Inspection on 02/07/07 for Laurel Bank Nursing Home

This inspection was carried out on 2nd July 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

Laurel Bank Nursing Home 07/07/06

Laurel Bank Nursing Home 15/11/05

Laurel Bank Nursing Home 23/06/05

Laurel Bank Nursing Home 17/03/05

Laurel Bank Nursing Home 01/09/04

Laurel Bank Nursing Home 23/07/04

Laurel Bank Nursing Home 04/05/04

Laurel Bank Nursing Home 10/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Laurel Bank Nursing Home Holdsworth Road Holmfield Halifax West Yorkshire HX2 9TJ Lead Inspector Paula McCloy Key Unannounced Inspection 2 and 3 July 2007 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 Laurel Bank Nursing Home DS0000001062.V339185.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. Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Laurel Bank Nursing Home Address Holdsworth Road Holmfield Halifax West Yorkshire HX2 9TJ 01422 244123 01422 247212 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 Christopher Bolland Mrs Catherine Bolland Mrs P Linda Parker Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Can provide accommodation and care for three named service users under 65 years of age - category PD Can provide accommodation and care for one named service user aged under 65 years 7th July 2006 Date of last inspection Brief Description of the Service: Laurel Bank is situated in Holmfield, Halifax. It is close to the High School and there are some small local shops and two pubs nearby. It is set in its own very attractive, well maintained grounds with parking facilities to the front of the building. Laurel Bank is a care home with nursing. It is a large house, which has been extended to provide accommodation for 37 older people. The accommodation is arranged over 4 floors. There are single and double bedrooms, some of which have en suite toilets. There are four lounges and a dining room. The current charges at the home range from £460-£500 per week. The fees do not include chiropody or hairdressing. Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The last inspection of the home took place on 7 July 2006. We have not made any visits to the home since then. This inspection was carried out to assess the quality of care provided to people living at the home. I carried out the inspection over two days and spent approximately 9 hours in the home. On the first day of the inspection I spent two hours in the morning in the conservatory watching and recording the care being given to a small group of people with dementia. Using this observational tool, as part of the inspection process, helped me to understand the experiences of people living in the home who aren’t able to communicate their views because of their dementia or communication difficulties. During the visit I spoke to 5 people who live in the home, 1 relative, 7 staff and the manager. I observed care staff delivering care, looked at various records and looked around the home. The home completed a self assessment form and the information provided has been used in this report. Comment cards were sent to 10 people living at the home, 9 relatives, 3 GPs and 3 social workers/other health care professionals; these cards provide an opportunity for people to share their views of the service with us. Information received in this way is shared with the home without identifying who has provided it. Four people living at the home, four relatives and one social worker wrote to us with their comments. Their comments received have been used in this report. What the service does well: Anyone thinking of moving into Laurel Bank can go and look around and get written information about the home, the service user guide. If they decide to move in staff from the home will carry out an assessment to make sure that they can meet that persons needs and arrange a day for admission. Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 6 People get a contract/statement of terms and conditions document, this means that they are given information about their rights and obligations. Each person has an individual care plan that sets out what care and support they require from staff. Staff are vigilant and care plans are updated, as people’s needs change. Staff are also quick to involve doctors and other specialists for advice. A social worker said ‘the home meets the expectations of families and residents. The needs of individuals are well met.’ People look well cared for. All the people who live in the home spoke well of staff and they felt that they were kind and caring. One relative said ‘there is a friendly, loving atmosphere.’ People can follow their own routines and relatives and friends are welcome to visit at any time. People living at the home and relatives all said that the food was good. If people living at the home and/or relatives are not happy about the service they are getting there is a complaints procedure. People were aware of the procedure and said that they would be able to raise any concerns and that they felt any problems would be resolved. The home is clean, tidy, comfortable, and well maintained. People living at the home and their relatives all said that the home was kept fresh and clean. The staff are friendly and well trained. Staff enjoy working at the home and feel they work well as a team. One relative said ‘the staff at Laurel Bank work very hard to give their residents the care and attention they need.’ Another said ‘it is very professional. Starting from matron the staff are excellent, they are settled and there is not a big turnover of staff.’ What has improved since the last inspection? The home have recruited an activities organiser, who will be starting work at the home soon. This should mean that activities are provided on a regular basis to keep people stimulated. The registered manager tries hard to get people living in the home and/or their relatives involved in the care plan reviews to make sure that people are happy with the care and support they receive. Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5 (standard 6 does not apply) People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People receive information about the home before they move in and can visit to see for themselves if they think the service can meet their needs. Staff make sure that anyone thinking of moving in is fully assessed. This makes sure that staff are confident they can meet people’s needs before they move into the home. People are given a written contract/terms and conditions of residence document which gives them details of their rights and responsibilities. EVIDENCE: The statement of purpose and service user guide is available from the home. These documents give people a lot of information about the home and the service they offer. Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 10 People are issued with a contract/terms and conditions of residence document when they move into the home. In the surveys 3 people living at the home said that they had a contract and 1 person said they did have not have a contract. This was discussed with the registered manager who said that contracts were always issued but relatives often dealt with them. This is the reason that some people may be unaware that there is a contract in place. Individual records are kept for people living at the home. The records for the person who was due to be admitted on the second day of my visit showed that staff from the home had completed a full assessment of their needs. This means that staff feel able to meet people’s needs before they are admitted to the home. One social worker said ‘during my most recent review, the resident I saw was clearly benefiting from the care they received at Laurel Bank. They were settled, happy and keen to stay. Staff have clearly tried to make the residents transition to the home as smooth as possible.’ Staff said that they encourage people to come and have a look around the home, although it is more usual for relatives to do this. This gives people the opportunity to see the home for themselves and decide if it is suitable for them. I met a relative who was looking for a place for her mother. She arrived unannounced at the home and was shown around by staff and given a service users guide. She told me that staff had been welcoming and friendly and had given her all of the information she needed. The home does not provide intermediate care. Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Individual care plans are detailed and give staff the information they require to meet people’s needs. The health care needs of people are being met with health care professionals being involved as necessary. People’s medication is well managed which promotes good health. Personal support in this home is given in a way that promotes and protects people’s privacy and dignity. EVIDENCE: Care plans are well organised and it is easy to find relevant information quickly. The care plans set out in detail what action needs to be taken by staff to ensure people’s needs are met. Staff are vigilant and new care plans are developed, as people’s needs change. Care plans are reviewed on a monthly basis and there was evidence of people being involved in the planning process. All four people living in the home, who completed a survey, confirmed that they get the right care and support and the medical help they need. The Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 12 registered manager does need to make sure that staff are following the care plans and writing down the care they have given, particularly in relation to those people who are being nursed in bed. I looked at the repositioning records for two people, who are supposed to be moved every 2 hours. The records indicated that there were periods of up to 4.5 hours between some of the entries on the records when people hadn’t been moved. This was discussed with the registered manager at the time of my visit who agreed to monitor staff more closely to make sure they were delivering the care set out in the care plan. Care plans are being reviewed monthly. All four relatives told us in the surveys that they were kept up to date with important issues affecting their relative. They made the following comments ‘if the doctor has been called to my father, I am always kept up to date with developments.’ One social worker said ‘staff act accordingly when suggestions are made i.e when families ask for changes to be made at reviews.’ People’s health care needs are being identified and met. Staff are vigilant and GPs and other health care professionals are involved as necessary. Details of any visits by health care professionals are clearly documented in the care plan, together with the advice that has been given. For example one person has developed some sores recently. Staff contacted the tissue viability nurse for advice. Details of her visit are clearly recorded and her view that these were not pressure sores but ulcers and that she was writing to the GP to ask them to follow this up. All of the necessary risk assessments had been completed and showed what staff need to do to make sure risks to people using the service are minimised. For example one person had lost some weight staff contacted the dietician for advice and have noted in her care plan the foods that she particularly likes. The medication system is well managed. People are receiving their medication at the prescribed times and records are well maintained. People looked smart and well cared for. People spoke well of staff and they all felt they were kind and caring. Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s preferences in relation to the routines of daily living are respected. Some activities are provided to keep people stimulated. Relatives and friends feel welcome to visit at any time. The meals at the home are good. EVIDENCE: Some care plans have information about people’s life history. This information should be recorded for everyone. This will make sure that staff know about individuals past lives and experiences. There was information about people’s interests and social care plans have been completed. The home has recruited an activities organiser, who will be working four days a week from 10am-4pm. The registered manager is confident that this person will be able to develop the social care plans further and make sure that everyone is involved in suitable individual or group activities. At the moment there is an exercise class every week and outside entertainers are booked on a regular basis. Care staff also have time to sit and talk to people at various times during the day. From observation some staff are more skilled than others at engaging people in conversation. The registered manager is aware of this and will talk to staff about the importance of spending one to one time with people. Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 14 When people move in they are asked specifically about their spiritual needs. Religious services are held at the home for those people who wish to attend. Two people who are Jehovahs Witnesses go out every Sunday to Kingdom Hall. Staff were seen to take time listening to people and dealing with requests. For example people that asked for extra drinks and tissues got them. I spent two hours in the conservatory observing a small group of people who were unable to tell me about their care and support. During this time care staff were in and out of the lounge on a regular basis, checking that people were alright and giving out breakfast, drinks and biscuits. Staff were very patient and kind with everyone, helping people with their drinks without rushing them and chatted to people. With one exception staff explained to people what they were doing when moving them. I did notice that one person had very little contact with staff. The only time staff spoke to her was when she had her morning coffee. This was discussed with the registered manager who will make sure that staff increase their contact time with her. People were offered a choice of what they wanted for breakfast, where they wanted to sit and if they wanted to go to the dining area for lunch. Many of the people stayed in the conservatory, by choice, to eat their lunch. This meant that some people had been sitting in the same position for over 3 hours. The television was on in the lounge all of the time. There was one person who was watching it. Most of the other people were showing no interest in the programmes. Three people were talking to each other but the position of their chairs made it difficult for them to hear one another. These observations were discussed with the registered manager who agreed to look at ways of getting people to move more and the arrangement of the furniture in the room. People are offered a wide range of choices for breakfast and the tea time meal. People living in the home said that the food is good. One relative said ‘the food is excellent.’ At lunchtime there is a set meal but the chef will make an alternative if people don’t like what is on offer. The chef makes breakfast for people as they get up and goes around after lunch to ask people what they want for tea. Any specific requests are being put on the menu. For example people had asked for egg, chips and beans and this has been put on the menu at lunchtime. Staff were available to assist people that needed help with their meal. Staff do not routinely ask people if they want second helpings. Some people asked for more pudding and staff did get it for them. This was discussed with the registered manager who said that she will make sure that people are offered ‘seconds’ in future. People got lots of drinks. Everyone had a glass of water, juice, tea or coffee a cold drink with their meal and a hot drink after their lunch. Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 15 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 & 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home’s complaints procedure is well publicised and people are confident that that any concerns will be listened to, taken seriously and acted upon. Staff have a good understanding of adult protection issues which means people are protected from any abuse. EVIDENCE: The complaints procedure is on display. In the surveys everyone said they knew about the complaints procedure and who to talk to if they had any concerns. The complaints log showed that two complaints have been made in the last 6 months. These have been sorted out and resolved. People said that if they had any concerns they would feel able to raise these with the registered manager. They were also confidant that they would be listened to and that any concerns would be resolved. Recently one of the people living in the home made an allegation about a member of staff. The registered manager followed the adult protection procedures and the member of staff was subsequently dismissed. Staff understand what to do if they feel there are any practices that are not in the best interests of the people living in the home. This means that people are being kept safe. Laurel Bank Nursing Home DS0000001062.V339185.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a clean, safe, comfortable, well maintained home. EVIDENCE: Laurel Bank is situated in Holmfield, Halifax. It is a large property, which is set in its own extensive, well maintained grounds. There is car parking to the front of the building. There is seating available outside, which people use in fine weather. There is also a lawned area to the side of the home, with a water feature and bird table. This area has recently been fenced off so that people can use it safely without wandering into the car park. There are some local shops and pubs within walking distance. The environmental health department have carried out an inspection of the kitchen this year. The registered manager confirmed that their requirements have been met. Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 17 There are plans to replace the carpet in the conservatory, which is heavily stained and some of the corridor carpets. The owner said that the redecoration programme for the home is ongoing. The home was very clean and there were no unpleasant odours. Everyone that completed a survey said that the home is always clean and fresh. One relative said ‘the home is spotless and clean.’ The laundry is well equipped, clean and tidy. Infection control procedures are in place. There have been no infection control issues at the home since the last visit. Laurel Bank Nursing Home DS0000001062.V339185.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Staffing levels need to be reviewed to make sure that there are always enough staff on duty to meet people’s needs. Staff are well trained and competent to look after the people living in the home. Any new staff are thoroughly checked to ensure that they are suitable to work with older people. EVIDENCE: The duty rotas are arranged to provide 1 nurse and 5 care staff on duty in the mornings and 1 nurse and 4 care staff in the evenings. At night there is one nurse on duty with 2 care staff. The staffing levels were discussed during the inspection visit. The morning shifts have adequate numbers of staff to meet people’s needs. From the information supplied by the home there are currently 19 people who need the assistance of at least two members of staff to support them. The registered manager agreed that having an additional member of staff on in the evenings would be better and ensure that people’s needs are met on a consistent basis. The registered manager also agreed to look at the possibility of getting domestic staff to make the beds in the Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 19 mornings as this would give the care staff more time to spend with people, other than when they are attending directly with personal care. Staff said they were working well as a team and that they enjoyed coming to work. Staff also said that the registered manager is very approachable and that they can talk to her about anything. There have been few changes to the staff team since the last inspection. One relative said ‘the staff are excellent and there is not a high turnover, which is encouraging. My father is used to the same carers and even with his alzheimers can relate to them.’ Staff are well trained and competent to do the job. There are 16 care staff working at the home, 9 are qualified to NVQ (National Vocational Qualification) level 2 or 3 in caring for older people. There are a further 3 care staff in the process of doing this training. Care staff said that they are offered any relevant training courses. Recruitment procedures at the home are robust. Staff files confirmed that the necessary checks are completed to ensure the suitability of new staff. Laurel Bank Nursing Home DS0000001062.V339185.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is well managed and run in the best interests of the people living there. People are involved in the running of the home and consulted about their care and support. Practices in the home promote the health, safety and welfare of the people living there and staff. EVIDENCE: The registered manager is a registered nurse who has also completed the registered manager award. Although she is supposed to have four days per week to work supernumerary to the rota this does not always happen as she covers the rota when other nurses are off duty. It is important that the registered manager gets this time consistently in order to carry out all of her Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 21 management duties. She is very approachable and well liked by people living at the home. She works in a very ‘hands on’ way and clearly has a good relationship with people. People are consulted about the running of the home in the ‘friends of laurel Bank’ meetings, through the quality assurance questionnaires and at the monthly reviews of their care plans. The most recent quality assurance survey was completed in May 2007 and the results will be published in due course and made available to people. The registered manager only holds money for one person living at the home and a written record of all income and expenditure is kept. For everyone else invoices for any additional services they have like hairdressing and chiropody are sent to them or their relatives. There is a written Health and Safety policy. Staff receive moving and handling, health and safety, food hygiene, fire safety, first aid and infection control training. The fire alarms are tested weekly. The service reports for the passenger lift and hoists were seen and were all up to date. Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 22 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 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 3 X X 3 Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP27 Regulation 18 Requirement The care staffing levels in the evenings must be reviewed and increased to make sure that people’s needs are being met. Timescale for action 18/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP31 Good Practice Recommendations The registered manager must work supernumerary to the rota to allow her to complete all of the management tasks. This will ensure that the home continues to develop and improve. Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Laurel Bank Nursing Home DS0000001062.V339185.R01.S.doc Version 5.2 Page 25 - 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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