Inspection on 23/08/06 for Furzehatt Care Centre

This inspection was carried out on 23rd August 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Furzehatt Care Centre 18/09/07

Furzehatt Care Centre 15/02/06

Furzehatt Care Centre 31/08/05

Furzehatt Care Centre 16/12/04

Furzehatt Care Centre 27/07/04

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

CARE HOMES FOR OLDER PEOPLE Furzehatt Care Centre 59 Furzehatt Road Plymstock Plymouth Devon PL9 8QX Lead Inspector Fiona Cartlidge Unannounced Inspection 23rd August 2006 10:25 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 Furzehatt Care Centre DS0000061636.V301595.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. Furzehatt Care Centre DS0000061636.V301595.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Furzehatt Care Centre Address 59 Furzehatt Road Plymstock Plymouth Devon PL9 8QX 01752 484008 01752 484082 cjohnson@sanctuary-housing.co.uk 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) Sanctuary Care Limited Christine Elise Johnson Care Home 62 Category(ies) of Dementia - over 65 years of age (29), Old age, registration, with number not falling within any other category (32), of places Physical disability over 65 years of age (62) Furzehatt Care Centre DS0000061636.V301595.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Maximum of 62 Service Users of either gender over the age of 65 years from the following categories; TI(E) 4, PD(E) 62, OP 32 and DE(E) 29. Maximum of 29 DE(E) (Male and Female) To admit one service user under the age of 65 years, named elsewhere 15th February 2006 Date of last inspection Brief Description of the Service: Furzehatt is a purpose built care home situated in the suburb of Plymstock, Plymouth, Devon. The accommodation is provided in 2 buildings joined by a glazed walkway the buildings have two floors with a passenger lift providing access to the upper floors. All except three bedrooms have en suite toilet and washing facilities. The care home is registered to provide nursing and /or personal care to a maximum of 62 persons over the age of 65 years of either gender with physical frailty/illness or disability and/or dementia requiring nursing and/or personal care. Sanctuary Care owns this home. Sanctuary Care is a registered charity and was established in 1995 to provide older people with nursing and residential care. Sanctuary Care is a wholly owned subsidiary of Sanctuary Housing Association – one of the UK’s largest social housing providers. Furzehatt Care Centre DS0000061636.V301595.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit took place over 6hours and 50 minutes and was unannounced. A partial tour of the home took place when some bedrooms and all communal living rooms were viewed. Personal records of care of 6 residents and personnel records of 4 members of staff were inspected. The inspector spoke with 15 residents, 1 visitor, 3 staff members and the registered manager. Written feedback was received from 3 residents and 5 care workers and one General Practitioner. The homes senior staff had also submitted answers to a pre-inspection questionnaire supplied by the Commission. What the service does well: The admissions process is safe. Prospective service users are provided with sufficient information to enable them to make an informed decision about admission to this home. Each service user receives a contract when they are admitted to the home. Residents are protected by the homes policies and procedures for dealing with medicines. Effort is made by the home to provide an activities programme and social interaction/stimulation for residents. Residents are able to maintain contact with family and friends and exercise choice and control over their lives. Residents receive a wholesome appealing diet and there is always a choice of meals available. People are safe living in this home, residents and their relatives/friends know how to make a complaint and their rights to privacy and dignity are maintained. The environment is safe and adequately maintained and the home is clean and hygienic. A new sensory garden has been completed this small attractive garden is safe and accessible and residents told the inspector that they enjoyed spending time in it in the shade on sunny days. There are sufficient numbers of staff with appropriate skills and knowledge to meet the needs of residents in this home. The homes recruitment practise protects residents from being placed at risk of harm or abuse. Comments received during the inspection included ‘the staff are very good’ ‘the nurses are kind and very hard working’, ‘the staff are very busy, but are always polite and helpful’ ‘ I can’t find any fault here I’ve got a bell and they come if I ring it, and they have always got smiles on their faces’. Furzehatt Care Centre DS0000061636.V301595.R01.S.doc Version 5.2 Page 6 The home is well managed. Personal money held in the home on behalf of residents is secure. The registered provider shows a responsible attitude toward promoting and protecting the health, safety and welfare of residents and staff. 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. Furzehatt Care Centre DS0000061636.V301595.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 Furzehatt Care Centre DS0000061636.V301595.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): 1,2,3,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with sufficient information to enable them to make an informed decision about admission to this home. Each service user receives a contract. The admissions process is safe. This home does not provide intermediate care. EVIDENCE: The inspector examined the personal records held on behalf of 5 recently admitted residents and the information obtained for a longer term resident. These documents provided evidence that a good level of information about people’s conditions and needs is received to enable the nurses in the home to make a professional judgement about if/how each person’s needs will be met. When possible i.e. if the person being admitted is geographically accessible, Furzehatt Care Centre DS0000061636.V301595.R01.S.doc Version 5.2 Page 9 the staff visit the person in their existing setting to perform a full needs assessment in addition to receiving documentation from other social and health care professionals. The individuals records contained copies of terms and conditions of residency between the provider and the residents and for those who’s care had been commissioned on their behalf, a third party contract for that arrangement. The Commission received written feedback about the home from 3 Service users, when asked – did you receive enough information about this home before you moved in so you could decide if it was the right place for you? All 3 said ‘yes’. One resident told the inspector that they had been unable to visit the home themselves before making a decision about their admission, however their relatives had visited and chosen their accommodation and the resident had been provided with an informative brochure. Another resident told the inspector that they had been admitted as a matter of urgency and had not been in a position to visit the home before they were admitted. Another resident confirmed that they had wanted to be at Furzehatt with a long term friend who was already resident, these friends were seen enjoying each others company and sharing that of their visitors and retold stories of holidays they had spent previously in various corners of the world. The inspector found copies of the Statement of purpose and service users guide available in the entrance hall along with information on how to obtain a copy of the latest inspection report. The residents spoken to about the admissions process said that the home was in a convenient area for them and their relatives and friends to visit. Furzehatt Care Centre DS0000061636.V301595.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 at least once during a 12 month period. 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. Each resident has a documented plan for their care, reviews of these plans are performed but are not consistent this poses a risk that some health care needs may not be recognised or addressed in a timely fashion. Residents are protected by the homes policies and procedures for dealing with medicines. Resident’s rights to privacy and dignity is maintained. EVIDENCE: The inspector examined the personal records held on behalf of 6 residents; in all of these documented assessments were seen and provided information about skin integrity, moving and handling, safety - including risk of falls, nutrition and information about social and psychological needs. This information generates the plans of care, which provides the basis for the care to be delivered. There was evidence that not all plans had been reviewed on an at least monthly basis. One resident who had been assessed as high risk of Furzehatt Care Centre DS0000061636.V301595.R01.S.doc Version 5.2 Page 11 malnutrition in June was not planned for further review until September this poses the risk that this residents nutritional status may deteriorate further with no action being taken for a 3 month period. However another resident whose nutritional assessment had identified a high risk had been appropriately reviewed and a referral had been made to a speech and language therapist. Records are maintained for all visits to the home by social or health care professionals, all residents are registered with a GP. Records provided evidence that visits are made by General Practitioners, district and specialist nurses, chiropodists, occupational therapists, physiotherapists and dentist’s. Records of outpatient appointments show that visits to community and hospital health resources are enabled. 3 residents provided written feedback, 2 confirmed they always receive the medical support they need and the other 1 indicated they ‘usually’ receive the medical support they need. The commission received written feedback about this home from 1 General Practitioner whom indicates that they receive appropriate referrals about residents from the staff in the home and that the homes management of health and personal care is good. The inspector looked at the storage and recording systems for dealing with medication. Controlled drug stock was randomly checked against the records held in the register and was found to be correct at the time of the visit. The medication system is well organised, the medication is administered from a purpose built trolley directly to the residents on a 1:1 basis and the administration records seen, clearly identified the amount of and frequency of any medication given. Records and discussion with residents provided evidence that they are able to manage part or all of their own medication following a risk assessment. The inspector found that one of the medication fridges contained 4 containers of eye drops 2 of these had not had the date they had been opened recorded on them, this poses the risk that they may be kept in use over the recommended period. Residents told the inspector that the staff respect their privacy and dignity, the inspector observed that when personal care was being provided this was done behind closed doors, the staff spoke to residents in a polite manner and were witnessed to knock on the doors to private accommodation before entering. Furzehatt Care Centre DS0000061636.V301595.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 good. This judgement has been made using available evidence including a visit to this service. Effort is made by the home to provide an activities programme and social interaction/stimulation for residents. Residents are able to maintain contact with family and friends and exercise choice and control over their lives. Residents receive a wholesome appealing diet and there is always a choice of meals available. EVIDENCE: During this visit the inspector saw that some residents were socialising in the lounges or watching television others were spending time in their rooms, reading, listening to music or watching television. In the afternoon a group activity was held in one of the lounges the activity was both physically and mentally stimulating (carpet bowls) and appeared lively and well received. Records seen included activity plans and attendance and individual hobbies that the residents partake in are recorded. A monthly newsletter is given to all residents and displayed on notice boards to keep people informed of special events such as the summer fete. Activities records provided evidence that trips Furzehatt Care Centre DS0000061636.V301595.R01.S.doc Version 5.2 Page 13 to popular local destinations are provided. 3 residents provided the Commission with written feedback via a survey. When asked –Are there activities arranged by the home you can take part in? all 3 indicated ‘usually’. Feedback about the meals served in the home was good. During the inspection lunch was served, most residents had gammon served with vegetables and potatoes, options available included a vegetarian pie or jacket potatoes with fillings and various salads these are advertised daily as part of the 4 weekly rotating menu. A number of residents told the inspector they had enjoyed their meal. Most residents were seen to eat their meal in the dining rooms, some with assistance appropriately given by the staff. Four enjoyed their meal and conversation whilst sat at an additional table in the conservatory and some confirmed they have their meals in their own rooms. Of the 3 residents who returned surveys to the Commission 1 indicated they ‘always’ like the meals, 1 that they ‘usually’ like the meals and the other indicated ‘sometimes’ and commented ‘it would be nice if it was hotter on some occasions’. One resident spoken to said custard was frequently served with the desserts and that they missed having clotted cream. The people living in the home told the inspector they were happy with the visiting arrangements, visitors said they feel welcomed into the home and were seen to be able to visit their relative/friend in private in their own accommodation or socially in the communal areas. Residents confirmed that they are able to chose how and where they spend their time as well as times to rise and retire one person said they always get up early - about 5 am, but wont have anything to eat or drink till breakfast time, because they don’t want to be any trouble’ it was suggested that this early rising time could be planned for by the staff and perhaps a cup of tea could be offered earlier. Furzehatt Care Centre DS0000061636.V301595.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives/friends know how to make a complaint. People are safe living in this home. EVIDENCE: The home has a comprehensive complaints policy. This was available to residents in the Service users guide, Statement of purpose, terms and conditions of residency and displayed on notice boards in the home. 2 of the 3 residents who returned surveys to the Commission indicated they ‘always’ know how to make a complaint and the other indicated ‘usually’, they all indicated they knew who to speak to if they were not happy. Those residents’, who were asked during the visit, said that they knew who to complain to if they had any concerns and felt confident that these would be dealt with in a sensitive way by the staff. The inspector looked at the record of complaints - 2 had been recorded since April 2006 and both included outcomes and actions taken to rectify the problems and prevent reoccurrence. Policies and procedures for the protection of residents and staff are in place and they include information about agencies that should be contacted if allegations of negligence or abuse are made. Written feedback was returned to the Commission by 5 care staff 4 indicate that they are aware of adult protection procedures and the training records showed that staff are provided Furzehatt Care Centre DS0000061636.V301595.R01.S.doc Version 5.2 Page 15 with regular training about how to protect vulnerable people from abuse or neglect. Furzehatt Care Centre DS0000061636.V301595.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment is safe and adequately maintained. The home is clean and hygienic. EVIDENCE: A tour of the home provided evidence that the providers maintain an attractively presented environment for residents and staff. Maintenance and associated records provided to the Commission indicate that Fire equipment, Moving and handling equipment (including passenger lifts) and gas and electrical installations are checked and serviced regularly. Most of the resident’s rooms contained personal items of furniture and ornaments and pictures. All of those spoken to said they liked their rooms with the exception of one person who said it felt like a prison this was one of the Furzehatt Care Centre DS0000061636.V301595.R01.S.doc Version 5.2 Page 17 few rooms that lacked any personal items or any pictures or ornaments of any kind. The home appeared well equipped to meet the needs of those residents identified with moving and handling risks and disabilities that affect their capability to bathe. The walkway between the 2 main buildings has had the floor covering lifted following a previous requirement and the manager confirmed a new floor covering has been ordered and this along with carpets for the landings is due to be fitted shortly. A new sensory garden has been completed this small attractive garden is safe and accessible and residents told the inspector that they enjoyed spending time in it in the shade on sunny days. Specialist mattresses were seen in place for those residents requiring them, as were height adjustable beds. The communal areas of the home were fresh and clean in their appearance; Hand washing facilities are available throughout the home. Furzehatt Care Centre DS0000061636.V301595.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of staff with appropriate skills and knowledge to meet the needs of residents in this home. The homes recruitment practise protects residents from being placed at risk of harm or abuse. EVIDENCE: Comments received during the inspection included ‘the staff are very good’ ‘the nurses are kind and very hard working’, ‘the staff are very busy, but are always polite and helpful’ ‘ I can’t find any fault here I’ve got a bell and they come if I ring it, and they have always got smiles on their faces’. The staff spoken to on the day of the inspection told the inspector they like working at Furzehatt and have access to training and all the equipment they need to carry out their roles effectively. The training records seen show that staff do have access and are actively encouraged to attend training. Staff records show that the staff have a wide range of qualifications and experience to enable them to care for current residents needs. Planned /future training includes Person centred dementia care, dealing with challenging behaviours, first aid, infection control, venepuncture, management training, sexuality and intimacy, care of the dying and bereaved, nutrition – recognising risks, customer care, abuse awareness and National Vocational Qualifications. Five staff completed and returned questionnaires to the Commission all 5 staff members said the home provides funding and time for them to receive Furzehatt Care Centre DS0000061636.V301595.R01.S.doc Version 5.2 Page 19 relevant training. 11 staff (37 of care staff excluding qualified nurses) have obtained National Vocational Qualifications (NVQ) at level 2 or 3. The inspector examined the personnel files of 4 members of staff the records showed a commitment to safe recruitment practises, files contained detailed application forms, at least 2 references, Criminal Record Bureaux checks and interview notes. Three residents provided written feedback, when asked are the staff available when you need them? 2 indicated ‘always’ and the other ‘usually’. When asked – Do you receive the care and support you need? All 3 indicated they ‘always’ do. Comments received and observation of practise indicated that the layout of the building often precludes staff from being visible, but if residents use their call bells they are usually responded to in a timely fashion. The staff spoken to on the day of the inspection visit confirmed they think there are sufficient numbers of staff on duty. The inspector found the residents looked physically well cared for with the exception of one resident who’s spectacles were in need of cleaning. Furzehatt Care Centre DS0000061636.V301595.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 at least once during a 12 month period. 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 home is well managed. Personal money held in the home on behalf of residents is secure. The registered provider shows a responsible attitude toward promoting and protecting the health, safety and welfare of residents and staff. EVIDENCE: The inspector witnessed meaningful interaction by the registered manager with staff and residents. The minutes of meetings seen at the time of the visit (House keeping and Registered Nurses) provided evidence of formal communication systems between the teams working in this home. A staff Furzehatt Care Centre DS0000061636.V301595.R01.S.doc Version 5.2 Page 21 council is being set up where members will be voted to represent the staff in the home at meetings with the organisations management team. The inspector examined the records and storage of personal money held in the home on behalf of residents. The records and balances are regularly audited and it is practise for transactions to be witnessed, to ensure best practise systems are in place for the protection of both residents and staff. Internal auditing processes are in place, and the Registered provider has obtained the Investors In People Award (IIP) and is inspecting on the spot auditing in some of their homes in September 2006. Recent audits have been performed on the laundry, infection control, and activities the manager writes a report for the management team and an action plan is agreed and acted upon in response to findings. Specialist groups are being set up and staff are encouraged to specialise and pass on their knowledge and skills to raise standards in their designated areas for example one qualified Nurse has qualified as a moving and handling trainer and now provides a programme of training internally to all staff. A Dementia care group has been introduced which plans to meet monthly and this group intends the home to meet the ‘excellence in dementia care project’ standards. The provider generally demonstrates a responsible attitude towards health and safety pre-inspection information given to the Commission by the provider indicates that services and equipment are routinely maintained and serviced by people trained to do so, safety notices were displayed throughout the home. Risks to residents are individually assessed and documented with an agreed plan in place to minimise risk where possible. Requirements and recommendations communicated from previous inspections are acted upon. Furzehatt Care Centre DS0000061636.V301595.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Furzehatt Care Centre DS0000061636.V301595.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP19 Regulation 13(4)(a) Requirement The flooring in the walkway between the 2 units needs to be replaced. Extended from 01/05/06 Timescale for action 01/09/06 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 Refer to Standard OP7 Good Practice Recommendations Each residents documented plan for their care should be reviewed regularly and consistently to ensure that their health care needs may be recognised and addressed in a timely fashion. Furzehatt Care Centre DS0000061636.V301595.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Furzehatt Care Centre DS0000061636.V301595.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. 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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