Inspection on 08/02/07 for Glencoe Nursing Home

This inspection was carried out on 8th 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 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

Glencoe Nursing Home 05/02/09

Glencoe Nursing Home 20/02/06

Glencoe Nursing Home 28/07/05

Glencoe Nursing Home 07/03/05

Glencoe Nursing Home 25/10/04

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

CARE HOMES FOR OLDER PEOPLE Glencoe Nursing Home 23 Churchtown Road Gwithian Hayle Cornwall TR27 5BX Lead Inspector Diana Penrose Key Unannounced Inspection 8th February 2007 09:10 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 Glencoe Nursing Home DS0000061826.V323971.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. Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glencoe Nursing Home Address 23 Churchtown Road Gwithian Hayle Cornwall TR27 5BX 01736 752216 01736 758325 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) Mrs Alexandra Maggs Mrs Tracey Ann Brooking Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (10), Terminally ill (5) of places Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit one named person with a learning disability which is outside of the home`s registered categories. 20th February 2006 Date of last inspection Brief Description of the Service: Glencoe is a Care Home providing accommodation, personal and nursing care for up to 20 older people. The home is situated on the edge of the village of Gwithian, near to the towns of Camborne and Hayle. It is set in its own grounds, with ample parking and is easily accessible by road. Accommodation is provided across two floors. The upper floor is accessible by lift. The environment is pleasant and homely, attractively decorated and very clean. There is sufficient communal space in addition to resident’s own bedrooms. Most of the bedrooms are single there are two double rooms. The Registered Provider is actively involved in the running of the home and spends three or four days each week at the home. The Registered Manager and staff present as competent, friendly and caring. Information about the home is available in the form of a residents’ guide, which can be supplied to enquirers on request. A copy of most recent inspection report is available in the home. Fees range from £474.25 to £625 per week; this information was supplied to the Commission in the pre-inspection questionnaire received on 19/01/07. Additional charges are made in respect of private healthcare provision, hairdressing and personal items such as newspapers, confectionary and toiletries. Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An inspector visited Glencoe Nursing Home on the 08 February 2007 and spent eight and a half hours at the home. This was a key inspection and an unannounced visit. The purpose of the inspection was to ensure that residents’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus was on ensuring that residents’ placements in the home result in good outcomes for them. It was also to gain an update on the progress of compliance to the requirements identified in the last inspection report dated 20/02/06. All of the key standards were inspected. On the day of inspection 20 residents were living in the home. The methods used to undertake the inspection were to meet with a number of residents, relatives, staff and the management to gain their views on the services offered by Glencoe Nursing Home. Case tracking and observation of the care practices and staff interaction with residents formed a large part of this inspection. Records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of the inspection. Residents and relatives expressed satisfaction with the care and services provided at the home. Overall the home is providing a good quality of care to the residents placed there. What the service does well: The home provides a comfortable, warm, clean and safe environment for residents, staff and visitors. The registered provider continues to upgrade the décor and furnishings in the home and strives to maintain a high standard. Residents are only admitted following an assessment to ensure the home can meet their needs. Prospective residents and their family are invited to visit the home prior to any decisions being made to live there. Residents have an individual care plan and relevant risk assessments are undertaken. Care practices observed were appropriate and safe. Residents said their needs are met and they are very happy living in the home. They said the staff are kind and caring and work very hard. A visitor said, “the staff are all wonderful, they take time and go the extra mile. I chose the home on recommendation after looking at several others, I knew this one was right when I came here and I have not been disappointed”. Staff in all areas were observed spending time with residents. Residents, visitors and staff praised the housekeeper in particular for her rapport with residents. The inspector observed her communicating with residents with patience, empathy and good humour. Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 6 Staff listened to the needs of residents during the inspection, for example one resident was unhappy at lunchtime, as she wanted to sit in a different place. Time was spent making sure she was moved and comfortable before lunch was served. Lunchtime was observed to be enjoyable and residents were assisted in a relaxed manner with good communication. One resident who had her lunch in her room was seen to have as long as she wished to eat her meal, there was no rush. Medicines are stored safely and securely and only qualified nurses administer the medicines. The medicine round was observed to be undertaken safely and in a professional manner. Relevant equipment is provided for moving and handling purposes and pressure-relieving equipment is supplied as required There is a robust recruitment procedure and appropriate training is provided for staff. There are very few complaints but there is a system in place that ensures complaints are dealt with promptly and records are kept. What has improved since the last inspection? What they could do better: Social, religious and cultural needs are included in the initial assessments and must also be included in the care plans. This was a requirement at the last inspection and is re-notified. A copy of the local authority inter agency procedures for dealing with abuse should be available in the home, this was recommended at the last inspection. Please contact the provider for advice of actions taken in response to this Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 7 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. Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are only admitted to the home following an assessment of their needs to ensure the home can provide suitable care. EVIDENCE: Evidence was provided in the form of records, interviews with residents, relatives, staff and manager. The manager or the matron visits prospective residents prior to admission to assess their needs. The home has a specific form for recording the initial assessment. Information from the Department of Adult Social Care and hospital staff is obtained when appropriate. Prospective residents and their relatives are welcome to visit the home at anytime. A relative spoke positively about the assessment process and said she and her husband came to the home and were fully involved. Forms inspected were completed appropriately, Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 10 dated and signed. An individual plan of care is compiled from the initial assessment information. Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual care plans are generated for each resident that inform and staff in the care provision, social, religious and cultural needs must be included to provide a holistic approach. Residents have access to health care services as necessary to ensure their assessed needs are met. There are systems and policies in place for dealing with resident’s medicines that assure residents safety. Systems are in place to ensure that residents are respected and their privacy is upheld at all times. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and interviews with residents, relatives and staff. Each resident has a written care plan that is reviewed monthly. Residents said they discuss their care needs with the Matron; some care plans had been signed by the resident or their representative. Social, religious and cultural needs must be included in the planning of care for individuals a requirement Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 12 made at the last inspection is re-notified. The registered manager and the matron said they would ensure these needs are included. They also said they are hoping to get life histories compiled for all residents; these would better inform the staff of care to be provided. Risk assessments include Waterlow scoring, nutrition, moving and handling, falls and Barthel scoring. Daily records are maintained and care staff write in these records as well as the nurses. The records are very informative. Residents spoken with said their health needs are met and they have access to their GP or other health professionals when required. A relative spoke very positively about the health care workers involved in her husbands care. Care practice was observed to be appropriate during the inspection and carried out in a calm, efficient manner. Staff spoke to the residents and informed them of what they were about to do. Moving and handling and pressure relieving equipment is supplied and hospital style beds are provided. The manager said that links with specialist healthcare professionals is variable but the nurses keep themselves up to date on current practice. All of the residents are now registered with one GP, the manager and the matron said this arrangement is superb and the service provided has improved immensely. Medicines are administered from individual pots/packets that are stored safely in individual labelled trays in a tidy trolley. No residents are self-administering at the moment. The medicine charts are typed and very clear, the GP signs each medicine prescribed on the charts, there were no gaps observed in the administration records. Medicines were administered in a professional manner during the inspection. The disposal of medicines and the records are satisfactory. Homely remedies are not used at present the manager said the GP will provide a list if they feel it’s necessary. Some medicines were being shared and this was discussed with the nurse on duty and the manager, they rectified this practice during the inspection. The medicines policy was discussed and the manager said she would include the use of insulin and oxygen (none of the present residents require these treatments). Relevant reference books and leaflets are available for staff or residents to refer to. Care staff receive some medicines training, the manager said she would ensure that more is included in the induction programme. The manager stated that the pharmacist will provide training for the nurses on request. Staff were observed to uphold resident’s privacy during the inspection and knocked on doors before entering. Appropriate screens are provided in the two shared rooms. There is a suitable policy and privacy is acknowledged in the statement of purpose. Residents said their privacy is always respected and they are treated with dignity. Glencoe Nursing Home DS0000061826.V323971.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 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 provides some organised activities and staff spend time with residents aiming to offer a lifestyle that meets their individual needs. Links with family and friends are very good and allow residents the opportunity to socialise. Residents are helped to maintain control over their lives and staff respect their individual preferences and choice. Dietary needs of residents are well catered for with a varied selection of food that aims to meet their taste and preference. EVIDENCE: Evidence was provided in the form of documentation, observation, and interviews with residents, relatives, staff and manager. Some organised activities and entertainment are on offer to residents and one member of staff tends to co-ordinate these. Activities include Holy Communion each month, music, manicures, 1:1 chats, reading the newspaper and library books. One resident was knitting. Residents said there was more going on at Christmas time. Most of the residents spoken with were happy with the amount of activities provided, they all appreciated staff finding time to sit Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 14 and chat. Staff interaction was good during the inspection and staff from all areas, not just care staff, spent time with residents. There is a record of visitors to the home and there were visitors in the home during the inspection. Residents said they could receive visitors in private and at any time. Visitors spoken with said they are always made welcome in the home and can call whenever they like. They said staff are very friendly and helpful. One visitor said she is always offered a cup of tea and it comes on a nice tray with a cake or biscuits. Residents said there are suitable telephone arrangements in the home. Residents said they choose when they get up and go to bed within reason. Some residents were having breakfast late into the morning. They said they choose what clothes to wear and how they spend their day. Some residents are unable to communicate their wishes, the manager said that staff try to ensure they are not kept up for too long and several have a nap in the afternoon. The matron said that sometimes families give information on the preferred routines of residents. All residents were suitably dressed in clean clothes. Residents’ rooms are personalised with their own belongings and furniture. Nutritional needs are assessed and the manager said the speech and language therapist is involved as necessary. Likes and dislikes are recorded. The lunch menu is set but staff said that alternatives are available; different examples were given by different staff. One resident said she did not think she could have an alternative at lunchtime but there is a lot of choice at teatime. The lunch menu was displayed on a board in the dining room. Lunchtime was observed, resident’s meat was plated and staff served the vegetables and sauce according to individuals wishes. Staff interacted well with residents and those being fed were given plenty of time. Plate guards were in use for some residents. Fresh fruit and vegetables are provided, homemade cakes are available every day and special occasions are catered for. Plenty of fluids were available for residents throughout the day. All residents and visitors spoken with said the food provided is very good. The cooks have achieved NVQ qualifications in food preparation and food hygiene. Records are maintained as required. Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 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 satisfactory complaints procedure that ensures complaints are listened to and acted upon. Arrangements are in place for the protection of residents safeguarding them from harm or abuse. EVIDENCE: Evidence was provided in the form of documentation and talking with the registered manager and staff. There is a suitable complaints policy in the home and a method for recording complaints, the action taken and the outcome. There has been one complaint to the home in the past year. The issue was dealt with promptly and records have been kept. Thank you letters and cards are kept. Residents said there are no barriers to raising concerns with the management. The manager has attended an adult protection training course and she provides in house training with the use of a video and training pack. Staff said they found the training useful. She is hoping to get staff onto external training very soon. It is still recommended that a copy of the local inter agency procedures be obtained. There have been no abuse issues at the home. Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home and grounds are well maintained providing a safe environment for residents, staff and visitors. The home is comfortable, clean and free from offensive odours making it a pleasant place for residents to live in. EVIDENCE: Evidence was provided in the form of a tour of the building, interviews with residents, staff and management. The home is warm, homely, comfortable and clean with no offensive odours. Maintenance and refurbishment is ongoing, several rooms have been decorated with new furniture and carpet since the last inspection. The corridors have been measured ready for new carpet to be fitted. All bathrooms now have washable flooring for infection control purposes; the laundry floor still has to be done. New windows have been installed in the front of the building and Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 17 suppliers are expected to quote for new fire doors next week. A new dishwasher has been purchased for the kitchen. The grounds are kept neat and tidy and are accessible to residents. All laundry is dealt with in house and residents are happy with the service. There is one washer disinfector in the laundry room. Hand-washing facilities are appropriate and staff were observed wearing protective clothing. There are hand-washing posters in toilets and bathrooms. Staff receive infection control training in house. Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels generally meet the needs of residents and staff morale is good. Residents are in safe hands and they benefit from the 77 of care staff trained to at least NVQ level 2 in care. Recruitment procedures are robust and offer protection to the residents. The home provides appropriate training for staff to help them be more competent in their roles. EVIDENCE: Evidence was provided in the form of documentation, records, and interviews with residents, relatives, staff and management. The registered manager said that staffing levels are satisfactory and there are no vacancies at present. Agency staff are rarely used, none in the past few months. There is a qualified nurse on duty at all times and on average there are 3 carers in the mornings, 2 in the afternoons and 1 at night. There is an on-call system and extra staff are brought in if the need arises. Some residents said there are enough staff others feel there are times when there could be more. Staff said the afternoon/evening shift would benefit from extra help with the present dependency of residents, the registered manager was informed of this. Staff did seem to be busier in the late afternoon. Staff interacted well together and with residents. Residents and visitors said that staff are very caring and go out of their way to help. Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 19 Staff are encouraged to undertake NVQ training and 77 of care staff are qualified to at least NVQ level 2 in care. The home operates an equal opportunities policy. Recruitment files inspected contained the documents required by legislation. Staff are issued with terms and conditions of employment and a relevant job description, they are also required to read the employee’s handbook. Relevant employment checks are made. The registered manager said that all staff are treated equally. There is an induction programme for new staff that includes the skills for care induction standards. Induction records inspected have been dated and signed. Individual training records are maintained for staff. Training needs are identified at interview, appraisal, and supervision and sometimes during meetings. Staff said there are opportunities to attend external courses if they wish and in house training takes place regularly. The registered manager said that first aid training is a priority for all staff, POVA and customer service training is in hand, these will be held at an external venue. There is no training policy for the home but the manager said she would consider developing one. Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 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 registered manager is a person of good character and fit to run the home. The home is run in the best interest of the residents and they benefit from the Quality Assurance systems in place. The home does not handle residents’ money but ensures that their financial interests are safeguarded. Appropriate training and safety checks are undertaken to ensure the health, safety and welfare of residents, visitors and staff. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and interviews with residents, staff and management. Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 21 The manager is a registered general nurse and has achieved the Registered Managers’ Award. She keeps herself up to date on current issues by reading relevant magazines and using the internet. She attends courses when she can and keeps up to date with statutory training in house, recent training includes excellence in dementia care and action on elder abuse. She is very competent and experienced and works closely with the registered provider and matron. Staff, residents and visitors said the home is well run and the management team are all approachable. Staff feel supported, they appreciate the training provided by the manager and her hands on involvement. A quality assurance survey is undertaken annually with satisfaction questionnaires distributed to residents, relatives and GP’s. The results are encouraging. Staff meetings take place and an informative monthly newsletter is produced. A team building session was held for staff and a ‘T-Bag’ group meet regularly. Minutes are produced for all meetings and show staff involvement and actions taken. The home is in the process of doing the Investors In People award (IIP). The home does not hold money for any residents; their representatives deal with their finances. Bills are sent to the representatives for costs incurred for chiropody and hairdressing and so on. This system seems to work well. The management endeavour to ensure that working practices are safe. Relevant service checks take place as required and are up to date. Staff receive statutory training regularly. The kitchen staff have all received food hygiene training. The last two Environmental Health Officers reports state that excellent standards are maintained at the home. Accident reporting complies with data protection; there are few accidents in the home; two a month or less. Health and safety risk assessments have been undertaken and so has a fire risk assessment. The recommendations made by the fire officer are being addressed. Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 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 Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? 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)(b) Requirement Social, religious and cultural needs must be included in the care plans Re-notified Timescale for action 08/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP18 Good Practice Recommendations A copy of the local inter agency adult protection procedures should be obtained Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Glencoe Nursing Home DS0000061826.V323971.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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