Inspection on 17/07/07 for Moorwood Cottage Care Centre

This inspection was carried out on 17th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Moorwood Cottage Care Centre 19/09/06

Moorwood Cottage Care Centre 16/05/06

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

CARE HOMES FOR OLDER PEOPLE Moorwood Cottage Care Centre 9 Valley Road Chandlers Ford Eastleigh Hampshire SO53 1GQ Lead Inspector Tracey Horne Unannounced Inspection 17th July 2007 09:30 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 Moorwood Cottage Care Centre DS0000066927.V341352.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. Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moorwood Cottage Care Centre Address 9 Valley Road Chandlers Ford Eastleigh Hampshire SO53 1GQ 02380 252547 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.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited ** Post Vacant *** Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (47) of places Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2007 Brief Description of the Service: Purchased from Ashbourne Healthcare in November 2005, Moorwood is one of a national group of care homes owned by Southern Cross Healthcare Limited, currently trading as Ashbourne (Eton) Limited, and is registered to accommodate up to forty-seven older people. The home can admit up to fortysix residents for nursing care and one for personal care only. Of the fortyseven residents that the home can admit, nine may be between the ages of fifty and sixty-four. The home is situated in a residential area in Chandlers Ford and is near to the local shops and amenities. The home has been extended and accommodation is on two floors offering three communal rooms, thirty-seven single and five shared bedrooms although several are not currently available for use. There is a stair/chair lift to one part of the first floor. The home has a large garden that is uneven in some areas and has an accessible pond, although steps to this area are currently fenced off for safety purposes. A raised patio area is accessible to the residents from the sitting room and there is a large car park at the front of the home. The manager advised that a copy of the statement of purpose and service user guide are made available in the reception area, although this area is not accessible to all residents. Mrs Croft confirmed the fees per week range from £335.23 - £650.00. Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards (NMS) and Regulations. The findings of this report are based on several different sources of evidence. These included: an unannounced visit to the home, which was carried out on the 17th July 2007 between 09.15 and 16.30, during which the inspector (Mrs Tracey Horne) had the opportunity to speak with residents and staff, view records and procedures and talk to Mrs Croft. Observations were made regarding the interaction between residents and staff and the care provided. The people living in the home prefer to be referred to as residents, therefore the rest of this report will reflect this. Mrs Croft returned the Annual Quality Assurance Assessment (AQAA) prior to this visit and the Commission for Social Care Inspection (CSCI) sent surveys to residents, relatives or staff. The findings of the surveys are included in this report. All regulatory activity since the last inspection was reviewed and taken into account including notifications sent to the CSCI. What the service does well: Residents said they liked living at the home and it has a relaxed atmosphere. The home is good at assessing if it can meet the needs of residents before they come to the home. Residents said that the activities provided by the home meet their needs. Staff said that they were supported and encouraged to obtain qualifications. One resident said they feel safe and comfortable at the home and their opinions are sought. Residents and staff said they have a good rapport with Mrs Croft and she runs the home in their best interests. Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: One requirement was made at this inspection and the manager is aware of the areas where further improvement is needed. Medication administration records sheets (MAR) must be completed to show accurate records of medication administered or reasons why prescribed medication was not administered. Menus need to be available for residents to see the food available. Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 7 Upgrade the laundry/sluicing facilities. The home are currently undergoing a recruitment campaign as the home has three full time equivalent care staff vacancies. 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. Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives have the information needed to choose the home that will meet their needs and have their needs assessed prior to receiving residential or respite care. EVIDENCE: Feedback from residents and relatives stated that they had received information from the home, which enabled them to decide that they wanted to visit the home to view the facilities and environment. One relative stated in their ‘have your say about CSCI survey: ‘I usually receive information about the home which enables decision making’. Three most recent pre admission assessment records were seen which had been signed by the resident, their relatives and Mrs Croft and were dated. Mrs Croft had visited the prospective resident to complete the home’s pre admission assessment before a place was offered at the home and said this Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 10 usually occurs in the residents home or whilst they are in hospital and may coinsides with a care manager assessment. This was to ensure the home could meet their individual needs before the placement being offered. The resident’s family were involved and provided further information. Mrs Croft said prospective residents and their families/ representatives are welcome to look around the home to see if the home would meet the individual’s needs. The pre admission assessments included a moving and handling assessment, medical history, allergies, history and risk of falls, equipment needed, personal care needs, personal preferences, medication and any anxieties etc. Mrs Croft said home provides single accommodation, for two people to receive respite care for a short period of time before they return to their home, or they are admitted into a permanent room if the resident wants to and is assessed as needing residential care. One resident who was receiving respite care said she recalled Mrs Croft visiting her to ask lots of questions and her relative looked around the home on her behalf. Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive health and personal cares based on their individual needs and are treated with dignity and respect whilst their privacy is maintained. EVIDENCE: One ‘Have your say about’ CSCI relative survey stated: ‘The home always meets the needs of their relative and always give support as agreed/expected.’ Three Care plans seen had been reviewed regularly and included the resident’s signature to show they had been consulted in the process and contained the information gathered during the pre admission assessment. Records showed residents had accessed a chiropodist and their Doctor. Trained nurses record daily any skin abnormalities (such as bruising) onto ‘body mapping’ records. Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 12 The medication procedure was observed and medication was stored securely in the home- this included controlled medication. It was well organised into individual sections for residents. Two staff confirmed that only trained nurses administer medication. Records of administration were not complete, three gaps were noted a requirement was made and Mrs Croft this will be discussed with the member of staff concerned during a supervision meeting. Records were also in place for controlled drugs and correct procedures, where sampled, had been followed. Staff confirmed that two trained nurses check controlled drugs twice a day. The inspector observed that staff were attentive, caring, respectful and they have a good understanding of each resident’s individual’s needs. Throughout the visit, staff were seen to knock on doors and wait before entering rooms and they spoke to residents in their preferred manner, as stated in their care plans, and were friendly but respectful. Staff said they are aware of the importance of dignity and respect, one staff stated, ‘I treat people as I wish to be treated’. Staff induction records showed that privacy and dignity and the provision of personal care are covered during the induction process, and the response from residents indicated that the carers treat them with dignity and respect and that they are trustworthy. Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise control over their lives, participate in social activities, receive visits from friends and relatives as they wish and enjoy a choice of meals served in a relaxed atmosphere. EVIDENCE: Residents felt they are able to exercise choice by participating in social activities if they wish, Resident’s preferences are identified during the assessment process, and this information is included in the individual’s care plan, therefore staff are aware of what residents like doing but not all records had been completed to show activities participated in. Mrs Croft said that one carer has additional responsibilities as the home’s activities coordinator to arrange various activities, during the inspection residents were chatting with staff (there was a carer in each of the communal areas with residents). Interviews are currently being held for an activities coordinator. All residents stated the activities matched their needs, and that staff respected their wishes to spend time on their own if they wanted to. Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 14 Mrs Croft said that the home meet individual’s cultural or religious interests every effort is made to accommodate these preferences. The home has an open visiting policy, this was evidenced by records of visitors to the home and confirmed by residents and relatives who stated they visit the home at different times of the day on a regular basis and are always welcomed. The home employs a cook who said everything is cooked and prepares is fresh, nothing is pre cooked. On the day of the inspection refreshments were offered throughout the day for residents, the lunch consisted of two choices of a main course and a dessert, followed by tea or coffee. Homemade cakes and tea were available mid afternoon. Supper consisted of another hot meal if residents wanted it, one resident said ‘I usually ask for soup and sandwiches’. Menus were not available to residents in the dining room, Mrs Croft said menus are being designed and will be displayed on each table in the dining room. All residents stated in their CSCI surveys that the meals were always very good. Mrs Croft said that the majority of residents prefer to eat in the dining room to socialise with one another. Mrs Croft said that she is upgrading the plastic beakers to glasses for residents to drink from. Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and staff are confident that their complaints will be listened to, taken seriously and acted upon. Staff have a good understanding of Adult Protection issues to fully protect residents from potential abuse. EVIDENCE: One relative ‘Have your say about’ CSCI survey: ‘Am aware of how to make a complaint and the home has always responded appropriately to concerns raised.’ Residents spoken with said that they were very aware of the complaints procedure, even though they have not had to use it. They said they would go straight to Mrs Croft if they had a concern or complaint and were confident that Mrs Croft would take their concerns seriously. Residents confirmed that the staff are very good and listen to them. Staff stated in their CSCI surveys that they were aware of the home’s complaint procedure which includes the address for the Commission and that all complaints will be dealt within twenty eight days. The complaint log was available which included sufficient detail to monitor complaints successfully. Mrs Croft completes monthly audits of complaints, regulation 37 notices and adult protection issued to monitor trends and progress. All staff who responded to the CSCI survey stated that they were aware of the correct procedures to follow if a disclosure of abuse was reported to them, and Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 16 they had received formal training in abuse awareness, certificates confirmed this. The home has procedures for staff to follow should abuse be suspected, including Hampshire County Council’s Protection of Vulnerable Adults and Whistle Blowing. All of the staff records seen showed that the appropriate level of Criminal Record Bureau (CRB) had been completed prior to the carer commencing their role. Mrs Croft confirmed that policies and procedures are reviewed and available for staff to access regarding complaints and protection, staff confirmed this. Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment continues to be improved to provide residents with a warm and comfortable home. There are good infection control procedures at the home to safeguard the welfare of residents EVIDENCE: The home appeared warm and comfortable, residents confirmed this is always the case. Some areas of the home had been re decorated, including residents bedrooms, the kitchen (which has been steam cleaned and is having tiles re grouted). Five bedrooms which had poor access are not being used for residential purposes, Mrs Croft confirmed she would inform the CSCI in writing what theses Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 18 registered bedrooms will be used for and to de-register them if they are not being used by residents. Mrs Croft explained the maintenance and re decoration plan, the majority of work is completed by a person employed to keep up the maintenance of the home. A maintenance record shows dates when faults were notified and when they were actioned and by whom. Staff said they have noticed improvements in the time it takes for jobs to be completed. Residents are benefiting from improvements being made to the gardens. The home employ a gardener and will shortly be using the grant received from Hampshire County Council to improve access to the garden for residents. Residents said they are able to bring their own furniture for their rooms, this was seen when visiting bedrooms. Assisted bath seats are used and a mobile hoist is available. The home is cleaned five days a week residents said that it is always clean and smells nice. The home has an internal laundry that is well equipped but small, plans are in place to upgrade the laundry and sluice facilities. Infection control procedures were in place. Staff were observed to follow this guidance, equipment such as gloves and aprons were available and the home have a contract with a clinical waste company to ensure bins are emptied regularly. Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of residents. Recruitment practices ensure resident’s safety EVIDENCE: Three relatives stated: ‘Staff usually have the right skills/experience to provide care properly & usually meet the different needs of people.’ One relative stated ‘There has been a lot of staff changes, it has been hard to get continuity and to know who to ask the question too when we have one.’ Residents stated there are always enough staff on duty who know how they like to be cared for. Mrs Croft said that there has been changes in the staff team, which has resulted in the need to employ more care staff, especially for night time (currently being covered by existing staff and agency staff). Mrs Croft confirmed that there are always two trained nurses on duty and one at night with three care staff. Staff wrote in their surveys to the CSCI that they receive very comprehensive handovers of information at the beginning of each shift which ensures they receive up to date information about residents and their practices are reviewed at the end of each shift, which gives staff the opportunity to discuss good and challenging parts of the day. Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 20 It was evident from practices and interactions observed that staff had developed a good relationship between themselves and residents. Comment from residents included that staff were very kind and always helpful and that they were a “good team”. One resident praised the domestic staff for their hard work in keeping their bedrooms clean and tidy. The staff stated in their CSCI surveys that the recruitment process within the home is thorough. Staff files were seen and included pre employment checks needed to ensure the persons identification. CRB records showed that the checks had been completed after the person had been confirmed in post. The staff wrote in their CSCI surveys that they feel the induction programme run by the home was useful and detailed. The files seen held records of the individual staff induction training covering the key areas with the signatures of the staff member and trainer. Mrs Croft confirmed that the home’s induction programme meets the recently amended Skill For Care standards for induction standards in line with good practice. The AQAA states 77 of staff have NVQ level 2 or above. The staff confirmed in their surveys to the CSCI that they undertake training regularly in the necessary health and safety subjects such as fire safety, first aid, moving and handling, health and safety, fire training, infection control and food hygiene. Certificates confirmed this. Other training courses attended by staff include nutrition, safe handling of medication and abuse training. Staff stated they ‘receive support to perform duties and encouragement to progress further in their careers.’ Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The manager is experienced and competent to run the home. Management and administration of the home is based on openness and respect. An effective quality assurance system is in place. Resident’s finances are safeguarded by the home if residents prefer. Residents’ health, safety and welfare are promoted and protected within the home. EVIDENCE: Mrs Croft is an experienced manager who was employed in June 2007; she is not yet applied to the CSCI to become registered manager of the home. Mrs Croft said she is committed to quality assurance and the continuing development of the service and she had made many improvements since commencing her post, as mentioned throughout this report. Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 22 There is a strong ethos of being open and transparent in all areas of running of the home, residents felt they were involved in the development of the home, and were confident in Mrs Croft’s ability. Staff stated in their surveys, and observations showed there are clear lines of accountability within the home. Also the management approach of the home creates an open, positive and inclusive atmosphere. The staff felt they were included in the day-to-day decision making within the home, stating that changes and or issues are discussed and actions agreed at regular staff meetings that are minuted. A robust quality assurance and monitoring system based on seeking the views of residents, relatives and professional is in place. Mrs Croft recently sent out surveys to relatives and residents, who were invited to attend a meeting where Mrs Croft addressed some concerns that were raised. Relatives and residents appeared to be satisfied with Mrs Croft’s response but there have been many changes in the management of the home, so time will tell if improvements are made to their satisfaction. A recent survey about the food the home provides showed residents were generally satisfied, and Mrs Croft said any suggestions were listened to, the current menu reflects this. Resident said if they are not happy with something, all they need to do is tell someone, and it will be seen to. Mrs Croft said that unannounced visit by the service manager [Regulation 26 visits] occur on a regular basis, records of these visits were available. No unsafe practices were observed during the inspection. There is an ongoing system in place that ensures that all appliances are serviced, records and certificates seen indicated that the systems such as the electrics and specialist equipment including hoists receive regular servicing and maintenance. The employer’s insurance liability certificate was displayed and current. Risk assessments where necessary have been completed. Staff have received training in health and safety, first aid, fire safety, control of substances hazardous to health and moving and handling. The fire drill records showed that all staff had attended two fire drills in the last year as well as fire training every six months. Visual checks of all fire safety equipment has been recorded and undertaken at appropriate intervals and weekly fire alarm tests are carried out to ensure the safety of the residents. The home has a satisfactory reference file for the Control of Substances Hazardous to Health (COSHH) information leaflets for each chemical being used in the home. The home has a policy, procedures and information on health and safety. A sample of policies and procedures were seen that are reviewed regularly. Moorwood Cottage Care Centre DS0000066927.V341352.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 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Moorwood Cottage Care Centre DS0000066927.V341352.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. 1 Standard OP9 Regulation 13.2. Schedule 3. 3(i). Requirement Records of administered medication must be maintained for all medication administered within the home. Timescale for action 24/08/07 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 Moorwood Cottage Care Centre DS0000066927.V341352.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Moorwood Cottage Care Centre DS0000066927.V341352.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. 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