Inspection on 04/12/07 for Merwood Rest Home

This inspection was carried out on 4th December 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

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 Merwood Rest Home 310 Queens Promenade Bispham Blackpool Lancashire FY2 9AD Lead Inspector Mrs Ruth Edgington Unannounced Inspection 4th December 2007 09:20 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 Merwood Rest Home DS0000070259.V351460.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. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Merwood Rest Home Address 310 Queens Promenade Bispham Blackpool Lancashire FY2 9AD 01253 352221 01253 351034 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) Mrs Minacsi Boodhoo Mr Suraj Prakash Boodhoo Post Vacant Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - Code PC To service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is 16. Date of last inspection New Service Brief Description of the Service: The Merwood is registered to provide personal care for a maximum of 16 residents of either sex whose primary care needs are those of old age. The home is a detached property situated on the promenade at Bispham, very close to local shops and amenities. The accommodation comprises of 14 single bedrooms and one double room, all of which have en-suite facilities. The home has sufficient communal toilets and bathing facilities to meet the needs of the residents. There are two large lounges and a very pleasant dining room. A passenger lift provides easy access to the first, ground and lower ground floor. Ramps are situated at the front and rear of the home enabling residents and visitors to enter and exit the home safely. The home has a Statement of Purpose and Service User Guide containing information about the care provided, the qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. A copy of the Service User Guide is issued to all prospective residents and their relatives/representatives to help them make an informed choice about whether to move into the home. Residents are also informed that a copy of the Statement of Purpose and the last inspection report from the Commission of Social Care Inspection (CSCI) are available for them to read. The range of fees at the home are £291.41 to £455.00 covering all aspects of care, food and accommodation. The homeowners provided this information during the visit on the 4th December 2007. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first Key Inspection undertaken since the new owners purchased the home in August 2007. An unannounced site visit was undertaken as part of the Key Inspection and commenced at 9.20am on 4th December 2007 and took place over 5.30 hours. Every year the registered person is asked to provide us with written information about the quality of the service they provide and to make an assessment of the quality of their service. This information, in part, has been used to focus our inspection activity and is included in this report. Comments cards were sent out to six of the residents, their relatives and any persons who had significant dealings with these residents. In total three health care professional, four relatives, five residents and two staff returned the questionnaires, which provided their views of about the service. During the visit four residents and four members of staff were spoken to individually. A tour of the home was carried out, during which a number of residents were also spoken to. A random selection of residents, staff and administrative records were looked at and discussions took place with the owners of the home. From observations made, comments received and written documentation examined, the information has been put together to produce this report. One of the owners has taken on the role of manager to ensure that needs of the residents and staff are met the in day to day running of the home What the service does well: Through discussions with the owners and staff, evidence was gained of their commitment to ensuring that they develop and maintain a quality service for the benefit of the residents as a group and as individuals. Positive comments were received from the residents about the care that they receive and the staff. One resident commented, “This is an excellent home, which I would recommend to anyone”. Other residents spoken to said that the staff were very kind and that the food was good. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 6 Comments received from health care professionals were positive. One said, “They allow the residents to lead as independent life as possible”. Another commented that they recognise the need for additional training if required to ensure that individual needs are met. The relatives of one resident said that all the staff were very helpful and that the individual resident was delighted with the standards they maintain. Comments from staff confirmed that they were happy in their job and felt supported. One staff member said “I am happy in my work place and always have job satisfaction at the end of a shift”. Over 50 of care staff have achieved a recognised qualification ensuring that residents are cared for by a competent staff group. There was a very good atmosphere in the home, staff and residents were very relaxed and friendly, which ensures a comfortable environment in which the wishes, expectations and needs of the residents can be met. What has improved since the last inspection? What they could do better: Through the AQAA (Annual Quality Assurance Assessment) documentation that the owner/manager had completed, evidence was gained that in a very short period of time they had identified areas of improvement and had begun to work through these in order to ensure that the residents receive an excellent service. Comments received from staff indicated that they felt that although the new owners had undergone a difficult period during the time that they had been at the home, these difficulties were being overcome and improvements were being made for the benefit of the residents to ensure that their needs were fully met. The recruitment procedures in the home must be followed correctly to ensure that residents are not potentially placed at risk. The owner/manager should continue to work towards acquiring the required qualifications for the benefit of the service. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 7 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. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 8 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 Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures are clear to ensure that the care needs of residents are met. EVIDENCE: As part of the admission process prospective residents are encouraged to visit the home if possible in order to see for themselves the service and facilities available. A visit is also made to the prospective resident’s home or where they are at that time, to undertake a pre-admission assessment. During this process as much information as possible is obtained from the prospective resident and their relatives about their needs to ensure that should they choose to come into the home their assessed needs can be met. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 10 The records of two residents who had recently been admitted were looked at in detail and were found to contain full assessment information that had been obtained prior to admission, therefore ensuring that the home could meet their assessed needs. The information included the physical, emotional, dietary, religious and cultural needs of the individual. Evidence was also seen of confirmation in writing that their assessed needs could be met by the care and services provided in the home. Comments received from a care professional confirmed that the assessment arrangements ensured that accurate information was gathered to enable the correct service to be planned for the resident concerned. From observations made and comments received during the visit, evidence was found that the staff were well aware of the needs of the individual residents on admission in order that they could meet their needs. This home does not provide intermediate care. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 11 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. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously, resident’s welfare is closely monitored and health needs were met. EVIDENCE: Examination of the two residents’ records that had been selected to be looked at in detail were found to contain sufficient information to ensure that their health, personal and social care needs were met. The individual care plans had been developed with the involvement of the resident and where required their relatives and any other relevant individual. The residents had signed to acknowledge that they understood and agreed with the plan of care to be provided. Risk assessments were included which identified the level of risk and the intervention required by the staff. In the case of one resident the position of their bed was identified as being a risk factor in relation to falls, therefore the bed was repositioned in their room to prevent any injuries from occurring. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 12 Significant events were recorded and daily entries made of the care given. Evidence was seen of involvement of health care professionals, one of the residents was due to go into hospital very soon and this was well documented. A health care professional stated that “They monitor the residents progress and highlight any concerns as necessary with the correct health professional or agency and maintain residents’ privacy and dignity”. Evidence was available to confirm that care plans are reviewed monthly to ensure that the needs of the individual residents continue to be met by the care provided. Observations were made during the visit of the caring attitude of the staff and how they assisted the residents with their personal care, ensuring that their right to privacy and respect was upheld. One resident commented, “I am satisfied with the care and treatment I am receiving”. Comments received from a relative included, “We cannot speak highly enough of the care received, the staff show genuine affection and we know that our relative gets the best care available”. Since taking over the home the owners have acquired the services of a new chemist who is assisting them to update their medication policies and procedures. A new system of administering medication has been implemented, which the owners and staff felt ensured the safe administration of medication. All staff had been made aware of the medication policies and procedures already in place and training had previously been given to those who administer the medication. Arrangements have been made with the chemist for all care staff to undertake training and this was due to commence the day following the visit to ensure that the residents are protected and that their needs are met. Examination of the medication records confirmed that these were correct, up to date and medication was kept secure in a locked cabinet. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 &15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The social activities and meals are both well managed, creative and provide variation and interest for people living in the home. EVIDENCE: Information recorded on each resident’s file includes reference to their preferences, interest, social, religious and cultural needs, all of which assists the staff in ensuring that individual needs are identified and met. Comments were received from a number of residents indicating that they did not wish to join in any activities in the home, whilst other comments received from residents and relatives prior to the visit, indicated that they felt that there was not enough going on in the home. One relative stated, “There does not seen to be enough interaction with the residents, nothing going on”. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 14 In the main the residents accommodated in the home had previously preferred not to join in activities, however with new residents coming into the home this situation had changed. A meeting was held with the residents to discuss what they wanted to do, which resulted in activities being arranged daily for those who wish to participate. Evidence of the activities organised was seen during the visit and also documentation was seen of what activities individual residents had undertaken. Staff spoken to confirmed that more emphasis was being put on encouraging residents to join in activities of their choice. One said, “More time is now allowed to interact with people and more activities are being arranged”. Residents also confirmed that staff were spending more time with them. Every week a sherry and wine evening is to be held to encourage residents to stay up later in the evenings and socialise, if they wish. From comments and observations made, confirmation was gained that the home promoted equality by treating residents as individuals and ensuring people with diverse needs were having these met. One resident, who on previous visits had made it very obvious by their actions that they did not want to talk to me, was very talkative and happy to join in the visit. This resident said that things had changed and that they were very happy with the changes made. Residents said that they had regular visitors who were made welcome. One relative visiting at the time was greeted warmly by the owners and said that they were hopeful that the resident was going to decide to remain permanently and they thanked the owners for all their help and attention. New catering staff have been employed recently and through discussions with the owners and the cook on duty at the time, evidence was gained that the standard of food provided to the residents remained very good. The cook spoken to confirmed that they were in the process of reviewing the menus and that they had sufficient information about residents’ individual likes and dislikes to enable them to provide a balanced, nutritional diet for all. Comments received from residents confirmed that they enjoyed their meals. One resident said “Very good food, excellent”. The dining room is of an exceptionally high standard and provides a congenial setting in which meals can be taken in a relaxed manner. Merwood Rest Home DS0000070259.V351460.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. This judgement has been made using available evidence including a visit to this service. The arrangements in place for handling complaints ensure that people feel confident that their complaints will be listened to, taken seriously and they will be protected at all times. EVIDENCE: The home has a detailed complaints procedure, which is included in the Service Users Guide given to all residents on admission to the home. Residents spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. The comments received from relatives confirmed that they were aware of who to speak to if they had any concerns. When new owners take over a home there can be a period when people feel unsettled and wary of change and with this in mind the owners confirmed that they had tried to make as few changes as possible during this time. However we did receive two complaints, one of which was dealt with under the Safeguarding Adults Procedures and another was sent to the owners to look into. The outcome from both complaints was that they were not substantiated and no further action was necessary. Confirmation was received that where concerns had been raised in the home, they were acted upon immediately and meetings held with the individuals and Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 16 if necessary their relatives to ensure that situations were resolved to every ones satisfaction. A new format of logging concerns raised has been developed for staff to use to ensure that appropriate action is taken to protect the residents at all times. Through discussions evidence was gained that the staff have a good understanding of the procedures to be followed in the event of any allegation or suspicion of abuse or neglect. Staff confirmed that they had covered this issue during their NVQ (National Vocational Qualification) training and evidence was seen that others had attended specific training on abuse and how to identify any possible incidents. Merwood Rest Home DS0000070259.V351460.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 excellent. This judgement has been made using available evidence including a visit to this service. The homes maintenance and renewal programme for the redecoration and refurbishment of the home ensures that residents continue to live in a comfortable, homely, clean and safe environment. EVIDENCE: The new owners have maintained the high standards in the home, which was found to be, warm, clean, safe, and free from any offensive odours. All bedrooms except for one are for single occupation and all have ensuite toilet facilities. Bedrooms were seen to be very much individualised by personal possessions and equipped to meet individual needs. There are sufficient toilet and bathing facilities around the home to meet the needs of the residents. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 18 Aids are made available when required to assist the staff with caring for the residents and also to encourage independence wherever possible. A passenger lift provides access between the lower ground, the ground and first floor. In the short period of time since taking over the home the owners have made a number of improvements. Door-guards have been fitted to the communal area doors to enable them to be left open so that residents do not have to negotiate heavy doors when going around the home. These guards are sensitive to the fire alarms and release automatically in the event of the fire alarms being activated. At the rear of the home the attention has been given to the reducing the slope at the back door to improve access for residents with mobility problems. Handrails have also been erected in the garden area. Preparations have been completed for the installation of a sun house in the rear garden so that residents can further enjoy the well maintained private garden area. Comments received prior to the visit confirmed that residents are provided with a safe and comfortable environment. One relative stated, “ They get what I class as a clean home”. Another said,“ Never any smells, which I think is remarkable”. Merwood Rest Home DS0000070259.V351460.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. This judgement has been made using available evidence including a visit to this service. The deployment of trained and competent staff throughout the day is sufficient to meet the needs of the residents. EVIDENCE: In the short period of time since taking over the home the owners have experienced a number of staff changes, which resulted for a time in a reduction in staff numbers. This has now been resolved and a number of new staff have commenced employment who have fitted into the staff team well. From their comments made during the visit evidence was gained that they were eager to undertake any training that benefit the residents and ensure that their needs continue to be met. The records of three new staff members were looked at in detail. Two were found to contain all the information required, however in the case of one member of staff although two references had been requested only one written reference had been received before they commenced work. Confirmation was gained that a verbal reference had been received before the member of staff started work and that a request would be made for confirmation in writing of the suitability of this person, to ensure that the home’s procedures are robust and that residents are protected form potential harm. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 20 The staff members spoken to during the visit confirmed that they had been given sufficient information and support to enable them to undertake their role for the benefit of the residents. They also said that they felt that there were sufficient staff to meet the needs of the residents presently accommodated. Staff confirmed that they were clear about their role and worked as a team to ensure that the individual and collective needs of the residents were met. Comments were received from staff who had worked in the home for a number of years, who felt that improvements had been made. One stated, “ I feel that the residents are being care for and their needs attended to with empathy” Positive comments were received during the visit from residents, one said, “The staff are helpful and there is always someone to help if I need it”. Information received showed that of the seven care staff employed, five have achieved NVQ level 2 or above. The owners were in the process of arranging more training for staff to ensure that residents continued to be cared for by a competent and qualified work force. Merwood Rest Home DS0000070259.V351460.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. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the residents. EVIDENCE: The new owners took over the home in August 2007 and are both very involved in the day-to-day running of the home. Mrs Boodhoo, who is carrying out the role of manager, has over seven years experience assisting and managing homes for people with learning disabilities most of whom were elderly. Confirmation was given during the visit that she is to undertake training to acquire the management qualification required of any person in day-to-day control. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 22 Prior to the visit the owner/manager completed the AQAA (Annual Quality Assurance Assessment) document in a very detailed and professional manner, which clearly showed that in a very short space of time they had identified what they did well and how they felt that they could improve the service for the benefit of the residents. Quality assurance systems are in place to gather the views of residents and visitors. These included regular staff meetings, residents meetings and resident surveys. Action is taken immediately that any issues are identified, to ensure the satisfaction of the resident and their relatives with the service provided. It was confirmed that the outcomes of the surveys questionnaires were to be made available to residents and relatives and any other interested party Records are kept in relation to residents’ finances and these are well maintained ensuring that the residents’ interests are safeguarded. Inspection of maintenance records confirmed that facilities and equipment were being maintained as required by health and safety legislation to provide a safe environment for residents and staff. The policies and procedures in the home also ensure that the health, safety and welfare of the residents and staff are promoted and protected. Policies are in place relating to issues of Equality and Diversity and the owners confirmed that they had received the new guidelines. Confirmation was also given that these were to be discussed with staff to ensure that everyone followed the principals in the care practices being carried out in order that all residents continued to receive equal treatment and access the same resources without favouritism or discrimination. The home presently holds the IIP (Investors in People) Award, which is an external quality award that demonstrates the owner’s commitment to staff training and development and it was confirmed that a reassessment was due very soon to ensure that the home continues to meet the standard required for the benefit of the residents. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 x x x x x x 4 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x x 3 Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NA STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP29 Regulation 19 Requirement Two written references must be obtained before any person commences working in the care home in order to ensure that only suitable people are employed at the home. Timescale for action 31/01/08 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 OP31 Good Practice Recommendations The person in day to day control of the home should obtain the required management qualifications to ensure that the home is managed by a competent and qualified person. Merwood Rest Home DS0000070259.V351460.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Merwood Rest Home DS0000070259.V351460.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. 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. 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