residents are offered a varied programme of activities and are able to receive visitors as they wish. All residents spoken with said that they enjoyed the meals provided and there were comments of ‘ the food is always good’. Residents feel that any complaints would be taken seriously and acted upon quickly, although all said that they had never had cause to make a complaint and one said that ‘they had no complaints whatsoever’. Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 6 All residents spoken with said that they liked their rooms and those seen contained many personal items such as pictures, photographs and ornaments. Residents said that they were able to choose which of the lounges they preferred to use. Building work is taking place at the home to provide an extension, with new office space, laundry and large conservatory. A resident said that the registered manager kept them up to date with the work and they were looking forward to using the new conservatory. Residents said that they felt there were sufficient staff on duty and that staff came quickly when called. The registered manager said that staffing levels were flexible to meet the changing level of needs of the residents. Staff said that they were encouraged to attend training sessions and obtain qualifications. Six of the care staff hold National Vocational Qualifications level 2 or above and four more are due to start the course. Also another carer is a trained nurse from overseas working as a carer at the home. The registered manager operates an open door approach to management and residents felt they were able to talk to her at any time about the quality of care provided at the home. What has improved since the last inspection? What they could do better: Staff records seen indicated that one staff member had commenced work at the home prior to the completion of Criminal Records Bureau (CRB) and Protection of Vulnerable Adult (POVA) checks being completed. The registered manager must ensure that at least a POVA First check is completed before staff commence work at the home to protect the safety of the residents. Please contact the provider for advice of actions taken in response to this Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 7 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. Chesterholm Residential Care Limited DS0000064256.V319568.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 Chesterholm Residential Care Limited DS0000064256.V319568.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, 2, 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No one is admitted to the home without a care needs assessment to ensure the home can meet their care needs. The home provides clear information about life at the home, prospective residents are able to visit before making a decision to take a place there and they are provided with a written contract on admission. The home does not provide intermediate care. EVIDENCE: The home has a Statement of Purpose and Service User Guide that give clear information about life at the home. The documents include the qualifications and experience of the registered manager and the registered provider plus the number of care staff holding NVQ level 2 or above. The home’s complaints procedure is also included. Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 10 A visiting relative said that the information contained in the documents had been useful. The registered manager said that each resident was provided with a written contract giving the terms and conditions for living at the home. Contracts were seen for two residents. The services included in the fees were stated and also services which were available at additional cost such as toiletries, hairdressing and chiropody. The two residents were spoken with regarding their contracts. Both said that they did not wish to know about the contracts and that their financial affairs were handled by relatives. The registered manager said that prospective residents are asked to visit the home for the day for a care needs assessment to be undertaken. The prospective residents are also able to stay over night or for the weekend to help them decide if they would like to take a place there. The registered manager said that the information gained during the assessment ensures that the home can meet their care needs and a place can then be offered. Assessments seen for two residents indicated that all aspects of care needs were assessed including mobility, nutrition, personal, emotional and mental health needs. The visiting relative said that they had visited the home with their relative before their relative moved in. The home used to keep two beds for residents to be admitted for intermediate care. The home no longer provides intermediate care. Chesterholm Residential Care Limited DS0000064256.V319568.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in their care planning, their health care needs are met, they feel they are treated with respect and are protected by the home’s procedures for dealing with medicines. EVIDENCE: Care plans were seen for two residents who had recently moved into the home. The plans were detailed and showed evidence of monthly review. One of the residents said that staff had discussed the plans with them and they agreed that they reflected their wishes. The other plan had been signed by a relative. The care plans were detailed and contained risk assessments including those for mobility, nutrition, risk of falls and bathing. Risk assessments seen had been reviewed to meet the changing needs of the residents. Risk assessments for another two residents also indicated that reviews took place monthly and the care plans were up dated to reflect the change in the Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 12 risks assessed. One resident who used to go out shopping alone was now assessed as unable to do so safely due to memory loss. Records seen indicated that residents’ health care needs were being met. Visits by the residents’ GPs and a Community Psychiatric Nurse were recorded and also the chiropodist. The registered manager said that an optician visited annually and arrangements were being made for a dentist to visit one resident who required a dental check up. The home has clear procedures for dealing with medicines. Systems are in place to record medicines brought into the home and those for disposal. A risk assessment was in place for one resident who administers their own insulin. This had been agreed with the GP and the resident. Eye drops stored in the fridge had been dated when opened to ensure they were discarded as appropriate. The carer administering medicines at the time of the inspection said she had received training in the safe administration of medication. Records seen confirmed this. Medication records seen had been completed appropriately except for one shift. The registered manager said that the person was on duty later that day and she would ensure the issue was discussed before they were able to administer any further medication. All the residents spoken with said that the staff treated them with respect at all times. Comments included ‘the carers are wonderful’ and ‘the staff are lovely’. During the visit staff were seen to knock on doors and wait before entering rooms and to speak with residents in a friendly, respectful manner. Residents are able to have a key to their rooms and some choose to lock their rooms when they are not in them. Chesterholm Residential Care Limited DS0000064256.V319568.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 good. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise control over their lives, choose to participate in a varied programme of activities, receive visitors as they wish and enjoy a choice of meals served in a relaxed atmosphere. EVIDENCE: It was evident during the visit that residents were able to exercise control over their lives. Two residents said that they enjoyed sitting in one of the lounges and were able to take their meals there as they wished. Two other residents also went out into the community alone to do some shopping as they wished. One resident attends services at a local church and the registered manager said that the minister would visit the home to give communion at residents’ request. The home employs an activities coordinator for three days of the week and another for one day a week. The activities programme indicated that a variety of activities were provided including word games, art and craft, golf putting Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 14 and music. One to one sessions included nail care and card games. One resident said that they enjoyed a game of dominoes and another said that they had helped make the decorations hanging in one of the lounges and another said that ‘there was always plenty to do’. Two of the residents said that they were able to join in as they wished and could spend time sitting quietly if they preferred. The home’s Statement of Purpose states that there are no restrictions to visiting times provided the resident wishes to receive the visitor. Two residents spoken with said that their relatives visited frequently and a visitor said that staff always made her feel welcome. The cook has received training in the nutritional needs of older people. Residents’ likes and dislikes for food items were documented and the cook said that she takes these into account when writing the menus. The menu for lunch was sausage, egg and chips with beans or spaghetti followed by rice pudding. One resident had chosen to have meat pie instead and one resident required a diabetic diet. All the residents said that they enjoyed the food provided at the home and there were comments of ‘ the food is always good’ and ‘we can always chose something different if we wish’. Meals were served in both dining areas and the atmosphere was relaxed. Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel that any complaints will be taken seriously and acted upon quickly and they are protected by staff awareness of the prevention of abuse. EVIDENCE: Two residents spoken with said they knew that the home had procedures for complaints but had not needed to use them. One of the residents said that they ‘had no complaints whatsoever’. Both said that if they ever had any concerns or complaints they would talk to the registered manager who they felt would act quickly to resolve the issue. The home’s complaints procedures indicate who will investigate the complaint and timescales for the process. The procedures are included in the home’s Statement of Purpose and are displayed in the home. A staff member spoken with knew the procedures to follow should abuse be suspected. The home has procedures in place for the prevention of abuse including Hampshire County Council’s Protection of Vulnerable Adults and Whistle Blowing. Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Chesterholm provides a clean and homely environment for all who live, work and visit there. EVIDENCE: The home looked clean, homely and welcoming. Since the last inspection building work has begun to extend one area of the home to include an improved office and a larger conservatory. Two residents said that they had not been disturbed by the work taking place and were looking forward to using the new large conservatory. The home has two lounges both with dining areas. One lounge is used as a quiet area and residents here were reading their newspapers and sitting quietly Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 17 chatting. The other lounge has a television and is also used for some of the group activities. Two residents said that they were able to choose which room they were going to use. Accommodation is provided on two floors with stairs and a chair lift giving access to each floor. Residents have either a single room or share a double. Two residents who shared a room said that they preferred to share. All residents said that they liked their rooms and some accompanied the inspector on a tour of the home to show their bedrooms. The rooms contained many personal items including pictures, ornaments and small items of furniture. The home has sufficient bathroom and toilet facilities. All the bathrooms and toilets looked clean and in good order. The laundry room is situated away from areas accessed by the residents. The room has hand-washing facilities and disposable aprons and gloves were readily available for staff to reduce the risk of cross infection. A new laundry room is due to be built in the extension. The garden to the front of the home is laid mainly to lawn and there is seating provided for residents. The rear of the home is used as parking space. The home is situated close to the sea front and local shops. Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel there are sufficient staff on duty to meet their care needs and staff receive the training required to do their jobs. However staff commencing work at the home prior to at least a POVA First check being completed could put the safety of the residents at risk. EVIDENCE: The home employs the registered manager, deputy manager, two senior carers and thirteen carers. Separate staff are employed for catering and domestic duties. The registered manager or deputy manager and two carers are on duty during the day and at night there are one ‘awake’ and one ‘sleep’ carers. The registered manager said that currently none of the residents have high dependency needs but staffing levels are flexible to meet any changing level of needs. Three residents said that they felt there were enough staff on duty with one saying that ‘they come quickly if you call them’. The home does not employ agency staff. Two staff members spoken with said that they were encouraged by the registered manager to attend training sessions and gain qualifications. Six of the fifteen carers employed hold NVQ level 2 or above and four more are due Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 19 to commence the course. Also one of the carers is a trained nurse from overseas working at the home as a carer. The registered manager is arranging for confirmation of her NVQ level. One staff member has commenced work at the home since the last inspection. Records seen for this staff member contained a completed application form, photograph and police check from their own country. The registered manager said that she had seen the two written references but they were not in the file. The records indicated that a Criminal Records Bureau (CRB) and Protection of Vulnerable Adult (POVA) checks had bee requested but had not yet been completed. The staff member was currently on holiday and was therefore not in work. The registered manager said that she would ensure at least a POVA first check was completed before the staff member returned to work. Records seen for two other staff members contained all the information required and CRB and POVA checks had been completed before they had commenced work at the home. The registered manager must ensure that no one commences work at the home until at least a POVA First check has been completed to protect the safety of the residents. Records seen indicated that staff had received training in medication, food hygiene, moving and handling and first aid. Some staff had also attended training in Dementia care and Diabetes. It was necessary to look in each staff members file for certificates of training sessions attended. The training records were discussed with the registered manager with regard to developing a training matrix that would give a clear indication of training staff had received, when updates were required and training needed. Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run in the best interest of the residents, whose financial interests are protected by the home’s clear policy for dealing with money. Staff receive regular supervision and operate safe working practices in the home protecting the health, safety and welfare of the residents. EVIDENCE: The registered manager of the home Mrs Susan Stacey has been employed at the home since1994 and has been the registered manager since March 2005.. Staff spoken with said that they received good support from the registered manager and it was evident during the visit that Mrs Stacey had a good rapport with the residents and visitors. Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 21 The registered manager said that group meetings with residents took place about three times a year to obtain their views on the quality of care provided at the home. Records seen confirmed the meetings took place. One resident said that they attended the meetings but that they also felt able to talk with the registered manager at any time if they had any comments or concerns to make about life at the home. The registered manager said that visiting relatives were able to talk to her at any time and during the visit one relative spent time chatting with Mrs Stacey. The visitor said that she was very happy with the care provided for her relative. The registered manager said that the registered provider frequently visits the home and also spends time talking with the residents. Residents confirmed this. The home holds small amounts of money for some residents. The money is kept in individual containers in a locked drawer. Records are kept for all transactions and records seen for two residents matched the amounts held. Some residents keep their own money and have locked storage space in their rooms and keys to their room doors. The registered manager said that she supervises the deputy and senior carers who in turn supervise the carers. Records seen confirmed that supervision took place. The registered manager said that the staff had received in house training in providing supervision and that a training course was being investigated to give further training on the supervision of care staff. Records seen confirmed that staff received an annual appraisal. Accident records seen indicated that the registered manager reviewed accidents and updated risk assessments as necessary. An accident record for one resident who had fallen had instigated the arrangement for an appointment at the falls clinic. The home has a fire risk assessment in place and records seen indicated that staff had received training in fire safety and checks were undertaken regularly on fire safety equipment. The home has procedures available to staff on Health and Safety and information was displayed in the home. During the visit hazardous substances such as cleaning fluids were stored safely. The kitchen looked clean and in good order with food stored appropriately. Up to date certificates were seen for checks on specialist equipment such as the hoist and for the stair lift, electrical appliances and gas. Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 x 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 3 Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 23 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 OP29 Regulation 19 Schedule 2 Requirement The registered person must ensure that staff do not commence work at the home until at least a POVA First is completed. Timescale for action 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Chesterholm Residential Care Limited DS0000064256.V319568.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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