Inspection on 31/07/07 for Ennerdale Nursing & Residential Home

This inspection was carried out on 31st July 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ennerdale Nursing & Residential... 13/02/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ennerdale Nursing & Residential Home Longmoor Lane Fazakerley Liiverpool Merseyside L9 7JU Lead Inspector Jeanette Fielding Key Unannounced Inspection 31st July 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ennerdale Nursing & Residential Home DS0000069159.V339923.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. Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ennerdale Nursing & Residential Home Address Longmoor Lane Fazakerley Liiverpool Merseyside L9 7JU 0151 530 1457 0151 524 3160 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) ANS Homes Limited Mrs Anne Marie Roberts Care Home 61 Category(ies) of Dementia - over 65 years of age (13), Old age, registration, with number not falling within any other category (48) of places Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Up to 24 of the 61 beds can be used for Intermediate Care, 3 of which can be used for service users of 60 years old and over. Old age, not falling into any other category (48) Up to 5 persons under the age of 65 years can be accommodated. Date of last inspection 13th February 2007 Brief Description of the Service: Ennerdale stands in the grounds of University Hospital Aintree (Fazakerley Hospital site) but is an independent care home, owned by a national company, BUPA Ltd. It is a large two-storey building with its own gardens and there is car parking at the front of the home. The home consists of three units. It provides personal care for 13 older people with dementia in a separate unit on the ground floor. A further unit on the ground floor is used to provide intermediate care for up to 14 older people and the first floor is nursing care unit for 19 older people. A new unit is being developed on the first floor for 15 older people who have dementia. All bedrooms are for single occupancy and each unit has its own lounge and dining facilities. Fees at the home are in the range £367 to £551 depending upon the category of service required. The home is not far from rail and bus routes to Liverpool city centre, shops and other community facilities. These are not however within easy walking distance for most older people. Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over a period of nine hours. This was the key unannounced inspection and was carried out as part of the regulatory process. As part of the inspection process, all areas of the home were viewed including many of the service users bedrooms. Assessments and care plans were inspected together with staff records and certification to ensure that health and safety legislation was complied with. Discussion took place with the acting manager, care managers, staff, service users and visitors to the home. What the service does well: What has improved since the last inspection? What they could do better: Improvements to the bathroom and toilet facilities should be prioritised in all areas of the home to ensure that these are suitable and available. Staff rotas need to be accurate to reflect the hours that staff are on duty. Medications that are awaiting disposal should be stored securely. Handwritten records must be clear and accurate to enable all staff to read them and to avoid the risk of misinterpretation. Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ennerdale Nursing & Residential Home DS0000069159.V339923.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 Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose and Service User Guide provide current and prospective service users with sufficient information regarding the facilities and services offered by the home to enable them to choose their care provider. EVIDENCE: The Statement of Purpose and Service User Guide have been reviewed to reflect changes that are taking place within the home. One area of the first floor are being redecorated and refurbished to provide additional beds to accommodate elderly people who have dementia and the new documentation will include full information regarding the services and facilities provided. Service user are provided with full information about the home prior to their admission and these documents are available in the foyer of the home. Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 9 Service users who are accommodated for long term care are fully assessed prior to their admission to ensure that their specific and individual care needs are identified and can be met by the home. Information is gathered regarding service users medical and care needs together with social requirements and individual preferences. The documentation format used for the assessment is comprehensive, however, this would benefit from additional information being gathered for those service users who are accommodated for care due to their dementia. Information regarding the degree of dementia and how this is displayed would give staff greater insight into the service users needs and enable them to provide an appropriate level of care from the day of admission. No opportunity is given to assessing the needs of service users who are admitted for intermediate care. These service users are admitted from hospital or their own home, and may at times be admitted as an emergency. Assessments for these service users are undertaken by the Primary Care Trust by appropriately trained staff. The information sent to the home is sometimes insufficient to enable a plan of care to be prepared and occasionally arrives at the home after the service user has been admitted. Benefits may be obtained by liaison with the PCT to ensure that sufficient information is received by the home to ensure that a plan of care can be prepared prior to the service users admission. Service users accommodated for intermediate care are given additional care interventions by Physiotherapists and Occupational Therapists who assist them in improving skills to enable the service user to return home. Service users admitted for intermediate care usually stay for a period of between one and sic weeks and there is a clear focus and input in maximising independence and facilitating a speedy return home. Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are detailed and provide staff with sufficient information to ensure that service users individual care needs are met. EVIDENCE: The care plans for service users in all areas of the home were inspected and were found to be detailed and informative. Clear information is recorded regarding the service users care needs to enable the staff to meet those needs. Risk assessments are undertaken on all identified risks and risk management plans have been put in place to remove or reduce those risks. Care plans include assessments on nutrition, falls risks, wound management, personal hygiene, mobility, moving and handling and health and safety together with detailed information for staff on how to provide the appropriate level of care. Additional information is recorded in the care files of those Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 11 service users who are accommodated for intermediate care to enable staff to provide exercises and rehabilitation as directed by other healthcare professionals. Care files for service users accommodated for dementia care included information regarding challenging behaviour where necessary and included details for staff on how to meet those specific needs to ensure that the service users are protected from themselves and each other. Daily records completed by the staff provide evidence of the actual care given to service users. Some of the assessments, care plans and daily reports would benefit from being written more clearly to ensure that all staff can understand them. Each unit has its own medications room for the storage of medications and each was found to be clean and organised. Medication Record Sheets were found to be completed accurately and were up to date. Handwritten entries on MAR sheets were appropriately signed by two staff but would benefit from being more clearly written to ensure accuracy and clarity. It is advised that a protocol for the administration of medications to be given as and when required (PRN) is prepared. This should include information for staff, relative to each individual service user and the specific medication, regarding the occasions when the medication is to be given, the dose, the minimum time between doses and the maximum amount to be given within any 24 hour period. This is particularly important where service users are unable to express that they have pain or when service users who have dementia suffer agitation and are prescribed relevant medications. Risk assessments are in place for service users who choose to administer their own medications or inhalers and agreement from the GP is sought to ensure that the service user can manage this safely. It was observed that medications for disposal had been placed in the medications room in one area of the home on the day that the disposal company were due to collect, however, insufficient lockable facilities are provided in this room to ensure that medications are secure. Medications awaiting disposal should be securely stored at all times. Service users are accommodated in single bedrooms to promote service users privacy. Personal care is provided in service users bedrooms or in the bathroom as appropriate. Staff were observed to knock on bedroom doors and to wait for a response prior to entering. Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A selection of meals is offered to residents to provide them with a well balanced and nutritious diet to meet their needs and preferences. EVIDENCE: The home provides a structured programme of activities which is displayed on notice boards. Service users are free to choose whether they participate in group activities and social events or on one to one activities. Information is gathered from service users on admission to the home and efforts are made to enable service users to continue with hobbies that they had previously enjoyed and to enjoy new ones. A new dementia care unit is being developed on the first floor and it is hoped that an activities organiser, dedicated to this and the existing dementia care unit, can be provided to entertain and stimulate service users. Ministers of religion visit the home on a regular basis and provide services and will minister to service users individually on request. Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 13 Relatives are encouraged to visit the home at any time and visitors to the home who were spoken to said that they were always made very welcome by the staff. One visitor commented positively about the bedroom accommodated by her relative and the way staff had made it so homely and welcoming. The records held in the home provide evidence that individual preferences are identified and that service users are free to choose their own lifestyle within the home subject to risk assessment. Service users who are accommodated for intermediate care have additional sessions with physiotherapists and occupational therapists when activities such as exercises and games to promote physical wellbeing appropriate to their individual need to prepare them for going home. Meals are served in the dining room or in service bedrooms according to their needs and preferences. The dining tables are attractively laid and the dining rooms provide a pleasant area to take meals. A choice of meals is offered and service users can be provided with special diets on the advice of the GP or dietician or on request. The menus show that a varied and balanced diet is offered. The kitchen is clean and organised and good supplies of fresh goods are available. One service user spoken to said that the meals were ‘lovely’ and ‘cooked just the way I like it’. Another service user said ‘Its just like being on holiday, I get really well fed and the food is as good as a five star hotel’. A cooked breakfast is available and a ‘nite bite’ supper is available. Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have a good knowledge and understanding of Adult Protection issues to protect service users from harm or abuse. EVIDENCE: The home has a comprehensive and robust complaints procedure which is detailed in the Statement of Purpose and Service User Guide and is also displayed on the notice board in the home. Few complaints have been made to the home in the last six months and the records show that these have been dealt with in an effective and timely manner. All staff have been given training on the Protection of Vulnerable Adults and are fully aware of the different types of abuse and of the action to be taken in the event of it being suspected to ensure that service users are protected. Staff spoken to during the inspection were able to demonstrate that they were aware of the procedure to be followed. The home has appropriate policies and procedures including the Liverpool inter agency adult protection procedure. Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 23 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements are being made to the environment, however, the lack of suitable bathing facilities may have a detrimental impact on the standard of care provided. EVIDENCE: The programme of redecoration and refurbishment continues. A number of bedrooms have been redecorated since the last inspection and has improved the quality of the environment for service users. Service users are accommodated in single bedrooms, some having en-suite facilities. Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 16 Work is taking place to change the use of one half of the first floor of the home to provide accommodation for 15 older people who have dementia. It is planned that this area will be available for use within the next few weeks. Intermediate Care Unit – Stananought. Plans are in place to convert one of the bathrooms in the intermediate care unit to a shower room to further aid service users in their preparation for returning home. The redecoration of bedrooms in this area is well underway and all rooms are bright and clean. There is an area of damp on one of the walls in the dining room which has been identified by the home and appropriate action to deal with this is planned. A programme of high cleaning in the dining room is necessary with particular reference to the window frames which are stained and dirty. Nursing Unit – Tarleton. The bathroom opposite bedroom 38 was out of order and the bath seat in the bathroom opposite bedroom 32 was out of order. This had resulted in no bathing facilities being available within this unit, although the bath seat was replaced later on the day of the inspection. Bathrooms and shower rooms were available in the new dementia care unit which does not yet have any service users. Staff spoken to said that none of the service users had been bathed on the day of the inspection due to the problems with the bathrooms. The bathrooms are generally in a poor condition and would benefit from redecoration and repairs to damaged areas of the walls. The en-suite facility in room 35 does not have a nurse call and may place the service user at risk from not being able to contact staff if necessary. Dementia Care Unit – Whitfield. A secure garden has been provided for service users in this unit although some attention is required to the pathway to ensure that all tripping hazards are removed. This area is provided with seating and a gazebo. The shower room opposite bedroom 25 smelled musty and the lighting is poor. This room would benefit from increased ventilation and a review of the lighting. The shower room adjacent to bedroom 20 was out of order and it is expected that this room would be made available for use within two weeks. The toilet adjacent to the lounge requires redecoration. Some of the extractor fans were found to be dirty and require cleaning to improve their effectiveness. At present, the home does not provide sufficient and suitable bathing facilities for the service users accommodated at the home. It was evident that the domestic staff work hard to keep the home clean but are hampered by the redecoration programme which tends to generate additional cleaning requirements. Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 17 The staircase leading to the new Dementia Care Unit on the first floor remain secured by metal barred gates. A review of these gates may identify a more homely arrangement for ensuring that service users are protected. Ennderdale is set in extensive gardens which service users are free to use. A new sensory garden is being established at the rear of the home. The pathway leading to the rear garden is uneven and presents as a tripping hazard. Attention should be given to this area to avoid the risk of trips and falls. The work taking place within the home is extensive, and on completion, will provide an extremely pleasant environment for service users. It is evident that every effort is being made to ensure that service users are not disrupted whilst this work is taking place and that their safety is assured. Ennerdale Nursing & Residential Home DS0000069159.V339923.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. 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 using available evidence including a visit to this service. The home was unable to provide accurate records to show that staff are deployed in sufficient numbers thereby ensuring that service users have access to care according to their assessed needs or are protected. EVIDENCE: The three units at Ennerdale are staffed separately to provide continuity of care and a consistent approach to care for the service users. The number of staff on duty in each unit has been set by the home based on the dependency of the service users accommodated. The staff rota indicates that there has been a shortfall in the number of staff on two of the units which have not been covered by bank or agency staff, although the acting manager has reported that there have been no shortfalls in the staffing levels. The records on one unit indicate that one member of staff has been working on another unit without a replacement member of staff being provided. The staff rota does not therefore appear to be an accurate reflection of the actual staff on duty at all times. Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 19 An intensive training programme has been provided and the home now provides 78 of NVQ trained staff. Additional staff are currently working towards this qualification. Specific training is given to staff appropriate to the needs of the service users and to ensure that they are protected at all times. All staff have been given training on the Protection of Vulnerable Adults and the different types of abuse. Staff spoken to during the inspection were able to demonstrate their knowledge and understanding of the procedure to ensure that service users are protected. The home has a robust recruitment procedure which is in line with the parent company, BUPA. All prospective staff are required to complete an application form prior to being called for interview. A record is held of the interview. Two references are taken together with POVA and CRB checks. Evidence of qualifications and training are to be produced. Files inspected provided evidence that the policy and procedure was followed for the recruitment of staff and that induction and foundation training is given on appointment. Each of the units has a care manager who takes responsibility for the care of service users and the supervision of the staff team. It is recommended that the manager of the dementia care unit is given some supernumerary hours to enable him to develop and promote the new dementia care unit for which he will have management responsibilities. Ennerdale Nursing & Residential Home DS0000069159.V339923.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The acting manager has a clear development plan and vision for the home. Planning is in place and set out how this improvement was going to be resourced and managed. EVIDENCE: The acting manager of the home has applied to be registered with CSCI and this application is currently being processed. She is a qualified nurse and has extensive experience in managing a care home for older people. Each unit has a designated care manager who is responsible for the day to day running of their unit. Each care manager is qualified and experienced in their individual Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 21 field of work to meet the needs of the service users in their care. The acting manager is responsible for providing supervision to care managers who, in turn, are responsible for the supervision of their own staff. Staff meetings are held on a regular basis to provide an opportunity to disseminate information to staff and as a forum to discuss improvements and areas of change. The acting manager is involved with the planning of improvements within the home and works closely with senior management of BUPA to ensure that service users are protected whilst work takes place. BUPA holds an Investors In People award and this home is currently working to ensure that appropriate standards are in place. Monies held for service users are placed in an appropriate interest bearing account and under the BUPA system interest is allocated to individual account records. Maintenance contracts are in place and safety certificates inspected were found to be up to date. To ensure that service users are protected, all staff are given training in fire prevention and fire safety. BUPA’s Operations Manager makes regular unannounced visits to the home and produces a report of these visits. Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 1 X 3 X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 23 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 OP19 OP21 Regulation 23 (2)(j) Requirement The registered person must ensure that there are sufficient numbers of baths and showers for service users use. The registered person must ensure that staff rotas are accurate. Timescale for action 31/08/07 2. OP27 17 (2) Sch 4 (7) 17/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP9 OP26 Good Practice Recommendations Secure storage facilities should be provided for medications awaiting disposal. A programme of cleaning the high areas of the dining room on the ground floor should be undertaken. Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Ennerdale Nursing & Residential Home DS0000069159.V339923.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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