Inspection on 28/07/05 for Moorhaven

This inspection was carried out on 28th July 2005.

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

Moorhaven 12/11/08

Moorhaven 14/11/06

Moorhaven 03/11/05

Moorhaven 30/09/04

Moorhaven 20/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Moorhaven Normandy Drive Taunton Somerset TA1 2JT Lead Inspector Caroline Baker Announced 28 July 2005 th 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 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. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Moorhaven Address Normandy Drive, Taunton, Somerset, TA1 2JT Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01823 331524 01823 323529 Somerset Care Ltd Diane Allen Personal Care Home only 50 Category(ies) of Old age (50) registration, with number of places Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: One named person under the age of 65 years. Date of last inspection 30th September 2004 Brief Description of the Service: Moorhaven is a Care Home owned by Somerset Care Ltd. It is situated in a convenient residential area in Taunton, Somerset. The home is within walking distance of local amenities and not far from the town centre. It is purpose built on one level, apart from four rooms on the first floor for which there is a passenger lift for access. Moorhaven is well adapted for its purpose allowing easy access to all areas for wheelchair users. It is registered with the Commission for Social Care Inspection (CSCI) to provide personal care for up to 50 service users over the age of 65yrs. It is not registered to provide nursing care. The registered manager is Diane Allen. Moorhaven has been accredited with Somerset County Council for Quality Rating. The Home also provides day care and community meals. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The last inspection was unannounced and took place on 30th September 2004. At that inspection two requirements were identified and two recommendations were made. This announced inspection took place over one day from 08:50 (6 hours) and was conducted by two inspectors Caroline Baker and Kathy McCluskey. At the time of this inspection the requirements identified had been complied with and one recommendation had been actioned. Forty-eight service users were residing at the home and one was in hospital. Staffing levels were adequate. An assessment of the premises took place where a selection of bedrooms and communal areas were seen. At least eighteen service users were spoken with and one relative. Dianne Allen, registered manager, and her deputy Sue Hawkins, were available throughout the inspection. Throughout the day the inspectors were able to observe interactions between staff and service users. Records relating to the care of the service users, staff and health and safety were examined. The inspectors would like to thank service users and staff for their time and help during the inspection. What the service does well: Moorhaven provides a well-maintained, secure and comfortable environment, which is furnished and decorated to a high standard. It meets the needs of the current client group. Service users were observed using all communal areas and appeared comfortable and relaxed in their environment. Service users spoken to stated that they liked their bedrooms and were happy and felt safe at the home. The service users had helped to plant and maintain the new courtyard garden. It was very pleasant and well maintained. A good range of activities are provided to suit all individual service users. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 6 Service users were well attired and looked well cared for on the day of inspection. Service users praised the food. A good choice of wholesome food is provided. Service users praised the staff. Some comments received from service users included: “they will do anything for you here” and “they are all kind and helpful” and “you can’t fault this place” Relatives spoken to indicated their satisfaction at the provision of care at the home. Comments received from GP’s through CSCI surveys included: ‘staff all show genuine personal commitment to residents – it remains a very good home’. Staffing numbers and the skill mix of staff were sufficient to meet the dependency needs of current service users on the day of inspection. Staff spoken with stated that they felt well supported and happy working at the home. Staff training was well documented and the provision of training for staff was very good. Staff were polite and looked professional. The cleanliness of the home was very good at the time of this inspection. What has improved since the last inspection? What they could do better: The sluice is in need of refurbishment for infection control, the manager agreed to action this. It is understood that two new sluices will be installed this year as part of the new build. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 7 The home must not accept “To Whom it May Concern” references. These could be false putting service users at risk of harm. A requirement has been made. A medication issue raised at the last inspection was identified again at this inspection resulting in a requirement. Overall a very positive inspection ensuring outcomes for service users are good. The inspectors remain satisfied that the home is suitable for its stated purpose. 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. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, and 5. NMS 6 does not apply to this home. Service users are provided with the information they need to enable them to make an informed choice about moving to the home. The home was able to demonstrate that service users are fully assessed prior to admission to ensure their needs can be met. Once the choice is made service users are issued with terms and conditions of stay. The home is able to introduce prospective service users to the home prior to admission. EVIDENCE: The home had a current Statement of Purpose for service users and visitors to access. All service users are given a copy of a Service User Guide as part of their contract. Service users spoken with at inspection confirmed this and the Statement of Purpose had been signed by relatives as seen. The Certificate of Registration was displayed. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 10 Evidence was seen in the care plans sampled that pre-admission assessments had been gained to ensure the home could meet the individual service users needs. Terms and conditions of stay were sampled as part of the case tracking process. They had been signed as agreed, by the individual service user. Other files had contracts between social services and the home. Service users are able to visit the home at any time prior to admission. A day service can be provided to give them a flavour of the home when a full assessment would take place. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, and 10. The home’s care planning system demonstrated that care plans were kept under constant review. Evidence was seen that service users agreed with their written care plan. Service users have access to health care professionals expertise to meet their individual needs. The homes procedures in regard to the receipt, administration, recording and disposal of medications were generally good. Service users were treated with kindness and respect. EVIDENCE: Seven individual service users care plans were examined and the individual service users were met as part of a case tracking process. Individual care needs plans were detailed and covered all aspects of daily living needs. They reflected clear actions to be taken by care staff to assist with or deliver the care. All care plans reflected current individual care needs. Generic, falls, pressure sore, nutritional and manual handling risk assessments were in place. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 12 Pressure relieving equipment and District Nurse (DN) input was available when required. All service users were registered with a GP. Health checks were up to date and prescribed medication was reviewed at least annually. Access to a dentist and optician and chiropody was available and service users spoken to confirmed this. Assessments can be completed by Somerset Care’s own Occupational Therapist for individual service users as necessary. Service users were weighed on a monthly basis and records were seen within the care records examined, which reflected the type of scales used. The receipt, recording, administration, storage and disposal of medications were examined. At the last inspection it was noted that variable dose amounts given had not always been reflected and unfortunately on at least five occasions they had not been at this inspection. This could potentially put service users at risk of harm, as staff would not be able to identify how much of the medication had been given previously. Therefore a requirement has been made that the amount of variable doses be reflected at all times under Regulation 13(2). Service users were treated and addressed appropriately by staff. Care plans reflected preferred names. Service users can lock their bedroom doors from the inside if they wish for extra privacy, and staff would be able to access the rooms from outside in an emergency. Staff were seen and heard to knock on doors before entering service users rooms. Service users spoken to and comment cards received by the CSCI indicated that the staff always treated them well. They indicated that they felt well cared for, liked living at the home, that the staff treated them with kindness and that their privacy was respected. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. Service users benefit from a range of activities provided by the home to suit their individual choices and needs. The home is open to visitors at any time and encourages service users to access the local community. Service users individual choices and needs dictate the routine of the home. Service users are offered a choice of nutritious well-balanced menus promoting their health and well being. EVIDENCE: Comment cards received by the CSCI and service users spoken to during the inspection indicated that the provision of activities at the home was very good. Service users were seen playing a ‘beetle game’ during the morning of the inspection. Some told the inspectors about a bar-b-que they had in the new courtyard garden and a garden fete recently. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 14 Some service users were reading, others watching TV, some were knitting and others undertaking craftwork. One service user had recently fulfilled their lifetime ambition of flying and had been taken up in a tiger moth. One service user stated “there is always something going on”. The atmosphere at the home was relaxed and happy. At the time of this inspection there was a sunflower competition going on where service users had planted a sunflower and the tallest will be the winner. The home has an activities co-coordinator to plan with the service users their chosen activities. Each service user had an individual record of social activities they had joined in with evidencing that all service users have a chance to join in. The home has a visitor’s book, which indicated many visitors to the home at varying times. Service users told the inspector that their families and friends were made welcome at the home. A relative spoken to stated the same. It was evident through comments received from service users that they had a choice of daily living. “I am able to please myself here” one stated. Times of getting up and going to bed were reflected in the individual service users care plans sampled. It was pleasing to note that service users had been given a choice of meal. Many spoken to knew what they were having for lunch. All of the service users spoken to stated that the food was always good. The daily menu was displayed on a notice board and menus looked well balanced and nutritious. Dining room tables looked pleasant and were laid to a high standard. Hot and cold drinks were available throughout the day. Each unit at the home has a kitchenette where service users were seen making drinks and helping themselves to biscuits. This encourages and helps to allow service users to maintain their independence. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17, and 18. A complaints procedure is made available to service users to allow them to raise any concerns. Service users were given the opportunity to exercise their rights. Appropriate steps were being taken to reduce the risk of harm or abuse to service users. EVIDENCE: The complaints procedure is found within the statement of purpose, and Service Users Guide, which is given to each service user. It is displayed on the home notice board and is named ‘Seeking Your Views’. All service users spoken to stated that they had no complaints and would know whom to talk to if they did. The home had received many compliments from satisfied service users and their relatives. A complaints record is kept and the home had not received any complaints since the last inspection. The CSCI had not received any against the home. All staff before commencing employment at the home had a POVAFirst check as part of an enhanced CRB disclosure for the protection of vulnerable service users at the home. Four recruitment files sampled evidenced this. All service users are registered to vote in local elections either by post or by being taken to the local polling station. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 and 26. Service users live in a homely, well maintained, clean environment where they can enjoy the privacy of their own bedrooms or socialise in a variety of communal areas. EVIDENCE: At the time of this inspection the home was well maintained. Decoration and furnishings were to a high standard and gave a homely feel. Ongoing refurbishment of corridors and rooms to include en-suites has enhanced the overall environment. At least seventeen rooms had been totally refurbished and had en-suites incorporated in the past 12 months to benefit the individual service users. The home complied with the requirements of the local Fire Department and Environmental Health (EVH) Office. The grounds were well maintained and accessible to wheelchair users. Service users had been actively involved in the new courtyard garden where fresh vegetables were grown, a herb garden and an abundance of flowers. Car parking space had been increased since the last inspection. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 17 Communal space comprises of a large lounge and several sitting areas and small lounges throughout the home. The dining room is going to be extended as part of the new build and more communal space will be added. Service users were seen using many areas of the home during the inspection. On assessment of at least eleven of the fifty bedrooms it was noted that they were furnished and decorated to a high standard. They were personal to the individual service user, homely and clean. Service users and relatives spoken to at the inspection were pleased with their rooms. As part of the new build three more bedrooms were being built at the front of the home. The CSCI will monitor the new build and the home understands that the rooms cannot be used until registration takes place. A passenger lift has been installed on the ground floor to access the rooms on the first floor, which have been increased to four from three since the last inspection. A bedroom on the ground floor had been used to create an en-suite to an existing room and a cleaning cupboard therefore bed numbers had not increased. Areas downstairs are easily accessible to wheelchair users. Aids, hoists, assisted baths and toilets are available to meet the needs of the service user. A further assisted bath had been added since the last inspection. Thermostatic valves were fitted to hot water outlets. Bath hot water outlets tested randomly at inspection registered within safe limits. Thermometers were available in bathrooms and records of hot water temperatures maintained. Emergency lighting is available throughout the home and was regularly checked and serviced according to records. The areas assessed by the inspectors on the day of inspection were clean and tidy without any malodour. Service users spoken to commented on how they thought their clothes were well laundered. Hand washing facilities are available for staff in appropriate areas. Alcohol gel was observed for staff use in rooms where personal care is provided. As discussed the sluice needs attention to the rusty bin and flooring. It is understood that two new sluices will be completed this year. Window restriction was discussed at this inspection New windows installed are restricted to ½ inch which appears overly restrictive. Health and safety guidelines states 100mm (based on NHS guidance) this is approx 4 inches. It was agreed that this will be discussed with the company property manager. As discussed and taking all other service users into consideration, risk assessments can be used during exceptional circumstances should windows need to be open during hot weather. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 The home’s recruitment procedures for staff were generally robust – one issue was raised. The numbers and skill mix of staff were appropriate to meet the needs of current service users. Staff morale was good. EVIDENCE: Duty rotas were recorded and reflected the staff on duty at the time of the inspection. Copies were sent to the inspector as part of the inspection process. Service users and staff spoken to at inspection commented on how they felt the home was adequately staffed. The homes own bank relief staff had been used to cover any shortfalls. At the time of this inspection 48 service users were residing at the home and one was in hospital. The home appeared adequately staffed at the time of the inspection. Staff training at the home is on a rolling programme and includes, for example, mental health awareness training, abuse awareness, risk assessing, NVQ 2 and 3 in care and health and safety training which includes: • • • • Manual handling Infection control First Aid Basis and Advanced Food Hygiene D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 19 Moorhaven • And Fire Awareness training. 70.8 of staff had gained an NVQ in care, which exceeds the standard. Staff spoken to confirmed the training they had received. Staff appeared relaxed and happy on the day of inspection and told the inspector that they enjoyed working at the home and felt well supported, with good training opportunities available. Service users complimented the staff group. Four staff recruitment files were examined. All documents required under Schedule 2 of the Care Home Regulations 2001 were available, however in two cases “To Whom it May Concern” references were filed and as discussed must not be accepted as they could potentially be false, putting service users at risk. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36, 37 and 38. The registered manager and her deputy effectively manage the home. The home is committed to staff training. Service users views on the conduct of the home are actively sought. The systems in place for ensuring the health and safety of service users and staff were good. EVIDENCE: Diane Allen is the Registered Manager. She is an experienced home manager and was available to help with the inspection process confidently. An experienced deputy, Sue Hawkins, supports her. SCL Area Manager, Mrs Marion Osborne, who visits monthly and undertakes the Regulation 26 visit, supports the management team. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 21 It was evident having spoken to staff and service users on the day of inspection, that the manager communicates a clear sense of direction, and leads the staff in a way that they understand. Action had been taken within agreed timescales to requirements identified in the last CSCI inspection report. implement the Service users and visitors were made aware of the inspection by a poster being displayed on the main front door. The CSCI apologises for the reflection of the wrong day, which was amended by the manager. Service user surveys had been distributed in May 2005 and returned for auditing. These enable the manager to act on any concerns raised. All were very complimentary of the homes provision of care. Staff had formal supervision and records were seen. The remaining records seen at inspection were up to date and in line with current legislation. The home displayed a current Employers Liability Insurance certificate. There was no evidence seen to suggest that the home was not financially viable. All service histories were current. The fire records were examined, the home conducts weekly fire checks the last recorded check was on 26/07/05 The emergency lighting and fire equipment was last serviced on the 09/10/04. Emergency lighting was tested on a weekly basis. The Electrical Hard Wiring was checked 20/12/04 Gas servicing was completed on 05/05/05. In-house Legionella checks had been carried out on 25/07/05. Records indicated that staff attended regular fire training. There were a total of 50 accidents recorded since April 2005. Accidents had been analysed and records kept of action taken and a result of the action taken, which is very good practise, in helping to prevent falls. COSHH records were maintained. There have been two deaths at the home in the past 12 months. The home has informed the CSCI of any serious incidents. The kitchen was clean and well organised and records required by legislation were up to date. The kitchen flooring, which had been renewed in 2004, was deteriorating and the cook told the inspector that it was going to be replaced. This will be followed up at the next inspection. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x 3 3 3 3 Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 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. 1. Standard OP9 Regulation 13(2) Timescale for action The amount of variable dose 28 July medication given must always be 2005 reflected on the Medication Administration Record. Written references To Whom it 28 July May Concern must not be 2005 accepted. Requirement 2. OP29 19 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 Good Practice Recommendations There were no recommendations made. Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: 0845 015 0120 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 Moorhaven D53-D02 S16063 Moorhaven V231995 280705 Stage 4.doc Version 1.30 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. 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!