Inspection on 01/09/06 for Grosvenor House Nursing Home

This inspection was carried out on 1st September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Grosvenor House Nursing Home 06/12/07

Grosvenor House Nursing Home 29/07/05

Grosvenor House Nursing Home 17/01/05

Grosvenor House Nursing Home 22/04/04

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

CARE HOMES FOR OLDER PEOPLE Grosvenor House Nursing Home Coopers Hill Alvechurch Nr Birmingham West Midlands B48 7BS Lead Inspector N Richards Unannounced Inspection 1st September 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 Grosvenor House Nursing Home DS0000004111.V309511.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. Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grosvenor House Nursing Home Address Coopers Hill Alvechurch Nr Birmingham West Midlands B48 7BS 0121 447 7878 0121 0000000 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) Alpha Health Care Limited Mrs Sandra Jane Dugmore Care Home 25 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (25), of places Physical disability over 65 years of age (25) Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd February 2006 Brief Description of the Service: Grosvenor House Nursing Home is situated within close proximity of Alvechurch, Barnt Green, the M42 motorway, Redditch and Bromsgrove. The home has recently been extended, and currently provides nursing care and accommodation for a maximum of twenty-five older people. Three of these places are registered for people with a dementia related illness. Accommodation is provided on two floors with a passenger lift and stairs providing access to first floor rooms. The home has nineteen single, en-suite rooms and three shared rooms all with en-suite facilities. Communal facilities are located on the ground floor and comprise of a lounge, dining room and conservatory and an additional lounge/dining room within the newly built extension. Alpha Health Care Limited owns the home, and the registered manager, Mrs Sandra Dugmore, has responsibility for the day-to-day management of the home. The fees range from £480 to £550 per week, but do not include private chiropody, physiotherapy, hairdressing, newspapers, toiletries and telephone calls. The home does not have internet access, but the organisation can be contacted via email on info@alphacarehomes.com Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook this unannounced inspection over two days. The home’s manager and deputy manager made themselves available to provide some information during the inspection process, while other methods were employed to gather further information about the service provided by the home. This included talking to residents, interviewing staff, observing care practice, a tour of the premises and an examination of care, staffing and health and safety records. 24 residents were living in the home at the time of the inspection. Four residents were interviewed during the inspection, and all those that were interviewed stated how good the service was, and how good the care provided was. The evidence from this inspection emphasises how the home continues to improve a good quality service for residents. What the service does well: What has improved since the last inspection? What they could do better: Opportunity needs to be taken to improve issues relating to health and safety through; Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 6 (a) (b) The provision of a qualified first aider throughout the entire 24-hour period and The provision of a mechanical sluicing disinfector on the ground floor. 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. Grosvenor House Nursing Home DS0000004111.V309511.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 Grosvenor House Nursing Home DS0000004111.V309511.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides prospective residents with the information they need to make an informed choice about the home, and comprehensively assess the needs of prospective residents prior to their arrival at the home. This ensures that the home and the prospective resident are confident that needs can be met before moving into the home. EVIDENCE: A comprehensive, written pre-admission assessment is undertaken for all prospective residents by a registered nurse (usually the registered manager) prior to their admission to the home. Where prospective residents are to be funded by the local authority, a community care assessment is completed and provided to the home. This demonstrates the care needs of the individual, and enables the home to form a judgment about whether (or not) it can meet the person’s needs. Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 9 All care files examined contained a written contract/statement of terms and conditions that clearly specified the rights and obligations of the resident and the home. A copy of the home’s statement of purpose and complaints procedure had been provided to each resident, and was held in their bedroom. The provision of a contract and statement of purpose helps to provide clarity about the service for residents, and enables people to understand what they can expect from the service, and how to complain if the service falls short of their expectations. The home does not provide intermediate care. Grosvenor House Nursing Home DS0000004111.V309511.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of care records within the home is good. Records are sufficiently detailed to ensure that individual residents’ needs are met in a consistent manner. Care practice discussed and examined, along with feedback from residents confirms that appropriate action is taken to meet the clinical needs of residents. EVIDENCE: Opportunity was taken to talk to four residents. All people interviewed were very positive about the quality of care, and the general quality of service provided by the home and its staff. One person said that staff “look after me very well”, while another resident said that staff were “kind and caring”. Opportunity was taken to examine the care records of all the residents interviewed. Each resident had a care plan in place, which had been completed by a registered nurse, but the quality and content of care plans enabled staff to deliver the care consistently and robustly. Care staff interviewed confirmed that they were able to read care plans, and they understood the care Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 11 instructions contained within the care plans. Care staff were encouraged to make written daily entries regarding the care delivered to residents. Registered nursing staff reviewed the entries recorded. Care documents effectively specified how care is to be delivered. This was of particular note for an individual who is diabetic and has complex healthcare needs. Care plans had been formally agreed with and counter-signed by the resident and/or their next-of-kin. This is necessary to ensure that the home (a) works in participation with the individual (rather than working to preclude the individual from the care process), (b) engages the individual within the care process, and (c) ensures that the individual understands and consents to the care provided. Care plans were specific and directive. For example, one care plan relating to the management of diabetes clearly specified the signs and symptoms of hypoglycaemia and hyperglycaemia. This is important for care staff to understand the symptoms they are supposed to be monitoring. Care plans were being reviewed in accordance with the frequency specified by the National Minimum Standards i.e. at least once a month. This is important to ensure that (a) any changes to a person’s condition are noted, and (b) the plan of care is amended in response to any change/s noted. A range of health care risk assessments had been undertaken (such as fall risk assessments and pressure ulcer development risk assessments). When risks had been identified through assessment, plans of care necessary to reduce or eliminate the identified risk had been completed. Care plans for pressure ulcers effectively demonstrated the nursing care and nursing interventions necessary to address the problem/s identified. All medication is administered to residents by a registered nurse. Medication administration record (MAR) charts had been accurately completed by nursing staff within the home, and an appropriate medication policy was available that accurately reflected the procedures undertaken within the home. Residents spoken to were happy to confirm that staff within the home were meeting their care needs in a dignified and respectful way. Staff were seen providing care sensitively and discretely to residents, and discussions with staff confirmed that they were aware of residents’ care needs. Care records clearly evidenced the accessing of multi-disciplinary healthcare professionals such as general practitioners (GPs), speech and language therapists, chiropodists, dentists and opticians, in response to changes in healthcare need (reactive care), and as a preventative measure (proactive care). Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 12 Grosvenor House Nursing Home DS0000004111.V309511.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Social care within the home is satisfactory. Residents have opportunities to participate in leisure and recreational activities that meets their needs and expectations. Contact with family and friends is supported, and opportunities for residents to exercise choice over their lives has been maintained to enable them to maximise personal autonomy. EVIDENCE: Individual residents and their next-of-kin who were spoken to stated that there was opportunity to engage in meaningful activities. The home’s newly appointed activities co-ordinator works for 25 hours each week with residents, and was seen to be very enthusiastic about her role. She has started to record a diverse range of individual activities with residents – with activity provided on either a 1:1 or group basis. The individual preferences of residents have been carefully sought, and the activities being undertaken reflect the preferences conveyed by the residents within the home. The activities coordinator currently works ten 2½-hour sessions each week (comprising of one session in the morning (10am to 12.30pm) and one session in the afternoon (1.30pm to 4pm) over a course of five days). Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 14 Residents interviewed confirmed that family and friends are made welcome, and visiting restrictions were kept to a minimum. Residents are able to receive visitors within the communal areas of the home, or in the comfort and privacy of their own rooms. If residents choose and are able, they manage their own financial affairs. The home actively operates to ensure minimal contact with residents’ finances occurs. A number of people living in the home were spoken to and most people who commented on the food said how good it was, and that they welcomed the daily choices offered. One person did express an opinion that more choice could be afforded and the meal portions could be improved slightly. Menus were inspected and found to be balanced and interesting and mealtime arrangements are also flexible enough to accommodate individual preferences. Menus were based on a four-week rotational basis. The main meal served on the day of inspection comprised of fish cakes, mushy peas and chips. People with swallowing difficulties were provided with a soft-textured diet based on the main menu option/s. Dessert consisted of “Bakewell tart” and custard, and residents could partake of up to three cooked meals a day if they so desired. The evening meal on the first day of inspection comprised of minestrone soup, salad, a choice between salmon and corned beef sandwiches, chicken goujons and corned beef hash. Dessert was either banana mousse or cherry cake. One resident had recently celebrated her 100th birthday, and she had taken the opportunity to devise the menu for the day herself. Alcoholic beverages were made available for residents to partake of with their meals, and nursing staff were aware of the benefits of (limited) alcohol intake to stimulate appetite. Catering staff demonstrated a detailed knowledge and understanding of individual residents’ dietary preferences and requirements. Several residents interviewed explained how they had been provided with breakfast of their own choice. The chef records residents’ meal selections, and residents are asked what they would like for lunch. If individuals did not want a choice from the main menu, the chef would make alternative arrangements based on the preferences of the individual resident/s. Residents’ weight charts confirmed that residents were not losing weight unexpectedly, and that weights were stable. During the morning and afternoon periods, care staff were seen providing residents with drinks and snacks. Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 15 Care staff were seen providing direct assistance to people with their lunch in a sensitive, discreet and relaxed manner. Residents said that the dining facilities were suitable to their needs. Residents could choose to have their meals in their own rooms, in the dining area or in the lounges. A varied range of trips out had been visually recorded, and other trips had been planned. The preferences, likes and dislikes of residents had been taken into account. Religious observances were regularly practiced within the home, and members of the local clergy were regular visitors. Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Complaint management and adult protection within the home is appropriate to ensure resident safety is promoted. Complaints are handled objectively and residents are confident that their concerns will be listened to, taken seriously and acted upon. A vulnerable adults procedure is available to ensure a proper response to any suspicion or allegation of abuse. EVIDENCE: The home has a simple and clear complaints procedure, and the complaint records indicate that this is followed. No complaints had been recorded since 2003. A copy of the complaints procedure was available to all residents, visitors and relatives. Residents spoken to were confident that concerns could be raised with the home. The home manager responds to complaints at a grass-roots level, and this approach helps to ensure that concerns are addressed speedily and effectively. A procedure for responding to allegations of abuse is available, and mirrors Worcestershire’s multi-agency adult protection guidelines (which was available for reference purposes within the home). All staff receive training in relation to the protection of vulnerable adults and the recognition of, and prevention of abuse. Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 17 Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A rolling programme of investment within the home continues to ensure that a decent environmental standard is maintained. There are areas within the home that have been identified by the organisation as areas that require investment, and an improvement plan is currently being implemented. EVIDENCE: Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 19 There are a total of 19 single and three double bedrooms within the home. Bedrooms were spacious, and shared rooms provided ample floor space that enabled residents to comfortably enjoy their own personal space. Separate lounge and dining room facilities are provided within the home. Residents interviewed confirmed that the option of using the dining areas, lounge areas or their own bedrooms at mealtimes was suitable to their individual needs, tastes, requirements and preferences. Systems were in place for the management of infection control, and the home was clean, tidy and free from offensive odours. There was a mechanical disinfector located on the first floor of the home, but the ground floor area possessed a manual sluice. This is unacceptable from an infection control perspective, and a mechanical disinfector is required on the ground floor area. Each bedroom seen had been furnished with residents’ personal possessions, thereby generating ownership and a sense of autonomy for individuals. The standard of the environment within the home is positive, providing residents with a homely place to live. Residents confirmed that they appreciated the physical environment. One person specified how she would not want to go back home, if ever the option arose. It was noted that several areas within the home possessed floor-coverings that required replacement due to fatigue, or marking. The organisation was in the process of implementing a phased replacement programme to those areas identified as in need of new floor coverings. The provision of replacement floor-coverings to affected areas will help to enhance the appearance of the home. Hot water temperatures have been risk assessed and had been regulated to prevent people being accidentally scalded when they have a bath, and radiators had been guarded and restricted to prevent people being accidentally burnt through intentional or unintentional contact All the windows located at or above first floor level had been restricted to prevent people from being injured through falling out of the windows (accidentally or deliberately). There were sufficient toilet and bathing facilities throughout the home to effectively meet the needs of residents. Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels and competencies are suitable to ensure that residents’ needs are identified and effectively met, while the system for staff recruitment robustly protects the residents by ensuring (as far as is practicable) that applicants are effectively screened during the selection process. EVIDENCE: There were suitable nursing and care staff on duty to provide care and support for the people who were resident in the home at the time of inspection. Staffing levels within the home were (typically) one registered nurse and four carers during the morning period, one registered nurse and four carers during the afternoon period and one registered nurse and two carers during the night time period. In addition to nursing and care staff, there were also ancillary staff (catering, domestic and activity staff) on duty to support service provision. The home employed a total of nine registered nurses and 18 carers and, as part of an organisation, had the ability to draw on staff from other homes if the need arose. During the visit, call bells were activated, and staff responded speedily to them. Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 21 The duty rotas confirmed that the staffing levels were stable, with little evidence of staff being absent through short-term sickness. Training has been provided to staff, and includes infection control, food hygiene, fire safety and moving and handling. Training was identified as a result of the needs of residents, to ensure that care delivered was appropriate to and in response to the needs of residents. However, it was noted that some staff had not received training in relation to the clinical needs of residents, and would benefit from some training relating to, for example, diabetes management. The organisation employs somebody whose responsibility it is to develop and implement a training programme for all staff. Many staff had undertaken and completed National Vocational Qualification Level 2. Staff were seen interacting with residents in a relaxed, informal and compassionate way. Residents interviewed were very complimentary about the staff team, and provided comments such as; “staff are very good…kind”, and “kind and caring”. Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is clear leadership, guidance and direction to staff to ensure residents receive consistent care, resulting in practices that promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: The registered manager is competent and appropriately qualified and experienced to manage the service. Staff and residents spoke very highly of her (three staff interviewed rated her 8, 9 and 10 out of 10), and significant diligence and action has been undertaken to maintain the quality of the service provided by the home since the time of the previous inspection. Residents clearly expressed their opinion that the home was being run in their best interests. Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 23 Staff were being supervised in a positive manner. The home is undertaking regular quality assurance exercises on various aspects of the homes functioning to ensure that (a) quality is maintained and (b) to improve standards whenever possible – thereby enhancing residents’ quality of life and well-being. The registered manager effectively discharges her duty of care to ensure that the health and safety of residents and staff is maintained and maximised. It was noted that there was not always a qualified first-aider on duty throughout the 24-hour period. This was discussed with the registered manager, who stated that the organisation had taken advice from an external source, and had been told that, as the home was staffed by registered nurses, the need for a qualified first-aider to be on duty at all times was not applicable to the home. The inspector challenges this advice, as not all registered nurses are either trained or competent in the delivery of first aid. Standard 38.2 clearly specifies the provision of “a qualified first aider at all times” to provide suitable care should anybody within the home injure their self. Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 24 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 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X 3 3 X 2 Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 25 Yes 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. 2. Standard OP38 OP26 Regulation 13, 18(1)(a) 13(3), 16(2) Requirement A qualified first-aider must be on duty at all times. A mechanical disinfector must be provided on the ground floor. Timescale for action 31/12/06 31/12/06 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 Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Grosvenor House Nursing Home DS0000004111.V309511.R01.S.doc Version 5.2 Page 27 - 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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