Inspection on 31/10/07 for Lincoln House

This inspection was carried out on 31st October 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

Lincoln House 28/10/08

Lincoln House 18/12/06

Lincoln House 05/04/06

Lincoln House 29/11/05

Lincoln House 23/06/05

Lincoln House 07/01/05

Lincoln House 23/06/04

Lincoln House 05/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Lincoln House Lincoln Close, Off Gillett Road Wood Green Banbury Oxfordshire OX16 0EF Lead Inspector Andy McGuckin Unannounced Inspection 25th October 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 Lincoln House DS0000035671.V347101.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. Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lincoln House Address Lincoln Close, Off Gillett Road Wood Green Banbury Oxfordshire OX16 0EF 01295 257471 01295 266285 manager.lincolnhouse@osjctoxon.co.uk www.oxfordshire.gov.uk The Orders Of St John Care Trust 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) Vacant Care Home 44 Category(ies) of Dementia - over 65 years of age (18), Old age, registration, with number not falling within any other category (44), of places Physical disability over 65 years of age (6) Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The total number of persons that may be accommodated at any one time must not exceed 44 As vacancies arise the numbers in the PDE categories will be reduced to 3. The continued registration of this service past April 2007 is dependent upon the physical environment meeting standards. Admittance of one named under age resident effective from 3rd April 2006 18th December 2006 Date of last inspection Brief Description of the Service: Lincoln House is one of a number of care homes run by The Orders of St John Care Trust and provides care and accommodation for older people who may be suffering some dementia related illness, and/or physical disability. The home is situated about a mile from Banbury town centre. It is set in its own grounds and is close to several local shops and amenities. It has four semi-contained care units that comprise bedrooms, lounge/dining rooms and bath and shower facilities. Each lounge/dining room has a kitchenette for the preparation of drinks and snacks. There is a spacious Club Room that provides an area for activities and entertainment for residents. There are 38 single bedrooms and 3 double rooms. Local psychiatric services are available for guidance on treatment of residents and support for staff. There are plans to rebuild the home in order to bring the building up to current spatial requirements - 22 of the current bedrooms are under 10.0 square metres in size and so are below the size needed for residents who need more assistance. A site has been identified close to the existing home, which will provide the future home. It is hoped that this move will be accomplished in approximately two years. Current fees for the home range from £495 to £606 per week. Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced “Key Inspection”. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that the CSCI has received about the service since the last inspection. Visit to the property Inspection of core documentation Consultation with service users, relatives and professionals associated with home. Discussion and feedback from staff Discussion with the registered manager Tour of the building and grounds Direct observation The inspector spent a weekday morning and part afternoon at the home. He spoke informally to residents and gained feedback from the staff on duty at that time. The Manager of the home on the day was an Acting Manager who had been in post for three days. The Acting Manager had previously worked at one of the Organisations other homes and was keen to make positive changes to the home. The inspector was joined later by the Organisations Area Manager, who along with the Acting Manager assisted in the inspection. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection What the service does well: The home provides prospective service users with sufficient information on which to make a decision. Service users are assessed prior to admission to the home. The home promotes the health and well being of its service users. The home has robust systems for managing medication. Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 6 History of likes and dislikes and preferred activities feed into the care plan. The home is reviewing the way it collects information on its service users. The home has appointed an activities co-ordinator. Residents are encouraged to maintain contact with family friends and community. Residents have access to religious worship. The home offers a variety of food which is of a good standard. The home consults service users as to the quality of the service it is providing. The home protects the legal rights of its residents. The home can provide an independent advocate for those who have no representative. The home can supply following assessment, specialist equipment. The home provides staff in sufficient numbers to meet the care needs of its residents. Staff feel supported and are well trained. What has improved since the last inspection? Service users written assessments have been reviewed and improved. Care plans are now regularly assessed and updated if required. Medication practices have been improved. Staffing records have been reviewed and improved. Fire doors are no longer wedged open. Lincoln House DS0000035671.V347101.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. Lincoln House DS0000035671.V347101.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 Lincoln House DS0000035671.V347101.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): 1,2,3,4,5,6. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home provides prospective service users with sufficient information on which to make an informed decision prior to joining the home. EVIDENCE: The home provides prospective service users and their families with a Statement of Purpose and a Service User Guide. These documents contain core information as to what the home is able to offer and what is not. It details whom it can care for and whom it cannot. A copy of the homes terms and conditions of residence state what is expected from the prospective resident and what will happen if there is a problem on either side. A copy of the written contract and the Statement of Purpose are given to the resident on acceptance to the home. Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 10 A full assessment of the prospective service users is undertaken prior to admission and where appropriate interested professionals are included in this assessment. Service users are encouraged to visit the home for lunch and short stays. There are also opportunities for a prospective resident to stay in the home prior to admission to see if it is the right home for them. All placements are reviewed shortly after admission to check suitability on both sides. Lincoln House DS0000035671.V347101.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home places a high priority on maintaining the health and well being of its residents by regular monitoring of diet, weight and ensuring that healthcare professionals are seen regularly. EVIDENCE: The inspector viewed six service user files at random. These files are presented in a format, which is a standard tool for recording care plans within the care / healthcare profession. The current files contain the necessary information to enable carers to provide care for its service users in a manner, which is acceptable to them. These files are written in plain English and evidence that care is provided with service users in a dignified and private manner. The home has a policy on the administration and dispensing of medication this was viewed and found to be satisfactory. Medication is only given by those staff who have been trained and deemed fit to so. Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 12 The inspector was shown the room where medicines were stored. This was a separate locked room, which was clean and kept cool by means of air conditioning. The senior carer in charge of nursing at the time was very competent and knowledgeable about the system. A random selection of both medication and records were inspected and found to be satisfactory. No errors were found in either the records or the medicines themselves. Files read evidenced that past history, likes and dislikes, family contacts, physical and emotional history, visits to health care professionals and medication are recorded in detail in the service user file. A daily and nightly record is kept of any relevant information or change to the persons plan. This information is used at handover to inform the incoming carers of any changes or information they need to know, The home is going over to a Person Centred Planning approach. The inspector was shown the new system and was of the opinion that when this system is fully implemented will give a much more comprehensive and holistic view of service user needs and wishes. This system will focus more on equality and diversity issues. This system will further enable carers to have fuller understanding of their service users. Staff training will begin the following week and the expectation is that all residents will be included on the new system by Christmas. The inspector will look forward to seeing this new process in operation at the next inspection. A recommendation from the previous inspection report requested that care plans are reviewed with residents or their representatives and that they are signed as agreed. This has now been implemented. A small but representative sample of the many comments received from residents follows: “ More than happy with the information given to me before my dad moved into this home” “ More staff needed “ “ Every resident at Lincoln House have there own ways- everyone is and individual and these are met accordingly. Being a regular visitor, I am able to see changes all the time for instance at mealtimes. The care staff find it no problem to serve any meals in the residents own room if they so wish and if a residents chooses not to join in with activities there is no pressure to do so “ Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 13 “ The carers are very good and kind but they haven’t the time to spend with him as there only one pair of hands to 11 residents “ “ If they had more help they always seem very busy “ “ They do keep me well informed of my mothers situation “ “ I like breakfast but not dinner “ Lincoln House DS0000035671.V347101.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): 12,13,14,15. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is very keen to meet the social and emotional needs of its residents. It is trying to improve this area by the appointment of an activities co-ordinator. EVIDENCE: Evidence was found that the home had built up a picture of the residents prior to moving into the home and took into account there past history of work and family and also what leisure activities they were involved in. Where this could be met within the home it was included in the residents care plan. The home are about to appoint another Activities co-ordinator following the departure of the previous one. The Activities co-ordinator will be involved in the new person centred planning and activities suitable to the individuals needs will be offered. Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 15 On a tour of the building the inspector was shown the room where many of the group activities take place. This was a large room ideal for group sessions. The inspector was of the opinion that the carpet, furnishings and décor could be improved. The Area Manager following contact with Head Office identified a budget for this work to be done as matter of urgency. The inspector commends this action. This will be a benefit to both the look of the home, and to the residents, in that it will provide a much more pleasant area in which to socialise. Evidence was found at the inspection that the home encourages residents to maintain contact with family, friends and community. Many relatives and friends visited the home on the day of the inspection and were made welcome. The home offers residents the chance to attend church and or religious services within the home. These take place regularly a wide range of religions can be catered for and the choice not to follow a religion is respected. Residents were observed having a lunchtime meal. There was a choice of menu including a vegetarian option and a diabetic option. Food was well cooked and presented. One resident was observed being assisted by a member of staff. This was being done in an unhurried and friendly manner. Residents were also observed eating in their choice of place. Residents who required food to be pureed are presented with their meal in a visually pleasing way. Residents spoken to and questionnaires returned stated that residents enjoyed being at the home and that the food was mostly good. Lincoln House DS0000035671.V347101.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): 16,17,18. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home ensures that residents are happy with the service by direct consultation with them and receiving feedback from relatives and those who visit the home on a regular basis. EVIDENCE: Feedback from service users and their representatives indicated that, where there is cause for complaint or dissatisfaction, the home has formal processes for it to deal with them. The homes complaints procedure was viewed and found to be satisfactory. The home ensures, where possible, that residents’ legal rights are protected and that residents are not exposed to any form of abuse. Staff have been trained in the identification of Abuse and are aware of their responsibilities in this area. Residents meetings are held and evidence was found that these are quite well attended. Topics discussed are appropriate and where adverse comment has been made efforts are made to address them. Regular questionnaires are sent out to assess satisfaction and an analysis of these is collated. The last survey showed an overall satisfaction level of good. Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 17 Service users legal rights are protected by the appointment of relatives or friends to act on the resident’s behalf. Where this is not possible an independent advocate would be appointed. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 18 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): 19,20,21,22,23,24,25,26. Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home fails to meet many of the standards required under this section. The home is to be re-provided in the near future. A site has been identified. Meanwhile the best is made of the facilities they have got. EVIDENCE: The building is well maintained as the home employs a handy person to do most of the minor work that will occur in a home of this nature. Contractors are brought in for the more major works. The home is showing signs of wear and tear in places and there is an understandable reluctance to spend a lot of money on the building when it will be replaced in the not t `o distant future. The home is however kept very clean and as comfortable as they can make it. Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 19 As previously mentioned during the tour of the building the inspector made comments about areas that were showing wear and tear. The Area Manager took this on board immediately and identified funding for upgrading the communal area used for activities. The home will also have a rolling programme of minor re-decoration and repair. The home whilst not ideal in some areas does present a homely and welcoming place. Staff moral seems high and it’s a place people enjoy working. The home is split into four individual units, each of which has its own communal area and dining area. Residents are not restricted to one area and can go from one unit to another. There is a working lift to take residents to the upper floors and a large room where all four units can meet and socialise. The home has sufficient bathrooms and toilet facilities to meet the needs of its current residents. The home has three double bedrooms, which are occupied. As these rooms become available they will be used for single occupancy or for a couple wishing to share. The home through assessment by the occupational therapist provides residents with any specialist equipment they require. This equipment is regularly maintained. On the day of the inspection two pieces of kitchen equipment were found not to be working. One was a steamer used for cooking the vegetables and a dishwasher used for washing any dishes or pans not cleaned on the units. On further investigation it was noted that both pieces of equipment had been out of action for approximately six weeks. The delay was caused by the organisation obtaining and agreeing quotations. In situations like this the home needs to able to get items repaired in a much more timely manner. A requirement will be made that this system is reviewed. Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff are employed in sufficient numbers and experience to meet the assessed care needs of its residents. EVIDENCE: The home was being staffed on the day of the inspection by a mix of senior care staff, care staff and an administrator. In addition to the care team there was an additional supplement of two kitchen staff, and four cleaning staff. The inspector felt that this was a good level of staffing to meet the assessed needs of the homes residents. All staff working in the home are required to attend an induction training. The induction covers a range of topics including Health and Safety and Protection of Vulnerable Adults. Six staff files were viewed for staff who were on duty at the time of the inspection. Five questionnaires were given out to staff and returned completed. Files evidenced that staff are being formally recruited and interviewed and that references are being taken up prior to staff starting work. One or two minor errors were found which were quickly rectified. Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 21 Staff spoken to and questionnaires returned stated that training was being given a high priority. Staff felt that they were valued and that supervision and management support was good. The homes manager has recently left and an Acting Manager has been in post for less than a week at the time of the inspection. The home rarely uses agency staff as they have built up a group of bank staff, who work at the organisations other homes. This means that in most cases, where staff are brought into cover for permanent staff, they know the expected routine of the home and are known to the residents. Staff comments include: “ We respect the needs and rights of service users “ “ We get regular training “ “ We could do with more staff “ “ Need more staff in the day “ “ it would benefit with more carers. At the moment we have one floater, because of the residents needs it is impossible to cater for everything they require “ “ I fell we don’t have time to sit with the residents on a one to one basis “ “ New system of recording will improve person centre planning” “ More carers on during the day “ It is interesting that on paper the home is well staffed with extra staff for domestic and catering. Feedback from both staff residents and those who visit the service all express an opinion that the home could do with more staff. The inspector would recommend that when doing the Person centred assessments a review of how staff are deployed on each unit is looked at. It may be that staff could be utilized across the units in a more efficient manner. Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 22 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): 31,32,33,34,35,36,37,38. Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home has had several changes in Management and the organisation must ensure future stability. EVIDENCE: Evidence was found that the previous manager provided the staff with regular supervision and support and evidence was found at inspection that training is being actively encouraged. The home has had several changes in manager over the past two years with the most recent manager being transferred from another home and at the time of the inspection had been in post less than a week. It is important that a home such as this must have a stable manager especially as it will be going Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 23 through major change and disruption. This is not to undermine the skill of the current Acting Manager but the move to a new location and the associated upheaval will require someone with long established change management skills. The inspector is disappointed that this situation will mean that the overall rating of the home will, due to this situation bring the rating down to that of Adequate. The inspector will require the Area Manager to provide an action plan of the future management of the home. The home has robust policies and procedures to ensure that residents are safeguarded from physical, financial and emotional harm. All staff have been trained in adult abuse procedures and the home is subject to external financial audit. The inspector did not require the home to provide accounts. All records inspected were in the main found to be accurate and up to date. Information was presented in such a way as to enable those caring for residents to do so with as much information as was required. Good communication was found through both formal and informal methods. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. The health and safety of both the residents and staff were found to be being safe guarded. Lincoln House DS0000035671.V347101.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 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 2 3 3 3 3 3 3 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 2 3 3 3 3 3 3 3 Lincoln House DS0000035671.V347101.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. 1 Standard OP19 Regulation 23 Requirement The home must ensure where equipment is not working that systems are in place to obtain repair in a timely manner The organisation must ensure that the home is managed in a stable manner and that temporary managers are not used during the transition period. Timescale for action 01/12/07 2 OP31 19 01/01/08 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 OP27 Good Practice Recommendations The home should review how staff are deployed at certain times of the day to establish if they could be better utilised. Lincoln House DS0000035671.V347101.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 Lincoln House DS0000035671.V347101.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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