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Inspection on 17/07/07 for Marmora Residential Home

Also see our care home review for Marmora Residential Home for more information

This inspection was carried out on 17th July 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a stable, committed staff team who know people well and treat them as individuals. One relative said the home "makes the person an individual and their needs are important. Nice friendly atmosphere. Not left on their own too long and meals are good". The registered provider works well with the manager to ensure the home maintains a friendly atmosphere. Relatives and other visitors are made welcome and are happy with the family atmosphere that Marmora provides. They also speak highly of the care their relatives receive. The menu in the home provides people with a well-balanced and varied diet. Staff provide good home cooked food that is enjoyed by people living in the home.Marmora Residential HomeDS0000060575.V346428.R01.S.docVersion 5.2

What has improved since the last inspection?

The home has carried out a programme of refurbishment to improve the environment. There has been redecoration throughout much of the home and furniture has been replaced in the communal areas, making the surroundings very pleasant for people living there. Overall record keeping has improved since the last inspection and care plans continue to be improved and developed. The care plans contain sufficient detail to ensure that people living there receive care in the way that they need and want.

What the care home could do better:

The programme of activities could be further developed to ensure that each individual living in the home receives the stimulation they need to have an interesting and fulfilled lifestyle. The home needs to continue with the ongoing programme of refurbishment. In particular the toilets need to be improved or replaced to ensure people living there benefit from toilet facilities that are up to the standard of the rest of the home. The small step at the front entrance of the home can be difficult for individuals with mobility difficulties to negotiate. The home should look at ways of eliminating this obstacle which would improve access overall.

CARE HOMES FOR OLDER PEOPLE Marmora Residential Home 4/6 Penfold Road Clacton On Sea Essex CO15 1JN Lead Inspector Ray Finney Key Unannounced Inspection 10:00 17 and 18th July 2007 th 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 Marmora Residential Home DS0000060575.V346428.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. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Marmora Residential Home Address 4/6 Penfold Road Clacton On Sea Essex CO15 1JN 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) 01255 422719 01255 423830 Salsar Ltd Manager post vacant Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 27 persons) 10th January 2007 Date of last inspection Brief Description of the Service: Marmora is an older style detached property situated very close to the sea front in Clacton and within walking distance of all local amenities and the town centre. There is parking available to the front of the property and wellmaintained attractive gardens to the rear. The home provides care and accommodation for up to 27 people mostly in single rooms, with the exception of 2 double rooms. Accommodation is provided on three floors, with access to the upper floors by means of a passenger lift and stairs. Communal areas include two pleasant lounges and dining rooms. The home charges between £375.04 and £450.00 per week with additional charges for hairdressing or chiropody services and for personal items such as newspapers, sweets and outings. This information was provided to us in July 2007. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was looked at when compiling this report. Documentary evidence was examined, such as menus, staff rotas, care plans and staff files. Completed surveys were received from people living in the home and their relatives. The manager and proprietor completed an Annual Quality Assurance Assessment with information about the home. This document will be referred to as the AQAA throughout the report. Visits to the home took place on 17th and 18th July 2007 and included a tour of the premises, discussions with the manager, the proprietor, members of staff and conversations with people living in the home and visiting relatives. Observations of how members of staff interact and communicate with people living there have also been taken into account. On the two days the inspector visited the home, the atmosphere in the home was relaxed and welcoming and the inspector was given every assistance from the manager, the proprietor and senior staff on duty. What the service does well: The home has a stable, committed staff team who know people well and treat them as individuals. One relative said the home “makes the person an individual and their needs are important. Nice friendly atmosphere. Not left on their own too long and meals are good”. The registered provider works well with the manager to ensure the home maintains a friendly atmosphere. Relatives and other visitors are made welcome and are happy with the family atmosphere that Marmora provides. They also speak highly of the care their relatives receive. The menu in the home provides people with a well-balanced and varied diet. Staff provide good home cooked food that is enjoyed by people living in the home. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Marmora Residential Home DS0000060575.V346428.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 Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People choosing to live at Marmora can be confident their needs will be assessed before admission. EVIDENCE: There have been improvements in the pre-admission assessment process since the last inspection. The providers said that they made improvements to the process taking guidance from the last report. Information received in the Annual Quality Assurance Assessment (AQAA) submitted by the home states that a thorough pre-assessment procedure is carried out prior to admission and all information is recorded on their preadmission form. People who are admitted through the social services referral process also have a ‘COM 5’ assessment carried out by the local authority before admission. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 9 A sample of four care plans examined confirm that a dependency assessment and a manual handling assessment is carried out. Records examined all contain evidence that the assessments are reviewed and people are protected by the risk assessments carried out by the home. The sample of records examined contain risk assessments around going out, moving and handling and pressure sores. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals can be confident that their personal and healthcare needs will be met in Marmora. There are appropriate systems in place that make sure the administration of medication is safe for people living in the home. People can be confident that they will be treated with respect and dignity at all stages of their lives. EVIDENCE: Information provided in the AQAA states that the home develops a full and comprehensive care plan covering personal hygiene, food and drink, mobility, night care, elimination, social, communication, interests and medical awareness. This is confirmed by a random sample of four care plans examined at the inspection. Care plans contain good details such as where someone likes the pillow positioned for sleeping. Positive language is used and staff are guided to Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 11 encourage people to do what they can for themselves. background information completed by the resident. One care plan had Care plans clearly state what assistance is required and carers are instructed to respect the person’s independence and wishes. Risk assessments are in place for one person around using the kitchen and maintaining their independence. Care plans are reviewed monthly or when a person’s needs change. People’s healthcare needs are documented in care plans. Records examined contain weight charts and records of visits by health professionals such as doctors, district nurses, chiropodist, optician and osteoporosis nurse. A visiting district nurse states that they have confidence in the home; they contact community nursing services promptly if they suspect the start of skin breakdown. The district nurse said, “Any treatment necessary is complied with. They don’t need prompting or reminding”. Community nursing services are working towards training senior carers to support people with diabetes. They have already had training on monitoring blood glucose levels and this will be followed up with training around administering insulin. A visiting healthcare professional who completed a survey said they “always receive appropriate and timely referrals” and “senior staff will ask for advice and act upon it and are willing to learn and develop new skills”. The home uses a ‘Nomad’ system of medication that is dispensed by a local pharmacy and delivered to the home weekly. The storage and administration of medication was examined. Medicines are stored in a securely locked trolley. Any medication that needs to be stored in a controlled temperature is kept in a refrigerator that is solely for medication. On the first day of the inspection a senior member of staff was observed administering medication at lunchtime. Good practices were followed and the member of staff is able to demonstrate an excellent knowledge of the medication being administered. Medicine Administration Record (MAR) sheets were examined and all found to be in order. MAR sheets contain photographs of individuals to reduce the risk of errors in administering. People living in the Marmora. All those respect. One person their wishes around home were asked about their experience of living in spoken with feel that they are treated with dignity and was able to give an example of how the home listened to personal care so that they are able to maintain their Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 12 dignity. Observations of interactions between staff and people living in the home confirm that people are treated with respect. The home states in the AQAA that staff are trained to show respect and dignity at all times and they are currently undergoing ongoing training around ensuring people are treated as individuals. The home believes that the calibre of staff is high and this is reflected in the positive responses received through the home’s own quality assurance surveys. A completed survey sent to us by a visiting health professional states, “Care staff always take measures to maintain residents’ privacy and dignity” and “all residents appear to be treated with courtesy and respect”. As at the last inspection, the home supports people appropriately in the final stages of life. There is a comprehensive policy in place around death and dying. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall Marmora provides people who live there with variety and choice. People living in the home benefit from maintaining good contact with family and friends and they are provided with wholesome, appealing meals that they enjoy. EVIDENCE: At the time of the last inspection improvements had been made to activities available in the home and this continues to be the case. The AQAA states that activities have been extended and there are now more one to one activities taking place, including shopping and music to movement and people are encouraged to get involved in household tasks such as folding the laundry and laying tables. People spoken with confirmed they do things around the home; one person said they help with folding the laundry. Although there were no organised activities taking place on the day of this inspection, people were socializing and the atmosphere throughout the home was relaxed. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 14 One relative who completed a survey said they are “always keeping people busy and active” and a district nurse said, “Residents are encouraged to engage in activities within/outside the home”. However, one survey received from a person living in the home said, “Very few activities as staff are busy doing other things” and another said, “I don’t take part so far but haven’t been here long so I might in time”. Overall activities offered meet most people’s needs, but some people may benefit from more stimulation or different activities. Visitors spoken with all said they are made welcome in the home. There is a small conservatory that can be used to meet visitors in private if people wish. The AQAA states that families are regularly invited to attend functions. People spoken with said they can choose what they want to do. One person said that you have to accept that things are different than in your own home, but even if you lose your independence there are still things that you can make choices about such as when you go to bed or what you eat. Overall the person is very positive about being able to make choices in the home. As at the last inspection the home continues to offer a varied diet that is well cooked and enjoyed by the people who live there. Menus examined are worked out on a three-weekly rotational basis. All the food is home cooked and the emphasis is on traditional meals such as roast beef or sausages with onion gravy. The evening meal is a choice of sandwiches, soup or a light meal such as burgers. The cook leaves prepared cakes and snacks out for supper. Food stocks and storage were examined during a tour of the premises and there is evidence that plenty of fresh vegetables and meat are used. People spoken with confirmed that the food is good. One person said that if a particular meal is not to their taste, there is always an alternative. Dining rooms are pleasant. Surveys completed by people living in the home are complimentary about the food. One person said, “Good food” and another, “the menu is varied similar to the variety we enjoyed at our own home”. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service have access to a clear and understandable complaint procedure that ensures that they are listened to. The home operates robust practices and procedures to ensure the protection of the people who live there. EVIDENCE: The AQAA states that there is a comprehensive complaints policy in force and they ensure everyone at the home is aware of the procedure. People living in the home and relatives spoken with are all confident that they would know what to do and who to speak to if they have a complaint. One person said that the new manager is very good and listens and deals with any concerns. One relative who completed a survey said, “I have no complaints. They look after my relative very well. They are quite happy there”. People living in the home are protected by the homes processes around safeguarding people. The AQAA states that all staff are given a copy of Protection from Abuse and receive training around Protection of Vulnerable Adults (POVA). Records examined confirm that staff have received POVA training and Criminal Record Bureau (CRB) checks are carried out on staff. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 16 The home has a whistle blowing policy in place so that staff can be confident they will be protected if they were to report any suspected poor practices or abuse. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Marmora benefit from a safe and well-maintained environment that is clean and pleasant. People may be confident that their bedrooms are comfortable and they are surrounded by their own possessions. EVIDENCE: Information received in the AQAA states that the home has undergone significant refurbishment. A tour of the premises confirms that improvements have been made since the last inspection and the work is continuing to the outside of the home. Furnishings throughout the home are domestic in nature and overall there is a homely feel throughout. People spoken with said they like the “homely atmosphere”. There is new furniture in communal areas and evidence that Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 18 many rooms have been redecorated and others are in the process of being painted. However, facilities in the toilets could be better. Some of the toilets are old and, although clean, had a build up of limescale. People living in the home would benefit from having the toilets replaced. A tour of the premises shows that there are appropriate adaptations and equipment in place including hoists and assisted baths. There is a small step outside the front door and one person who had been sitting outside enjoying the sunshine had difficulty negotiating their walking frame over the step to get back in to the home. They also could not reach the doorbell to get someone to help them and needed to ask for assistance. This could be improved by ensuring there are no obstacles to obstruct people with mobility difficulties. The home could also consider moving the doorbell to a more accessible position. Individual bedrooms are well furnished and contain ample evidence of personal possessions. One person spoken with liked their room so much that they did not take up the offer of a larger room with better facilities when one became available. A tour of the premises shows there is a good standard of cleanliness throughout the home. There are no odours and the carpets are clean. The laundry is suitable for the size of the home and contains appropriate equipment. The flooring is impermeable to help ensure good infection control and there are hand-washing facilities. There are liquid soap containers in toilets for washing hands, but some also had bars of soap and terry towels, which could present a risk of cross infection. The manager removed them immediately and confirmed that paper towels are available. The cook is environmental maintenance. are completed using the ‘Safer Food Better Business’ pack provided by health to record kitchen activities such as cleaning and Kitchen records such as fridge temperatures were examined and appropriately. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Marmora benefit from a competent staff team, who receive the training they need. The home’s recruitment procedure provides the safeguards to ensure that appropriate staff are employed. EVIDENCE: As at last inspection, numbers of staff on duty are sufficient to meet the needs of people living in the home. Staff rotas examined show there are either three or four staff on duty. It was observed that staff are kept busy and work hard, although people do not appear to have to wait excessively when they need support. The AQAA states that the home continually revises staffing hours to meet the needs of people living there. Overall surveys completed by people living in the home are positive about the staff. One said, “The manager and staff very kind and helpful”. Although another commented, “Sometimes we have to wait as staff are very busy” and “all the care staff carry out their duties to the best of their abilities however there sometimes appears to be a lack of staff which can make life a little difficult for all”. On the day of the inspection, staffing levels were observed to be appropriate. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 20 The home has a training planner in place. Information provided in the AQAA shows that 8 out of the 12 care staff employed by the home have completed or have almost completed a National Vocational Qualification (NVQ) at level 2 or above. As at last inspection home has an appropriate recruitment process in place. A sample of three staff files examined contain all the required documents including photographs, proof of identity, two written references and Criminal Records Bureau (CRB) checks. Staff files are well organised with a checklist at the front. There have been improvements in staff training since last inspection. The home’s training planner was examined and shows that all staff have had training in manual handling, food hygiene and fire awareness. There is also a rolling programme that includes Health & Safety and infection control. Records examined confirm senior staff have had training in drug administration. There is also evidence that some staff have received training around diabetes and Alzheimer’s awareness. Staff spoken with made positive comments about training. The home’s AQAA states that they have maintained their current staff team for over a year and feedback suggests they feel valued. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Marmora is well run by a competent management team and people living there can be confident that the home is run in their best interests. There are health and safety systems in place to ensure the welfare of both individuals and staff. EVIDENCE: Since the last inspection a manager has now been appointed to run the home. The manager is able to demonstrate an awareness of good management practices and also an enthusiasm and commitment to continuing to raise standards in the home. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 22 The manager is in the process of completing an NVQ level 4 Registered Manager’s Award and discussions on the day of the inspection confirm that the manager is well supported by the proprietors. They are in the process of completing an application to the Commission to become registered manager, but at the time of the inspection the Regional Registration Team had not received visit the application. People spoken with feel the manager is very approachable and runs the home well. One person said, “the manager and staff very kind and helpful”. The home’s quality assurance process has been further developed since the last inspection. Records examined show that the home consults people living there and their relatives and are using the feedback to make improvements to the home. The AQAA states that their regular meetings with people living in the home and staff do not identify any major faults or lack of quality provision. As at the last inspection, the home does not manage the finances of anyone living there and only small amounts of money are handled. Records examined confirm that all monies are kept individually and securely and there is appropriate documentation and receipts for amounts spent. As previously reported, the home has processes in place to ensure people living there are protected by safe working practices. Health & Safety records examined confirm that appropriate checks are carried out such as Portable Appliance Testing (PAT), servicing of gas appliances, lifts, hoists and fire fighting equipment. The manager is able to demonstrate a good awareness of the home’s responsibilities in keeping people safe. The AQAA states that the manager carries out a weekly audit to ensure the home is safe and all equipment is regularly serviced and maintained. Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 X 2 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard OP12 Good Practice Recommendations People living in the home would benefit if the home reviews the range of range of social and recreational activities available so that everyone has something that will provide stimulation and enhance their lifestyle. People living in the home would benefit if the old toilets were replaced as part of the home’s ongoing programme of refurbishment. The management team should look at ways of overcoming minor difficulties around access for people living in the home who have limited mobility. 2. 3. OP19 OP22 Marmora Residential Home DS0000060575.V346428.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI - 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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