Inspection on 24/01/07 for Hatt House

This inspection was carried out on 24th January 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

Hatt House 27/01/06

Hatt House 26/07/05

Hatt House 26/01/05

Hatt House 21/09/04

Hatt House 04/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Hatt House Hatt House 14 Park Road Torquay Devon TQ1 4QR Lead Inspector Graham Thomas Unannounced Inspection 24th January 2007 09:30 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 Hatt House DS0000018367.V318360.R02.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. Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hatt House Address Hatt House 14 Park Road Torquay Devon TQ1 4QR 01803 326316 01803 326316 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) Mr Michael John Oaten Mrs Patricia Anne Oaten Mrs Patricia Anne Oaten Care Home 24 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (24), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (24), Old age, not falling within any other category (24) Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users with the category (DE) aged between 50-65 Date of last inspection 27th January 2006 Brief Description of the Service: Hatt House is a detached property in large grounds in a quiet residential area of Torquay. The home has easy access to the local facilities of St. Marychurch and nearby park. There are three double and seventeen single rooms with a lift available to the upper floor. The garden area is level and has good access for those with poor mobility. There is an enclosed courtyard for anyone who is unable to use the main garden area. The home provides care predominantly for older people with dementia. Aids and equipment include a mobile hoist and bath aids. The communal areas of the home consist of a sitting and dining room. There is a coach house attached by a covered corridor which provides accommodation for more independent service users and which also contains a small sitting room. This is used as a quiet area and a private room for meeting visitors. The home has its own minibus which is used to take service users to local activities. There is a daily programme of activities in the home provided by staff and visiting entertainers. Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Before the inspection a questionnaire was sent to the Registered Providers. This was completed and returned. Five service users (or their relatives) and six staff returned completed survey forms before the inspection. The Inspector spent seven hours at the home. Three staff and a visitor spoke with the Inspector who also observed individuals and groups of service users receiving care and joining activities. The Registered Provider was on holiday at the time of the visit. The “Clinical Manager” was in charge of the home. The Inspector spoke with the “Clinical Manager” about the home and issues arising during the visit. Six staff spoke with the Inspector individually. All parts of the premises were examined. The Inspector also examined the home’s systems for administering medication. A sample of ten care plans was examined. The Inspector also saw five staff files and other records about the running of the home. What the service does well: • • The home makes sure it can meet people’s needs before they move into the home. Each service user has a clear and well-organised plan which is reviewed regularly. The plans show how service users needs are met and when those needs change. Service users receive the medical attention and treatment they need. There are particularly effective systems for monitoring service users’ health. Staff know how to give medicines safely. The privacy of service users is respected. Service users enjoy a full and varied programme of regular activities to join if they wish. Service users can make choices about what they eat and enjoy the food in the home. Staff listen to the concerns of service users and their relatives and act upon what they say. • • • • • Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 6 • • • • • Hatt House is generally, clean comfortable and safe. Staff make sure that infections are not spread around the home. A well developed training programme for staff makes sure they know how to do their jobs properly. Staff feel well supported by the home’s management. The quality of the service provided is properly monitored. 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. The summary of this inspection report can be made available in other formats on request. Hatt House DS0000018367.V318360.R02.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 Hatt House DS0000018367.V318360.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good Service users can feel confident that their needs will be properly assessed before they move in to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plan files for the three most recently admitted service users were examined. These contained assessments of need and other assessments from health and social services. These assessments had evidently been conducted before the service users had moved in to the home. However, some were not signed and dated. Four of the five service users or relatives who responded to a questionnaire felt that they had received enough information. The fifth observed “when this involves your parent I am not sure what level of info would be enough” Hatt House does not admit service users solely for intermediate care. Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 9 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): 7, 8, 9 and 10 Quality in this outcome area is good Service users’ health and personal care needs are well met at Hatt House. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user had an individual plan which set out health, personal and social care needs. Ten plans were examined, five of these in greater detail. The plans were very well organised and showed clearly how assessments had been turned into action plans and how the actions had been reviewed. The plans were supplemented by usefully detailed daily records for each individual. The person in charge was advised to make some minor revisions to recording by night shifts. Restrictions on personal freedoms were identified in the plans. It is recommended that these should be more detailed in order to ensure that individual interests are safeguarded. Health care needs were clearly identified in the plans which recorded details of both routine and specialist medical treatments. Routine checks had been recorded such as weight and pulse, as well as glucose levels for one service Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 10 user with diabetes. Records concerning continence care were seen in some of the plans. Risk assessments had been produced for issues such as falls and pressure sores. Service users with whom the Inspector spoke felt that they had access to their doctor when they required. In the surveys returned to the Inspector, service users and their relatives felt that health care needs were “usually” or “always” met. One relative commented that his parents “appear to be in better health than when they lived in their own home”. This relative also stated that when his father was ill, “I was notified immediately the Dr. had been called and advised by telephone of his progress. Greatly appreciated”. Records of checks relating to healthcare were particularly thorough and reflected a high standard of practice. A visiting District Nurse was interviewed. She felt that the home generally followed any treatment advice and kept her informed of any developments. The home’s system for administering medicines was examined. At the time of this inspection there were no service users administering their own medication. This was indicated either by a risk assessment or the consent of the individual service user for staff to administer their medication. No controlled drugs were in use. However, new secure storage for these drugs had been fitted since the last inspection. A register for recording the use of controlled drugs was available if required. Homely remedies were stored for minor ailments. Their use was specified in a professionally approved list which was seen by the Inspector. A sample of the medicines administration records was examined. The records were generally accurate, up-to-date and in good order. One minor issue of coding was discussed with the person in charge. Photographs of each service user were held with the medication to reduce the possibility of error. A list was seen of specimen signatures of staff administering medicines. Training for staff in the use of medicines was discussed with the person in charge. Evidence of training was also seen in staff training plans and records. The training consisted of initial in-house introductory and practical training. This was supplemented by a structured course prepared by a pharmacy. Medicines were found labelled “as directed”. The person in charge was advised that specific instruction concerning their use should be sought from the prescribing Doctor. Some medicines had been prescribed “as required”. Instructions were seen regarding the maximum doses to be given. However, it is recommended that written guidance should also be in place for carers to advise on the specific Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 11 circumstances under which the medication is to be given. This is important in order to reduce the risk of the misuse of medication. During the inspection staff were seen addressing service users respectfully and knocking on doors before entering. Service users with whom the Inspector spoke, confirmed that medical consultations took place in private either in the home’s treatment room or their own room. During the inspection, the District Nurse was conducting private consultations in the treatment room. Hatt House DS0000018367.V318360.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. Service users at Hatt House can feel assured that their daily life and social activity will be in keeping with their individual needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A board in the main lounge displayed a rolling programme of activities. Some of these were provided by the home’s staff and other. by visiting entertainers. On the afternoon of the inspection, groups of service users were enjoying word search activities while others were throwing and catching a ball. In a written survey one relative commented “there seems to something going on a daily basis”. A service user stated that “ because I have been registered as blind the staff have tried very hard to get me involved with activities. They also helped to arrange for ‘talking books’ with the RNIB which has been excellent”. Other activities were discussed with service users and the person in charge. These included, for example, quizzes, hand massage and armchair aerobics. The person in charge stated that staff from the Phillipines were planning a “Phillipines” evening. The Registered Provider has stated that guidance from the Alzheimer’s disease society has been used to produce the activities plan. Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 13 Individual plans and discussion with service users confirmed that arrangements were in place for religious observance. Some service users were able to attend local churches while others saw clergy who visit the home. Service users confirmed that they were able to receive visitors in private. The home has two lounges. The smaller of these in the “coach house” is used as a private meeting place for service users and their visitors. On the day of the inspection a visitor joined his wife for a meal at the home. This was said to be routine. The visitor stated that he always received a warm welcome in the home. Many service users at Hatt House require substantial support. However, the care plans and daily records showed, for example, that in matters such as personal hygiene individuals were being encouraged to maintain as much independence as possible. This was confirmed in discussion with staff. The Registered Provider has stated that the home has no involvement in service users’ finances. These were said to be handled by relatives or advocates. The home makes small purchases on behalf of service users and invoices relatives as required. Records were seen of such purchases together with receipts. Service users and their relatives commented favourably on the food provided by the home. One service user commented “there is always a variety and (staff) will make sure that I have what I like”. At the start of the inspection, a number of breakfast trays were waiting to be taken to service users’ rooms in accordance with the timing of their morning routines. Menus were seen and discussed with the chef. These showed the planned meals and those actually eaten by service users. These were arranged in a three-weekly cycle with seasonal adjustments. A daily choice was offered. On the day of the inspection the choice was Lancashire hotpot or chicken pie followed by bread and butter pudding. The pudding had been made with ingredients suitable for those with diabetes. There was also a vegetarian option. The food stores contained supplies of fresh fruit and vegetables which were being used in the preparation of the meal. Most service users took their midday meal in the dining room which was arranged with small tables. Others took the meals in their rooms. The Inspector observed one service user being assisted to eat a liquidised meal. Each constituent had been separately liquidised to present a variety of distinct colours and flavours. The assistance given was discreet and in keeping with the individual’s needs. Hatt House DS0000018367.V318360.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Service users and their relatives can feel confident that their concerns will be taken seriously. There are sufficiently robust procedures in place to protect service users from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users and relatives who responded to a survey were satisfied that their concerns were listened to and acted upon. One relative commented “All members of staff seem open to questions and if they cannot answer will refer me to more senior staff” A record of complaints, showing details of action taken, was available for inspection. There were policies and procedures concerning complaints, whistleblowing and the protection of vulnerable adults from abuse. These contained details of how to contact the Commission directly. Staff training records showed that staff had received training in the Protection of Vulnerable Adults from abuse and that this was part of the ongoing training programme. Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 15 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): 19 and 26 Quality in this outcome area is good. Service users live in a sufficiently comfortable, clean and safe environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Hatt House is a large, detached period property sited close to the local amenities of St. Marychurch in Torquay. The home consists of a main house with an enclosed corridor leading to the “coach house”. The main building comprises two floors connected by a shaft lift and stairs. On the ground floor there are a large lounge, dining room treatment room, a small office, and kitchen. Individual service users’ rooms are sited on both floors. The coach house comprises two floors including service users’ accommodation and a further small lounge. A stairway provides access to the upper floor. This accommodation is used for more independent service users. In all there are 17 single and three double rooms. Five of the single and one of the double rooms have en-suite facilities. Two bathrooms, four toilets and a Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 16 shower facility are provided for communal use. Aids such as bath hoists, toilet frames and booster seats were seen in these areas. All were in good condition. At the rear of the main building there is the large main office, laundry, food store and staff rest room. The home has extensive grounds with level access. There is also an enclosed courtyard near the coach house which can be enjoyed safely by service users who may be disorientated. Evidence was seen of regular maintenance and safety checks. These included, for example, maintenance of the shaft lift and bath hoists. During the inspection an exterior area was being painted. The Inspector toured the whole premises. All areas were clean and free from offensive odours. Some specific maintenance issues have been identified below. However, in general the home was well decorated and maintained. Furnishings in both communal and individual areas were homely and comfortable. Individual accommodation contained many personal items which had been brought to the home by service users. Most individual rooms had laminate flooring with rugs in some cases. Service users and/or their representatives had signed agreements to have this flooring rather than carpet. There were various styles of locking arrangements fitted to these rooms. Some had privacy locks which could be operated with a coin from the outside. The person in charge stated that these were being phased out and replaced with an alternative system. Some rooms were fitted with Yale type locks with the snib disabled. These provided the opportunity for service users to hold a key and lock themselves in their rooms if they wanted. In two cases the locks appeared to be stuck in the open position. This was drawn to the attention of the person in charge who undertook to address the issue. The hot water supply to hand basins in individual rooms was not regulated. This had been risk assessed. There were also risk assessments in place for other environmental hazards. Infection control measures were seen in operation during the inspection. The home’s laundry is sited away from food preparation areas and was clean and reasonably tidy. There were two washing machines and a tumble dryer in operation. These were of industrial quality and had hot washing cycles to meet the needs of the home and its residents. Staff were seen wearing gloves and aprons for tasks involving a risk of infection. Antibacterial hand gel was available for staff who were observed using it. Systems were in place to dispose of hazardous waste. Cleaning staff were using colour coded equipment for use in different areas. Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 17 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): 27, 28, 29 and 30 Quality in this outcome area is good. Service users are supported and protected by sufficient numbers of welltrained staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In addition to carers, and the Registered Providers the home has dedicated kitchen cleaning and maintenance staff. Care staff were of varied ages and levels of experience. Levels of staffing appeared to be sufficient to meet the needs of service users as well as maintaining the smooth running of the home. This was evident in a number of ways. Examples included service users who appeared clean, comfortable and well groomed. The home was clean and odour free. There was effective liaison with health services as discussed with a visiting District Nurse. Staff were able to devote time to engaging in activities with service users. Daily recording by staff was detailed and well maintained. Before the inspection visit, six staff returned survey forms. These confirmed evidence in staff files that generally sound recruitment practices were in place. Both the surveys and the files examined showed that a formal recruitment procedure was in operation. This included the completion of an application, two references and criminal records checks. Where foreign staff had been recruited, copies of work permits were held on the files. Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 18 Some staff had commenced duty before their criminal records checks had been completed. In these cases, “POVA First” checks had been undertaken. Such checks provide information about those people whose previous employment history indicates a potential risk to service users. Staff recently recruited in this way confirmed that they were subject to supervision by experienced colleagues until the full checks had been completed. However, the name of the supervisor for each shift should be recorded and this is a recommendation on this occasion. This is to ensure the greatest possible safeguarding of service users from possible poor or abusive practice. Detailed training plans had been produced for staff. Training included induction for new staff, evidence of which was seen in training booklets. Health and safety topics such as moving and handling, infection control and fire safety were covered in routine training. Other subjects directly related to service users’ needs such as dementia and continence care were also included. This training was discussed with individual staff. Certificates of attendance confirmed the courses attended. Records and discussion with staff confirmed that the home uses a mixture of training including external and in-house training. Seven of the fifteen care staff held a National Vocational Qualification in care. Four were working towards this qualification. Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 19 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 and 38 Quality in this outcome area is good. Service users and staff benefit from a generally well-managed home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is managed by Mrs. Oaten, one of the Registered Providers. Care of service users is principally managed by Mrs. Oaten with the assistance of a new Assistant Manager, and an experienced “Clinical” Manager. Two Senior Carers oversee some aspects of the work of Care Assistants. Mrs. Oaten is a Registered Nurse, has substantial experience in this field and has undertaken the Registered Managers Award. Discussion with staff and service users indicated that lines of accountability within the home are clearly understood. The standards of maintenance and cleanliness in the home, the ethos of caring and the practices observed indicated that the home is generally well run. Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 20 In written feedback it was evident that some staff felt particularly well supported. Comments made included, “The support from the owners is second to none” and “everything is good especially the management. They give more support to us”. Systems were in place to monitor and improve the quality of the service. A quality review date November 2006 was seen. Surveys of the views of service users and their families had been undertaken. There was also evidence of changes made in the home as a result of this review. The new Assistant Manager had been conducting quality spot checks which were to be part of the quality assurance system. The Registered Provider has stated that the home has no involvement in service users’ finances. These were said to be handled by relatives or advocates. The home makes small purchases on behalf of service users and invoices relatives as required. Records were seen of such purchases together with receipts. Health and safety issues were examined. The staff training programme included health and safety topics such as moving and handling, fire safety and infection control. There was documentary evidence of routine maintenance and safety checks such as the servicing of the lift and bath hoists. Records were also seen concerning the electrical testing of personal appliances. Infection control measures were seen in operation during the inspection. The home’s laundry is sited away from food preparation areas and was clean and reasonably tidy. There were two washing machines and a tumble dryer in operation. These were of industrial quality and had hot washing cycles to meet the needs of the home and its residents. Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 21 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 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 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 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 22 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. 1 Refer to Standard OP9 Good Practice Recommendations More detailed instructions for staff should be produced for medicines prescribed “as required”. These should described the circumstances under which the medicine is to be administered as well as the maximum dose to be given. Where new staff commence duty without full CRB checks, the name of their supervisor should be recorded. 2 OP29 Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Hatt House DS0000018367.V318360.R02.S.doc Version 5.2 Page 24 - 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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