Inspection on 05/09/07 for Crowstone Manor

This inspection was carried out on 5th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Crowstone Manor 10/10/06

Crowstone Manor 06/03/06

Crowstone Manor 10/10/05

Crowstone Manor 21/02/05

Crowstone Manor 14/06/04

Crowstone Manor 08/12/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Crowstone Manor 38 Crowstone Road Westcliff On Sea Essex SS0 8BA Lead Inspector Ms Vicky Dutton Unannounced Inspection 5th September 2007 09:15 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 Crowstone Manor DS0000015429.V348875.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. Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crowstone Manor Address 38 Crowstone Road Westcliff On Sea Essex SS0 8BA 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) 01702 333594 01702 333594 manager@crowstonemanor.fsnet.co.uk www.crowstonemanor.fsnet.co.uk Mrs Angela Murray Manager post vacant Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Accommodation and personal care to be provided to no more than 13 older people over the age of 65 years (OP). Total maximum number of service users to whom accommodation and personal care is to be provided shall not exceed 13. 10th October 2006 Date of last inspection Brief Description of the Service: Crowstone Manor is registered to provide accommodation and personal care for up to thirteen older people over the age of sixty-five. The home has a separate lounge and dining room and bedrooms are situated on the ground and first floor. A passenger lift gives access to both levels. The home is well maintained throughout. Crowstone Manor is an attractive and spacious property, built in 1912 as a family home in a pleasant residential area. Many of the original features are still in place, such as an oak panelled hall and dining room with parquet flooring. There are nine single rooms of which two have en-suites and two shared rooms both with en-suite facilities. Crowstone Manor is close to local shops, public transport and local amenities. There is a garden and small area to the front of the building for parking and an attractive and secure garden at the rear with seating and tables for the use of the residents. Residents and staff who smoke are required to do so in the garden. The most recent inspection report was available in the office and staff room. An up to date Service Users Guide and Statement of Purpose were available. The current range of fees at the home as given out with the Service Users Guide and confirmed with the manager are £402.50 per week for a shared room to £686.00 for single occupancy of a shared room. Residents pay additionally for hairdressing, chiropody, newspapers, toiletries, outings and other transport costs. Crowstone Manor DS0000015429.V348875.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’ site visit. The visit took place over a five and a half hour period. At this inspection all the key standards were considered. The home’s compliance with requirements made at the previous inspection was assessed. Since the previous inspection the home has varied their conditions of registration, so that they are no longer registered to provide care for people who have a diagnosis of dementia. At the site visit a tour of the premises took place, care records, staff records, medication records and other documentation were selected and various elements of these assessed. Time was spent talking to, observing and interacting with residents at the home, and talking to staff. Prior to the site visit the home had completed and sent in to CSCI their Annual Quality Assurance Assessment (AQAA). This outlined how the home feel they are performing against the National Minimum Standards, and how they can evidence this. Prior to this site visit a selection of surveys with addressed return envelopes had been sent to the home for distribution to residents, relatives involved professionals and staff. A high and positive response rate was received on surveys sent out. At the site visit a notice was displayed advising people that an inspection was taking place, and with an open invitation to speak with the inspector at any time. The views expressed at the site visit and in survey responses have been incorporated into this report. The inspector was assisted at the site visit by the manager, proprietor and other members of the staff team. Feedback on findings provided throughout the inspection process. The opportunity for discussion or clarification was given. The inspector would like to thank the manager, staff team, residents, relatives and visiting professionals for their help throughout the inspection process. What the service does well: The home provides good information to people considering moving into the home, to help them to make an informed decision. Staff are always available to offer advice and people are encouraged to visit and assess the home. When people move into the home staff work hard to make people feel at home and comfortable in their new environment. Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 6 Feedback about the home was very positive. A visiting health professional said ‘I feel that this home scores high in overall care of residents. Staff are always helpful. It is always a pleasure to visit a resident at this home.’ An educational professional said that the home had ‘a friendly, welcoming atmosphere, a good environment, just what I would hope for if ever I was in need of care.’ Residents made comments such as ‘I would give them full marks,’ and ‘I can’t fault it, it’s out of this world.’ The home has a caring and committed staff group. Most staff have worked at the home for some time and know the residents very well, this provides residents with stability and consistency. Many positive comments were made about the management and staff group at the home such as ‘ Wonderfully friendly and helpful staff.’ Visitors are always made welcome at the home, and are encouraged to work in partnership with the staff team to enhance residents’ care and wellbeing. What has improved since the last inspection? What they could do better: The home should continue to develop care planning to show how residents are encouraged to be involved, and to ensue that their holistic needs are recognised and catered for. Please contact the provider for advice of actions taken in response to this Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Crowstone Manor DS0000015429.V348875.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 Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People will receive a good level of information about the home, to help them to make an informed choice about moving in. People can generally expect that their needs will be assessed before they move into the home. EVIDENCE: The home has a Statement of Purpose and Service Users Guide Available. These were reviewed and updated in July of this year. The home also has a website that provides photographs and information for people interested in the service. People spoken with and survey responses showed that people who had moved into the home felt that they had received a good level of information. One relative was very appreciative about the help received from both Social Services and the home and said they had received ‘exceptional help and service.’ Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 10 The home uses a set format for pre admission assessments, which provides a comprehensive picture of peoples needs. The most recent admission to the home had a well completed assessment on file. At the time of the site visit an admission was being planned for the following day. No pre admission assessment information was available. The inspector was told that the people being admitted were previously known to the home through respite care and visiting, but that previous assessments were archived. It was said that the admissions were being planned at short notice. The manager was preparing care plans based on existing knowledge and said that a full assessment would take place on admission. Care was being taken to ensure that rooms were ready and welcoming. Staff were fully aware of who the new resident were and when they were expected. Intermediate care is not provided at Crowstone Manor. Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to receive good personal and healthcare support that is generally well planned and meets their needs. They can be sure that their medication will be managed safely, and that staff will treat them respectfully. EVIDENCE: The home’s care planning system provides an adequate basis for care to be delivered to residents. Care plans are kept under regular review. In discussion and on surveys residents and their families were very happy with the level of care. One said ‘I receive excellent care and attention.’ The home has a small and stable staff team who know the residents very well and are aware of their needs. Improvements to the care planning system were discussed with the manager. These included how the home can show that residents are actively involved with discussing and planning their care. Since the previous inspection the home have introduced ‘care discussion logs’ to record any discussions with residents or their families (with the resident’s permission) relating to their care needs. These are not yet routinely used by staff to show that residents are Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 12 involved in planning and discussing their care. The care plans of some residents were very concentrated on their physical needs, and the need to adopt a more holistic approach was discussed. Risks associated with residents’ care are assessed, but not always reflected in care planning. For example the home undertakes a ‘Waterlow assessment’ to assess residents potential to develop pressure sores. Some of these assessment indicated that residents were at high risk, but remedial actions were not identified in care planning. Residents said that they always received the health care that they needed. Documentation and discussion showed that resident’s access services such as doctors, district nurses, chiropody and optical services to met their needs. Dental care is arranged as and when necessary. A visiting professional felt that the home were proactive in their approach to residents’ health care, and said ‘they will always ring and discuss any issues regarding the healthcare of residents.’ The home has implemented a nutritional assessment tool (MUST) for residents at risk, or where concern is highlighted. For a resident cared for in bed a good nutritional input plan was in place, together with detailed fluid and nutrition records. General nutrition records are maintained for all residents. Staff training relating to residents’ care needs is undertaken. On the day of the site visit two staff were attending a training session on pressure area care. Medication at the home is managed safely through a monitored dosage system. Some signature gaps were noted on the medication administration records. These errors had already been noted by the home and highlighted for attention. Advice was given on some aspects of best practice such as double signing handwritten entries and dating boxed/bottled medication. Staff receive training through the supplying pharmacist, and practice is monitored by the manager and deputy manager. Appropriate policies and procedures were available to guide staff practice. During the day staff were noted to treat residents respectfully, and ensure that their privacy was maintained. A resident in a shared room said that they were very happy to share a room and that ‘staff always put the screen across at night.’ Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Residents can expect to have some opportunities for activity and occupation. They will always be able to enjoy having visitors, and have good food provided by the home. EVIDENCE: Residents said that the routines at the home are flexible. One said that they always had an early morning cup of tea, and could get up when they wished. During the site visit it was clear that residents’ personal routines and preferences are understood and respected by staff. People went where they wished, spent time in their rooms or the lounge according to their preference. The Reponses on ‘Have Your Say’ surveys for residents in relation to the question ‘are there activities arranged by the home that you can take part in’ were varied. Two said ‘always’ three said ‘usually’ and two said ‘sometimes.’ A relative said that the home ‘was very good at arranging outings for residents and families,’ but a resident and another relative said that they would like more outings. During the site visit no formal activities took place but staff spent time sitting with, and interacting with residents. One resident was taken out for a walk and a visit to the park. Staff said that entertainers visit the home a few times a year. Senior staff said that there had been fewer outings Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 14 than usual over the summer due to staffing difficulties. It was hopped that these would now pick up again. Equipment for activities such as games was available, and the home is trying to develop further activities for the benefit of residents. Since the previous inspection garden boxes have been set up to encourage residents in this area. Two staff are shortly to attend an activities course to gain ideas and develop skills. Visiting at the home is open and residents confirmed that are able to enjoy having visitors at any time. Relatives were pleased with the level of communication they had with the home. They felt that they were kept fully informed and involved in their relatives care. One said ‘personal communication is excellent.’ Information on advocacy was available in the home. No residents at the home are currently using an advocacy service. Residents’ bedrooms showed that they are able to bring in personal possessions and items of furniture. Residents spoken with said that they enjoyed the food at the home and made positive comments such as ‘very fresh and tasty,’ and ‘absolutely marvellous.’ Residents also said that they were offered choice ‘if you don’t like the menu, they will get something else for you.’ Lunch on the day of the site visit looked appetising and was plentiful. The home uses a four weekly rotating menu that is changed according to season, and in consultation with residents. The homes dining room provides a pleasant eating environment for residents, but there is not much natural light. The manager felt that the lighting in this area was sufficient to meet the needs of the current resident group, and that none experienced any problems. Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can be sure that any concerns they raise will be listened to. Residents can also be confident that they will be cared for in a way that protects them from abuse, as staff have been trained and understand this aspect of care. EVIDENCE: The home has a clear complaints process in place that was available for residents and visitors. The manager was advised that this should be updated to include the contact details of the Local Authority. Survey responses showed that people were aware of the homes complaints process and would feel happy in raising any concerns. No concerns have been raised about the home with CSCI. No concerns or complaints had been recorded by the home. The manager said that they would not record any day to day minor issues that might be raised, as these would be dealt with on the spot, but would only record a more formal complaint. The home has a comments book in the hallway, and it was seen that many positive comments about the home had been made in this. Training records, surveys and staff spoken with showed that staff had undertaken training in safeguarding adults. Senior staff at the home were aware of the referrals process. Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely and comfortable home that is kept clean and hygienic. EVIDENCE: Crowstone Manor provides a comfortable and homely environment for residents. One resident who has recently moved into the home was very happy with their room and said that ‘they could not wish for more.’ The proprietor undertakes a ‘Building and Grounds Checklist’ on a monthly basis to identify any repairs, refurbishment or replacements needed. Minor repairs are dealt with as they arise. The home has a pleasant garden for residents to enjoy. On the day of the site visit the home was fresh and clean. Residents made positive comments such as ‘very clean and tidy – not smelly at all,’ and ‘first class standards.’ Training records and staff surveys identified that all staff Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 17 have completed training in infection control. Appropriate protective clothing was available in the home. The manager is working through an assessment pack ‘Essential Steps to a Clean Safe Home’ and is soon to attend the related infection control training course. Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know that they will be supported by well trained staff that are available in sufficient numbers to meet their needs. EVIDENCE: On surveys and at the site visit there was very positive feedback about staff at the home. Residents said that there were always staff available to them when they are needed. During the site visit on the first floor a resident pressed their call bell by mistake, before the call could be cancelled a member of staff was there. Residents at the home benefit from being looked after by a stable staff group, many of which have worked at the home for a number of years. This provides consistency and familiarity for residents. There is a family feel to the home and staff work well as a team. On staff surveys it was evident that staff are very positive about their role and the service they provide. The home maintains staffing levels at three in the morning and part of the afternoon and two during the evening. An additional member of staff works from 10.00 to 16.00 to provide extra support or undertake group or individual activities. At night there is one awake and one sleeping in member of staff. The manager’s hours are supernumerary to this. Domestic cover is provided and the proprietor is in the home several times a week. The home’s rotas confirmed that these levels are being maintained. The manager felt that the current staffing levels were sufficient to meet the needs of residents, but said Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 19 that the system was flexible according to needs. Some examples of this were given. Out of a staff group of fifteen it was confirmed that eight staff have a National Vocational Qualification (NVQ) at level two or above. A further four staff are working towards this. Apart from the manager no new staff have started at the home since the previous inspection. One member of staff had been recruited but had not yet formally commenced their duties ad their Criminal Records Bureau (CRB) is still awaited. On viewing this file it was clear that robust recruitment procedures are in place at the home. The member of staff had previously worked at the home, but all required checks had been carried out. References were in place, a POVA first check was in place, a recorded interview had taken place. The newly recruited member of staff was attending the home to start their induction programme prior to being able to commence shifts. A suitable format for staff induction was in place. The manager had cross-referenced this format to Skills for Care elements, and felt that it complied with those standards. The home has a good record of staff training. Although the home is not registered to provide dementia care all the staff are trained in this. The manager feels that this is important for staff so that they can recognise any emerging symptoms in the resident group. Crowstone Manor DS0000015429.V348875.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, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a well managed and safe home. EVIDENCE: Since the previous inspection a new manager has been appointed to the home. An application for registration with CSCI is in the process of being made. The manager has NVQ at level four and is nearing the completion of their registered managers award. Staff and residents were positive about the management of the home. One member of staff said ‘I cannot fault the home at all. It is so well run it’s a privilege to work here.’ The home has strategies in place to monitor the quality of the service, and seek residents’ views on the service. Monthly surveys are undertaken with residents on a different topic each month, for example food. Since the Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 21 previous inspection Residents meetings and relatives meeting have started to be held. Examples of changes made as a result of resident/relative feedback were given. Residents spoken with and responses on surveys said that staff always listened to residents and acted upon what they said. The proprietor completes monthly visits to the home, as required by regulation, to monitor the service and seek residents’ views. Reports of these visits were seen. Residents’ money is held securely within a safe in the home. Clear records are maintained and receipts retained for each transaction. Residents’ money is held together so the balance of individual accounts could not be checked. The AQAA completed by the home shows that systems and services within the home are checked and maintained. It was reported that the fire service had visited the home during the previous month and found everything, including the home’s fire risk assessment, to be satisfactory. Records were seen that showed that fire drills take place. Staff records, staff surveys and the home’s training planner showed that staff are kept up to date in core training areas such as moving and handling. Accident records were maintained and risk assessments were in place to cover such areas as legionella. In some instances risk assessments dated from 1997. The manager said that they are reviewed from time to time, but this is not recorded. Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 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 3 X 3 X 3 X X 3 Crowstone Manor DS0000015429.V348875.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 OP7 Good Practice Recommendations The home should continue to keep care planning processes under review. This with the purpose of showing that residents/families, when they wish, are involved in this process, and to ensure that residents holistic care needs are clearly identified and met. The home should evidence when risk assessments are reviewed to ensure that information is current and residents cared for safely. 2. OP38 Crowstone Manor DS0000015429.V348875.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Crowstone Manor DS0000015429.V348875.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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