Inspection on 23/08/07 for Laurel Bank Nursing Home

This inspection was carried out on 23rd August 2007.

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

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

Other inspections for this house

Laurel Bank Nursing Home 07/09/06

Laurel Bank Nursing Home 10/11/05

Laurel Bank Nursing Home 02/06/05

Laurel Bank Nursing Home 07/12/04

Laurel Bank Nursing Home 20/07/04

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 Main Street Wilsden Bradford West Yorkshire BD15 0JH Lead Inspector Pamela Cunningham Unannounced Inspection 23rd August 2007 10:45 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 DS0000019861.V349282.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 DS0000019861.V349282.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Laurel Bank Nursing Home Address Main Street Wilsden Bradford West Yorkshire BD15 0JH 01535 274774 01535 274035 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) Victorguard Care plc Miss Jennifer Teresa Clegg Care Home 40 Category(ies) of Physical disability over 65 years of age (40) registration, with number of places Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Physical disability - Code PD The maximum number of service users who can be accommodated is: 40 7th September 2006 2. Date of last inspection Brief Description of the Service: The home is situated in a rural location and has ties with all aspects of the local community. It is close to the Post Office, Garden Centre, Pharmacy, village hall and churches. There are Dentist, opticians and pubs within easy reach. It is on a bus route and there is parking for visitors cars. Entry to the home is ramped for easy access. There are three lounge areas with one being used for people who choose to smoke. The dining areas offer comfortable and congenial settings for the residents. There are gardens to the front of the home, which the residents have been involved in developing. They are well maintained and complement the overall appearance of the home. There are twenty-six single rooms, ten with en-suite facilities and seven double rooms, two with ensuite facilities. The rooms are over three floors but are easily accessed by the passenger lift and internal ramp. Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One visit were made on 23 August 2007. The home did not know that this was going to happen. Feedback was given to the manager during and at the end of the visits. The purpose of the visit was to make sure the home was being managed for the benefit and well being of the residents. Before visiting the home the inspector asked for information from the manager (The AQAA – Annual Quality Assurance Assessment) which asks about what policies and procedures are in place and when they were last reviewed, when maintenance and safety checks were carried out and by who, menus used, staff details and training provided. Comment cards were sent to the home to be given to residents, their relatives and other visitors to find out what their views of the home were. The views of doctors and district nurses who visit the home were also asked for. At the time of writing this report seven resident, four relatives and two doctor’s responses had been returned. In order to find out how well staff knew residents, care plans were looked at during the visit and residents, visitors and staff were spoken to. Other records in the home were looked at such as staff files, training records and complaints received. What the service does well: Information about services provided by the home is available and lets residents and their relatives decide if the home will be suitable for them. They can make trial visits to the home if they want to. The home is well maintained, however although the home is fairly well maintained, refurbishment has been discontinued as the provider is in the process of building a purpose built home, and it is expected Laurel Bank will close following registration of this. However it is tastefully decorated and furnished to provide residents with a pleasant, comfortable and homely place to live. Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 6 Information about services provided by the home is available and lets residents and their relatives decide if the home will be suitable for them. They can make trial visits to the home if they want to. The home is well maintained and there is a continual programme of redecoration and refurbishment. It has been tastefully decorated and furnished to provide residents with a pleasant, comfortable and homely place to live. Visitors said that they could visit the home at any time and they were made welcome. They said that staff kept them informed and up to date with any changes in their relatives care needs, and that they were satisfied with the services provided by the home. The home continues to provide a formal plan of social activities, and the home is regularly decorated with items made by the residents. What has improved since the last inspection? What they could do better: This had been an excellent visit to the home, and therefore no requirements or recommendations have been made Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 7 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 DS0000019861.V349282.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 DS0000019861.V349282.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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have enough information to decide whether or not the home will be suitable to meet their needs. The home will get information about an individuals needs to be sure it can meet them. EVIDENCE: Copies of the homes Statement of Purpose and Service User Guide pertaining to Laurel Bank were displayed in the entrance hall, and also placed in service users bedrooms. In the AQAA the manager said that these documents have been revised since she had become the registered manager. People living in the home and their relatives said that: • They had been given enough information about the home and the services it provided and any questions asked were answered. Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 10 • • • Contracts for services provided were in place. They were satisfied with the services provided and felt that their or their relatives’ needs were being met. The services provided were ‘efficient yet homely and make each resident seem special, not just one of many.’ The care plan for somebody recently admitted to the home for a short period of time was looked at. It showed that a copy of the local authority assessment of needs had been obtained. This information was used to make sure the home would be able to meet the person’s needs before agreeing to their admission. Information from health and social care professionals said that assessments of peoples needs carried out by the home were ‘accurate and helped to make sure the right service was planned and given to people.’ Laurel Bank Nursing Home DS0000019861.V349282.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 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Peoples personal, health and social care needs are met and they are treated with respect. EVIDENCE: It was very clear from talking to staff and observations made during the visit that staff had a good understanding of peoples needs. Care staff clearly described what they did to help different people and it was evident they treated them as individuals. Four care plans were looked at. Guidance was seen for peoples identified and assessed needs. There was evidence to support the information had been collected with the resident and a close family member. It included details of past medical history, and the social personal history which as obtained on Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 12 admission and left with the activities co-ordinator helps to make sure the care provided planned is person centred. There was however no information on the residents wishes on how they wished to be cared for at the end of their lives. The progress evaluation sheet seen identified good in formation about the care provided on the day. Risk assessments around nutrition, falling, the risk of developing pressure sores and moving and handling were seen. Appropriate actions are taken and advice is sought if people are identified as being at risk. For example: • Where people are identified as at risk of developing pressure sores appropriate action is taken to minimise the risk and obtain specialist pressure relieving equipment, and by taking advice from the tissue viability nurse. (Laurel Bank has a tissue viability link nurse for this purpose.) • The manager said that if people are at risk of falling action would be taken to reduce the risk. If people have specialist healthcare needs but are ‘residential clients’ the district nursing teams are involved with meeting their needs. Pre admission assessments seen were in depth and linked in with the care plans that were very well written, informative and person centred. The home has recently changed the way it handles medication as the manager said the previous system in use had the potential for errors to be made. The system in use presently is the Boots monitored dosage system, as opposed to the previous bottle to resident system. Most people living in the home who are on regular medication are helped by nurses. The qualified nurses currently look after medications for the ‘nursing residents’, and the manager said she intends the senior care staff to be involved in the dispensing of medication to the residential clients when they have done the appropriate training. The current system in use complies with the Royal Pharmaceutical Guidelines for the administration of medications in care homes and the manager said that a copy was kept in the home. Information from people living in the home and their relatives said that: • Support and care is given as agreed. • They were usually kept up to date with changes. • Staff were ‘responsive to my relatives needs’ and ‘they take into consideration the individual needs of people in their care. The staff are fantastic.’ • Staff promoted and respected privacy and dignity. Information from health and social care professionals said that: • Staff sought advice from other healthcare professionals as needed, included it in the care plans and acted upon it. Examples given included contacted community psychiatric nurses and specialist diabetic nurse. • People living in the home were treated as individuals and their privacy and dignity was respected. Laurel Bank Nursing Home DS0000019861.V349282.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, and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are consulted about any new developments, and are encouraged to maintain links with family and friends. EVIDENCE: The atmosphere in the home was warm, friendly and welcoming. Some visitors who arrived at the same time as the visit started said that they were always made welcome by the staff and could call in at any time. Information from surveys returned by relatives and health and social care professionals said that: • ‘They make us feel part of the family and even when they are busy take the time to offer visitors a drink, which is very welcome.’ • The meals are good and people are given choices. • The wishes of people are considered and followed, for example they can stay in their rooms if they want to. Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 14 An activity coordinator is employed full time who has worked at the home for many years. She is very experienced and has undergone training in her role. Staff said that people choose when to get up, go to bed, where to spend their time and where to eat their meals. Some like to sit in the lounges and communal areas most of the day and others prefer to spend more time in their own rooms. People spoken to confirmed this and said that staff were very helpful and supportive. People are helped to stay in contact with their family and friends and some go out regularly. The home has minibus with a tail lift that is used to transport people of all abilities on trips out, to their friends/relatives houses, shopping, hospital appointments etc. The home has a formal plan of social activities, and the home is regularly decorated with items made by the residents. For instance the home has recently had a scarecrow rallye. The resident have made life size models of scarecrows dressed as Indians, and have made moccasin shoes Speaking to the residents who had been involved they said they had thoroughly enjoyed making them and had put them in the small smokers lounge on display. Other activities provided are line dancers, singers and entertainers, clothes parties and race nights, and a trip to Morecambe has been planned for September 1st. One lady visitor said ‘ it would be nice sometimes to just visit and sit quietly with Mum instead of listening to the noise from activities’. A four weekly menu cycle is being followed. People living in the home are consulted about their dietary preferences individually and at ‘residents meetings’. People are asked what choices they would like to make for their lunchtime meal and alternatives are offered if they do not like or want what is on the menu. Lunch in the dining room was observed. Meals were served from the kitchen and it was clear the staff knew which people liked smaller or larger portions. People who needed help to eat were given it discreetly on a one to one basis. Aids to promote independence when eating where used, such as plates with raised sides, adapted cutlery and cups. People who have poor appetites or are at risk of losing weight are referred to the GP and nutritional supplements are used such as fortified milk drinks. Discussions about different methods of enriching meals for older were talked about and some of the techniques are being used already in the home, for example adding butter to mashed potatoes and cooked vegetables. The kitchen was very clean and tidy. I looked at the record the cook keeps and they were all in order. Laurel Bank Nursing Home DS0000019861.V349282.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People feel safe living in the home and know who to talk to if the have any concerns. EVIDENCE: The home has a complaints policy and procedure in place. It is clear and easy to follow. Information from surveys returned by people living in the home and their relatives said that they were aware of the complaints procedure and who to talk to if they had a concern. They said that the staff were responsive and would deal with things as soon as they had been mentioned. A healthcare professionals survey said that the staff helped people to feel ‘at home and safe’. The manager said that records of complaints/concerns received and any taken would be kept. Information from the AQAA said that no complaints had been received in the last twelve months; however in February of this year, the provider wrote to the Commission to say there would possibly be a complaint made about the home, and made us aware of the possible content, however no complaint has been received. Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 16 The AQAA states that policies and procedures are in place around adult protection and abuse. The manager said they been updated in line with the local authority policy. Not all staff spoken had received training in this area but were very clear that they would not hesitate to report suspected or actual abuse to the manager or the provider. They were aware that they can report any concerns directly to the CSCI and social services. The manager said that dates for this training have been planned and that she has done the managers course and will provide extra training. Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 17 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, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a safe, well-maintained environment for the residents and provides appropriate bathing and toilet facilities. The home is clean, pleasant and hygienic. EVIDENCE: The environment of the home is generally maintained to a good standard, however, as the provider has plans in place to close the home following the erecting of new premises in Wilsden, it would not be reasonable to expect any further refurbishment of the current home. All the communal areas are light and easily accessible for service users to walk in. Furniture is of a good Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 18 standard. The home was clean and free from unpleasant odours during this visit. A passenger lift accesses all areas of the home, and there are grab rails and hand rails in corridors and toilets to assist the less mobile. People who receive a service said they liked their rooms, and were pleased they could bring items of personal memorabilia to make their rooms feel like home. The laundry area was seen to be clean, uncluttered and well ordered, and the garden area was tidy. Paths to and around the home were free from any moss. Hot water tested in various rooms was within acceptable limits. Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 19 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. This judgement has been made using available evidence including a visit to this service. Staff are trained and competent to do their jobs. Staffing numbers and skills ensure that residents’ needs can be met. People who receive a service are protected by the robust recruitment process the company has adopted. EVIDENCE: On the day of the visit there were 35 people receiving a service. Staff were present in such numbers and of adequate skill mix to provide for their needs. The home employs a stable staff team who are enthusiastic about their jobs. Some have been at the home since it opened. This is good for people living in the home because it helps to maintain consistency and continuity of care as well good relationships, and because the home is registered to provide care with nursing, a qualified nurse is on duty at all times. At the last inspection certain residents talked to me about the lack of understanding some of the On the day of the visit there were 35 people receiving a service. Staff were present in such numbers and of adequate skill mix to provide for their needs. Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 20 The home employs a stable staff team who are enthusiastic about their jobs. Some have been at the home since it opened. This is good for people living in the home because it helps to maintain consistency and continuity of care as well good relationships, and because the home is registered to provide care with nursing, a qualified nurse is on duty at all times. At the last inspection certain residents talked to me about the lack of understanding some of the Polish-speaking care staff had of the English Language. On speaking to the same residents again, a year on, they said they were pleased to be cared for by all the care staff and understood them all. That they were all very kind and made time to stop and chat with them. The company still employs the same training company who are providing the training the staff have identified they need during appraisals and Information in the AQAA said there is 90 of the staff team who are now qualified to NVQ level 2 or above. Staff files inspected at this visit were complete, with all necessary pre employment checks having been done prior to employment. Employment histories showed no unexplained gaps and documentation was complete with interview notes. Information from surveys returned, people and staff spoken to said that: • Staff were usually available when they were needed. • ‘The staff are fantastic and responsive to my relatives needs.’ • Staff usually have the skills and experience needed to meet peoples needs. One lady visitor specifically asked to speak to me about the care her relative was receiving in Laurel Bank and said she was involved in everything regarding Mum. The difference in care is enormous, and 100 better than the previous care home she was in. She has put on weight. She has nothing but praise for the staff, and feels it is a professional outfit. Staffing levels are high. She is very happy with the quality of everything. The activities provided are marvellous. Another relative said” the care is very good, and the staff communicate well. Has been involved in the care planning and pre admission assessment and has no complaints, although is aware of the complaints procedure and who to talk to Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 21 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, 32, 33, 35, 36 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff are trained and competent to do their jobs. Staffing numbers and skills ensure that residents’ needs can be met. Staff are formally supervised. EVIDENCE: Staff are trained and competent to do their jobs. Staffing numbers and skills ensure that residents’ needs can be met. People who receive a service are protected by the robust recruitment process the company has adopted. Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 22 Quality Assurance assessments are sent out to relatives and residents annually. This had just been done on 3/8/07 due to a new manager being in pose and also as part of the 3 monthly performance review. The manager said that residents and their relatives meetings are held every 6 to 8 weeks and that staff meetings take place every 6 to eight weeks. The manager said she has an open door policy and is available to residents, visitors and staff when she is on duty. The manager said that residents and their relatives meetings are held every three months. The manager said she has an open door policy and is available to residents, visitors and staff when she is on duty. Policies and procedures in place are revised and updated by the organisation as needed and when laws change. Copies are kept in managers office and all staff are encouraged to read them. Information from the AQAA showed that safety and maintenance checks of equipment and installations in the home were carried out and were up to date. Records of checks made on fire safety systems and equipment were up to date. It is company policy that residents or their relatives deal with financial matter Since starting at the home the manager has made sure that all staff have received formal one to one supervision. Records are kept and the information is used in the individual learning and development plans. Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 X 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 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 3 X 3 Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Laurel Bank Nursing Home DS0000019861.V349282.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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. 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