Inspection on 10/05/05 for Grindon Short Break Service

This inspection was carried out on 10th May 2005.

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

Grindon Short Break Service 15/12/05

Grindon Short Break Service 01/12/04

Grindon Short Break Service 07/06/04

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

CARE HOME ADULTS 18-65 Grindon Short Break Service 210 Grindon Lane Grindon Sunderland SR4 8HW Lead Inspector Sam Doku Unannounced 10 May 2005 10:20am 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Grindon Short Break Service Address 210 Grindon Lane Grindon Sunderland SR4 8HW 0191 525 7620 0191 525 7625 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Council of City of Sunderland Mrs Mary Elizabeth Hancill Care home only 9 Category(ies) of PD Physical disability (9) registration, with number PD(E) Physical disability - over 65 (1) of places Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1 December 2005 Brief Description of the Service: Grindon Lane is a ranch style bungalow, which stands in enclosed grounds, close to all local amenities. The bungalow is purpose built to high specification; the function is to serve as a short break unit offering a hotel type service for up nine people at any onetime. It has nine bedrooms, all of which have en-suite toilet and showers facilities. Some of the rooms have motorised sinks, which can vary the height of the sinks. The rooms have “swipe card ”access, and there are electrical doors which allow access without movement. There are 2 bathrooms with assisted baths and overhead tracking, 2 lounges, dining room, domestic style kitchen and laundry. To the front of the building there is a very large garden, patio, and car park. At the rear of the building is another landscaped garden and an enclosed drying area. The home is able to admit service users over the age of 18 who have a physical disability.The criteria for admission is outlined in The Statement of Purpose which states that service users who use the service will be admitted from 3 days to 1 week. It is not intended that it will be used as an emergency admission service.The people who use the service have a wide range of care needs and are allocated up to a maximum of 56 nights per year. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out at 10.20 in the morning and lasted for 4 hours 50 minutes. Discussions with the staff indicated that the users of the service are often referred to as Guests. The people spoken with did confirm that the staff refer to the users of the service as guests, as a result, the term guests would be used throughout this report. The inspection process involved talking to guests, sitting in the lounge and observing staff interaction with the guests, discussions with the manager and care staff, tour of the house, inspection of the drugs administration system, examination of health and safety records and guest’s personal file including care plans. What the service does well: The home maintains excellent accommodation and facilities that meet the care needs of the guests. The staff well trained and highly motivated. The routines and practices in the home ensure that the guests are at the centre of all activities and practices in the home. The guests are supported and encourage to maintain the independence and are consulted on all aspects of their care to ensure that they are involved in their own care. The home is very good at ensuring that the guests remain in touch with the wider community by arranging frequent outings and visits to places of interest for those who want it. At the time of arrival for the inspection, some of the guests were going out to do shopping. After lunch, another set of guests went out bowling at the local bowling alley. The guests commented positively on the arrangements to enable them to maintain contact with the local community and to continue to use community facilities. The manager and the senior staff provide regular staff meetings and individual supervision sessions to ensure that all staff are aware of the care needs of the guests who are living in the home. The staff are therefore very knowledgeable about each of the guests and are aware of each person’s specific care needs. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 6 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. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, 4, 5. Sufficient pre-admission information is available to prospective guests and their relatives to enable them to make informed choice about whether or not to 210 Grindon Lane can meet their needs. Visits to the home further support this. EVIDENCE: There was written evidence on the guests’ files of pre-admission assessments by social and healthcare workers and also by the senior staff of the home. These assessments clearly identify the individuals’ care needs, and ensure that the prospective guest can be confident that the can meet their care needs before coming to live there. Four guests were spoken with about the quality of information provided by the home to enable them to make informed decision about whether or not to use the service. All four guests confirmed that before they started to use the service they were visited by staff from the home to assess their needs and to give them written and verbal information about what 210 Grindon Lane could offer. They all said they found the visits useful and that helped them to understand the service better and what they could expect when they start to use it. All the guests who were spoken with confirmed that they were offered the opportunity to visit the home and meet other users before coming in. Two Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 9 guests said they did visit the home before the day they were admitted. They both said they found the visit useful and that it helped them to understand what was on offer in the home beforehand. The manager and her deputy confirmed the arrangements for pre-admission visits. They both feel that this arrangement helps the guests to understand what the home can offer them. The terms and conditions of residence documentation is used and the guests who were spoken with were aware of the document and the method of payments for the service used while in residence. This enables the guests to know exactly how much the service would cost them. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10 The guests are supported and encouraged to be involved in the planning and implementation of their care. This provides the opportunity for the guests to exercise their rights to be consulted with particularly in decisions about their lives. EVIDENCE: Examination of three guests’ files showed that they have been involved in the drawing up of their care plans. Some care plans had been signed by the guests indicating that they have been involved in the process. The manager confirmed that the process of involving the guests in the planning of their care has the benefit of ensuring that the care and support that is provided is exactly what the guests need. The guests who were spoken with indicated that they feel the service recognises their right to be involved in their own care. They all confirmed that the process give them a sense of involvement and participation. The guests’ weekly meeting minutes provided evidence of them making decisions and choices about their daily routines during their stay in the home. These include social activities and meals. They confirmed that the weekly meetings allow them to decide on activities of their choice. They confirmed Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 11 that as a result they feel they have control over their lives and that the staff and the routines in the home had not taken over their lives. All the four care plans examined showed evidence of the guests being consulted about their care and how they wish to be looked after. Some guests have signed their care plans. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 17. There are suitable arrangements in place to ensure that the guests participate in all aspects of daily living activities including involvement in their care. There is strong awareness amongst the staff promoting service user involvement in making decisions for themselves. As a result guests lead the lifestyle that they are used to. EVIDENCE: At the time of the inspection two outdoor activities had been arranged for the guests. The morning activity was for a shopping trip. The afternoon arrangement was a trip to the bowling alley. The guests confirmed that these activities were decided by them and the staff facilitated the arrangements. The guests weekly meeting minutes confirmed this arrangement of guests determining the kind of activities they would like to engage in during their short stay in the home. This included visits to local pub, cinema, quiz games, visits to local places of interest and general bus rides. These arrangements gave them the opportunity to continue to take part in those activities that they are used to while living in their own homes. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 13 There is good information in the home about activities and events in the local community. These information leaflets are used during weekly meetings to plan for the activities of the week, taking into account individual preferences. This enable the guests to know what kind of activities are available in the community so they can make informed choices about what to do. The manager stated that recently three guests expressed the wish to travel by air as they have never flown before. The staff arranged for the three people to fly to London, spend the day there and fly back to Newcastle. Although these guests in question were not receiving care at the time of the inspections, records showed that they enjoyed the experience and were extremely appreciative of the efforts by the staff to enable them to fulfil their ambition. This was also confirmed by the staff who were spoken with. The guests confirmed that the quality of the meals in the home is good and that they decide on the menu for the staff to follow. Record of past menus showed that there is always a choice of meals and desserts. The guests confirmed that meals are always attractively presented. Two guests commented that they are hoping to gain some weight before getting back home as they find the meals to be nutritious and appetising. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20. The home has suitable arrangements in place for meeting the health, personal and social care needs of the residents. EVIDENCE: The care plans that were examined and were found to provide details of guests’ care needs and how those needs were to be met by the staff. There was evidence in the care plans that the guests had been involved in the drawing up of their care plans. The records show evidence of who has been involved in the formulation of the care and in many cases the guest have been consulted. Risk assessments have also been carried out for those guests for whom it is thought necessary. These include falls, medication, MRSA and wheelchair risk assessments. Evidence from the guests’ files indicated that the home continues to ensure that their health care needs are met. There were details of contacts with healthcare professionals, particularly district nursing and GPs. All the guests retain their own GPs except for those who come from the area. For those guests who are out of the area, arrangements have been with the local surgery to provide GP and district nursing support until they are discharged back to their own homes. The guests who were spoken with all Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 15 confirmed that their healthcare needs are adequately met in the home and that the arrangements for their care are good. There was a satisfactory level of recording on the Medicine Administration Record charts seen by the inspector. Drugs were safely and securely stored. The manager confirmed that currently ten staff have had training in safe handling of medicines. This ensures that the guests’ healthcare needs regarding the management of their medication is safeguarded. Practices observed on the day of the inspection indicated that staff promote privacy and dignity for the guests. Staff were observed to knock on guest’s’ door and wait for a response before making entry. Staff were also noticed to seek individual guests permission before going into their rooms. All the guests who were spoken with said they feel the staff respect their privacy. They also confirmed that visits from GPs and other health professionals take place in the privacy of their rooms. Some of the guests stated that they have electronic keypads and keys to their rooms and are able to lock their bedroom doors if they wish. The guests indicated that this allowed them to maintain their independence and enjoy good level of privacy. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 25. Policies, procedures and practices within the home ensure that the service users are protected from all forms of abuse. EVIDENCE: The home has a written complaint procedure, which is part of the City of Sunderland Council complaint procedure. Summary of the complaint procedure is included in the Statement of Purpose/Service User Guide, which is made available to all the guests. There is also a Council-wide “Whistle Blowing” policy in place and copies of these procedures are available in the home. The staff who were spoken with confirmed that they are aware of both the complaint and whistle blowing policies. The four guests who were spoken with said they are aware of the Council’s complaint procedure. Examination of the staff training record showed that staff have had training in adult protection. Such training and awareness amongst staff is one effective way of reducing the likelihood of abuse to guests. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29, 30. The home provides accommodation of a very high standard. It is a safe and comfortable environment, which promotes the guests’ privacy and independence. EVIDENCE: The home was designed and built to high specification to meet the needs of people with physical disabilities. The premises are safe, comfortable, clean and free from odour. All the furnishings, decoration and fittings are of a high quality. Access within the home and into the grounds is excellent and suitable devices have been installed on bedroom doors to provide clear openings for wheelchair access. Other aids and adaptations include adjustable wash-hand basin, overhead tracking to assist with moving and handling, suitable toilets with appropriate grab rails and doors that can be open with magnetic cards. The home is bright, comfortable, airy and has good natural lighting. The secluded large gardens to the front and the back of the home provide excellent walking and relaxing areas for the guest when weather permits. All the guests who were spoken with were very complimentary of the excellent accommodation offered. The confirmed that the design and facilities enable Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 18 them to maintain good level of independence without having to rely exclusively on staff for all their care needs and movements around the home. However one guest pointed out that the kitchen lacked sufficient space to enable other guests to use the kitchen if they want. The size of the kitchen limits the number of people who can access the kitchen especially when staff are engaged in catering activities. This limits the chose available to the guests who may wish to access the kitchen at a time convenient to them. A number of records relating to health and safety and general maintenance were examined and showed that safety measures relating to fire and environmental health matters were being observed. The fire-log book provided evidence of regular fire alarm tests and maintenance of fire detection and fire fighting equipments. Fire risk assessment had been carried out. The staff training record also indicated that all staff have had fire training. There was also record of regular testing of hot water in bedrooms and bathrooms to ensure that the water temperatures remain within the recommended range. These arrangements have been maintained to ensure the safety of the guests. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35, 36. The home maintains adequate staffing levels to meet the needs of the guests. Suitable arrangements for staff training and supervision are in place to ensure that staff are equipped to provide good quality service that benefits the guests. EVIDENCE: Details of staff rotas were examined during the inspection. It was noted that the home had consistently maintained adequate staffing levels to meet the needs of the residents. Two guests commented that they feel there is always sufficient staff on duty and also commented that the staff numbers are sufficient enough to take them on outings. The staff training log was examined. The list of training provided for the staff included fire training, moving and handling, first aid, protection of vulnerable adults, health and safety, food hygiene and nutrition. The staff who were interviewed confirmed the training they had received and felt that these had equipped them to do their jobs better. However, the manager stated that she had identified further training needs that would enhance the ability of staff to do their jobs better. These included catheter cares, multiple sclerosis, stroke, Huntington’s Chorea and brain injury. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 20 Staff records showed that the Council adheres to proper employment policies in recruiting staff. It was evident from the staff files that proper recruitment policies have been followed by the manager. This included completion of application form, job description, contract of employment, two satisfactory references, interviews, and Criminal Records Bureau checks. These procedures are in place to ensure further protection of residents from possible abuse from applicants. In discussion with the cook and the manager, it became evident that the number of hours allocated to the cook per week is not sufficient to meet the needs of the guests. It was pointed out that sometimes the cook had to hurry to prepare the evening meals before finishing work at 14:00. At times she had to leave part of that preparation to the care staff to complete. This detracts from the amount of time care staff had to spend in engaging the guests in recreational or social activities. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39, 40, 41, 42. The manager offers good leadership, ensuring that the staff receive proper direction and as a result the guests receive a consistently high standard of care which enhance their health, safety and welfare. EVIDENCE: The manager has NVQ level 4 in management, long experience in managing care homes and has worked across a range of client groups. She is currently undertaking her training in NVQ 4 in care. Such training will further enhance the manager’s skill for the benefit of the service and the guests. The staff who were spoken with indicated that the manager runs the service for the benefit of the guests and has positive relations with the staff. Similar comments were also made by two of the guests were spoken with. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 22 The Council has produced detailed Health and Safety policies and copies of these were made available for inspection. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). The manager stated that all staff have had training in food hygiene, fire precaution and first aid. All portable appliances have been tested. A record is maintained of monthly water temperature tests in the home. There is evidence of regular servicing of fire equipment, gas and electrical appliances being carried out by the Council. All the servicing records that were examined were up to date. These included fire fighting equipments, servicing of hoists, overhead tracking systems, water treatment, electrical installation and gas servicing. Up to date servicing and maintenance of these services and equipments ensure a safe environment for the guests and the staff who work there. It was noticed that some of the past menus were not dated and therefore it was difficult to carry out an audit trail of meals provided for the guests. It was noticed that the past menu sheets were not filed in date order, which further made it difficult to comment on the meals provided in the home. Such records must be properly maintained as evidence of meals provided for the guests. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 4 4 4 4 3 Standard No 11 12 13 14 15 16 17 3 3 3 4 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grindon Short Break Service Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 3 3 2 3 x B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 24 No 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 41 Regulation Requirement Record of menues must be properly maintianed and kept for a periond not less than three years from the last date of entry. Timescale for action 1 June 2005 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. 2. Refer to Standard 33 35 Good Practice Recommendations The hours for catering should be reviewed to take account of the demands on the cook. It is recommended that the specific training needs identified by the manager is implemented to ensure that the staff are further equipped to meet the of Guests who amy have such conditions. Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Baltic House Port of Tyne, Tyne Dock South Shields NE34 9PT 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 Grindon Short Break Service B52 B02 S32735 Grindon Lane V219458 10 May 2005 Stage 4.doc Version 1.30 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. 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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