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Inspection on 26/06/06 for Haslington Residential Home

Also see our care home review for Haslington Residential Home for more information

This inspection was carried out on 26th June 2006.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The training programme for all members of staff gives them the opportunity to develop their knowledge and skills to work effectively with service users who have a wide range of support needs. All members of staff are expected to take opportunities to obtain mandatory training (annual updates in moving and handling, fire safety, first aid, food hygiene) and the home provides additional training appropriate for supporting service users. The number of staff on duty at night has been increased from 2 to 3. This gives service users the benefit of having appropriate care and attention at night within premises that are dispersed over a wide area and on 3 floors. Two activities organisers help to extend the programme of activities and contribute to the lifestyles of service users. The emphasis on reviewing service user`s changing support needs and meeting these needs is of benefit to service users and their relatives. All members of staff have the benefit of 1:1 time with the manager to discuss their progress and agree on any training or other support needs they have to enable them to address the complex requirements of service users. The commitment to quality assurance measures as described by the manager and owner is likely to have direct benefits for service users, members of staff and relatives/visitors. The full modernisation of the premises has provided suitable facilities for people with significant health problems in old age.

What has improved since the last inspection?

The refurbishment of the premises is nearing completion. This has taken some 3 years: the facilities available to service users have been designed to be of benefit to frail older people including those with support needs due to the onset of dementia. Training opportunities available to staff have increased. Arrangements for food provision have improved. The home has critically analysed its success in providing food and fluids to service users to better enable them to combat skin deterioration and recover more quickly from infection.

What the care home could do better:

The work in progress to give new service users and their representatives a new Service User`s Guide is acknowledged. This is likely to give better and clearer information to those parties. The manager is aware that staffing levels will need to be reviewed to ensure that the health, personal and social care needs of service users are met particularly when the numbers of service users increase. The dispersed nature of the premises and the separation into 2 units are likely to have an impact on this. The proposed review by the manager of training arrangements in medication administration could have a benefit for service users and for those nominated staff responsible for aspects of administration. The work being undertaken in producing relevant "life books" for service users is likely to help members of staff and activities organisers contribute to the work they are already do in assisting service users remain more physically and mentally alert.

CARE HOMES FOR OLDER PEOPLE Haslington Residential Home Cobham Terrace, Bean Road Greenhithe Kent DA9 9JB Lead Inspector Eamonn Kelly Unannounced Inspection 26th June 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 Haslington Residential Home DS0000031967.V294426.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. Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haslington Residential Home Address Cobham Terrace, Bean Road Greenhithe Kent DA9 9JB 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) 01322 383229 01322 380556 Mrs Carol Anne Jansz Mr Edward Raphael Jansz Mrs Carol Anne Jansz Care Home 25 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (2) of places Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th September 2005 Brief Description of the Service: Haslington residential home provides residential accommodation for up to twenty-five older people on two floors. The home provides support for older people who have or are developing dementia. There are 25 single bedrooms, each of which has an en-suite facility. Bedrooms are situated on the ground, first and second floors with access assisted by two passenger lifts. Substantial renovation intended to bring the number of service users registered with the Commission to 46 is nearing completion. Twenty-four hour care is provided with 3 members of staff on duty at night. The home is close to rail and bus services. The Bluewater shopping centre is also nearby. Service users, visitors and staff have access to newly landscaped gardens. Weekly fees are in the range £401-£520. The service user’s guide and personal contract states that additional charges are made for: 1. Hairdressing (£5-£25). 2. Chiropody (£8-£11). 3. Oast House Day Centre (£5). Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit between 10.00am-3.30pm consisted of meeting with service users, members of staff on duty and visitors. Survey questionnaires were sent by the CSCI to the home prior to the inspection visit. The manager provided those residents who were more likely to be able to provide an opinion with a survey questionnaire. In the other cases, relatives have been requested to take part in the survey. No residents returned completed surveys but 3 relatives did so on their behalf. The home also provides relatives and visitors with regular opportunities to make their views known via questionnaires. The inspection visit concentrated on the care and support in place for service users. Meetings with members of staff, service users and visitors served to give a broad understanding of how service user’s current and changing needs are addressed. The results indicated that service users are well cared for at the home. What the service does well: The training programme for all members of staff gives them the opportunity to develop their knowledge and skills to work effectively with service users who have a wide range of support needs. All members of staff are expected to take opportunities to obtain mandatory training (annual updates in moving and handling, fire safety, first aid, food hygiene) and the home provides additional training appropriate for supporting service users. The number of staff on duty at night has been increased from 2 to 3. This gives service users the benefit of having appropriate care and attention at night within premises that are dispersed over a wide area and on 3 floors. Two activities organisers help to extend the programme of activities and contribute to the lifestyles of service users. The emphasis on reviewing service user’s changing support needs and meeting these needs is of benefit to service users and their relatives. All members of staff have the benefit of 1:1 time with the manager to discuss their progress and agree on any training or other support needs they have to enable them to address the complex requirements of service users. The commitment to quality assurance measures as described by the manager and owner is likely to have direct benefits for service users, members of staff and relatives/visitors. The full modernisation of the premises has provided suitable facilities for people with significant health problems in old age. Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Haslington Residential Home DS0000031967.V294426.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 Haslington Residential Home DS0000031967.V294426.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, 5, 6. Quality on this outcome area is good. This judgement was made using available evidence including a visit to this service. Prospective residents and their representatives are encouraged to visit the home as part of the care assessment procedure to see if they think it is suitable. EVIDENCE: Care plan records seen together with a description by the manager and owner of pre-admission procedures indicated that care needs are assessed with the help of care managers, psycho-geriatricians and others. Care is taken to determine, particularly with relatives and advocates, that prospective service users would receive the level of support they need. The home offers a service user’s guide to prospective service users and their supporters. The manager and owner intend to update this guide when the refurbished premises (with its expected significant increase in the number of service users) come into use in July/August 2006. The updated guide will be consistent with the outline recommended in Schedule 1 of Care Home Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 9 Regulations. Each service user or his/her advocate also receives a personal contract at admission stage. Service users are admitted for periods of respite care but not for intermediate care from hospital. Haslington Residential Home DS0000031967.V294426.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, 10. Quality on this outcome area is good. This judgement was made using available evidence including a visit to the service Service user’s have the benefit of having their health, personal and social care needs identified, recorded in care plan records and reviewed regularly. EVIDENCE: Service user’s health, personal and social care needs are recorded in care plan records. In the examples seen, their changing support needs are identified and plans made to meet these. Risk assessment information about premises and individuals was contained in each of the care plan records seen. Service users, according to information in care plans seen, have the benefit of services from GP’s at 3 surgeries. They also receive attention from the local psycho-geriatrician where necessary. A dentist, optician and chiropodist also visits on request. Medication is stored principally in a locked medication room on the ground floor and in locked medication trolleys on other floors. MAR (medication administration record) sheets are updated when medicines are administered. Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 11 Members of staff administering medicines receive training. The manager will enable staff to attend training in medication administration that is conducted over an 8-10 week period with an element of competency determination. This is seen as more appropriate than seminars provided by medicine providers. Visitors met stated that service users are treated with respect and with knowledge by staff of their medical needs and physical disabilities. They are involved in many aspects of their care. Visitors met said they were happy with aspects of premises (single bedrooms, lockable doors, garden areas, walking spaces within the premises) and procedures (understanding by staff of behavioural issues due to the onset or progress of dementia) affecting service users. Service users have access to separate gardens from each floor and there is considerable walking space inside the premises for them to move about freely but with supervision. Completed questionnaires from relatives confirmed that those who responded were satisfied with how their relative was being cared for. Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 12 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 on this outcome area is good. This judgement was made using available evidence including a visit to the service Service users are helped to maintain good contact with friends and relatives. EVIDENCE: A number of visitors were meeting service users. Those met said that they were satisfied with the service provided by the home and by members of staff. The home employs 2 activities organisers who collectively provide 26 hours per week assisting service users and involving members of staff in provision of mental and physical stimulation to service users. There is an activities materials storage room that, they said, would be increasingly used when numbers of service users increased. Care plan records contained good outlines of service user’s abilities and preferences. This knowledge is useful for care staff and activities organisers. Work is also beginning on producing “life books” to fill out aspects of service user’s previous lives, employment and interests. The previous difficulties with food preparation referred to in the CSCI report have been addressed. Several cooks are now employed. Cooks and other staff Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 13 referred to experimental work (menus and food options) now underway in providing alternative meals to frail older people. The CSCI provided the home with further advice (good practice guidance on food for older people in care homes) by letter. Following receipt of this letter, the Commission was advised that the home uses a Caroline Walker Trust computer tool to analyse the nutritional value of menus and that all staff are given copies of the Alzheimer’s Society “Food for Thought” literature. Cooks are also advised about training materials regarding hydration for the elderly and fluid intake. Service users have good access to TV and radio services. A large plasma screen is to be installed in a lounge. Service users are enabled to promote personal relationships where this is possible. They have good access to newspapers, books and magazines. Meetings with visitors and information in questionnaires completed by relatives indicated that most service users were heavily dependent on decisions being made by staff and relatives but that they were helped with day-to-day activities and tasks. Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 14 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 on this outcome area is good. This judgement was made using available evidence including a visit to the service Residents and representatives can be confident that their views are listened to and acted upon. This serves to protect service users from forms of abuse. EVIDENCE: Visitors said that the manager and members of staff listen to concerns and complaints and take these seriously. As well as providing relatives with copies of the CSCI survey questionnaire, the home enables visitors to provide their own views through the home’s questionnaire. A copy of the local authority adult protection policy was available at the home. Members of staff were aware through experience and training of the risks to vulnerable people from various forms of abuse. The home has a complaints policy that is provided to all service users and relatives. The manager was aware of current POVA (protection of vulnerable adults) arrangements and, according to her, members of staff are aware of the potential consequences if abuse of service users took place. No complaints or allegations have been made since the last inspection visit. Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 15 Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 16 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 on this outcome area is good. This judgement was made using available evidence including a visit to this service. The premises are safe and comfortable and are suitable for the provision of support for older people. The safety and comfort of service users is being improved by the imminent completion of major redecoration and refurbishment. EVIDENCE: Bedrooms are on the ground, first and second floors. Access is assisted by 2 passenger lifts. Service users on the different floors are able to use separate gardens on two levels. They can go outdoors without direct supervision and alarms on gates at the front on either side alert staff to further danger. There are a number of lounge areas and quiet rooms for use by residents and visitors. Service users have many areas in which to walk including a circular Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 17 route for continuous movement if they wish. The owners and manager have made good efforts to incorporate colour-coding ideas (in WC’s and with carpeting in some areas) to assist residents. The manager is considering the use of memory boxes and other methods to help people find their way more easily around the premises. All service users have single bedrooms. The current availability of 25 bedrooms is intended to increase to 46 when the renovations are complete in July/August 2006. A newly equipped laundry is situated in the basement. A service lift has been installed to transport materials to this area. All current bedrooms have en-suite facilities. Some of the rooms coming into commission soon do not have such facilities but there are nearby communal bathrooms and a sluice facility. The home was clean and tidy apart from the presence of materials that are inevitable where extensive building work is taking place. During this time, the safety and comfort of service users has been promoted, based on risk assessment and action to prevent accident or discomfort to residents and visitors. Bathrooms have electric hoists. Members of staff said that many residents prefer to use the shower room that has gravity drainage and a safe chair. The district nurse team supplies additional equipment (for example, seat cushions, special mattresses) agreed as necessary for the ongoing care of service users. Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 18 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 on this outcome area is good. This judgement was using available evidence including a visit to this service. The home provides good support for staff in enabling them to obtain suitable training for the care of service users. EVIDENCE: During the inspection visit, the manager and owner were on duty in addition to 4 care assistants (including 2 senior care assistants), cook, kitchen assistant and domestic worker. Three members of staff are on duty at night. The level of staffing on duty at all times is being reviewed to take account of future higher numbers of residents, the dispersed nature of the premises and the situation where service users with different support needs are accommodated in separate units. Two staff files checked indicated that application forms are completed by all new staff, two written references are taken up, CRB (criminal record bureau) checks are taken up and an induction procedure is followed. A telephone reference is now additionally taken up for prospective new members of staff. Examples of supervision records were seen. These indicated that the manager discussed aspects of good and poor practice with staff regularly. The procedure Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 19 also led to agreement on the types of support and training needed by staff. It is being developed to link closely with the in-house but externally validated dementia training course and operating standards required at the home. Members of staff met were confidant that they had a good understanding of service user’s support needs and that these were being met. They referred to their understanding of and empathy with service users with severe memory loss or who have the on-set of dementia. The manager outlined how she had become a recognised trainer (by the Alzheimer’s Society) for care staff working with older people and how all members of staff undertake training the outcome of which is assessed by the society. The owner and manager have achieved the Registered Manager’s Award. Most members of staff have either achieved NVQ Level 2 or 3 in Care or are offered the opportunity to undertake this qualification. A domestic worker has achieved NVQ in Housekeeping Services. The training matrix indicates that all care staff undertakes mandatory training (1st Aid, Moving & Handling updates, food hygiene, fire safety). Members of staff also are encouraged to undertake other appropriate training (infection control, risk assessment, care plan recording, adult protection, working with people with “challenging” behaviours). The manager intends to review the quality of medicine administration training. Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 20 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 on this outcome area is good. This judgement was made using available evidence including a visit to the service Service users live in a home that is conducted in a way that meets their support needs. EVIDENCE: The owners have a direct role in the maintenance and management of the premises. Mrs Jansz (a registered nurse with the Registered Manager’s Award) has a direct role in the day-to-day operation of the home. Mr Jansz is also actively involved in the running of the home. The manager is applying for registration with the Commission and has also achieved the Registered Manager’s Award. Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 21 The premises have been substantially modernised and the intention is to increase the number of service users from 25 to 46. Staffing levels, systems and procedures are being updated to take account of the significant improvements nearing completion. This has led to additional quality assurance measures being put into place. Relatives and visitors are encouraged to make their views known: the manager outlined how these comments and views are taken into account. The results of comments received through the home’s questionnaires are analysed and the outcomes are advised to staff and respondents. Survey forms were sent by the CSCI to the home prior to the inspection visit. Completed forms have not been received from residents but a small number have been received from relatives. The manager provided those residents who were more likely to be able to provide an opinion through a survey questionnaire. Examples of relative’s comments were: • • • • • • • • “Sometimes ? is not taken to the toilet as she may refuse and so becomes wet. Possibly different forms of persuasion or going back in a few minutes would prevent this”. “The GP and district nurse have been called immediately to see ? when necessary”. “I believe ? joins in singing and reminiscing. but I’m not sure what else”. The owner, manager and staff are generally available and are very helpful”. “Her bedroom is bright and cheerful with quality furniture”. “My family is very pleased with the care given to ?. We are pleased with the open way of communications at the home”. “? is very happy here”. “? Is well looked after and has special care for her own needs”. Declarations relating to safety and maintenance issues were made in a preinspection document supplied to the CSCI. These referred to fire safety procedures that meet fire safety department guidelines, contact with the environmental health officer, gas and electrical safety checks, call alarms and associated procedures, lift safety, management of hazardous materials etc. The advances on provision of suitable foods and fluid have had a benefit for service users. There has been improvement in the provision of mental and physical stimulation for service users and an emphasis on this is continuing through staff knowledge and skill and the efforts of the activities organisers. The programme of NVQ training is being supported by encouragement for staff to undertake additional mandatory training and specific skills development appropriate to meeting the support needs of service users. The pre-inspection questionnaire indicated where several service users Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 22 have advocates appointed on their behalf. The manager stated that the home does not act as appointee to any service user and that guidance is given to enable them to receive independent legal and financial support where necessary. Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 23 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 x 3 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 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 x x 3 Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 24 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 Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Haslington Residential Home DS0000031967.V294426.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!