Inspection on 18/09/07 for Cressingham House

This inspection was carried out on 18th September 2007.

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

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

Other inspections for this house

Cressingham House 31/05/06

Cressingham House 26/01/06

Cressingham House 14/10/05

Cressingham House 28/10/04

Cressingham House 25/05/04

Cressingham House 24/01/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Cressingham House 19 - 25 Cressingham Road Wallasey Wirral CH45 2NS Lead Inspector Inger Moynihan Unannounced Inspection 18th September 2007 09:00 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 Cressingham House DS0000018880.V346607.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. Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cressingham House Address 19 - 25 Cressingham Road Wallasey Wirral CH45 2NS 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) 0151 639 4626 kccressingham@aol.com Wallasey Free Womens Church Council (Cressingham House) Mrs Susan Sherwen Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st May 2006 Brief Description of the Service: Mr David Shafik from Keychange Charity is now the registered person for Cressingham House. Cressingham House has been converted from four midterraced houses and is located in a quiet residential area, close to local shops and to the New Brighton promenade. The home does not have a garden but there is a pleasant courtyard at the back of the building which residents can use. Accommodation is provided on the ground and first floor. The communal areas consist of a large and small lounge and a spacious dining room. There is no separate visitors room, but all rooms are single occupancy and a number are arranged as bed-sitting rooms. There are bathing facilities on both floors and a two-stage stair lift gives access to the first floor. Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information about Cressingham House was obtained through an Annual Quality Assurance Assessment (AQAA) and examination of residents case files and supporting documentation. A tour of the building took place and discussions were held with residents and staff about the standard of care and the management of the home. A part of the inspection process includes sending questionnaires to residents, staff and health care professionals in order to obtain their views on the standard of the service provided. Comments made in these questionnaires are included in the report and contribute to the basis of any judgments made. The CSCI is trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We are currently using ‘Experts by Experience’ who are an important part of the inspection team and help Inspectors get a picture of what it is like to live in or use a social care service. The term ‘Expert by Experience’ used in this report describes a person who has been appointed by Help the Aged, under the direction of the CSCI, to take part in the inspection of services for older people. What the service does well: The homes routines are flexible and a varied and a nutritious diet is provided to ensure residents interest and good health. All of the residents spoken to during the visit confirmed they enjoy the food and always have plenty to eat. They are happy with the homes routines and have opportunity to see their friends and family. A complaint procedure is in place to ensure residents know who to contact if they are unhappy about any aspect of care they receive. Systems are also in place to ensure they are protected from abuse and harm. All of the residents said they are happy with the standard of care they receive and had no complaints to make. One resident said the staff are the essence of kindness, another said all of the staff are lovely, they are all so kind. A comfortable and homely environment is provided for residents to live and residents said they had everything they need in their rooms. Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 6 The staff have completed a range of training to support them in their role and to ensure they know how to care for the residents in line with good practice. Discussion with staff confirmed they enjoy their work and feel well supported in their role. The service is run by a person who is fit to be in charge and who ensures the ongoing effective and efficient running of the business. Staff spoke well of the registered manager saying she was always available for advice and support. The Expert by Experience commented in her report I really felt that the home works hard to offer high standards of care for all the residents. The lovely thing was that nobody had a bad word to say about anyone and the residents looked cared for and content. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 7 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 Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 8 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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An assessment of residents care needs is carried out to ensure their care needs are met. Some improvements need to be made to the supporting documentation. EVIDENCE: Before a resident moves into the home, an assessment of their care needs and any risk factors affecting their wellbeing is carried out. This assessment gives staff the information they need on how to look after the person in accordance with their particular needs and keep them safe from harm. When an assessment of a persons care needs is carried out, issues relating to equality and diversity such as a persons age, disability, religion and gender are addressed. This means staff can ensure residents holistic care needs are addressed. Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 9 Some improvements need to be made to the assessment documentation to ensure staff have all the information they need on how to care for the residents in accordance with their own needs and to ensure they can monitor their overall welfare. Without this information, important aspects of a persons care needs could be missed and they may be left vulnerable to the risk of harm. Some members of the staff team agreed they found the documentation difficult to use and agreed they would benefit from more training. Intermediate care is not provided at Cressingham House. Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 10 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. A care plan is in place for each resident to ensure their care needs are met. Some improvements need to be made to the supporting documentation. EVIDENCE: When a resident moves into the home a documented plan of care is drawn up. The care plan covers a range of issues relating to residents care needs and gives staff guidance on how to look after the person in accordance with their assessed needs. Documentation is in place to demonstrate that residents physical and mental welfare is monitored regularly and they have access to a range of relevant health care professionals to support them with their physical and mental welfare. One of the residents confirmed the staff always contact her GP when she asks them to. All of the residents spoke highly of the staff team saying they felt well cared for with one resident saying the staff are marvellous. The Expert by Experience stated in her report the lovely thing is that nobody had a bad word to say about anyone and the residents looked cared for and content. Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 11 Three health care professional questionnaires were returned to the CSCI. Two questionnaires indicated the service always seeks advice and acts upon it to improve individuals heath care needs. One questionnaire indicated this usually happens. All of the questionnaires indicated the service always respects residents privacy and dignity and that they are supported to live the life they choose. The questionnaires indicated the staff always have the right skills and experience to support individuals social and health care needs. One questionnaire recorded the staff are kind and sympathetic to their residents and provide a top level of care. Another questionnaire recorded ....they allow the patients to still be the capable individuals they are whilst providing a caring and supporting safety net around them. The patients are not institutionalised and made to fit in with the regime, they take time to get to know the patients as individuals with a life and a story to tell...... Clearly the standard of care provided at Cressingham House fully meets the residents care needs and staff are working very hard to get this right. The only improvement that needs to be addressed is the supporting documentation. Keeping more detailed records will ensure staff can accurately monitor and review each persons well being over a given period of time and ensure that all aspects of a persons care needs are addressed. Some members of the staff team agreed they found the care planning documentation difficult to use and agreed they would benefit from more training. Systems are in place for the safekeeping, handling and administration of residents’ medication and only trained staff are allowed to administer medication. The AQAA indicated that a medication policy and procedure is in place to support staff in their role. The following issues arose in relation to the medication administration record sheets: • • • A risk assessment had not been completed for one resident who administers their own medication. The medication administration record sheets were not always accurately maintained. Medication for one resident was not in stock The homes medication procedures must be effectively managed to ensure residents receive the medication they need and staff accurately monitor their welfare. Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes routines are flexible and varied, which suit residents preferences and choices. A varied and nutritious diet is provided to ensure residents interest and good health. EVIDENCE: The homes routines are flexible which means residents can exercise choice in relation to their leisure and social activities, daily routines and religious choice etc. Some residents attend day centres and go out and about, others choose to remain in the home. A range of social activities takes place during the week to ensure residents do not become bored and to provide them with social interaction. A number of volunteers also visit the residents to provide social interaction. The residents spoken to confirmed they enjoy the activities and acknowledged the staff respect their decision not to join in. Staff also spend time with residents on an individual basis when they may go to the local shops or promenade. This is a positive aspect of the home and means that residents have an opportunity to do things as a group but also on an individual basis. All of the residents spoken to during the visit confirmed they were happy with the Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 13 homes routines. One of the residents confirmed that a minister from a local church visits the home about once a month to give communion. The residents confirmed their family and friends can visit at any time which means they can maintain personal relationships. Residents bedrooms are single occupancy, which means they can see their visitors in private. Residents said they enjoy their meals and always have plenty to eat and drink. One resident said the food is excellent and I am always offered a choice. Homemade meals are provided and birthdays are always celebrated. Mealtimes are relaxed and informal and staff are always on hand to help when necessary. Residents are encouraged to have their meals in the dining room although they may eat in their room if they wish. Staff are aware of residents dietary care needs and ensure their individual preferences are catered for. Four resident questionnaires were returned to the CSCI. All of the questionnaires indicated the residents receive enough information about the home before they moved in. They recorded they could do what they wanted during the day and they knew who to speak to if they were not happy. They stated the staff always treat them well and the carers always act on what they say. One questionnaire recorded they had a high regard for staff who are attentive. The Expert by Experience joined the residents for lunch. She made very positive comments about the way the meals were served and the manner in which the staff interacted with the residents. She stated in her report the tables had clean white cotton cloths on them. The residents had individual white cotton napkins and named serviette rings. Residents were served a lovely lunch of fish, chips or mash, parsley sauce and peas. I did notice one lady had ham with mash and peas. The meal was hot and freshly cooked. I noticed that most people cleared their plates, which was a generous portion. Pudding was apple pie and custard or cherry pie and custard, which again was freshly cooked, hot and enjoyable. Cups of tea were served in cups and saucers and I did notice china cups and saucers were available which staff said were used and enjoyed by the residents. The staff were very attentive and it was nice to hear the friendly ‘banter’ between staff and residents which helped to make the occasion enjoyable. Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 14 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. A complaint procedure is in place to ensure residents know their complaints will be listened to, taken seriously and acted upon. Systems are in place to ensure residents are protected from abuse and harm. EVIDENCE: Residents know who to speak to if they wish to make a complaint about the care they receive and the staff are aware of the procedure they should follow in the event of them receiving a complaint. The homes complaint procedure is displayed in the home. All staff have completed training in relation to the protection of vulnerable adults from abuse and a copy of the Wirral Adult Protection procedure is in place to ensure they know how to deal with an incident of abuse correctly. All of the residents spoken to during the visit said they were very happy with the standard of care they received and they had no complaints to make. One resident said the staff are the essence of kindness, another resident said all of the staff are lovely, they are all so kind. The AQAA documentation indicated that no complaints have been received by the home. The CSCI has not received any complaints about this service. Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comfortable and homely environment is provided for residents to live. EVIDENCE: The location and layout of the home is suitable for its purpose and provides a comfortable and homely environment for residents to live. At the back of the home is a pleasant courtyard filled with flowers and shrubs, which is safe and well maintained. Since the last inspection, a programme of maintenance and refurbishment has taken place. A new kitchen has been fitted, improvements have been made to some of the bedrooms, ensuite have been built and bathrooms and toilets have been completely refurbished with adapted baths being fitted to help residents with their bathing. There is an ongoing programme of improvement at the home and the CSCI is kept up to date with how this is progressing. It was identified in the AQAA the Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 16 home is committed to further improve the home by way of easy access to the building etc. The home would benefit from further cosmetic work to the top floor corridors and back staircase, as they looked rather unwelcoming. These areas would benefit from more homely light fittings rather than strip lighting and some additional touches such as pictures or ornaments. The Expert by Experience looked around the building. She noted in her report one lounge I visited was small and comfortable with easy chairs at good heights, board games were in one corner of the room with books, a TV, music centre, piano and electric organ available. Carpeting and curtaining patterns were homely for the people of this age group. The home was clean and cared for and bathrooms, sinks in bedrooms and en-suite facilities of a good standard. Pity about the size of sinks in the en-suite rooms. The hall and landings looked a bit bleak which is a pity. Fluorescent lighting although a good light is cold looking ..... There was a stair lift, which was well used. No pictures on the walls or patterned paper to break up the large plain walls. All parts of the home are clean and tidy. The AQAA indicated that policies and procedures are in place to prevent the spread of infection. On the day of the visit the home was particularly cold and staff were asked to turn the heating on, this was done straightaway. To ensure residents welfare, the building must be kept comfortably warm at all times. The Expert by Experience noted in her report I noticed particularly how nice the bedding and clothing looked. The same person does the washing each Monday and returns clothes to each resident by Wednesday. Clothing has the room number on it and clothing is nicely ironed............ I was most impressed. Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 17 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. Staff are trained and competent to know how to look after the residents properly. EVIDENCE: There are sufficient staff on duty to look after the residents in accordance with their particular needs with additional staff being on duty at busy times of the day. There are also sufficient domestic/catering staff employed to ensure the home is kept clean and tidy and good food is provided. There are currently two staff vacancies, which are currently being advertised; the existing staff team is covering these hours. The AQAA indicates that just over 50 of staff are qualified to National Vocational Qualification level 2 or above. This exceeds the National Minimum Standards for Older People recommendation for 50 of staff to be qualified to this standard and ensures staff are up to date with current good practice. As indicated earlier in this report, residents have only positive comments to make about the staff team so it is clear the homes recruitment procedure is effective for the purpose of recruiting good quality staff. However the AQAA indicated that some improvements still need to be made to the information Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 18 held in staff files. This was also noted through examination of a selection of files which indicated that two staff references had not always been taken up prior to some staff being employed and a statement of the persons physical and mental health had not been obtained. The registered person must ensure Criminal Record Bureau (CRB) records are stored and disposed of in accordance with CRB guidance. A range of appropriate training is provided to staff to ensure they are kept up to date with current good practices. The training records indicated that staff have completed varying amounts of training and in one instance a member of staff has completed no training. The registered manager is in the process of carrying out a training need analysis of each member of staff and further training is in the process of being arranged. Staff are provided with induction training when first employed to ensure they know how to care for the residents in accordance with the particular needs and area aware of the homes routines and management structure. However, there was not documentation in place to support this. An induction training package must be drawn up which is in line with Skills for Care, the nationally recognised training programme for staff working in a care home. This will ensure newly appointed staff, who may be inexperienced in the care field, have the most up to date information on current care practices. The registered manager identified in the AQAA that a policy on equality and diversity needs to be drawn up and discussed with the staff so they are aware of the sometimes complex nature of this issue. Training around this issue should also be provided to staff. Six staff questionnaires were returned to the CSCI. All of the questionnaires indicated the staff are always given up to date information about the needs of the people they support. They all indicated their employer had carried out checks before they were employed and that their induction training covered everything they needed to know to do their job when they started. The questionnaires indicated they meet regularly or often with their manager for support. All of the questionnaires indicated they know how to manage a complaint and the ways information is passed between staff always works well. One questionnaire indicated this usually works well. Five questionnaires indicated there are enough staff to meet the residents individual needs, one questionnaire indicated this was usually the case. When asked what the service does well, one questionnaire recorded care and protect. Another questionnaire recorded staff are always offered training. .....I find the care by staff and management excellent. One staff questionnaire recorded the residents are extremely well cared for. Since Keychange Charity has taken over the home, vast improvements have been made which has been appreciated by staff, residents, family and health care professionals. Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 19 Cressingham House DS0000018880.V346607.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, 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 service is run by a person who is fit to be in charge and who ensures the residents are well cared for. EVIDENCE: The registered manager is competent and qualified to run the home for the residents best interests. Staff spoke well of the registered manager saying she is always available for advice and support. One member of staff commented the residents always come first and the home is well run. Residents also commented on the good management of the home. Quality assurance systems are in place to ensure the ongoing efficient and effective running of the service. This includes monitoring and supporting staff, Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 21 reviewing administrative systems and consulting with residents and their carers about the care provided. As identified earlier in the report, some improvements need to be made to the homes record keeping; this was also identified by the registered manager in the AQAA. She also identified that a general barrier to improvement at the home is a lack of time. In light of this the registered manager must look at the current management systems to ensure this issue is addressed. The registered manager does not handle residents money; residents carers do this. A system of formal supervision has been introduced into the home, which gives all staff an opportunity to meet with their line manager and discuss their development within their role. Discussion with staff during the visit confirmed they enjoyed their work and they felt well supported in their role. The AQAA indicated that regular health and safety checks are carried out on equipment around the building and supporting policies and procedures are available for staff to refer to. Staff training records indicated that staff have completed different amounts of health and safety training and one member of staff has not completed any training. While it is acknowledged that improvements have been made in this area, further work needs to be carried out to ensure all staff are trained in this aspect of care provision to ensure the safety and welfare of everyone in the home. Cressingham House DS0000018880.V346607.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 2 x x n/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x 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 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x n/a 3 x 2 Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP3 Regulation 14 Requirement Timescale for action 18/11/07 2 OP7 15 3 OP9 13 A detailed assessment of residents care needs must be in place to ensure staff have all the information they need on how to look after the residents in accordance with their particular care needs. A detailed and up to date plan of 18/11/07 care provided to residents must be in place to ensure staff have all the information they need on how to look after the residents in accordance with their particular care needs. Accurate records must be kept in 18/10/07 relation to the administration of residents medication. Prescribed medication must always be available and risk assessments must be in place for any resident who takes responsibility for the administration of their own medication. This will ensure residents receive the medication they need and staff can monitor their general welfare. (previous timescale of 31/5/06 not met). DS0000018880.V346607.R01.S.doc Version 5.2 Cressingham House Page 24 4 OP29 19 5 OP30 18 6 OP30 18 All records relating to the recruitment and selection of staff must be in place to ensure suitably qualified and competent staff are employed (previous timescales of 02/03/06 and 5/7/06 not met). All staff must complete a range of health and safety training to ensure they are up to date with current good practice. In this instance a copy of the forthcoming years training programme must be submitted (previous timescale of 05/07/06 not met). A full induction training programme must be drawn up to ensure staff are fully informed of all aspects of the running of the home and the care of the residents. 18/10/07 18/01/08 18/11/07 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 Cressingham House DS0000018880.V346607.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Cressingham House DS0000018880.V346607.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. 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