Inspection on 26/07/06 for Maple Court Nursing Home

This inspection was carried out on 26th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Maple Court Nursing Home 31/01/08

Maple Court Nursing Home 01/12/05

Maple Court Nursing Home 10/05/05

Maple Court Nursing Home 05/10/04

Maple Court Nursing Home 13/05/04

Maple Court Nursing Home 22/01/04

Maple Court Nursing Home 15/09/03

Maple Court Nursing Home 19/06/02

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

CARE HOMES FOR OLDER PEOPLE Maple Court Nursing Home Rotherwood Drive Rowley Park Stafford Staffordshire ST17 9AF Lead Inspector Mrs Sue Mullin Key Unannounced Inspection 26 and 27 July 2006 10:30 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 Maple Court Nursing Home DS0000022352.V304434.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. Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maple Court Nursing Home Address Rotherwood Drive Rowley Park Stafford Staffordshire ST17 9AF 01785 245556 01785 244506 maplecourt@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Healthcare Services Limited 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) Ms Patricia Heather Sault Care Home 80 Category(ies) of Dementia - over 65 years of age (45), Physical registration, with number disability over 65 years of age (35) of places Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. DE minimum age on admission 60 years of age - 45 beds DE minimum age on admission 50 years of age - 7 beds PD minimum age on admission 60 years - 35 beds PD minimum age on admission 55 years of age - 5 beds Date of last inspection 1st December 2005 Brief Description of the Service: Maple Court is a care home providing nursing care and personal care for up to 80 residents. This includes care for up to 45 people suffering with forms of dementia and 35 beds for people with a physical disability. The home is owned by Southern Cross Healthcare Services Limited and is located in a quiet residential area on the outskirts of the town of Stafford, in the South Staffordshire district. The home was purpose built several years ago and consists of two floors served by a passenger lift. The ground floor accommodates residents with general nursing needs and the second floor has been created specifically for people suffering with varying forms of dementia. The home can take some residents in from the age of 50 who are suffering the early onset of dementia. Both floors can also accommodate residents in the above categories that require personal care only. The home consists of 80 spacious single bedrooms, all of which have en-suite facilities. There is ample provision of communal and seating areas throughout the home. Peaceful, attractive mature gardens are located around the home. There are ample car-parking facilities at the entrance car park and around the side of the home. A bus route is available up to the bottom of the road leading to the home. There are no amenities within the immediate vicinity but Stafford town centre is approximately a ten-minute walk away, where there is a choice of shops, public houses, banks and churches. Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced statutory inspection focused on the National Minimum Standards indicated throughout the report. The inspection was undertaken over a period of two days. Generally very positive feedback was received from residents in the form of comment cards provided by the Commission for the purpose of this report. The inspector toured most parts of the building internally, and made a visual check of the environment from the exterior. A number of care plans were inspected and found to be very comprehensive. The care manager Ms Heather Sault and her deputy manager were not available during the inspection process. However the interim regional manager gave valued assistance thought the whole inspection, as did all members of staff encountered. Several residents were consulted throughout the two days and all made positive comments on the high standards of care delivered in the home. The environment creates a homely atmosphere. Communal areas are spacious and comfortable. All bedrooms are for single occupancy and all have en-suite facilities. Care staffing levels provided at the home were found to be satisfactory. Staff training is given high priority and NVQ training is ongoing. Effective and productive teamwork was evident throughout the inspection. Staff were generally sure of their roles and duties and carried them out with minimum direction. Residents were the primary focus of the 24-hour period and staff were seen to administer care with diplomacy, empathy and professionalism. Staff engaged in conversation stated ‘ the atmosphere in the home is really good, we all get on well together’ another said ‘ we have a good rapport with families and residents and relatives are encouraged to say what they feel’ ‘ ‘we feel valued and well supported’. ‘The environment is great, so many positive changes have occurred in the last few months’. When staff were asked to comment on any negative points one stated ‘that there were problems with the laundry delivery’ and another stated ‘ there were shortages of linen from time to time’. No other negative comments were made. All staff members seen on the day of the inspection were dressed very smartly. All had colour-coordinated uniforms complete with identification badges. All staff behaved in a very professional manner and were a credit to the home. What the service does well: Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 6 The ground floor specialises in the care of older people with physical disabilities and the first floor specialises with people suffering with forms of dementia and as such, the environment, staffing levels and training, along with care planning are all organised to meet the needs of highly dependant residents requiring nursing assistance. Residential residents require personal assistance only and independence is encouraged at all levels. Written information provided to residents prior to admission, was of a very good standard and a thorough assessment procedure was in place. The home offers its residents the opportunity to experience a good quality of life, with flexible daily routines and a range of social activities. The health and personal care needs of residents were being met appropriately and each resident had a written care plan, a sample of which were examined and found to be very satisfactory. All care plans were written legibly in black ink, dated and signed in line with NMC requirements. All risk assessments were in place beside long and short-term problems, which were reviewed monthly or more frequently if required. Competent trained staff met wound care needs. The staff maintain comprehensive care planning notes, up to date, reflecting the current condition of each resident. The staff in the home actively seeks out further training, to enhance their skills and continue to strive forward and improve standards throughout the home. Residents and staff alike complimented the choice and quality of meals. Care staff are receiving formal supervision every two months and this formed the basis of staff development and continues to improve the standards of care delivered in the home. Observations of staff conduct throughout the day, along with several discussions with staff at different levels, confirmed to the inspector that staff were competent and caring. Residents told the inspector that they enjoyed the comfort of the home and that nothing was too much trouble for the care manager or members of her staff. What has improved since the last inspection? The home have made some significant improvements throughout the home as follows: • • Generally refurbished many areas of the home. Carpeted the top floor lounge, some bedrooms and lower ground corridors. Redecorated top floor dining room Installed a new mixer and fridge in the main kitchen. DS0000022352.V304434.R01.S.doc Version 5.2 Page 7 Maple Court Nursing Home • • New cooler unit installed in the EMI unit, new tablecloths, tumblers and crockery and a new hot water urn. A new fridge has also been installed in the EMI unit. 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. Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6 Information was available to perspective residents and their representatives, ensuring that residents seeking respite or permanent care will have all the information that they need to make an informed choice about residing in the home. The home confirms that it is able to meet residents assessed needs prior to admission. EVIDENCE: During the course of the inspection a relative of a resident, confirmed that she had been provided with verbal information, and a copy of the statement of purpose, and service users guide for the home. The staff confirmed that they were able to meet resident’s needs, and this was supported when talking with a relative and a resident about her life in the home. The care manager and her staff had a good sound knowledge about the needs of their residents, their lifestyle, and the things each individual liked and disliked. Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 10 Reference to the care plan of the most recently admitted resident demonstrated that as well as implementation of long and short term problems, organised reviews had taken place with the social worker, the resident, and relatives, in order to establish how best identified needs could be met, and whether Maple Court was a home suitable to provide care for those needs. In discussion with the EMI unit manager, it was established that a full assessment of individual physical, mental and social needs, prior to their admission was undertaken for all prospective residents. It also was determined that the unit manager had a comprehensive understanding of all the residents individual needs in her care. Trial visits are encouraged where residents can meet other residents, staff and become more acquainted with the surroundings and facilities. The home does not provide intermediate care. Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Records examined, practices observed, and the comments of residents and staff, confirm that health and personal care needs are being well met. All residents receive full NHS entitlements. EVIDENCE: The inspector looked at care plans of residents, which all included a complete overview of the health and personal care needs of individuals. There was also a comprehensive record of how these needs were being met on a daily basis. All long-term problems are reviewed monthly, with short-term problems being reviewed weekly or more frequently if required. All residents have a named nurse and support key workers linked to their care. Information contained in the body of the care plans included reference to residents personal preferences. This included the activities they generally liked to engage in, rising and retiring times, type and frequency of bathing preferred. Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 12 Residents stated that they could choose their daily routines and had the flexibility to take a rest or simply spend private time in their room during the course of the day. The staff reported a good working relationship with external health care professionals. At all times during the inspection staff were seen to be treating residents with respect and dignity, and this was confirmed by those residents who were spoken to in private, as well as those in the communal areas. The receipt, storage, administration and disposal of medication was examined and this was found to be in compliance with requirements. Medication Administration Record sheets were examined and these had been completed as required. Maple Court Nursing Home DS0000022352.V304434.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Residents informed the inspector that they were extremely satisfied with the way the home met their social needs, encouraged their family and friends to visit, allowed them to take decisions affecting their lives, and maintained a good choice and provision of food. EVIDENCE: From conversations with residents and details taken from their care plans, there was evidence that residents were able to carry out activities in their life that they had become used to. Comment cards returned prior to the inspection all praised the level of care given in the home and satisfaction with the freedom that residents have to live their lives according to their wishes. The new activity organiser is available depending on the activity programme of events. The programme of events includes gentle exercise sessions, bingo, quiz sessions and word games and the activity organiser is currently reviewing activities on offer. She was seen interacting with several residents during part of the inspection. All residents who spoke to the inspector were encouraged to maintain contact with their family and their friends. Additionally, residents were complimentary Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 14 about the fact they were encouraged to fulfil the choices and desires that they had expressed. Menus were examined and discussed with the cook. These were based on a four weekly rotation and were found to offer wholesome and varied food. There was always an alternative choice on offer at each mealtime. Residents were asked what they preferred for the following day and this was documented and given in to the cook. Special diets were also catered for. The head cook had worked at the home since it opened and was very dedicated. The cook worked through the day with the support of a kitchen assistant and there was adequate catering staff during the afternoon/teatime daily. Discussions with 12 of the residents over lunch identified that they were happy with the meals provided. They were obviously enjoying their meal at the time. The care staff commented that residents were encouraged to come to the dining rooms, but some preferred to eat in the privacy of their own rooms and that this was their choice. Maple Court Nursing Home DS0000022352.V304434.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 The residents were protected by the robust policies and procedures in place in the home. EVIDENCE: The home had a comprehensive complaints procedure in place in the lobby of the home. A complaints log was seen by the inspector and clearly identified any concerns made and any remedial action put in to place to resolve issues. The home ensures that the legal rights of residents are protected and maintained whilst they are accommodated in the home. Some residents had used advocacy services in the past and staff confirmed that these services were easily accessible should the need arise. Examination of the administration of residents’ finances in general identified that these are maintained as per requirements and in a way, which can be easily audited and helps to prevent the likelihood of financial abuse. Residents are also protected from harm and abuse by the systems in place at the home. New staff are carefully selected and undergo stringent checks, including police checks. Staff also receive training in Protection Of Vulnerable Adults, starting with an outline of this in induction and followed by a more in depth one off training session later on. A completed induction booklet including POVA training was examined and examination of the training records identified that the majority of staff members had received further training in this subject. Maple Court Nursing Home DS0000022352.V304434.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,24,25,26 Observation, discussion, and the examination of records, confirmed that residents are living in a safe and well-maintained environment. This included easy access both internally and externally. The home had adequate washing and toilet facilities, including comfortable and personalised bedrooms, all well maintained and free from odours. EVIDENCE: Part of the inspection included a tour of the premise and visiting resident’s bedroom accommodation and communal space. These were all found to be tidy and very much in keeping with the resident’s preferences and direction. A visual examination was conducted on the grounds and exterior condition of the building. All areas seen were in line with Health and Safety Executive’s regulations. The communal areas are maintained to a good standard and bedrooms seen were easily distinguishable as belonging to an individual, by the inclusion of Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 17 items of personal choice such as photographs, ornaments and small pieces of furniture. Those residents the inspector spoke to assured her that the rooms were comfortable, met their needs, and whilst not being a total substitute for their own home, were good enough for them to recommend living at Maple Court. The home has suitable toilet, bathrooms and shower facilities. All radiators and pipe works guarded against the incident of accidental burning. Hot water outlets randomly tested in resident’s rooms being regulated to provide a temperature in line with the Health and Safety Executive’s regulations. All furnishings provided by the home were of a good standard with good carpeting and comfortable seating in the communal areas. The home was neat and tidy throughout. However, not all the rooms were maintained to an optimum level of cleanliness, particularly on the ground floor. This is further discussed later in the report. Maple Court Nursing Home DS0000022352.V304434.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Residents could expect continuity of care provided by sufficient levels of welltrained and motivated care staff. Discussion with management and staff, confirmed that all mandatory training had been undertaken in line with national minimum standards. EVIDENCE: Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 19 As this is a care home that provides nursing home the staffing levels and skill mix are maintained as South Staffs Health Authority agreed them in March 2002. The home is split into two distinct staffing areas - ground and first floor. On the two days of the inspection it was determined that there were 32 residents on the ground floor, 20 requiring nursing care and 12 requiring personal care only. On the ground floor there was one qualified nurse on duty throughout the day period. Additionally there was 1 team leader and 4 care staff on the early shift, on the late shift there was 1 team leader and 3 care staff. On the night shift there is one qualified nurse and 1 team leader and 1 care staff. On the two days of the inspection it was determined that there were 30 residents on the first floor, 26 requiring nursing care and 4 requiring personal care only. On the first floor there was one qualified nurse on duty throughout the day period. Additionally there were 5 care staff on the early shift; on the late shift there were also 5 care staff. On the night shift there is one qualified nurse and 2 care staff. This level and skill mix of care staff was suitable for the current occupancy levels in the home. The care manager is fully supernumerary. However, it was recommended that the deputy manager and the EMI unit manager had more than 5 hours supernumerary time to complete their management tasks. There is a full time administrator. There is also a full time handyman. The home also employs a newly appointed activity organiser. Recruitment procedures are followed inline with the National Minimum Standards. The inspector spent time examining the staff training records and these records had been very well maintained and were easy to follow. Mandatory training was on going. This included Moving and Handling, Fire Safety, Food Hygiene and COSHH. Comparisons with individual staff training records confirmed that the majority of the staff were up to date in all areas and the remainder were due to attend the planned update sessions. NVQ training for care staff in direct care is on going at the home. Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 20 The induction programmes provided for the staff within this home and the records relating to this were seen and found to be very comprehensive. Domestic and laundry hours were not deemed sufficient. On the two days of the inspection there was only one domestic on duty for the ground floor and one for the first floor. There was also only one member of laundry staff in the laundry, which also undertakes all laundry services for the adjacent home, which ultimately deals with 120 residents washing. The ground floor requires two domestics per day and one domestic with another three hours input, which is to be increased as the new unit admits more residents. The laundry must have at least two members of staff on duty every day. This level of ancillary input must be maintained on a seven day a week basis. Maple Court Nursing Home DS0000022352.V304434.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37,38 A competent, caring and experienced nurse manager directs the care delivered in the home. The home is run entirely on the best interests of the residents. The health, safety and welfare of residents and staff were promoted by extensive policies and procedures and implemented safe working practices. EVIDENCE: Effective and productive teamwork was evident throughout the inspection. Staff were generally sure of their roles and duties and carried them out with minimum direction. Residents were the primary focus of the 24-hour period and staff were seen to administer care with diplomacy, empathy and professionalism. From scrutiny of individual care plans, it was evident that all issues of behaviour were well managed to maximise the dignity of individual residents. Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 22 Residents/relatives meetings were held but generally only a few relatives would attend, this was probably due to the openness of the care manager. She was very aware of individual needs and spoke frequently to all residents and relatives on request. Staff meetings were held regularly and recorded. Comments received from the staff identified that they felt very supported by the managers in the home and that the home was managed in an open and inclusive manner. Staff stated that they felt able to voice their concerns and opinions and that these would be listened to and taken seriously. Quality assurance was in place with the following being carried out on a regular basis – regulation 26 visits by a company representative, auditing of accidents, residents/relatives surveys. Comments cards from relatives, and from residents, as well as the outcomes of discussions with residents reflected an appreciation on their part, that the home was devoted to meeting their individual needs and choices. The procedure of the maintenance of residents’ finances by the home was undertaken in a secure and safe manner. All care staff had received robust documented formal supervision every two months and this formed the basis of staff development and continues to improve the standards of care delivered in the home. A tour of the premises conducted without revealing any areas of concern, for the health and safety of residents or of staff or visitors to the home. Maintenance is of a very good standard. Observations throughout the day confirmed that safe working practices were in operation. Comprehensively written policies and procedures were in place and staff were being provided with an ongoing programme of health and safety training. • • • • Bed rails assessments are in place Hot water boiler temperatures are monitored Fire regulations are adhered to Hot water temperature records are maintained. Maple Court Nursing Home DS0000022352.V304434.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 3 4 4 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 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 3 18 3 3 3 3 X X 3 3 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 3 3 3 3 3 Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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 OP27 Regulation 18(1)(a) Requirement There must be sufficient ancillary staff on duty to meet the needs of the residents in the home. There were shortfalls noted in Domestic and Laundry services. This was a previous requirement, which has still not been fully met. Timescale for action 26/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP27 Good Practice Recommendations It was recommended that the deputy manager and the EMI unit manager had more than 5 hours supernumerary time to complete their management tasks. Maple Court Nursing Home DS0000022352.V304434.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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 Maple Court Nursing Home DS0000022352.V304434.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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