Inspection on 20/06/06 for Eastbourne Villa

This inspection was carried out on 20th June 2006.

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

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

Other inspections for this house

Eastbourne Villa 17/01/08

Eastbourne Villa 17/11/05

Eastbourne Villa 30/06/05

Eastbourne Villa 14/01/05

Eastbourne Villa 01/09/04

Eastbourne Villa 11/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Eastbourne Villa 21 Eastbourne Road Hornsea East Riding Of Yorks HU18 1QS Lead Inspector Diane Wilkinson Unannounced Inspection 20th June 2006 09:55 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 Eastbourne Villa DS0000019664.V299893.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. Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastbourne Villa Address 21 Eastbourne Road Hornsea East Riding Of Yorks HU18 1QS 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) 01964 533253 01964 533449 fmartinda@aol.com Mr George Trevor Hart & Mrs Susan Lynn Hart Kathleen Ann Roberts Care Home 15 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (15) of places Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th November 2005 Brief Description of the Service: Eastbourne Villa is a privately owned care home that is registered to provide accommodation and care for 15 older people, including those with dementia. The home is in the seaside town of Hornsea in the East Riding of Yorkshire, and is close to local amenities and to the sea front. Private accommodation is provided in two shared rooms and 11 single rooms. Communal accommodation consists of a living room, a dining room and a conservatory. Fees paid range from £328.80 to £375.30 per week, and there is an additional charge for hairdressing, chiropody and newspapers/magazines. The home was fully occupied on the day of the site visit. All areas of the home, including the garden, are accessible to service users via the provision of a passenger lift, a stair lift and ramps. The garden is well stocked with plants and flowers and provides a seating area for service users. There is on street parking for visitors and staff. Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report is based on information obtained from the pre-inspection questionnaire, information received by the Commission for Social Care Inspection (CSCI) since the last inspection of the home (including monthly reports from the registered provider) and from the site visit on the 20th June 2006. This unannounced site visit is part of a key inspection and was undertaken by one inspector over one day; the site visit commenced at 9.55 am and finished at 4.20 pm. The site visit consisted of a tour of the premises and examination of documentation, including three care plans. On the day of the inspection the inspector spoke on a one to one basis with three residents and two care staff, as well as the deputy manager. The inspector had a conversation on the day of the inspection with one of the registered providers and with the registered manager on the day following the inspection. Prior to the site visit, four comment cards were sent to health and social care professionals and eight comment cards were sent to relatives/visitors. Three were returned by health and social care professionals and eight were returned by relatives/visitors. Feedback was given (anonymously) to the deputy manager. The inspector would like to thank service users, staff, the deputy manager and the registered provider for their assistance on the day of the inspection, and the registered manager for her assistance following the inspection day. What the service does well: Care plans are well maintained and are a good record of how the health care needs of service users are met. The inspector observed that service users are encouraged to live their chosen lifestyle. Service users told the inspector that the food provided is excellent. The home was clean and hygienic on the day of the inspection. Service users are protected by the recruitment practices at the home, and by staff training on the protection of vulnerable adults from abuse. The home was observed to be well staffed and staff told the inspector that they have time to spend with service users. Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 6 Staff take part in training programmes that equip them to meet the needs of service users accommodated at the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eastbourne Villa DS0000019664.V299893.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 Eastbourne Villa DS0000019664.V299893.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 not applicable, as the home does not provide intermediate care. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are assessed prior to their admission to the home to ensure that their individual care needs can be met. EVIDENCE: The records for a newly admitted service user were examined by the inspector. These evidence that an assessment of the service user’s needs commenced prior to their admission to the home. Family members visited the home on behalf of the service user, who was unable to visit, and the family were given a copy of the service user guide. One service user told the inspector that they had respite care at the home in the first instance, and decided to stay. A full assessment of the service user’s needs is in place and this information has been used as the basis to formulate an individual plan of care for the service user. Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 9 Most staff have undertaken training on dementia care, pressure care and continence care and this has equipped them to care for service users accommodated at the home. The inspector recommends that the home confirm with new service users that their current assessed care needs can be met. Eastbourne Villa DS0000019664.V299893.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The health care needs of service users are met and this is recorded in and supported by well-maintained care planning documentation. EVIDENCE: There is a care plan for each service user that includes various risk assessments, including those for the risk of falls, pressure care, dependency levels and moving and handling. Records include a weekly report by the key worker, and a monthly summary of the care plan (including the need for any changes) that is undertaken by the registered manager. Care plans are also reviewed annually on a formal basis by care management or by the home. Daily records are now recorded on a database that has been specifically designed to be used in care services, and staff informed the inspector that, following initial training, they are now able to use the system effectively. These records can be accessed by staff at any time. Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 11 Service users are weighed on a regular basis as part of nutritional screening. A record is kept of all contact with GP’s, district nurses and other health professionals, including the reason for the visit and the outcome. Arrangements for continence care and pressure care are satisfactory. Health and social care professionals stated in the questionnaire that staff follow any advice given. One relative said that they were not consulted about the service user’s care (when they are not able to take their own decisions) and are not kept informed of important matters affecting the service user. All other relatives were happy with this aspect of care provided by the home. There is a list of medication currently taken in individual care plans, and this is updated appropriately. The inspector observed the administration of medication by a senior carer, and associated records and storage arrangements were seen. A cabinet for the storage of controlled drugs has been fitted to the office wall, and records were seen for the administration of controlled drugs. All were found to be satisfactory. All staff that administer medications have undertaken accredited medications training. Care plans include consent forms that are signed by service users or a representative giving permission for their photograph to be used and for the sharing of information, when needed. All service users have been asked if they would like a lock on their bedroom door, and those who said they would have been provided with a lock and a key. Some service users have their own telephone. Some service users have a single room to enable them to see visitors in private, and there is now an office where service users could have private meetings. There is a male carer at the home and he has asked female service users if they are happy to be assisted with personal care by a male, or if they would prefer a female to assist them. All relatives stated in the questionnaire that they are able to visit their relative in private. Eastbourne Villa DS0000019664.V299893.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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. Service users enjoy activities offered by the home and visitors to the home are always made welcome. Service users state that meal provision at the home is good. EVIDENCE: Staff told the inspector that they have time to spend with service users, and the inspector observed that service users are encouraged to live their chosen lifestyle. Care plans include a social history that includes details of friends and relatives of the service user and information about their previous lifestyle and interests. There is an activities diary included on the new database and this records any activities undertaken by service users. The weekly key worker notes include information on ‘Communication and social stimulation’ – this records any visitors to the home, any visits out of the home and activities undertaken for individual service users. Service users report that there are regular outings to the local ice-cream parlour, to a small community farm and to see events at the Floral Hall. Some service users attend local clubs and service users undertake small tasks around the home such as feeding the birds, making their bed and folding napkins. The registered provider takes Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 13 people for appointments with health care professionals – he had taken a service user to see a consultant on the day of the inspection. On the day of the site visit, the home was decorated with flags in anticipation of the ‘England’ football match that evening and service users enjoyed a glass of sherry in the afternoon. It was apparent that this was ‘normal practice’ and not just because the inspector was present. Relatives told the inspector that they are made welcome at the home. One relative commented, ‘My relative is well looked after and I feel able to call at anytime if I have a concern’. Care staff told the inspector that they understand their role as key worker, and ensure that they spend one to one time with service users and take them out shopping or do shopping on their behalf. One service user told the inspector that friends visit regularly, and that they are always offered ‘a drink and biscuits’. Staff informed the inspector that they encourage service users to make decisions about their daily lives, such as choosing which clothes to wear and how and where to spend their day. Service users and visitors to the home are informed of available advocacy services, should these be needed. One service user has accessed an advocate via a local advocacy service. The inspector observed the serving of lunch. The dining room is pleasant and bright and staff assist service users appropriately to eat and drink. Service users told the inspector that the food is excellent and that they are able to have an alternative to the meal on offer if they request this. One service user said, ‘I usually leave my plate clean!’ and another said, ‘the home always buys good quality meat. The cook is aware of service users’ likes and dislikes and prepares a different meal for service users when it is known that they will not like the meal on offer. Diabetic meals are catered for. There is a menu displayed that records the meals for the day. The inspector observed that there are ample drinks provided throughout the day. Eastbourne Villa DS0000019664.V299893.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 inspected at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. Service users are confident that any complaints would be listened to and acted upon. Service users are protected from the potential to be abused by the training and skills of the staff group. EVIDENCE: There are appropriate policies and procedures in place, and there is a complaints log ready for use. However, there have been no complaints made to the home since June 2005. Three of the seven relatives/visitors that returned the questionnaire said that they were not aware of the complaints procedure. However, the inspector noted that this is displayed in the entrance hall and is included in the statement of purpose and the service user guide. One service user that the inspector spoke to was not aware of how to make a complaint. However, all three service users spoken to told the inspector that they would speak to the manager or the provider if they were unhappy with any aspect of their care, and that they were confident that their concerns would be listened to. There are appropriate policies and procedures in place regarding protection from all forms of abuse. Three senior staff have attended Manager’s Awareness training and most staff have attended training on the protection of vulnerable adults from abuse (POVA). Staff spoken to understood the purpose Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 15 of a whistle blowing policy and said that they would use it if needed. There have been no recorded allegations or incidents of abuse at the home since the last inspection. Eastbourne Villa DS0000019664.V299893.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users live in a comfortable and well-maintained environment. The home was clean and hygienic on the day of the inspection. EVIDENCE: There is a maintenance programme in place and some of the work recorded on the programme has been completed. Five bedrooms doors have been fitted with locks, and service users that wish to have a key have been given one. Lockable storage is to be provided in service user bedrooms – this is recorded on the maintenance programme and is planned to take place in July 2006. The conservatory is now completed and is being used by service users, who said that they enjoy the close proximity to the garden and sunlight. Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 17 Service user bedrooms are furnished to meet their individual needs and screening is available in shared rooms. Bedrooms that did not include two double electric sockets have now been fitted with these. Laundry facilities are satisfactory. The inspector toured the premises and noticed that the home was clean, pleasant and hygienic on the day of the site visit. Some staff have undertaken training on infection control and there is a satisfactory policy in place. Eastbourne Villa DS0000019664.V299893.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Well-trained staff are employed in sufficient numbers to ensure that the needs of service users accommodated at the home can be met. Recruitment practices protect service users from the potential to be abused. EVIDENCE: There is a staff rota in place that records the role of each member of staff on duty. This records that there are three staff on duty throughout the day, and that there is a cook and a domestic on duty for seven days per week. The registered manager works Monday to Friday and the deputy manager works every Saturday and Sunday as part of her standard rota, so there is always a senior member of staff on duty. One health care professional commented that staff take a long time to answer the front door. This was discussed with the deputy manager and the problem appears to be with the doorbell rather than staff shortages. The deputy manager agreed to have the doorbell checked to ensure that it can be heard in all areas of the home. Staff told the inspector that they have time to spend with service users whilst ‘on shift’ and all relatives surveyed said that there are always enough staff on duty. However, one relative did comment, ‘resident hates having to ask for help but does feel that there is not enough general contact with staff’. Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 19 The deputy manager is part of the way through NVQ Level 4 in Care and six care staff have completed NVQ Level 2 or 3 in Care. The home has almost achieved the target for 50 of care staff to have achieved NVQ Level 2 in Care. Staff should continue with NVQ Level 2 or 3 in Care so that the 50 requirement is met. The arrangements for induction training are satisfactory. The records for a newly employed member of staff were examined by the inspector. A POVA first check and two written references had been obtained prior to the person commencing work at the home. There is an interview checklist in use and this records an applicant’s attitude towards a wide range of issues. New staff are required to sign a document confirming that they have read the complaints, confidentiality, moving and handling and quality assurance policies and procedures, and that they have received ‘fire instruction’. There is a training and development plan in place, as well as individual records of training needs and achievements. Over the last year training sessions have been attended by staff on diabetes, dementia awareness, pressure care and Adult Protection. Training is currently being arranged for fire awareness, occupational health and safety and first aid. The training and development plan records induction training undertaken by staff, and NVQ training at all levels. The inspector recommends that dates are recorded on the training plan to assist the registered manager with identifying when ‘refresher’ training is needed. Eastbourne Villa DS0000019664.V299893.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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. The home is well managed. Quality assurance systems give service users and others the opportunity to express their views and to affect the way in which the service is operated. There are safe systems in place to record the management of a service user’s finances and safe working practices are promoted. EVIDENCE: The registered manager has completed the Level 4 Registered Mangers award and is continuing with training to achieve NVQ Level 4 in Care – she already holds NVQ Level 3 in Care. The deputy manager is working towards NVQ Level 4 in Care. It is apparent that the registered manager and the deputy manager Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 21 work together well and staff informed the inspector that they are ‘very approachable’ and that they would be able to discuss any concerns with them. The registered manager was attending intermediate food hygiene training on the day of the inspection. There is a quality assurance policy and a quality monitoring system in place. Quality audits on topics such as servicing of hoists, catering and staff uniform take place throughout the year. Staff meetings and service user meetings take place and records evidence that these are well attended and that staff and service users contribute to the meetings. At a recent service user meeting, some changes to the menu were agreed. Surveys are sent out to service users and visitors. The responses are collated and the outcome is given to those concerned verbally. There is an annual service review in place and a quality assurance annual report is displayed in the hall. The home has achieved the Investors in People award and has been awarded QDS, the local authority quality standard. Visits to the home by the registered provider are recorded and reports completed, a copy of which are sent to the Commission for Social Care Inspection. Advice was given to the deputy manager on how to publish the outcome of quality surveys so that all interested parties are informed of the outcome. Policies and procedures are updated appropriately. Improvements have been made to the recording of transactions for monies held on behalf of service users. Records now include monies paid in, monies paid out and a ‘running total’. Receipts are issued by the hairdresser and the chiropodist, and receipts are given to relatives who hand over money to the home for service users. These monies are held securely, but there are occasions when the registered manager is not at the home and service users cannot have access to their money at these times. The deputy manager told the inspector that petty cash would be used on such occasions, but was advised that service users should have access to their money at all times. The Environmental Health Officer visited in July 2005 and resulting recommendations have been carried out. The bath hoist was serviced in October 2005 and the mobility hoist was serviced in September 2005, and arrangements have been made for the bath hoist, standing hoist and mobility hoist to be serviced again this month. The passenger lift was serviced in April 2006. There is an electrical installation certificate in place and portable appliances were tested in August 2005. The Fire Officer visited the home in June 2005 and recommendations made have been carried out by the home. The fire alarm system was due for an annual test and the inspector was informed that a request had been made to the contractor to undertake this, but the work had still not been completed. The registered manager acted immediately to rectify this situation and confirmation of this was sent to the CSCI. The emergency lighting system was Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 22 tested in August 2005 and fire extinguishers were tested in March 2006. There is a system in place to record in-house fire audits although these had not been undertaken consistently. Water temperatures at outlets accessible to service users are tested on a regular basis. Accidents are recorded in a satisfactory manner and the CSCI is notified appropriately about accidents and incidents at the home. There are risk assessments in place to identify and record safe working practices. Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 2 X X 2 Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard OP38 OP30 OP33 OP31 OP35 Good Practice Recommendations In-house fire tests must be maintained consistently. Dates should be recorded on the training and development plan so that the need for ‘refresher’ training can be identified. The home should publish the outcome of quality assurance surveys so that all interested parties have access to this information. There should be an action plan in place that identifies the timescale for achievement of NVQ Level 4 in Care for the registered manager. Service users should have access to their money at all times. Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 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 Eastbourne Villa DS0000019664.V299893.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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