Inspection on 08/06/07 for Foxhill Manor Nursing Home

This inspection was carried out on 8th June 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

Foxhill Manor Nursing Home 17/03/09

Foxhill Manor Nursing Home 05/05/06

Similar services:

Hunter`s Lodge

Lester Hall Apartments

32 Bentinck Road

50 Stoneygate Road

Harvey House

St Bernards

Landmere Care Home

Stoneygate Oaklands

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

CARE HOMES FOR OLDER PEOPLE Foxhill Manor Nursing Home Foxhill Road West Haddon Northants NN6 7BG Lead Inspector Kathy Jones Key Unannounced Inspection 8th June 2007 09:45 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 Foxhill Manor Nursing Home DS0000066413.V338810.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. Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Foxhill Manor Nursing Home Address Foxhill Road West Haddon Northants NN6 7BG 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) 01788 510262 01788 510834 snullatamby@yahoo.co.uk Mr Ramsamy Nullatamby Mr Ramsamy Nullatamby Care Home 26 Category(ies) of Past or present alcohol dependence over 65 registration, with number years of age (26), Past or present drug of places dependence over 65 years of age (26), Dementia - over 65 years of age (26), Mental Disorder, excluding learning disability or dementia - over 65 years of age (26) Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The total number of Service Users must not exceed 26 Service Users under the age of 65 years must not be admitted to the home Service users must fall into at least one of the following categories: past or present alcohol dependence, past or present drug dependence, dementia or mental disorder The home may accommodate three named service users for whom variations were granted prior to April 2002, (the NCSC), who are under the age of 65 years 5th May 2006 Date of last inspection Brief Description of the Service: Foxhill Manor is a care home providing nursing care for up to 26 residents’ of both sexes who are over 65 years of age and within the categories of dementia, mental disorder, past or present alcohol dependence and past or present drug dependence. The home currently has permission to care for three named service users under the age of 65 years. Foxhill Manor is a large converted house set in its own extensive grounds and situated on the outskirts of a village. Residents’ bedrooms are on three floors with the shared lounges and dining room on the ground floor. The majority of residents’ share a bedroom, however there are some single rooms. Two of the double bedrooms have an en-suite toilet. The following fees were provided by the registered provider/manager as being current at the time of the inspection in June 2007: Weekly fees range between £348.55 and £366.94 plus the nursing contribution. The nursing contribution will vary according to the banding which is dependent on assessed need. At the time of inspection the bandings were as follows: £44 low, £87 medium, £139 high. The fees for privately funded residents are the same as those receiving assistance with the funding of their care. Additional charges include hairdressing, which is charged between £3-50 and £5-00 and chiropody, which ranges between £8-00 and £17-00. Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Standards identified as ‘key’ standards and highlighted through the report were inspected. The key standards are those considered by the Commission to have a particular impact on outcomes for residents. Inspection of the standards was achieved through review of the information held by the Commission for Social Care Inspection as part of the pre-inspection planning and an unannounced inspection visit to the service. The preinspection planning was carried out over the period of a day and involved reviewing the service history, which details all contact with the home including notifications of events reported by the home, telephone calls, letters, and details of any complaints and concerns received. The report from the last key inspection carried out on 5 May 2006 was reviewed as part of the planning. Information received in a pre-inspection questionnaire submitted by the registered manager was also taken into account. The unannounced inspection visit covered the morning and afternoon of a weekday. The inspection was carried out by ‘case tracking’ which involves selecting residents’ and tracking their care and experiences through review of their records, discussion with care staff, and observation of care practices and the environment. Residents at Foxhill Manor include people who are unable to express their views on the quality of care received therefore this inspection included a period of observation of the care received by one resident in particular and the interactions between staff and the resident. This period of observation took place for an hour in the lounge during the morning. General observations were made of residents’ general well being, daily routines and interactions between staff and residents, throughout the inspection. The inspector spoke with several residents throughout the inspection, visiting relatives and staff about the care provided. Relative views received in eleven completed questionnaires and two completed by residents with staff support have also been taken into account as part of the inspection. Records reviewed included a sample of staff files to check the adequacy of the recruitment procedures. Feedback on the findings of the inspection were given to the Registered Manager throughout the inspection. What the service does well: Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 6 Prospective residents are encouraged to visit and if they wish spend a day in the home before making a decision about moving in. Staff have a good understanding of residents’ individual needs and were very calm, reassuring and gentle in their approach to residents’. All residents’ were treated with dignity and respect. Relatives were generally very happy with the care provided. Comments from relatives on what the service does well include “clean, tidy, good food, owner/staff always open and happy to discuss any relevant issues.” These comments are supported by the inspection findings. Daily routines are relatively flexible, residents’ get up and go to bed when they wish and although there are set times for meals, they are provided outside these times if this does not meet residents needs. Good relationships have been developed between staff and relatives and where residents’ lack the capacity to consent to the care provided, this is discussed and agreed with a relative. Visitors are made welcome and visiting times are flexible which helps to encourage contact with friends and relatives and is clearly appreciated by residents’. The Registered manager is very aware of the needs of individual residents’ and maintains an overview of how their needs are being met. A business plan and a development plan have been developed which demonstrate a commitment to the ongoing review of the service with plans for continual improvement of the environment and the care provided to residents’. What has improved since the last inspection? Various environmental improvements were made during 2006, which have included major works such as the replacement of hot water and heating systems, which are vital for the comfort of residents’. Some re-decoration and refurbishment has also taken place as part of an ongoing programme. Some improvements to the recruitment procedure had been made, in that application forms had been completed. Staffing arrangements have been reviewed and this includes the appointment of two Deputy Managers to support the Registered Manager, which provides greater flexibility and strengthens the management team. This ultimately benefits residents’ by ensuring a regular management oversight of how their needs are being met. Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, Standard 6 was not assessed, as intermediate care is not provided. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process provides assurances that the needs of residents entering the home can be met. EVIDENCE: At the time of the inspection the statement of purpose and service user guides were in the process of being revised, therefore this standard was not assessed. A draft document was seen and some additional advice given. The Registered Manager confirmed that when complete the document would be forwarded to the Commission for Social Care Inspection and copies made available to residents’ and their families. The information is particularly important for prospective residents and their families and any professionals who assist people in choosing a care home. Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 10 Comments on the draft documents confirm that it is the intention to include a copy of the most recent inspection report. The home is registered to care for people diagnosed with a dementia and mental health illnesses and due to associated memory and verbal communication difficulties, the residents spoken with had little recollection on how they had made the choice to live at the home and were unable to confirm their views about the home. The process for admission was discussed with the Registered Manager who confirmed that residents are admitted initially on a months trial, however where possible he encourages residents’ to visit or spend a day in the home to give them the opportunity to see what it is like and make an informed decision. Review of the records for a recently admitted resident confirmed that an assessment of their needs had been carried out prior to admission. This included gathering information from other health professionals who had carried out an assessment of care needs. This is particularly important in ensuring as far as possible the needs of people entering the home can be met. Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall care provided to residents’ is good with health care services being accessed as appropriate. EVIDENCE: Positive comments about the care provided were received through discussion with relatives during the inspection and through completed questionnaires. Care plans and associated records were in place, with information about residents needs and the care staff need to provide. These records were in the main up to date and reflective of residents needs, taking account of their physical and mental health needs. Where residents’ do not have the capacity, due to their illness to understand the care plans, there is evidence that these are discussed and agreed with a relative or advocate. Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 12 Assessments for nutritional risks and the risk of pressure ulcers are carried out which helps to identify those residents who may be at risk and need specific care to reduce the risk. However it was in one case difficult to see what action had been taken as a result of the assessment. For example a pressure ulcer risk assessment had identified a resident as being at “very high risk” of pressure ulcers. Although staff advised that the residents’ skin was intact, there was no care plan in place to show the agreed actions, such as the use of pressure relieving equipment to reduce the risk. Records contain important information about residents’ medical history and advice was given to try where possible to gather more information about residents’ social history, which for residents’ with dementia can assist in understanding individual needs. It was however acknowledged that some residents’ had been admitted from long term care placements and in some cases minimal information about their social history had been available. There was evidence through care records and observations of healthcare services being accessed on behalf of residents’. Residents’ are able to retain their own General Practitioner if they wish and location allows, however currently all residents’ are registered with the local surgery. A General Practitioner visits once a week and more often if necessary and referrals are made to other professionals such as psychiatrists, where necessary. On the day of inspection a dentist visited by appointment to see some residents and hearing tests were being carried out for others as part of the healthcare checks. Records show that residents’ medication is monitored and reviewed by the General Practitioner. The management of medication is good, it is securely stored, stocks are not excessive and a sample check confirmed that residents’ prescribed medication was available with records to confirm administration. Medication is supplied on a monthly basis; advice was given to record any medication carried forward to the next month in order that an accurate audit can be carried out and any discrepancies in residents’ medication identified. Observations during the inspection identified that staff treat residents’ with dignity and respect and supported residents’ in maintaining their dignity. Some of the residents’, who have dementia and mental health needs can at times, present as being quite challenging. Staff interactions with a resident who for a period of time was quite agitated and was shouting and hitting out at staff were very calm and reassuring. Staff approached all residents’ calmly and positively and were mindful of the needs of all individuals. Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Visitors are encouraged and welcomed into the home, the food is good and routines are flexible, allowing residents’ some choices in their daily lives. EVIDENCE: Records, observations and discussion with staff show that staff respect residents’ preferred routines, taking account of their individual needs. For example one resident likes to go downstairs in her dressing gown about 730am in the morning for a cup of tea before going to get washed and dressed. While others prefer to be washed and dressed before going downstairs. Daily routines are relatively flexible, there are set times for meals, however meals are provided outside these times if they do not meet residents needs. Comments from a relative in a questionnaire, describe a “relaxed and caring environment, residents are happy and stimulated.” Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 14 Records are in place to show the activities that residents’ have engaged in during the day. Staff were observed to encourage residents’ to participate in activities such as skittles. Residents’ are encouraged to maintain their mobility and staff were assisting and encouraging residents’ where able to walk to the dining room and the toilet rather than using a wheelchair. The grounds are quite extensive and throughout the day, residents were encouraged to go for short walks in the grounds. The Registered Manager advised that he has recently increased the days that the occupational therapist works from two to three in order to try and provide additional activities. The business plan for 2007 identifies plans to develop and increase daily activities, which will further enhance the lives of residents’. Information is gathered about residents’ linguistic and religious needs and is included within their care plans. At the time of the inspection staff advised that the first language of all residents was English and that none of the residents’ required any particular support in meeting their religious needs. A visitor confirmed that visiting arrangements are flexible. Staff welcomed the visitors on arrival and the resident was clearly very pleased to see his visitors. A relative commented that there is good support for residents to help them maintain contact with relatives by telephone and letter. This encouragement and support helps to enhance the daily lives of residents. A choice of meals is always offered and the cook was heard to be asking a resident about their preferences. Residents’ were observed to be enjoying their lunch time meal, which on the day of inspection was fish in batter or fish fingers. The cook appeared to be aware of residents’ individual preferences and advised that all residents enjoyed fish. At the time of the inspection there were no residents’ requiring special diets for religious or cultural reasons. There was evidence that the nutritional requirements for older people had been considered and comments received from residents’ and relatives confirm that the food is good. Foxhill Manor Nursing Home DS0000066413.V338810.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. 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 visit to this service. There is a complaint procedure, which people are aware of and staff understand their responsibilities for reporting any concerns, which helps to protect residents’. EVIDENCE: The Commission for Social Care Inspection have received no complaints since the last inspection. There is a complaints register in the home though there is no record of any complaints being received about care practices directly by the service since the last inspection. Comments received in questionnaires from relatives confirmed that they are aware of how to make a complaint. Advice was given to the Registered Manager to respond to an issue raised by a relative to reassure them that their concerns had been taken seriously. Information submitted by the Registered Manager as part of the pre-inspection questionnaire, confirms that the majority of staff have received training in safeguarding adults. Discussion with some of the staff on duty during the inspection confirmed that they are aware of their responsibilities for protecting the vulnerable people in their care, helping to protect residents. Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ live in a clean and comfortable home. EVIDENCE: Residents’ who are able to mobilise independently were observed to be able to wander freely between lounges and the dining room. There is also a large hall with some seating, which is used by some residents. Residents’ who needed assistance with mobilising were asked where they wished to sit. All areas were clean and tidy. The grounds are extensive providing a pleasant area for residents’ to take walks. Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 17 There is an ongoing maintenance and refurbishment programme in place with priorities identified. For example during 2006 the boiler systems were replaced and there are now two boilers to improve the heating and water supplies for residents’. Some re-decoration has taken place and further re-decoration and refurbishment is planned, providing a pleasant environment for residents. Confirmation of regular maintenance checks was received in a pre-inspection questionnaire submitted by the Registered Manager. A sample check of the records confirmed that relevant checks are made to safeguard residents, such as safety checks on electrical appliances. The majority of residents’ share a bedroom with another resident. A sample check confirmed that residents’ bedrooms are clean and that privacy screens are in place in bedrooms, which are shared by two people. Foxhill Manor Nursing Home DS0000066413.V338810.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, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing arrangements meet residents’ needs, however a more robust recruitment procedure would provide additional protection for residents’. EVIDENCE: Observations were made throughout the inspection of staff interactions with residents’. The observations, discussion with staff and feedback from relatives confirmed that there is enough staff to meet the needs of residents’. Staff demonstrated a good understanding of residents’ individual needs and were caring and sensitive in their support of residents’ who in some cases are unable to express their needs. Staff dealt calmly with incidents where residents’ displayed agitation and were mindful of the impact on other residents’ and the need to consider their well being. The majority of nurses employed are registered general nurses rather than registered mental nurses, however it was identified that for at least one of the general nurses mental health had formed a significant part of their training overseas. The Registered Manager confirmed that the registered mental nurses would have oversight of how residents mental health needs were being met. Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 19 Review of the staff training record and the business plan identifies that staff training is being planned to address identified shortfalls. This includes National Vocational Qualifications (NVQ), which provide staff with a basic understanding of care practices, and dementia care training, which is particularly important in understanding and meeting residents’ needs. Discussion with a sample of staff confirmed that training is provided and that they feel confident in meeting the needs of residents’. A sample check of staff recruitment records was checked to review the adequacy of the recruitment process in protecting residents’. References and criminal record bureau clearances had been obtained prior to employment. However in one case only one reference rather than the required two was available. Application forms had been completed, however advice was given to review the application form to ensure it was clear that a full employment history is required to ensure that residents are protected as far as possible. Foxhill Manor Nursing Home DS0000066413.V338810.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, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed in the best interests of residents’. EVIDENCE: The Registered Owner/Manager is a registered general nurse and a registered mental nurse. A full time and a part time deputy manager support the Registered Manager. Positive comments received from relatives in questionnaires include “—Owner and staff always open and happy to discuss any relevant issues.” The Registered Owner/Manager has employed a consultant to help review the policies and procedures and to assist with monitoring the quality of the service. Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 21 Quality management is included in the development plan for 2007 and includes carrying out surveys to gather views on the quality of the care provided to residents’. A business plan and a development plan have been developed which highlight an ongoing review of the service and actions required, to improve the environment and the care provided to residents’. No health and safety concerns were identified during the inspection. Staff receive training in safe working practices and there was evidence that the need to provide training updates in areas such as movement and handling and protection of vulnerable adults has been acknowledged and forms part of the business plan for this year. Foxhill Manor Nursing Home DS0000066413.V338810.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 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 X 3 X X X X 3 Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N0 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 Requirement Prior to staff being employed satisfactory information as detailed in schedule 2 of the Care Homes Regulations 2001 including two references must be obtained. Timescale for action 30/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Foxhill Manor Nursing Home DS0000066413.V338810.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Foxhill Manor Nursing Home DS0000066413.V338810.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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