Inspection on 03/08/07 for Haddon Court Nursing Home

This inspection was carried out on 3rd August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Haddon Court Nursing Home 04/08/06

Haddon Court Nursing Home 14/11/05

Haddon Court Nursing Home 26/05/05

Haddon Court Nursing Home 27/07/04

Haddon Court Nursing Home 25/05/04

Haddon Court Nursing Home 03/03/04

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

CARE HOMES FOR OLDER PEOPLE Haddon Court Nursing Home High Street Beighton Sheffield South Yorkshire S20 1HE Lead Inspector Ivan Barker Key Unannounced Inspection 10:00 3rd August 2007 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 Haddon Court Nursing Home DS0000021781.V346305.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. Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haddon Court Nursing Home Address High Street Beighton Sheffield South Yorkshire S20 1HE 0114 251 1318 0114 251 1354 none None Amocura Limited Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Janet Sharp Care Home 83 Category(ies) of Dementia - over 65 years of age (62), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (10), Old age, not falling within any other category (21) Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Of the 62 dementia elderly (DE/E) beds 10 can be used for mental disorder elderly (MD/E). One service user, named on the variation to registration application form dated 21/04/03 and who is under the age of 65, may reside at the home. One specific service user under the age of 65, named on variation dated 11th December 2006, may reside at the home 4th August 2006 Date of last inspection Brief Description of the Service: Haddon Court is situated within Beighton Village, approximately five miles from the city centre of Sheffield. The home is within easy access of the local community, which has a selection of shops and churches. Haddon Court is a large purpose built three-storey care home. It provides nursing and personal care for older people who have a physical disability or have dementia or those who suffer from a mental illness. It has elderly people with physical needs reside on the upper floor, the remaining people on the ground and lower floor of the home. Current fees range from £359 - £488. Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on the ‘key standards’), and the previous requirements. The person present at the inspection was: Mrs J Sharpe, manager. Within this site visit, which occurred over a five hour period, the inspector toured the building, examined requirements relating to the previous inspection, case tracked 6 service users (Case tracked means looking at the care and service provided to specific service users living at the home; checking records relating to their health and welfare, care plans and other records; by talking to the service users themselves; viewing their personal accommodation as well as communal living areas), and spoke with other service users, and relatives and also 3 staff and examined assessments, care plans, risk assessments, menus, complaint files, staff files and quality monitoring documents. The history of the service was examined prior to the site visit. This included the Annual Quality Assurance Assessment document, telephone contacts, letters, notifications etc. There was a discussion with the manager regarding the current level of the service. It was discussed that the service had met the standards in many areas and has one requirement. However to move to a level 4 service, the service needs to exceed the standard in some areas. The service should refer to the KLORA (Key Lines of Regulatory Assessment) documents available on the CSCI website for further information. What the service does well: Assessments with limited information, from some of the care management teams were in place. The managers of the service provided more comprehensive assessments. This ensured that the service have sufficient information to be aware of the service user’s needs prior to admission. Accurate care plans were in place and will contribute to the delivery of care. Service users and relatives were satisfied with the care they received. There comments were: ‘The care is good’. ‘They look after them very well’. Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 6 The environment, monitored at the site visit, had been maintained to a good standard to provide a safe, well-maintained environment for services users. The service had a complaints procedure in place, and it was operating according to the company policy, this would provide confidence that complaints were taken seriously and acted upon to address any shortfalls in care or service provision. The manager provided evidence that all staff had received training, which could reflect on the quality of care being delivered to the service users. The staff recruitment process was monitored and found to be satisfactory. This should provide protection for the service users. An experienced registered manager is in post. This will contributed to the effective organisation and operation of the service. Extensive quality assurance systems were in place that should assist the managers and company to measure the service against expected outcomes. What has improved since the last inspection? What they could do better: Limited activities were organised within the service, which would provide some stimulation to service users and enhance their quality of life. Three surveys received prior to the inspection identified that; ‘More activities needed’, ‘More social activities’ and ‘Only occasional entertainment’. Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 7 On discussing the activities with the service users, their opinions were that; ‘Most of the residents are bedridden and have televisions’. ‘I’m happy to watch quiz programmes and listen to the radio’. ‘I play games now and again’. Ways to develop the activities were discussed with the manager. There was no evidence that service users were given the opportunity to exercise their right of choice regarding meals. However the service users had only positive comments, which were; ‘The food is excellent.’ ‘Meals are very good, most of the time’. ‘The meals are good’. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 and 6. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Assessments with limited information, from some of the care management teams were in place. The managers of the service provided more comprehensive assessments. This ensured that the service have sufficient information to be aware of the service user’s needs prior to admission. Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 10 EVIDENCE: On examination of the care management assessments within six care plans, it was established that all six had varying standards of care management assessments. The manager advised that the majority of service users were from Sheffield area, however there were also service users from Derbyshire, Rotherham and Doncaster. The assessments from care managers within the Sheffield area were usually received prior to admission. The assessments from Derbyshire were always received prior to admission and contained extensive information. The assessments from Rotherham and Doncaster were often communicated verbally by telephone and forwarded to the service, following admission. The service should receive full assessments prior to the admission of the service user so as to assess if the service is able to meet the service user’s needs. The manager or deputy manager had undertaken comprehensive assessments of each service user prior to their admission. These assessments detailed the service user’s needs that would assist in the service having sufficient information for them to decide if the service could met the service user’s needs and provide sufficient information for care plans to be drawn up. The manager advised that no intermediate care was provided within the service. Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Accurate care plans will contribute to the delivery of care. Service users were satisfied with the care they received. EVIDENCE: On examination of the care plans, from six service users, it was established that all six care plans were up to date. There were daily entries within the care plans. These entries recorded the care delivered on a daily basis, and the plans had been evaluated on a monthly basis. The evaluation recorded in each care plan. The implementation of a single evaluation document was discussed. Comprehensive risk assessments were included within the documentation and included moving and handling, nutrition, skin integrity, and other risk factors. Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 12 The manager advised that the format of the care plan documentation was under review. It was discussed that part of the review should include the possible reduction of paper work and the reorganisation of the care plans to make it a more ‘user friendly’ file. The manager accepted these comments. Service users and relatives expressed their views, during the inspection and comments on surveys were received which expressed that; ‘The care is good’. (4 service users) ‘They look after them very well’. Whilst touring the building it was observed that many of the service users were in a frail condition and being cared for whilst in bed. These service users were on the elderly unit and the dementia type units. All the service users who were observed to be in bed appeared to be comfortable and well cared for. The manager advised that she preferred a skill mix of registered general nurses (RGN) and registered mental nurses (RMN) to combine their skills to provide holistic (whole) care. It was appreciated that the different skill mix would contribute to the various needs of the service users. A survey was returned from a health care professional that identified that, ‘few homes give such dignified care as Haddon Court’. The storage, ordering, administration and disposal of medication procedures were discussed with the manager. The procedures explained by the manager were satisfactory. There was a signature-checking document, which contained the initials as written on the medication administration document and the member of staff’s signature. On examination of the medication administration records it was found that there were no omissions of signatures. All medication records had been signed when being checked in from the pharmacy. The trolleys within the medication room were secured to the wall by chains. The practice of repeatedly chaining the trolleys to the wall had caused some minor damage to the wall. The door to the room contained a lock that was an ‘anti saw’ type lock. Therefore as the room was secure, it was agreed that the trolleys did not need to be the chained to the walls Regarding the previous requirements, on examination of the medication storage, no ‘home remedies’ (medications that can be purchased over the counter) where found. Therefore the need for a policy is not necessary. Also a BNF (British National Formulary) book has been purchased. Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Limited activities were organised within the service, which would provide some stimulation to service users and enhance their quality of life. There was no evidence that service users were given the opportunity to exercise their right of choice regarding meals. EVIDENCE: The manager advised that an activities co-ordinator was responsible for the activities, entertainment and outings and employed for 20 hours per week. She explained that the person undertook care duties from 7am until 10am and activities from 10am until 3pm, excluding her lunch break. The manager advised that there had been a 100th birthday party. Also there was an outing to Twycross zoo on the 18th July 2007, regular services were provided by the local church and the fete was planned for the 18th August 2007. Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 14 Photographs of the outing where shown to the inspector. There was a programme of generalised planned social events displayed. For example on the day of inspection, the activity was ‘out for walks’. It was discussed that although it was recognised that a specific person was designated to activities, one person over a four-hour period each day could not provide activities to the large number of service users within the home. On discussing this fact with the activities co-ordinator she advised that she was trying to provide some activists or input to every service user, even if it was just a short one to one chat. Three surveys received prior to the inspection identified that; ‘More activities needed’, ‘More social activities’ and ‘Only occasional entertainment’. It was agreed that more structured activities should occur. For example: an activity to occur on the upper floor at a specified date and time. This activity to be displayed within the activities programme, so that service users would be aware where and when the activity was to occur. Also there was a discussion regarding the recording of who participated in each activity. At present each service user had an activities document within the care plan. However this indicated that some service users had not undertaken activities for over a month. The activities co-ordinator identified that may not the case, however as she was busy undertaking activities, then perhaps the ‘paperwork’ had lapsed. A simpler version of recording activities was discussed with the manager, who identified that she was look at introducing such a document. On discussing the activities with the service users, their opinions were that; ‘Most of the residents are bedridden and have televisions’. ‘I’m happy to watch quiz programmes and listen to the radio. ‘I play games now and again’. Regarding the meals, the manager advised that a full English breakfast was available, alternating with a continental breakfast on alternate days. The manager advised that when the continental breakfast was served then the main meal was at lunchtime, and when the full English breakfast was served then the main meal was in late afternoon. On discussing the availability of a choice of meal, the manager advised that a choice was offered at each main mealtime. The inspection took place on a Friday, and it was observed at the main meal of the day that the choices of meals available were fish in batter, fish without batter and fishcakes. It was advised that the cook was aware that one service user dislike fish and she had been cooked an alternate meal. It was Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 15 discussed that although an alternate meal had been provided for that particular service user, the other service users had no alternative other than a fish based product. Copies of four weekly menus were seen, displayed with the dining room. The menu stated only one main meal per day rather than two. The manager accepted that there was no evidence that a choice was offered. She advised that she would work with the cook and organise a system that offered the service users’ a choice on a daily basis. Positive comments were received from the service users regarding the food provision. The general comments were that; ‘The food is excellent.’ ‘Meals are very good, most of the time’. ‘The meals are good’. Haddon Court Nursing Home DS0000021781.V346305.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service had a complaints procedure in place, and it was operating according to the company policy, this would provide confidence that complaints were taken seriously and acted upon to address any shortfalls in care or service provision. The service was able to evidence that the staff had received safeguarding adults training. Therefore staff would be aware of their responsibility regarding the protection of vulnerable adults. EVIDENCE: The service had a complaints procedure displayed at the entrance. Service users and relative were aware of its location. The complaints file kept by the manager for her investigations were examined. There was one entry relating to care. The manager identified that she had investigated the complaint and resolved it within 28days. The documentation within the file supported this comment. Regarding safeguarding adults, the safeguarding policies and procedures were available within the administration office. Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 17 Staff had undertaken Safeguarding Adults training, and the manager was able to evidence this by producing the training records. The manager advised that she was currently reviewing the training for Safeguarding Adults training. She was to approach the Local Authority regarding access to their training. Haddon Court Nursing Home DS0000021781.V346305.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment, monitored at the site visit, had been maintained to a good standard to provide a safe, well-maintained environment for services users. EVIDENCE: On touring the building, the home was found to be clean, tidy, well maintained and decorated and furbished to a high standard. However on the ground floor corridor, the carpet was stained and was various shades of colour in most areas because of wear, but not in such a condition to require replacement. The manager agreed with this observation and identified that the carpet may be included in the next refurbishment programme. The manager identified the company had received a grant from the government which was available for services which provided elderly care, and this grant was going to improve the furnishings etc within the home. Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 19 New wardrobes had been purchased and were stored within an empty bedroom ready for distribution around the home. Positive comments were received from the service users and relatives regarding the home. The general comments were that; ‘The place is clean, tidy and well maintained’. ‘Staff are always busy keeping it clean’. ‘There was an offensive smell, but its now been sorted’. The service users’ rooms had been personalised and many contained photographs, personal belongings and items of furniture, which the individual or the family had provided. Regarding the previous requirement regarding the maintenance and replacement of furniture, both had been acted upon. Haddon Court Nursing Home DS0000021781.V346305.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager provided evidence that all staff had received training, which could reflect on the quality of care being delivered to the service users. The staff recruitment process should provide protection for the service users. EVIDENCE: On examination of the staff rotas and examination of staff on duty, the following was established: Am shift Pm shift Night shift Plus A manager An administrator (3 days a week) Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 21 4 qualified nurses and 12 care assistants. 4 qualified nurses and 12 care assistants 3 qualified nurses and 4 care assistants. Ancillary staff included. Domestics, catering staff, and a handyman. Caring for a present occupancy of 76 service users. The activities co-ordinator was included in the care assistant numbers. A full assessment of the dependency levels of the service users was not undertaken and compared with the indicated staffing levels. On examination of the three staff files, all contained the required documentation, including Criminal Records Bureau and POVA (Protection of Vulnerable Adults) checks. On examination of the staff training records there were records that indicated the staff had received moving and handling, fire training and other relevant training. There was a previous requirement regarding National Vocational Qualifications (NVQ). Within the AQAA, the manager identified that the current number of staff having attained a National Vocational Qualifications (NVQ’s) was 53.8 . The comments from service users and relatives and health professional were; ‘The nurses and support workers are caring’. ‘More staff is needed’. ‘The staff are excellent, kind and caring’. ‘The staff seek advice (from health care professionals) as necessary’. Haddon Court Nursing Home DS0000021781.V346305.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 36 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An experienced registered manager is in post. This will contributed to the effective organisation and operation of the service. Extensive quality assurance systems were in place that should assist the managers and company to measure the service against expected outcomes. EVIDENCE: There was a registered manager in post. She advised that she had completed the Registered Manager’s Award and had 33 years experience in care and 24 years in management. Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 23 Regarding service users monies there was a credit and debit system in operation. The system operated by using separate individual envelopes for storage of monies and individual accounting sheets for each service user. The importance of ensuring the use of service user’s money to enhance their quality of life, and not being left accumulating in the account, and the new bulletin ‘In safe keeping’ published by CSCI was discussed. Regarding Quality Assurance, the manager undertook the quality monitoring of the service, on a monthly and bi monthly basis. The area monitored were medications, care plans, health and safety, infection control, wound assessments, weights, and accidents. Regulation 26 documentations, which are a record of the registered person’s monthly visits, was complied on a monthly basis, evidence of this was seen at the visit. Regulation 37 notices, which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; have been received by CSCI (Commission for Social Care Inspection). There was a previous requirement relating to the supervision of staff. On examination of the supervision records, staff did received supervision. The manager identified that the supervision was taking a considerable amount of her time, as the size of the service, required a large workforce. The possibility of designating some of the supervision to other senior staff i.e. deputies was discussed. Haddon Court Nursing Home DS0000021781.V346305.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP14 Regulation 12 Requirement The service users must be offered a choice of meal. Timescale for action 03/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Haddon Court Nursing Home DS0000021781.V346305.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Haddon Court Nursing Home DS0000021781.V346305.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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