Inspection on 30/05/06 for Greystone House

This inspection was carried out on 30th May 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

Greystone House 09/01/08

Greystone House 13/03/06

Greystone House 02/09/05

Greystone House 07/03/05

Greystone House 19/05/04

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Greystone House 319 Blackwell Road Carlisle Cumbria CA2 4RS Lead Inspector Mrs Margaret Drury Unannounced Inspection 30th May 2006 09:40 X10029.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 Greystone House DS0000022656.V299016.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 and Care Homes for Adults 18 – 65*. 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. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greystone House Address 319 Blackwell Road Carlisle Cumbria CA2 4RS 01228 536349 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) Mr John Sibbald Ruddick Mrs Susan Ruddick Mr John Sibbald Ruddick Care Home 24 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (24), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (24) Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Registered for 24 people with a mental disorder (MD) some of whom may be over 65 years of age (MD(E)) Two service users may only share the double room if both have made a positive choice to do so. 13th March 2006 Date of last inspection Brief Description of the Service: Greystone House is a large Victorian, two storey detached property on the outskirts of Carlisle city. It has been modernised and converted for its present use, including three purpose built extensions to the side and rear of the original building. Greystone House is home to twenty-four people who have difficulties maintaining aspects of their mental health. Two carers, a senior and the manager staff a normal shift, with two waking staff on duty at night. The Home has three lounges situated on the ground floor, one of which is a designated smoking area. There are also two dining areas. One of the three bathrooms is equipped with a hoist to safely assist people with physical needs. There are twenty-two single bedrooms and one twin bedded room. Fourteen of the single rooms have en-suite facilities. The Home has a central laundry and kitchen. Both laundry services and meals are provided to service users. There is a six-person passenger lift to the first floor. The Home has a private garden to the front and a smaller garden/patio area to the rear. The Home is well placed for local facilities including shops, post office and church. There is a regular bus service to the city that stops adjacent to the Home and Hammonds Pond Park is only a short walk. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that took place over one day in May. During the inspection time was spent talking to the trainee manager, the registered manager care staff, catering and domestic staff and some of the residents. The inspector also spent time looking at records to do with the dayto-day running of the home and the care of residents. The report may refer to “case tracking” a process by which the inspector is able to focus on a small number of residents and includes a review of their care documentation. It should be noted that this process is not detrimental to the other people living in the home. The inspector was able to speak to some of the residents whilst walking round the building inspecting the environment. The fees in this home are currently from £298.00 - £422.00 per week. There are extra charges for hairdressing, some outings/transport and toiletries What the service does well: What has improved since the last inspection? Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 6 A new format for the care plans has been introduced that is easy to read. And gives in-depth information about the social and personal needs of the residents. There is an ongoing programme of maintenance and redecoration that ensures the home is a pleasant place in which to live. A fire evacuation plan has been introduced with a copy available on display in the hall. Two members of staff have completed medication training and there are plans for others to complete the same course. The changes in the medication procedures advised by the pharmacy inspector have been implemented. 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. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4 & 5 (OP) 2, 3, 4 & 5 (18-65) Quality in this area is good. This judgement was made using available evidence including a visit to the service. Prospective residents are given the opportunity to spend tine at the home prior to admission. Each resident is given a contract/terms and conditions that sets out in detail what is included in the fees and the facilities on offer. Admissions to the home do not take place without a full needs assessment either by the home or through care management arrangements. EVIDENCE: All prospective residents are fully assessed prior to admission to ensure the home is able to meet the assessed needs. Information obtained from this assessment is then used as a basis for the plan of care. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 9 All residents have a contract/ terms and conditions of residency, which has recently been updated. A copy of this document is held on each file. All those wishing to move in are invited and encouraged to visit the home to meet the staff and other residents and to enjoy a meal and/or refreshments. In the past some residents have been able to stay overnight before deciding whether or not to move in to the home. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 (OP) 6, 9, 16, 18, 19, 20 & 21(18-65) Quality in this area is good. This judgement was made using available evidence including a visit to the service. All residents have a plan of care that is easy to understand and takes into account all areas of the individual’s health, personal and social needs. The plan is updated regularly and the necessary action taken to respond to any changes. The aims and objects of the home ensure the residents are treated with dignity and respect at all times. Residents receive personal support in the way they prefer and require. Staff in the home support families and the other people living in the home during times of bereavement. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 11 EVIDENCE: All residents have a plan of care that is generated from the initial assessment. The updated documentation for the care planning system has now been completed and the inspector was able to case track 4 residents during the visit. The care plans were all found to be up to date and contain a wealth of information to assist the care staff in the delivery of care. The care plans are currently updated every three months using the information contained in the daily record that is completed by the care staff. The care plans will, in future, be reviewed every month. All professional healthcare visits are recorded on the daily record and the manager confirmed that they have a very good working relationship with the doctors and district nurses that visit the home. There is, currently, one resident who needs a daily visit from the district nursing service. The medication is received in a monitored dosage system from Boots Chemist and two of the care staff responsible for giving out the medication have recently completed training in “safe handling of medication”. Records were checked and found to be in order. The manager is arranging for more staff to complete medication training. Residents who spoke with the inspector said that the staff always treated them with respect and kindness and that any personal care required is given in the privacy of their own rooms. They all agreed that the staff supported them in the way they most wanted. The policy for handling the death of a resident is clear, with residents’ wishes, wherever possible, recorded on the care plans. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 (OP) 12, 13, 15 & 17 (18-65) Quality in this area is good. This judgement was made using available evidence including a visit to the service. The routines of the home are flexible and planned around the residents’ needs and wishes. Residents have the confidence to discuss what makes them happy with the management and staff. Family and friends know they can visit the home anytime and will be made to feel welcome. Experienced cooks are responsible for providing nutritional meals that meet the dietary needs of the residents. EVIDENCE: Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 13 Observations made during the inspection evidenced that residents in the home come and go as they pleased, providing they are safe. Some get up early and others said “ I can have a lie in if I want to” or “I can go back to bed if I like”. Routines are put in place that match the lifestyle and preferences of the residents. There is a limited programme of activities that are recorded in a book that was available for inspection. The most popular are the monthly coach trips organised by the trainee manager. The residents who spoke to the inspector all enjoyed the latest trip to Blackpool. Discussions with the staff evidenced that the organisation of activities is very much on a day-to-day basis depending on how the residents are feeling on any particular day. Residents’ meeting are held every three months giving the residents the opportunity to “have their say” about the running of the home. There was a copy of the latest minutes on the notice board. Visitors to the home are always made welcome and the home encourages family involvement wherever possible. The home works to a 4-week menu that provides a wholesome, nutritious diet. The inspector was able to observe some residents eating lunch in a friendly relaxed manner. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 (OP) 22 & 23 (18-65) Quality in this area is good. This judgement was made using available evidence including a visit to the service. The home has a complaints procedure in place that is up to date, clearly written and easy to understand. The policies and procedures for the protection of residents are satisfactory and are updated when required. Residents feel safe and supported by a service that has their protection as a priority. EVIDENCE: The home has an adequate complaints procedure with a copy displayed on the noticed board by the dining room. Those residents who spoke with the inspector all said they “had no reason to complain” and that “everything was fine”. Discussions with the trainee manager and care staff evidenced that there is an awareness of adult protection issues although no specific training has yet taken place. The trainee manager applied to complete training with Social Services but there were no available places. She will apply at a later date but will make every effort to access training from another source. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24, 25 & 26 24, 25, 26, 28 & 30 (18-65) Quality in this area is good. This judgement was made using available evidence including a visit to the service. The management and staff encourage the residents to see the home as their own home. It provides a safe, comfortable and homely environment that is able to meet their needs. The shared areas provide a choice of communal space giving residents a variety of places to sit. All bedrooms are suitable for their stated use and provide private space for the residents if they want it. Where rooms are shared it is only by agreement with screening provided for individual privacy. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 16 EVIDENCE: This home has a very good environmental standard with good quality furniture and fittings. The manager conducts regular inspections of the home and notes any repairs that may be required. As the home employs a full time maintenance man the repairs are carried out as soon as possible. Much of the home has been refurbished to include carpets and curtains and many of the bedrooms have also been redecorated. There is ample communal space with the dining room, a further dining area and three lounges. One of the lounges is a designated smoking room and a requirement of the last inspection was the installation of an extractor system. An industrial extractor was purchased but this proved to be unsuccessful. The manager is now making arrangements for another system to be installed. There are well kept gardens with a patio with garden furniture for the residents to enjoy during the warm weather. Greystone House is a large Victorian property that has been converted for its present use as a care home. This means that all the bedrooms are individual in size and personal to each resident. There are lots of pictures and ornaments and radios and televisions in the rooms. There is one room that is currently occupied by two people. This is with their agreement and there is fixed curtaining provided to ensure privacy. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 (OP) 31, 32, 33, 34 & 35 (18-65) Quality in this area is good. This judgement was made using available evidence including a visit to the service. An experienced and qualified staff team cares for residents and management recognise the importance and benefit of a skilled workforce. Residents have confidence in the staff to care for them. EVIDENCE: The staffing arrangements in this home are good with 2, members of care staff, 1 senior carer plus the trainee manager during the day and 2 waking staff at night. There are also catering and domestic staff on duty during the day. The staff team is both experienced and qualified with many already qualified to NVQ level 2 or above and others working towards the awards. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 18 The inspector was able to observe the staff and found their attitude to be caring, supportive and enabling. This attitude ensures that the residents can maintain as much independence for as long as possible. There is a full recruitment and selection process that ensures all the legal checks are completed prior to new staff starting work. This ensures the safety and security of the residents. There is a very low staff turnover and those living in the home benefit from knowing they are cared for by a stable staff team that they are familiar with and have confidence in. There is a staff training and development programme in place and the trainee manager accesses as much training as possible. Staff who spoke with the inspector were appreciative of the support and help they received from the management team. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 & 38 (OP) 23, 36, 37, 38, 39, 41 & 42 Quality in this area is good. This judgement was made using available evidence including a visit to the service. The manager has the required experience and qualifications and is competent to run the home and is highly regarded by other professionals. The home has sound policies and procedures that are reviewed on a regular basis. Sound health and safety procedures ensure the residents’ safety. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 20 EVIDENCE: Discussions with the trainee manager, who assisted during the inspection, confirmed her commitment to giving the highest level of care to the residents. She works closely with the staff team to ensure all the assessed needs are met. She is well qualified, and is currently working towards the completion of the Registered Manager’s Award. As Greystone House is a family run home she has worked there for a number of years and knows all the residents extremely well. She is in the process of applying to become the registered the manager. During the inspection she demonstrated clear lines of responsibility and delegation to the senior care team but also provides a “hands on approach” when necessary. Discussions with the residents and staff evidenced that she helps the manager to ensure the home is run in the best interest of the residents and they all appreciated the fact that they could enjoy a laugh and joke with her. All staff supervision and appraisals are up to date with records held on staff files. There are procedures in place to ensure that residents’ personal finances are safeguarded. The home has a full set of policies and procedures in place and the manager is always looking at ways to ensure these are kept completely up to date. Record keeping is of a high standard, which safeguards the residents. The trainee manager is responsible for health and safety and all fire safety procedures are in place. She ensures that fire drills and fire safety equipment are tested on a regular basis. All risk assessments are in place and reviewed at the same time as the care plans. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 3 4 3 5 3 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 ENVIRONMENT Standard No Score 19 3 20 3 21 3 22 X 23 X 24 3 25 3 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 3 33 3 34 X 35 3 36 3 37 3 38 3 Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 22 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 YA20 Regulation 13 Requirement Staff must have training in Adult Abuse and Protection Outstanding from 30/06/06 An adequate extractor must be installed in the smoking lounge Outstanding from 30/06/06 Timescale for action 30/09/06 2. YA30 23 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. Greystone House DS0000022656.V299016.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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