CARE HOMES FOR OLDER PEOPLE
Longwood Grange Nursing Home Longwood Gate Longwood Huddersfield West Yorkshire HD3 4UP Lead Inspector
Sally McSharry Key Unannounced Inspection 5th December 2006 08:15 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 Longwood Grange Nursing Home DS0000001120.V314456.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. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Longwood Grange Nursing Home Address Longwood Gate Longwood Huddersfield West Yorkshire HD3 4UP 01484 647276 01484 460208 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) Ancyra Health Limited Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Up to 6 service users - category TI and/or TI(E) Can provide accommodation and care for one named service user aged under 65 years 12th December 2005 Date of last inspection Brief Description of the Service: Longwood Grange is a care home providing personal care, nursing care and accommodation for up to 40 elderly service users. The home is also registered to care for up to six elderly service users requiring terminal care. The home is owned by Ancyra Health Limited, a private limited company. The accommodation was adapted from its former use as a school some years ago. It is situated on a steeply sloping site adjacent to a church in the centre of Longwood, a former village satellite of Huddersfield. The accommodation provided is located on two floors linked by a passenger lift, the ground floor providing the communal facilities, toilets, lounge and dining room. All the bedrooms are on the first floor, most of which are for single occupation. There are no en-suite facilities in the home. The proposed manager informed the Commission for Social Care Inspection on 5 December 2006 that fees range from £331.26 to £502.47 per week. Additional charges include hairdressing, private chiropody, newspapers, sweets and personal toiletries. Information about the home and the services provided are available from the home in the Statement of Purpose and Service User Guide. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit carried out to the home by an inspector on 5 December 2006. The inspector arrived at the home at 08:30 am and left the home at 4:15pm. Since the last inspection carried out in the December 2005, the Commission has carried out a further additional visit to the home because an anonymous caller had raised concern about the staffing levels at the home during the evenings. When this matter was looked into, staff shortages had occurred, however the manager of the home had already started the recruitment process to fill the staff vacancy. Since the last inspection the registered manager, Mrs Rosemary Dyson, has left the home. Ms Tracey O’Hagan has been proposed as the new manager. Ms O’Hagan was present during this visit to the home. As part of this unannounced visit, the quality of the information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the Service User Guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that the Commission for Social Care Inspection are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. During this visit the inspectors spoke to some of the service users, visiting relatives, some of the staff and the home’s management. The inspector read care records, audited a sample of medications, reviewed staff recruitment and training records, carried out a brief tour of the building and observed service users having lunch. Prior to the inspection, ten service user questionnaires were sent to Longwood Grange to obtain service users’ views about living at the home. Eight completed questionnaires were returned. Some service users in the home are very frail and may have difficulty completing a questionnaire. There were twenty eight service users resident in the home on the day of this visit. Relatives’ surveys were sent out to ten of the service users’ relatives/friends. Three GP practices attend the home and questionnaires were sent to them. When the inspector wrote this report, eight of the relatives had responded and 3 responses had been received from GP practices.
Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 6 Other information used in the inspection process included notifications from the provider to the Commission for Social Care Inspection about deaths, illnesses, accidents and incidents at the home, copies of the monthly management visit reports produced by the provider and a pre inspection questionnaire completed by the provider and proposed manager. The inspector would like to take this opportunity to thank everyone who participated in the inspection process. What the service does well:
Longwood Grange continues to be a well-run service. Information is provided to prospective service users to help them make a decision as to whether they wish to stay at the home. Before admission, prospective service users and their representatives can visit the home and a member of staff will also visit the prospective service user to assess their needs to make sure the home and the staff are able to meet those needs. Each service user has an individual care plan that identifies the service user’s needs and preferences and advises staff how those needs are to be met in the home. Service users’ health and wellbeing is maintained and service users are assisted to access the services of health care professionals and specialists, where needed. Medications are managed well. One relative commented in their questionnaire, “My father is well cared for and his health and overall well being has improved greatly since Feb’ 06 when he was discharged from hospital to this home.” Service users’ privacy and dignity is maintained in the home and service users said they felt safe in the home. Although service users and relatives reported there has been a reduction in the number of social activities offered in the home because the activity organiser left the home a few months ago, a new activities organiser has now been appointed and the number of events and variety of entertainment is now increasing again. Visitors are made to feel welcome and links with the local community encouraged through various churches and schools. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 7 The meals provided in the home are generally good and service users and relatives talked of enjoying the meals and of putting on weight since admission to the home. The home has a complaints procedure which is included in the written information about the home and is displayed within the home. Service users and relatives felt that they are able to discuss any concerns with staff before they become a problem and that staff take notice of what they are saying. One relative, when asked about the complaints procedure, said there was no need because there wasn’t anything to complain about. The home is generally clean and tidy. There is evidence of ongoing redecoration and maintenance work. Service users’ rooms are personalised and comfortable. The staff recruitment procedure and practice is good. Records show that all the necessary references and checks have been carried out to help protect service users from unsuitable staff. Although there has been a change in manager at the home since the last visit, standards have remained good at the home. The atmosphere is friendly and welcoming. One relative commented, “The longer Mum is here the more we’re getting to know the staff and who to speak to on her behalf. Mum says she is happy and content here and is taken good care of.” There are ongoing quality audits carried out in the home and service users and relatives are asked to comment on the service provided in questionnaires. The new manager is keen to receive feedback to enable her to improve the service the home provides. Service users’ finances are managed appropriately and clear records are maintained. Routine maintenance checks and tests are carried out to help keep the home safe for the service users to live in and staff to work in. What has improved since the last inspection?
The detail held in care plans has improved and information is now more specific to the individual service user. The variety of training offered in the home has improved since the last inspection and members of staff have attended training courses in relation to the care they are giving. The percentage of care staff that have obtained NVQ level 2 training has also increased. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 8 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. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 10 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6. Information is available in the home to help prospective service users make an informed choice about where to live. Each service user is provided with a written contract. Service users’ needs are assessed before admission to the home to ensure their needs can be met in the home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is written information available in the home to help prospective service users make a choice about the home and whether they wish to stay there. This information is also sent out to prospective service users.
Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 11 When discussing the admission process, the service users who talked to the inspector indicated that their relatives had made the choice to come to Longwood Grange and not the service user themselves. When asked why this was, service users advised that, at the time of admission to the home, they were too ill or frail to deal with such matters. Service users were unaware of the contract between the home and themselves. All service users who discussed this with the inspector were not interested in their contract and said their relative or representative dealt with these matters. When checking service user records, copies of Local Authority contracts were seen on file. There was evidence that private contracts had been sent out by the provider, however the service users’ representatives had not returned some of these. There are detailed pre admission assessments on file for service users. The assessments have been carried out before the service user is admitted to the home and helps the manager of the home prepare for a service user’s admission and ensure that the home and the staff in the home are able to meet the prospective service user’s need. Service users also confirmed that someone from the home had visited them before they were admitted to Longwood Grange to discuss the home and their personal needs and preferences. Longwood Grange does not currently provide intermediate care. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 12 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Service users’ health, personal and social care needs are set out in an individual plan of care. Suitable risk assessments are carried out and monitored. Service users are able to make decisions about their lives with the support of staff. Medications are managed safely. Service users are treated with respect, their privacy and dignity is maintained by the staff in the home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 13 EVIDENCE: A sample of four care records was seen during the visit. The information in the care plan is clear and reflects the individuality of the service users and their personal preferences and social interests. Care plans give staff the information they need to safely meet the needs of the service users whilst in the home. There is evidence of care plans and health care assessments being reviewed regularly and amended to reflect any changes in the service user’s health or wellbeing. Longwood Grange also uses the “Gold Standard Framework”, a care plan used to meet the needs of service users requiring palliative care or care at the end stages of their life. Daily records reflect the care provided to each service user and risk assessments are carried out and reviewed monthly. There is evidence of specialist equipment being used and specialist health care professionals being involved in the care of service users where required. One relative commented in their questionnaire, “My father has visits from his GP on a regular basis. He has visits from the chiropodist and has received specialist optical care, including visits to the hospital to see his eye specialist.” Comments from the three GPs who were sent questionnaires were also positive, confirming that the staff at the home communicate well and that there is always a senior member of staff available. GPs are able to see service users in private and are confident in the skills of the staff and that their instructions are followed at the home. All three GP surgeries felt satisfied with the care provided in the home. One commented, “I wish all homes were as good as Longwood Grange.” A sample of medications was audited. These were found to be correct. The proposed manager audits medications regularly to ensure standards and safe practice is maintained. During the visit, service users and visiting relatives confirmed that service users are treated with respect and that their privacy and dignity is maintained in the home. Service users said they were “happy” and “content” in the home. They confirmed the staff are very nice and caring. Relatives also made comment in questionnaires, one said “Mum is very content here”. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Service users’ social, cultural, religious and recreational needs are being met; they are helped to maintain contact with their families and the local community. Service users are able to exercise some choice and control over their lives. Meals provided are varied. Meals are served in a pleasant environment and service users who need support receive the assistance they require. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users and relatives indicated, in the questionnaires returned before the visit, that the level of activities had declined in the home. During the visit this was discussed with the proposed manager. She advised that the activities organiser had left the home and, for a time, the home had been without a
Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 15 dedicated activities organiser. However, a new member of staff has been recruited and organised activities and entertainers are being recommenced. One relative stated in the questionnaire, “My Father has limited ability to take part in activities but does have access to such events as are suitable, such as a monthly religious event.” Service users and staff discussed the plans for the Christmas party and entertainers. Service users advised that they had enjoyed listening to the first carol singer of the season who visited the home the evening before. Service users and relatives confirmed that they are able to visit the home at anytime and that they are able to maintain contact in the community. One service user said she was looking forward to going Christmas shopping with the support of staff. All relatives who completed questionnaires said they were made to feel welcome when visiting the home and offered hospitality. Service users confirmed that they are able to have choice within the home and that staff respect those choices. Care plans detail some service users’ choices and preferences, such as dietary likes and dislikes and preferences in the service user’s routine. Service users confirmed that staff help them get dressed in a morning but that staff encourage them to choose what they would like to wear. The majority of comments from service users and relatives about the food provided were very positive. One relative stated in the questionnaire, “My father was very thin when he was discharged from hospital but since moving to this home has gained weight. He has commented on how much he enjoys the food.” Another questionnaire stated “Mum doesn’t eat a great deal, but enjoys what she eats”. During the visit one service user said they did not like the choice of food during the evening meal. However, they went on to say that a recent meeting had been held in the home to discuss the menu choices available. They also said if they did not like the choices on offer, an alternative was provided. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 16 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Service users and their relatives and friends are confident to make complaints and that these will be listened to and taken seriously. Service users are protected from abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no formal complaints since the last inspection. The complaints procedure is included in the information booklets provided by the home. The procedure is also displayed in the entrance of the home. Those service users asked said that, if they had a concern or complaint, they would tell one of the staff. Service users were confident that action would be taken to resolve the problem. During discussions with relatives, they said they were aware of the procedure. One stated, “There’s nothing to complain about.” Another relative said they were aware of the procedure but that they would speak to staff first to resolve any issue.
Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 17 Most relatives stated, in questionnaires, that they were aware of the complaints procedure. One said that they had commented to staff about minor issues which were always addressed. The proposed manager advised that she had obtained new training material to update staff in relation to abuse and the protection of vulnerable adults. The inspector recommended that all staff receive the updated training within the next 12 months. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Service users live in a safe, well-maintained environment. The home is generally clean, pleasant and hygienic. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A brief tour of the building was carried out during the visit. The home is generally clean, tidy and well maintained. Some bedrooms have been redecorated since the last visit. The main corridor carpet on the first floor is slightly discoloured due to wear, however it remains in a satisfactory condition.
Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 19 Service users’ rooms are clean and tidy. Some have been personalised by the individual. Some service user and relative questionnaires commented on a recent unpleasant odour in the main lounge. This was discussed with the proposed manager during the visit. She advised that the home had recently bought a new carpet-shampooing machine and that the domestic staff had cleaned the lounge carpet with the new machine. Unfortunately, the cleaning process seemed to bring out the unpleasant odour. The odour was not present at the time of this visit. The manager should continue to monitor the problem and take action if the problem re occurs. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Suitable numbers of staff are employed. The staff receive induction and foundation training and are competent to work in the home. Staff recruitment policies and records protect service users. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Some service users and relatives felt that, at times, there is insufficient staff on duty. This was discussed with the proposed manager. At the time of the visit, there were twenty-eight service users resident in the home. The proposed manager and staffing rotas showed that the manager is supernumerary to the staff team. There is one nurse and five carers on duty during the morning, one or two nurses and four carers on duty during in the afternoon. One nurse and four
Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 21 carers are provided during the evening and one nurse and three carers at night. The home employs an activities organiser, domestic and laundry staff and catering staff. The inspector felt that there was sufficient staff to meet the needs of the service users at the time of the visit. However, staffing levels should be kept under review. Since the last inspection a more varied training programme has been implemented at the home. National Vocational Qualification training is progressing and Longwood Grange now has 69 of its care staff with NVQ level 2 or above, exceeding the standard. A sample of recruitment records was audited during the visit and found to hold the necessary checks and references required to help protect service users. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 22 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Service users live in a home with a proposed manager who has continued to provide a good level of care in the home. The home is run in the best interest of service users. Service users’ financial interests are safeguarded. The health, safety and welfare of service users and staff are promoted and protected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 23 EVIDENCE: Since the last inspection, a new manager has been proposed to run the home. Ms O’Hagan has worked in the home for some time and has settled into her new role well. Members of staff, service users and relatives reported Ms O’Hagan to be approachable and the home continues to have an open friendly atmosphere. Ms O’Hagan advised that she has submitted an application to the Commission for Social Care Inspection to become the registered manager and she plans to commence the Registered Managers Award in the New Year. Annual quality audits are carried out at the home in which service users and their representatives are asked to comment on the services provided in the home. Staff meetings are held and service users’ and relatives’ meetings are also to take place. Following discussions with service users, relatives and staff, a “suggestion box” is being brought into the home. This allows anyone to make constructive suggestions and comments if they wish to. The results of all questionnaires and suggestions are to be summarised along with an action plan to address issues identified. This information is to be printed out and made available in the home and is to be discussed in the next service user and relative meeting. No one at the home acts as an appointee for any of the service users. Some service users have small amounts of spending money held by the home. A sample of these records and monies was audited during this visit. Records are clear and show how money has been spent on the service users’ behalf. All money checked was correct and corresponded to the records held. There is a planned maintenance programme in place in the home, with records to show maintenance checks and tests have been carried out. During the visit, the hot water from one hand basin in a service user’s bedroom was found to be too hot. The maintenance person immediately addressed this and the problem was corrected. At the last visit, it was noted that routine weekly tests and checks of the fire alarm system had not been carried out weekly. Records were checked at this visit and the checks and tests are now being carried out at least every seven days as required. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score N/A X 3 X 3 X X 3 Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 25 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. 1. 2. 3. Refer to Standard OP18 OP19 OP27 Good Practice Recommendations It is recommended that all staff receive updated training in relation to abuse and the protection of vulnerable adults with in the next 12 months. The occasional unpleasant odour in the lounge should be monitor and action taken the resolve the problem if it reoccurs. Staffing levels should be kept under review to ensure there are sufficient member of staff to meet the needs of the service users. Longwood Grange Nursing Home DS0000001120.V314456.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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
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