Inspection on 22/08/06 for Hallcroft Care Home

This inspection was carried out on 22nd August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Hallcroft Care Home 09/12/08

Hallcroft Care Home 27/07/05

Hallcroft Care Home 05/01/05

Hallcroft Care Home 14/06/04

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

CARE HOMES FOR OLDER PEOPLE Hallcroft Care Home Croft Avenue Hucknall Nottingham NG15 7JD Lead Inspector Steve Keeling Key Unannounced Inspection 22nd August 2006 09:00 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 Hallcroft Care Home DS0000057801.V306704.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. Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hallcroft Care Home Address Croft Avenue Hucknall Nottingham NG15 7JD 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) 0115 968 0900 0115 963 2388 www.fshc.co.uk Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Mrs Josephine Ann Greveson Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (37), Terminally ill (3) of places Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users shall be within categories OP (37) ot TI (3) Date of last inspection 27th July 2005 Brief Description of the Service: Hallcroft is a purpose built home, set in a residential area of Hucknall, Nottinghamshire. Hallcroft has forty beds with Nursing care being provided in the home. There are 36 single rooms and 2 double rooms, which all have ensuite facilities. In addition there are 7 WCs 5 bathrooms, one with a parker bath and 1 shower. A passenger lift provides access to both floors. A pleasant garden area is provided. The fees currently charge at the home range from £277 to £455 per week. Additional cost for hairdressing and podiatry interventions are not included in the fees charged at the home. Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on Tuesday 22nd August 2006 commencing at 0830 hours. The inspection took approximately 6 hours to complete and involved one inspector. The main method of inspection was case tracking, this is a method of randomly selecting residents within the home and discussing with them their expectations and experiences of living within the home environment. The case tracking method also analyses the records of the case tracked residents to ascertain if the residents identified needs are being addressed appropriately within the care home setting and that their safety and well being is being maintained. On this occasion three residents notes were case tracked. Also as part of the case tracking process, two visitors to the home and two members of staff were interviewed to further evidence the quality of care afforded to the residents. A partial tour of the building was incorporated into the inspection process, which included the case tracked residents bedrooms. At the time of the inspection a total of 36 residents were accommodated at the home. It was evident that the management and staff within the home are committed to the continued provision of a high standard of care for the residents. The manager and staff within the home were very helpful and accommodating thus ensuring that the inspection process progressed in a professional and efficient manner. What the service does well: Hallcroft Care Home continues to provide a well-managed and safe environment for the residents. Prospective and existing residents are afforded appropriate information relating to the terms and conditions of residency and the facilities provided at the home. Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 6 Prospective residents are assessed holistically by a competent assessor prior to admission to ensure the physical and psychological needs of the residents can be identified and met at the home. The case tracked residents stated that they felt safe within the homes environment and that the staff at the home always ensures respect and dignity is maintained. The residents have effective care plans in place, which addresses the identified needs of the residents, and the care plans were reviewed appropriately to ensure the changing needs of the residents are identified and met at the home. The recently employed social activities coordinator ensures that residents benefit from the provision of a stimulating social activities programme in which the resident’s social, cultural, religious and recreational interests are met. Residents and visitors to the home praised the quality of food provided at the home stating that the food is excellent, well presented and varied. Residents also praised the dining room stating that it is particularly pleasant area to dine. Residents and relatives spoken with were aware of the complaints procedure utilised within the home and were confident that should they have any concerns or complaints the manager would be effective and professional in addressing the issues. It was evident that the manager and administration staff at the home ensures that appropriate policies/procedures are followed thus ensuring the safety of the residents at the home. Staff at the home benefit from an effective induction process together with the provision of mandatory training programme. The home provides a clean, well - maintained and safe environment both internally and externally for the resident’s enjoyment. Documentation appertaining to the routine maintenance of the home was examined and found to be appropriate in promoting the safety of residents. What has improved since the last inspection? Concerns identified at a previous inspection performed on 27th July 2005 were related to the recruitment practices within the home. An examination of staff files and a discussion with the manager evidenced that the recruitment policies are now followed thus ensuring the safety of the residents. The previous inspection also recommended that the carpets in the hallways and the reception area should be replaced, it was evident that this recommendation had been addressed. Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 7 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. Hallcroft Care Home DS0000057801.V306704.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 Hallcroft Care Home DS0000057801.V306704.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. A suitably qualified assessor performs effective pre-admittance assessments to ensure the residents holistic needs are identified. The home does not provide intermediate care services. EVIDENCE: The pre-admittance assessments within the three case tracked notes were detailed in identifying the specific needs of the residents to maintain optimum independence and health within the home. Four Seasons Healthcare has produced a comprehensive assessment document based on a recognised assessment tool (Ropers Activities of Living). The assessment documentation includes dependency levels, continence management; Waterlow score charts (a tool utilised to determine an individuals susceptibility to pressure ulceration formation) social profiles, Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 10 nutritional needs, wound care management, manual handling assessments and the resident’s cognitive abilities. The assessment process also utilises documentation provided by Social Services Department and hospital notes when available. Hallcroft Care Home DS0000057801.V306704.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. The care planning and evaluation process within the home is effective in addressing the identified needs of the residents. Policies and procedures in relation to the management of medicines are appropriate and effective. Residents are afforded appropriate levels of privacy and dignity at the home. EVIDENCE: Three resident’s files were examined on the day of the inspection. It was evident that the care-planning format is designed to be individualistic in meeting the holistic needs of the residents. The care plans are very well organised and well presented. In ensuring the safety of the residents the care planning documentation contained risk assessments, which addressed all the activities the residents were envisaged to participate in. The resident’s needs are evaluated on a monthly basis or Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 12 more frequently if required to ensure that any changes in the residents needs are identified and addressed effectively through the care planning process. The daily records relating to the case tracked residents effectively addressed the elements of care within the care plans. All personal documentation is stored securely to ensure the resident’s confidentiality is maintained. The case tracked care plans were signed by the resident or a family member thus ensuring that informed consent to the content of the care plans is actively sought. Residents and relatives spoken with also confirmed that they were aware of their care plans and reported that they had been involved in the care planning process. The home operates an efficient medication policy in relation to the receipt, administration, safekeeping keeping and disposal of medication. To ensure that standards are maintained in relation to medicine management, the manager performs quality assurance audits to ensure that policies and procedures are followed at the home in relation to medicine management. The case tracked residents Medication Administration Record (MAR) were examined at the time of the inspection and it was established that policies in relation to the administration of medicines had been fully adhered to and no concerns were identified. The manager at the home stated that should a resident wish to be independent in the administration of medicines a risk assessment would be initiated, if the resident was deemed as being safe, the resident would be supported to be independent in relation to self-administration of medication but would continue to be monitored by the staff at the home to ensure the residents safety. The temperature within the medication fridge had been monitored effectively and the temperature levels were within acceptable parameters. The manager stated that principles in relation to the maintenance of residents respect and dignity are initially discussed on induction to the home and reiterated through training events and staff supervision sessions. Staff interviewed on the day of the inspection confirmed that issues relating to privacy and dignity are addressed at induction and could demonstrate an appropriate knowledge relating to the principles of privacy, dignity and respect and how to apply these principles to the residents at the home. The residents and visitors spoken with on the day of the inspection were very complimentary about the way staff spoke to them and attended to their needs. Residents confirmed that staff always knocked on the resident’s bedrooms doors before entering and also stated that staff always promoted the residents privacy and dignity when bathing or performing personal care. Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 13 In gaining further insight into the care afforded to residents at the home the inspector witnessed interactions between residents and staff at lunchtime and throughout the day, it was evident that the staff within the home promote the principles of respect and dignity at all times and displayed genuine affection and consideration towards residents. Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 14 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, 15. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Resident can benefit from a varied social activities programme within the home and within the broader community. Residents are encouraged to maintain contact with their family and friends. Residents are encouraged to exercise choice and control over their lives. Residents are provided with a wholesome, appealing and balanced diet. EVIDENCE: The manager at the home stated that a varied social activities programme is provided within the home and within the broader community. A recently employed social activities coordinator facilitates the social activities. The case tracked residents together with a relative visiting the home also stated that the home provides a varied social activities programme in which the residents can choose to participate in if they wish. Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 15 It was established that the residents had recently been given the opportunity to go out on a day cruise on the river Trent form Newark on Trent. Other activities provided at the home include movement to music, reminiscence therapy, board games, dominoes, arts and crafts etc. The inspector informally interviewed the activities coordinator and it was established that he has attended an appropriate training event to glean an insight into the complexities associated with the provision of social activities within a health care setting. The social activities coordinator ensures that any social activities provided by outside organisations or individuals undergo a rigorous quality assurance process and that the social activities will only commence once the quality of the outside interventions has been assured. The activities coordinator also performs 1:1 interventions with residents who are bed bound to ensure equity of provision and minimise the potential of social exclusion. The social activities coordinator stated that social activities are discussed at residents meetings, which are performed on a monthly basis to ensure that the wishes of the residents are prioritised and social needs and aspirations are met at the home. Residents and visitors to the home also confirmed that the residents meetings take place on a monthly basis and they feel that their input at the meeting is actively sought and their opinions are valued. The manager stated that she operates an open door policy in which the friends and relatives of the residents can visit whenever they wish. The case tracked residents and the relative visiting the home also confirmed the open access to the home. The home benefits from a very pleasant dining room which is safe and aesthetically pleasing. Residents and relatives alike confirmed that the food in the home is of good quality, well presented and meets the dietary needs of residents. It is good practice to display a menu in a prominent position within the home to aid the resident’s ability to choose their preferred meal option. Although a menu board was not evident a discussion with the manager confirmed that the menu board would be provided in the near future together with daily menu cards which will be displayed on the dining tables so as to promote a restaurant style approach to meal times. Hallcroft Care Home DS0000057801.V306704.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, 18. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents feel that any concerns or complaints will be listened to, taken seriously and acted upon by the manager and staff at the home. Staff at the home receive appropriate training in relation to the protection of the vulnerable adult. EVIDENCE: The complaints procedure is available in the homes foyer and also supplied within the homes admission pack so residents and their representative’s are fully aware of the appropriate actions to be taken if they have any concerns or complaints. A case tracked residents stated that she felt safe within the home and should she have any concerns or complaints she would feel confident that the manager would address them effectively and professionally. A relative visiting the home stated that in the past she had raised a minor concern with the manager and stated that the manager dealt with the concern effectively in a professional, efficient manner. Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 17 Two members of staff confirmed that issues relating to the protection of the vulnerable adult is addressed within the six week induction period and it was evident that the staff members were aware of the appropriate actions and policies to be adhered to if they suspected adult abuse was happening in the home. An examination of the staff training documentation also evidenced that Protection of Vulnerable Adult (POVA) training is provided throughout then year. Hallcroft Care Home DS0000057801.V306704.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, 26. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Hallcroft Care Home provides a safe, well-maintained environment for its residents. The home is clean, pleasant and hygienic throughout. EVIDENCE: A partial inspection of the home evidenced that Hallcroft Care Home continues to provide a clean and well-decorated environment for its resident’s enjoyment. All communal areas were well decorated, appropriately lit and free of obstacles. The communal toilets were maintained to a satisfactory standard and the home was odour free throughout. Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 19 The case tracked residents gave the inspector consent to examine their bedrooms. The bedrooms were found to be personalised, homely and safe. Residents and two visitors to the home praised the high standards of hygiene and cleanliness throughout the home and stated that they have never had any concerns in relation to the internal or external environment of the home. The residents also benefit from a secure, well maintained garden area in which patio furniture and a gazebo is available for the residents and their visitors to enjoy in the summer months. Appropriate and safe access to the garden area is via ramps and steps. The activities coordinator stated that the residents with an interest in gardening are encouraged to maintain potted plants within the garden area, which some residents particularly enjoy. Concerns identified at a previous inspection relating to the condition of the carpets in the hallways and reception areas have been addressed, as new carpets were evident within these areas. Hallcroft Care Home DS0000057801.V306704.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, 30. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Staffing levels at the home are appropriate in meeting the needs of the residents. The home utilises an appropriate recruitment policy, which is adhered to thus ensuring residents are supported and protected. Staff receive appropriate training to do their jobs effectively thus ensuring that residents are in safe hands. EVIDENCE: Staff employed at the home is sufficient numbers to meet the needs of the residents. On the day of the inspection 35 residents were accommodated at the home. Five carers and two qualified nurses were on duty throughout the morning, throughout the afternoon four carers and one qualified nurse was on duty and two carers and a qualified nurse covered the night period. Concerns identified at a previous inspection performed on 27th July 2005 related to the recruitment practices at the home. An examination of staff files and a discussion with the manager evidenced that the recruitment policies are now followed thus ensuring the safety of the residents. Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 21 The recruitment documentation of the last two members of staff employed at the home was checked and found to be satisfactory. Both staff members had undergone appropriate Protection of Vulnerable Adult checks together with Criminal Record Bureau (CRB) checks and had provided two written satisfactory references. The homes documentation relating to the recruitment process was well organised and clear. It was established that all new staff members received an appropriate induction programme that normally takes six to eight weeks to complete. The induction documentation evidenced that newly appointed staff are provided with information relating to all care provisions within the home. The induction process equips the new employees with a basic knowledge to work effectively and safely within the healthcare arena. In ensuring that residents are safe and a high quality service is provided the manager stated that mandatory training opportunities are available to care staff employed at the home. An examination of the staff training documentation and a discussion with a staff members confirmed that the training opportunities are appropriate in ensuring the safety of residents and staff alike within the home setting. Hallcroft Care Home DS0000057801.V306704.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, 33, 35, 38. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents and their relatives are afforded the opportunity to express opinions and concerns. Residents at the home are protected from financial abuse. To promote a safe service for residents staff at the home receive appropriate formal supervision sessions. The health, safety and welfare of residents are promoted and protected EVIDENCE: Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 23 The manager of the home was formally interviewed by the Commission for Social Care Inspection on 9th December 2005 and was assessed as competent to undertake the manager’s role at the home. Staff praised the manager’s abilities and stated that they have a great deal of confidence in her ability to manage the home effectively. One staff member stated that the manger is inspirational in her managerial approach and methods. Residents and relatives alike confirmed that the manager is professional and efficient in performing the manager’s role at the home and confirmed that she is approachable and considerate to the residents needs. The manager continues to provide appropriate consultation systems to ensure that the home is run in the best interests of the residents. Bi-monthly resident meetings continue so as to consult the residents of any developments within the home and quarterly residents and relative meeting are performed so as to included relatives and friends in the consultation processes within the home. To further ensure the provision of a high standard of care is achieved and maintained the manager perform quality audits that include medication audits, care plans audits and environmental audits. Residents at the home continue to be protected from financial abuse. The manager continues to maintain separate written records of all monitory transactions and the resident’s monies are securely stored within a noninterest account, a system that has been previously agreed with the Commission for Social Care Inspection. It was also evident that secure facilities are available in all the resident’s rooms if required to ensure the safekeeping of money and valuables. The manager stated that staff receive bi-monthly supervision sessions, which was confirmed by a staff member on the day of the inspection. The manager stated that the supervision sessions provides the opportunity to discuss any concerns the manager or the member of staff might have plus identify training opportunities available to further enhance the care provision within the home. To ensure that the residents are safe within the homes environment a range of Health and Safety records were seen, all were found to be satisfactory and up to date. The documentation appertaining to the routine maintenance within the home was very well organised, as was all the documentation within the home. Hallcroft Care Home DS0000057801.V306704.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 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 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 4 X 3 X 3 3 X 3 Hallcroft Care Home DS0000057801.V306704.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. Standard Regulation Requirement Timescale for action 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 Hallcroft Care Home DS0000057801.V306704.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Hallcroft Care Home DS0000057801.V306704.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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!