Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 04/07/06 for Elmcroft Care Home Ltd

Also see our care home review for Elmcroft Care Home Ltd for more information

This inspection was carried out on 4th July 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Beckingham Court provided a good standard of nursing and personal care for residents. The service had developed in the least two years to offer more complex care for residents and those who require rehabilitation as part of their care package. Standards of assessment and care planning were good and there was good provision/monitoring of health care needs. This dynamic approach to care has resulted in some very good outcomes for residents. The manager has an open management approach and communication with residents and relatives was good. Management of complaints is good with action taken to improve practice. Systems for staff support and development have improved and were evident in the teamwork observed. The management team are also commended for their robust approach in taking action to deal with poor practice. There is a good choice of food provided and the meals are well balanced. Nutritional intake is well monitored with action taken to provide specialist diets or supplements where needed The home is well maintained. A choice of room is given wherever possible and efforts are made to accommodate residents` furniture as they wish. Relatives made comments on the high standards of cleanliness of the home.

What has improved since the last inspection?

New care plan documentation had been introduced and a care plan audit undertaken. The standard of record keeping had also improved. Standards of administration and recording of medication had been audited and daily monitoring undertaken. There have been some recent staff changes and new staff recruited. A deputy manager/head of care has been appointed to take the lead role on clinical practice. A registered nurse had been given delegated responsibility to monitor record keeping and care practices. An activities coordinator had also been appointed.

What the care home could do better:

Further developments in care planning are needed with regard to wound management that will provide a more accurate method of monitoring progress. Care plans also need to include an individual plan for each resident to meet social care needs. The activities coordinator would benefit from training in the provision of social and therapeutic activities.

CARE HOMES FOR OLDER PEOPLE Beckingham Court Brickhouse Road Tolleshunt Major Maldon Essex CM9 8JX Lead Inspector Diana Green Unannounced Inspection 4th July 2006 09:20 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 Beckingham Court DS0000063361.V303262.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. Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beckingham Court Address Brickhouse Road Tolleshunt Major Maldon Essex CM9 8JX 01621 893098 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) Elmcroft Care Home Limited Mrs Jean Dolmor Care Home 33 Category(ies) of Dementia - over 65 years of age (1), Learning registration, with number disability (3), Learning disability over 65 years of places of age (1), Physical disability (33), Physical disability over 65 years of age (33), Terminally ill (3) Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. Persons of either sex, aged 18 years and over, who require nursing care by reason of a physical disability (not to exceed 33 persons) Persons of either sex, aged 65 years and over, who require nursing care by reason of a physical disability (not to exceed 33 persons) Three named persons, aged 40 years and over, with a learning disability, who require nursing care by reason of a physical disability One named person, over the age of 65 years, with a learning disability, who requires nursing care by reason of a physical disability One named person, over the age of 65 years, who requires nursing care by reason of dementia The total number of service users accommodated in the home must not exceed 33 persons Persons of either sex, aged 50 years and over, with a terminal illness (not to exceed 3 persons) 7th February 2006 Date of last inspection Brief Description of the Service: Beckingham Court Rehabilitation and Specialist Nursing Centre provides nursing and personal care with accommodation for up to 33 younger adults and older people. The home also provides rehabilitation. Beckingham Court is owned by a private organisation, named Elmcroft Care Home Limited. The home is located in a rural location near to the village of Tolleshunt Major, Maldon. The home is a purpose built single storey building and was opened in 1989. There are 19 single en-suite bedrooms and 7 double en-suite bedrooms. The home has extensive views across open countryside and the surrounding gardens are attractive and accessible to wheelchair users. Beckingham Court is accessible by road and rail and the nearest station is in Witham, a short drive away. Parking is available in the large car park of the home. The fees range from £665.00 -£700.00 weekly. Additional costs apply for chiropody, toiletries, hairdressing and newspapers. This information was provided to the CSCI on 4/07/06. Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that took place on the 4/07/06, lasting 6.5 hours. The inspection process included: discussions with the registered manager, deputy manager/head of care, administrator, six staff, seven service users, three relatives and feedback from health and social work professionals; a tour of the premises including a sample of residents’ rooms, bathrooms, communal areas, the sluice-room and the laundry; and inspection of a sample of policies and records (including any records of notifications or complaints sent to the CSCI since the last inspection). Twenty-five standards were covered, one was commended and one requirement and two recommendations made. The manager, deputy manager and staff were welcoming and helpful throughout the inspection. Typical comments received from residents and relatives were: “Care and support for both residents and family is excellent”; “Very content here”; ”an excellent establishment”; “the staff are always friendly and cheerful”; the manager, deputy manager and staff are happy to help in any way they can. What the service does well: Beckingham Court provided a good standard of nursing and personal care for residents. The service had developed in the least two years to offer more complex care for residents and those who require rehabilitation as part of their care package. Standards of assessment and care planning were good and there was good provision/monitoring of health care needs. This dynamic approach to care has resulted in some very good outcomes for residents. The manager has an open management approach and communication with residents and relatives was good. Management of complaints is good with action taken to improve practice. Systems for staff support and development have improved and were evident in the teamwork observed. The management team are also commended for their robust approach in taking action to deal with poor practice. There is a good choice of food provided and the meals are well balanced. Nutritional intake is well monitored with action taken to provide specialist diets or supplements where needed The home is well maintained. A choice of room is given wherever possible and efforts are made to accommodate residents’ furniture as they wish. Relatives made comments on the high standards of cleanliness of the home. Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 6 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. Beckingham Court DS0000063361.V303262.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 Beckingham Court DS0000063361.V303262.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, 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a site visit to the service. Assessments had improved but did not reflect social care needs. This home does not provide intermediate care. EVIDENCE: Assessment documentation had improved. Three residents’ care plans were inspected. All had an assessment of need that included the main elements under this standard. Progress had been made to assess and record mental health and cognition but action was still needed to ensure social interests and hobbies were recorded in detail. Copies of care management assessments where relevant were held. This home does not provide intermediate care Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 9 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 & 11 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Improvements were evident in care planning and healthcare that assured residents their needs would be met but further development in social care planning was needed. EVIDENCE: Three care plans were inspected. All contained detailed care plans that covered all key physical needs, however there was no plan of care for social needs, only a record of activities undertaken. Action has been taken to ensure care plans were agreed with residents or their representatives. Assessments for moving and handling/mobility, pressure areas, continence needs and risk assessments for falls and nutrition were recorded in the files inspected. There was only a basic wound assessment and care plan for residents with pressure sores. However staff training in wound care management was planned to coincide with introduction of a system for measurement of wounds to monitor the healing process. Daily records were detailed and demonstrated good monitoring of residents’ needs. Residents spoken with said that staff were very Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 10 nice, treated them well and were caring towards them. Feedback received from relatives indicated that whenever they visited they always found their loved ones to have their personal care needs met. There were three GP practices who supported the home and visited on request. The home has a physiotherapist who undertook assessment and provision of physiotherapy for residents on referral, training for staff and intensive rehabilitation programmes for specific residents. Residents had access to opticians, dentist, chiropodists and specialist nurses and attended outpatients appointments as required. Records demonstrated appropriate and prompt referral and good monitoring of health care needs. The home had a policy and procedures for administration of medicines for staff guidance. Medication was stored in a clinical room in a trolley that was secured to the wall. A controlled drugs cupboard and drugs refrigerator were also available. An air conditioning system had been installed in the room and monitoring and recording of temperatures was in place. The home had changed the supply of medication to a monitored dosage system under a contract with Boots pharmacy. Training had been provided to all registered nurses who administered all medication. The medicines administration records were well recorded with no omissions evident. A medication audit had recently been undertaken to monitor practice. Regular review of medication was undertaken by one GP practice and staff were advised to also prompt reviews of medication with the remaining practices. The staff list of signatures authorised to give medication needed updating. Staff were observed interacting with residents in a respectful and sensitive manner throughout this visit. Residents spoken with said they always addressed them by their preferred name and were respectful. The arrangements for dealing with end of life care were discussed with the manager. The records confirmed that the needs of and wishes of residents in the event of their death were discussed with them. Feedback from residents and their relatives indicated that they would have their needs met in a sensitive and professional manner. The manager was given information on how to access end of life guidance for care homes. Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. The lifestyle experienced by residents at Beckingham Court met their expectations and cultural needs but action is needed to ensure their social needs are also met. Visitors were warmly welcomed into the home. Residents were provided with a well balanced, nutritious diet with supplements and specialist diets provided as needed. EVIDENCE: An activities coordinator had very recently been appointed to work 20hours per week but due to staffing problems had been mainly assisting with care. The coordinator had no formal experience in provision of activities or care. However she had some personal experience and had demonstrated some skills that the manager proposed to develop. Some formal training in development of social and therapeutic activities should also be arranged. The record of activities was inspected and comprised a tick box form. Further development is needed to introduce person centred care plans that also record the outcome for the resident. There was no display board of planned activities for residents’ information although some photographs of residents and staff taking part in social events from Christmas were displayed. Activities provided comprised Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 12 some individual discussions and group movement to music, videos and sing-along sessions. There were no outings currently provided. Hand massage and manicures were also provided. Residents spoken with said they were bored and there was no stimulation. The manager acknowledged some shortcomings with provision of activities but said this had been due to staffing problems and until recently the lack of a designated person to take this forward. Also some residents do not wish to take part. A gazebo and a game of skittles had been purchased that morning and other floor games were also available. One relative said their loved one could not take part in some activities but did enjoy the things that they were able to take part in. The statement of purpose and service users’ guide provided information on the homes visiting arrangements. Some links with the local community were made but were limited due to the rural locality of the home. A board displaying community functions was available but had limited information provided. A multi-denominational service was arranged weekly and clergy from different faiths were invited into the home as needed. Three visitors spoken with said they were able to visit at anytime and found the home and staff very friendly and welcoming. Some residents’ rooms had personal items of furniture and pictures that they had been enabled to bring into the home. Residents were observed to have their meals in their own rooms, or the dining room as they chose. Those spoken with said they could choose when they got up and go to bed and whether to take part in activities as they wished. Information was also made available to residents with regard to accessing advocacy services, if required. The menu of the day was displayed on the notice board. Three meals were provided daily with one main meal at lunchtime and alternative choices offered. The lunch comprised gammon sauté potatoes, carrots and cheese tomatoes, followed by upside down pineapple cake. Several alternatives were also available. Lunch was served in the dining room and in residents’ rooms as they chose. Nutritional assessments were undertaken on admission and a list of residents’ likes and dislikes held in the kitchen. The record confirmed that nutritional intake was monitored and weights recorded and action taken as necessary. Residents said they enjoyed the food and had plenty to eat and drink. Snacks were offered in the evening with the late evening drink. The kitchen was clean and well organised with appropriate systems in place. Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Residents have access to a robust, effective complaints procedure and are protected from abuse through the policies, procedures and practices. EVIDENCE: The home had a complaints procedure that included the timescales within which complainants can expect a response and advised them of their right to refer to the CSCI at any stage. The procedure was included in the statement of purpose and displayed in the entrance of the home. Fourteen complaints had been recorded. However this included all issues of concern together with the action taken. These were discussed with the manager. All had been dealt with in a robust manner and used to improve standards, which is acknowledged to be good practice. The home had a protection of vulnerable adults policy and procedures and a whistle blowing policy. The records confirmed that staff had received training in protection of vulnerable adults. Those spoken with were aware of the procedures to be followed in the event of an allegation. Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 14 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, 22 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Beckingham Court was safe, well maintained and had a homely environment; residents’ rooms were individually furnished and equipped for their safety, comfort and privacy. The home was clean and hygienic with safe infection control practices evident. EVIDENCE: A partial inspection of the premises was made that included communal areas, two bathrooms, a number of residents’ rooms, the kitchen, clinical room, the sluice and the laundry. The home was in a good state of maintenance and decoration. Building work was in progress to extend the home to provide an additional wing with twenty-six bedrooms. Efforts had been made to keep the disruption to residents at a minimum. The premises were well maintained. Records provided evidence that the building complied with the requirements of the local fire and environmental health department. Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 15 The home had grab rails, ramps, hoists and other mobility equipment to meet the needs of residents. Wheelchairs were provided and were well maintained. Adjustable beds were provided to meet the dependency of residents and as required of a care home with nursing. The home was clean and hygienic throughout with no malodorous smells. Staff hand washing facilities were provided throughout and safe practices in infection control were observed. The laundry was clean and well organised with appropriate equipment in place. Additional storage will be required to accommodate the increased number of beds and the manager confirmed this had been taken into account. Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a site visit to the service. Staff in the home are trained, skilled and employed in sufficient numbers to meet the aims of the home and the changing needs of residents, but recruitment checks are not sufficiently robust to always ensure their safety. EVIDENCE: The manager reported some staffing problems due to a family bereavement. Some staff had left following disciplinary action and others had concerns with regard to the changing needs of the service whereby the dependency of residents had increased. Staffing levels were confirmed at: AM – 2 registered nurses 5 care assistants PM – 1 registered nurse 4 care assistants Night 1 registered nurse 2 care assistants. Levels were appropriate to meet the needs of residents. In addition a manager and deputy manager/head of care were on duty. Feedback from residents and relatives indicated that staff were kept busy but were usually supplied in sufficient numbers. One relative said that “staff are not always instantly available but always come when they are able”. The home had three staff who had NVQ level 3 training and two who had undertaken NVQ level 2. The files of two recently employed overseas staff were employed. There was evidence of ID and passport, and police checks made in their country of origin. Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 17 However there was no Criminal Records Bureau Disclosure and no POVA first check made. One file had only one written reference. The home had a training programme under development. A Head of Care had been appointed in recent months to take this forward. The same two staff files were inspected and confirmed that both staff had undertaken training in foundations in care, moving and handling, infection control, fire safety, COSHH (control of substances hazardous to health) and Protection of Vulnerable Adults. Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 18 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 37 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Beckingham Court is well managed and run in the best interests of residents. EVIDENCE: The registered manager of the home is an experienced registered general nurse, registered midwife, with experience in occupational health and acute surgery. She had completed the Registered Managers Award. The manager was now supported by a deputy/head of care who is responsible for bench marking and auditing standards and clinical practice. Relatives said they found the manager very helpful. A quality assurance programme had commenced. Residents’ and relatives questionnaires had been distributed and were being collated to present at a Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 19 resident/family and staff/family day to be held during August. Audits had also been undertaken for medication, clinical room, and a care plan audit. The outcome of which was being used to develop an annual plan for the home. Visits required under regulation 26 had been undertaken monthly and reports sent to the CSCI. Service users’ monies were not managed by the home. All residents had a relative/advocate to manage their finances on their behalf. From discussion with the manager it was evident that action would be taken to protect any resident who was the subject of financial abuse. Records held on behalf of residents were kept up to date and stored safely in secure facilities in a locked office in accordance with the Data Protection Act 1998. Records viewed at this inspection included: care plans, medication records, statement of purpose, service user guide, maintenance records, accidents/incident records, fire safety records, activities records and audits for medication, health and safety and care planning. The home had a health and safety policy statement and there was evidence from the records and in discussion with the manager and staff that safe working practices were in place. All accidents, injuries and incidents were wellrecorded and appropriate action taken. Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 20 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 x 18 3 3 x x 3 x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 x 3 2 Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 21 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 OP29 Regulation 19(4)(c) Schedule 2 Requirement The registered person must ensure that 2 satisfactory references and CRB Disclosures are obtained prior to new staff being confirmed in post. Timescale for action 12/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3 Refer to Standard OP7 OP28 OP12 OP30 Good Practice Recommendations The registered person should ensure that residents’ care plans include a plan for social care. The registered person should ensure that 50 care staff have undertaken NVQ level 2. The registered person should arrange training in provision of social activities for the activities coordinator. Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Beckingham Court DS0000063361.V303262.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!