Inspection on 06/12/06 for Green Meadows

This inspection was carried out on 6th December 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 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

Green Meadows 25/07/07

Green Meadows 01/02/06

Green Meadows 20/09/05

Green Meadows 14/02/05

Green Meadows 26/08/04

Green Meadows 10/03/04

Green Meadows 10/02/04

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

CARE HOMES FOR OLDER PEOPLE Green Meadows Green Lane Denmead Hampshire PO7 6LW Lead Inspector Anita Tengnah Unannounced Inspection 6th December 2006 10:00 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 Green Meadows DS0000037294.V316271.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. Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Green Meadows Address Green Lane Denmead Hampshire PO7 6LW 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) 023 9225 5328 Hampshire County Council Mrs Rachel Jane Pearce Care Home 42 Category(ies) of Dementia - over 65 years of age (42), Old age, registration, with number not falling within any other category (42) of places Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10/02/06 Brief Description of the Service: Green Meadows is a purpose built care home providing accommodation for 42 older persons, including those with dementia. The home is owned and managed by Hampshire County Council. Accommodation is provided in four units across two floors, and benefits from a large landscaped garden and extensive views over the countryside. Each unit has a lounge dining room, small kitchen, bathroom and toilet, as well as service users’ bedrooms. There are additional communal areas including a spacious lounge and smaller seating areas, hairdressing salon which is available to all service users. The service users also have the use of additional recreational space in the old day centre facility. The current fee charged is £395. Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was undertaken on the 6th of December 2006. The process included a tour of the service where a number of the bedrooms, communal areas, kitchen, and bathrooms were viewed. As part of case tracking 5 staff and 8 service users views were sought and care records were looked at. The inspector also spoke to visiting professionals such as district nurse and the environmental health officer who were at the home at the time. Information gained from the pre inspection questionnaire was also used and included in this report, as was information gathered by the commission since the last inspection to contribute in assessing judgements in this report. The commission has issued an updated certificate of registration reflecting the current registration body as CSCI following this visit. The commission did not receive any comments cards back, however relatives and the service users spoken with indicated that the home provides a reliable service and that they felt safe at the home. As part of the unannounced inspection the quality of the information given to people about the care home was looked at. People who used the service were also spoken to, to see if they could understand the information and how it helped them to make choices. This information included the service users, guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care` homes for older people. This report will be published in MAY 2007. Further information on this can be found on our website www.csci.org.uk What the service does well: The home provides the service users with a warm and welcoming environment to live in. The service users bedrooms are personalised and they said that this met with their needs. Care practices observed at the time of the visit showed that the staff and the service users had developed good relationships and care was provided in a respectful manner. Positive comments were received from the service users spoken with about the care that they are receiving at the home. Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 6 The meals are well managed offering the service users variety and choices. There is a good procedure for dealing with the service users’ personal allowances as managed by the home that ensures that they are protected from abuse 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. Green Meadows DS0000037294.V316271.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 Green Meadows DS0000037294.V316271.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): 1,2,3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process ensures that the service users have the information they need to make an informed choice. The service does not provide intermediate care. EVIDENCE: The home has a statement of purpose and a service users guide. Three service users views were sought to find out if they had received information prior to moving into the home. One service user said that he visited the home and was given information about the service. Another service user said that she did not know or could not remember and was not aware if she had a contract. A relative confirmed that she was provided with information when she made enquiries about admitting her mother to the service and she recently received a letter to notify her of an increase in fees. Record showed that the service Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 9 users are offered a contract with the terms and condition of residency on admission. All the three service users spoken with said that they had made the “right choice” and that they were treated well and the staff were “very good”. The service users are offered a contract with the terms and condition of residency on admission. However copies seen in the service users’ folders did not contain the fees charged. The care records of two newly admitted service users and two service users receiving respite care were seen as part of case tracking. Care management assessments are sought as part of the assessments that staff stated is used as part of the care planning. This was available for a service user admitted for respite care. Two service users said that they were provided with information prior to admission. The home offers prospective service users the opportunity to visit the home. The manager confirmed that the home does not provide intermediate care. Green Meadows DS0000037294.V316271.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. 7,8,9,10 Some of the care plans were detailed, however further development of care plans and assessments would ensure that all care needs are identified and met. The healthcare provisions for the service users are well managed. Some of the medication management was poor and must be reviewed to safeguard the safety of the service users. The service users are treated with respect and their dignity maintained. EVIDENCE: Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 11 The care plans of six service users were seen as part of the case tracking and these included two service users receiving respite care. Two of these contained lots of details about the care needs of the service users and how these would be met. Assessments included social contact, detailed personal history and risk of falling. Three of the records seen did not contain manual handling assessments and inadequate details about how the personal care needs would be met. It was discussed with the manager that care records should include the type of support needed and clear information on how these would be achieved. The home has service users who come in for respite care. This is a valuable service and enables the service users to remain in their own home. Care management assessments for these service users were available. The home carried out assessments for respite care service users on admission. Record seen indicated that this had not been reviewed on admission in order to assess any changes in the needs of the service user. There was no care plan for one service user on respite care and was brought to the attention of the manager. The staff must ensure that the service users admitted for respite care have an assessment of their needs reviewed on re-admission to ensure that any changes are identified and appropriate care plans are put in place to show how these needs would be met. The home has one service user who has been assessed as requiring nursing care and the manager reported that this is being addressed at present. All the service users were registered with a GP and staff reported that the GPS visited twice a week and were available at other times. It was evident from staff comments and the visiting district nurse that the home has developed and maintained good relationships with the local surgery and staff felt supported. There was good system in place for supporting the service users in remaining at the home for terminal care and managing their pain. Comments from a visiting professional included “this is a very nice home” and that staff are pro active in referring the service users and seeking support as needed. The home has a medication procedure in place for the receipt and return of medication. The home was using the Monitored Dosage System (MDS) and all medication received were checked and recorded. The medications are ordered on a monthly basis and staff ensured that they saw the prescriptions prior to these going to the pharmacist. The Medication Administration Record (MAR) sheets were maintained. It was noted that the controlled drug register did not contain complete record of drug returned to the pharmacy. Both the pharmacist and the home should sign this. This was discussed with the manager and would be rectified. The record of a service user who is self medicating did not contain a risk assessment. The home must ensure that there is a clear procedure for self-administration and that all medications in the possession of the service users are stored safely. The service users were provided with a locked drawer in their rooms, however medication that can be Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 12 dangerous to others was unlocked in one room. This was brought to the attention of the manager and rectified on the day of the visit. The district nurse was attending the home and drawing up Insulin for a week and left for the carers to administer. The service user was prescribed Insulin twice a day and different dosages for morning and evening. Good practice guidance dictates that medication should not be secondary dispensed for someone else to administer. Also that medication should not be removed from the original container as supplied by the pharmacist until the time of administration. Secondary dispensing can put the service users at risk such as receiving the incorrect dosage/ medication. Following the visit the inspector sought the advice of CSCI pharmacist regarding this issue. The pharmacist also agreed that this is unsafe practice and the home should seek advice such as regarding pre filled syringes/ training for staff in order to ensure that all medications are administered safely at all times. Further information on good practices for the management of medication can be found in the Royal Pharmaceutical Society Guidance. The district nurse reported that the alternative would be for them to attend the home twice a day to administer the Insulin. Staff must ensure that medications kept in the fridge have the date of opening and stored at the correct temperature. The home has purchased a new fridge for medication; staff must ensure that record of fridge temperature is maintained to include minimum and maximum temperature, as this was not done regularly in records seen. Six service users and three relatives were spoken with and they were very complimentary of the care provided by the home. They stated that staff were very “kind and helpful “and were treated with respect. Another service user said that “this is a good very home” and “I have nothing but good things to say”. They also said that the staff are always respectful and kind and their privacy and dignity are respected when receiving care. Comments received and observation on the day showed that the staff had developed good relationship with the service users and treated them with respect. Staff were observed to knock prior to entering the service users bedrooms. Three service users confirmed that they have autonomy and choice and they chose when to go to bed or get up. Green Meadows DS0000037294.V316271.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 12,13,14,15 The social and recreational needs of the service users are well managed and meet with their satisfaction. The meals at the home were good and offered the service users choices. The home supported the service users in maintaining links with their family and friends. The service users felt that they had choices in their daily living and their privacy was respected. EVIDENCE: The service users are provided with a varied programme of activities to meet their needs. A number of service users and a relative were playing bingo in the activity room at the time of the visit. This was observed to be interactive and the service users appeared to be enjoying it. Three service users spoken with said that they were aware of the day’s activity programme and had decided not to join in. Another service users said that she preferred to watch her Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 14 television and staff respected her choice. A relative reported that she attended the home and joined in with the games and helped her mother. It was noted that the home had organised a number of activities including external entertainers for the Christmas season. A party was also planned for the weekend where all the relatives had been invited. Posters and leaflets were displayed all around the home and in the lift to advertise forthcoming events and the manager said that the relatives and friends are encouraged and do take part in activities. The hairdresser was visiting on the day of the visit and three service users were having their hair done. Comments were that this was a regular occurrence and they enjoyed the service The home has an open visiting policy and the service users stated that they could receive their visitors at nay time. Two relatives said that they visited at different times and were always welcomed. Record of visitors to the service showed that people visited at different times of the day. One relative spoken with commented that the staff are welcoming and it was evident from staff interaction with relatives that they had good relationships with them. The six service users spoken with said that they had choices in deciding when to go to bed and get up. One service user said that she preferred to spend time in her room and staff respected her choice. All the service users made positive comments about life at the home. A staff member was observed knocking prior to entering a service user’s bedroom. The home has a planned menu that the staff reported is rotated on a four weekly basis. Meals are taken in dining areas attached to each unit. Lunchtime meal was observed on the day of the visit. Staff were observed to offer support with meals in a sensitive manner and meals were not rushed. The meals were well presented and appeared appetising and balanced and choices were available. Service users said that the meals were good. Comments from the service users included that the food “was very good” and “food excellent and plentiful” and that they enjoyed the meals and the choices offered. Another service user commented that “the food is so good and I always eat everything”. The service users confirmed that hot and cold drinks were available at all times. A service user commented that he always “cleaned his plate” and he could have second helping. Each unit had a hot trolley that ensured that meals were maintained appropriately and warm. Green Meadows DS0000037294.V316271.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. 16,18 The service users have confidence in raising any concerns with the manager. Further development of complaint procedure and follow up of complaints is needed. Staff have clear understanding of adult protection and ongoing training ensures that the service users are protected. EVIDENCE: The service users and two relatives spoken to said that they were satisfied with the care that they were receiving and had no complaints. Two service users stated that they would go to the office if they were not happy with anything. One of them said that he was confident that the manager would deal with any concerns. They all said that they felt safe and had no “grumbles”. The home’s complaint procedure is available in colourful easy to read leaflet that is available in large print but does not include the address for the Commission nor a timescale for when complaints will be dealt with. This was discussed with the manager and the home must ensure that this information is included. This was an issue that was highlighted at the last inspection. Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 16 The manager had received one complaint since the last inspection and this was recorded in the complaint log as required. The manager said that this was reported to the local surgery. The log seen did not have the outcome of the complaint raised. The manager said that this would be rectified. The home has Hampshire County Council’s procedures to be followed should abuse be suspected. There is an ongoing training programme for staff in abuse awareness. There has been one allegation of abuse that has been referred to the adult protection team and the investigation is on going. The manager is pro active and has process in place to report any allegation of abuse. Staff spoken with had clear understanding of what to do if abuse is suspected. Two staff members stated that they were confident in reporting any allegation to the manager. Green Meadows DS0000037294.V316271.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 19,26 The home provides the service users with a comfortable and homely environment that meets their needs. The infection control procedures and practices observed ensure that the service users are protected. EVIDENCE: A tour of the building was undertaken as part of the visit. The home had an ongoing programme of refurbishment and accommodation was provided in a well- maintained, spacious and homely environment with a good complement of communal areas for the service users. All the bedrooms seen were highly personalised and it was evident that the service users were supported in Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 18 bringing in items of personal belongings when they moved into the home. Adaptation and equipment were available to maintain and support the service users in maintaining their independence. Three service users said that they have “a very nice room”. Another service user showed the inspector the family photos and lots of personal belongings that she had brought into the home when she moved in. A relative said that her mother had everything she wants in her room. Comment also included” this is my home and it’s very good.” All parts of the home seen were clean except for one bedroom that had adverse odours. The manager was aware of this and this was being rectified. It was noted that the communal bathroom had various toiletries that may be used as communal. This was brought to the attention of the manager and would be addressed. The home has a laundry room and the staff reported that all the service users’ laundry was undertaken internally. The laundry room was appropriately equipped and a hand- washing facility was available. The home has information on infection control procedures and staff practices observed showed that the infection control guidelines were followed. Green Meadows DS0000037294.V316271.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 27,28,29,30 The home has good system in place to support the carers in updating their skills. The staffing and skill mix was satisfactory at the time of the visit. No new recruitment has taken place since the last inspection, when it was it was found that recruitment practices were safe. The ongoing training programme ensures that staff have the skills to deliver care safely and included mandatory training in health and safety. EVIDENCE: The home has a separate roster for the carers and a separate duty roster for the ancillary staff. Record of roster showed that there are 5 carers and the assistant unit manager (AUM) in the early shift, 1 AUM and 4 carers on the afternoon shift and 1 night coordinator and 2 carers on night duty. The registered manager supported the staff on a full time basis. Comment received from the service users indicated that the staff were available to offer them support, as they required. Record showed that agency carers and their own staff cover shortage/ sickness. Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 20 The home has an ongoing training programme in place. There are 15 staff who have completed the national vocational qualification (NVQ) level 2 and some at level 3. Information received indicated that this made up to 53 of staff with the current NVQ qualification. There are various training available to ensure that staff have the skills to deliver care safely. Recent training for carers included mandatory health and safety training and food hygiene, adult protection, appointed first aid and care of people with dementia. The home has nominated carers who have undertaken training in the administration of medicines. The staff records were not looked at during this visit as the manager reported that there has been no new recruitment since the last inspection. This standard was met at the last visit. Green Meadows DS0000037294.V316271.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 31,33,35,37,38 The home has a registered manager who was responsible for the day- to- day management and discharges her responsibilities fully. There is a good process in place to ensure that the service users financial interests are safeguarded. The reporting of incidences that are detrimental to the welfare of the service users is inadequate and must be rectified. There is a satisfactory process in place to ensure the health and safety of the service users are protected. Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 22 EVIDENCE: The home has a registered manager who is pro active and all service users spoken with said that they are able to approach her with any issues. The manger has completed the registered manager’s award (RMA) and NVQ at level 4. She demonstrated clear lines of accountability in the day- to -day management of the service. She confirmed that she undertook regular training to update her skills. The manager stated that the provider undertook audit of the service users views and the last one was carried out prior to the last visit and another one is planned in the new year. A sample of the personal allowance as managed by the service was looked at. There is a robust procedure in place to ensure that the service users’ financial affairs are safeguarded and the home has two designated persons to deal with this. Records of all transactions including receipts were maintained and a random check of balance recorded showed that these were accurate. All the service users’ moneys were kept separately and securely. The Commission had not received reports of Regulation 37 incidents that the home must send following any incidences that are detrimental to the welfare and well being of the service users accommodated. This was brought to the attention of the manager and she confirmed that this would be rectified. Information received and staff practices observed on the day of the visit indicated that staff followed procedures in infection control. There is an ongoing programme for the servicing of equipment at regular intervals to ensure the safety of the service users. All substances that are hazardous to health were stored safely as required. The home has policies and procedures in place and the manager reported that these are updated at regular intervals to take into account any changes in legislation. A random sample of servicing records seen indicated that the fire officer visited in January 06 and there was no recommendation. The emergency lighting, and fire equipment were checked in August 06. Green Meadows DS0000037294.V316271.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 2 8 3 9 2 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 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 3 Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15(1) Requirement Timescale for action 30/01/07 2 OP9 13(2) The registered person must ensure that there is a detailed care plan for each service user to show how their needs would be met. The registered person is required 30/01/07 to make arrangements for the safe administration of medication, including Insulin in the home and safeguard the safety of the service users. 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 Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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 Green Meadows DS0000037294.V316271.R01.S.doc Version 5.2 Page 26 - 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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