Inspection on 21/06/07 for Michaelstowe Residential Home

This inspection was carried out on 21st June 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

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

CARE HOMES FOR OLDER PEOPLE Michaelstowe Residential Home 211 Ridgeway Plympton Plymouth Devon PL7 2HP Lead Inspector Kim Fowler Unannounced Inspection 21st June 2007 10:00 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 Michaelstowe Residential Home DS0000069110.V337024.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. Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Michaelstowe Residential Home Address 211 Ridgeway Plympton Plymouth Devon PL7 2HP 01752 339096 01752 344733 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) South West Residential Homes Ltd Maria Golden Care Home 24 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (24), of places Physical disability over 65 years of age (24) Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New Service Brief Description of the Service: Michaelstowe is a detached property situated in the residential area of Plympton, within close proximity to The Ridgeway Shopping Centre. Michaelstowe has recently been purchased by Mr Alan Beale of South West Residential Homes Ltd. The home is registered to provide residential accommodation and personal care for a maximum of 24 people over the age of 65, who may also have dementia or a physical disability. The home offers all single bedrooms with en-suite facilities, a large lounge room, a second lounge and dining room combined on the ground floor, and a further dining room situated on the lower ground floor. The home offers two-assisted bathrooms and an assisted shower room. A shaft lift provides access to all floors, with a stair lift providing further access to the first floor of the older part of the building. There is a call bell system throughout the home. Residents are enabled to access any health or social care services they require and various social activities are arranged by the home. Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 1 day and started at 9.20am and finished at 4.40pm. The registered manager Maria Golden was available throughout the inspection. The inspector made a tour of the building and spoke to most of the residents. Documentation relating to the care planning process and the management of the home were examined. Prior to the inspection, resident comment cards had been sent to the care home to allow residents to comment upon their experiences. Three cards were returned as well as three relative, two professional and five staff comment card were also received. Any comments are in the relevant section of the report. What the service does well: What has improved since the last inspection? What they could do better: Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 6 The Proprietor must implement his intended programme of refurbishment upgrading the internal and external parts of the home. This will continue to improve the environment in which service users live. The staff levels should be looked at based on the current needs of the service users and the lay out of the home therefore providing service users with adequate staff support at all times. 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. Michaelstowe Residential Home DS0000069110.V337024.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 Michaelstowe Residential Home DS0000069110.V337024.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that a full assessment will be completed before admission to ensure the home can meet their individual needs. EVIDENCE: The homes Statement of Purpose and Service Users Guide have both been update to including the details of the new owner. This includes the number of bedrooms and the facilities available. The manager confirmed that all service users have contract available and these documents were available. One service users contract was not on their file and the manager confirmed that some service users contracts are in the process of being transferred from the previous owner. The missing service users contract was send to the inspector as evidence after the inspection was completed. Service users files examination showed that each of the service users files contained a completed pre admission assessments and the manager confirmed Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 9 that she visits the service user to complete these were possible. Some of the files examined also contained the placing authority care plans to support the pre admission assessments. Each service user is invited to the home for visits before moving in. One service user recently admitted to the home informed the inspector that they thought they had received information about the home and had assisted in the completion of an assessment to inform staff of their needs. Two relatives also stated that they were aware another relative had received information about the home and believed that this relative had been invited for a visited before their relative had moved in. Both the service users survey returned ticked yes when asked if they had received enough information about the home before you moved in. These documents are important for prospective service users to assure them that not only can their health care needs be met but also their emotional, social, cultural or religious needs. Michaelstowe does not offer Intermediate Care. Michaelstowe Residential Home DS0000069110.V337024.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. This judgement has been made using available evidence including a visit to this service. The personal and social care needs of the people living at the home are being met and service users are treated with respect. Medication practices are safe. EVIDENCE: Of the six service users files examined all had individual care plans in place and each contained information on care needs and how the home would meet these needs. This included a record of what each service users daily needs are and what tasks need to be carried out. Evidence was recorded that care plans are updated regularly. These care plans give detailed instructions to all staff to ensure intimate personal care is being provided in a manner that meets with that service users approval. All service users have access to all health care services and this information was recorded onto the service users care plan and the designated District Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 11 Nurse files held in individual bedrooms. Information was recorded on service users files that there was input from other professionals including GP’s, chiropodist and the mental health team when needed. Some service users had visited consultants based at the local hospital. The District Nurse was spoken with during the inspection and stated that the blood sugar levels are not consistently recorded as requested. The District Nurse felt some of these issues were due to the number of staff on duty and the lack of communication at times with the home and the District Nurse team. Case tracking on one service users file showed that the blood sugar levels recording held gaps when the form states daily recordings to be taken. The manager stated that records of blood sugar levels are at times recorded in daily records and would look at the record and review the system currently in place. Some service users were able to say that they had a General Practitioner and had recently seen a GP who would visit the home if requested. Some said that they had attended surgery appointments and also confirmed that a chiropodist and optician visit the home. The Commission received two feedback surveys from Health Professionals. On one feedback card was the comment, “ We are not always informed when someone injury themselves” and went onto say under the what the service does well “They are good at palliative care following the District Nurse support and instructions”. Two service users comment card under the, do you receive the medical support you need ticked always and one relative wrote “A pressure sore was dealt with promptly and was better in two weeks”. One service user interviewed during the inspection confirmed a dentist appointment for that day and that staff would be attending this appointment with them. One relative feedback survey wrote, “ When mum needs have got greater all new care requirements are met as and when they arise in a quick and professional manner” and went onto say “They do a really good job”. The home uses the blister pack system for medication and one staff member confirmed that had undertaken medication training. Some staff members were spoken with about the medication procedure and it was evident from this discussion that these staff members were aware of the policy and procedure for handling, administrating and recording medication. Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 12 The manager discussed with the inspector the procedure for the dispensing of the controlled medication and there was a clear audit trail for all medication held at the home. A staff member was observed giving out medication and it was evident that this staff member had taken onboard their responsibility of the administration of medication. Medication is not kept in stock, and the homes drug cupboard is suitable for the needs of the home. A discussion was held on the staff signing the medication records sheets if service users had refused medication. Case tracking showed that this information was recorded onto individual daily records and on the medical administration records sheets. Most the service users living at the home were spoken with. And those who were able to confirmed that the staff treat them with respect and protect their privacy and dignity at all times. During the inspection staff were seen knocking on service users doors. Staff also ensure service users receive treatment from the District Nurse or GP in private. The inspector spoke to two family members of one service user. The family said that the home had assisted their relative to settle in and the service user confirmed that the staff had been supportive. One service user said, “Staff look after me well and always close the bedroom door when helping me”. Michaelstowe Residential Home DS0000069110.V337024.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 service users at Michaelstowe can be confident that the home offers good wholesome meals. The home welcomes and encourages families and friends to visit. EVIDENCE: The home now employs a staff member to be the homes activities coordinator. There is a notice displayed on the homes notice board showing what activities are arranged and future dates. The home also has a designated activities file and evidence was recorded on the activities undertaken and included aromatherapy, music and exercise. The activities co-ordinator was spoken with and confirmed that they are given a budget to purchase entertainment and has plans to arrange a coach trip. One service user spoken with confirmed that the home had recently had some people in the home singing and playing music. Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 14 One staff member wrote on a returned survey under what the care home does really well wrote, “Activities, Sing-a-longs and trips. A relative survey recorded, “Notices are on a wall to inform you of entertainment”. The inspector spoke to two visitors during the inspection and they confirmed they are able to visit their relative at any reasonable time. One relative survey returned wrote “Visitors welcome”. One service user spoken with said they receive visits from friends all the time. None of the service users currently living at the home are able to manage their own finances themselves. The manager confirmed that many have family members who do this for them. The home only holds petty cash for each service user. One service user said they have some money on them but their relative manages their money for them. All bedrooms contained personal possessions and all rooms are single to allow visits in private. There are also several small lounge areas available if needed. During discussion with the service users about food they said it was “sometimes very good”, “very nice”, “Not always to my liking but I do have a choice”. Most of the service users who were able to made positive comments about the food provided. The menus were displayed for the service users and two of the cooks were spoken with during the inspection and one confirmed that the increase in the food budget since the new owners had taken over was excellent and that the food on offer was “much improved” and a staff member said, “Food is better”. The meal observed being served at lunchtime was evidence that it was home cooked using fresh products. The meal was well presented and freshly prepared. One staff member felt that the day cook should prepare the evening meal as the care staff on duty were then responsible for this task leaving the home one care staff short to work with service users. The manager said that she would review this. All three service users comment card ticked always when asked if they liked the meals in the house. A relative wrote “good food” when asked what the home does well. Michaelstowe Residential Home DS0000069110.V337024.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 service users can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home. EVIDENCE: The home has a complaints procedure displayed on the homes notice board and recorded into the Service Users Guide. The AQAA returned to the Commission states that ten complaints had been received by the home. Evidence was provided that these complaints are recorded into the homes designated complaints file and include details of the complaint, action taken and outcomes for each. The manager confirmed that all complaints had been satisfactorily dealt with. Many the service users were spoken with and some were aware of the homes complaints procedure and stated that they had never had any need to use it. One informed the inspector “ I would talk to the manager” and another said, “I would talk to the staff or my family but have never needed to complain”. Of the three service users questionnaires returned two ticked, Yes, when asked if they knew how to make a complaint and the other ticked “No”. Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 16 One relative questionnaire returned wrote under the, do you know how to make a complaint about the care provided by the home or agency, “I have a book which tells you the correct complaints procedure” and another said, “In three years I have never had cause to complain. We were given information on procedures if we had any complaints”. No adult protection issues have been raised by the home since the new owners have taken over. All of the staff members on duty were interviewed during this inspection. The discussion with these staff members confirmed that none had yet completed the adult protection training. The manager confirmed that the home has purchased a training package for the staff based on adult protection but this is yet to be arranged. The AQAA returned stated that what the home could do better was “Abuse Training”. The inspector recommended to the manager that the staff attend the local adult protection training to be aware of not just national policies but local policy. Michaelstowe Residential Home DS0000069110.V337024.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. This judgement has been made using available evidence including a visit to this service. The home has a programme to improve the environment to ensure service users will live in a homely safe environment. EVIDENCE: Michaelstowe is situated on a main road in a residential are and near local amenities including a shopping centre. A full tour of the premises was undertaken. This showed that the home is safe and suitable for its stated purpose. It is a comfortable, warm and light home. The registered provider has owned the home for 5months and has upgraded some areas and has plans to upgrade other areas and has made commitment to continue to improve the home when funding becomes available. One room was currently being upgraded during the inspection and the manager confirmed that one bedroom had a new carpet ordered and would be replaced. Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 18 Accessibility of the gardens is listed as planned improvements over the next 12 months in the homes AQAA returned to the Commission. The laundry facilities are sited separately and the home was clean, hygienic and free from offensive odours and the laundry facilities were suitable for its stated purpose also the washing machine has a sluice facility. The process for the removal of clinical waste was discussed and was satisfactory dealt with. One staff member confirmed they had completed infection control training and this course was provided by a DVD training package purchased by the owner. Staff confirmed that the home provided disposable aprons and gloves for their protection. One relative survey returned wrote under how do you think the care home can improve, “The home could do with some redecoration which the new owners have assured us they are going to do”. And another wrote “Homely atmosphere”. Michaelstowe Residential Home DS0000069110.V337024.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. Ongoing staff training is encouraged enabling service users to receive the best possible service. EVIDENCE: All the staff on duty were interviewed during this inspection and many felt that there were insufficient staff on duty. On arrival at the inspection there were three care staff on duty with 21 service users. Many have dementia and some currently requiring extra support due to deteriorating of health. Staff stated that at times one service user requires two staff in attendance therefore leaving only one staff member to observe and care for the remaining service users over a home that lay out is over three floors. One service user and a District Nurse also raised concerns about the staffing levels in the home. One staff survey returned wrote, “ Not enough care staff to cover shifts”. A professional feedback card returned stated, “ To have extra cover so someone can always be in the lounge or on the ground level 24/7”. Another comment from a professional survey was “I have always been concerned that the communal lounge is very often full of service users but no carer observing or on the ground level”. Both the manager and the new owner spoke to the inspector about staffing levels and both stated that these levels were being looked at based on the Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 20 current needs on the service users living in the home. The manager also stated that the staffing structure was being looked at to allow more flexibility for the care hours needed. The staff were observed throughout the inspection to be patient and helpful when assisting the service users. All staff interviewed confirmed that they either held an NVQ or had recently started this qualification. All six staff files examined contained the required pre-employment checks, including Criminal Record Bureau Disclosures, ensuring as far as possible unsuitable staff are not employed. The home has introduced a Skills for Care induction package for all new staff. A staff member employed two weeks ago had a part completed Induction programme held on their file as evidence. The new owner has introduced several new training packages based on inhouse DVD training. Several staff member confirmed that the recent training undertaken was Manual Handling and Dementia training. The manager confirmed that the home had recently purchased a training package on Infection control. The staff interviewed on the day of the inspection stated, “The training is much improved” and “I now have the opportunity to do an NVQ qualification”. Another said, “I have started an NVQ and getting support to complete this”. The Commission received five staff member surveys. Comments included on the surveys were, “Has introduced a lot of training”. Professional survey wrote, “ All care staff are now having training regularly since new management. They do have experienced more mature carers”. The service users interview as part of the inspection made positive comments about the staff and included, “Staff are wonderful”, staff are helpful”. Michaelstowe Residential Home DS0000069110.V337024.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): 31/33/35/36/38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are now better protected because the home has a manager who is registered with the Commission and has developed systems that monitor practice and compliance and focuses on service users safety. EVIDENCE: The home now has a manager who is qualified and registered with the Commission. Maria Golden has been in post since the new owner purchased the home and came from another home owned by the owner. The manager has a NVQ 3 & 4 in care and has worked in the care professional for 20years. The manager is currently undertaking the Registered Manager’s award providing evidence that the manager continues with her own personal development. Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 22 One relative comment card wrote, “New manager Maria has settled well and has given the home its friendly atmosphere again”. All the staff on duty during the inspection were interviewed and some of the comments received included, “ I inform her of things but feel they are brushed aside” and another said, “ Its good to have a manager full time and she is very nice and flexible”. Many of the staff agreed that the manager was approachable and one service user spoken with also stated that, “I meet with Maria and have more opportunities to discuss things”. One professional said “Its good to have a manager in place”. Many service users and staff all agreed that the since the new owner had taken over many things had improved. However several staff members, professional and service users stated that they do not see the new owner much. One service user said, “ Haven’t really seen them” and a staff member said, “ He comes in but does not normally talk to the staff or the service users”. One professional feedback card under how do you think the care service can improve wrote, “To appreciate staff”. A discussion was held with the manager on quality assurance. The manager confirmed that these had been completed in May 07. The results are currently being looked at and the feedback will be given to service users at the next service users meeting booked for later this month. The completed forms were provided as evidence and recorded onto these forms were, “ Excellent care received”. Service users money was checked and found to be correct. The home only holds a small amount of petty cash for most service users. The records are clear and show expenditure and receipts are provided. The manager confirmed that one service user holds their own money with input from the family. All staff interviewed confirmed that supervision is now taking place and has been regular and evidence was provided of recorded supervision sessions. The home now employs a maintenance person to carry out day-to-day repairs. Sampling of records indicated most equipment is serviced and the manager confirmed that the home is waiting for a maintenance contract for the gas boiler to be arranged to provide regularly servicing. Health and Safety is a priority in the home and the records that were examined showed fire safety training and fire protection is in place. However the last few weekly fire alarm testing had not been carried out and the manager confirmed that this would be dealt with immediately. The accident records were accurate and files examined showed that information is recorded onto accident forms and also written into service users daily records with appropriate action taken when needed. Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 23 One professional feedback card under what do you feel the care service does well wrote, “Copes with behaviour problems exhibited by residents with dementia”. Michaelstowe Residential Home DS0000069110.V337024.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 3 3 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 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 3 X 3 Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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 2 Refer to Standard OP19 OP27 Good Practice Recommendations The new owner should continue with the refurbishment work needed to provide the service users with a safe and secure environment. The owner should review the staffing level based on the needs of the service users and the layout of the home to ensure service users are adequately supported at all times. Michaelstowe Residential Home DS0000069110.V337024.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Michaelstowe Residential Home DS0000069110.V337024.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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