Inspection on 16/01/07 for Long Lea

This inspection was carried out on 16th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Long Lea 02/03/09

Long Lea 16/02/06

Long Lea 02/08/05

Long Lea 24/02/05

Long Lea 23/06/04

Similar services:

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Maple Lodge

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

CARE HOMES FOR OLDER PEOPLE Long Lea 113 The Long Shoot Nuneaton Warwickshire CV11 6JG Lead Inspector Kevin Ward Key Unannounced Inspection 16th January 2007 08:00a 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 Long Lea DS0000004230.V326870.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. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Long Lea Address 113 The Long Shoot Nuneaton Warwickshire CV11 6JG 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) 02476 370553 02476 370553 Dwell Limited Tracey Harris Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 2006 Brief Description of the Service: Long Lea is a care home providing personal care and accommodation for 27 older people aged 65 years and over. It does not offer any specialist services. The home is located on the outskirts of Nuneaton, and is close to shops, pubs and other amenities. The accommodation is provided in an extended bungalow with suitable access to service users. The home has converted a double bedroom into a single room and currently provides accommodation for 26 people. All 26 bedrooms are now single and 24 have en-suite facilities. There are currently four assisted bathroom areas and four WCs situated around the home. Communal areas include two large lounges, a small lounge and a dining room. The home has extensive gardens that are well maintained and easily accessible. The current fees are £1600 per calendar month. The people at the home pay for additional personal items, such as Hairdressing, private chiropody, newspapers and leisure costs. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection involved meeting most of the people that live at the home to get their views about the service they receive. The inspection also involved case tracking 3 people. This involves looking at people’s care plans and checking how their needs are met in practice. The inspector also spoke to a number of care staff on duty, as well as the cook, a member of domestic staff and a person’s relatives. A number of records, such as care plans, staff files and fire safety records were also sampled for information as part of this inspection. 6 People at the home returned comment cards and seven people’s relatives completed questionnaires, which were used to inform this inspection report. The current fees are £1600 per calendar month. The people at the home pay for additional personal items, such as Hairdressing, private chiropody, toiletries, newspapers and leisure costs. What the service does well: Suitable arrangements are in place for assessing the needs of people before they move into the home and providing them with information to help them to make a decision to live at Long Lea. People’s personal care and health needs are monitored and they are supported to gain access to health services where required. The people at the home spoke very positively about the staff at the home. Staff were seen to approach people in a friendly, kind manner and to be responsive to their requests for assistance. The home provides people with a very good range of activities, including visiting musicians and singers as well as shopping trips and outings. A church service is held at the home for people who wish to attend it. Relatives are made to feel welcome and are able to take a meal with the person they are visiting at the home if they wish to do so. The home is comfortably furnished, clean and maintained in good condition for people to live in. People have been supported to personalise their bedrooms and the bathrooms are equipped to assist people with disabilities to bath safely. Overall the home provides satisfactory access for people with mobility problems and the garden is accessible for people to sit out on warmer days. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 6 The people at the home and their relatives are informed how to complain if they wish to do so and copies of the complaints procedure is on show at the entrance along with other helpful information about the home. Staff have been provided with Adult Protection training so that they are able to recognise and report any suspicions of abuse that may come to their attention. Staff are vetted to check they are suitable and are given access to a good range of training courses to equip them for their role. The home has recently sought people’s views about the home and the manager said that she is planning to send out questionnaires to people’s relatives so that they can comment on the home again. What has improved since the last inspection? 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. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 7 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 Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 8 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are assessed and they are provided with information to help them to make an informed choice to move into the home. EVIDENCE: The manager explained that the home always carried out an assessment of need and provides opportunities for people to visit with their relatives before they move in. Comments by people living at the home confirmed that they (and their relatives) are provided with written information about the home to help them to decide if the home is the right place for them to live. One person explained that they were given the opportunity to visit with their relatives to see their room and to ask the manager questions before deciding to move in. Comments by two relatives also confirmed that they had been fully involved in the admission process. People’s files were seen to contain evidence of written assessments / care plans detailing people’s needs. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 9 The home’s Statement of Purpose and service user guide, containing information about the home, were seen on display for visitors in the home’s reception area. People have been provided with contracts detailing the condition of their stay at the home and letters were seen on file informing people in advance of changes in their fees, last October. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 10 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. Staff are provided with the necessary guidance and support to help them to meet people’s personal care and health needs. Risk assessments for the use of bed rails would be a positive addition to safe care practices in the home. EVIDENCE: Three people’s care plans were examined. The care plans address a satisfactory range of needs and overall they were found to contain good levels of information and advice to enable staff to provide appropriate care support to people. People’s needs are properly risk assessed and scored to take account of important aspects of care, such as skin condition, moving and handling and nutrition. The findings of the risk assessments are being used inform the care plans and guidance for staff in the home’s records. Comments by staff confirmed that the home has a good system in place for handing over important information at the start of each shift so that staff are updated on changes in people’s needs. Some people have safety rails in place to stop them from falling out of bed. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 11 The manager agreed to complete a written risk assessment for these people. People confirmed that they have been involved in the development of their care plans and their signatures were seen at the end of their care plans as further verification of this fact. Many positive comments were made by people regarding the support they receive from the staff at the home. One person said, “ they are very helpful, they couldn’t be better”. Staff were seen to approach people in a friendly respectful manner and to be attentive to their needs. Everyone at the home was seen to be well groomed and dressed in well laundered, appropriate clothing. Information contained in people’s records indicates that they receiving support to access relevant healthcare professionals and that their health needs are closely monitored. The home’s records show that people are provided with access to routine checks, such as eye tests, hearing tests, dental checks and chiropody. Monitoring records were seen for a person confined to bed, enabling the manager to check that appropriate care is being given (e.g. detailing, nutrition, fluids, skin care and turning records). Suitable measures had been taken to provide a specialist mattress and appropriate support had been sought from the community nursing service. Nutrition assessments are completed for people and their weight is monitored. Suitable guidance was seen to be in place in the care plan of a person with a poor appetite. The weight monitoring charts indicate that the home has been successful in increasing this persons weight marginally and made use of advice from the GP. Suitable arrangements are in place for the safe storage of medication including a separate lockable controlled drugs cabinet. Discussions with staff confirmed that only named staff that have completed medication training are allowed to give out medication. The manager explained that staff complete a competency assessment as part of their distance learning training and that she is also involved in assessing people’s grasp of safe medication practices as they advance through the training. A sample of certificates were seen providing verification of this training. Three people’s medication sheets were sampled. One persons record contained an anomaly in the recording, which the manager was able to satisfactorily explain. A recent medication audit was seen, providing evidence that the manager routinely checks the medication records so that she can follow up any recording errors that may occur. Two people’s controlled drugs were checked and found to balance correctly with the records. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 12 The home does not currently keep a record to enable the manager to fully account for the number of tablets (non controlled drugs) that each person has in the drugs cabinet. The manager agreed to devise protocols for “as required” medication to enable staff to have clear guidance as to when such medications should be given to people. The people at the home were seen to rise at their own pace and to take a relaxed breakfast in the dining area. Some people chose to take breakfast in their own bedrooms. Staff were seen to knock on people’s doors before entering and to be mindful of their privacy. All personal care tasks took place behind closed doors so as not to compromise people’s dignity. People are provided with lockable storage boxes to keep their cash belongings secure where they wish to do so and people are also provided with a key to their bedrooms. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall people are being provided with a satisfactory range of activities and outings are given with meals they enjoy. EVIDENCE: People who were spoken to commented favourably about the level of activities and outings arranged at the home. An activities folder was seen containing records of a significant variety of activities arranged by the home. Examples of activities that have been arranged by the home include, regular visits by musicians and vocalists, musical plays, organist, film shows, arts and crafts, music and movement, carpet bowls, scrabble, dominoes, creative mobility, reminiscence sessions, aromatherapy, library service, clothes parties and Body Shop party. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 14 People at the home confirmed that they had supported to celebrate the Christmas season. A Christmas programme was seen to include cake baking, a pantomime and a Christmas party. Some people also went out for a meal out with friends. The home also arranges regular weekly trips to the shops and monthly outings to the garden centre, in addition to other outings, such as pub lunches and occasional barge trips. A hairdresser visits the home each week. People were all well groomed, indicating that the home seeks to support people to retain a good self-image. The home has satisfactory links with local churches to support the spiritual needs of the people at the home, including a monthly Church of England communion service and visits from representatives of the Ecumenical church. The manager explained that there not currently any people living at the home with other religious or cultural needs but stated a commitment to supporting anyone referred to the home with such needs. Comments by people’s relatives, in questionnaires that were completed as part of the inspection process, indicate that they are made to feel welcome at the home and kept informed and updated of changes in people’s care. Comments by relatives confirmed that they are shown hospitality by the home and can take a meal as part of their visit if they wish to do so. Relatives visiting the home were welcomed by staff and offered a hot drink. As previously noted people are offered keys to their bedroom so that they can choose to lock them if they wish to do so. The cook was seen to remind people in the morning what was on the main meal for the day so that they could choose an alternative meal if they wished to do so. People confirmed that “residents meetings” are held at the home to enable them to contribute to decisions about everyday matters and the manager has recently started produce a newsletter to keep people informed about developments at the home. Comments made by people in comment cards indicate good levels of satisfaction with the meals provided by the home. People also endorsed this during the inspection site visit. Nutrition assessments are carried out for people to determine any special dietary requirements. As previously noted, people’s weight is monitored where there are concerns about their weight. The records of a person with a poor appetite demonstrate that the home has been successful in assisting the person concerned to increase their weight. The home’s menus indicate that people are provided with a well balanced diet. Comments by the cook indicate that proper provision is made for people on low sugar diets at the home. The main meal was well cooked and tasty. Staff were seen to provide sensitive assistance and encouragement to people requiring support to eat their meals. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are informed how to complain and staff are trained to recognise and report suspicions of abuse so that people are properly protected. EVIDENCE: Comments by people at the home and their relative’s, in comment cards that were completed as part of this inspection, confirm that people are informed how to complain. A person’s relatives confirmed that they held confidence in the manager to follow up any concerns brought to her attention. A copy of the complaints procedure is available for people in the main hallway and the manager explained that this is explained to people as part of the admission procedure. There have been no complaints to the Commission for Social care inspection since the last inspection. Two minor complaints have been made by people at the home during the same period and recorded in the homes complaint records. The complaints have been followed up and resolved by the manager. The complaint records demonstrate that appropriate systems are in place for giving feedback to people regarding the outcome of complaints at the home. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 16 All staff spoken to confirmed that they have been provided with Adult Protection training and have had access to adult abuse and whistleblowing procedures, so that they know how to report any suspicions of abuse that might come to their attention. Information in the home’s training records verify that staff have received Adult Protection training. There have been no adult abuse issues at the home since the last inspection. Long Lea DS0000004230.V326870.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are provided with a clean, comfortable and suitably equipped home to live in. EVIDENCE: The communal areas of the home are comfortably furnished with domestic style furniture, creating a homely atmosphere for people to relax in. The manager reports that the lounge areas and the office hallway have been redecorated since the last inspection. The lounges have also been re-carpeted. Six people’s bedrooms were seen. All the rooms are well decorated and people have been assisted to personalise their bedrooms to their liking with items of their own furniture, pictures and ornaments. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 18 The bathrooms were clean and well decorated and have equipment in place to assist people to bath safely with help from staff. The manager explained plans to build a pagoda in the garden to further improve this area for people to enjoy during the summer months. Several people commented that they had enjoyed sitting out in the garden during last summer. Overall the home was clean and fresh and free from any unpleasant odours. Comments by some staff confirmed that they had received training on infection control as part of their National Vocational Qualification training. A member of staff explained that the manager also reinforces clear infection control procedures at the home. Staff were seen to make use of protective clothing and gloves and the home provides dissolvable bags to assist with the safe handling of continent laundry. Comments by staff confirmed that suitable arrangements are in place for separating out laundry items to support good infection control and for ensuring that people’s clothes are laundered satisfactorily. Since the last inspection the home has completed the installation of a new sluice facility to improve commode disinfection procedures. The manager reports that staff have been provided with training to use the new equipment. Long Lea DS0000004230.V326870.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. Overall staff are appropriately recruited and suitably trained to meet the needs of the people at the home. EVIDENCE: A sample examination of recent staff rotas indicates that the home provides four staff on duty at peak times and three staff during the night. Comments by people living at the home indicate that overall they find staff to be prompt in responding to their requests for assistance. In addition to the manager the home employs a deputy manager and four senior carers to ensure that there is always someone in charge of the home. The manager explained that the on call duties are shared between the senior staff at the home and that ultimately she is always contactable by phone to provide advice and support out of hours. Comments by staff confirmed that they are provided with access to a good range of training courses, including frequent updates on Health and Safety related training, such as food hygiene, first aid, fire safety, moving and handling, adult abuse and medication. This was also verified in the home’s training records that were discussed with the manager. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 20 In the home’s pre inspection questionnaire the manager reports that 53 of staff now hold National Vocational Qualifications at level 2 or above and 9 staff hold a current first aid certificate. The recruitment files of two staff recently employed at the home were examined. The files contained application forms and evidence to confirm that staff are interviewed and provided with contracts of employment, in keeping with good employment practices. Both files contained evidence to demonstrate that the home takes up references and Criminal Record Bureau (CRB) checks to ensure that staff are safe to work at the home. Neither file contained a copy of identification. The manager confirmed that the identification of new staff recruits is always seen and checked as part of the process for applying for CRB checks. The manager undertook to ensure that copies of people’s identification are retained on file for future inspections. Long Lea DS0000004230.V326870.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 home is well managed to include the views of the people living at the home and to support a safe living environment. EVIDENCE: The manager holds a management diploma and a nursing degree in addition to other qualifications and as such is well qualified to manage the home. The manager has managed Long Lea since August 2004, prior to which she worked as deputy manager at the home. Comments by staff indicate that they are well supported and supervised in their work at the home. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 22 Comments by staff confirmed that their performance is subject to periodic appraisal and staff supervision records were seen to contain evidence of practice observations carried out by the manager to support staff in their practice, (e.g. giving out medication and carrying out care tasks). Recent service user questionnaires were seen as evidence that the people at the home have been surveyed for their views in September 06. The manager also expressed an intention to survey the views of relatives again as this has not taken place very recently. The manager has also invited to pass comment on good / bad things at the home by means of a poster display, encouraging people to attach their comments or suggestions for improvements at the home. This exercise has elicited a number of positive comments about the home. The manager carries out medication procedure audits and retains a record as evidence of her findings. This includes checking medication sheets to see that medication is correctly recorded is being given out correctly. The manager explained that the pharmacist was planning to carry out an audit at the home very shortly. The manager stated that she does not act as appointee for anyone at the home and that this role is taken on by people’s relatives and representatives. Secure storage arrangements were seen for looking after people’s spending money. Two people’s expenditure records were checked and found to balance correctly. The expenditure records contain the signatures of two staff (including the manager) as verification of each monetary transaction carried out. The manager explained that people are issued with lockable facilities where they wish to keep monies in their own safekeeping. Information provided by the manager in the pre-inspection questionnaire indicates that equipment in the home is checked and maintained in safe working order. The fire safety log was checked and the records demonstrated that fire alarms and emergency lights are routinely tested as required. Fire drills are also carried out and a report was seen as evidence of fire drills and simulation exercises taking place to equip staff to evacuate the home safely in the event of a fire. The manager confirmed that the action points identified in the fire officer’s report at the 18/7/06 have since been addressed. The records show that the electrical equipment was safety tested last January 06 and the manager said that this would be done again shortly. The home received a good Environmental health Kitchen Hygiene report recently with no action points to address. Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 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 Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 13 (2) (c) Requirement Devise risk assessments for the use of bed rails to demonstrate that they do not present any hazard to the person climbing over them and falling. Timescale for action 21/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 Long Lea DS0000004230.V326870.R01.S.doc Version 5.2 Page 26 - 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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