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Inspection on 07/03/07 for Heatherlea Residential Home

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

This inspection was carried out on 7th March 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.

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

There is a good standard of care within the home, which is maintained by good record keeping and clear care planning. There is also a well-trained staff team, who provide care in a respectful, dignified and supportive manner. Residents can make clear choices about the way they want their care to be provided, and about the way they want to live their lives. They are regularly given the opportunity to influence the way the home is run through surveys and meetings. They are provided with a healthy and balanced diet, and have access to appropriate medical and general health support services.

What has improved since the last inspection?

Since the last inspection, the details contained in records regarding personal care has increased and they clearly cross references with the care plans. A new call bell system has been installed and several bedrooms have been redecorated. Following a recommendation from the local Fire Officer there is now three monthly training in fire procedures for night staff. The registered manager said that there has been an improvement in the recruitment, selection and retention processes, and this is evidenced by the staff team having remained stable since the last inspection.

What the care home could do better:

In order to help with the clear identification of staff members it is recommended that surnames be added to the staff rota. Whilst there are good quality assurance systems in place, it has been recommended that surveys be expanded to include, for example, health professionals that support residents. This could provide more information, which may help the service to develop further. Although there is evidence from residents that they have a choice of what they want to eat, it is recommended that records, which demonstrate the provision of meals that differ from the set menu, be reviewed to ensure that the information is easier to find. The registered manager said that they are currently trying to improve the activities they provide for residents who have a dementia, and they way in which they provide them. There is evidence that up to date literature/CD Rom is available for staff to learn from.

CARE HOMES FOR OLDER PEOPLE Heatherlea Residential Home Heatherlea House 109 Tor-o-Moor Road Woodhall Spa Lincs LN10 6SD Lead Inspector Wendy Taylor Key Unannounced Inspection 07 March 2007 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 Heatherlea Residential Home DS0000002371.V322364.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. Heatherlea Residential Home DS0000002371.V322364.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Heatherlea Residential Home Address Heatherlea House 109 Tor-o-Moor Road Woodhall Spa Lincs LN10 6SD 01526 353394 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Lesley Anne Sutherland Mr Terry Sutherland Mrs Elizabeth Margaret Hunt Care Home 17 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (17) of places Heatherlea Residential Home DS0000002371.V322364.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24 January 2006 Brief Description of the Service: Heatherlea is a large converted house in the village of Woodhall Spa. Woodhall Spa offers local shops and other facilities and it is on a bus route for Lincoln and Horncastle. There is a local G.P surgery and the majority of residents do register with them. The home can care for up to 17 residents over 65 years old, who need help with their personal care; this can include up to 5 residents who have dementia. On the day of the inspection 13 people were living at the home. There are 2 double rooms that are currently only used by 1 resident in each, and the other rooms are singles. None of the rooms offer en-suite facilities, but there are bathrooms and toilets within easy reach of the private and communal rooms. The home is on two floors and there is a stair lift. There are both dining and lounge areas on each floor. The home has a statement of purpose, which describes the facilities and care that can be offered. The current weekly fees for living at the home range from £335:00 to £415:00. Heatherlea Residential Home DS0000002371.V322364.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place during March 2007 and the visit to the home was carried out over approximately 5½ hours on one day. The care received by three residents was followed in detail. Residents spoke about the experience of living at the home; and their personal records, general house records and staff records were looked at. Staff and the registered manager were spoken to and the care being provided was observed. Information already held by the commission was also used as part of the inspection process. Residents made comments such as ‘I love it here’ and ‘it’s as near to home as it can be’. Other comments made by residents and staff can be seen in the main body of the report. What the service does well: What has improved since the last inspection? Since the last inspection, the details contained in records regarding personal care has increased and they clearly cross references with the care plans. A new call bell system has been installed and several bedrooms have been redecorated. Following a recommendation from the local Fire Officer there is now three monthly training in fire procedures for night staff. The registered manager said that there has been an improvement in the recruitment, selection and retention processes, and this is evidenced by the staff team having remained stable since the last inspection. Heatherlea Residential Home DS0000002371.V322364.R01.S.doc Version 5.2 Page 6 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. Heatherlea Residential Home DS0000002371.V322364.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 Heatherlea Residential Home DS0000002371.V322364.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are fully assessed and they are assured that those needs can be met within the home. They benefit from a range of information that allows them to make an informed choice about where to live. EVIDENCE: Pre inspection information shows that there are policies in place for referrals and admissions to the home; and previous reports show that residents are given clear confirmation that the home can meet their needs. There is an up to date statement of purpose, which the registered manager says is available on request; and there is evidence in records that prospective residents are given a service user guide during introductions to the home. Contracts and terms and conditions are available, and surveys received prior to Heatherlea Residential Home DS0000002371.V322364.R01.S.doc Version 5.2 Page 9 the visit show that residents have received copies of them. Residents also indicated in the surveys that they had enough information to help them to choose where to live, and they had a chance to look around before making their decision. Residents also confirmed this to the inspector during the visit. Admission assessments are completed for each resident, which cover areas such as physical needs, personal hygiene, skin integrity, pain, diet, mental/emotional health, sleep, communication, and information about wishes and arrangements for end of life. Assessments are signed by the resident or their representative and also contain details about funding and advocacy arrangements. Heatherlea Residential Home DS0000002371.V322364.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from comprehensive care plans that ensure all of their needs are met; and they benefit from a staff team who maintain a supportive and respectful approach to care. EVIDENCE: Residents surveys received prior to the visit indicate that residents feel that they are well cared for, and they get the medical help that they need. Surveys also indicate that privacy and dignity is maintained for each person. Comments such as ‘care and support is excellent/marvellous’ and ‘this is a very supportive home’ were made. During the visit residents made comments such as ‘the staff look after me the way I want’, ‘they put me to bed and help me to bathe the right way’, and ‘they give me privacy when I need it’. Relative’s surveys indicate that they are kept well informed and consulted about care. Heatherlea Residential Home DS0000002371.V322364.R01.S.doc Version 5.2 Page 11 Pre inspection information shows that there are policies available for medication, continence, pressure relief, privacy, dignity and first aid. Care plans are in place for needs such as anxiety, personal care, cultural needs, general health, medical needs and social contacts. During the previous inspection it was recommended that more detail be added to records and care plans regarding personal care. This has now been achieved, and daily notes and care plans were found to be very detailed. Care plans cross-reference with needs assessments, risk assessments and daily notes, and they clearly refer to choice, independence and dignity. The registered manager said that care plans would be updated by April 2007 to address new laws regarding residents making decisions and giving their consent. Evidence of the new formats was seen during the visit. There is also evidence that residents or their representatives are consulted about their care plans by way of them signing the plans. Records show that care plans are reviewed regularly. There is a privacy and dignity statement in individual files, which gives clear directions to staff about how to meet these needs. Weight and visits to health professionals such as chiropodists and doctors are recorded. Medication is stored and administered appropriately, and records are completed satisfactorily. The registered manager said that she regularly monitors medication records to ensure that administration is signed for appropriately. Staff demonstrated a very clear and detailed knowledge of resident’s needs, and a calm and unhurried pace of work was observed. They maintained a calm and relaxing atmosphere during the visit, with warm and friendly interactions between them and residents. Heatherlea Residential Home DS0000002371.V322364.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to make their own choices about how they want to live their lives, and what they want to do. They benefit from a healthy diet that is based around their needs and preferences. EVIDENCE: Pre inspection information shows that there are policies available that refer to choice and rights, food safety and nutrition. It also shows that activities such as books, games, crafts, musical afternoons, armchair exercise, communion, church and theatre visits are made available to residents. Resident’s surveys and discussions with them during the visit show that they feel there is a good range of suitable activities available to them but they do not always want to participate. They said that they are always offered activity and their choices are respected. One resident said that they like to go for a walk to the local shops during the afternoon, and another resident described ‘wonderful’ birthday celebrations that the staff had organised for her. Heatherlea Residential Home DS0000002371.V322364.R01.S.doc Version 5.2 Page 13 Staff said that they record when activities have been offered and declined, and this was seen in daily notes. The registered manager said that she has ordered a CD Rom about how to plan activities for people who have a dementia and it includes information about how to motivate people towards activity. There was an activity plan on display in communal areas. During the visit residents also made comments such as ‘we can do whatever we want’, ‘the home suits me very well’ and ‘it’s as near to being at home as it can be’. They also said that staff always make their relatives and visitors very welcome, and relatives surveys indicate that they are able to visit in private. Resident’s surveys indicate that they like the food provided and one person commented that ‘meals are first class’. During the visit they said that the food is very good and staff would get them something else if they don’t want what is on the menu. Four weekly menus are available, which are balanced, healthy and varied; and although alternatives are not listed, one resident said that staff speak to them before each meal to make sure that it is what they want. There is further evidence that alternatives are offered, in the records of what residents have actually eaten. It is recommended however that the completion of those records be reviewed in order to make information easier find. During the visit meals were presented very nicely and in good size portions. Residents were seen eating wherever they chose to, for example in their rooms or the lounges. One resident described how she could eat her breakfast when it suits her. There is a good range of foods and supplies available in the kitchen, and staff were seen asking residents whether they wanted what was on the menu, or something else of their choice. The cook demonstrated a clear knowledge of individual dietary needs and preferences, and the registered manager said that this informs the planning of the menus. Heatherlea Residential Home DS0000002371.V322364.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by clear and effective policies and practices; and by a knowledgeable staff team. EVIDENCE: During the visit a resident commented that ‘I’m safer here than at home because staff can help me if I fall or want anything’. Risk assessments are in place for needs such as falls/mobility and dementia; and there is a policy regarding risk assessments. Resident’s surveys indicate that they feel safe in the home; they know how to make a complaint and feel that staff listen to what they have to say. One resident commented that there is always staff around to talk to and they always help to solve any problems. Relative’s surveys indicate that they all know about the complaints procedure. Pre inspection information indicated that no complaints have been made since the last inspection, and the records that were looked at on the day of the visit confirmed this. The complaints procedure is clearly displayed in the entrance to the home. Records show that no safeguarding adult referrals have been made since the last inspection, and pre inspection information shows that there are policies available for safeguarding adults and whistle blowing. Staff demonstrated a very clear understanding of safeguarding adult issues and the local reporting Heatherlea Residential Home DS0000002371.V322364.R01.S.doc Version 5.2 Page 15 systems that are in place; and records show that they receive training in this subject. There is information available about the legal systems that protect residents who cannot make decisions for themselves, and residents said that they are able to maintain their voting rights either by post or by visiting the polling station. The registered manager said that some residents have proxyvoting arrangements in place. Heatherlea Residential Home DS0000002371.V322364.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and comfortable environment, which meets their health and safety needs. EVIDENCE: Surveys received from residents and relatives indicate that they think the home is always fresh, clean and smells pleasant. On the day of the visit a tour of the home confirmed this, and the fact that general maintenance work is up to date. Furniture, flooring and décor are in a good state of repair, and of a homely nature. Since the last inspection several bedrooms have been redecorated and a new call bell system has been installed. The registered manager said that they have applied for funding from the local authority to provide digital TV in the home, Heatherlea Residential Home DS0000002371.V322364.R01.S.doc Version 5.2 Page 17 and to improve the garden space. She said that they are awaiting a decision on the application. Risk assessments are in place for issues such as the use of door wedges during the day, the use of hoists, scalds/burns, the use of the stair lift, and the use of kitchen equipment. Call bells where in easy reach of residents and they were responded to promptly throughout the visit. Heatherlea Residential Home DS0000002371.V322364.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are looked after by safely recruited, knowledgeable and well-trained staff, who are available in sufficient numbers to fully meet their needs. EVIDENCE: Recruitment records contain application forms, references, criminal record bureau checks, and identification. Pre inspection information shows that there is a policy available for safe recruitment practices. Staff duty rotas and pre inspection information shows that there is a stable staff team, with no use of agency staff. Resident and relative’s surveys indicate that there is always enough staff on duty to meet their needs, and comments such as ‘they always appear quickly when needed’ and ‘there are always sufficient staff’ were made. During discussions, staff also said that they think there is enough staff on duty and that they are able to give ‘the personal touch’. A recommendation was made to add staff surnames to the rota. Records show that a nationally recognised system of induction is used for new staff and it covers areas such as principles of care, role of the care worker, safety at work, communication, safeguarding adults, and a specific introduction to the home. Training records show that as well as induction, staff Heatherlea Residential Home DS0000002371.V322364.R01.S.doc Version 5.2 Page 19 undertake and excellent training programme in subjects that include fire safety, health and safety, dementia care, infection control, supervision and appraisal, pressure area care, first aid, medication and basic food hygiene. They are also able to undertake a nationally recognised care qualification, and all of the staff on duty during the visit had achieved the qualification at various levels. The registered manager and staff said that training is planned for the day after the visit, about new laws that have an impact on care provision. There is a training plan available, which cross-references with the training recorded. Staff said that they have good access to training courses, which gives them a sound skill base and helps them to do their jobs well. They said that they can express their views about what training they want but the training plans are usually very comprehensive and cover everything they want and need. They said that the team works well together and there are good levels of communication. They said that they have staff meetings every month where they can share their views. Residents and relatives made general comments about staff through discussion and surveys. Those comments included ‘staff are very patient’, ‘the manager and staff are kind and polite’, ‘staff are very supportive to relatives’ and ‘staff are lovely, they are like friends’. Heatherlea Residential Home DS0000002371.V322364.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to express their views about the quality of their care, in a supportive and responsive atmosphere. They are protected by good record keeping practices, policies and procedures, and an effective management approach. EVIDENCE: Pre inspection information shows that there are policies available for quality assurance, accident management, managing substances that are hazardous to health, emergencies and crises, equal opportunities, fire safety, record keeping, staff supervision and managing residents money. The pre inspection information also shows that there was a satisfactory outcome from a recent Heatherlea Residential Home DS0000002371.V322364.R01.S.doc Version 5.2 Page 21 visit by the local Fire Officer, with only one recommendation that training for night staff is given three monthly. Records show that this recommendation has been implemented. Surveys received prior to the visit from residents and relatives indicate that they all have access to inspection reports, and they are all satisfied with the standards of care in the home. One relative commented that the support from the registered manager and staff is ‘excellent’. Records show that a residents survey was carried out in January 2007, which covered issues such as food, staffing, general atmosphere, privacy and dignity, response to call bells and activities. The registered manager said that these surveys are carried out every three months, and also provided records to show that more specific surveys are carried out randomly, for example satisfaction when external contractors have been in the home. A recommendation was made to expand the general surveys to include, for example, health professionals. Minutes of residents meetings were seen, however the registered manager said that attendance at the meetings is poor therefore she has introduced a new system of meeting with residents individually, with everyone getting the same information and opportunity to air their views. Minutes are still taken and circulated to each resident. Accident records cross reference with detailed daily notes, which also link directly to care plans. Staff were observed to be carrying out good infection control procedures, for example using gloves, aprons and robust hand washing procedures. Records show that fridge/freezer temperatures are regularly recorded; there are regular fire safety checks, including alarms and emergency lighting; and data sheets are available for substances that are hazardous to health. Those substances are also stored securely. All residents’ records are securely stored in the main office, together with resident’s money. Records of financial transactions cross reference with receipts and money held. Residents said that the registered manager is ‘very good’, and she always listens to what they have to say. One person said that she is ‘on the ball’. Others said that ‘she makes sure everything is OK for us’; ‘sometimes we get a questionnaire to fill in but manager always talks to us anyway’ and ‘I don’t like going to residents meetings, the manager tells me what I need to know’. Staff said that they are happy to go to the registered manager with any problems, as she is very approachable and fully aware of what is happening in the home. They said that she always asks for their opinions and they have a staff meeting every month. They said that they have supervision every two months and appraisals once a year, and it is very useful for their development. Heatherlea Residential Home DS0000002371.V322364.R01.S.doc Version 5.2 Page 22 They also said that they are confident that she will only offer placements to people who’s need they can fully meet. Heatherlea Residential Home DS0000002371.V322364.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 3 X 3 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 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 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 Heatherlea Residential Home DS0000002371.V322364.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. 1. Refer to Standard OP15 Good Practice Recommendations It is recommended that the completion of records, which demonstrate the provision of meals alternative to the set menus, be reviewed to ensure that the information is easier to find. It is recommended that staff surnames be added to the duty rota to aid clear identification of staff. It is recommended that satisfaction surveys be expanded to include, for example, health professional. 2. 3. OP27 OP33 Heatherlea Residential Home DS0000002371.V322364.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Heatherlea Residential Home DS0000002371.V322364.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. 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