Inspection on 14/08/07 for Montague Street Care Home

This inspection was carried out on 14th August 2007.

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

The inspector 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

Montague Street Care Home 25/10/06

Montague Street Care Home 02/11/05

Montague Street Care Home 19/07/05

Montague Street Care Home 15/02/05

Montague Street Care Home 10/01/05

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Montague Street Care Home 28-30 Montague Street Mansfield Nottinghamshire NG18 2PN Lead Inspector Karmon Hawley Unannounced Inspection 14th August 2007 10:00 X10029.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 Montague Street Care Home DS0000008720.V340859.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 and Care Homes for Adults 18 – 65*. 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. Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Montague Street Care Home Address 28-30 Montague Street Mansfield Nottinghamshire NG18 2PN 01623 653 253 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.mencap.org.uk Royal Mencap Society vacant Care Home 12 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (12) of places Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users shall be within categories LD or LD(E) Date of last inspection 25th October 2006 Brief Description of the Service: 28/30 Montague Street is a care home providing personal care and accommodation for 12 adults with learning disabilities in two linked houses. Ages of current residents range from 48 to 86 years. The home is located in a residential area, close to shops, pubs, the post office and other amenities. The entrances provide level access. All bedrooms are single and located on two floors. A stair lift is provided in each house. There is a small patio providing an outdoor seating area, which is accessible by wheelchair users and there is a small car parking area. The fees for living at the home range from £343 - £708.34 per week. These fees do not include hairdressing or chiropody. All required information is made available on the point of initial enquiry. Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken by an inspector reviewing all the previous inspection records available, looking at information provided by the deputy manager about Montague Street and by undertaking a visit to the service with the inspector using a method called “case tracking.” “Case tracking” involves identifying individual service users who currently live at the home and tracking the experience of the care and support they have received during the time they have lived there. The inspector also checked that information provided by the manager matched individual experiences of service users living at the home by talking with them and observing the care received. Six service users were spoken with, all of them expressed that care was at a good standard and staff were very kind and attentive. General records maintained by the home were looked at to ensure these were maintained and provided positive outcomes for service users. Two members of staff were spoken with and were able to discuss service users needs and support required. What the service does well: What has improved since the last inspection? Improvements have taken place in regards to the medication policies and procedures and staff are now trained or are working towards training in the safe administration of medication ensuring service users are protected. Any incident that adversely affects the wellbeing or safety of a service user is now reported appropriately ensuring that service users are protected. A new hoist has been purchased to assist service users with mobility problems thus ensuring that they are transferred safely and comfortably. Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 6 The bath hoist has been upgraded to ensure service users now have more choice in bathing facilities. Ongoing redecoration and refurbishment takes place ensuring service users live in a comfortable and homely environment. Staff training has continued to improve to ensure staff are well trained and competent to carry out their job roles. 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. Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are assured that staff will assess their needs and that these will be met before they decide to move into the home. The service does not offer intermediate care. EVIDENCE: Appropriate staff visit prospective service users in the community to carry out a preadmission assessment, there was evidence of this taking place within plans of care observed. Prospective service users may also visit the home and spend time there before deciding to move in. Within one plan observed there was a specific support plan in place to help the service user to settle into the Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 9 home. One service user spoken with said that they had visited the home before they had decided to move there. The service does not offer intermediate services. Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users individual needs are met through the negotiation of the plan of care and from support offered by staff. Service users are protected by the service’s medication policies and procedures. EVIDENCE: Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 11 To ensure service users needs are met in depth plans of care are in place, these are written in the first person and express service users personal needs. Service users where able have signed their plans of care following negotiation with staff. Plans of care concentrated on service users strengths as well as the support required so that independence is maintained. Staff spoken with were able to discuss service users needs in depth and how they are supported to live a fulfilling and independent life as much as they are able. Service users spoken with expressed the following comments, “staff are very kind, they help me to get washed and dressed when I need it,” “staff are good and help me,” and “staff are really nice, I am settled here and can keep my independence.” There was evidence available within service users plans of care to show that they have access to specialist services such as the doctor, optician and dentist. One service user spoken with discussed how they had recently seen the doctor and said that staff had supported them through this time. Staff also support service users to access services in the community. The service has just brought a new hoist to assist those service users with mobility problems and upgraded the bath hoist so service users have more choice in bathing facilities. Service users medication records were checked against the prescription, these corresponded. The majority of staff have now undertaken or are undertaking training in the safe administration of medication and records in staff meeting minutes showed that discussion on good practice takes place on a regular basis. One service user who self-medicates had a relevant plan of care and risk assessment in place to support them appropriately. Service users spoken with said, “staff are very kind and treat me respectfully,” and “staff knock on my door before they come in.” Staff spoken with discussed how service users privacy and dignity are maintained whilst they are offering support in meeting their needs. Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff facilitate service users independence and enable them to live a fulfilling life. Service users are helped to make their own choices and decisions, which are respected by staff. EVIDENCE: Staff offer in house activities to service users such as bingo and arts and crafts, service users also occupy themselves and attend various day centres Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 13 and groups. One service user spoken with discussed how they were looking forward to their holiday that has been booked and another said they occupy themselves with various activities or sit in the garden when they do not go to the day centre. Both staff and service users stated that the routine of the home was flexible and service users may spend their time as they wish; service users were observed to move freely around the home throughout the visit. To ensure that service users maintain relevant contacts there are no restrictions on visiting and visitors may be received in private. Two service users spoken with said that their visitors come to see them on regular occasions and they are always made welcome. Staff also regularly support service users to visit the facilities in the local community and several service users attend various groups and clubs. Staff spoken with were able to discuss how they ensure that service users are treated as individuals and their rights and choices are maintained. There was evidence to confirm that this takes place within service users plans of care. Service users spoken with felt that they could make their own choices and staff knew what they liked. A weekly menu is followed, which is decided upon by service users at their meetings. Service users spoken with said, “the food is very good, I get plenty to eat,” “I enjoy it when we have a take away,” and “we can choose what we want, I can always go into the kitchen to help myself to drinks if I want to.” Appropriate risk assessments were in place to support service users who enter the kitchen. The meal on the day of the visit was appealing and wellpresented, service users who required assistance were offered support appropriately. Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know that their complaints will be listened to, taken seriously and acted up. Policies and procedures and a well-trained staff team ensure that service users are protected from abuse. EVIDENCE: An in depth policy which is presented in an easy read format is in place for dealing with complaints should these be received. Each service user has a copy of the policy in their individual service users guide. Staff spoken with were able to discuss how they would deal with a complaint should it be received. All service users spoken with expressed that they had no concerns or complaints, however if they did they felt comfortable speaking with staff about these. To ensure service users are protected from abuse staff are appropriately trained in this area. Staff spoken with were able to discuss what they would do if they suspected that abuse was occurring. Service users spoken with stated that “staff are very nice here, they help me,” “I feel safe and enjoy living here.” The Commission for Social Care Inspection and other appropriate Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 15 services such as social workers are informed of any incidents that adversely affect the health, safety and wellbeing of service users. Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a well-maintained and comfortable environment, which is clean and pleasant. EVIDENCE: There was evidence available to show that ongoing refurbishment and redecoration takes place. On the day of the visit new furniture for both lounges Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 17 was delivered. Staff stated that service users have a say in the redecoration and refurbishment of their rooms. The environmental health officer visited the home in February of this year and set three requirements with regards to the kitchen in house 28, the regional manager had responded to these issues and discussions are currently taking place with regards to refurbishment of this area. A housekeeper is employed who assists in ensuring service users live in a clean and comfortable environment. Service users are also enabled and supported to be responsible for the cleaning in the home. Several service users help wash the set the tables for meals and wash the pots following this. Appropriate risk assessments for all household tasks had been undertaken for those service users case tracked. Comments from service users were as follows; “I tidy my own room but staff help me if need it” and “I enjoy setting the tables at meal times and washing the pots afterwards.” Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well-trained and competent staff team support service users. Service users are protected by a thorough recruitment policy and procedure. EVIDENCE: The duty rotas showed that sufficient staff are available to meet service users needs and extra staff are made available when service users need additional one to one support. Staff spoken with confirmed this, however stated that on occasion they may work short if someone phones in sick and this could not be covered. This had occurred on the day of the inspection, however staff were observed to attend to service users needs appropriately and the atmosphere of the home remained relaxed. Service users spoken with said, “staff come and help me when needed, I do not have to wait long,” “staff come with me when I need to go out.” Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 19 To ensure that new staff are aware of their responsibilities and service users needs they undergo an induction programme. There was evidence of this taking place on the staff training rota. One staff member spoken with stated that they assist new staff during their induction period. Two members of staff have attained the National Vocational Qualification (a nationally recognised work and theory based qualification) level 3 and two are working towards this qualification. Four members of staff have attained level 2 and one is working towards this qualification. Demonstrating that staff are recruited safely four staff files contained all the required documentation such as references, proof of identity and a criminal record bureau check (a police check to see if an individual has a police caution or record) one member of staff spoken with confirmed that they had undergone this check. To show that staff are trained to meet service users needs a training matrix had been devised. Both compulsory training such as manual handling and fire safety and specialist training such as managing challenging behaviour had been undertaken. Staff spoken with said that they felt very supported by the management in their development and training was plentiful and at a high standard. Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are enabled to have a say in how the home is run. Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 21 A well-trained staff team and policies and procedures in place ensure that service users health, safety and welfare are promoted and protected. EVIDENCE: As the previous manager has been promoted a new acting manager is now in place. The acting manager has applied to the Commission for Social Care Inspection to become the registered manager. She has previous experience in this field and has completed the registered managers award. Staff spoken with said that the new acting manager was approachable and they felt that they were able to express their views. To ensure that service users have a say in the running of the home regular house meetings take place, there was evidence to show that service users had been involved in the planning of the menus. In addition to this annual questionnaires are sent to service users and relatives. To monitor the quality of the service the manager carries out monthly audits such as medication, care planning and the environment, should any areas of concern arise an action plan to address these is devised. One service user spoken with said that they felt that they could have a say in how things are run and what they do. To ensure that service users personal finances are safeguarded these may be kept in the service’s safe. Individual accounts are maintained and service users may access these at any time. Support plans were in place to ensure service users receive the correct amount of support and assistance require when dealing with their finances. One service user spoken with discussed how they access their money before they visit the town. To ensure that equipment and services supplied to the home are safe the gas and electrical certificate were seen; these showed that these had been tested accordingly. To promote good practices staff have received training in health and safety issues and staff meeting minutes confirmed that health and safety issues are discussed on a regular basis. During the brief tour of the home all areas were well maintained. Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 22 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 X 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 23 No 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. Refer to Standard Good Practice Recommendations Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. Montague Street Care Home DS0000008720.V340859.R01.S.doc Version 5.2 Page 25 - 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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