Inspection on 14/04/08 for Coble House

This inspection was carried out on 14th April 2008.

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

The inspector 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

Coble House 07/07/09

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Coble House North View Whitley Bay Tyne & Wear NE26 2EU Lead Inspector Anne Urwin Brown Key Unannounced Inspection 14th April 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Coble House DS0000071016.V362945.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. Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Coble House Address North View Whitley Bay Tyne & Wear NE26 2EU 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) 0191 251 0694 0191 251 3605 www.southerncrosshealthcare.co.uk Southern Cross BC OpCo Ltd Mrs Angela Moscrop Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52) of places Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 52 The maximum number of service users who can be accommodated is: 52 23rd August 2007 2. Date of last inspection Brief Description of the Service: Coble House is a modern, purpose built care home with nursing situated in a residential area of Whitley Bay. The home provides care for up to fifty-two elderly people. Within this there are four beds allocated for the use of local general practitioners (GP) and the health authority pays for the retention of these beds. The beds can be used for respite or emergency care and the normal length of stay is approximately two weeks. Accommodation is provided on two floors and there is a passenger lift in the home. All bedrooms have en-suite facilities. There are selection of lounges and dining rooms that people have the choice of using. The home is located near to local shops and public transport links. There is information available about the service provided at the home in the Service User guide, Statement of Purpose and recent inspection reports, which are kept in reception. The charges for the home range from £369:99 to £483:19 per week depending on the needs and requirements of the residents. Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating of this service is 2 star. This means that people using this service experience good quality outcomes. Before the visit: We looked at: • Information we have received since the last visit on 7th November 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 14th April 2008 and this lasted almost eight hours. During the visit we: • Talked with people who use the service, relatives, staff, the manager & visitors. • Looked at information about the people who use the service & how well their needs are met, • Looked at other records which must be kept, • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, • Looked around the building/parts of the building to make sure it was clean, safe & comfortable. We told the manager what we found. What the service does well: The transfer of ownership has been well organised and managed by the staff at the home so that the care of the people living there has not been adversely affected. The needs and wishes of each person living at Coble House have been properly assessed before they moved into the Home. This meant that staff knew about the needs of each person and what care and support they required. Good plans of care and risk assessments are completed for each person. This meant staff had the information they needed to support each person. Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 6 Peoples’ health care needs are effectively met by good care practice and effective joint working with health professionals. People are encouraged and supported to make decisions about their daily lives and preferences so that they retain their independence and individuality. People living at Coble House are encouraged and supported to maintain contact with their friends and family. The relationships between staff and people living at the home were good and personal support was provided in such a way as to promote and protect privacy and dignity. Staffing levels are adequate and appropriate training is provided to ensure that staff have the skills and knowledge to provide high quality care. Effective management systems and quality audits ensure that the home meets its aims and objective to provide individual support to each of its residents. Health and Safety systems protect residents and staff. What has improved since the last inspection? What they could do better: Care plans would be improved if there was more information about residents’ social and emotional needs. Menus for the evening meal should be reviewed and residents consulted about what they would like to eat. The refurbishment of the corridors and hallways should be given priority to maintain a good environment. The current problems with the radiator valves on the central heating should be addressed to ensure that residents can adjust the temperature in their rooms. Coble House DS0000071016.V362945.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. Coble House DS0000071016.V362945.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 Coble House DS0000071016.V362945.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): Standards 1, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a detailed statement of purpose and service user guide. Residents and their representatives are given good information on which to base the decision to move into the home. There is a comprehensive assessment undertaken by the staff prior to admission, which forms the basis for the development of the care plan. The home does not offer intermediate care. EVIDENCE: The service user guide is comprehensive and contains all of the information identified in Schedule 1 of the Care Standards Regulations. It includes clear information about the service offered by the home including information about staffing, who the home can care for, social activities, arrangements for Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 10 religious observance as appropriate, fire safety, complaints, care planning, and the environment. Alternative formats are available but these are provided on request and were not in the home. Residents and their representatives are encouraged to visit the home and spend time, this results in them having good information on which to base their decision to move into the home. The care plans contain comprehensive pre-admission assessments, which are completed by the Manager or the senior staff. The company are changing the care planning and assessment documentation, but they are continuing to use some of the old paperwork in the interim period. This allows the staff to maintain the records effectively and gives continuity. Most residents also have a care management assessment, which is given to the home on admission and these documents are used in the development of the individual care plan. All of the care plans looked at had these in place. Residents occupying the GP beds had information supplied by the Intermediate Care team before admission and this was clear and comprehensive. Intermediate care is not provided at Coble House. Coble House DS0000071016.V362945.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): Standards 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. There is good individual care planning and the care is being delivered in line with these plans. The residents have their healthcare needs met effectively. Staff treat residents with respect and dignity as well as maintaining their privacy so far as possible both when delivering care and throughout their daily life. The residents receive their prescribed medication in line with safe working practices. The medicines in the home are well managed and safely disposed of as necessary. EVIDENCE: Each resident has an individual plan of care, which is based on the admission assessment and is then added to during the placement. All residents’ plans are being transferred to the new recording system and almost half the plans Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 12 have been completed in the new format. The care plans contain individual assessments for nutrition, wound care, moving and assisting, and continence promotion as well as a dependency score. These are up to date and detailed. Risk assessments are in place for specific interventions, for example the use of bed rails. They are regularly reviewed and updated and reviews are regularly held with residents and their representatives. Residents and one relative said that staff knew what their needs were and provided good care. Residents have access to NHS services and facilities. There is a good range of pressure relieving mattresses for the prevention of pressure sores. Nursing action taken for wound care was well recorded with regular reviews showing improvements in all cases. Records showed that expert advice is sought from external professionals if necessary. The multi-disciplinary team reviews residents occupying the GP beds regularly. The staff could describe the way they maintain residents privacy and were seen doing so when delivering care. The residents were complimentary about the care they received and said that the staff treat them “very well.” An example of the comments made was that “we couldn’t get better care as the staff are so good”. Staff address the residents by their preferred name and there was a good relationship seen between the residents and the staff. Comprehensive guidance is in place for handling medicines. The systems for managing medicines in the home are in line with safe working practice guidelines and include a management audit. The arrangements for the storage of medicines are satisfactory. Appropriate practices are in place for ordering and disposal of medicines. No resident is currently managing his/her own medication. Coble House DS0000071016.V362945.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): Standards 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. Good opportunities are generally provided for people to take part in a variety of leisure pursuits and activities that helps them to maintain links with the local community, however the absence of the activity co-ordinator has affected the activity programme. More individualised assessment would mean that needs are met more effectively. People using the service are encouraged to exercise control over their lives, which helps them retain their independence. Mealtimes are flexible to suit individual preferences and lifestyles. People are given some choice of meals, but this could be improved by better menu planning. They are supported sensitively to eat meals where they have specific needs. EVIDENCE: Residents said that they are encouraged to take control of their daily routines in simple but important ways including “the time they get up”, and how they spend their time. They also said that they were “satisfied” with the activities available. Organised activities are available, however the frequency of these Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 14 has been affected by the absence of the activity organiser. In the interim staff are taking turns to arrange daily activities on each floor and residents said they enjoyed this. Staff try to spend one to one time with those who do not wish to, or are unable to take part in, group activities due to their physical limitations. A relative said, “the majority of Coble House staff are very good with the residents and the nurses keep me updated with any issues and I feel confident that my relative is well cared for.” Some of the individual records have limited information about peoples’ social and emotional needs. The residents’ bedrooms are personalised reflecting individual choices and preferences and residents asked said they were happy with the decoration. Residents receive visitors when they wish and use their own rooms or one of the lounges to receive them. Relatives confirmed that they are made welcome. Information about visiting is given in the residents’ guide. One relative said “staff are always welcoming when I visit.” Residents said they were satisfied with the arrangements for visitors and that staff welcome them. There was a choice of food being served at lunchtime during the inspection. All residents spoken to enjoyed the food at this mealtime, however some residents felt that the evening meal was less satisfactory. In particular people said the choice was limited and sometimes did not provide things they would like to eat. The manager is working on a new menu that is based on healthy eating principles and a wider choice and this will be introduced in the next few weeks. Residents were well supported by staff during meal times and appropriate equipment was available to help them with their meals, for example plate warmers, guards and large handled cutlery. Coble House DS0000071016.V362945.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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure is in place to ensure that complaints are dealt with effectively and to the satisfaction of the complainant. Good arrangements for protecting people using the service are in place. EVIDENCE: Guidance is available for dealing with complaints and records show that complaints are dealt with effectively. People living at Coble House said that they knew how to make a complaint and that they felt able to speak to the Manager or the staff if they have any concerns. One person said “we talk to the staff at any time or the manager if we have any concerns.” Five people said that they would feel able to talk to the manager about their concerns or complaints and were satisfied that she and staff would address their concerns. Two complaints have been made during the past year and records show comprehensive investigations were carried out within appropriate timescales. One of these was upheld and the other issue was not. Records of complaints are good and demonstrate that the home’s management takes seriously any complaints made. Staff were aware of how to help someone living at the home to make a complaint. Guidance provides clear information to staff about protecting people living in the home and the action to be taken in the event of any allegations being Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 16 made. A copy of the Local Authority Protection of Vulnerable Adults guidance is available in the home. One issue has been investigated and records show there has been an appropriate investigation. People using the service are made aware of what abuse is and the safeguards in place for their protection. Access to external agencies is promoted. Staff were clear about the procedures to be followed if an allegation is made. Staff training has been provided in Protection of Vulnerable Adults for almost all staff and further training is planned. Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is generally well maintained to provide a comfortable and safe environment for residents. Good quality accommodation is available for individuals in single rooms with en-suite toilets. The home is clean, pleasant and hygienic. EVIDENCE: Some areas of the home are well maintained, however the manager said that there is work planned to refurbish the hallways and corridors where carpets and wallpaper are marked and worn. The sitting and dining areas are well furnished and appointed. The kitchen units in the upstairs dining areas need replacement or repair as the drawer and doors are damaged. The home’s maintenance man carries out repairs quickly, however there is some delay when a contractor is needed. The valves on the central heating system need Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 18 regular adjustment to ensure that the temperature can be adjusted. The home has good access to community facilities and services. People have access to specialist equipment and aids that are necessary to help them live as independently as possible. There is a shaft lift fitted at Coble House that provides good access arrangements for people with physical disabilities. There is a selection of communal areas within the home that are furnished and decorated to a high standard. People living in the home said that they feel very satisfied with the quality of the accommodation. One person said “My room is very comfortable and I have brought things in from my own home so it feels more homely.” Another said she liked having an en-suite toilet. A hairdressing salon has been developed and this room will be available for other purposes. Bathrooms are well equipped and are homely. Sufficient baths and toilets are available to meet the needs of the people using the service. Aids and adaptations are fitted to maximise peoples’ independence. Each bedroom has its own en-suite toilet and wash hand basin. Bedrooms promote high levels of privacy and keys are available to each room. Rooms are comfortably furnished and show that individuals are encouraged to bring items from their previous home. People are able to make choices about the temperature of the heating in their rooms, although sometimes the temperature valves play up. The laundry is very well equipped, organised and spacious. Staff have had infection control training. Sluice facilities are good and well organised. No odours were evident in the home during the inspection. Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. Staff numbers are adequate to meet the needs of the people living at Coble House. Opportunities for training are good and this enables staff to learn new skills to better support the people living at the home. Good recruitment procedures protect people living at the home. EVIDENCE: The service has appropriate numbers of staff at all times to support the needs of the people living at Coble House. There are at least two qualified nurses and seven care staff on during the day; while at night there are two qualified nurses and three care staff. Staff members’ roles and responsibilities are clearly defined and understood and appropriate job descriptions support this. People who use this service and their relatives spoke highly of the staff and one person that “the staff are very good and respond promptly to any requests.” Staff are able to demonstrate a good understanding of the needs of the people using the service. At times staff find it difficult to balance the need to provide activities in the absence of the co-ordinator as well as meeting individual care needs. Staff training is targeted and prioritised to allow staff to undertake training beyond basic requirements. New training programmes are being introduced Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 20 for staff since the home was taken over by Southern Cross. Over 64 of care staff have completed national qualifications in care and four other staff are working towards these. Staff said that they get plenty of training opportunities. Records show that mandatory training is provided as appropriate. Induction training is provided for all new staff and one person said that she was satisfied with the training provided and the support offered by other staff when she first came to work at Coble House. The new training programme provides staff with information about the philosophy and ethos of Southern Cross. Staff records are completed in line with the company policies and procedures, including two references and a completed application form. The requirement to have a CRB and POVA check in place is applied to all of the staff in the home. Equality and diversity policies are reflected in recruitment and employment procedures. Records show that all checks are carried out and recorded to ensure that staff appointments are only made after the management has satisfied itself that applicants have the appropriate qualities to fully meet the needs of people living at Coble House. Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager ensures that she has systems in place to make sure that the home is managed effectively taking into account the needs and wishes of the residents. Personal allowance management is good and the systems and records are in place to allow audit to be effective. Clear safe working practices are used in the home in line with the company policies and procedures to protect residents and staff. Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 22 EVIDENCE: There are clear lines of accountability both in the home and within the company. The manager is a registered nurse and is experienced in working in and management of a care home. She undertakes regular training to keep up to date and maintain her Professional Portfolio according to the NMC (UKCC) requirements. The Manager is currently introducing Southern Cross systems for internal audits of the quality of the service provided. These audits together with resident questionnaires and regular resident meetings provide clear evidence of a quality assurance system that is customer focussed. Relatives visiting the home said that they feel able to approach staff and the manager at any time with any issues they may have about the care of their relative. Formal supervision for care staff is up to date and staff said that they are well supported by the management team. Practice and performance are discussed at supervision and training needs are identified from this. Regular staff meetings are held and staff said they are encouraged to contribute. Staff said that they had felt well supported when the home was taken over by Southern Cross. There are effective systems in place for safeguarding and managing money held on behalf of people living in the home including clear records. People using the service or their relatives have access to the records whenever they wish. Records show that training in all health and safety matters is provided and individual training records reflect this and regular updates are planned. Good systems are in place for monitoring training and staff said that they receive this training. Health and Safety practice is regularly audited and records were available to show good standards are maintained. Policies, procedures and risk assessments for safe working practices are in place to promote and protect residents and staff. Staff said that appropriate induction training is provided for new staff and records are in place to confirm this. Full details of accidents are kept and evidence was available to show these are monitored for trends. Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 3 X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 2 3 4 Refer to Standard OP12 OP15 OP19 OP19 Good Practice Recommendations Care plans should provide more information about individuals’ social and emotional needs. Menus should be reviewed to ensure that residents are consulted about the type and quantity of food provided. The refurbishment of the corridors and hallway should be given priority. Radiator valves should be checked and repaired or replaced where necessary. Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Coble House DS0000071016.V362945.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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