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Inspection on 03/10/06 for Cleveleys Nursing Home

Also see our care home review for Cleveleys Nursing Home for more information

This inspection was carried out on 3rd October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The residents in this home are well cared for. The staff team work well together and were seen throughout the visit to be very caring in the way in which they looked after the residents and assisted with all personal tasks in a sensitive manner. The residents are encouraged, within their capabilities, to be individual and their personal routines and lifestyles are respected. From observations and discussions, evidence was gained to confirm that the manager and staff had a good understanding of equality and the diverse needs of the residents, which ensured that there individual needs were met. Positive comments were received from the residents about the care that they received and the staff. One resident, who had been spoken to on a previous visit, said that they were still very happy and could not wish for anywhere better. Another resident who was listening to music at the time, said that they enjoyed being able to spend their time as they wished. Comments from staff also confirmed that they were happy in their job and felt supported by the manager. There was a very good atmosphere in the home, staff ,residents and visitors were very relaxed and friendly.

What has improved since the last inspection?

The requirements made following in previous visits have been complied with. These included matters relating to medication practices, which required attention in order that the residents were not put at risk. Additional storage space had been provided to prevent any potential risk to the safety of staff and residents. The homeowner visits the home at least once per month and a copy of their report is sent to the Commission for Social Care Inspection, as required by the Care Homes Regulations. Staff training and development continues to be seen as a priority. The majority of care staff have now achieved the required qualification. The staff spoken to confirmed that they were enjoying the training, which enabled them to meet the individual needs of the residents more effectively.

What the care home could do better:

The manager should continue to work towards obtaining a management qualification in order that staff and residents continue to benefit from good and effective management. The proposals to increase the support to the manager by the additional of a member of staff, who would undertake some administrative duties, was seen as a positive step enabling the manager to carry out her duties for the benefit of the residents and staff. The questionnaires that are used by the home to gain the views of the residents and their relatives were in the process of being updated. When completed these will provide a good overview of the quality of the service being provided and identify how best the needs of the residents can continue to be met.The manager should ensure that formal staff meetings are held on a more regular basis to ensure that staff have the opportunity to contribute to how the service to the residents is provided.

CARE HOMES FOR OLDER PEOPLE Cleveleys Nursing Home 19 Rossall Road Thornton Cleveleys Lancashire FY5 1DX Lead Inspector Mrs Ruth Edgington Unannounced Inspection 09:15 3 October 2006 rd 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 Cleveleys Nursing Home DS0000006032.V310282.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. Cleveleys Nursing Home DS0000006032.V310282.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cleveleys Nursing Home Address 19 Rossall Road Thornton Cleveleys Lancashire FY5 1DX 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) 01253 865550 01253 866589 Manor Homes (Poulton) Limited Mrs Elaine Lowe Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (6), Terminally ill (6) of places Cleveleys Nursing Home DS0000006032.V310282.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 32 service users to include: Up to 20 service users in the category of OP (Older Persons over the age of 65 years) Up to 6 services users in the category of PD (physically handicapped) Up to 6 services users in the category of TI (Terminally Ill) The service should employ a suitably qualified and experience manager who is registered with the Commission for Social Care Inspection. 6th December 2005 2. Date of last inspection Brief Description of the Service: Cleveleys Nursing Home is registered to accommodate a maximum of 32 elderly persons. Six beds may be used for residents with a physical disability and six beds may be used for residents with a terminal illness. The home is situated in a residential area of Cleveleys and is close to local amenities and within walking distance of the seafront. The home was purpose built and the accommodation consists of 3 double bedrooms and 26 single bedrooms, 8 of which have ensuite toilet facilities. There are lounge and dining room areas on the ground and first floor and there is a no smoking policy throughout the home. A passenger lift is available and aids are provided throughout the home to assist residents as required. A copy of the home’s Statement of Purpose and the Service User Guide are displayed in the hallway of the home for everyone to read. This information explains the care service that is offered, who the owners and staff are and what the resident can expect if he or she decides to live at the home. Information received on the day of the visit (03/10/06) showed that the fees for care at the home ranged from £495.0 to £597.0 per week, with added expenses for hairdressing, chiropody and newspapers. Cleveleys Nursing Home DS0000006032.V310282.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Key Inspection visit, which commenced at 9.15am and took place over five hours. Prior to the visit the registered manager completed a pre-inspection questionnaire, which provided information about the residents, staff and other information, which assisted in assessing how the home was meeting the National Minimum Care Standards. Comment cards had been sent out prior to the visit and in total, five residents and one doctor completed these comment cards. The homeowner visits the home on a monthly basis and sends a copy of their report to the Commission for Social Care Inspection (CSCI). The comments in these reports were taken into consideration when undertaking this inspection visit. During the visit, six residents and three members of staff were spoken to individually and a tour of the home was carried out, during which a number of residents, staff and visitors were also spoken to. A random selection of residents, staff and administrative records were looked at and discussions took place with the manager and deputy. From observations made, comments received and written documentation examined, the information has been put together to produce this report. What the service does well: The residents in this home are well cared for. The staff team work well together and were seen throughout the visit to be very caring in the way in which they looked after the residents and assisted with all personal tasks in a sensitive manner. The residents are encouraged, within their capabilities, to be individual and their personal routines and lifestyles are respected. From observations and discussions, evidence was gained to confirm that the manager and staff had a good understanding of equality and the diverse needs of the residents, which ensured that there individual needs were met. Positive comments were received from the residents about the care that they received and the staff. One resident, who had been spoken to on a previous visit, said that they were still very happy and could not wish for anywhere better. Cleveleys Nursing Home DS0000006032.V310282.R01.S.doc Version 5.2 Page 6 Another resident who was listening to music at the time, said that they enjoyed being able to spend their time as they wished. Comments from staff also confirmed that they were happy in their job and felt supported by the manager. There was a very good atmosphere in the home, staff ,residents and visitors were very relaxed and friendly. What has improved since the last inspection? What they could do better: The manager should continue to work towards obtaining a management qualification in order that staff and residents continue to benefit from good and effective management. The proposals to increase the support to the manager by the additional of a member of staff, who would undertake some administrative duties, was seen as a positive step enabling the manager to carry out her duties for the benefit of the residents and staff. The questionnaires that are used by the home to gain the views of the residents and their relatives were in the process of being updated. When completed these will provide a good overview of the quality of the service being provided and identify how best the needs of the residents can continue to be met. Cleveleys Nursing Home DS0000006032.V310282.R01.S.doc Version 5.2 Page 7 The manager should ensure that formal staff meetings are held on a more regular basis to ensure that staff have the opportunity to contribute to how the service to the residents is provided. 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. Cleveleys Nursing Home DS0000006032.V310282.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 Cleveleys Nursing Home DS0000006032.V310282.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures are clear to ensure the care needs of residents are met. The home does not provide intermediate care therefore standard 6 was not assessed. EVIDENCE: The home has a formal admission procedure, which includes a written checklist that staff complete to ensure that all relevant information is obtained in order to ensure that a full assessment of the residents needs had been carried out. Evidence was seen that the resident or their relatives had been involved in this process. The records of four residents were looked at in detail and were all found to contain detailed assessment information that had been collected before they were admitted, to ensure that the home could meet their needs. Cleveleys Nursing Home DS0000006032.V310282.R01.S.doc Version 5.2 Page 10 From comments made by the staff, evidence was gained that they were provided with sufficient information about the needs of the residents on their admission and were aware of the needs of the individual residents. Cleveleys Nursing Home DS0000006032.V310282.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care, which residents receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: The files of four residents were looked at and each resident had a plan of care that had been devised using the information gathered from the assessment and through discussions with the resident and their family on admission. The information was very comprehensive and ensured that all aspects of the individual resident’s needs and daily life were met. Written confirmation was seen that confirmed that they had agreed their care plan and that monthly reviews took place. Significant events had been recorded and daily entries made setting out the care given. Through observations and comments made it was clear that relatives were encouraged to be involved in all aspects of the care. Cleveleys Nursing Home DS0000006032.V310282.R01.S.doc Version 5.2 Page 12 Evidence was available of the involvement of other professionals. A record was kept of all visits by doctors, district nurses and any other professionals, confirming that the healthcare needs of the residents were being identified and met. Observations made during the visit confirmed that the residents were treated with dignity and that staff when carrying out personal care ensured their privacy. One resident who was very adamant that they had privacy whilst bathing, also wished to spend a very long time in the bath. Staff accommodated these wishes by ensuring the safety of the resident and enabling them to have the time they wanted, undisturbed. Another resident, who was self-caring, still requested that staff stayed close by whilst they showered, as they felt more confident if staff were near. The resident confirmed that the staff complied with their wishes. One resident whose very close relative had been admitted to hospital was very upset and from comments made by the resident and through observations it was noted that the manager and staff were being very supportive and reassuring to the resident during what was a very difficult time for them. Following the previous inspection, an additional inspection had been undertaken by the Pharmacist Inspector in relation to medication practices. From examination of medication records evidence was seen to confirm that the requirements and recommendations made at that time had been complied with. The manager confirmed that prescriptions were being checked before the pharmacist dispensed the medication and medication no longer required was being disposed of correctly. The policy of the home is that only the qualified nurses administer medication. This ensures that residents’ health and welfare are protected by receiving their medication from designated and trained staff. Residents who are capable and wish to retain their own medication are enabled to do so, following a risk assessment and written confirmation that they understand their responsibilities. Cleveleys Nursing Home DS0000006032.V310282.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All the above standards were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive a healthy and varied diet according to their assessed needs and choice. Social, cultural and recreational activities meet resident’s expectations. EVIDENCE: The residents are enabled to have their social, cultural, religious and recreational interest and needs met. The resident’s involvement in social activities varies greatly according to their abilities and nursing needs. Some of the residents spoken to preferred to stay in their own bedrooms and enjoyed reading, listening to music and watching the television. Arrangements are made for an entertainer to come to the home about every four to six weeks. The manager said that at times, due to the health needs of some residents, difficulties were experienced in motivating the residents and in general individual activities worked better. A trip around the “lights” was being arranged. A resident was spoken to in the first floor lounge where they were listening to music on their own and said that they enjoyed the peace and quiet. Cleveleys Nursing Home DS0000006032.V310282.R01.S.doc Version 5.2 Page 14 One resident who enjoys going out, had bought a motorised “Buggy” which they said gave them much more freedom to go out unaccompanied. Through discussions evidence was gained that every effort was made to retain the residents’ individuality. Examination of residents’ information indicated that one resident preferred that a specific washing powder was used for their laundry, all staff were aware of this and ensured that this request was complied with. Visitors are made very welcome and observations were made of visitors coming and going freely and the friendly way in which they related to the manager and staff. The relative of one resident visits most days and if the resident has gone out they will busy themselves around the home until the resident returns. Examination of the menus indicated that the meals were nutritious and well balanced. Special diets were provided for those resident who required these. The residents spoken to said that they enjoyed their meals and that if they wanted something special it was got for them. Cleveleys Nursing Home DS0000006032.V310282.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements in place for handling complaints ensure that people feel confident that their complaints will be listened to and taken seriously. Procedures for dealing with and reporting abuse were in place to ensure that people are adequately protected. EVIDENCE: The home has a detailed complaints procedure, which all residents and their relatives were made aware of. Comments made by the residents confirmed that they would know who to speak to if they had any concerns. The home keeps a record of any complaints that are made. The Commission for Social Care Inspection (CSCI) had received two complaints since the previous inspection and both were referred back to the management team to look into. The home handled the complaints correctly and the concerns raised were resolved. From discussions with the manager and staff evidence was gained to confirm that they had a good understanding of the procedures to be followed in the event of any allegation or suspicion of abuse or neglect. Staff spoken to confirmed that this issue was covered during their NVQ (National Vocational Qualification) training.and other staff had received training previously. Cleveleys Nursing Home DS0000006032.V310282.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a comfortable, homely and safe environment. EVIDENCE: A tour of the home was carried out and it was found to be well maintained, clean and free from any offensive odours. The manager confirmed that arrangements were to be made to have carpets cleaned where required. On the previous inspection it was noted that storage space was very limited and items were being stored in an area, which could pose a possible risk to residents. Observations made during the tour of the home confirmed that this had been resolved satisfactorily. A new member of staff had been recently employed to ensure that the home continued to be maintained at a high level. Residents’ bedrooms rooms were very individualised. This was apparent from observations made. Additional equipment was provided to ensure their needs Cleveleys Nursing Home DS0000006032.V310282.R01.S.doc Version 5.2 Page 17 were met. This could range from a specialised bed to a small fridge in which they could keep drinks and other items. Staff record in the maintenance book any day-to-day repairs that are needed to make sure that the residents are protected and live in a safe and comfortable environment. Examination of the maintenance book confirmed that all repairs identified had been attended to. The home has a programme of redecoration and upgrading to ensure that the residents’ accommodation is safe, comfortable and homely. Evidence was seen that several bedrooms had been painted and the manager said that as rooms became empty they were redecorated and upgraded as required. On a visit to the home by the owner they had identified in their monthly report that the garden area need attention. This had been attended to, however the manager stated that it was hoped that the contactors that previously attended to the grounds could be given this task again. Cleveleys Nursing Home DS0000006032.V310282.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All the above standards were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The policies and procedures for the recruitment of staff are robust and provide safeguards for the protection of the residents. EVIDENCE: Two staff files were looked at in detail and were found to contain all the information required by law before new staff members commenced working in the home. All appropriate checks had been undertaken. Though examination of the files and discussions with staff, confirmation was gained that they had undergone a formal recruitment and induction process. This ensures that residents are protected and enables new staff to gain a basic understanding of the needs of the residents and how these should be met. Evidence was seen that training was encouraged and staff confirmed that they were enjoying attending the various courses. Through the regular supervision session that they have they are able to identify their training needs. The management team had devised a method of recording what training was needed and when this had been undertaken. The training programme ensures that the staff employed by the home are competent and well trained to meet the needs of the residents. Cleveleys Nursing Home DS0000006032.V310282.R01.S.doc Version 5.2 Page 19 Evidence was seen of the way in which the knowledge received through training was being used. Following a course on “Falls Awareness”, which the manager and another registered nurse had attended, information about individual falls is being sent to the Primary Care Trust for their records. The home has exceeded the National Minimum standard in that more than 50 of staff have achieved an NVQ (National Vocational Qualification) level 2, the result of which is that residents are cared for by a competent and trained work force. Examination of the staff rota and the number of staff on duty at the time indicated that there were sufficient staff available to meet the needs of the residents accommodated. Staff spoken to said that they were very happy in their job and felt that they had a good staff team who worked well together. During the visit the atmosphere throughout the home was one of caring and sharing, which ultimately resulted in the residents needs being met. Cleveleys Nursing Home DS0000006032.V310282.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 &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 managed and run in the best interests of the residents. EVIDENCE: The registered manager is a qualified nurse, who has many years experience in caring for residents. Along with the deputy manager, she had recently commenced training to obtain a recognised management qualification. During the previous inspection concerns were raised that the manager could be the only qualified member of staff on duty and therefore she had to carry out the management role in addition to nursing tasks. The manager stated that one of the qualified nurses who was part time was due to leave shortly, Cleveleys Nursing Home DS0000006032.V310282.R01.S.doc Version 5.2 Page 21 however it was hoped that they would be replaced with a full time qualified nurse. The homeowner had identified that an additional person was also needed to take over some of the administrative tasks to assist the manager. From comments and observations made during the visit, it was clear that the residents and staff thought highly of the manager and felt that they could discuss anything with her. A new questionnaire has been devised, to provide feedback from residents and their relatives in order to gain their views about the quality of the service being provided by the home. This will ensure that residents have their say about how the home is meeting their needs and enable any areas for improvement and development to be addressed. Residents meetings are held every six months, but the manager confirmed that the day to day contact ensured that any concerns and suggestions are dealt with. The manager stated that staff meetings were not being held as frequently as recommended, although again day-to-day discussions took place and staff confirmed that they were kept informed of any matters that affected them or the residents’ care. From examination of records and the information in the pre-inspection questionnaire, it was evidence that the home was complying with issues relating to health and safety. Regular checks were being carried out to systems within the home and equipment was being serviced to ensure that the health and safety of staff was assured. There were no concerns raised during the visit that related to health and safety. The information received indicated that the home had polices and procedures in place. The manager stated that the majority had not been reviewed for some time and this was to be undertaken to ensure that they reflect any changes that have occurred and that the information reflected current best practice. Since the previous inspection the homeowner has made regular monthly visits to the home as required by the law and a copy of this report has been sent to the Commission. This process ensures that there is a regular external over view of the day to day management of the home. Cleveleys Nursing Home DS0000006032.V310282.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 x x 3 x x x 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 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 2 x 3 x 3 x x 3 Cleveleys Nursing Home DS0000006032.V310282.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP31 Good Practice Recommendations The registered manager should hold a qualification to NVQ level 4 in management. Additional support should be given to the manager to enable her to undertake her role and responsibilities. The frequency of staff meetings should be increased to ensure that they have the opportunity to be involved in assessing how the goals for the residents are being achieved. 2 3 OP31 OP33 Cleveleys Nursing Home DS0000006032.V310282.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Cleveleys Nursing Home DS0000006032.V310282.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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