Inspection on 13/03/07 for Darenth Grange Residential Home

This inspection was carried out on 13th March 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 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

Darenth Grange Residential Home 05/03/09

Darenth Grange Residential Home 06/11/07

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Darenth Grange Residential Home Darenth Hill Dartford Kent DA2 7QR Lead Inspector Joseph Harris Key Unannounced Inspection 10:00 13th March 2007 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 Darenth Grange Residential Home DS0000068714.V326338.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. Darenth Grange Residential Home DS0000068714.V326338.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Darenth Grange Residential Home Address Darenth Hill Dartford Kent DA2 7QR 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) 01322 224423 01322 224435 D.F.A. Care Ltd Margaret Lee Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Darenth Grange Residential Home DS0000068714.V326338.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Darenth Grange is a home for up to 29 older people requiring residential care. The home is situated on the outskirts of Dartford in a rural area. The building is a historical 18th century manor set within over 7 acres of grounds. Accommodation is provided over two floors with the ground floor consisting of a good range of communal spaces and bedrooms and the upper floor being mainly bedrooms. There are two double bedrooms, which are currently single occupation. There is accessible garden space close to the building and parking is available for a number of cars. The home is some distance from any substantive amenities and private transport is required. The home has adequate kitchen and laundry facilities for the needs of the home. A range of recreational activities are provided throughout the week and visitors are welcomed into the home at all reasonable times. There is an experienced staff team in place. The service has recently come under new ownership. The current fees for the service at the time of the visit range from £390.00 to £550.00. Information on the Home services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. Darenth Grange Residential Home DS0000068714.V326338.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was culminated in a site visit on 13th March 2007. The home has recently come under new ownership and is considered as a new service, therefore this is the first inspection undertaken on Darenth Grange. During the course of the visit discussions were held with service users, staff, visitors, the registered manager and one of the company partners. An extensive tour of the premises was undertaken. A range of documents and records were also examined relating to health and safety issues, service users, staff, training and the management of the care home amongst other things. What the service does well: What has improved since the last inspection? What they could do better: 2 requirements and 4 recommendations have been made as a result of this inspection process. The home needs to further develop the quality monitoring and assurance processes including satisfaction questionnaires, monthly monitoring visits and measurable and targeted auditing. There is also a need to address health and safety issues within the home ensuring that fire safety issues are fully addressed and that all service and maintenance checks are completed by qualified professionals in a timely manner and certificates are available for inspection at all times. Some issues were also highlighted which represent best practice recommendations. These included a review of the medication storage facilities, the development of an action plan addressing works required on the environment, adjustments to the recruitment process to ensure that gaps in employment history are clearly identified and the continuing development of Darenth Grange Residential Home DS0000068714.V326338.R01.S.doc Version 5.2 Page 6 the training programme for staff including a competency based induction programme and updates of mandatory training for staff. 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. Darenth Grange Residential Home DS0000068714.V326338.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 Darenth Grange Residential Home DS0000068714.V326338.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): 1, 2, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to information about the home. A written contract is provided. Service user’s needs are assessed prior to moving into the home. Service users receiving respite care are enabled to retain their independence. EVIDENCE: The home has produced updated copies of both the statement of purpose and service user guide. Both documents are well presented and written in an easily understandable manner avoiding jargon where possible. The service user guide is given to all prospective service users and their representatives and copies of both documents are kept in the entrance hall. The service user guide contains all required information as detailed in the National Minimum Standards and can be produced in large print if required. The possibility of developing a spoken Darenth Grange Residential Home DS0000068714.V326338.R01.S.doc Version 5.2 Page 9 word version was also discussed with the registered manager as a possible project for the future. A clear statement of terms and conditions of residency is provided to all new service users. The contract adequately covers issues of fees, additional charges and rooms to be occupied. It is written in an understandable and clear manner. A signed copy of each contract is kept on file and given to the resident and/or their representative. All new and prospective service users have their needs assessed prior to moving into the home. The registered manager reported that where the individual has a care manager the home ensures that copies of the most recent care plan, risk assessment and joint assessment are received. Otherwise the home discusses needs and expectations with the referrer, prospective service user and significant others. There is a detailed needs assessment pro-forma in place addressing all the potential individual needs, history and other relevant information. Once written information is collated the registered manager will then visit the individual in their current residence to introduce herself and further assess needs before inviting the family and prospective service user to visit the home. The home offers respite care when beds are available, although there are no dedicated respite care rooms or services. The registered manager stated that when a referral for respite care is received the assessment process is similar to that of a longer-term service user with a full needs assessment completed prior to admission. No residents receiving respite care were living in the home at the time of the site visit. It was stated that care plans and risk assessments are completed following admission, which promote the retaining of independence and autonomy. Darenth Grange Residential Home DS0000068714.V326338.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 adequate. This judgement has been made using available evidence including a visit to this service. Resident’s healthcare needs are met and they are treated with dignity and respect. Medication processes are appropriately managed. EVIDENCE: A number of individual service user plans were examined, all of which were well developed and up to date. The plans of care detail the needs of the service users with reference to completed needs assessments and provide clear guidance for staff to be able to consistently meet individual needs. The plans show evidence of monthly reviews, although it was noted that the manner of documenting reviews could be made clearer. The registered manager stated that service users are involved with the planning of care where possible and it is advised that the home should encourage residents to sign their plans to demonstrate their involvement. There is a satisfactory risk assessment process ensuring that perceived risks are adequately managed and reviewed. Darenth Grange Residential Home DS0000068714.V326338.R01.S.doc Version 5.2 Page 11 The healthcare needs of service users are appropriately managed. Needs are identified within individual plans of care. Staff stated that they receive good support from healthcare professionals such as District Nurses and GPs. Records are maintained of any consultations and input received including outcomes. It was suggested that additional detail could be added to ensure that there is a clear trail of information informing staff of any development and actions required following consultations. The home addressed key needs and areas of healthcare such as nutrition, pressure area care, oral hygiene and continence. Service users are supported to access chiropodists, dentists and opticians. The home ensures that medications are stored, administered and recorded appropriately. The medication room however, is small and cramped and an alternative site should be considered if possible. Refer to recommendation 1. Medication administration records are kept up to date and are well maintained. There were no gaps in the MAR charts and medication details were clearly documented. Records of returned and destroyed medications were also up to date. There is a record of signatures for all staff trained to administer medication, which would benefit from some minor updates. The home has adequate medication policies and procedures in place addressing all key areas however it is advised that a copy of these procedures are kept in the medication room as well as the office. No service users are self-medicating at the present time. All of the service users spoken with confirmed that the staff in the home treat them with dignity and respect their privacy. Staff were observed to knock before entering rooms and personal care is provided in private rooms. “The staff are very nice” and “the carers are thoughtful and help me when I need it” were amongst the comments made by residents. One visiting relative said “My mother gets the best care she could get, we’re very happy with the home”. Residents have access to a private telephone or can have telephone points installed in their rooms. It was noticeable that staff have developed friendly and positive relationships with service users and staff are instructed about the principles of respect and privacy through the induction process. Darenth Grange Residential Home DS0000068714.V326338.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 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to exercise control over their lives. They are able to maintain contacts with families and friends. There is a range of suitable activities provided in the home and a healthy and balanced diet is provided. EVIDENCE: The registered manager has concentrated on developing a greater range of activities for service users over recent months. As a consequence there is now a variety of organised activities available each week on a routine basis. At the time of the visit a number of service users were taking part in a quiz, which had been organised by the activities co-ordinator. The home plans to employ a second activities co-ordinator in the near future to further extend the range of recreational pastimes. At the present time there are also regular armchair exercise, arts and crafts and card making groups. Outsider entertainers also visit the home. The home also provides for religious needs with communion being held in the home and service users are supported to visit their own places of worship as required. Darenth Grange Residential Home DS0000068714.V326338.R01.S.doc Version 5.2 Page 13 Visitors are welcomed into the home at all reasonable times of the day. A number of visitors were spoken to during the course of the visit who stated that they are made to feel welcome in the home and enjoy visiting. They also stated that the staff keep them informed of any relevant issues affecting their relatives who live in the home. The registered manager and staff develop good relationships. There is adequate space for people to meet in private should they wish to do so. Residents are encouraged to bring in personal possessions with them to furnish their bedrooms. Information is available regarding advocacy services. The home has an open access policy relating to personal records in accordance with the Data Protection Act 1998. Service users are supported to manage their own finances for as long as possible, but if an appointee is required they are independent of the service. The home provides a healthy and balanced diet for all service users with a range of choices available at each mealtime. Menu records demonstrated a wide range of foods are offered and the kitchen was well stocked with good quality fresh food and non-perishables. The home employs two cooks and the cook on duty demonstrated a very good understanding of service users needs including religious, cultural and other special diets. Mealtimes are taken in large spacious dining room with a relaxed and unhurried atmosphere. One resident said that “the food is excellent.” Other service users had similarly positive comments about the quality of the food. Snacks and drinks are available throughout the day and on request. Darenth Grange Residential Home DS0000068714.V326338.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. There is an adequate concerns and complaints process in place. Service users are protected from abuse. EVIDENCE: The home has a clear, comprehensive and accessible complaints procedure addressing all necessary issues. The registered manager aims to address any concerns or complaints in an informal manner in the first instance, but should this prove unsatisfactory then there are formal processes to follow involving senior managers as required. A copy of the complaints procedure is displayed in the home and accessible. A record of complaints is maintained. There are clear policies and procedures regarding protection against abuse. These include signs and symptoms of abuse, forms of abuse and reporting and recording procedures. All staff address the topic of abuse through the induction procedures. Additional training is also offered to staff regarding adult protection awareness. Resident finances are managed by the individual where possible, otherwise through care managers or relatives. The home maintains clear financial records of incoming and outgoing transactions and safe storage is provided. No adult protection alerts have been raised. Darenth Grange Residential Home DS0000068714.V326338.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, 25 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is clean and hygienic. It is safe and comfortable, although some updating of the environment would be beneficial. EVIDENCE: Darenth Grange is a large 18th Century building set within extensive 7-acre grounds. It has been used as a care home for some time initially being council owned and subsequently run by a number of private owners. The current management team have been in place since November 2006. It was acknowledged by the Registered Manager that work is required to update the environment throughout and she stated that the company have plans to address the redecoration and refurbishment as well as some more ambitious plans in the future. An extensive tour of the premises was undertaken. The home is very spacious with the high ceilings adding to that effect. It is bright, airy and well-ventilated. The entrance hall is an impressive room with natural Darenth Grange Residential Home DS0000068714.V326338.R01.S.doc Version 5.2 Page 16 wood floors and panelled walls. There is a good range of communal space, including lounges, a conservatory, dining rooms and other quiet rooms. The bedrooms viewed were all of a good size, each with an individual character. There are sufficient numbers of bathrooms and toilets with suitable aids. There are attractive and accessible gardens surrounding the home within the larger extensive grounds. It was reported that the home meets the requirements of the environmental health and fire departments. On viewing the home there were no environmental issues that posed a health and safety risk, but there were many minor issues throughout the home that if addressed and rectified would represent a significant improvement to the living environment. This was discussed with the registered manager who agreed to audit the premises and develop an action plan with realistic timescales for works to be completed. Refer to recommendation 2. The home was clean and hygienic throughout with all hazardous substances suitably stored. There were no offensive or unpleasant odours detected. The home has adequate laundry facilities for the current number of residents, however as occupancy increases there may be the need to install a second washing machine; this should be kept under review. There are hand washing facilities appropriately sited throughout the building and in strategic areas. Appropriate policies and procedures are in place to minimise the spread of infection and staff are provided with some instruction in this area through induction and additional training. Darenth Grange Residential Home DS0000068714.V326338.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 adequate. This judgement has been made using available evidence including a visit to this service. There are adequate numbers of staff on duty at all times. Staff are provided with adequate training although induction processes could be further developed and some updates are required in some mandatory training areas. The home’s recruitment practices are generally satisfactory. EVIDENCE: At the time of the visit the home accommodated 18 service users and had a staffing ratio of 3 staff throughout the day and 2 waking staff at night. These care staff are supported by a cook, cleaners and an activities co-ordinator. In addition to this the registered manager works mainly office hours. It was acknowledged that the home plans to increase staffing levels as occupancy increases. There are plans to employ an additional activities co-ordinator. Service users and visitors commented that the staff do not appear rushed and are able to respond to individual needs. Staff themselves stated that they feel the staffing levels are adequate at the present time. The home is supporting staff to achieve National Vocational Qualifications and at the current time 10 of the 17 care staff team have an NVQ level 2 or above. It was reported that the remaining 7 staff are due to enrol in the near future. It is an expectation of the home that all new staff employed will work to Darenth Grange Residential Home DS0000068714.V326338.R01.S.doc Version 5.2 Page 18 achieve the level 2 award. In discussion with staff it was evident that there are some experienced and committed team members who have a good understanding of individual service user’s needs and the aims and principles of the home. A number of staff personnel files were examined, all of which contained the required information including CRB and POVA checks, two written references, proof of identity, job descriptions and terms and conditions of employment. Application forms were also on file, but these do not clearly provide a chronological employment history and should be revised to ensure gaps in employment are identified. Refer to recommendation 3. The new management team in the home are working proactively to address training shortfalls reportedly due to budget constraints from the previous owner. There was evidence demonstrating that many staff have had updated mandatory training since November 2006 and additional courses are booked over the coming months to cover any outstanding shortfalls. In addition to this the home has organised Adult Protection, dementia care and ASET medication training. There is an induction programme in place, which all new staff work through. However it is advised that a competency based induction programme is introduced in line with the Skills for Care Common Induction Standards. Refer to recommendation 4. Darenth Grange Residential Home DS0000068714.V326338.R01.S.doc Version 5.2 Page 19 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 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered manager needs to develop clear health and safety monitoring and ensure that all service checks are completed in a timely fashion. Quality assurance processes require further development. Service user’s financial interests are safeguarded. EVIDENCE: The registered manager has many years of experience within the care sector and has been in a management role for over 6 years. She has been managing Darenth Grange for the past year. She has achieved her NVQ level 4/ Registered Manager’s Award. In discussion she demonstrated a clear vision of Darenth Grange Residential Home DS0000068714.V326338.R01.S.doc Version 5.2 Page 20 the future of the home and clear aims and principles of care. She has developed good relationships with service users, staff and visitors. Both staff and service users privately commented on her positive influence within the home since taking over the management role. The home has introduced some quality assurance processes including monthly monitoring visits. However, it is important that these self-monitoring systems are now built and expanded upon. This should include the introduction of service user, staff, visitor and professionals questionnaires, which can be collated within an annual report detailing positive and critical points with a resulting action plan where required. Monthly monitoring visits should also be developed and include clear audit trails, views of staff and service users and an action plan. It is acknowledged that the company has only recently taken over the running of the home, but this does represent an ideal time to embrace positive quality assurance processes. Refer to requirement 1. The home manages resident finances appropriately. A safekeeping service is provided, but the home does not take on appointee responsibilities. Records are kept of all incoming and outgoing transactions in individual containers and receipts are kept. Similarly where possessions and valuables are kept in safe keeping adequate records are maintained. Some shortfalls were noted within health and safety documentation, which need to be addressed. The home does not have a dedicated health and safety file, which makes tracking and auditing difficult. If an organised and accountable system is introduced for monitoring health and safety records a number of the issues noted may not have arisen. Most of the fire safety checks had been routinely completed, although the records were in a disorganised state and there were no apparent visual checks documented of the fire extinguishers. Additionally the home needs to develop a fire safety risk assessment and submit a copy of this to the local fire safety officer for approval. A number of service certificates were not available for inspection including the CORGI gas safety certificate and PAT tests had been carried out but had only been listed as checked with no proof of date or who completed the checks and their qualifications to do so. The NICEIC electrical wiring installation certificate was found, but this certificate had been completed 2 years previously with 22 recommendations and an unsatisfactory rating. However, the certificate stated that another test was due in 5 years and that the installations ‘do not present a danger to the safety of persons.’ Due to this ambiguity it was suggested that a follow-up examination be requested. Refer to requirement 2. All other issues with regard to health and safety were wellmanaged including policies and procedures, safe working practices and accident recording and reporting. Darenth Grange Residential Home DS0000068714.V326338.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 2 X X X X X 2 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 2 X 3 X X 2 Darenth Grange Residential Home DS0000068714.V326338.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP33 Regulation 24, 26 Requirement To develop effective and measurable quality assurance processes. To ensure fire safety logs are up to date and that all health and safety certification is available for inspection and up to date. Timescale for action 01/05/07 2 OP38 13(4) 01/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP9 OP19 Good Practice Recommendations To review medication storage facilities with regard to ensuring adequate space. To develop an action plan, following an audit of the premises, to identify areas of improvement, redecoration and refurbishment within realistic timescales. To ensure application forms identify any gaps in employment history. DS0000068714.V326338.R01.S.doc Version 5.2 Page 23 3 OP29 Darenth Grange Residential Home 4 OP30 To introduce a competency based induction programme and to continue to update staff training needs. Darenth Grange Residential Home DS0000068714.V326338.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Darenth Grange Residential Home DS0000068714.V326338.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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!