Inspection on 12/02/07 for Merrydale

This inspection was carried out on 12th February 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.

Other inspections for this house

Merrydale 19/02/08

Merrydale 23/11/05

Merrydale 28/04/05

Merrydale 25/01/05

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Merrydale Merrydale Spencer Road Ryde Isle of Wight PO33 3AL Lead Inspector Liz Normanton Unannounced Inspection 12th February 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 Merrydale DS0000062066.V326869.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. Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Merrydale Address Merrydale Spencer Road Ryde Isle of Wight PO33 3AL 01983 563017 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) Mr K Pryer Mrs E Pryer Mrs Patricia Lynn Cluett Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2005 Brief Description of the Service: Merrydale is a care home registered for 16 residents over the age of 65 years. It is privately owned by Mr and Mrs Pryer who bought the home in August 2004. The home is situated in a quiet, private road in a residential area on the outskirts of Ryde. It is close to all amenities and within walking distance of the town centre. The home offers a day care facility for local people over the age of 65 years. The day care is situated in a purpose built extension to the property and has a separate entrance. All activities provided to day care users are also available to the residents. The home is well maintained and has accessible gardens and outside seating areas. Weekly fees are from £421.57 up to £508.00. Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken on the 12/02/07 with a short return visit on 14/02/07 and focussed on what the commission considers to be core standards for a care home for older people as defined in the Department of Health (DOH) National Minimum Standards. The information in this report has been collected from a variety of sources, which includes a pre-inspection questionnaire completed by the manager, twelve resident’s feedback questionnaires, eleven relative questionnaires, a visit to the home, discussion with several residents, the manager, and three staff. Three residents’ care files and four staff files were audited. Although CSCI does not regulate day service provision we have taken in to account feedback provided by over twelve day care service users in respect of this inspection because they have an objective overview of the management of the home. The information provided indicated that people are extremely satisfied with the service. One relative told us that before finding Merrydale in April 2006 we didn’t know care homes like this existed. If we could afford it, we would be happy to move in the need arose. Further comments from relatives and residents are in the main body of this report. There was one area of concern with regards to the recruitment procedure in relation to overseas staff, which was discussed with the manager and is detailed in the staffing outcome area of this report. One resident mentioned that they had problems with the ventilation in their bedroom. What the service does well: Prospective residents and their representatives can be assured that the home will not admit them unless it is satisfied that an individuals needs can be met. Residents have commented that the home provides them with the care that they need and they are extremely satisfied with the service. Visitors are welcome at the home and residents can make choices about how they live their lives within a residential setting. The home provides residents with a nutritious, well balanced diet and can cater, for specialist dietary needs. Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 6 The home provides a warm, comfortable, homely environment. Staff are employed in sufficient numbers and have the experience and are trained in caring for older people. The home is well managed and administrated. 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. Merrydale DS0000062066.V326869.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 Merrydale DS0000062066.V326869.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 does not apply to this service. Quality in this outcome area is good. The home will not accommodate prospective residents until it is satisfied that the individuals needs, can be met. Prospective residents are welcome to visit the home as part of making an informed choice as to whether the home is for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In discussion with the manager they reported that they visit prospective residents in their own home to undertake a needs assessment. There has been a recent occasion were the manager and proprietor have travelled to the mainland to visit a prospective resident. All prospective residents and their representatives are invited to visit the home as part of the admissions procedure. Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 9 The home does not admit people in emergencies and all residents are self funded, the manager reported that the home has a waiting list and that those people who have day care usually progress to respite and then take up permanent residency. We looked at three residents files and they contained evidence that a comprehensive needs assessment had been undertaken and covered all aspects of a persons care needs including risk areas. In discussion with three staff they confirmed, that the manager consults with them following the needs assessment to ensure that they feel able to meet an individual’s needs. One resident who has moved in since the last in was spoken with and could not remember whether the manager had been to visit them at home before they moved in but said “I have settled in, I like it here”. Merrydale DS0000062066.V326869.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 Quality in this outcome area is good. 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. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at three residents care plans, these contained detailed care needs, which had been drawn up using information from the needs assessment. There was evidence that care plans are reviewed monthly and that residents are involved in the review. Residents care plans also contained their health care needs and detailed their medication. All residents are registered with a general practice and have access to dental, audio and optical assessment and treatment as required. In respect of 12 residents comments received prior to the inspection all 12 felt they were well Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 11 cared for. We received 11 visitor comment cards and below are a number of comments made: Merrydale has a caring environment, my aunt is always clean and tidy and she is given care appropriate to her needs. I feel that Merrydale is the most caring, friendly and warm home that I have ever visited and I always feel welcome. Welcome caring staff, always warm, always clean (no smells) good fresh food, enjoyable activities, and a beautiful garden. My mother is well cared for and most importantly she is happy. The owner, manager and staff do an excellent job. Only one person commented that they haven’t always received a warm welcome. A health visitor was observed visiting the home at the inspection visit to provide treatment to a patient. One resident was observed to have fresh dressings on their leg. A chiropodist visits the home every six weeks and in discussion with a member of staff they reported that treatments are done in residents own rooms or in the lounge with screening to ensure privacy. Medication was stored safely and records of medication administration were accurate. Medication is received into the home monthly and is dispensed by the pharmacist into a blister pack system, which should ensure safe practices and reduce mistakes being made in the administration of medication. Several staff are delegated to administer medication and have had the relevant training. The home is in receipt of controlled drugs and these are stored appropriately and records are double signed We received 12 resident comment cards and all indicated that residents felt they had their privacy respected. Staff were observed knocking on peoples doors and interacting with residents in a warm a friendly manner. Merrydale DS0000062066.V326869.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 & 15 Quality in this outcome area is good. Resident’s are able to choose their lifestyle, social activity and keep in contact with family and friends. Recreational activities generally meet with resident’s expectations with only three not being satisfied. Resident’s receive a healthy, varied diet according to their assessed requirement and choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home provides residents with a wide range of activities, which includes arts/crafts, holistic therapy massage, quiz, karaoke, gentle exercise and several types of musical entertainment. There are usually two activities to choose from a day. At the inspection visit a female singer with a guitar was observed entertaining the residents and day care visitors in the afternoon and everyone was enjoying the session with some joining in the singing. It was noted that the residents and cay care visitors interact with each other and in discussion with the manger they Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 13 reported that the residents have a great deal of pleasure from people coming in to the home from outside and have made and established friendships. Resident’s activities and hobbies are written in their care plans and they can choose whether to join in or not. Written feedback from nine residents indicated that they were satisified with the activities provided at the home with three being unsatisfied, as the activities might not suit their interests all of the time. There are no restrictions on visiting times and residents can see their visitors in the privacy of their own rooms. In discussion with the manager they reported that the staff uphold residents rights to refuse to see visitors. Details of this are written in residents care plans. One resident was observed going out for the day with a relative. A mobile hairdresser also visits the home and residents can choose to use their services. With regards to religious observation details of peoples individual religious background and spiritual needs are recorded in their care plan. A priest who gives communion visits one resident regularly. In discussion with the staff they stated that nobody is currently going out to church but would be supported if they wanted to. In discussion with the manager they reported that residents could retire and awake as they wish. Three bedrooms were viewed and all contained some items of resident furniture from their previous home and rooms were personalised to reflect their individualism. All residents are included on the electoral register and some have a postal vote whilst others visit the polling booths. The home has a set menu, which is displayed in the reception and in the lounge to inform residents of what is available on each day. An alternative is offered if resident s do not like the menu. It was observed that the majority of residents ate in the dining room at lunchtime and that the mealtime was relaxed. The meat was plated up and an, assortment of vegetables were available on each dining table and residents were waited upon by the staff. Of the 12 comment cards received nine residents stated they liked the meals provided by the home whilst three were only sometimes satisfied. In general visitors felt that the meals provided were satisfactory with only one having concerns about the choice at suppertime as it does not give a choice including Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 14 protein e.g.: soup and a roll or marmalade on toast. This person has not made a complaint to the manager and would be advised to do so to enable the home to rectify the situation. The home uses fresh produce in preference to frozen and processed foods and fresh fruit was available in a fruit bowl and could be accessed by residents as they wished. Merrydale DS0000062066.V326869.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 & 18 Quality in this outcome area is good. Residents have access to a robust, effective complaints procedure, are protected from abuse and have their legal rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure, which is written in the homes service user guide of which there is a copy available in the reception area. In feed back from residents they have told us that they have no complaints about the service they receive and the majority of them know how to complain. Information sent back to us from visitors also indicated that relatives and friends are also happy with the service provided at the home. In discussion with the manager they reported that they had received one complaint since the last inspection which was made by a person using the day care provision and that the matter was investigated and partially substantiated however the outcome was that residents did not feel the same way about the matter and wished for things to remain the same. The home does well to safeguard residents from abuse, neglect and self-harm. The home has an adult protection policy and procedure, which is easily available for staff to access. Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 16 In discussion with three staff they were able to demonstrate that they could recognise abusive practice and all new the procedure to follow. Details provided in the pre-inspection questionnaire sent prior to the inspection visit indicates that thirteen staff including the manager have undertaken adult protection training. The home has a copy of the Department Of Health “No Secrets” Guidance. Residents are encouraged to manage their own finances however the home does have some personal allowances in safe-keeping and systems are in place to protect residents from financial abuse. There have been three allegations made since the last inspection, which have been dealt with using the homes adult abuse procedures. All residents consulted said they feel safe in the home. Merrydale DS0000062066.V326869.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 & 26 Quality in this outcome area is good. The physical design and layout of the home enables residents to live in a safe, well-maintained and generally comfortable environment except for one ground floor room which can get stuffy in the hot weather. The layout of the home encourages resident’s independence of movement. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A partial tour of the premises was undertaken and included three residents bedrooms and all communal areas. The home is well laid out and residents are able to access all areas independently. Most of the bedroom accommodation is provided on the ground floor with several bedrooms being on the first floor, these were, accessed by stairs. The home is not equipped with stair lifts or a lift. Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 18 All areas of the home were clean and the furnishings and decoration provided a very homely and comfortable environment. Residents are able to bring items of furniture from their own homes and bring their personal possessions. We observed that the home has two cats, which can come and go as they please. In discussion with one resident they stated that their bedroom becomes very hot stuffy in the hot weather and they have to prop their door open to get ventilation. The room has a patio door and is not fitted with a window although there is a ventilator in the en-suite. This matter was discussed with the manager who reported that the home, were aware of the difficulties and that a self-closing door mechanism had been ordered to enable the resident to prop their door open safely. The resident has also been offered an alternative room but has chosen to remain were they are. A fan was observed to be in the room to circulate the air. The gardens were well -maintained and free from hazards and provided a pleasant sitting out area for those resident’s who enjoy to, sit out in better weather. The laundry is sited away from food preparation areas and has an impermeable floor covering. Residents clothing is marked with initials to prevent people from wearing the wrong clothes. The washing machine has a disinfection programme to kill harmful bacteria. The home provides staff with protective wear to help to minimise the spread of infection. It was observed that resident’s commodes are washed and soaked in a bathroom, this matter was discussed with three staff and they confirmed that this bathroom, is not used by residents and therefore there is no risk of spread of infection. All staff had been trained in infection control and the home has an infection control policy. The home was described as clean by residents and visitors. Merrydale DS0000062066.V326869.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 & 30 Quality in this outcome area is good. Staff in the home are trained, skilled and employed in sufficient numbers to fill the aims of the home and meet the changing needs of residents. Recruitment procedures are generally robust however since the last inspection the manager has employed two staff from overseas without having fully determined whether they were safe to work with vulnerable adults. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager supplied CSCI with a copy of the staff roster prior to the inspection visit, which indicated that the home supplies sufficient staff on duty to meet the care needs of the residents, however at the inspection visit is was observed that care staff were providing support to the day care visitors. This arrangement could lead to residents having to wait for their care needs to be met and this would not be acceptable. The matter was discussed with the manager who agrees to make provision for a designated member of staff to take care of the day care visitors. Information provided in the visitor comment cards returned indicated that six relatives felt that there are sufficient staff on duty with two having know knowledge of the matter and one believing numbers were not sufficient. Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 20 Evidence provided in the pre-inspection questionnaire indicated that the home has met the governments target at 50 of the staff team have now completed the National Vocational Qualification (NVQ) in care at level 2 or above. In discussion with the manager they reported that two additional staff are undertaking NVQ training and that the deputy is currently doing NVQ at level 4. Only one staff file was available for inspection. The manager explained the proprietor keeps them at home due to previous breaches in confidentiality at the home in the past. The inspector arranged a second visit to the home and looked at three additional staff files. There was evidence in one file that the manager had followed recruitment procedures and the recruitment had been robust. In respect of two staff, which had come from overseas, there was evidence of criminal bureau (CRB) checks from their country of origin but no CRB or Protection of Vulnerable Adult (POVA) checks done in this country. In discussion with the manager they reported that they had consulted with the umbrella agency who does these checks on behalf of the home they were told that CRB’s, couldn’t be done until a person has been in the country for over a year. It was explained to the manager that this is not the case as people could have visited Britain on holidays or worked here before and may not declare this if they have anything to hide. The manager has agreed to send off CRB disclosure forms and obtain POVA’s for both these staff and will not make this mistake in future. Information received prior to the inspection visit indicated that staff, have received training over the past twelve months and in discussion with staff they confirmed that they had undertaken training. There was evidence seen that twelve staff had undertaken adult protection awareness training in 2006. The majority of training is provided in house and the home also provides training through the IOW college and a private training company. As from April 2006 the manager has begun to implement the skills for care induction course for new staff. Merrydale DS0000062066.V326869.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 & 38 Quality in this outcome area is good. The management and administration of the home is based on openness and respect and has an effective quality assurance, which is being developed by a qualified and competent manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has many years experience of caring for older people and held a deputy post in a residential care home prior to working at Merrydale. Since taking up the post of manager the manager has registered with CSCI and has also completed the NVQ at level 4 in management. Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 22 In discussion with residents several commented that the service had improved since the new manager had been in post. In discussion with staff they reported that they do not receive formal supervision. This standard was not being audited as part of this inspection but as the, matter was raised by staff it would be a good practice recommendation for the manager to implement supervision at least eight weekly. The manager has developed quality assurance questionnaires for the residents and those people that use day care services. They are also planning to develop a questionnaire for stakeholders. At present there is a questionnaire/comment book available in reception. It was noted that there were several cards pinned in the book from relatives complementing the home. Residents meetings are held every eight weeks and their views are taken in to consideration and acted upon were possible. The home prefers residents to manage their own finances however there is provision to safeguard residents monies and valuables. The manager reported that they are currently responsible for the safekeeping of four residents monies. All monies are kept individually and a record of transactions is taken and receipts are kept to maintain an audit trail of people’s monies to ensure that they are protected from financial abuse. One residents monies was counted and checked against records and was accurate. The manager ensures that staff adhere to heath and safety procedures within the home buy setting an example and providing mandatory training which includes health & safety in the workplace, food hygiene, manual handling, fire safety and infection control. The home has a locked storage facility for substances considered hazardous to health (COSHH) and a COSHH risk assessment had been undertaken. The manager has undertaken a generic risk-assessment of potential hazards throughout the home and has taken action to minimise or eliminate these hazards. In discussion with two staff they demonstrated that they knew the homes fire procedures and would know what action to take in the event of a fire. The manager ensures that boilers and central heating systems are serviced regularly. Portable electric appliances are checked annually. All accidents, injuries and illness or communicable diseases are recorded and those of a serious nature are reported to CSCI. Safety procedures are posted around the home and a generic risk assessment of potential hazards has been completed and risks have been minimised. Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 23 Merrydale DS0000062066.V326869.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 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 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 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 Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? 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 OP36 Good Practice Recommendations The manager should ensure that all care staff receive formal supervision at least eight weekly to provide them with support and opportunities to raise issues in a formal setting. Merrydale DS0000062066.V326869.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Merrydale DS0000062066.V326869.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. 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