Inspection on 14/04/08 for Longfield

This inspection was carried out on 14th 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

Longfield 15/12/06

Longfield 26/10/05

Longfield 31/05/05

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 Longfield Fambridge Close Fambridge Road Maldon Essex CM9 6DJ Lead Inspector Brian Bailey Unannounced Inspection 14th April 2008 08:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Longfield DS0000063090.V362250.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. Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longfield Address Fambridge Close Fambridge Road Maldon Essex CM9 6DJ 01621 857147 01621 852254 anne.chitty@excelcareholdings.com 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) Longfield Healthcare Ltd Mrs Anne Chitty Care Home 40 Category(ies) of Dementia - over 65 years of age (40), Old age, registration, with number not falling within any other category (11) of places Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 40 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 29 persons) The total number of service users accommodated in the home must not exceed 40 persons 15th December 2006 Date of last inspection Brief Description of the Service: Longfield is a large purpose built single storey care home situated in a quiet residential area at Maldon. Excelcare Holdings plc owns the home and the manager is Anne Chitty. The home is close to local shops and within a half a mile of Maldon town centre. There are car-parking facilities at the front of the home. Residents’ accommodation is arranged within five self-contained group living units, each with its own group of bedrooms, lounge/dining area, bathrooms/WCs and kitchenette. There are thirty-three single bedrooms and three shared rooms. There is a large central lounge area. Three secure courtyards/garden allow outdoor access for people to wander in safety. Access to all areas of the home is good. Fees for the home range between £385.98 and £429.03 per week. The fees do not cover the cost of hairdressing, chiropody, newspapers, toiletries or optician care. Longfield DS0000063090.V362250.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 last key inspection of Longfield took place on 15th December 2006. review of the service was carried out on 9th November 2007, which recommended that a further full inspection should take place within six months. A This unannounced key inspection was carried out on 14th April 2008 and started at 8.30am and finished at 5.00pm. It was a “Key” inspection, which focused on the intended outcomes that related to Care Homes for Older People. The report has been written using accumulated evidence gathered prior to and during the site visit. The inspection visit to the home included: discussions with the manager and staff, inspection of communal areas, a sample check of bedrooms, bathrooms and toilets, the kitchen but not the laundry; the garden; inspection of a sample of records and policies; conversations with 8 staff, 7 people that live at the home and 3 visitors; and questionnaires returned to us. This report also draws on any other information relating to the home received by the commission since the last inspection visit, such as notifications of any incidents, accidents and serious concerns and the Annual Quality Assurance Assessment (AQAA) sent to us by the manager. The registered manager was on duty. 23 of the 38 National Minimum Standards and the intended outcomes were assessed: 22 Standards were ‘met’ these are the things the home does well for people living there. Two requirements were made as a result of this inspection. Three referrals had been made to the local authority under the Safeguarding Adults Protection Policies and Procedures since the last inspection of this service. The police, the local authority and the service provider carried out subsequent investigations and appropriate action was taken. What the service does well: Longfield provides a warm and homely atmosphere for residents. Staff have managed to create a family type atmosphere that all of the residents spoken with commented on, this was particularly the case in one area of the home. Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 6 The service carries out a comprehensive assessment of needs for those service users referred to them. From this they draw up care plans that provide staff with instructions in how best to support the residents abilities. The menu in the home provides a well-balanced and varied diet for residents. The kitchen was well stocked, clean and well maintained. The service has recruited a caring staff team that are well trained and skilled. Residents reported that relatives and visitors are welcomed into the home at all times. The staff were observed to sit and chat with the residents and involve them as they went about their work through out the day. 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. Longfield DS0000063090.V362250.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 Longfield DS0000063090.V362250.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): 1 and 3 Quality in this outcome area is good. Prospective residents have the information they need to make an informed choice about where to live. The home has an appropriate pre-admission process that ensures that the home has assessed the needs of the prospective resident. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has an up to date Statement of Purpose and Service User Guide, which contain details of the home and also the services provided. Copies of these documents are readily available from the manager and could also be found in the home’s entrance lobby together with a copy of the last inspection report and quality assurance report summary. The home has a clear admission process and no one is admitted into the home without a home visit to ensure the home is able to meet his or her needs. Anyone being admitted to the home is invited to visit. Some people had been Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 9 to the home for ‘respite care’ and then admitted at a later stage, so they were familiar with the home. Three resident files were inspected and all contained a fully completed assessment form that was signed and dated and also an assessment of need from the local authority. There have been some changes in staff since the last inspection and our review of the service. Some of the regular staff had now moved on and new staff had been employed. The majority of staff had received training in health and safety, moving and handling, first aid and fire safety. Thirteen staff had completed a course on dementia in February 08 and the manager stated further training was to be organised. The manager also stated that she felt that staff had the experience and knowledge to provide the care required for the current residents. Feedback from three visitors spoken with indicated that they considered staff to be kind and patient. Longfield does not provide an intermediate care service. Longfield DS0000063090.V362250.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. Residents can expect to have a plan of care drawn up by the home that details all their assessed needs and the management of risk, together with the services of health care professionals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care records of three residents were inspected; two had been admitted in recent weeks and one person with specific care needs who has lived at Longfield for nearly three years. The paperwork on all files contained relevant information of their care needs and was up to date. A care record checked reflected the changing needs of one person who had spent a period of time at hospital and who had returned to Longfield more dependent than previously. The guidance to staff had also been updated. Evidence was available to show that reviews are carried out on a regular basis. The manager was also able to evidence that random audits are carried out to check that care records are Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 11 being maintained correctly and are up to date. Files checked indicated a good level of compliance by staff and shift leaders. The files contained clear evidence to indicate that people are supported and have access to a variety of healthcare resources such as GP, District Nurse, hospital appointments and chiropody. The home has a number of dependent residents and several people that require the assistance of two staff members for personal care, toileting and also assistance with feeding. One staff member was observed assisting a resident to eat their breakfast and this was done with patience, dignity and respect. Screening is provided in the shared rooms to ensure privacy is not compromised. The home has sufficient specialist equipment to deal with the needs of residents and pressure-relieving mattresses were in use around the home. Residents spoken to were very positive regarding the care they received. Comments included ‘the staff are very nice’ and ‘they are excellent”. One visitor stated they were always made welcome and could visit at anytime and found the home to be clean and ‘friendly’. The medication used in the home is securely locked away and stored. The records of the administration, receipt, and disposal of medication are accurate and well maintained as are the records of controlled medication, which are recorded in a separate register. The staff spoken with that are responsible for giving medication confirmed that they had received appropriate training and support, and are confident that they ensure the safety of the residents when administering medication. The manager acknowledged that errors have been made in 2007 with medication but regular audits are proving to be beneficial. The pharmacist provider to the service carried out an audit in February 08 and considered the system to very good. All six staff designated to administer medication have been assessed to the required level 2 and annual follow-ups are organised to ensure consistency of delivery and accuracy. Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. Residents can expect to receive a healthy balanced diet and to be assisted in maintaining family/friend/community contact. Residents can also be assured of a meaningful activities programme that is being produced to meet their needs and interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A fulltime activities coordinator is employed by the service and was observed to be working with several residents during the day of the site visit. The opportunity was also taken to discuss the type of activities provided and how these are organised to meet the needs of residents. Examples of artwork completed by residents were available and we were told about the plans to improve the appearance of the garden to make it a more cheerful place to look at and to rest in the warmer weather. Residents spoken with said they were being involved in the garden project and had enjoyed an outing to the library and local shops. Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 13 During the site visit, the activities person was observed spending time in two units and engaging residents with a wide range of needs. Some of the activities provided in the home are specifically designed to provide stimulation for residents with dementia including chair games to promote physical exercise and interaction with the other residents and staff. These sessions appeared to be enjoyed by several residents including some people that just relaxed and observed. We talked to residents about how they spent their time during the day in the home. They said that they had choice with regard to how they spent their time, including when they got up and went to bed. We also took the opportunity to talk with three visitors to the home. They said they felt welcome and enjoyed having the opportunity to make a cup of tea and to chat with their relative in private. They were of the opinion that staff were kind and considerate although one person considered there should be more staff employed. The staff team were observed as polite and professional with their dealings with the residents and to provide care in a discreet and quiet manner. The atmosphere in the home was calm and soothing and is suitable to the needs of residents. The current menu was examined and reflected that the home provides residents with a variety of well-balanced and nutritional meals. The kitchen was clean and well organised, and the food stocks were good and the food of a good quality. Meals are freshly prepared and cooked by an experienced chef. The chef was knowledgeable and committed to providing good wholesome meals to the residents. The meal presented on the day was appealing and was served with refreshments. The residents stated that the quality of food in the home was good and they had a choice. Fresh fruit was available and residents confirmed that they could have a drink at any time. When required, meals are served ‘softened’ and special dietary needs are catered for. The chef was well aware of residents’ dietary needs. Evidence was available to show the cook was made aware of meals selected by each person but this information was retained after the meal was served. Records do need to be kept for a reasonable period, as a form of evidence to show that the food provided is a satisfactory diet for each person. Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. Residents can expect to have their complaints taken seriously and be assured that safeguarding adults from harm procedures are in place and staff receive training on the subject. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has a complaint procedure that is displayed in the foyer of the home. The document directs people as to how and to whom, to make a complaint. It contained timescales for action. All of the residents spoken with confirmed that they were that they knew who to complain to, and felt confident that their concerns would be dealt with. The service maintains a log of all complaint and complements received. The manager confirmed that the log identified that six new complaints had been received since August 2007. Information provided to us indicated that the complaints were investigated and remedies introduced where necessary to avoid a repetition. Eight relatives that returned surveys to us indicated that they were aware of the procedures and that any concerns raised are dealt with. The Protection of Vulnerable Adult abuse policy and procedure examined was suitable for the purpose of protecting residents. The document had details regarding the signs or types of abuse and contained clear and detailed information for staff. The home has a whistle blowing policy and procedure available to staff, that ensures their protection should they report bad practice. The training records reviewed on the day confirmed that all staff except the Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 15 new staff had received adult abuse training. Three referrals were made to the Adult Protection Team. One related to an allegation of physical abuse by a staff member, a second of physical abuse by one resident towards another resident and a third related to some missing medication. The police were informed and investigated two of the issues and the local authority referred one matter back to the service. Two incidents of some missing cash belonging to residents were also reported to the police. Longfield DS0000063090.V362250.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): 19 and 26. Quality in this outcome area is adequate. Residents’ are provided with an environment that meets their needs and provides a homely and welcoming place to live, although some areas are still in need of redecoration. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home was made that included all five living areas and the communal rooms. A few of the residents’ rooms, some bathrooms and toilets and the kitchen were checked. All areas were clean and tidy with no unpleasant odours present. The manager said that the programme of redecoration and refurbishment that commenced in 2007 is continuing with several rooms having been redecorated and new furniture purchased. However, some of the décor and furnishings still look a little ‘tired’ and need updating, especially some of the corridors and doorframes that are badly Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 17 damaged. People living in unit 5 are able to access a secure and private garden. Staff spoke of plans to rejuvenate the area with the help of residents and intend to get some new garden furniture and plant some flowers. Residents spoken with were enthusiastic about the project and said that they liked being involved. A maintenance person employed by Excelcare works between two homes owned by the company. The manager said if there was an emergency they would be able to contact them even if they were not on site at the time. There is a system of reporting ongoing repairs and faults, which are then dealt with when the maintenance person does their shift. There is an area of car parking and shrubs in the front of the building and the area looked tidy. Longfield DS0000063090.V362250.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): 27, 28 29 and 30. Quality in this outcome area is good. Residents can expect to be cared for by a group of staff that are supported and trained to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing arrangements were committed to a weekly rota and this stated that there were five care staff plus a senior shift leader on duty. In addition there is the manager, an activities co-ordinator, housekeeping and catering staff on duty during the day. Staff recruitment practices at the home were checked and these were seen to be secure and in good order with all the required checks and documentation in place. Training records showed that the staff team have a good level of compliance with statutory training, such as manual handling, health and safety and fire safety. In addition to this staff are also attending training on dementia care and further training is being organised as well as on health and safety topics. Records also showed that the service has met the recommended target of Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 19 50 of staff obtaining a National Vocational Qualification at level 2 and above. A few staff are currently taking National Vocational Qualification 4. The staff training and development programme provided in the home is of a good standard. The home provides a thorough and comprehensive induction programme for staff, which uses the Skills for Care induction standards; all staff are fully inducted within twelve weeks of their appointment. Staff have a range of refresher and specialist training available to them and are obliged to undertake refresher training when identified. Longfield DS0000063090.V362250.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): 31, 33, 35, 36 and 38. Quality in this outcome area is good. The service has an effective system in place to ensure that the quality of the service is reviewed and monitored. There were comprehensive health and safety systems in operation to ensure the ongoing welfare of both residents and staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has many years experience of managing a care home and is appropriately qualified. There have been incidents over the past year that have given us some cause for concern, however, the manager and/or the Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 21 responsible person at Excelcare have addressed the issues correctly and efficiently. As a result the manager was able to demonstrate and provide evidence to show that certain important areas are being scrutinsed more closely by carrying out frequent and comprehensive audits of matters such as the administration of medication, care plans and reviews and ensuring staff training take place and is up to date. The service has its own annual quality assurance plan that seeks to obtain the views of people living at the home and their relatives. The results of their surveys are published and made available within the home. Any recommendations made are put forward as an agenda item for action. We carried out a review of the service in November 2007 and the process included sending out to people to get some feedback about the service. A survey was also carried out in March 2008. Eight relatives/friends of people living at Longfield responded. Comments were positive and included “The staff and workers are very friendly and welcoming, my …… is very happy and content in … new surroundings. The care home has a nice friendly atmosphere, and the staff work extremely hard.” and “My …… has been here for 2 years and during that time --- has been treated with respect and their dignity upheld, … care is excellent.” and “Provides a safe and comfortable place to live, surrounded by very nice staff, who are most helpful.” Two people considered there should be more staff. And two people felt the home needed some refurbishment “Décor looking tired in bedroom, at times strong smell of urine.” and “ The care home could do with being decorated to a more modern and higher standard.” Four people living at Longfield responded. They all gave us positive responses to questions asked, confirming that staff listen and act on what is requested, that they always/usually enjoy the meals provided, that they knew who to speak to if they were unhappy and there are usually activities arranged that you can take part in. Comments included “I havent any complaints, I am very happy here, I think it is a lovely home.” and “The staff and manager are very nice and friendly, and I am very happy here, my room is very nice.” The service is required to send us notifications of any incident that involvees the welfare of people at the home. Over the past year, we have been informed of incidents, some of which the service considered to be of a serious nature. Two involved the loss of some money and another the apparent ill treatment of a resident. These were all correctly reported to the appropriate authorities including the police to be investigated. One incident involved the loss of some medication, which we were not informed of at the correct time. However, the service has demonstrated that they act promptly in relation to staff disciplinary procedures when required and are able to take the appropriate action. Staff confirmed that they are provided with regular supervision and a shift Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 22 leader confirmed supervision is provided. Our visit to the home did not note any health and safety concerns; records were available and these showed that equipment and services such as fire detection systems are serviced and monitored at appropriate intervals. A fire drill had been held recently. The manager does hold a small amount of personal money on behalf of a few residents. This is kept safely and a good recording system is in place to show that expenditure is in line with those items such as hairdressing that are considered as extras to the fees. Three accounts looked at were well maintained. Many residents look after their own money and have secure facilities provided. We obtained good information from the Annual Quality Assurance Assessment (AQAA), which was received by us in October 2007. It was detailed with evidence of how the care home has maintained standards since the last key inspection. The AQAA also highlighted areas of achievement over the past year and the way in which the home plans to make further improvements over the next 12 months. Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 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 3 X 3 Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 24 No 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 OP15 Regulation 17 (2) Schedule 4. 13 Requirement A record must be kept of the food provided to each individual. This record enables staff and others to be able to determine whether the diet provided is satisfactory and meets an individuals dietary needs. The premises must be maintained in a good state of repair, in particular the standard of redecoration. This is to ensure that residents can live in a bright, well decorated and furnished home. Timescale for action 01/06/08 2 OP19 23 (2) (d) 01/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Longfield DS0000063090.V362250.R01.S.doc Version 5.2 Page 25 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 Longfield DS0000063090.V362250.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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