Inspection on 30/04/08 for Littledene House

This inspection was carried out on 30th April 2008.

CSCI found this care home to be providing an Good service.

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

Littledene House 16/12/09

Littledene House 23/07/09

Littledene House 30/05/09

Littledene House 05/05/09

Littledene House 08/04/09

Littledene House 12/11/08

Littledene House 16/05/07

Littledene House 06/09/06

Littledene House 17/02/06

Littledene House 08/08/05

Littledene House 17/12/04

Littledene House 30/06/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Littledene House 54 Bushey Grove Road Bushey Watford Hertfordshire WD2 2JJ Lead Inspector Pat House Unannounced Inspection 30th April 2008 11:00 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 Littledene House DS0000019451.V362636.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. Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Littledene House Address 54 Bushey Grove Road Bushey Watford Hertfordshire WD2 2JJ 01923 245 864 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) m.ang@btopenworld.com Ms Margaret Ang Ms Margaret Ang Care Home 12 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (12), Old age, not falling within any other of places category (12) Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may accommodate one named service user under the age of 65 with Dementia. If the names service user ceases to be accomodated at the home then the variation to the category shall cease. The manager must inform CSCI if the service user permanently leaves the home for any reason. 16th May 2007 Date of last inspection Brief Description of the Service: Littledene House is a care home providing personal care and accommodation for twelve elderly people who may also have a dementia. Littledene is privately owned and the proprietor also manages the home. The property is a large detached house, which has been converted to provide single room accommodation. Six of the bedrooms have en-suite toilets. The house is well presented and provides residents with comfortable surroundings in a homely atmosphere. There is a passenger lift for easy access to the upper floor and an enclosed garden to the rear. The frontage of the property is attractively paved and allows for the parking of several cars. A single storey extension at the back of the house provides living accommodation for three members of the care staff. Littledene is situated in a quiet residential road in the village of Bushey and is approximately two miles from the village High Street and also about two miles from the extensive amenities of Watford Town. There are local shops a short walk away. There are nearby bus and rail services and the home is close to several major roads and motorways. Current charges for the home range from £495.00 to £609.00 per week. Further information can be found in the home’s Statement of Purpose and the Service User’s Guide, which are displayed in the entrance hall together with the last CSCI inspection report. The home also has an internet web site. Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The information in this report is based on an unannounced visit to the home by one regulation inspector carrying out the work of the Commission. For the purposes of this report the Commission will be referred to as ‘we’. The inspection took place over one day and the manager was present throughout. The home was full at the time of the visit. Residents were spoken with and observed and we spoke with staff and visitors. We visited all areas of the home and examined a selection of records during the visit. We have also reviewed the information we have received about this service between inspections. Since the last inspection the manager has completed and returned a selfassessment questionnaire, sent out by the Commission. This is the Annual Quality Assurance Assessment document, called the AQAA in this report. We have included information from this document in this report. Quality surveys have also been distributed to some residents, staff and relatives, and comments from those already returned are also included in this report. What the service does well: Littledene is a small home where care is provided in a very individual way and where the atmosphere is warm and homely. Bedrooms are very comfortable and personalised and staff have given thought to how the layout of the rooms best suits each person. Residents are therefore encouraged to keep their own identities and make their own decisions for as long as possible. Care planning is thorough and meaningful and the care staff are made fully aware of the special needs of each resident. The personal care provided is of a high standard and there is no one with broken or sore skin areas although several residents are frail and immobile. Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 6 Residents all praised the food provided in the home and staff ensure that mealtimes are relaxed and enjoyable times of the day. This adds to the wellbeing of the residents. Staff in the home respect the diversity of people from different countries and with differing levels of confusion. Care staff have developed a list of phrases and words and signs in different languages so that communication between residents and staff is eased and so those with no English can find their way about the home independently and safely. What has improved since the last inspection? What they could do better: The areas where improvements could be made at the home are already being addressed by the manager. The manager is completing a prevention of falls risk assessments for all residents and is updating the home’s policy on Safeguarding Adults. When completed these will help to ensure that residents are protected in the home at all times. Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 7 Training courses are being planned for staff in Dementia Care, Safeguarding Adults and Medication Administration. More staff will also be encouraged to undertake NVQ training. These courses will ensure that staff are kept up to date with good practice guidelines and will increase workforce skills. The manager is also planning to streamline the weekly provision of activities in the home in line with current guidelines so that more residents can be encouraged to take part in events and remain active and alert. 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. Littledene House DS0000019451.V362636.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 Littledene House DS0000019451.V362636.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): Standards 1, 3 and 4. Standard 6 does not apply to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with detailed information about the home and the manager completes comprehensive assessments for every person referred. In this way all parties can be sure that individual needs can be met and that the home is right for the prospective resident concerned. EVIDENCE: The manager has recently updated the home’s Statement of Purpose and Service User’s Guide. We were provided with a copy during the inspection and the document was comprehensive and gave clear details of the home’s facilities and ethos. Copies are given to all residents, families and prospective residents so that everyone is aware of the facilities available. The residents’ care plans we looked at contained detailed written assessments for each resident, completed by the manager. We also saw copies of care summaries in each file checked, which had been provided by referring Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 10 authorities. Initial care plans had been drawn up from this information for every resident and the staff we spoke with confirmed they looked at the plans so that they were aware of individual needs. The manager was clear that, because the home is relatively small, she takes especial care in ensuring that any new resident will “fit in” with current residents and that services in the home will be able to meet the individual’s needs. Therefore, although the home is registered for providing dementia care, the manager completes thorough assessments of all the differing needs which a confused individual might have to be sure the home is right for them. Currently the home has several residents from China and one from Poland, none of whom speak English. However, the manager speaks Chinese and there is a member of the care staff from Poland, so that all residents are able to communicate in their own language. In addition, staff have completed a list of relevant phrases in the other languages, which we saw displayed in the dining room. We also saw care staff using this list to ask residents in their own language if they needed anything. Signs around the building are also provided in Chinese to assist residents to find their way and at the mid-day meal we saw that one resident had been provided with chop sticks with which they preferred to eat their meal. Littledene House DS0000019451.V362636.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): Standards 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. Individual care needs are set out in detail for each resident and this ensures that care staff are aware of all needs and can meet them in full. Procedures followed by staff in the home ensure that residents are treated with respect and are protected by a safe system for administering medication. EVIDENCE: We checked a selection of care plans after speaking with the residents concerned. In all cases the information included was relevant, up to date and thorough. Individual risk assessments were included, although the manager is still completing a falls prevention assessment for every resident. Individual risk assessments were in place for moving and handling procedures, for skin care and for nutrition and monthly reviews were documented. Separate records are completed daily, by care staff, which show how each aspect of every plan is put into practice, ensuring that all current needs are being met. The manager has also completed an assessment for every resident linked to the Mental Capacity Act. Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 12 The records we examined detailed involvement from Health professionals and listed outcomes from doctors’ visits. Currently a district nurse visits one resident every three months to give an injection and these visits are documented. Weight checks were recorded and the staff we spoke with confirmed that, should any resident have special dietary needs, arrangements were always made for this. Some residents use a wheelchair occasionally and we saw staff providing appropriate assistance with transfers. The home now has a “rotunda” stand which staff use to help the more frail residents transfer. Currently, none of the residents need a hoist to transfer and the manager feels the interior of the home would make the use of a hoist difficult. The manager said that professional assistance would be sought to assess anyone who could not weight-bear in the future. There are some frail people living in the home and several use pressure relieving mattresses and chair cushions. Staff we spoke with confirmed that, when appropriate, residents were turned regularly at night and records of this were completed. It is commendable that none of the residents have broken skin or pressure sores, although some are quite immobile at present. We observed the system for administering medication at lunch-time. All medication is given to residents and signed for individually, with a drink. We checked the medication storage and records. Most medication, including some controlled drugs,is provided in blister-packs and proper recording was being completed. All pre-packed medication is returned to the pharmacist each month, but staff were reminded to date the small amounts of tablets, not prepacked, and carry forward totals to new record sheets, to ensure that accurate audits could take place of the medication held. The residents and visitors we spoke with all confirmed that staff assisted residents with personal care in a professional and appropriate manner. The manager sets high standards for personal care provision and everyone spoken with praised the care provided. The visitors told us that they could visit whenever they wished and that residents were always well presented and were treated with dignity and respect by the staff. Littledene House DS0000019451.V362636.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): Standards 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. Residents in the home are satisfied with the activities provided by staff at the home and are happy with the arrangements made for maintaining contact with their families and for making their own decisions about their daily lives. The food provided in the home is enjoyed by the residents and helps to maintain their well-being. EVIDENCE: At the last CSCI inspection we recommended that activity provision, especially for the more confused residents, be improved. In the AQAA the manager confirmed that a wider range of activities was being provided, including board games played with staff. During this inspection, residents we spoke with said they were happy with the activities provided and did not want more “noisy” events to take place. Staff told us that, usually, residents wanted quiet mornings and then enjoyed playing games, often with staff, after the mid-day meal. However, several of the comments in the surveys returned by relatives, said they thought that more stimulation could be provided for the residents and we discussed this area with the manager. The manager said that she may identify one member of staff who would be interested in planning activities on Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 14 a weekly basis, using current guidelines which are available form various charities and training companies. Training one staff member to specialise in activities for those with dementia would be especially beneficial for those currently in the home and also for future residents. The manager said she would pursue this training. The residents and visitors we spoke with said that there were no restrictions placed on when visitors called or when residents got up and went to bed. The manager said that, currently, all residents have relatives who handle their finances as no money is held for residents on the premises. The manager said that she would involve advocates for any resident who did not have family support. Comments made in the returned quality surveys confirmed that residents were helped by staff to make their own choices about how they spend their days in the home. We saw the mid-day meal served and this looked nutritious and appetising. The residents we asked said they enjoyed all the food in the home and could ask for an alternative if they did not want the main menu choice. Comments in the residents’ surveys returned also praised the food provided in the home, several said the food was “excellent” . One resident who needed staff assistance to eat was given their meal in private, before the other people, so that staff could provide unhurried assistance and so that all other residents could be served their food together, at the same time. The staff confirmed that meals were not served until all residents were seated in the dining room so that meal-times were relaxed and enjoyable. Currently one resident is provided with pureed food and one has food appropriate for their diabetes. We saw copies of a three-week rolling menu but staff said this was adaptable, according to the residents’ wishes. Written details are kept for all food consumed at the home as required by Environmental Health regulations. The day’s menu was displayed on the wall in the dining room but we did suggest that this information could be made bigger or produced in picture form for the more confused people and for those who spoke no English. We were told by residents that snacks and drinks were available at all times. We also saw staff using the printed foreign words displayed in the room to ask whether residents wanted a drink. The consistency we saw recorded of people’s weight records and the continuing good health of residents, suggest that food and drink provision is well balanced and enjoyed by people in the home. Littledene House DS0000019451.V362636.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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures followed by staff in the home ensure that residents know their concerns will be listened to and are protected from abuse at all times. EVIDENCE: The home has written policies covering complaints and whistle blowing and the staff we spoke with were aware of these and their implications. The manager said she is updating the home’s Safeguarding policy and will make sure staff read this when it is completed. There have been no complaints made to the home, or to the Commission, about the home, since the last inspection. No referrals have been made under the Hertfordshire Safeguarding Policy. The residents we spoke with said they were aware of how to make a complaint and would feel comfortable doing so, if the need arose. The manager said she is planning to provide staff with an update of Safeguarding training later this year. Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 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 is maintained to high standards and residents benefit from living in comfortable surroundings, which are kept clean and hygienic. EVIDENCE: We visited all areas of the home during the inspection and everywhere was clean and well decorated and maintained. A ramp, installed in a bedroom before the last inspection, has been removed. This equipment was deemed to be unsafe and a grab rail and warning notice has been installed in its place after the manager completed a risk assessment for the step in the bedroom. A stair lift is in place to provide easy access for one resident to reach their bedroom and all residents have access to all areas of the house and garden. The furniture in the bedroom of one resident who is blind in one eye has been moved around. The resident now has the majority of facilities visible to them on entry to the room and on waking in the morning. Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 17 Signs for the residents who do not speak English have been provided in the appropriate language so that all residents can find their way about. There are dispensers for liquid soap in bathrooms and toilets but no paper towels are provided, although this provision is recommended in current guidelines for infection control. The manager said that this is because some residents have regularly put paper towels down the toilet pans, which have become blocked. Currently cotton towels are provided in communal sanitary areas and the manager said these are changed and washed daily. The manager said she will contact the Health Protection Agency and take advice about towel provision in these circumstances. Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. Residents in the home have their needs met in an appropriate way by staff who are well trained and employed in sufficient numbers. Procedures for recruiting staff in the home are thorough and help to protect residents from abuse. EVIDENCE: During our visit there were two care workers and the manager on duty in the home. Residents felt there were usually enough staff on duty and those residents we spoke with said they never felt rushed or felt that staff did not give them enough time. At night there is one member of staff on waking duty but the manager said she is always on-call and the staff who live-in at the home can be contacted if there was a need. The home has eight permanent staff members, some of whom work part-time. The manager said that agency staff are not used at the home, but that there is a small “bank” of regular care workers who will work when required. The manager employs some care workers who come from the European Union and who have contracts for one or two years. This means, although there is a regular turn over of staff, they are still employed for long enough to be trained and to get to know the needs and preferences of the residents. In addition, the care worker who comes from Poland is able to speak easily to the one Polish resident in the home, which benefits both parties. Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 19 We looked at a selection of staff training records during the visit. Each member of staff has a training profile and this showed that almost everyone had completed sufficient basic training as well as specialist courses in Protection and Dementia. However, many of the courses had been provided in-house, using videos and some training now needs updating. The manager has already planned accredited staff training in Moving and Handling, in the near future and said she will then update dementia training and Safeguarding. As all staff administer medication in the home, after they have had training, they will all also need to attend an accredited course on the administration of medication in care homes. We checked the content of the induction training course provided for new staff and this was comprehensive and had checks of understanding built in. The senior care worker told us she is currently completing NVQ level 2 training and more staff may be enrolled on this course in the future. We checked a selection of staff recruitment records. We saw evidence that appropriate checks had been in place before the member of staff in question started work. The manager is planning to revise the application form so that applicants are aware they need to provide full employment histories, with explanations of any gaps provided. This is so that the residents the staff will be working with are protected from staff who are not bona fide and so that residents are therefore safeguarded from abuse. Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. Residents at Littledene benefit from living in a home which is well run and where their views are listened to. Procedures followed by staff at the home ensure that residents’ finances are not abused in the home and ensure that health and safety practices help to protect both residents and staff. EVIDENCE: The manager is registered with the Commission, has a management qualification and is a registered nurse. The staff and residents we spoke with praised the management and said that their views were always listened to and acted on, where appropriate. They also said the manager has very high standards and this is reflected in the high standards of care provided. Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 21 Staff also saidthat they are kept well informed about changes in the home or in any care provided. There are regular staff meetings and, they said, good staff handover meetings between shifts. They also said all the staff “work as a team” which directly benefits the services provided to the residents. Care staff also said they have regular formal supervision with the manager, which is recorded The home has a written Quality Assurance policy but the manager said she will be revising this. Comments about quality satisfaction are sought from residents and their families each year. As we already noted, residents’ money is not handled by staff at the home. The manager said that any items the residents might require, are either provided by relatives or are purchased by staff and then an invoice is issued for payment. Care staff all receive training in good Health and Safety practices and said they were aware of how and when to record accidents and incidents in the home. Staff we spoke with confirmed they had attended fire drills and we saw records of these, showing dates and who attended. We just recommended that outcomes form the drills were also recorded so that any further training needs could be identified. We saw some door wedges being used to keep some fire doors open, during the visit. The manager removed these wedges before we left the building and said she would explain to residents why fire doors must not be held open as they would be put at risk in a fire. Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 3 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 x x x x x 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 Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Littledene House DS0000019451.V362636.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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