CARE HOMES FOR OLDER PEOPLE
Darlington Court Care Home The Leas off Station Road Rustington West Sussex BN16 3SE Lead Inspector
Mrs V Gay Key Unannounced Inspection 24th April 2006 09:30 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 Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 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. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Darlington Court Care Home Address The Leas off Station Road Rustington West Sussex BN16 3SE 01903 850232 01903 775595 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) manager.burroughs@careuk.com Care UK Community Partnerships Limited Mrs Ruth Streeter Care Home 61 Category(ies) of Dementia (6), Dementia - over 65 years of age registration, with number (61), Old age, not falling within any other of places category (61), Physical disability (6), Physical disability over 65 years of age (61) Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. A maximum of 61 service users may be accommodated. A maximum of 6 service users aged 50 years and over in the category (PD) A maximum of 6 service users aged 50 years and over in the category dementia (DE) 31st October 2005 Date of last inspection Brief Description of the Service: Darlington Court is a care home providing nursing care and accommodation for up to 49 older people and 12 people aged 50 years and over. The service users needs can be physical or resulting from dementia. Care UK Community Partnerships Limited owns the home. This organisation owns around 80 care services in the UK. The weekly fees for non-contractual beds are £720 per week. The building was purpose built around 10 years ago. It is situated on a residential cul-de-sac close to a main road. It stands in its own gardens to the rear and has a car park at the front. Accommodation is provided on 2 floors with a passenger lift and stairs providing access to all floors. The service users who were mentally frail were accommodated and cared for on the ground floor while those whose main problems were physical frailty were accommodated on the first floor. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 7.50 hours on Monday 24th April 2006. This is the first Key inspection of this year. The Inspection was planned between Mrs V Gay and two other inspectors, who carried out the inspection, namely Mrs H Tomlinson and Mrs J Datoo the Pharmacy inspector. Mrs Gay and Miss Tomlinson examined records and observed the morning and lunchtime activities in the separate units for the different care needs of the residents. The manager was present throughout the inspection process and provided the inspectors with the information they required. A tour of the premises took place and then Miss Tomlinson inspected the Physical Care Unit (PCU) on the first floor and Mrs Gay the Dementia Unit on the ground floor. Mrs J Datoo the Pharmacy inspector visited the home on the 25th April 2006. A report of her findings is in the body of this report under standard nine. Seven of the fifty-four residents were case tracked; six staff members and six visitors were spoken with. The Inspectors observed the lunchtime meal being served. Both inspectors spent four and a half hours touring the home and talking to residents, staff and relatives. A further three hours were spent examining records. The inspectors then met with the Registered Manager and her Deputy to give a feedback of the findings. Four requirements were made at the previous inspection in respect of the health and welfare of residents, Social and leisure interest, and staffing levels especially in the mentally frail Dementia unit and offensive odours in the home. Three of the requirements had been met with one still remaining. This has been re-iterated in this report. A further re quirement was made following this inspection regarding the reporting and recording of allegations of abuse. Residents and staff members were spoken with, to gain a sense of what it was like to live and work in Darlington Court. Due to the mental frailty of several of the residents it was not possible to engage in meaningful conversation. Therefore it was difficult to ascertain all their views on how their needs are met. It was noted that the care staff are
Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 6 committed to the resident’s wellbeing and some good interaction and support was observed. The overall judgement for the home is good based on the available evidence, including a visit to the service. The Inspectors would like to thank the management, staff and residents for their hospitality and cooperation throughout the inspection. What the service does well:
On arrival at the home residents were just finishing their breakfast. The atmosphere was relaxed and staff were observed to go about their duties in a friendly manner, which did not detract from their professionalism in any way. Four relatives and a visiting professional spoke very positively about Darlington Court. Comments received included the following; “Staff are very kind and caring…the food is always good…and the activities have made such a difference “. Residents and relatives spoke highly about the staff at the home and described them as friendly and caring. One relative said staff are always so polite and helpful. Comments from other relatives included the following; “ Manager approachable…Food very good…couldn’t fault the care” Staff said that they had the opportunity to attend training courses in relevant topics. One member of staff said she was looking forward to commencing her National Vocational Qualification level 2 this year. The layout of the home enables residents to wander at will with no restrictions placed upon them. Residents were appropriately dressed, relaxed and appeared comfortable in their surroundings. A visiting hairdresser was making one of her usual visit to the home to attend to the needs of the residents.She said she thought the residents were well cared for. Staff said they found the manager approachable and always willing to help. They also said they found the trained nurses supportive to them during their work. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 7 What has improved since the last inspection? What they could do better:
In the unit for older people who are mentally frail mealtimes need to be reviewed. On the day of the inspection some residents waited a considerable amount of time for their meal whilst others were attended to promptly. It was recognised that staff were needed to assist several residents who were unable to feed themselves, however the mealtime appeared disorganised and better use could be made of the staff time. The Registered Manager has agreed to review the procedures in place. The dining room tables and table trays were showing signs of wear and tear. Dining tables in both units were not prepared for lunch; there was no condiments available or table coverings in the Dementia Unit to make the mealtime inviting.
Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 8 The meal was appetising and offered choice which residents were seen to exercise. Residents who could feed themselves seem to enjoy their lunch. The mealtime in the Physically frail Unit appeared well managed. This observation was discussed with the Registered Manager during the feedback session. An assessment of the call bell system has been introduced, however it was not working efficiently on the day of inspection and it was agreed further work is still needed. The inspectors in the Dementia unit and PFU were concerned about the lack of fluids provided during the course of the inspection. A requirement has been made to this effect. The Registered Manager agreed to look at the criteria in respect of intermediate care provision. 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. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 9 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 Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 10 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Staff at the home are not carrying out a full assessment prior to admission. If other information is gathered this should form part of the assessment. The dedicated space needed for intermediate care is not available in the home. The rehabilitation carried out does not fit with the general category of intermediate care. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans were case tracked for seven residents. Four on the physical care unit and three on the dementia unit. The ones on the dementia unit were found to be informative, containing personal details, brief history, patterns of daily living and risk assessments. There was however gaps noted in those assessments on the Physical frail unit. A pre-admission assessment was present done by the unit head. This was not
Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 11 dated so no evidence carried out prior to admission. A lot of the document was blank and information such as hearing, vision, past history etc was not present. Residents are admitted for intermediate care. It was discussed; this is not really intermediate care but rather rehabilitation to become mobile again. Physiotherapists and an occupational therapist come into the home. A room is set up with walking aids, which they use. The physiotherapist said that staff were very helpful and knowledgeable about the residents, but did not seem to have the time to carry out the rehab needed between her visits, such as walking with residents 3 times per day. There is no kitchen available for residents to practice home skills. Other than the room used by the physio no other designated space is available for intermediate care residents. It was discussed that the term slow stream rehab used for residents coming in, by the PCT is misleading as many of these residents were seen to be very frail and dependant and were long term residents of the home, or waiting to move to another nursing home. The manager confirmed many are too poorly to move and remain at the home until death. The Registered Manager agreed to look at the criteria in respect of intermediate care provision. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 12 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, &10 Residents have individual care plans, which records any change in their health and well-being. Care plans contain up to date, relevant information of how the residents needs should be met. Health care needs are assessed. These assessments are reviewed. The residents privacy and dignity it preserved by the staff. A Commission for Social Care Inspection Pharmacist reviewed medication handling. Most records were clear but care was needed with recording the strength of liquid medicines. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 13 EVIDENCE: The inspectors spent the majority of the inspection observing practice, interviewing staff, residents and other professionals. This was to gain an insight of what it was like to live and work in the home. The majority of residents are admitted to Darlington Court from hospital after an assessment by a Social Worker or care professional using a single assessment process. The package of care includes Physician and physiotherapist visits as they are not fully discharged from NHS care. Other residents are admitted as Social Services contracts or they are selffunded and therefore do not have an entitlement to the above contracted care as fees are not inclusive. Residents were observed to be appropriately attired, clean, relaxed and the men had been shaved. Handovers are given to ensure a continuity of care is maintained. A GP made one of his daily calls during this inspection. Residents have individual care plans, which records any change in their health and well being. However insufficient fluids in the form of regular hot or cold drinks being offered to residents is unacceptable as they can easily become dehydrated. Charts and care records are not filled in by staff, that would ensure care staff were aware of the potential risks to the health and well-being of residents. All residents on the PFU (physically frail unit) had care plans documented. These had improved in the quality of information contained since the last inspection. A pattern of daily living document is used to give a picture of the residents overall needs. These contained good basic information. Care plans for individual needs identified were present. Health assessments had been completed. Waterlow scores, nutritional assessments, Barthel dependancy scales, moving and handling assessments were present in all files seen. These had been fully completed and reviewed at least monthly. Continence assessments were present where needs indicated. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 14 The bed rail risk assessments were not thorough, there was no indication that other alternatives had been considered, or why a rail may be removed, as was discussed by the unit manager. A falls risk assessment was present in the files which had been reviewed. Staff were seen to protect the privacy and dignity of the residents. Staff knocked on bedroom doors before entering. Bathroom and toilet doors were closed. Residents spoken with said the girls are lovely, they are always polite, even though they are rushed off their feet. Medication procedures were available to staff and included an updated procedure for disposing of unwanted medicines. No residents had been assessed as able to keep their own medicines for self-administration. A member of staff said that medicines rounds took less time now they had an extra trolley. Visiting hospital doctors or GPs prescribe on the medicine charts. Medicines in use are audited weekly. Nurses made clear records of giving medicines or a reason for doses not given. A nurse said that a liquid medicine, started the day before, had been supplied in a lower strength than usual. This had not been noted on the medicine chart, so possibly a few doses lower than prescribed had been given. It is good practice to record the strength of liquid medicines. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 15 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,&15. Residents on the Dementia unit and PFU were seen to benefit from the activities provided. Several relatives were visiting the home during the course of the inspection. Those spoken with said their choices were respected in regard to daily living activities. They could choose where to sit during the day, what time to get up and go to bed within reason. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An Occupational Therapist has been employed five days a week to broaden the scope of activities available in the home. The inspector observed a group of residents on the Dementia unit enjoying making heraldry shields. It was encouraging to note that where residents were not able to join in due to their mental and physical frailty, they were able to be part of the group and derive pleasure from the interaction with staff and other residents. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 16 Residents on the PFU were engaged in playing games of dominoes and completing jig-saw puzzles with the activity co-ordinator who is employed three days a week. During this inspection four relatives were available to discuss the standard of care with the inspector. One relative said he visited twice a day and had done so for eleven years. He was very positive regarding the care and attention provided to his wife. Another visitor said she was picking her Mother up after a respite short stay. She said the home was very accommodating in supporting her care for her Mother. The resident was very relaxed and obviously enjoyed the company of the staff. The discharge was handled in a professional manner ensuring that all items of clothing and prescribed medication were returned and signed for. The inspectors enjoyed lunch with the residents. On the Dementia Unit the inspector observed that although there were sufficient staff on duty to serve the lunch and assist residents, staff were not organised and deployed in a way to make the best use of their time. Some residents waited a long time for their meal to be served. Residents who could feed themselves enjoyed a well-presented meal, which contained a selection of fresh vegetables. The portions were generous in quantity. The cook prepares separately pureed meals if indicated for the residents. This however was mixed together by some staff prior to feeding the residents. Thus removing the intended aims of ensuring strong flavours do not dominate the whole meal. The meal eaten with the residents on the PFU was tasty, hot and staff were seen to manage the needs of the residents well. This was discussed with the manager who has agreed that a review of meal times in the Dementia unit must be undertaken. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 17 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 &18 Relatives said they were confident that any compliant they made would be taken seriously and handled promptly. Concerns are being forwarded to the management from care staff. However the recording of the outcomes of these complaints are inadequate this might lead to action not being taken and issues not being resolved. Residents are protected from abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No complaints have been registered since the previous inspection. Relatives confirmed that they knew whom to complain to and that they would not hesitate to do so if something was wrong. Staff interviewed confirmed that they had received Adult Protection training and that they understood what constituted bad practice. Specific areas in respect of reporting and recording allegations of abuse were explored with the registered manager. During the course of the inspection staff told an inspector that they had raised concerns in respect of issues affecting the well being of Service Users. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 18 The Registered Manager had not recorded these and therefore had not followed procedures. The inspectors were assured that residents were protected from this particular issue, which subsequently had been resolved. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 19 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Residents live in a well-maintained safe home. The home was clean, fresh with no odours present. Lounges were attractively presented and comfortably furnished. Residents have the equipment needed to meet their needs. There is a secure garden which residents have access to. The building complies with the requirements of the Fire officer. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home revealed well proportioned rooms that were clean and bright. The bathrooms and toilets were clean and tidy. The servicing of the call bell system took place during the inspection. The engineer confirmed that it was an old system which he had attended to several
Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 20 times. The inspector observed call bells missing, not working , or working in appropriately. Residents must be able to summons assistance quickly and staff must have a reliable system to respond to. Staff said they have the moving and handling equipement needed to meet assessed needs. However they also stated that the equipment was getting “tired” with the hoist batteries not holding their electrical charge and the stand hoist being heavy to manage due to not being a modern electrical type. Staff were seen to wash their hands thoroughly , use gloves and aprons apporpiate to following infection control policies. There was however no hot water or alcohol hand gel available in the staff toilet, this was unacceptable. The Registered Manager said this would be rectified immedicately. A programme of routine maintenance is undertaken and the gardens and grounds are attractively presented. Bathrooms and toilets are decorated attractively with motifs adding colour. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 21 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Staffing is more consistent since the withdrawal of using agency staff However staffing rotas and numbers of staff employed are insufficient to cover annual leave, sickness or planned leave, Residents are supported and protected by the home’s recruitment policy and practice. Staff are trained to provide the service and meet the needs of the residents. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff rotas in the PFU are not changed when the care needs of Service Users accommodated are higher than normal. Staff members who are off sick are not always replaced leaving the shift short of staff which has an impact on the level of care that is provided. Currently the Registered Manager does not formally assess the dependency of residents. The Registered Manager plans to be involved in future so that appropriate extra, or replacement staff can be provided according to the needs of the residents. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 22 The Statement of Purpose states it is an establishment providing for high nursing needs. Service Users transferred from acute hospital beds and some Social Services longer-term residents. Currently this stated purpose is not reflected in the duty rotas. Staff members spoken with had received training for the work they were doing. The home is well on its way to achieve 50 of staff trained to National Vocational level 2 and 3. Staff records show that staff are experienced and have previous training. Staff also indicated that they have received training as previously mentioned and records show that an induction process is in place and training for staff secured. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 23 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 Residents and staff benefit from the home being managed by an experienced person. Health and safety risk assessements were completed. Accident records were kept and audited by the manager. There are various procedures in place to check the quality of care given to residents. Resident’s financial interests are safeguarded. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 24 EVIDENCE: A formal quality assurance programme has been implemented. The registered provider has submitted monthly reports of visits to the home and has informal processes for consulting with residents and their relatives and reacting to their requests. The inspectors discussed with the registered person her responsibility for quality audit of the service and provision of this information to the Commission for Social Care Inspection. Residents monies and belongings are well documented and safely stored.Staff said they received supervision and records indicate that there is a system for this. Fire safety is maintained through training and servicing of the necessary equipment. There was some confusion with staff as they were unsure as to what had been included in the fire training . It was agreed that a record of the course Accidents are recorded and audited and linked to risk asessments or the care planning process. Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 25 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 2 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 X 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 3 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 26 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 OP8 Regulation 15(1) Requirement Regular drinks must be offered throughout the day to promote the health and welfare of the residents. Any allegations of abuse must be recorded and acted upon following the home’s procedures Timescale for action 25/04/06 2 OP18 13 (6) 25/04/06 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 Darlington Court Care Home DS0000024133.V289681.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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