Inspection on 20/06/07 for Eastwood

This inspection was carried out on 20th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Eastwood 14/12/05

Eastwood 18/05/05

Eastwood 11/01/05

Eastwood 08/06/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Eastwood The Drive Felling Gateshead Tyne and Wear NE10 0PY Lead Inspector Mrs Eileen Hulse Key Unannounced Inspection 11:00 20 and 25th June 2007 th 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 Eastwood DS0000058661.V336250.R02.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. Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastwood Address The Drive Felling Gateshead Tyne and Wear NE10 0PY 0191 4336464 0191 4336465 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) Gateshead Council Kim Richardson Care Home 25 Category(ies) of Dementia - over 65 years of age (6), Learning registration, with number disability (1), Learning disability over 65 years of places of age (1), Mental Disorder, excluding learning disability or dementia - over 65 years of age (2), Old age, not falling within any other category (25), Physical disability (5), Physical disability over 65 years of age (6) Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. To allow for respite care for one service user who has learning disabilities (35 days per year) The home may from time-to-time admit person(s) who are under the age of 65, but who fall within the currently registered service user categories One of the MD(E) service user category places relates to a current service user only. 14th December 2005 Date of last inspection Brief Description of the Service: Eastwood is a Local Authority run home that can provide short stay respite and rehabilitation for 25 older people. The home cannot provide nursing care. The home is a large purpose built establishment situated between Sunderland Road and The Drive in the Heworth area of Gateshead, close to main roads, the Metro interchange and bus routes. The grounds are extensive with many grassed areas and two car parks, one at the front of the home and the other to the rear. The front of the home has a paved sitting area and it has level access and is easy for service users to reach. All bedrooms are single and include en-suite facilities. Each bedroom has satellite television and a telephone for personal use. There are three assessment kitchens and a large number of lounges and small sitting areas throughout the home. The home is easy to get around and there is a lift to take service users to and from the first floor. All the necessary facilities are provided including an emergency call system and bathrooms that are suitable for frail or disabled people. The weekly fees are £76.85 to £878.85 per week depending upon care needs. Additional charges are made for personal items, toiletries, newspapers and magazines Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that took 7hrs to complete over a two day visit to the home. The Registered Manager was present throughout the visit and some time was spent with her looking at the operation of the service, such as staffing levels, staff training, administration of medication and care planning. All communal areas of the home were looked at. Time was also spent talking with service users and their visitors to get their views about the home. How care staff help and support service users was observed throughout the visit. Information about the quality of life and care received by service users was collected using a system called ‘case tracking’. This involves following the care and experience of a group of service users by looking at care plans, talking with people, sampling records such as assessment records, complaint records, medication taken by service users and their records. Discussions took place with other staff members who were on duty at various times throughout the visit. The judgements made are based on the evidence during the two visits to the home and from details obtained from the home before the visit was made. This gave up to date information about the home to include within the report. During the visit comments from service users and their families gave some insight on what it is like to live in the home and included: ‘It’s alright here, the staff are very good’ ‘I watch the TV but nothing much happens’ ‘I will be sad to go home, also I have lost all my pets while I have been ill’ ‘Most of the time the food is ok’ What the service does well: Eastwood is a well managed home and it provides a good quality of care. The service helps people to regain or maintain skills or to develop new skills to return to live in their own homes, following a short stay of respite or rehabilitative care. The staff team are caring and committed and the privacy and dignity of service users is respected at all times whilst making sure they are involved in making decisions about their future lives. Good healthcare arrangements are in place that make sure the health care needs of service users are met in preparation for their move back into their own homes or another residential unit. Staff are well trained, with good training programmes made available and they all hold a care qualification. The recruitment and selection process for Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 6 prospective staff help to make sure that suitable people are employed by the home. Service users and families are very positive about the service that Eastwood provides and completed questionnaires included the following comments: ‘It is never a bother if I need help with my relative’ ‘The home has a nice feel about it’ ‘It has a very welcoming atmosphere mainly due to the friendliness of the very caring staff’ ‘It is a light and airy place with plenty of space in the communal areas’ ‘The staff are so helpful to both me and my family’ ‘Everyone is treat the same no matter how much help they need’ ‘I would love to be able to stay here for the rest of my days’ All service users stated that they knew how to make a complaint should they ever felt they needed to and the complaints information is made available in various formats that include large print and audiocassettes. What has improved since the last inspection? What they could do better: All service users have a plan of care that is followed by staff to make sure their care needs are met. However, they do not include enough information to ensure that this happens. The home has a programme that staff follows to make sure that service users can take part in various activities whilst they are living in the home. This takes up staff time and if an activities co-ordinator was employed this would enable staff to carry out their other roles in the home. The home has automatic opening and closing doors that lead into the entrance of the home. When approaching the building the doors open but, when leaving the building a member of staff has to be found to activate the mechanism. This therefore does not allow service users to move freely in and out of the building as they choose. Please contact the provider for advice of actions taken in response to this Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Good assessments are included within the plans of care and this helps to form the basis of the service users individual care plan. This ensures that before admission, the home is able to know if they can meet all of the care needs. The home has good facilities and detailed procedures are used that enable service users to work with support staff to meet individual goals and this helps some service users to improve their independence to eventually return to their own homes. EVIDENCE: The home has 12 assessment beds, 5 intermediate beds and 8 respite stay beds and they accept referrals from Care Managers or the specialised Intermediate Care Team at Bensham Hospital. Whenever a referral is made, the home will request information from the Care Manager. An introductory Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 10 visit is sometimes made to see the prospective service user but on most occasions the person will visit the home. Before admission the home gives the service user time between the introductory visit and the admission date to make sure it is what the service user wants to do. The home has its own pre admission assessment record, that includes a daily living sheet and an assessment of needs sheet and these are completed by a senior or support worker to ensure the home can meet all of the care needs. This is completed during the visit. A life history questionnaire is also completed by the service user or their representative. These records and the Care Managers care plan forms the basis of the care plan that is followed during the persons stay. Once the assessment has been completed, the Manager will telephone the service user or their representative to offer a place and an admission date is then arranged. A formal letter is sent to the service user confirming the details such as the cost of the stay and to ask if the admission date is acceptable to them or to explain to them the reasons why the home cannot offer a place at that time. On the day of the admission, a 48-hour care plan is started and it is continually reviewed until all of the persons needs are assessed. This also helps people to settle into the home getting to know the staff. All care plans that were looked at had completed needs assessment records. Before the service user can be admitted into the home, the home Manager insists that the Care Manager must supply the home with a care plan to ensure the home care plan can be implemented based on this information. Families are invited to be present during the assessment, with the service users permission. The home has many specialised facilities that help in the assessments and that can be used by service users in preparation for their return home. There is a smart room that consists of all types of equipment that service users can have installed within their homes before they are discharged, if they are suitable. For example, telephone equipment, various alarm triggers that can be used on the beds, chairs and doors and these alarm appliances alert the Civic Centre Care Call team that the person needs help. The home also has assessment kitchens to work on cooking skills and there is a loop system throughout the building. Not all service users return to their own homes, depending on the assessment ratings some people are discharged into extra sheltered housing or into residential care. Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans need to include more detail so that staff have up to date information to ensure the care needs of service users are met at all times. Service users’ healthcare needs are met and medication administration procedures ensure that they are given their medication safely. Staff are supportive, respectful and sensitive in their care of the service users, which ensures that their rights are protected. EVIDENCE: Every service user has an individual plan of care. They include assessment details on the care required and some of the content is well maintained. They are signed and dated by the service user or their families on a regular basis and have recorded weekly reviews included that highlights any changes that are needed. Activities are detailed to include reviews of their achievements such as in doing personal tasks, moving in a safe environment, mobilising and Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 12 communication. However, monitoring sheets are used to record day to day events but the records contain a number of care needs on one monitoring sheet and although evaluation sheets are included, day to day monitoring is recorded within the evaluation. Another care plan stated that a service user was mobile but on the monitoring sheet it stated the person uses a wheelchair and another area of the care plan did not have a monitoring sheet in place that staff could complete on a regular basis. Service users can continue to see their own GP unless they live out of the area when the two GP’s attached to the home are used during their stay. Every Monday and Thursday one of the GP’s visits the home and holds a mini surgery to check on any concerns the staff may need addressing regarding a service user or any service user requesting to see a GP. The District nurse visits regularly to attend to dressings and to give injections and the CRoP (Community Resources of Older People) team nurses visit to carry out general healthcare checks. Occupational Therapists and Physiotherapists have good input within the service and visit the home twice every week and hospital dieticians visit following hospital referrals. If a service user has maximum input from the District Nursing Service then a community Matron will be allocated to that person and provide long term care and attend all planning meetings. The home follows a detailed policy and procedure on the administration of medication. Medicine administration records in place for individual service users are well maintained and up to date. A medicine audit confirmed the medication stock in place was correct. Medication is held securely within a locked cupboard in a locked room and all staff with a responsibility for administering medication has completed the ‘Safer Handling of Medication’ accredited training course. The home are currently piloting a new medication system. A drug audit is carried out every weekend, the GP visits every Monday and checks the systems and paperwork and this is followed by the pharmacist visiting every Tuesday to audit the medications. This system has been introduced because of the vast amount of different systems of medication that service users are using when they are admitted into Eastwood. Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily living is flexible in the home and although the home have an activities programme in place, the home would benefit from having an activity coordinator employed who would organise structured activities leaving the care staff to carry out other roles. Friends are relatives can visit the home at anytime and this ensures service users can choose the times they prefer to have visitors. Service users can exercise choice and control over their lives and this would be enhanced by having an activity co-ordinator who could organise structured activities, leaving the care staff to carry out other roles. EVIDENCE: The staff team share the responsibility of organising and taking part in daily activities with service users. There is a daily diary activities programme that includes exercises, crafts, bingo and music sessions. The home is in partnership with a company called ‘Safety Works’ and they work with service Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 14 users and the staff to raise the confidence and awareness of risk to people staying in the home, who will eventually return to their own homes. On the day of the visit, there were three service users attending one of the planned session. They can attend as many sessions as they feel they need to. One day every week the community health team visit the home and organise events and sessions that include lifestyle matters, local history, reminiscence and this is linked into fundraising for the service. Relatives are very involved with events taking place in the home and recently ‘The Body Shop’ came in and advised on skin care and gave a demonstration. In discussions with service users and families there were mixed views about activities and how they are organised. Comments included: ‘ The staff are great here, I visit whenever I like but there is never much happening’ ‘There is always a good choice of meals offered, ‘Relatives seem to be asked to join in with everything in the home but my relative has not been here long so I personally don’t know about that’ ‘I will be here for a few weeks and I really don’t mind’ ‘I think one of the things the home lacks is something to do’ An activities co-ordinator could enhance this aspect of the service. There are no visiting times in the home and there is a notice in the main entrance stating visitors are welcome at any time. Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home have a detailed complaints procedure that is made available to each service user and their representative. This ensures service users have the information they need to make a complaint should they be dissatisfied with the service. The home has good adult protection procedures that help to protect service users should an abusive situation arise or be suspected. EVIDENCE: A complaints procedure is made available in a variety of formats such as audio, large print and in several different languages, to all service users living in the home and is placed in the individual bedrooms before the service users are admitted. A “satisfaction” survey is offered to all service users before discharge and these forms can be filled in anonymously and are used as part of the homes quality assurance programme. Advocacy is also made available to everyone in the home from Age Concern and the Alzheimer Society and posters detailing this information are around the home so that they are accessible to everybody. Complaints made about the service are documented including who the complaint was made by, time Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 16 and date of concern or complaint, who it was passed to, to be dealt with and following the investigation, the outcome. The home has investigated one complaint and one protection of vulnerable adults concern. Both are recorded and were completed to the satisfaction of the complainants. The POVA (Protection of Vulnerable Adults) procedures are in the home and accessible to the staff and most of the staff team have received protection of vulnerable adults training from the Local Authority. Staff who have not yet received POVA training have dates identified to complete the course. Discussions with service users highlighted should they have a concern or a complaint they were confident it would be dealt with and comments included: ‘If I was worried about something I would go to the office’ ‘The staff are wonderful, they always ask if we are ok’ ‘I haven’t got anything to complain about but I know who I would talk to about it’. Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, decorated to a high standard and well maintained and offers service users a comfortable stay. All staff have received infection control training and this helps to ensure the health of service users is maintained. EVIDENCE: The centre has been adapted from a previous long term residential unit and major adaptations and new facilities have made it a suitable place for intermediate care. The three fully equipped kitchens have domestic style seating arrangements where service users have their breakfast and tea at a time of their choosing. Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 18 Bedrooms are pleasant and equipped with satellite television and telephones to make service users more comfortable during their stay. Each bedroom has en-suite facilities and lockable personal space and recently the bedrooms, main multi purpose dining room and the visitor’s lounge have been redecorated. Fire doors throughout the building have magnets applied that release automatically when the fire alarms are activated. However, the main entrance front doors open automatically when someone approaches them but to leave the building they do not open until a member of staff has been found who can activate them with a key. The key slot or code is high up and not everyone will be able to reach the opening. This issue was discussed with the Manager, as service users are not able to go outside independently. Throughout the day it was observed several people had to wait for staff to activate the door to leave the building. Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 19 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 excellent. This judgement has been made using available evidence including a visit to this service. Staffing levels are service user needs led and are high which ensures that there are enough staff to support service users at all times. Service users are cared for by a competent and qualified team of staff. The home have robust procedures that they follow when recruiting new staff. This helps to ensure that suitable people are chosen to work in this field of care. EVIDENCE: The staff rota confirms that there are good staffing levels at all times. There are at least six members of care staff on duty at any one time during the day. All staff have an individual training manual that details the dates and names of courses they have attended, training needs that have been identified within supervision and copies of certificates and courses attended. All staff have achieved an NVQ qualification in levels two and three in care and higher levels of NVQ are being undertaken by some of the staff team. T he Manager and staff should be complimented on this achievement and for continuing to maintain these levels. Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 20 Robust procedures are followed when a vacancy occurs in the home. Staff are able to follow a flowchart called ‘Getting the right people’ it is divided into several areas with main headings listed as follows: • • • • • • • • • Vacancy occurs Choose selection process Prepare and plan Information for applicants Advertise vacancy Short list candidates Interviews and selection tests Appoint Induction Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 21 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 excellent. This judgement has been made using available evidence including a visit to this service. The service is very well managed and is run in all aspects, in the best interests of the service users. EVIDENCE: The Manager has completed the Registered Managers Award and NVQ in level 5 in management and she is currently completing level 7 at Northumbria University. She has a number of qualifications that includes RMN (Registered Mental Nurse) and is well experienced to manage the service and has worked in care services for 27 years, the last thirteen years as a Manager. Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 22 An audit of money held by the home for safekeeping was correct and the records kept were up to date and well maintained. Money is stored safely and securely and records showed there are two signatures entered whenever a financial transaction takes place. Records follow the guidelines of the Data Protection Act. The fire records are detailed and show that fire tests are carried out at the stated times. Eastwood DS0000058661.V336250.R02.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 4 x x 4 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 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 4 17 x 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 4 X X 3 Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 24 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 2 Standard OP7 OP19 Regulation 15 23 Requirement More information needs to be included in the care plans The automatic main doors must be adjusted so that everyone in the home can leave the building freely Timescale for action 01/11/07 01/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations The home should consider employing an activities coordinator Eastwood DS0000058661.V336250.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Eastwood DS0000058661.V336250.R02.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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