Inspection on 10/05/07 for Mendip House

This inspection was carried out on 10th May 2007.

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

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

Other inspections for this house

Mendip House 13/01/06

Mendip House 05/08/05

Mendip House 16/03/05

Mendip House 04/08/04

Similar services:

Turret Villa Retirement Home

Moor House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

The Gardens Care Home

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

CARE HOMES FOR OLDER PEOPLE Mendip House Mendip House West Lane Chester le Street Co Durham DH2 3AS Lead Inspector Mr Stephen Ellis Unannounced Inspection 10th May 2007 1:00 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 Mendip House DS0000031195.V335587.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. Mendip House DS0000031195.V335587.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mendip House Address Mendip House West Lane Chester le Street Co Durham DH2 3AS 01913882514 P/F 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) www.durham.gov.uk Durham County Council Mrs Vivien Mary Shingleton Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28), Physical disability (9) of places Mendip House DS0000031195.V335587.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The lifestyle and needs of the PD person to be accommodated in the OP unit must be compatible with the lifestyles and needs of the other service users in the OP unit, plus the home’s statement of purpose. 13th January 2006 Date of last inspection Brief Description of the Service: Mendip House is a long established care home for older people, provided by Durham County Council. It provides 28 care beds, all in single rooms, but none with en suite facilities. The two- storey building has generous communal space (lounges and dining areas) and is generally well equipped for the assessed needs of its service users. Externally, there is a garden plus car parking spaces. In 2004, the care home developed an intermediate care unit for 8 people with physical disabilities over the age of 55 years. Its purpose is the rehabilitation of service users who are admitted for short stays so that an intensive rehabilitation programme can be applied. The remaining 20 beds are for either permanent or respite care. The weekly fee is £432.32. The fee covers all accommodation, meals and personal care. Hairdressing, toiletries, newspapers, plus services from private opticians, dentists and chiropodists are not included in the fee. The actual amount people pay depends on their individual circumstances. Mendip House DS0000031195.V335587.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3.5 hours. It included a tour of the building, examination of a sample of records and discussions with 9 residents and 3 staff. The overall quality rating for this care home is: ‘excellent’. This judgment has been made from evidence gathered both during and before the visit to this service. What the service does well: Residents said they were very satisfied with the care and facilities provided. In particular, residents commented very positively about the caring practices of staff, excellent catering standards and the home’s strong commitment to residents’ welfare. They also liked the material standards, such as the fittings and furnishings, and valued being consulted about further improvements. Typical comments included “The staff are very good and it is very nice living here…the food is excellent and there is plenty to eat…I’m happy here because I’m well looked after…there are good links with the local hospitals and clinic and the doctor or nurse will visit you whenever required…the staff are very approachable, I can talk to them about anything…there is a friendly atmosphere…my health care needs are well taken care of…my room is pleasant and comfortable…there is always help if you need it, I have confidence in the staff who know how to handle me carefully and skilfully…the staff are very approachable, supportive and kind; I wouldn’t have got better if I hadn’t come here; the best thing I ever did; I can’t speak highly enough of Mendip House; all the staff have been very helpful.” They liked their rooms and described them as comfortable and pleasant. All residents spoken with said they enjoyed the meals very much and felt their preferences were well catered for. Residents and visitors get on well with the staff and would not hesitate to discuss any concerns or complaints with staff or management. They described a cheerful, happy environment. The home has a good number of lounges and dining areas, which allow residents to meet in groups of various sizes for a number of social and recreational activities. The home is well maintained with high standards of decoration. Staffing levels and staff training are very good. At least 75 of care staff members have achieved National Vocational Qualifications (NVQ) at either level 2 or 3. There is a friendly, welcoming atmosphere. Management are keen to receive comments from residents and others about the quality of service provided by the home. The service is well run and the information provided to residents and prospective service users is detailed and explicit. Mendip House DS0000031195.V335587.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. Mendip House DS0000031195.V335587.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 Mendip House DS0000031195.V335587.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): 1, 2, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. Residents have their needs assessed and a contract which tells them about the service they will receive. In the intermediate care unit, service users are helped to maximise their independence and return home. EVIDENCE: Comments received from residents and staff confirmed that full assessments of people’s care needs were carried out prior to admission to the home and that there was enough information from which service users could make a choice about being admitted. Mendip House DS0000031195.V335587.R01.S.doc Version 5.2 Page 9 A service user’s guide and statement of terms and conditions of residence are supplied routinely. These are helpful documents and the content is detailed and explicit. Large print versions are available. As one resident said: “Everyone has been very helpful in explaining things to me and answering my questions.” All residents questioned felt they had received enough information about the home before they moved in, so they could decide whether it was the right place for them. Residents’ plans of care revealed comprehensive, detailed assessments of need being carried out both prior to admission and afterwards, as confirmed by members of staff and management. These assessments showed that the home only admitted people whose assessed needs it could meet. Very positive comments were received from residents about their choice of Mendip House, not least because of its good reputation in the local community and their own personal experience during the initial weeks when they were deciding whether or not to move in permanently. These views were reflected in the comments received about the intermediate care unit, such as: “I wouldn’t be frightened to come here again…I wouldn’t have got better if I hadn’t come here…the nurse comes every morning and the physiotherapist every week…it’s the best thing I ever did and I’m looking forward to going back home soon.” The home has helpful information displayed on the walls near its entrance, including its statement of residents’ rights and the home’s beliefs about caring for others. Mendip House DS0000031195.V335587.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 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Residents said that their health and social care needs were well known by staff and were being fully met and that the community nurse or doctor would see them whenever required. Residents are encouraged to keep their own GP when they move into the home, wherever possible, to promote continuity of health care. Mendip House DS0000031195.V335587.R01.S.doc Version 5.2 Page 11 Access is available to a local clinic for the assessment of various conditions and many service users have already benefited from referral. Residents’ personal and social care needs were well known, understood and respected by the staff team. Residents said that they felt they were treated with respect and sensitivity. Typical comments from residents included: “The staff are very good and it is very nice living here…the food is excellent and there is plenty to eat…I’m happy here because I’m well looked after…there are good links with the local hospitals and clinic and the doctor or nurse will visit you whenever required…the staff are very approachable, I can talk to them about anything…there is a friendly atmosphere…my health care needs are well taken care of…my room is pleasant and comfortable…there is always help if you need it, I have confidence in the staff who know how to handle me carefully and skilfully…the staff are very approachable, supportive and kind; I wouldn’t have got better if I hadn’t come here; the best thing I ever did; I can’t speak highly enough of Mendip House; all the staff have been very helpful.” These comments were supported by detailed, service user plans of care that were comprehensive and well maintained. They were written in a style that identified service users’ strengths as well as their needs, helping to promote dignity and independence. Staff training in care (National Vocational Qualifications (NVQ) at levels 2 or 3) includes the important issues of privacy and dignity and more than 75 of care staff have achieved these qualifications. There are good arrangements for the safe administration of medicines. All staff members responsible for medicines have completed Safe Handling of Medicines training. There is good support from a local Pharmacist who supplies most of the medication in monitored dosage cassettes. There are good storage systems and staff thoroughly check all medication when it is received into the home. The home requires medication to be administered only from the container(s) into which the pharmacist dispensed it originally. Medication is kept securely in lockable cabinets and trolleys. Residents may attend to their own medication, but in practice most prefer to delegate this responsibility to staff. Unwanted medicines are promptly returned to the pharmacist. The home is careful not to stockpile large quantities. Senior staff confirmed that medicine audits are carried out routinely and that the local pharmacist provides consultation and advice. Mendip House DS0000031195.V335587.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are able to choose their lifestyle, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet residents’ expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: Residents said that they enjoyed living at the home and got on very well with staff. All described the staff as being kind and helpful. Typical comments included: “There’s always something going on, but you don’t have to join in if you don’t want to…the staff are very good and it is very nice living here…the food is excellent and there is plenty to eat.” Residents confirmed that they could choose how they spent their time in the home and were free not to join in activities and social events if they did not wish to. Mendip House DS0000031195.V335587.R01.S.doc Version 5.2 Page 13 The home provides a full programme of social and recreational activities, including quizzes, social evenings twice a month, visiting hairdresser each week, bingo, dominoes, baking, visiting entertainer (about every 3 months), birthday parties, bimonthly residents’ meetings, twice weekly visits from ‘Create’ who provide a variety of recreational and reminiscence services, plus monthly church services. Residents and staff confirmed that relatives and friends may visit at any reasonable time and are always made welcome. Service users are regularly consulted about matters affecting the life of the home, both formally and informally, individually and in small groups. For example, residents meetings are held every two months and annual satisfaction surveys are carried out. A Newsletter is produced every 3 months. Residents’ comments are invited and kept in a book. The manager has an ‘open door’ policy and invites residents and their representatives to speak about any matters of interest or concern. Residents were particularly complimentary in their comments about the home’s catering service, describing it either as very good or excellent. A varied and appetising menu is provided, reflecting service user choice. An attractive, easy read menu is displayed in a clear plastic holder on each table and on a large board near the entrance to the dining room. An attractive dining room is provided, complete with drinks bar. Tables are supplied with linen tablecloths and napkins. Meals and beverages are served using utensils, crockery and cutlery of good quality. New meals are offered from time to time so that residents can try different menus and exercise choice. The home tries hard to provide meals that residents will enjoy. A drinks trolley and separate sweet trolley are provided each day with a good choice of beverages and sweets. These were very popular with residents. Mendip House DS0000031195.V335587.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. 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. Residents have access to a robust, effective complaints procedure and are protected from abuse. EVIDENCE: All residents said that they were confident about approaching staff and management about any concerns or complaints they might have. They described the staff and management as being very approachable, helpful and friendly. A written complaints procedure is provided in the statement of purpose and service user’s guide. Evidence was provided of the home’s complaints procedure being applied openly and fairly, with referral to, and full cooperation with, external investigation agencies where appropriate. Staff and management are aware of the need to safeguard adults from abuse or neglect and have undergone training in these issues. They are aware of the home’s ‘whistle blowing’ policy, which encourages staff to speak out about any suspected abuse. Mendip House DS0000031195.V335587.R01.S.doc Version 5.2 Page 15 All staff members have had enhanced Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks carried out as required by law. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to ensure that unsuitable people are not employed to care for vulnerable adults. Staff confirmed that new staff members go through induction and foundation training so that they have the right knowledge and skills to do their jobs competently. Mendip House DS0000031195.V335587.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: There were no unpleasant odours and the home was found to be clean in all the areas inspected. All care staff members have completed training in health and safety, fire safety, food hygiene and infection control. Residents said that they were pleased with the premises, finding them comfortable and homely as well as practical. They also described the home as being clean. Paper towels and liquid soap are supplied in wall-mounted dispensers in all communal toilets and bathrooms. A typical comment was “It’s very nice living here, my room is pleasant and my bed is comfortable; the home is nicely decorated and clean throughout.” Mendip House DS0000031195.V335587.R01.S.doc Version 5.2 Page 17 The home is well maintained and attractively decorated, with repairs and servicing being carried out promptly and according to schedule. Since the last inspection, an attractive drinks bar has been installed in the corner of the dining room. There is a full time handyman who monitors safety standards and ensures that repairs, redecoration and servicing are carried out at appropriate intervals. Records are kept of tests and servicing. Residents were positive and complimentary in their comments about the premises, describing them as pleasant, comfortable and suitable for their needs. They felt the home was well equipped. Residents personalise their rooms and are invited to bring in personal items of furniture, ornaments and photographs/pictures as they wish. Mendip House DS0000031195.V335587.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. EVIDENCE: At the time of inspection, there were 20 service users being accommodated: 2 on the Intermediate Care Unit and 18 in the main body of the home. Typically during the day (7 am - 10 pm) there are 2 members of care staff on duty on the Intermediate Care Unit (8 beds) and 2 care staff plus a residential supervisor on the Older Persons’ Unit (20 beds). At night there are 2 care staff on duty across the home. The registered manager is full-time and her hours are not included in the number of care hours supplied. There is a part-time administrator, plus catering and domestic staff in sufficient numbers for the needs of the home. There is a full-time Handyman. Residents said that staff members were available in sufficient numbers to provide timely assistance when required. They were all well regarded by service users. A typical comment made by residents was: “The staff are excellent. Nothing’s a trouble to them”. On the Intermediate Care Unit, there is a multi-disciplinary staff team involved, including care staff, community nursing staff, physiotherapists, occupational therapists, social workers and medical staff. They are reported to Mendip House DS0000031195.V335587.R01.S.doc Version 5.2 Page 19 work and communicate well together to achieve the aims and objectives set out for the Unit. There are very good staff training arrangements at this home. Over 70 of care staff members have achieved National Vocational Qualifications (NVQ) at levels 2 or 3, which is commendable. An impressive staff training and development programme is operating at the home, including customer care, equality and diversity, dementia awareness, moving and handling, first aid, safe handling of medicines, protection of vulnerable adults, health and safety, infection control and food hygiene. Staff confirmed that they had undergone extensive induction and foundation training. Records of staff training are well maintained. Mendip House DS0000031195.V335587.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: The registered manager is experienced, well qualified and competent in her role. For example, she has completed the Registered Manager’s Award at NVQ level 4. Residents and staff spoke well of her leadership skills and commitment to good outcomes for residents. Staff confirmed that they participate in regular supervision sessions, as recorded in individual staff files. The manager has planned a full programme of staff supervision sessions for 2007. Mendip House DS0000031195.V335587.R01.S.doc Version 5.2 Page 21 Residents frequently described the management and staff as being approachable and caring. Typical comments included “The staff are very good and it is very nice living here…the food is excellent and there is plenty to eat…I’m happy here because I’m well looked after…there are good links with the local hospitals and clinic and the doctor or nurse will visit you whenever required…the staff are very approachable, I can talk to them about anything…there is a friendly atmosphere…my health care needs are well taken care of…my room is pleasant and comfortable…there is always help if you need it, I have confidence in the staff who know how to handle me carefully and skilfully…the staff are very approachable, supportive and kind; I wouldn’t have got better if I hadn’t come here; the best thing I ever did; I can’t speak highly enough of Mendip House; all the staff have been very helpful.” Management and staff continue to work towards the aims and objectives of the home. For example, 130 people have been admitted to the Intermediate Care Unit from January 2006 to May 2007. Of these admissions, over 84 went home (110 out of 130). The average length of stay on the Unit is well within the 6 weeks maximum target. With regard to residents’ finances, good accounting procedures are followed, with receipts and signatures obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives help look after the personal monies of many residents. In those situations where the home assists with residents’ monies, clear individual records are maintained. The home ensures that each resident has an individual bank account. Comments received from staff and management confirmed that there are good health and safety policies and practices that promote the health, safety and welfare of residents and staff. All staff members do refresher training in Health and Safety, such as moving and handling, first aid, fire safety and food hygiene. This helps reinforce the registered provider’s written policies on Health and Safety. Health and Safety issues are also discussed at monthly staff meetings and in staff supervision sessions. Residents and staff expressed satisfaction with the way the home was run and the good standards that were evident in many instances. They felt the home was safe and run in the best interests of residents. The registered provider’s representative visits the home monthly to check on the welfare of residents and the progress of the home and makes a comprehensive, written report. The manager routinely invites comments and suggestions for improvements from both residents and visitors to the home, via regular meetings, surveys and consultations. She gives feedback in a variety of ways, including residents’ magazine, which is published several times per year, and in meetings with residents and their Mendip House DS0000031195.V335587.R01.S.doc Version 5.2 Page 22 relatives/friends/representatives (such as resident group meetings that take place quarterly). Mendip House DS0000031195.V335587.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 x x 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 x 4 x x 3 Mendip House DS0000031195.V335587.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. Refer to Standard Good Practice Recommendations Mendip House DS0000031195.V335587.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Mendip House DS0000031195.V335587.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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