Inspection on 10/10/06 for Falstone Manor Nursing Home

This inspection was carried out on 10th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Falstone Manor Nursing Home 12/11/09

Falstone Manor Nursing Home 08/10/08

Falstone Manor Nursing Home 16/01/06

Falstone Manor Nursing Home 15/08/05

Falstone Manor Nursing Home 17/03/05

Falstone Manor Nursing Home 08/10/04

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 Falstone Manor Nursing Home Cliffe Park Whitburn Road Roker Sunderland SR6 9NQ Lead Inspector Irene Bowater Key Unannounced Inspection 17th October 2006 09:00 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 Falstone Manor Nursing Home DS0000018215.V313504.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. Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Falstone Manor Nursing Home Address Cliffe Park Whitburn Road Roker Sunderland SR6 9NQ 0191 5496699 0191 5497799 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) Apta Healthcare (UK) Ltd Jill Mullea Care Home 53 Category(ies) of Old age, not falling within any other category registration, with number (36), Physical disability (17) of places Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Manager is allocated supernumerary hours as registered manager. Date of last inspection 16th January 2006 Brief Description of the Service: Falstone Manor provides nursing care for up to thirty-six older persons on the first and second floor of the building and a unit on the ground floor for up to seventeen younger adults with a physical disability. Falstone Manor Care Home is a purpose built three-storey building situated near to the sea front at Roker, enjoying panoramic views across the coastline. It is part of a complex, which also includes Falstone Court, another care home, which is separately registered for personal care for people with dementia, with the Commission for Social Care Inspection. The two services share car parking space to the front and rear of the building, kitchen and laundry facilities. The home is within short walking distance of the sea front, local seaside amusements and shops. It is accessible by local transport services and is within easy reach of Sunderland City centre. Information about the home is included in the Statement of Purpose and Service User Guide. Fee rates are from £359 to £475 per week. There is a top up of £20 for a sea view room. Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place over seven and a half hours. The inspector spent time with the Registered Manager, staff, residents and visitors. The inspector looked around and talked to residents and staff, and saw the contact between them. Time was also spent checking the cleanliness, maintenance and decoration of the home. A number of documents were looked at including, care plans, training, maintenance, catering, medication, financial, recruitment, health and safety, and complaint records. What the service does well: The staff collects information together about the person before anyone moves into the home to make sure they can meet their needs. Staff involve the residents, their representatives and other professionals in the care planning which makes sure their needs can be met. The staff have formed good relationships with the residents and make sure their rights to privacy and dignity are met. They work hard to promote residents independence at all times. Residents said “I am looked after”, “I am well looked after, good food and good living”, “its lovely here”, “I’ve no complaints, and I get and do what I want”. Others said, “we get out in the van”, “we go out along the sea front”, “and I love sitting watching the sea”. The relatives said that “the home and the staff are good”, “nothing is a trouble” and “I am more than happy with the care in the home”. The meals are nutritious, nicely presented and choices are available. The majority of residents agreed with this by saying, “the meals are nice”, “there’s plenty to eat”, ”, “the food is good, plenty of choices” and “I’ve put on loads of weight”. Visitors are made welcome and there are good links with the local community. Residents and relatives said they would be able to use the complaints procedure if they had a concern. Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 6 The activities organiser and care staff work hard to provide activities inside and outside of the home. The staff receive the training they need to care for the residents needs. The recruitment policies are followed. The home is suitable for the people who live there and there is specialist equipment to meet their needs. A number of staff have worked together at the home for a long time. They said they get plenty of support from the senior staff and enjoy working at the home. All of the staff are enthusiastic and have created a positive and happy atmosphere in the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Falstone Manor Nursing Home DS0000018215.V313504.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 Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 is not applicable. The quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to the service. The admission assessments ensure the residents care needs will be met. EVIDENCE: Six care plans looked at showed that the manager carries out comprehensive assessments before any resident is admitted to the home. The care managers and the nurse assessments were also available. Where possible the relatives and representative are involved in this process. The relatives have been involved in the daily care of their relatives in regard to personal care and how their privacy is to be respected. Information is also available about residents’ previous lifestyles and how this will help residents to settle into the home. Falstone Manor Nursing Home DS0000018215.V313504.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 excellent. This judgement has been made from evidence gathered both during and before the visit to the service. The care planning systems provides staff, residents and their representatives with the information they need to meet resident’s needs. The health needs of all residents are being met. There is interagency working. The systems for the administration of medicines are safe and consistent. Personal support promotes residents right to privacy and dignity. EVIDENCE: Two care plans from the Younger Persons Unit and four from the Nursing Unit were inspected. All of the plans were clearly set out and up to date. The staff have worked hard to make sure the detailed admission assessments are transferred to the care planning process. Residents and their representatives have helped to develop the plans and staff spend time with them to make sure they are understood. Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 10 Accredited assessments tools for the prevention of pressure sore and wound care, moving and assisting, catheter care, continence promotion, nutrition and mental health status were completed and reviewed and updated monthly. All of the care plans are regularly reviewed and updated according to changes in social, personal and health care needs. Residents who have reduced appetite or low weights are regularly weighed and intervention sought from dieticians. Their recommendations are acted upon and the care plans updated as necessary. Up to date information regarding changes in wound care is documented on a regular basis and regular reviews take place with residents’, their relatives and care managers to make sure the home is still meeting their needs. The residents have access to all NHS facilities to ensure their healthcare needs are met. There are regular visits from GP’s and other health professionals including, dentists, opticians and chiropody services. There are appropriate pressure relieving devices available to support the staff and residents in daily activities. Several of the residents have air cell mattresses and cushions to prevent pressure damage. Advice is sought from, psychologists, occupational therapists, tissue viability specialists, speech therapists and continence advisors. Visits from the multi disciplinary team are recorded in individual care plans. The home has comprehensive medication policies and procedures for staff to use. Records are in place for all medicines received, administered and disposed of. An audit of Controlled Drugs and the Medicine Administration Records (M.A.R.) showed no discrepancies. There is a register of staff who are authorised to administer medication. There were no extra stocks and the medicine trolley was clean and tidy. The fridge was clean, locked and temperatures were recorded. Each resident had a photo and allergy details were recorded. Audits are carried out daily by staff to check that amounts and quantities are correct and that each medicine given out is recorded. None of the residents in the home self medicates. Residents spoken to felt that they are treated with respect and their right to privacy is upheld. Residents spoke about their personal wishes and preferences, which are respected by staff and documented. Examples include locking their bedroom doors, receiving their mail, being addressed by their preferred name and being able to go wherever they wish inside and where possible outside of the home. Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 11 There was a good rapport between staff, residents and relatives, which was friendly and professional. Care was delivered in private and staff were seen to knock on doors and wait for permission before entering. The care plans record residents wishes about dying and the arrangements they want after death. The families, Palliative care specialist nurses and consultants are also involved in the process. Information about pain control is available and the Medication Administration Records and Controlled Drug records show that staff make sure that appropriate pain relief is given when the residents need it. The home makes sure that family and friends of the resident are able to stay at the end stage of life and the staff also support them. The training records show that qualified staff have received training in use of a syringe driver and “End of Life Care”. Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to the service. Social activities provide stimulation and interest for residents living in the home. Support from relatives and representatives provide residents with opportunities to maintain their previous lifestyles. Residents are supported to make choices and take control over their lives. Dietary needs of residents are catered for with a choice of food available. EVIDENCE: The home benefits from designated activity organisers. Activities are displayed in a written and picture style. The care plans have details of residents’ previous life histories and likes and dislikes. This information had been put together with support of the families and assists the staff in providing meaningful activities for both the younger and older residents in the home. Events include flower making, woodwork, use of computers, ten-pin bowling and chair exercises. Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 13 One room has been made into an activities room and workshop. The residents have made handcrafted flowers and wooden wheelbarrows to display garden flowers. One resident has been encouraged to paint and has produced some lovely landscapes and wildlife pictures, which are being framed. On the day of inspection several of the residents enjoyed watching the sea and people on the beach. Others watched the television, spent time in their rooms or sat in the lounges chatting. One resident attends a day centre, two residents went out independently and several had visitors and went out for some of the day. The home has a mini bus that is used to take residents out and about in the local area. Computers are available and one resident enjoyed playing “Who wants to be a Millionaire” and another resident produces the menus for the home. The yearly event is having a “hot dog” stall outside when the Air show is on. This produces a lot of money, which is then used to fund social events. Comments from residents included: “Its lovely here”, “we go on outings along the sea front”, “I love going out in the van”. The residents are encouraged to be in control of their lives as far as possible. Visitors are welcome at any time and they are able to have a drink or a meal with their relative or friend. One visitor has already booked to have Christmas lunch with their relative. The care plans clearly records when there are any restrictions in place and risk assessments are available and completed with other agencies. The manager and senior staff were able to discuss how and when they would contact advocacy services for individuals and this information was also clear in the care plans. All of the bedrooms have been highly personalised and reflect previous and current lifestyles. Residents are encouraged to take responsibility for their own money for as long as they are able. The records show that where necessary other agencies are involved to make sure residents are protected. There are dining rooms on each floor, which are suitable for the residents needs. Each dining room has a kitchenette and meals are served from hot trolleys. The dining tables were appropriately set with cutlery, crockery, napkins and condiments. Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 14 The inspector joined the residents on the first floor unit for part of the lunchtime meal and observed the rest of the mealtime on first floor and the younger persons unit. The choices for lunch were sausages, mashed potatoes, or shepherds pie with swede, peas and gravy. Dessert was ice cream or doughnuts. Hot and cold drinks were readily available throughout the meal. The portion size was ample and the meal was hot, tasty and nicely presented. Residents were able to have their meals either in the dining rooms or in their own rooms. Staff were attentive and assisted residents in a sensitive manner. The home no longer contracts out for the food provision and the catering manager is now changing some of the menus taking the residents views into account. Both he and the manager were aware that a few of the residents were dissatisfied with some of the meals and their negative comments and the many positive comments were discussed on the day of inspection. Comments from residents included: “Food is nice,” “plenty of choices”, “I’ve put loads of weight on”, “I get what I want”, “I have good food and good living”. Other comments included: “Beans are not eaten”, “food is awful”, “meat is tough”, “and Yorkshires are flat”. Falstone Manor Nursing Home DS0000018215.V313504.R01.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 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 from evidence gathered both during and before the visit to the service. The complaints procedures are clear. Residents and relatives are confident that their views are listened to and acted upon. Arrangements for the Protection of Vulnerable Adults are satisfactory and protect residents from harm. EVIDENCE: The complaints procedure is available to all residents and their visitors. It explains how to make a complaint and who to. The procedure is given to residents as part of their welcome pack when they come to live in the home. Records showed that all complaints are taken seriously and are investigated within 28-day time scales. A complaint has been dealt with appropriately at home level. Ten residents and six relatives said they would be able to use the procedures and were sure the staff would be resolved as soon as possible. Relatives also said that the manger was readily available to discuss any concerns. There are policies and procedures in place for the Protection Of Vulnerable Adults and staff were able to discuss what to do should there be any allegation Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 16 of abuse. The training records show that thirty-eight staff have received “in house” training and training which links into the Local Authority guidance. Falstone Manor Nursing Home DS0000018215.V313504.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The standard of the environment provides residents with an attractive, clean and comfortable place to live. EVIDENCE: The younger persons unit has been redecorated to a high standard. The hairdressing room on the ground floor has been changed into a workshop and activities room. One lounge has been converted into a pub themed room complete with bar area, jukebox and arcade style slot machine. This is also the smoking area. From this room there is access to a pleasant courtyard garden, which is well equipped. A refurbishment of the older persons unit has started. Communal areas are being redecorated and re carpeted. The furniture and fittings throughout the home are suitable for the residents and there are spectacular views across the beach and sea. Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 18 There are bathrooms and toilets on each floor, close to all resident areas. They are easy to use and include specialist baths and showers. All of the bedrooms have an en-suite facility. A number of residents have complex needs and they have individualised specialist equipment provided following assessments by occupational therapists. Throughout the home there is a good selection of aids such as hoists, grab rails, variable height beds and chairs. Adapted cutlery and crockery is also available. The home has a loop system in place for those who have a hearing impairment. A call system with an accessible alarm is provided in all resident areas. There is easy access to all floors and to the garden and car park. On the day of inspection the home was clean, comfortable, fresh and tidy .The domestic staff and other staff were working hard to make sure the infection control procedures were being followed. A tour of the home found that the some of the light cords are grimy. These need to be replaced to enable to staff to clean them on a daily basis and minimise the risk of cross infection. A sluice disinfector has been installed on the ground floor. Falstone Manor Nursing Home DS0000018215.V313504.R01.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 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 is excellent. This judgement has been made from evidence gathered both during and before the visit to the service. The current staffing levels and staff deployment ensures the residents assessed needs are met. The arrangements for training and recruitment ensure that residents are protected and staff are competent. EVIDENCE: The home has two units. On the ground floor is a 16 bedded younger persons unit and the first and second floor cares for older people. Both of the units provide nursing care. On the day of inspection each floor was staffed with a qualified nurse and sufficient care staff. There are also domestic staff, a housekeeper, laundry staff, catering manager, chef, kitchen assistants, maintenance staff and activities staff. The staff said that the numbers of staff on duty had increased and they felt that they were able to care fully for the residents. The home does not use agency staff. The home has over 70 of staff with NVQ level 2 qualification. Twenty-four of them are working towards this qualification. The records for recruitment were satisfactory. There was evidence of Criminal Record Bureau checks, Protection of Vulnerable Adult checks, two written Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 20 references, proof of identity, professional identity numbers for registered nurses and completed induction programmes. There is a training and development plan and programme in place. Records showed that all staff have received fire, food hygiene, moving and assisting and COSSH training. Other training included use of a syringe driver and end of life care, dealing with challenging behaviour, dementia care and safeguarding adults. Falstone Manor Nursing Home DS0000018215.V313504.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,35,38. Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to the service. The home has an experienced manager who provides clear leadership. The systems for consultation and quality monitoring make sure that the views of residents are sought and acted upon. Residents personal accounts are managed to ensure their best interests are protected. The health, safety and welfare of residents are being protected as far as reasonably possible. EVIDENCE: Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 22 The registered manager has many years experience particularly in the NHS. She has managed another home in the private sector. Currently she has one module of the Registered Managers Award to complete. She has to carry out regular training as a professional nurse in order to maintain Nursing and Midwifery Council requirements. Residents and visitors confirmed that the manager is very approachable and talks to them about the services being provided. Monthly audits of all care and other services are carried out with action and outcomes recorded. The regional manager visits on a monthly basis and completes a separate report. These reports make sure the quality of the home is continually monitored. Records of staff, relative and resident meetings are available. The manager also sets aside time each week to enable anyone to come and discuss any issues or concerns they may have. Staff said that the manager is always available and always on the units to see that everything is working well. They said that they are pleased with the changes that have been made and feel that they are working well as a team. Six resident’s personal financial records were inspected. A record is maintained for each person’s transactions. Entries were clear with signatures available. Regular audits are carried out. A random check of balances and cash were found to be correct. Staff have had training in safe working practices with records kept. Fire training is completed every three months for night staff and six months for day staff. Accidents are clearly recorded and the manager completes monthly accident analysis to examine and track any trends. A fire risk assessment is available and up to date. Risk assessments for the safe use of bedrails are available and up to date. In house health and safety checks are carried out weekly. Water temperatures are recorded to ensure temperatures of 44 C is not exceeded. The last health and safety meeting was held on 13 July 2006. External service contracts were available and up to date. Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X X X X 2 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 3 4 X X 4 X X 4 Falstone Manor Nursing Home DS0000018215.V313504.R01.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 Standard OP26 Regulation 13 Requirement The registered persons must ensure that the light cords in bathrooms and toilets are easily cleanable. Timescale for action 30/12/06 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 Refer to Standard OP38 OP15 Good Practice Recommendations It is highly recommended that a risk assessment for the storage of materials in the workshop be carried out. The registered manager should again discuss food preferences with the few residents who remain dissatisfied with some of the meals. Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Falstone Manor Nursing Home DS0000018215.V313504.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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