Inspection on 07/02/07 for Garson House Care Home

This inspection was carried out on 7th February 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Garson House Care Home 06/09/06

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

CARE HOMES FOR OLDER PEOPLE Garson House Care Home Garson House 7 Lee Road Lynton Devon EX35 6HU Lead Inspector Victoria Stewart Key Unannounced Inspection 7th February 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Garson House Care Home DS0000066653.V324332.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. Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Garson House Care Home Address Garson House 7 Lee Road Lynton Devon EX35 6HU 01598 753202 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) Betty May Boundy Russell Montague Boundy Betty May Boundy Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2006 Brief Description of the Service: Garson House Care Home is a detached property, situated in the picturesque village of Lynton in North Devon. The home is registered to provide personal care for 13 residents over the age of 65 years and is privately owned. The home is approached from the main street of Lynton by a private driveway and has on-site parking. There is level access throughout the home with a passenger lift serving the first floor. Garson House has recently undergone major modernisation and this is on going. When complete, the home will provide 13 single rooms, some with ensuite facilities. There is a sun-lounge/conservatory leading from the communal lounge, which in turn leads to a patio area and garden consisting of trees, lawn and flower beds. The home has a light and airy dining room. The home has two flats attached to the side of the property. These flats are self-contained, independent and have no impact on the resources of this home. The cost of care at the time of the inspection was within the range of £350 to £450 per week. Chiropody, hairdressing, personal toiletry items and newspapers/magazines are additional costs which are not included in the fees. Copies of the CSCI inspection reports are available for all interested parties upon request. Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 7 February 2007 and took 5.5 hours to complete. During the visit the inspector case tracked three residents, which helps us to understand the experiences of people using the service. There were eight people living at the home on the day of inspection and two people receiving day care – the inspector saw and spoke with all of them. Prior to the inspection a questionnaire was completed by the home and further CSCI postal surveys were sent out. All nine surveys sent to residents were returned; four out of nine sent to staff were returned and the two sent to health/social care professionals were returned. A tour of the premises was undertaken and a sample number of records were inspected which included care plans, medication records/procedures, staff recruitment files, service and maintenance certificates and fire safety records. Discussions took place with the manager, care staff and three visiting professionals. The outcome of the inspection was discussed with the registered manager, Betty Boundy before leaving the home. What the service does well: Prospective residents are given good information about the home before they move in, allowing them to make a choice about whether to live there or not. The home ensures that all residents receive an assessment before they move in to the home to ensure that their care needs can be met in full. Residents’ health care needs are met by the good working relationships that have been established between the home and other health care professionals. Medicines are managed well in the home. The home is very welcoming and has a very homely atmosphere. Residents are cared for in a family run home. One relative commented, “I am delighted that the care home really is a care home. Owners and staff alike are all very caring people and really do make the home ‘a home’”. Different activities and recreational interests are offered to residents which they enjoy. Meals served in the home are wholesome and nutritious and a variety of food served. Residents were very complimentary of staff and one commented, “the staff are always available when I need them. If they can’t attend immediately they will Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 6 always respond and assess the need” and “very efficient and supportive from all carers”. The environment continues to improve and provides residents with a comfortable home to live in which is well furnished, maintained and decorated. One resident commented, “The home is immaculate at all times”. The management of the home is open and friendly ensuring that residents, relatives and staff can feel confident in the registered manager/owner. 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. Garson House Care Home DS0000066653.V324332.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 Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information about the home is available for prospective residents and their representatives to enable them to make an informed choice about living there or not. Residents’ benefit from a good admission and assessment process, which ensures that the home can meet their needs. EVIDENCE: All surveys from residents showed that they had received enough information about the home before moving in so they could decide if it was the right place for them. One of the residents said, “I visited the home several times”. Another survey said “my daughter visited the home on my behalf and was very impressed by all the information and advice given”. Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 9 Three resident files were looked at. The home had carried out comprehensive assessments themselves prior to the prospective resident living at the home. Three assessments looked at were detailed and contained important information about health and personal care needs as well as individual preferences. All staff responding with surveys said they were not asked to care for people with needs outside of their experience. The home does not provide intermediate care. Garson House Care Home DS0000066653.V324332.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, 10 & 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health care needs are well met and there have been some improvements to the care planning process. Further development of these plans and other care records will continue to ensure that all residents’ health and personal care needs are met in a consistent manner. Medication administration is well managed with clear systems in place promoting good health. Residents’ benefit from staff that treat them with dignity and privacy at all times and at the time of death with care, sensitivity and respect. EVIDENCE: Eight residents responding to the CSCI survey said that they “always” receive the care and medical support they need; one resident felt that they “usually” received the support they required. One resident wrote, “I always receive very good medical support. All carers are efficient at giving my medical needs” and Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 11 another wrote, “I always receive very good medical support”. All residents spoken with on the day of inspection confirmed their satisfaction with the care given at the home and were very complimentary of the staff giving it. One resident said, “Yes, very well looked after, all needs met by kind and friendly staff”. The care planning records and risk assessments of three residents were looked at. Social histories including important information about residents’ past lives and occupations are not currently recorded in the care records and therefore information relating to residents’ past lives is missing. Care records did show evidence that residents had been consulted and involved in their care planning, however the information contained within them was limited. Care plans outlined residents’ general care needs, such as personal care but did not always provide other necessary information. For example, one resident had been assessed as suffering from diabetes but this information was not included in the care plan to show staff how to care for her condition. Another resident required the use of a catheter and the care plan stated that this resident “requires catheter care” but no record of what this actually meant. One of the residents liked to stay in her room all day and suffered from deafness (and did not like to wear her hearing aid) and blindness (due to cataracts). None of this was recorded on the care record. Staff are therefore relying on their own knowledge to care for these residents which may not always be consistent. One of the residents care files looked at did not have a care plan begun and this resident had lived in the home for several days. The staff had relied on the previous nursing care notes to delivery the necessary care required. Relatives of this resident confirmed that even though records were scanty, care delivered was good and of the highest standard. Care records showed that the home works closely with other professionals in order to ensure that the residents’ health needs are met. For example, one resident had recently received terminal care and the medical and health care teams had been very closely involved with the home to jointly care for this particular resident and ensure all their needs were well met. This was confirmed both in surveys and by speaking with two professionals on the day of inspection. A family of a resident who had died very recently voiced their thanks for the care given at Garson House and their desire for these to be included in the report. They were very complimentary of the staff and commented “this is a most fantastic place, with wonderful treatment for everyone”. They expressed how much dignity had been offered to the family during the passing away of their relative and said that everyone was treated with “warmth, love, dignity and serenity”. They had spent time at the home with their relative and the home had carried out their wishes regarding funeral arrangements which were discussed with the manager and staff. The funeral director attended the home during the inspection and the inspector felt that the process of removing the body from the home was dealt with in a sensitive, private and dignified manner with utmost respect from staff. Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 12 The home monitors residents’ dentist and optician checks and chiropodists are used according to residents’ needs. The procedures and records relating to medication in the home were looked at and these were all satisfactory. The home uses an MDS system from one chemist and obtains one-off medications from another smaller chemist which works well and means that residents get any tablets prescribed to them quickly. The medication administration record (MAR) was signed appropriately. One resident manages her own medication completely herself, but the home reviews it from time to time. Garson House Care Home DS0000066653.V324332.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. There are good arrangements at the home to ensure that residents social and recreational needs are well met. The home provides a welcoming and friendly approach at all times to people visiting the home and is good at enabling residents to make choices in their day-to-day lives. Dietary needs of residents are well catered for, with a balanced and varied selection of food available that meets residents’ tastes and choices. EVIDENCE: Three of the nine residents responding to CSCI surveys said there were “always” activities arranged by the home that they could take part in; the other six residents said that this “usually” or “sometimes” happens. The home does not have a dedicated activities organiser but this is shared between the care staff. Group and individual activities are organised but not on the day of the inspection. One visitor was arranging some flowers in the conservatory where some residents were sitting. Most of the residents enjoy sitting in the Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 14 conservatory and watching the activities of the nearly High Street of Lynton. Other activities at the home include board games, musical events, arts and crafts, coffee mornings, walks, tea parties, musical movement, manicures, flower arranging and visits to the cinema and library. Some residents are able to go to the adjacent shops unaided. One resident commented, “We are taken out to a local coffee morning and meet other residents. We are taken out for a walk weather permitting. There is also flower arranging. We have a good singsong on a Sunday. There are games on offer. And the nice things is, we can always choose to sit quietly and watch the world go by, watch the birds from the comfort of our chairs. Sometimes I choose to just sit quietly and chat to others”. Residents’ hobbies and interests had not been explored and therefore little detail written about how to meet residents’ social and recreational needs in their care plans (see NMS 7). Whilst residents’ preferences regarding daily routines and choices were not recorded, residents confirmed that they have a choice over their daily lives in the home. When the inspection began, only two residents were sat in the lounge and both said they liked to get up early, with neither of them needing assistance from staff to get dressed. Some of the other residents had their breakfast in bed before getting dressed, one lady did not want to get dressed at all and spent the day in her room and another resident was helped to get washed and dressed when she wanted. One resident commented in their survey “they have let me keep my individuality but included me in their home”. Mixed comments were received from residents regarding the meals at the home. Four residents said they “always” like the meals and five said they “usually” enjoy the meals. One resident said, “I have some very good meals here. The standard of food is good and wholesome. I am offered alternatives if I don’t like the main choice”. The cook was relatively new to the home and was in the process of changing the menus in consultation with the manager. The home had tried asking residents what they wished to eat the following day but felt this had not worked due to residents forgetting what they had ordered. The home is going to try asking residents at breakfast time what they would like to see if this works better. The inspector sat at a table with three residents for lunch. All enjoyed their meal of sausages wrapped in bacon with roast potatoes and fresh vegetables and homemade rice pudding for dessert. One resident was served chicken as an alternative. The lunchtime meal was unhurried and a pleasant experience for all residents. The home has a welcoming and friendly approach to all visitors in the home. One health care professional commented that Garson House is a “homely” environment and residents also commented “the home looks very homely”. Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 15 Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 16 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 good complaints process at the home, with some evidence that residents feel that their views are listened to and acted upon. Residents are in safe hands from staff who understand the principles of adult protection. EVIDENCE: All residents responding with surveys knew how to make a complaint and who to speak with if they were not happy. One resident wrote “the staff are all approachable and helpful - if I need to I can always speak to Mrs Boundy” and another wrote “if I need to, then I will speak to the carer or Mrs Boundy”. All residents responding with surveys felt that staff listen and act on what they say. The complaints policy and procedure has been updated since the last inspection and no complaints have been received since that date. All staff responding to CSCI surveys were aware of procedures to protect residents from harm and training in adult protection issues continues for all staff. Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. 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’ benefit from living in an environment which is homely, well furnished and maintained to a high standard. The standard of cleanliness and hygiene is good, but improvements to the laundry will ensure better infection control arrangements for residents living at the home. EVIDENCE: The home is extremely clean and well maintained both inside and outside of the building. All residents responding with surveys said that the home was “always” clean and fresh. One resident wrote in their survey “it is very nice here, always clean and fresh. The home looks very homely, with fresh flowers about the place. The dining room is very pretty. Everything is kept very clean and tidy including my room” and another wrote “the home is immaculate at all Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 18 times”. Another resident said, “I think my bedroom is lovely. I’ve got pictures in my room – I don’t think anything could make it more homely”. The home has a welcoming entrance hall. Décor is of a good standard, and the refurbishment of the home since the new ownership is on going, with en-suites being installed where possible. On the ground floor there is a large lounge and adjoining conservatory (with direct views over the shops of Lynton town). There is an airy, spacious dining room with direct access from the kitchen. All bedrooms in the home have been personalised and individualised with sentimental items such as pictures, photographs and various pieces of furniture. The front of the property has a well-maintained garden with outdoor seating. A passenger lift gives residents access to all areas of the building. The laundry area of the home is in need of refurbishment but it remains part of the modernisation programme and will be updated in the future. Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. 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 numbers are currently sufficient to ensure that residents’ care needs can be met; but regular reviews of staffing levels will ensure that residents’ care needs can be fully met when occupancy increases. The home has made some progress in improving its recruitment procedure but this is still poor and puts residents at risk. Residents’ benefit from staff who undergo the training necessary to allow them to do their jobs well. EVIDENCE: Eight residents responding with surveys said that staff were “always” available when needed, one said “usually”. On the day of inspection, the manager, a senior care assistant, a new care assistant and a cook were on duty from 8am – 2pm. One member of the morning staff had been sent home due to illness and the manager was covering for her. From 2pm – 9pm two care assistants were on duty and one care assistant works the nightshift from 9pm – 8 am. The home does not employ separate domestic staff and currently care staff do cleaning as part of their duties. Whilst this has minimal implications on the low number of Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 20 residents at the present time, this may change when more residents live at the home and dependency levels change. Three staff recruitment files were looked at. These held most of the information required with the exception of the necessary Protection of Vulnerable Adult (POVA) or Criminal Record Bureau (CRB) checks for these people prior to them starting work at the home. Two of these staff were working unsupervised in the home, whilst a senior member of staff was still supervising one. During the inspection, the manager realised that she had not received these checks from the organisation dealing with the requests and therefore attempted to sort this out on the day of inspection. One of the members of staff had actually been cleared by the CRB but this confirmation had not yet been received the home and the other two applications had apparently been lost in the post and the manager would need to reapply for them. The manager agreed for the two members of staff without the POVA and CRB checks to work under direct supervision until they had been received. Currently two members of care staff have NVQ 2 (a formal care qualification), two others have started the course and a further three members of staff want to do the course. Staff responding in their surveys felt that enough training was given by the home and other areas of training planned for the future include dementia training, continence training, oral health, first-aid, health and safety, risk assessments and restraint. One health care professional in their survey commented that they are working closely with the home to help with the training of care assistants in areas such as continence, pressure area care and nutrition. Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 & 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents, relatives and staff benefit from the friendly and open management at the home. The running of the home has improved, but further improvements in record keeping will ensure that residents are fully protected. There are informal arrangements in place to involve residents and their representatives in the running of the home, but this needs to be formalised and the quality of care evaluated. EVIDENCE: Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 22 The registered manager is a Registered General Nurse and has completed the Registered Manager’s Award. She has many years experience in caring for older people and has worked in previous care homes before purchasing Garson House. She has a ‘hands-on’ approach and staff felt that the manager “is very supportive” and runs a “family run care home”. One health care professional commented, “we are very impressed with the new owner of Garson House – she is very caring and competent”. The home is developing systems to ensure the quality of the service is monitored. Due to the smallness and low number of residents in the home, the manager regularly consults with residents to get their informal views of the home. However, no formal review has been undertaken yet to assess the satisfaction levels of those who responded. The home encourages family or advocates to assist residents manage their finances and do not currently handle the finances of any residents at the home. Since the last inspection record keeping in the home has improved, with the exception of those mentioned earlier in the report, in particular those relating to staff recruitment and resident care. These records ensure that residents at not put an unnecessary risk and have all their care needs met fully. Fire safety appeared to be well managed. A visit by Devon Fire & Rescue in October 2006 was carried out and any points actioned. Records showed that fire equipment is serviced and maintained regularly and that staff receive training. The manager was aware of the new fire regulations and a newly completed risk assessment had been completed. An environmental health inspection in September 2006 was carried out and the replacement of the floor covering was done. The kitchen was generally clean and well organised. Regular fridge temperatures are recorded to ensure safe storage and foods stored in freezers and fridges were labelled and dated. The pre-inspection questionnaire showed maintenance of equipment, water and electrical systems. Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 3 11 3 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 2 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 3 Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 15 (1) Requirement All residents living at the home must have a completed plan of care which holds enough detail to enable care staff to fully meet the individual resident’s needs Previous timescale of 6/11/06 not met Timescale for action 07/04/07 2. OP26 13 (3) The laundry must be updated to 06/06/07 prevent the spread of infection in the home. All staff working at the home must have the necessary preemployment information listed under Schedule 2, in this case POVA and CRB checks. Previous timescale of 06/09/06 not met Records relating to staff recruitment and resident care records must be held and up to date, containing all the information required. Previous timescale of 06/09/06 not met 07/02/07 3. OP29 19 (1) a,b Sch 2 1-7 4. OP37 17 (1)(2)(3) Sch 2, 3, 4 07/04/07 Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 25 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 Garson House Care Home DS0000066653.V324332.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP 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. 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