Inspection on 16/08/07 for Meadow View Care Home

This inspection was carried out on 16th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Meadow View Care Home 05/09/06

Meadow View Care Home 15/03/06

Meadow View Care Home 26/09/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Meadow View Care Home Rear Of 1072 Manchester Road Castleton Rochdale Lancashire OL11 2XJ Lead Inspector Bernard Tracey Unannounced Inspection 16th August 2007 09:30 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 Meadow View Care Home DS0000063310.V347040.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. Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadow View Care Home Address Rear Of 1072 Manchester Road Castleton Rochdale Lancashire OL11 2XJ 01706 711620 01706 711157 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) East and West Health Care Limited Vacant Care Home 39 Category(ies) of Past or present alcohol dependence (2), Old registration, with number age, not falling within any other category (37) of places Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 39 service users to include: up to 37 service users in the category of OP (Older People) and 2 named service user in the category of A (Alcohol Dependent). Registration will revert to 39 service users in the category of OP once the 2 named service users are no longer accommodated at the home. The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. Staff must be provided with relevant information regarding alcohol dependency and treatment related to the service user`s specific needs. 5th September 2006 2. 3. Date of last inspection Brief Description of the Service: Meadowview Care Home is a purpose built residential home providing accommodation and personal care to 39 residents on both a permanent and respite stay basis. All rooms are single although four bedrooms have inter-connecting doors which may be locked if not occupied by couples. A passenger lift is provided to the 1st floor. The home is situated approximately half a mile from Castleton, which has a variety of shops and other community facilities. A large garden is provided to the rear. There is level access to the front door and good car parking facilities. The home makes the following charges over and above the weekly care and accommodation fees that are listed after this section: Chiropody £ 8.00 Hairdressing As charged Newspapers As charged Aromatherapy £ 8.00 Fees charged by the home provided in August 2007 are as follows: £ 334.98p Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 5 Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection with included a site visit to the home. The manager was not made aware that this inspection was going to take place. Several weeks before the inspection questionnaires were sent out to doctors, social workers and nurses, as well as to the residents of the home and their relatives. The questionnaires asked what people thought of the care and services provided by the home. The manager was also asked to fill in a questionnaire, providing details about how they thought they had improved, what they do well and what they need to do better. Where appropriate these comments have been included in the report. The Inspector spent 5 hours at the home. During this time we looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A full tour of the building was undertaken and time was spent looking at records regarding safety in the home. We also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. The Inspector spent time speaking to 6 residents as well as speaking to 3 relatives, 5 staff, the deputy manager and the Owner of the home. What the service does well: The home presents with a very warm, welcoming and friendly atmosphere. The team of staff are well established and residents and relatives were complimentary regarding the standard of care and support they receive. A resident said, “A nice home. Good staff. Clean and tidy rooms. Well organised” Visitors were observed popping in at various times of the day and chatting with staff. A relative said, “You can come in to the home at any time and the staff are always helping and spending time with the residents”. “The staff are so caring and loving to all the residents. They are like an extension of Dads family” Meadowview has very good admission procedures, which include a detailed assessment process that fully identifies the needs of new residents. Care planning and the standard of actual care delivery are also very good, as are the arrangements for accessing healthcare services. The home is well staffed Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 7 by a dedicated and skilled team, who provide a stimulating and cheerful atmosphere for residents. There are good resources for residents to enjoy a variety of activities and occupation. Residents’ wishes are taken into account when planning their care, and staff show respect for residents choices. The cook is fully aware of residents dietary needs, and serves good quality meals, which residents enjoy. Both residents and staff benefit from the homes’ strong leadership and open management ethos. “They look after the residents with loving care. They speak to the residents respectfully. They sit and chat with the residents - even the ones who cant” “They provide Good meals Good staff good management” What has improved since the last inspection? What they could do better: East and West Healthcare, the owners, needs to give accurate and more written information to people who are thinking about moving to Meadowview to help them decide if they wish to live there. They need to make sure that this information includes terms and conditions of their stay and residents should be issued with a contract The manager should involve residents and their relatives in the writing and review of the care plans. This will ensure that everyone is contributing to the delivery of care. Further work needs to be done to improve the environment particularly the corridors and bathrooms on the first floor. Replacement curtains and bedding will also help to improve the comfort of the residents. Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 8 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. Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 123 Quality in this outcome area is adequate. Residents were assessed before they moved in to ensure the staff could meet their needs but up to date written information about the home were not issued prior to admission to help them decide if they wanted to live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Copies of the Statement of Purpose and the Service User Guide were available in every bedroom and provided some relevant information about the home. However, due to the change of manager and with further developments in the home these documents require updating to provide people who may wish to use the service with accurate information. The most recent Commission of Social Care Inspection Report was not available; the report preceding the last inspection was displayed in the reception area of the home. Copies of the contracts given to people were available in all the files that were Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 11 looked at. Residents or their representatives had signed the contracts, which included details about the services and facilities included in the fees and the services that incurred an additional cost. The records for three people who lived at the home were looked at in detail. Initial enquiries were recorded and followed up by a face-to-face meeting with the prospective resident to complete a detailed assessment of their needs. The home liaised closely with family members and any health care professionals involved with the prospective resident. This helped the manager to build up a full picture of the persons needs. The assessment included personal and healthcare needs, as well as social care and behavioural needs. The manager generally conducted pre-admission assessments, but where a resident was thought to have particularly complex needs, the home’s Deputy Manager also attended. Intermediate Care is not provided in the home. Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. Residents received consistently good quality personal and health care in a way that was acceptable to them, and benefited their general sense of well being This judgement has been made using the available evidence including a visit to the service. EVIDENCE: Since the last inspection a new care planning system had been implemented. Staff had been involved in the process of setting up this new system, and had been offered training and support in using it. As a result care planning was working very well, and residents benefited from consistent care delivery. Each resident had a detailed up to date and individual plan of care, covering all personal, health and social care needs. Any areas of risk for the resident were highlighted along with the planned action to reduce that risk. For example, for a resident who becomes agitated if changes are made to her preferred routine, staff are aware that any change is minimised and the preferred way of supporting the individual is maintained at all times.. Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 13 Care plans demonstrated that residents’ personal choices and preferences had been taken into account by staff. This meant staff knew who would be likely to enjoy a group activity or group outing and who would be distressed by such events. Preferences around care delivery were also recorded, such as who liked a bath and who would prefer a shower. This information was generally gathered from families, or through observation of residents’ reactions to care. Where a resident was resistant to personal care altogether, staff devised the least disruptive ways of delivering essential care to that person, so as cause the shortest period of distress, followed by something the resident found pleasant. Care plans also demonstrated staffs’ respectful approach to residents. It was evident that staff upheld residents’ privacy and dignity, and this was especially so where residents were no longer able to express their individual preferences. Personal care was provided privately in bedrooms or bathrooms, and door locks or engaged signs were used. Residents wore their own clothes and were dressed appropriately for the weather and their activity. Hair care, nail and teeth care and shaving had been attended to. The management of medicines in the home was safe and served to protect residents from harm, and ensure they benefited from the medicines prescribed for them. Staff were knowledgeable about residents’ medicines and understood about monitoring for side effects and adverse reactions. Medicine records were good, following a Pharmacy Inspection prior to this visit all of the requirements and recommendations have been implemented. A District Nurse had contacted the Commission to inform us how impressed she was with the care given to a frail terminally ill service user. Staff were described as ‘absolutely brilliant’. She also considered the care at the home had improved 100 . Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this area was considered good. Social activities are creative and provide daily variation and interest for people living in the home. The dietary needs of the residents were well catered for with a balanced and varied selection of food being served. This judgement has been made using the evidence available including a visit to the service. EVIDENCE: The resident’s involvement in social activities varies greatly according to their abilities and personal needs. Some of the residents spoken to preferred to stay in their own bedrooms and enjoyed reading, listening to music and watching the television. The choices residents made each day varied, dependent upon their mental frailty but residents generally chose what time to get up, go to bed, what clothes to wear, where to spend their day, what food to eat, whether to participate in activities. Overall, residents considered they were encouraged to do what they could for themselves and make appropriate choices through the day. Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 15 Positive feedback from residents, relatives and care staff were received regarding the increased provision of activities. The home gathers a social history, usually from the relatives, which is used to identify interests and hobbies previously undertaken by the resident. This social history is used to help to provide the staff with details and to encourage the individual to participate in appropriate activities. Records of trips to various seaside resorts were tastefully displayed on the picture boards. Several residents spoke of a planned trip to Southport Flower Show that was planned for the following day. Residents told the Inspector that they are able to have visitors at any reasonable time and they can see their visitors in private. Two relatives told the Inspector that the staff at the home always made them very welcome. Records of food provided to residents confirmed that all receive a varied and nutritious diet. The residents were asked what they would like to eat and alternative meals are available. The food was served from a hot trolley that was brought through into the dining room. The tables were nicely set with tablecloths, napkins and cruets. Hot and cold drinks were served. The residents spoke positively of the food provided. The inspector-spent time talking with the chef and her assistant, who clearly demonstrated that she was aware of the appetites and preferences of each person and spoke of the need to present the meals in an appetizing way. There was a choice of main courses and the chef confirmed that further choices were available from the kitchen. Residents said that they “really liked the food”. Snacks, such as pizza, toast or cheese and biscuits are available for staff to access during the period when the main kitchen is closed Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good Residents were confident that complaints would be listened to, taken seriously and acted upon. Appropriate systems were in place to protect residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had a complaints procedure that was included in the Service User Guide, a copy of which was provided in each bedroom. In addition, the complaints procedure was displayed in the entrance area to the home and on the back of bedrooms doors. Staff interviewed were conversant with the procedure and residents and relatives spoken with said they knew to see the manager if they wished to raise a matter of concern. A complaints book was available and recorded complaints that had been investigated internally in the last 12 months. All were seen to have been addressed quickly, action taken and outcomes recorded. The CSCI had not received any complaints about the home since the last inspection. A procedure for responding to allegations of abuse was available as was the Rochdale Inter-agency Protection of Vulnerable Adults (POVA) procedure. Staff spoken with understood the importance of reporting concerns and were aware Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 17 of the different types of abuse that can occur. A carer appointed since the last inspection said that this had been discussed with her as part of her induction when she began work. All staff had attended POVA training since the last inspection and the manager was planning to send those who hadn’t yet attended; dates for these training days were already confirmed. Almost all the staff had completed or were in the process of completing NVQ level 2 that included learning in this area. Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this outcome area is adequate. The home environment requires upgrading, to ensure that it is a pleasant, and suitably maintained place to live, This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection carpets have been replaced and several bedrooms the lounge and corridors on the ground floor have been decorated. However a tour of the home identified that decoration of the lounge corridors and bathrooms on the first floor is necessary and there needs to be a renewal of curtains and fabrics in the residents’ personal accommodation. The manager and responsible individual should audit the home and include each identified area Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 19 of need in the maintenance and renewal plan, along with a timescale for their replacement. The maintenance worker was responsible for the upkeep of the grounds, which were seen to be safe, tidy and accessible. Residents said they had enjoyed sitting outside in the good weather and one resident helped in the garden at times. Level access was provided to the home, along with a passenger lift and handrails in corridors. Grab rails were provided beside all toilets and baths were fitted with hoists. Two level access showers were provided which residents appreciated. Neither the Environmental Health Department nor Greater Manchester Fire Officers had visited the home since the last inspection. Four residents spoken to were very pleased with their individual rooms and said that they had “brought in a number of personal possessions, pictures of grandchildren and family and bits and bobs that help remind me of places I have been”. Residents and their relatives said staff kept the building clean and odour free, inspection of the premises supported this view. Discussion with two domestic staff verified that sufficient staff and equipment were provided to ensure the home was maintained in a clean and hygienic condition. An infection control policy was in place and training was provided in this area. Staff spoken with described safe infection control practice. Satisfactory practice was in place with regard to disposal of clinical waste. The laundry was sited away from the food preparation area and was seen to be clean and orderly. Sufficient and suitable equipment was provided and laundry was attended to efficiently. Five residents said that they were satisfied with the laundry system at the home and that there was a quick turn around on the clothes sent for cleaning. All bedrooms were fitted with door locks and lockable storage space to ensure resident’s valuables were kept safe. Staff had a master key, which could be used to gain access in an emergency. Everyone spoken with thought the home was a safe place to live and work in. Residents and relatives spoke positively about the cleanliness, and all the residents returning questionnaires said the home was always fresh and clean. Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. Sufficient numbers of staff were provided to meet the needs of residents. Recruitment and selection policies supported and protected residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information in the staffing rotas shows that there is 4 care staff on duty during the day shift and two care staff at night. Extra staff are called in to cover for taking residents to appointments and additional ancillary staff are on duty throughout the day. The Deputy Manager said that she has assessed the number of staff on duty at night against the care needed and is satisfied that sufficient numbers are in place. Residents and relatives spoken to were very happy with the amount of staff on duty and said “they are always helpful and available to see to anything you need doing and nothing is too much bother”. The home has a comprehensive recruitment policy and procedure and when three staff files were checked it was evident that the manager follows the procedure, and ensures the interview process, CRB checks, written references, Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 21 health checks and past work history are all obtained and satisfactory before the person starts work. The home has a rolling staff-training programme offering staff access to mandatory training and some specialist subjects linked to the needs of the residents. The Deputy Manager of the home oversees the training and discussion with her during the inspection identified that there is a training plan for the home and staff are notified of the available training dates and when they are expected to attend. Up take of the training is very good. One staff member said that ‘the training here is excellent. Another member of staff was pleased that “the home helps us to increase our confidence through the training on offer”. Over 50 of the care staff had an NVQ qualification. Of seven senior carers and twelve care assistants, four seniors had an NVQ level 3, and two seniors and seven carers had an NVQ level 2. A carer was nearing completion of NVQ level 3 and three carers were on the course at the achieved NVQ level 4 and the Registered Manager’s Award. time of the inspection. A newly recruited carer planned to enrol for NVQ level 2. In addition to the above, the deputy manager had completed NVQ level 4 in care and the assistant manager had Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 36 38 Quality in this outcome area is good. The home is well managed and run in the best interests of residents This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has many years experience in caring for residents and is presently studying for a management qualification. Throughout the inspection the Inspector was we were informed of the professional, capable and approachable manner in which she undertook her role when dealing with residents, staff and visitors. Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 23 The home has good systems in place to gather staff, residents and relatives’ views as part of the monitoring of quality. Staff spoken to had a clear understanding of their role and what was expected of them. The Inspector saw documentation that confirmed that staff received regular supervision and annual appraisal. Residents, relatives and staff spoke well of the management team and the care and support that they give. The Inspector was able to witness their approach to the residents and staff and confirm that comments made. Information provided by the handyman and examination of the records, confirmed that all safety equipment is regularly serviced. The policies and procedures in the home ensure that the health, safety and welfare of the residents and staff are promoted and protected. Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 25 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. 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 OP1 Good Practice Recommendations An up to date Statement of Purpose and Service User Guide should be made available to prospective and current residents to include terms and conditions of their stay. Copies must also be provided to CSCI. The Registered Person should provide within the home a copy of the most recent Commission of Social Care Inspection report Residents and/or relatives should be consulted when care plans are written and reviewed to ensure they include accurate, individual and agreed interventions to meet their needs. A programme of renewal of the fabric and decoration should be written and copies forwarded to the Commission of Social Care Inspection 2 3 OP1 OP7 4 OP19 Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection 9th Floor Oakland House Talbot Road, Old Trafford Manchester M16 0PQ 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 Meadow View Care Home DS0000063310.V347040.R01.S.doc Version 5.2 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!