Inspection on 31/12/05 for Lenthall House

This inspection was carried out on 31st December 2005.

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

Lenthall House 27/10/08

Lenthall House 10/10/05

Lenthall House 26/07/05

Lenthall House 02/12/04

Lenthall House 30/06/04

Lenthall House 17/02/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE Lenthall House Lenthall Square Market Harborough Leicestershire LE16 9LQ Lead Inspector Linda Clarke Key Unannounced Inspection 2nd November 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lenthall House DS0000033464.V317854.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. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lenthall House Address Lenthall Square Market Harborough Leicestershire LE16 9LQ 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) 01858 463204 01858 463204 www.leicestershire.gov.uk Leicestershire County Council Social Services Mrs Jill Wright Care Home 40 Category(ies) of Dementia - over 65 years of age (20), Learning registration, with number disability over 65 years of age (4), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (4), Old age, not falling within any other category (40), Physical disability over 65 years of age (10), Sensory Impairment over 65 years of age (4) Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. No person falling within category DE(E) may be admitted to Lenthall House when 20 persons who fall within category DE(E) are already accommodated No person falling within category MD(E) may be admitted to Lenthall House when 4 persons who fall within category MD(E) are already accommodated No person falling within category LD(E) may be admitted to Lenthall House when 4 persons who fall within category LD(E) are already accommodated No person falling within category PD(E) may be admitted to Lenthall House when 10 persons who fall within category PD(E) are already accommodated No person falling within category SI(E) may be admitted to Lenthall House when 4 persons who fall within category SI(E) are already accommodated Service Users between the age of 55-65 years who fall within the categories of DE(E), MD(E), LD(E), PD(E) and SI(E) and were resident in Lenthall House at the date of registration may continue to reside there To be able to admit into Lenthall House the named person under the age of 65 named in the variation application number V19913 dated 03.05.05 To be able to admit into Lenthall House the named person under the age of 65 named in the variation application number V34436 dated 14.08.06 The maximum number of persons to be accommodated at Lenthall House is 40 10th October 2005 7. 8. 9. Date of last inspection Brief Description of the Service: Lenthall House is a care home providing personal care and accommodation for up to forty older persons, who may have associated conditions, which may include dementia, mental disorder, learning disability, physical disability and sensory impairment, and an additional two places offering respite, with a further seven respite places being available within the specialist Evergreen Suite offering respite for those with a diagnosis of Dementia. The home is easily accessible by private or public transport. The forty single bedrooms being single without en-suite facilities. The home has a large patio area with raised flowerbeds and a summerhouse that service Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 5 users can access. Large pleasant gardens surround the home. Accommodation is provided over two floors with access between the floors being via stairs or a passenger lift. Communal areas are provided on both floors of the home. Information is located on site detailing the range of services offered, which includes the Statement of Purpose, in addition to this Lenthall House has copies of the Commission of Social Care Inspections, Inspection Reports, which are located on a table in the foyer. The maximum weekly fee is £451.50, which was provided on the day of the Inspection. There are additional costs for individual expenditure such as Chiropody, Optician and hairdressing services, and the fee will depend on the services received. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, reviewing the last inspection report and the reviewing of the Pre-Inspection Questionnaire and Comment Cards/Surveys distributed to service users and General Practitioners by the Commission for Social Care Inspection (CSCI) along with the reviewing of significant events. Ten Comment Cards were sent out to service users, and one to a General Practitioner. The unannounced site visit commenced on the 2nd November 2006 and lasted 1 day. The focus of the inspection is based upon the outcomes for the service users. The method of inspection was ‘case tracking’. This involved identifying service users with varying levels of care needs and looking at how these are being met by the staff at Lenthall House. Four service users were selected and discussions were held with two of them and the relative of one service user to ascertain their views about the care provided. The method of case tracking included the review of service users’ individual care records, discussions with staff of various delegated responsibilities within the home and reviewing the records, training records and the minutes of service user and team meetings. A 100 of Comment Cards were received. The majority of the comments received were complimentary about the care. Comments incorporated within Service User Comment Cards included: • • • • • • • • • • I have been on two days out, one on the canal. They were very enjoyable. I am satisfied with the home. The food is excellent with a wide variety of choice. Prior to coming to Lenthall House I looked around several homes and this one was by far the best. There are always activities (Mon – Fri) but I prefer not to join in. I feel well cared for in the home. The carers are good, patient and work hard. I do no like to join in the activities, but there are daily activities if I want to. Rarely I have to wait, for a staff member after pressing my bell. Activities daily - but I only enjoy the quizzes. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? What they could do better: Staff meetings although held are not held on a regular basis, an increase in their frequency would provide staff and managers with additional opportunities to discuss the day to day running of the home. Similarly service user meetings are not held frequently with one having taken place within the last twelve months, additional opportunities need to be provided to ensure that service users can contribute and share their views as to the care they receive. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 8 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. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 9 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 Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user care needs are well assessed before they move into the home to ensure their needs can be met. EVIDENCE: The admission procedure was viewed for four service users who were case tracked, this included a service user accessing ‘Evergreen’ - the dementia respite unit and one service user who had recently moved into Lenthall House to reside. All care files contained a copy of the Social Worker’s assessment of need undertake as part of the referral process. The assessment form contained written information of the service user care needs, history such as medication, mobility, special diets and meals, communication needs, mental well being and social, religious and cultural needs. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 11 Two service users were spoken with regarding there involvement in choosing Lenthall House, one lady confirmed that she receives regular respite but usually attends Lenthall House two days a week for day care. Whilst another service user confirmed that she had chosen to move into to the home in order that she could continue to be close to her husband. The home does not provide intermediate care. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are well cared for having their tailored health and daily care needs met. EVIDENCE: The care plans and records of four service users, which included one service user accessing specialist respite care, were viewed, care plans were well written and were presented to a good standard. The care plans seen were personal to the service users, setting out the level of assistance required. Care plans detailed information as to service users health care needs, daily living arrangements, which outline service users, preferred daily routine and the impact of cognitive skills such as mental health on the individual. Care plans gave information in relation to identified risks and how these should be minimised. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 13 Service users were able to describe how care staff support them with daily tasks such as bathing and choosing their clothes. All service users have a named care staff known, as a ‘key worker’ to support their needs, daily routines, help keep their bedroom and clothes tidy. Care records showed the key workers carried out a review of care needs with the service user on a monthly basis, which is recorded. Comments received directly from service users included: “Staff are very good, conscientious and kind, and respect my privacy and independence.” “Staff are all very kind, no doubt about that, you don’t need to fear approaching them if you’re stuck.” The Inspector spoke with a relative who was visiting at the time of the Inspection, who confirmed that the staff were helpful and polite and that she had no concerns. All the care files viewed contained good evidence of the involvement of General Practitioners, District Nurses, Chiropodists and Community Psychiatric Nurses. The Inspector spoke with a District Nurse who was delivering nursing care on the day of the Inspection, the District Nurse was satisfied with the care of service users. The District Nurse went on to say, “they offer fantastic care, the home is nice and clean and the staff are very friendly. The staff know the service users well and the communication between the home and the District Nurses is good. Staff act quickly to concerns and follow the instructions passed on by the District Nurses. The management team is good and solid and are good communicators.” Staff were observed throughout the Inspection interacting with service users and responding to call bells. Service users were observed being assisted to the toilet and to there bedrooms following lunch, in some instances this was so that they could meet with the District Nurse in private. Staff responsible for the administration of medication have undertaken competence training in ‘The Safe Handling of Medicines’. One service user whose records were viewed administered her own medication, which has been assessed for any potential risk. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users continue to make choices about daily living and are offered a variety of meals and social activities of interest. EVIDENCE: The care plans viewed contained background information as to service user hobbies, interests, likes and dislikes. The daily records of service users recorded their involvement in activities, including visits by relatives and friends. Activities to which service users have participated in include, bingo, quizzes, dominoes, music and movement, sing along sessions and skittles. Activities within the home are organised by the Activity Organiser employed by Lenthall House. Service users records confirmed that external excursions also take place, which most recently included a trip to an Organ recital and a visit to Market Harborough Town Centre. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 15 Church services are held in the home on a regular basis, including representatives from both the Church of England and the Catholic Church. Service users spoken with made the following comments:“I attend the Church service in the home, it’s a nice friendly service.” “I have audio CD’s sent to me by the Royal National Institute for the Blind (RNIB), on a regular basis, in addition my daughter borrows audio CD’s from the library for me.” “I went to Compton Lodge and listened to the Organ being played.” “I enjoy coming here as I get to converse with other people.” Visitors were observed arriving and were able to meet with service users in private if they so choose by the use of service user bedrooms or one of the smaller lounges. Daily records evidenced the choices made by service users, examples of which being their choice as to whether they participate in activities, where they wished to eat their meals and whether or not to have a bath or shower. The Inspector asked service users as to their views on the meals provided, service users made the following comments:“I enjoy the meals, there is always a choice available.” “You get choice, always something different. I choose to eat my breakfast and lunch in the dining room, but I always eat my tea in my own room.” The Inspector sampled the main meal, having the quiche, jacket potato and salad, meals are ‘homemade’ using fresh ingredients; the meal was of a good quality and standard. Service users were heard being offered a choice of both main course and dessert. A member of staff was later observed speaking with service users to ascertain their choice for tea. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 16 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. Service users are protected by a robust and accessible complaints procedure and by staff trained in safe guarding adult processes. EVIDENCE: Service users when asked were confident that should they have any concerns, whom they should speak with, in addition there is a written complaints procedure, and information as to how to contact advocacy services. Care staff and managers spoken with had a good understanding of their responsibility and procedures to follow in relation to safeguarding adults and were confident to whistle blow on poor or bad care practices. Staff files examined contained evidence to show that staff have received training in safe guarding adults as part of the home’s induction training, and as part of attaining a National Vocational Qualification (NVQ) in Care. The Complaints Record was viewed, which evidenced that the home has not received any complaints since the last inspection; the Commission for Social Care Inspection has not received any expressions of concern with regards to Lenthall House. Lenthall House DS0000033464.V317854.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, 20, 24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comfortable, safe and well maintained standard of accommodation is provided for service users including a garden area, which individually and collectively meets service user needs. EVIDENCE: Lenthall House is well maintained, decorated and furnished to a good standard, providing a comfortable and homely environment, environmental improvements have taken place since the last Inspection, which includes the provision of new chairs in the lounge, the replacement of some carpets and curtains, the replacement of all windows has now taken place with all areas now benefiting from double-glazing. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 18 Lenthall House benefits from a large lounge and dining area to the ground floor, smaller lounges can be found on the ground and first floor, one being designated as a ‘smoking lounge’ for those service users wishing to smoke. Lenthall House has a large garden, which comprises of a lawned and patio area both with beds of flowers, shrubs and trees. Seating is provided which includes a Summer House; the daily records read by the Inspector confirmed that service users throughout the summer benefited from accessing the garden. The Inspector viewed two service users bedrooms, which were clean and reflect service user preferences, included personal furnishings. Bathrooms and toilets were clean and equipped with specialist equipment for the moving and handling of service users. Lenthall House DS0000033464.V317854.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. Trained and qualified staff are employed following robust recruitment checks and are employed in sufficient numbers to meet the care needs of service users. EVIDENCE: Lenthall House employs sufficient staff to meet the needs of service users. Lenthall House has undertaken an audit of staff training, and found that 48 of staff have attained a National Vocational Qualification in Care, 90 have attended training in Dementia Care, 67 have received training in First Aid, 52 in the Safe Handling of Medicines, 62 have a Food Hygiene certificate, 95 have up to date training in the safe Moving and Handling practices whilst 71 have received training in Infection Control. The recruitment and selection procedure in place is robust and is supported by a Human Resource Team in accordance with the local authority equal opportunity policy and guidance. The files of four care staff were examined, which included those staff recruited since the last inspection and those staff who provided care to service users whose records were viewed. All files contained thorough pre-employment checks including the obtaining of a Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 20 Criminal Record Bureau disclosure and protection of vulnerable adult check, a completed application form and two written references. The Inspector spoke with a member of staff recruited since the last Inspection, who confirmed that he had undertaken and completed the Induction training. Lenthall House DS0000033464.V317854.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, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager offers a clear sense of leadership, ensuring service user health; safety and welfare are promoted, although service users would benefit from additional opportunities to share their views. EVIDENCE: The Registered Manager has clear lines of responsibility and accountability for all the staff at the home, and is supported by a Deputy and Assistant Managers. The Registered Manager is currently attending college to attain the Registered Managers Award. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 22 Quality Assurance was discussed in detail with the Registered Manager, who advised that Leicestershire County Council Social Care Services, was introducing a ‘Development of Annual Quality Assurance’, which once completed would be reviewed on an annual basis. The Quality Assurance document is to focus on numerous aspects affecting the efficient running of the home and the delivery of care to service users. Topics to be included within the Quality Assurance Report will include, the audit report, line managerial reports, complaints and commendations, minutes of staff and service user meetings, premises reports, reports completed by external agencies such a Environmental Health, Fire Department and the Commission for Social Care Inspection, training audit and questionnaires to service users/families and other stakeholders such a visiting health care professionals. The report will be concluded by a summary overview and the proposals as to how the service can improve. Lenthall House had already begun the process of developing the report, which included the questionnaires already completed by carers, family and friends. The Inspector viewed the completed questionnaires, it was noted that a significant number of positive comments had been received, examples of the most recent comments include: ‘ I am very pleased with ……. care and feel fortunate having this resource on my doorstep.’ ‘Mothers care is excellent – staff are sympathetic without being patronising.’ ‘The attitude of the staff which comes down from the manager, I feel that the manager and her team really care about the residents and put their needs first.’ ‘Every need is take care of without the staff having to be asked.’ ‘This home really feels the nearest it can be to home.’ It was noted that since the last Inspection twelve months ago, two senior staff meetings, two care staff meetings and one service user meeting has taken place, it was noted that a service user meeting had been scheduled to take place in the next few days. It is essential that meetings take place with greater frequency to ensure that the needs of service users are being met, and that service users are given an opportunity to actively contribute to the running of the home, consideration needs to be given as to how the outcome of these meetings is be incorporated in the management of the home. A representative of the management team of the Local Authority, who is external to Lenthall House, visits the home on a monthly basis, representing the Responsible Individual. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 23 A report is generated following each visit, the purpose of the visit being to review documents, speak with service users, staff and the management team, to view the environment and deal with any specific issues. A copy of recent reports was viewed by the Inspector, which evidenced that the visits are unannounced, and include discussions with service users. Care plans detail as to how service users finances are managed; in some instances this is by the service user or their family, whilst for some a Solicitor is involved. An Internal Audit Visit conducted by Leicestershire County Council which took place in October 2006, in a report made an overall comment:‘Overall we have concluded that the establishment’s financial management far exceeds the standard that we measure against.’ The Pre Inspection Questionnaire submitted prior to the CSCI prior to the site visit detailed the regular maintenance of health and safety systems within the home, including fire systems and equipment, environmental health visits, central heating systems and emergency call systems. Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 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 3 X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? 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 Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Lenthall House DS0000033464.V317854.R01.S.doc Version 5.2 Page 27 - 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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