Inspection on 28/11/06 for Monument House Resource Centre

This inspection was carried out on 28th November 2006.

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

Monument House Resource Centre 09/02/06

Monument House Resource Centre 10/06/05

Monument House Resource Centre 01/09/04

Monument House Resource Centre 21/06/04

Monument House Resource Centre 19/02/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Monument House Resource Centre Wakefield Housing & Social Care The Circle Chequerfield Pontefract WF8 2AY Lead Inspector Elizabeth Hendry Key Unannounced Inspection 28th November 2006 08:10 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 Monument House Resource Centre DS0000032906.V313949.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. Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Monument House Resource Centre Address Wakefield Housing & Social Care The Circle Chequerfield Pontefract WF8 2AY 01977 722830 01977 722833 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.wakefield.gov.uk Wakefield MDC Ms Gina Milne Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The care staffing hours are calculated by the provider using the Residential Forum staffing model and the number of full time equivalent staff appointed is in accordance with this calculation or otherwise as agreed in writing with the CSCI. 9th February 2006 Date of last inspection Brief Description of the Service: The overall aim of the Monument House Resource Centre is to provide a joined up service between health and social services, to promote faster recovery from illness, prevent unnecessary acute hospital admissions, support timely discharge and maximise independent living. Monument House offers a short stay in an environment where the staff can work with residents to find out what care arrangements will suit them best. The manager, care staff and therapy staff encourage people to practice daily activities to improve their confidence and ability to manage at home. These activities may include walking and exercise, domestic and daily living skills, personal care and hobbies and leisure activities. The service aims to rebuild skills and confidence so that people can return home and continue to live independently. People usually stay for a period of no longer than six weeks. At the time of this inspection, no weekly fees were payable by the residents who are in receipt of rehabilitation services. Monument House has a Service User Guide which provides information about the range of services for existing and prospective residents. Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s annual inspection which took place on an unannounced basis between 08.10 am and 1.30 pm. As part of this inspection, CSCI have had contact with the following people – service users, their relatives, the service provider, staff members, social workers and GPs. During the site visit records, observations and discussions with both residents and staff, were undertaken. Fourteen service user questionnaires were sent out. At the time of writing this report, ten had been returned. In writing this report, information and evidence was not only obtained by way of visiting and looking around the home but information and evidence was obtained from notifications sent to the CSCI since the last key inspection in January 2006, questionnaires, and the last inspection report. The inspection has concluded that residents’ needs, both personal and recreational, are met. Residents reside in a relaxed and informal homely environment. The inspector would like to thank the service users, manager, assistant manager and staff for their hospitality and patient co-operation throughout the inspection. What the service does well: Of those service users spoken with, all spoke highly of all members of staff commenting that nothing is ever too much trouble. Staff members observed showed a clear understanding as to the individual needs and abilities of each service user and the manner in which their care should be provided. Throughout the inspection staff were seen to communicate effectively with all service users whilst maintaining their respect and dignity. Individual care plans and service user records seen are kept in good order with frequent reviews thus ensuring that any changing needs are always met. Support systems in place within the home ensure that both service users and members of staff have access to either a member of the care team or management to discuss any concerns as they may arise. Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 6 Monument house offers all service users a welcoming, relaxed and homely environment, which is maintained and furnished to a good standard. Only those service users whose rehabilitation needs can be met by the home are admitted. By working together, members of the care and therapy teams ensure service users’ rehabilitation needs are fully met. The systems and procedures followed by the staff at the home make sure that the healthcare needs of people are assessed and recorded, and opportunities are created to make sure these needs are met. The systems operated within the home promote and maintain people’s health and ensure that access to health care services meet assessed needs. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Monument House Resource Centre DS0000032906.V313949.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 Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users move into the home knowing that their needs will be fully met. Service users who are referred to the home for intermediate care are helped to maximise their independence. EVIDENCE: All service users at Monument House are admitted for a period of up to six weeks to undergo rehabilitation and access therapeutic services prior to returning home. Although these service users do not have a formal contract of permanent residence, each service user, or their representative, gives written consent to their admission into the home within individual care plans and Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 9 assessments. Each service user has access to a copy the home’s Service User Guide. A sample of four care plans were viewed, all were found to identify the personal care needs and abilities of each resident, and the methods in which care staff can meet these needs. The manager and assistant manager, spoken to during the site visit, confirmed that service user care plans are developed based on the pre-admission assessment undertaken by care management. Within forty-eight hours of admission into the home, each service user has a detailed plan of care. This care plan is compiled by a member of the management team or a senior carer and is reviewed on a regular basis. The home only admits those individuals who are deemed suitable and has a definite need for rehabilitation. The manager explained that the care manager’s assessment focuses on the following areas - personal care, mobility, communication, family involvement, medication, medical treatment, social and recreational interests. Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information of service users’ health, personal and social care needs are set out in an individual plan of care. Service users are protected by the home’s medication policies and procedures. Records viewed identified that service users’ health care needs are met. Service users are always cared for in a manner that maintains their dignity and affords respect. EVIDENCE: A sample of service user care plans were viewed, all were found to contain details relating to the circumstances surrounding their admission into the home, personal and social care needs, rehabilitation needs and goals. The manager spoke of holding regular multi-disciplinary meetings with consultants, Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 11 physiotherapists, occupational therapists and social workers to ensure that service users are receiving the level of support needed to aid their return home. Staff were observed clearly displaying knowledge of each individual service users’ needs. Two service users spoken with on the day of the visit had an awareness as to the contents of their care plan and confirmed that, should they wish to see the plan, staff would provide assistance. Of the service user questionnaires returned to CSCI, five indicated that they always receive the care and support required, three stated they usually do and one said they sometimes receive care and support they require. All ten questionnaires returned stated that staff are always or usually available when they are needed. Daily records contain sufficient information and are consistently completed detailing the individual’s activities for the day and staff observations. All of the service users spoken to at the site visit complimented the dedication of the care staff. One service user commented “you are always treated as an individual”. A sample of medication administration records were viewed and checked against drugs held within the home. Medication was found to be stored in accordance with the Royal Pharmaceutical Guidelines of Great Britain. A discussion took place with the manager regarding handwritten entries on medication records sheets. The registered manager spoke of experiencing some difficulty obtaining full medical histories from hospital teams when service users are discharged into the home. In the past this has led to the home having difficulty registering some service users with a local GP and ensuring their medication and healthcare needs are documented and addressed. During the site visit, the inspector observed the assistant manager contacting GPs and pharmacists to ensure a newly admitted service user had the correct medication and medical history in order for their healthcare needs to be met. Despite this taking a considerable period of time, the assistant manager persevered until they were satisfied that the home had all the information they needed. Of those service users spoken with, positive comments were given surrounding the standard of care given by members of staff and the positive and homely atmosphere within the home. Individual care plans and medical notes viewed indicated that any problems identified are quickly addressed. Throughout the site visit, staff were observed treating service users with respect and dignity whilst remaining positive and supportive. Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily life and activities within the home generally meet the needs of the service users. Discussions with service users described how, on the whole, the lifestyle they experienced within the home met their expectations and preferences and satisfied their social and religious interests and needs. Service users maintained contact with family and friends and members of the local community as they wished. Family and friends feel welcome and know that they can visit the home at any time Service users are encouraged and supported to exercise choice and control over their lives. Service users receive a varied and nutritious diet within a pleasant dining environment. Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 13 EVIDENCE: All service users are admitted into the home on a short term basis to receive rehabilitation in order to aid their return home, therefore activities are scheduled around these individual therapy sessions. There are a wide variety of activities available but, because of the short time service users are in the home, it is sometimes difficult to ensure that everyone’s choices can be fully accommodated. Discussions with service users described how, on the whole, the lifestyle they experienced within the home met their expectations and preferences and satisfied their social and religious interests and needs. At the time of the site visit, some service users were participating in a quiz, watching television and chatting with one another. The assistant manager spoke of staff assisting service users to participate in regular daily activities. Evidence of service users’ personal preferences being sought in relation to activities and interests were clearly documented within each individual care plan. Within those care plans sampled, individual interests had been clearly recorded. Within daily records, reference had been made to what activities had been undertaken. Of the ten service user questionnaires returned, 3 stated that there were always activities arranged in the home that they can participate in, 3 said there were sometimes activities and 2 said they preferred not to participate. Many service users were sitting within the communal lounges chatting to one another. Staff members were very busy on the day of the site visit, however they were observed being very responsive to residents when anything was asked of them. Throughout the site visit, service users’ family and friends were visiting. Fourteen relative questionnaires were sent out and of the 4 returned to CSCI at the time of writing this report, all indicated that they were made to feel welcome in the home and that they are able to visit with their relative in private if they wished to do so. Discussions with service users were very complimentary about the food, confirming a wide range of choice with all meals being tasty and of a good quality. Staff confirmed that snacks and drinks are available throughout the day. Menus showed careful planning and indicated choices available for each meal. Nine service user questionnaires identified meals were always or usually to their taste. Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 14 The dining room provides a welcoming and pleasing environment in which service users can enjoy a leisurely meal. Fixtures and fittings are of good quality and domestic in nature. Dining tables had been arranged in a layout that encourages small groups of service users to converse during mealtimes. Due to the nature of the service, service users are encouraged to eat all meals within the dining room, however, should service users express a wish to eat elsewhere, this can be arranged. Staff were observed offering the same level of choices to each service user regardless of their ability or levels of need. Monument House Resource Centre DS0000032906.V313949.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 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 and relatives can be confident that their complaints would be listened to and acted upon. The service has a complaints policy that is up to date, clearly written and easy to understand. Current arrangements within the home ensure that service users are protected from abuse. The home provides all staff with adequate adult protection training and staff are made aware of the in-house procedures to follow should they suspect any abuse at the home. EVIDENCE: The home uses the Wakefield Metropolitan District Council complaints policy and procedure. The procedure is clearly written, easy to understand and is available in a number of different formats. Each service user is given a copy of this procedure upon admission into the home within their Service User Guide. Of the ten service user questionnaires returned to CSCI, all stated that they were aware of the home’s complaints procedure should they wish to use it. Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 16 Information received prior to the site visit identified that there had been one formal complaint made to the home since the last inspection. The home’s complaints book viewed during the site visit confirmed this. This complaint was seen to be recorded, investigated and responded to appropriately. Staff training files indicated that all staff are given basic training in adult protection on commencement of their employment; additional training is available once this has been identified within individual development plans. The manager confirmed that there is a senior member of staff on at all times to provide support should this be required. Of those staff spoken to, all were aware of the procedure to follow and how to contact Social Care Direct should they need to report possible incidences. At the time of writing this report, the home did not have any ongoing adult protection alerts. Enhanced criminal records and POVA checks were in place within all of the staff files sampled during the site visit. Monument House Resource Centre DS0000032906.V313949.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is good, providing service users with an attractive and homely place to live. Infection control measures are in place which promote the wellbeing and health of both service users and staff. EVIDENCE: On the day of the visit, a tour of the home was undertaken. A good standard of decoration and furnishing was found throughout the home. The majority of fixtures and fittings were domestic in nature and of a good quality. Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 18 The assistant manager explained that all service users are given the choice of where to sit when not taking part in therapies. The home has three good sized communal areas and a smoking lounge. The manager spoke of having a current vacancy for a maintenance person within the home and that they would hopefully have someone in post in the New Year. All service users spoken to said that their bedrooms were comfortable and that they had everything they needed. Feedback from ten questionnaires identified the home as being “always” fresh and clean. On the day of the site visit the home was found to be clean and tidy, no offensive odours were present. Monument House Resource Centre DS0000032906.V313949.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs are sufficiently met by the numbers and skill mix of staff. Service users’ health and safety is protected. Service users are fully protected by the home’s recruitment policy and practices. Staff are sufficiently trained and competent to do their jobs. EVIDENCE: Good levels of staff were on duty during the site visit, staff rotas sent to CSCI indicated that good levels of staff were on duty at all times to ensure service users’ needs could be fully met. All of the service users spoken to commented on the staff’s patience and understanding and were very complimentary of all members of the care and management teams. Service user questionnaires returned to CSCI indicated Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 20 that staff always listen and act on what they say and that they always or usually are available when they are needed. Staff were observed interacting well with all service users and, despite being very busy, were seen to take a proactive role with regards to meeting individual requests in both personal care and leisure activities. A copy of the home’s recruitment policy was viewed and found to contain methods for ensuring equal opportunities during the recruitment process. The home stores all recruitment information electronically, all the required documentation was found to be in place relating to the references and checks on staff working within the home. The manager and assistant manager spoke of the home’s recruitment procedure and induction process. Records viewed confirmed that these policies are always adhered to. Four staff files were inspected on a sample basis. Enhanced criminal records bureau checks and POVA First checks were in place for all four members of staff. Information received prior to the site visit indicated that the home has a positive approach to supporting and encouraging care staff to achieve an NVQ level 2 in Care. Throughout the site visit, staff were observed approaching residents in a respectful manner. Of those staff files sampled, all contained evidence that regular supervision is undertaken. Details of identified training needs and personal development requirements are also formally discussed and recorded on a regular basis. A wide variety of training courses are accessed on a regular basis to ensure the changing needs of service users are fully met. Qualified health care professionals based within the home are not employed directly by WMDC but by the Health Trust and therefore no records relating to them were seen. Staff spoken to said that they just need to ask and additional support is given from both the management team and colleagues. Monument House Resource Centre DS0000032906.V313949.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home is good and records are well managed. The manager is supported well by the assistant managers in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. Quality assurance procedures within the home ensure the home runs in the best interests of the service users. The health, safety and welfare of service users and staff are promoted and protected. Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 22 EVIDENCE: The home places a high priority on ensuring quality care for all residents. In addition to the annual inspection from CSCI, the home undertakes monthly quality audits. The manager is supported by two assistant managers who play an active role within the home. They are aware of the in house procedures and how the home runs on a daily basis. Should the need arise, they are able to act up in the manager’s absence. The manager has a clear understanding as to the goings on within the home, service users spoke of the manager being a very friendly and approachable person who likes to get involved. The manager spoke of having an open door policy for staff and service users to discuss personal issues and worries. Staff confirmed that the manager and assistant managers are approachable, understanding and that they actively encourage their personal development. A discussion took place with regards to the qualifications of the registered manager. Records are generally well maintained, accurate and regularly reviewed. No financial records relating to both the home and the residents’ finances were inspected on this occasion, however no incidents surrounding the management of residents’ monies has been reported to CSCI. Health and safety certificates viewed identified a consistent and responsible outlook being placed upon service users’ well being within the home by the management team. Records viewed, and information received prior to the site visit, indicated that regular fire safety checks are carried out and electrical appliances are tested annually. Training records identified all staff undertake health and safety training as part of their induction process, with updates as required. Service user risk assessments are clear and concise, giving staff clear instructions to ensure the safety of the individual and themselves. Of those sampled, all showed evidence of regular review with any changes being recorded. The home has made adequate provision for the removal of clinical waste from the home. Monument House Resource Centre DS0000032906.V313949.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 3 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 2 X 3 X 3 X X 3 Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP31 Good Practice Recommendations The registered manager should undertake and achieve the NVQ Level 4 in management and care Monument House Resource Centre DS0000032906.V313949.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Monument House Resource Centre DS0000032906.V313949.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!