Inspection on 10/05/07 for Framland

This inspection was carried out on 10th May 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

Framland 16/02/06

Framland 05/05/05

Framland 25/02/05

Framland 20/10/04

Framland 11/02/04

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

CARE HOMES FOR OLDER PEOPLE Framland Naldertown Wantage Oxfordshire OX12 9DL Lead Inspector Delia Styles Unannounced Inspection 10th May 2007 10:50 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 Framland DS0000013088.V333916.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. Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Framland Address Naldertown Wantage Oxfordshire OX12 9DL 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) 01235 769876 01235 762090 wantage@pilgrimhomes.org.uk www.pilgrimhomes.org.uk Pilgrim Homes Mrs Barbara Joy Margetts Elizabeth Kneale Care Home 21 Category(ies) of Dementia - over 65 years of age (12), Learning registration, with number disability over 65 years of age (1), Old age, not of places falling within any other category (21), Physical disability over 65 years of age (1) Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 21. 16th February 2006 Date of last inspection Brief Description of the Service: Framland is situated in a residential area of Wantage with easy access to the town centre. The home belongs to Pilgrim Homes, a registered Christian charity, and offers care for older people who share a Protestant Evangelical Christian faith. The house is a period property that was converted for its present purpose before it opened in 1986. It was sensitively adapted so as to retain some of the original period features and the original house contains the main dining room/lounge on the ground floor and there is a second lounge in the extension. The home has six single bedrooms on the ground floor and eleven single and two double bedrooms on the first floor. There is a passenger lift and stairs to the first floor. A hairdresser, chiropodist, dentist and optician are available at an additional cost by appointment at the home and local services in Wantage town can also be visited for these services. The home is registered to care for 21 elderly people who, for one reason or another are no longer able to live in their own homes. The staff cater for a range of needs, which have been assessed by the registered manager. The current range of fees is between £482 and £578 per week. Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced ‘key’ inspection, which took place on the 10th May 2007. The purpose of the visit was to see how the home is meeting the National Minimum Standards for Care Homes for Older People by assessing the standards considered most important by the Commission – the ‘key’ standards. The visit involved speaking to residents in order to ask their views about the care and the services they receive at the home, staff members, viewing care plans, assessments, records and record keeping, and observing the general day to day operation of the home. Before the inspection, comment cards were distributed to residents, relatives and visitors, General Practitioners, Care Managers/Placement Officers and Health and Social Care professionals in contact with Framland, to gain feedback on their views on the care of the service users and how they are received in the home. A total of 9 residents, 8 relatives, 2 GPs and 2 Health Care Professionals completed these questionnaires and the views expressed are summarised in the report. Overall, the general impression of the home gained by the inspector was of a well organised, friendly and caring home with a dedicated team of staff who offer a person-centred approach to the care they provide to residents. The inspector would like to thank the residents, manager and staff for their welcome and their assistance during the inspection process and all those who kindly took the time to give their views and return their comment cards. What the service does well: The home has a very friendly, caring and inclusive atmosphere in which the residents feel confident that they are very well cared for, and their right to privacy and dignity is always respected. Comments received included: ‘We feel a good homely environment is provided with all the care that is essential’ ‘Framland is exceptional in the high standard of loving care and consideration shown residents by all the staff. It always has a clean, homely feel and is very well managed’ ‘Framland care for all residents in a friendly and family atmosphere. Relatives are always made welcome’. ‘Framland treats residents as individuals and involves residents in all decisions as far as possible’ ‘Framland provides a good spiritual atmosphere within the home’. Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 6 The home has a well-developed training programme for staff and emphasises a ‘person-centred approach’ to residents’ care. This is evident to residents, their families and other professional visitors and was reflected in the written comments and conversation with visitors, residents and staff during the inspection. 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. The summary of this inspection report can be made available in other formats on request. Framland DS0000013088.V333916.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 Framland DS0000013088.V333916.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 and 3. Standard 6 does not apply, as the home does not provide intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who are considering coming to live in this home have good information about it in order to make an informed decision about whether it is likely to meet their needs. The personalised needs assessment means that people’s individual needs are identified and planned for before they move to the home. EVIDENCE: The home provides good clear information, which is used by prospective residents to help them choose a home that is right for them. All 9 residents who completed questionnaires felt that they had received enough information about the home before they moved in. The manager of the home undertakes an assessment with all prospective residents to ensure that the home is able to meet their assessed care needs. The assessment is undertaken in collaboration with the individual and/or their representative. Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 9 A sample of care plans was examined and very thorough assessments had been made of each of the residents’ care needs. Wherever possible, prospective residents, family and friends are given the opportunity to visit the home and join fellow residents, in order to gain a ‘feel’ of the home and meet staff before making a decision as to whether the home is likely to meet their needs. Framland DS0000013088.V333916.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. The home has a clear and consistent care planning system in place that involves residents and their representatives and ensures that staff have the information they need to satisfactorily meet the residents’ needs. Staff have a good understanding of residents’ support needs and this is evident from the positive relationship between residents, staff, family and residents’ representatives. Personal support is offered in a way that promotes and protects residents’ privacy, dignity and independence. EVIDENCE: A sample of 3 residents’ care plans and records were examined and were of an excellent standard, showing evidence of resident’s and/or family or representatives’ involvement in the drawing up and review of the care plans. Residents’ care records include their consent to the disclosure of information (to medical and other authorised staff). Risk assessments were included for aspects of residents’ care, such as nutritional status, risk assessment for falls, car transfers, and self-medication (for those who are able and wish to maintain control of their own medicines). Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 11 A summary of care plans is left in each resident’s room so that care staff have an up to date summary of the person’s care needs and preferences. Each resident is assigned a ‘key’ care worker whose responsibilities are to check that laundry and shopping requests are done and convey any concerns/problems about their care to senior staff. Each month a senior carer meets with residents to discuss their care and any problems. An initial review of care with the resident and representative takes place within the first month of their ‘trial’ stay, then an annual review with the resident and their representative. Relatives appreciate the way in which the home keeps in touch with them about any changes in their loved one’s care; ‘care plans are reviewed regularly and are updated as they get to know the needs of my [relative]’. A sample of residents’ medication administration record (MAR) charts was seen. These were correctly completed and up to date. Medications are supplied from a local chemist in individual cassette boxes for each resident, with compartments for each dose and day of the week. The home has reported five medication errors to the Commission in the past 12 months. None of these had any serious effect on the residents concerned and were promptly reported and followed up by a medical practitioner. The registered manager said that staff are receiving further training (to the required ‘Level 2 – basic’ standard) through an external training organisation and all care staff responsible for giving medications also have an in-house assessment of their competence by a senior carer. The manager said that past errors have been largely because staff have been distracted at the time of giving out medicines. Residents’ and relatives’ comment card responses about peoples’ opinion of the medical support they receive indicate that this is ‘always’ or ‘usually’ satisfactory. In answer to a question about whether residents receive the care and support from the homes’ staff they expected, 75 of residents felt this was ‘usually’ the case, and 25 ‘always’. (Relatives, carers and advocates answers were 50 ‘always’ and 50 ‘usually’). One of the two GPs who returned a comment card, whilst very positive about the caring and hardworking staff, feels that sometimes senior staff are not always clear about when to call the GP for advice when a resident’s condition changes. This is also the view of two of the community nursing staff who visit the home. The manager said she is aware of these opinions, but said that the senior care staff, managers and carers have a good written and verbal handover report system so that if a resident needs any urgent medical or nursing attention, this is promptly assessed and requested. The inspector observed that residents were spoken to respectfully and addressed by their preferred name by care staff. Framland DS0000013088.V333916.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. The home supports residents to maintain contact with their family and friends and the local community and are assisted to exercise choice over their day. The food in the home is of satisfactory quality and meets the dietary needs of residents. A range of activities is provided within the home and community so that most residents are able to participate in stimulating and motivating activities, EVIDENCE: The home is explicit about its Christian ethos, and that only Protestant Christians who share the doctrinal basis of the Pilgrim Homes charity are eligible for admission. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various Protestant Christian denominations, racial or cultural needs. Residents spoken with enjoy the daily devotions and Bible Reading and other regular acts of worship and meetings with fellow Christians that they can attend, either in the home or at local churches. Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 13 Several residents had been out to coffee at the local Christian coffee shop on the morning of the inspector’s visit. Residents’ questionnaire responses showed that 8 out of the total of 9 felt that the home ‘always’ provided activities that they could join in, though they did not always want to be involved, and staff respect their choice. A member of staff now organizes activities with residents in the afternoons. Several people were involved in knitting. Two residents and their visitors were playing Scrabble after lunch. There is a good selection of puzzles, games, library books, videos and music tapes available. Visitors are welcomed and several relatives specifically mentioned how important this was to them in their comment card responses. Residents’ opinions of the meals (from the comment card responses) were mixed, with 7 out of 9 stating that the meals ‘usually’ met their expectations and 2 people that this was ‘sometimes’ the case. One person said that staff are ‘usually willing to provide an alternative’ to the menu; another said that whilst they appreciate it is difficult to cater for all individual needs, they ‘prefer to be asked in advance so that I have a choice’. One person said they ‘feel fortunate to receive 3 full meals a day, but would prefer meals to be liquidised’. The inspector joined residents at lunchtime. The main meal consisted of a mixed grill of sausage, bacon, black pudding, scrambled egg, with potatoes and green beans; followed by apple tart served with custard or ice cream or mandarin oranges. The meals were plated in the kitchen, though some tables had separate vegetable serving dishes, for residents able to serve themselves. One resident complained that the portions were too large (a comment also written in a comment card) and staff took food off her plate as requested. The mealtime was leisurely and staff were attentive to residents and offered ketchup and sauces (in individual sachets that most residents were not able to open by themselves), and gave discreet assistance to those residents who needed it. A sample of 2 weeks menus provided with the pre-inspection questionnaire showed that 7 out of the 14 meals had had alterations made to part of the planned meals, mainly as a result of a changed delivery of goods or oversight on the part of the cook as to what was available in stock, though one change had been made at the request of residents. Lunchtime alternatives to the main course were listed as salad and to the dessert as, jelly, mousse or fruit. The inspector recommends that the home review the menus with residents and the way in which residents are made aware of the full menu choices available to them and that any unavoidable changes to the planned menu are minimized and made clear to residents in advance of the meal. Framland DS0000013088.V333916.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. Residents feel safe and listened to. The home has robust policies and procedures in place along with relevant training to ensure that service users are protected from abuse. EVIDENCE: There are policies and procedures in place to guide the manager and staff on how to respond to any suspicion of abuse. Training is provided to all members of staff to assist them in becoming aware of their own care practices, to recognise signs and symptoms of abuse and to emphasise each staff member’s responsibility to ‘whistle blow’ on any poor practice or concerns that come to their attention. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. Residents and their relatives and representatives who completed questionnaires were confident about how to make a complaint and that any concerns are taken seriously and acted upon. The home’s complaints procedure is clearly set out in the Statement of Purpose and Service User’s Guide information. Volunteer pastoral visits from the Home Support Group and Home Visitors enable residents to discuss any personal concerns in confidence. Framland DS0000013088.V333916.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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a continuous programme of redecoration and refurbishment that keeps the décor, fixtures and fittings in good condition so that the home provides comfortable surroundings, which are equipped to meet the residents’ differing needs. EVIDENCE: The home encourages residents to bring small items of furniture and possessions to personalise their rooms to their own liking, which was evident on touring the home. Residents are provided with a key to their room if they wish, allowing them privacy, unless a risk assessment suggests otherwise, and lockable storage is also provided. Each bedroom has a call bell near to the bed so that the resident can ring for staff assistance when needed. Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 16 There is an on-going programme of redecoration in the home and several bedrooms, bathroom and a main corridor area have been painted; a new ceiling and lighting have been installed in the ‘new wing’ corridor. The ground floor bathroom has been very effectively redecorated with a seaside theme – complete with simulated breakwater timber and painted seagulls – that has created an interesting and ‘user-friendly’ room. Two relatives’ comment cards indicated that they felt that the redecoration and refurbishment were aspects of the home’s facilities that could be improved. The manager explained that there has been some delay to the planned schedule because major repair work to the plumbing system had been done, so that redecoration will be completed once the pipe-work and ‘making good’ are completed. A small first room sitting room has a computer for the use of residents. The home is kept commendably clean. The laundry is in an outbuilding next to the home. This was clean, tidy and well organised. Staff have training in infection control measures and there were supplies of disposable protective clothing – gloves and aprons – readily available for staff use. Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 17 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 is staffed in accordance with the needs of the residents and staff receive the appropriate training to meet the residents’ needs. A thorough recruitment procedure is followed to ensure, as far as is possible, the health, safety and well being of the residents in their care. EVIDENCE: Residents’ and relatives’ comment cards (received in March 2007) indicated some concerns about recent staff turnover and staff shortages, for example ‘change in staff have been more frequent than I expected’; ‘the only way to improve would be to have more staff on duty’; ‘we do get the impression that there are often staff shortages. This impression has been confirmed by the care staff themselves, who often comment they are short of staff’. One person thought that because there is no full-time activities person, residents lack ‘a greater level of stimulation’. Three people felt that staff shortages resulted in a poor response time to call bells The manager agreed that there has been an increase in staff turnover, but is confident that internal promotion and an active recruitment drive for new care staff has improved this problem and reduced the need for the use of agency staff in recent months. At the time of the inspection there were 18 residents. There are 3 care assistants and a senior care assistant on duty in the mornings; 2 carers and a Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 18 senior in the afternoon; and two care staff on duty overnight. In addition the home manager works from 9 to 5 pm on weekdays, and the manager and the Care Team Leader alternate a weekly ‘on-call’ system. Staff spoken to on the day of the inspection felt that staffing levels are adequate to meet the needs of the current residents. One member of the kitchen staff now works as an activities co-ordinator in the afternoons, which is proving effective in particular with those residents with dementia. The inspector looked at a sample of 3 staff member’s files. These showed evidence of a systematic and thorough recruitment process, with references and required checks having been taken up before employing the member of staff. The home has a very good staff handbook given to all staff. The staff records seen included evidence of induction training and supervision. The home has a good programme of training in place for staff, including mandatory training in Health & Safety, Fire Safety and Manual Handling. Regular quarterly staff meetings are held with each staff group to discuss any new policies and review the way in which the staff work. The home also produces a staff newsletter. The proportion of care staff who have attained National Vocational Qualification (NVQ) in Care at Level 2 or above is below the 50 recommended by the Commission (40 of carers currently have NVQ 2) as a result of qualified staff leaving. Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 19 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 good. This judgement has been made using available evidence including a visit to this service. The manager provides clear leadership throughout the home with all staff demonstrating awareness of their roles and responsibilities. Residents, staff and relatives share the Christian ethos of this home. There are good systems in place for residents, staff and families to give their views about the home, and that influence how the home is run. Systems are in place within the home, and adhered to, in order to safeguard the residents’ financial interests. EVIDENCE: The manager, Mrs Kneale, is registered with the Commission. She has managed the home since March 2006 and is managing on a temporary secondment basis. Prior to this she was a Care Team Leader for 4 years and also has worked with older people in other care settings and providing private home care. She has completed the Registered Manager’s Award (the formal Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 20 qualification recommended for all registered managers for care establishments). The manager confirmed that the home uses an established quality assurance system and sends out questionnaires to 10 of relatives on a regular basis to gather their views on the home and its facilities. The most recent survey results and analysis were seen and were about to be submitted to the company for overall survey analysis and feedback to managers. The home holds quarterly residents’ meetings (minutes are circulated). The inspector discussed the management of the residents’ finances. The systems and records were examined and found to provide a clear audit trail to safeguard the residents’ financial interests. Policies and procedures are in place, to protect the residents’ health, safety and welfare and all staff receive mandatory training in moving and handling and fire safety. Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 21 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 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 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP15 Good Practice Recommendations Review the way in which residents are made aware of the choice of meals and informed of any unavoidable changes to the stated menus. Residents should be consulted about the portion size and preferred presentation of their meals in order to maintain their appetite and nutrition. Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Framland DS0000013088.V333916.R01.S.doc Version 5.2 Page 24 - 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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