Inspection on 01/08/06 for Marina Rest Home

This inspection was carried out on 1st August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Marina Rest Home 30/07/09

Marina Rest Home 06/08/08

Marina Rest Home 29/08/07

Marina Rest Home 31/10/05

Marina Rest Home 27/06/05

Marina Rest Home 17/02/05

Marina Rest Home 22/09/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Marina Rest Home St. Cuthbert Street Hebburn Tyne And Wear NE31 1DJ Lead Inspector Sheila Head Unannounced Inspection 1st August 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Marina Rest Home DS0000000236.V306366.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. Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Marina Rest Home Address St. Cuthbert Street Hebburn Tyne And Wear NE31 1DJ 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) 0191 483 5588 NO FAX Dr Inder Paul Vinayak Dr Veena Vinayak Mrs Heather Anne Pirie Care Home 44 Category(ies) of Dementia - over 65 years of age (17), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (28) Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st October 2005 Brief Description of the Service: Marina Rest Home is a converted property to its present use as a care home. It comprises of two units, one caring for up to twenty-seven older persons and a separate seventeen-bed unit for people with dementia. The home does not provide nursing care. The older persons unit is two-storey, the first floor being accessed by a passenger lift or stairs. Senior care staff and care staff, staff the home throughout the 24-hour period. Therefore support is available to service users at all times. The Home is situated in a residential area close to the town centre. It is within walking distance of local amenities and accessible by local transport services. There is ample car parking space to the front of the building. Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and carried out by one inspector over a period of seven hours. The Registered Manager and the Deputy Manager were present throughout the inspection. Before the inspection a questionnaire had been completed by the manager, which gave the inspector up to date information about the home. Relatives and residents had also been given the opportunity to complete a questionnaire about the service given by the home and the inspector received four replies. The comments are included in this report. The inspector toured the building and looked at bedrooms, communal facilities and service areas. During the day the inspector spoke with three relatives, eleven residents and five members of staff. Lunch was shared with the residents in the residential unit. A number of records were examined including three resident care plans and related documentation plus some staff files and training records. Fees for this home are £358 per week. What the service does well: What has improved since the last inspection? The Dementia Unit has recently been re decorated with furniture soft furnishings being replaced. New carpets have been laid in the lounges and corridors. New carpets have been ordered for the bedrooms and are due to be laid shortly. The colour scheme is pleasant and has improved the environment for residents and staff. Throughout the residential unit there have also been some bedrooms re decorated in the same manner. The redecoration programme is ongoing. The roof has been fixed so that the area on the first landing of the residential unit is now watertight. Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 6 Both the Manager and Deputy have successfully completed the Registered Managers Award and are working towards their NVQ Level 4 in management so that they now have extra skills to benefit the residents and the management of the home. 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. Marina Rest Home DS0000000236.V306366.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 Marina Rest Home DS0000000236.V306366.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome is good. The judgements have been made using the available evidence including a visit to this service. The care requirements of each resident are assessed before they move into the home so that staff are sure they are able to fully meet their needs. Standard 6 was not inspected, as the home does not provide this service. EVIDENCE: Examination of residents’ files and discussions with the manager indicated that before admission a needs assessment from the Care Manager of the placing authority was received and staff from the home also carry out a pre admission assessment of need. Residents then receive written confirmation that their needs can be met and are offered a place in the home. Prospective residents and their families are welcome at any time to visit and talk to staff and residents about the home before they come to live there. There are some residents in the home that do not have pre admission information in their files due to the length of time they have lived in the home. All residents that have been recently admitted to the home have had a pre Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 9 admission assessment that is detailed and full of relevant information to ensure that the home can meet their needs and care for them appropriately. The documentation format must record where the assessment took place, who took part and when, so that the correct information is available when developing care plans. Marina Rest Home DS0000000236.V306366.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome is good. The judgements have been made using the available evidence including a visit to this service. There is a consistent care planning system in place to provide staff with the information they need so that they can effectively meet residents’ needs. Medication practices ensure that the needs of residents are safely met so that they are protected from harm. Staff treat residents with kindness and respect, so that their dignity and privacy are safeguarded. EVIDENCE: Each resident has a care plan that has been developed from his or her individual assessments of need. Plans are full of information about each resident that directs staff to give appropriate care. The care plans have been reviewed regularly and are all up to date. The plans give an accurate reflection of the health and personal needs of the residents. A ‘This is you life’ history of residents social life and background is being developed throughout the home that will enable staff to engage in relevant conversations with the residents, especially important for reminiscence with the residents who live in the dementia unit. Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 11 The files are full of information that may be more easily read by staff if some of the complex plans were written with one problem on one page. This would then mean that only one page would need to be re written when the plans need adjusting to reflect a change in need. Risk assessments that are generated from care plans would again be more easily found if they followed the relevant care plan and the evaluation process would be made simpler as all the information would be in one part of the file. Risk assessments were available for moving and handling, nutrition, weight monitoring, prevention of falls and prevention of pressure damage The files need to demonstrate that the resident has been involved in the care planning process and in the monthly review of their needs. Discussions with the manager and deputy confirmed that they have a good knowledge of the residents and their needs. The home has a safe and effective policy in place for administration of medicines. The storage of medication in both units was satisfactory. Cupboards and medicine trolleys were clean and tidy showing that infection control measures are implemented. A small fridge is now available specifically for medication and is located in the treatment room of the residential unit, which is kept locked. This fridge does not have a locking facility so the home must look at alternatives to ensure it is secure. The home uses a pre dispensed monitored dosage system that is delivered by the pharmacy on a monthly basis. This system minimises the risk of errors being made when giving the residents their medication. All checks confirmed the system was being used accurately and correctly. Recording on the medicine administration sheets was also correct. All medicines were in date and the home does not carry excess stock. All staff have completed Safe Handling of Medicines training and there is a record of staff signatures in each of the units. Care is given in a discreet manner with staff knowledgeable about residents’ preferences. Staff were observed chatting with residents in a friendly, kind way. Comments were received from residents such as ‘The staff are always lovely to me’ and ‘The carers really do care.’ The staff were unhurried when helping residents and were observed explaining to residents what was about to happen when they needed to use equipment that helped them get up out of chairs or move around the home. All residents have individual rooms that give relatives and visitors a place to go to for private discussions. A new sitting room has been created upstairs in the residential unit and when furnished will offer a quiet space for people to use. Marina Rest Home DS0000000236.V306366.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome is good. The judgements have been made using the available evidence including a visit to this service. Residents are offered the opportunity to participate in a range of social and leisure activities so that their social and recreational needs are met. Links with family, friends and the community are encouraged, supported and maintained. Residents are offered and receive a varied, wholesome, nutritious choice of meals. EVIDENCE: The activities organiser in the home is supported by members of care staff in providing activities events for residents across both units. Activities observed in the residential unit included bingo and skittles. ‘We had a lovely trip out to Seaburn last week’ one resident said. Another said ‘There are two musical evenings planned and a fashion show for this month as well as the things we can do during the day’ ‘I enjoyed the chocolate party the best’ said another. The residents know what is happening throughout the day and are able take part in events as they please. The activities co-ordinator individually documents when a resident has taken part in an activity. Training has been arranged so that the co-ordinator will be able to bring more skills into the Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 13 home that will benefit residents and also be appropriate for working in the dementia unit. Activity programmes specifically for the residents who live in the dementia unit need to be developed that will reflect their interests and abilities. Lunch was shared with the residents in the residential unit. ‘The food is very good’ and ‘ If you don’t like something they will make you something else’ were comments from residents. One resident had set the tables ready for lunch. The tablecloths are removed for lunch then replaced on the tables afterwards. The residents are happy with this as one said, ‘You don’t have to worry if you spill anything then the clean cloths are put back and it stays looking looks nice.’ Each table had condiments, cutlery, crockery, napkins, milk jug and sugar. Sweeteners were available for those residents who do not use sugar. Residents were offered a small glass of carbonated fruit drink to have with their meal as well as tea or coffee, which was served in pots onto the table so that residents could help themselves. Some residents were discreetly given help with their meal. Staff served the meal from a hot trolley brought from the kitchen. The menu choices of the day, that reflected the menu, were stuffed fillet of chicken, special fried rice, lamb hotpot, chips, creamed potato and seasonal vegetables. One resident had requested a salad, which was well presented and had a varied content. The meal was hot, nutritious and tasty. For desert there were choices of apple and pineapple sponge with custard, or ice cream with fruit. Lunch was a happy, unhurried affair, with friendly banter between staff and residents. The menu is written on a white board in the dining room. On the day of inspection the marker pen used was very light so that residents could not easily see what their choices were. A darker pen would enable residents to read the board more easily so that they are aware of the choices of meals. Also the board could be used as a reminder for residents of the day and date or to pass on any information. Due to the dining room and lounge areas being open plan in design the volume from the television situated in the lounge was invasive throughout lunchtime. Staff need to ensure the level of background noise is at an acceptable level so that residents can hold conversations with each other without having to shout and so that they can concentrate on eating their meals in a peaceful atmosphere. Residents confirmed that breakfast is available from 8.30am and that they can have whatever they like. Cereal, grapefruit, toast or they can choose to have a cooked breakfast every morning. Lunch is at 12.30pm, tea at 4.30pm with a choice of a cooked high tea or cold cuts. Snacks and sandwiches are then offered with beverages at 7.30pm and at 9.30pm. ‘Anyone who comes in here will be very well fed and well looked after’ said one resident. Marina Rest Home DS0000000236.V306366.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome is good. The judgements have been made using the available evidence including a visit to the service. Residents and their relatives can be assured that their concerns will be listened to so that they are dealt with efficiently. Residents can be confident that robust policies and procedures are in place that protect them from actual and potential abuse. EVIDENCE: The complaints procedure is available to all residents and their visitors explaining to them how to make a complaint and who to. Discussion with residents and visitors confirmed that they all know whom they could talk to if they had any concerns. Talking with staff also confirmed that any concerns are dealt with immediately and all staff were aware of the procedure to follow. There have been no recorded complaints since the last inspection. There have been two entries made under the heading of ‘comments’ in the complaints recording book. The information recorded is correct showing the outcome and how these matters were resolved. However these could have been identified as concerns, rather than comments. Accurate recording and quick responses as noted need to be included in the quality assurance system that is under development so that areas identified can be improved for residents. Policies and procedures are available in the home to guide staff as to what to do in the event of suspected or actual harm to a resident. Discussions with staff confirmed that they understood and were aware of their responsibilities around reporting and dealing with any abuse. The home has a programme to Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 15 ensure that all staff attend training in Protection of Vulnerable Adults so that residents can feel confident that by having a well-trained staff group they are safeguarded and protected. Marina Rest Home DS0000000236.V306366.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): 19,21,22 and 26 Quality in this outcome area is adequate. The judgements have been made using the available evidence including a visit to this service. The home is a clean, bright place to live offering residents a homely, pleasant environment in which to live, however the home does not have a suitable toilet facility to maximise independence for those residents who use mobility aids. EVIDENCE: A tour of the premises was carried out and selections of bedrooms were viewed. In the Dementia unit the redecoration programme has been extensive with all bedrooms being upgraded. The soft furnishings are tastefully coordinated and the new furniture is domestic in nature. Residents and families are encouraged to personalise their rooms with small ornaments, photos or pictures. There are new carpets throughout the unit and the overall impression is that it is bright, welcoming and clean. New carpets have been ordered for the bedrooms and it is necessary to fit these as soon as possible to eliminate odours that are impregnated in the old carpets. The unit now needs to develop Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 17 strategies that help the residents with dementia find their way around. Locking bedroom doors during the daytime prevents residents from having access to their own space and possessions and is restrictive practice. Bedroom doors need to be easily identifiable to residents, possibly through picture or photo boards so that residents are aided to identify there own rooms. Use of colour to indicate different areas can enable residents to orientate themselves in the unit. The unit has reminiscence pictures showing everyday items and pre decimal money that belong to the era the residents can possibly relate to however these are hung on the walls at too high a level so that the residents cannot see them clearly. The photo gallery of past celebrities and people who may have had an impact on the residents’ lives is well set out giving residents a talking point. The garden area is not inviting for residents though totally accessible. The furniture is very worn and some of the chairs are torn and shabby. This area needs to be developed so it is an integral part of residents’ lives and so they can go outside in safety. The front entrance to the home opens into the residential unit. Outside there is a well kept garden area with seating for residents to enjoy. The downstairs lounge is well presented, spacious, clean and bright providing a homely environment for the residents. The home has been granted planning permission so that a toilet that is accessible to frail and disabled people can be accommodated. This must be given urgent priority so that people living in the home that use walking aids and wheelchairs can have access. Bedrooms are spacious and some have already been redecorated. There was one bedroom that had an unpleasant odour due to the old carpet but this is to be upgraded shortly. Residents and visitors confirmed they were happy with their rooms. ‘I like my room as its not cramped, I have room for a couple of chairs’ and ‘This room is so light with having two windows’ were some comments. The unit suffered from a leaking roof that has now been fixed however there is water damage to the decoration of the home on the first floor staircase and landing. A new quiet sitting room is being developed from what was the smoking room. Although this area is not yet furnished it will provide residents and visitors with an alternative to the downstairs open lounge area. The kitchen was very clean and tidy as was the laundry. Both had suitable equipment so that staff are able to work successfully. A new fridge was waiting to be fitted into the kitchen. However, laundry staff must ensure that the door to the laundry is kept locked when the area is unattended so that residents are protected from possible accidents and harm. Staff must also ensure that fire doors that have safety warnings indicating they should be locked at all times are kept locked so that resident safety is not compromised. Marina Rest Home DS0000000236.V306366.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 and 30. Quality in this outcome is good. The judgements have been made using the available evidence including a visit to this service. The numbers of staff employed are sufficient to ensure the needs of residents are met in a safe and dignified manner. Staff are suitably trained so that those needs are met. The home has a robust recruitment system that ensures the safety of residents. EVIDENCE: Staffing rotas reflected the staff on duty on the day on inspection. The rotas also confirm that there is an adequate number of staff on each shift with appropriate experience and qualifications to give suitable care to the residents. The manager supports NVQ training and specific training for staff such as courses in the safe handling of medicines and dementia. The home employs sufficient staff that are qualified to NVQ level 2 so that residents can be confident the staff are well trained to look after them. The manager has developed a training matrix that ensures staff receive their training at the appropriate times. Three staff files were examined during the inspection. All contained evidence such as application form, references and Criminal Records Bureau checks. The manager has developed a system of interview records and exit interview recording for future staff so that more information is collected for quality assurance purposes. The staff files also contain training certificates that show completion and success in courses taken by staff. The manager must ensure Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 19 that all new staff that come to work in the home are subject to a Criminal Records Bureau enhanced check even though they may be temporary, covering absence or well known to the proprietor. Marina Rest Home DS0000000236.V306366.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36 and 38 Quality in this outcome is good. The judgements have been made using the available evidence including a visit to this service. The manager is appropriately qualified to competently manage the home and systems are in place to determine the quality of service provided by the home so that it is run in the best interests of the residents. Systems are in place that safeguard residents’ personal allowances. Staff receive supervision and adopt safe working practices to ensure the health and safety of residents is protected. EVIDENCE: The Registered manager holds the Registered Managers Award and is competent and experienced to run the home effectively. The Deputy Manager is also suitably qualified and able to manage the home successfully in the Managers absence. A supervision programme has been devised for staff that Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 21 still needs some work such as ensuring documents are dated and signed by both people taking part in the supervision process. A future date should be organised that is mutually convenient to both parties so that content can be planned in advance to ensure the session is productive. Supervision does not replace staff meetings as supervision provides a chance for staff to discuss specific issues whereas the need for staff meetings is to deliver information and have group discussions about general issues in the home. Quality assurance and monitoring systems are in place throughout the home. The manager is researching a different system at the moment to see if the present method can be improved. A comments book is available from the information corner. The manager and deputy audit care plans and medicine administration on a weekly basis. Staff receive training in health and safety issues such as infection control, first aid, fire safety, accident reporting and moving and assisting so that residents welfare is promoted safely. The system for ensuring that residents’ personal finances are safeguarded is well established and checked by two people every month. Each resident has an individual balance sheet and monies are stored in individual wallets in a safe. On examination balance sheets and amounts were found to be correct. Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 1 2 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 Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 23 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 OP19 Regulation 23 Requirement Provide a toilet that is accessible to residents who use walking aids or wheelchairs. The provision of maintenance services must meet the needs of the home. (OUSTANDING SINCE JUNE 2005) Identified fire doors must be kept locked at all times when areas are unattended Timescale for action 30/09/06 2. OP27 23 30/09/06 3 OP38 23(4a) 01/08/06 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 OP19 Good Practice Recommendations The outside garden area in the dementia unit should be developed to provide a safe seating area for residents Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Marina Rest Home DS0000000236.V306366.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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