CARE HOME ADULTS 18-65
Moston Grange Nursing Home 29 High Peak Street Newton Heath Manchester M40 3AJ Lead Inspector
Ann Connolly Unannounced Inspection 2nd February 2007 09:30 Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 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 Moston Grange Nursing Home DS0000043121.V329660.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Moston Grange Nursing Home Address 29 High Peak Street Newton Heath Manchester M40 3AJ 0161 219 1300 0161 219 1118 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) EHC Moston Grange Limited Gail Brunskill Care Home 64 Category(ies) of Dementia (63), Dementia - over 65 years of age registration, with number (1) of places Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. That the number of persons requiring nursing care by reason of dementia at any one time shall not exceed 64 aged less than 65 years at the time of their referral, except for a variation granted in respect of age for one named individual. That the home provides accommodation for service users on four separate nursing units, each accommodating up to 16, with discrete and identifiable staff groups. When a non - nurse is employed as the manager of the home, a nurse registered on either Part 3 or 13 of the Nursing and Midwifery Council Register is employed as the care to be professionally responsible for the delivery of nursing care. 20th September 2005 2. 3. Date of last inspection Brief Description of the Service: Moston Grange Nursing Home provides accommodation with nursing care for a maximum of 64 adults with dementia. The premises are owned by E.H.C Moston Grange Limited, which is a wholly owned subsidiary of Equilibrium Healthcare Limited. Mr. Patrick J. Keely is the Responsible Individual. At the time of the inspection, the previous registered manager having been promoted within Equilibrium Healthcare, a new manager, who was previously the deputy, had been appointed and had applied to the Commission for registration. The home is situated in the North of Manchester City Centre close to main transport routes to and from the city with local shops and amenities within walking distance. The home offers single storey accommodation within bungalow style buildings and all bedrooms are single with en-suite facilities. Off-the-road parking is available for approximately 15 vehicles and gardens were accessible to the people living in the home. Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was the unannounced site visit which took place on 2 February 200. It was carried out over a six hour period and included talking with a number of residents, staff and management and examining a number of records. Some time was also spent looking around the inside of the home. At the last inspection, which was done in March 2006, a requirement was made for the home to make accurate recording of all medication received. This requirement had been addressed. At the time of the visit the registered manager was on a secondment to provide operational support but she was present at the inspection with the acting manager, Lindsey Clarke. The Commission had been informed of these temporary changes. Not all standards were checked at this inspection and it is strongly advised that this report should be read together with the last report and any future inspection reports to get a full picture of how the service is meeting the needs of the residents living there. What the service does well:
During this inspection there was a lot of positive feedback from residents in the home. There was evidence of positive and open communication between staff, residents and the management. One resident who was spoken to said, “ Staff are very nice, they are polite, caring and very intelligent.” He went on to say that he would feel confident about talking to a member of staff about a complaint. He jokingly said, “ They hear me moaning all the time and they really don’t mind- they’re great really.” Another resident said, “ staff are helpful and kind.” Staff were observed in positive communication with residents in the home. On the day of the inspection, one resident was worried about something, and a member of staff displayed exceptional kind and sensitive intervention to supporting this resident. She was observed taking time to comfort and explain the situation, and used positive methods of intervention. All residents appeared relaxed and comfortable in their environment. It was evident from discussion with staff that they had a very good understanding of the needs of the residents in the home and were able to demonstrate an understanding of the care planning process, and the importance of involving residents and relatives in care planning. Staff who were interviewed seemed to
Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 6 have a good understanding of residents rights. One member of staff said, “Residents can do what they want. Our role is to guide them and support them to do what they want in a safe way”. The home demonstrated an understanding of the importance of working closely with prospective residents and their families or representatives when they are preparing to go into a home. There was a dedicated person who worked with prospective residents and their families to gain a full background history and to ask resident how they would like to be cared for and supported. The home were very good at making sure that they had sufficient information to ensure they could meet the needs of the resident and provide appropriate care. The record keeping in the home was very good. It was detailed and well organised. The home’s computer system was useful in that it helped the manager to monitor staff training, and important aspects of care practice, such as monitoring falls. The manager used the system to make sure that residents received the right care. Training and development plans in the home provided evidence of ongoing training for staff to ensure that they had the necessary skills in order to meet the needs of residents in the home. All staff who were spoken to said that they had the opportunity to participate in a wide range of training. The building was maintained to a good standard and there was evidence that the manager was fully supported by the company directors. The manager said that the home had been given a healthy budget for running the home. This included finance to develop staff training, activities, and the general fabric of the home. This support should help to ensure that residents benefit from a well run home. The manager of the home appeared very involved, and records showed that good supervision programmes were in place to ensure that staff had the right support and guidance to help them to meet the needs of the residents in the home. Staff spoke highly of the management style, one member of staff said, “the staff management is brilliant, teamwork is really important” .Another resident said, “ The management are very supportive”. The manager made regular checks on all aspects of the running of the home and in turn was supported by the operational manager. What has improved since the last inspection?
Since the last inspection the home have carried out a number of quality surveys and had meetings with residents. Through these meetings, the manager identified that the home were not providing enough activities in the home. In response to this the activity organiser posts have been increased from two full time posts to include an additional part time post. Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 7 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. Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s individual needs and goals are assessed prior to admission. EVIDENCE: Admission to the home was only arranged following a full and comprehensive assessment. The home used assessments completed by the social worker, and the nursing assessments and assessments carried out by the manager or representative from the home. Since the last inspection a revision of the home’s policies and procedures relating to the pre-admission assessments had taken place. The home have piloted a scheme where one person was responsible for all assessments within the home. The manager said that all assessments were planned and all documentation had to be in place before a prospective resident was admitted. As a result of this policy the home did not accept any emergency admissions. Both managers demonstrated an understanding of the admission process and of the importance of involving the prospective resident and their relatives or representatives in all aspects of the admission process. Where it was evident that prospective residents were experiencing difficulties in moving into the care home, the manager said that a range of introductory visits could be arranged in consultation with the resident, the social worker and
Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 10 their family and friends. These visits could include, short stays, overnight stays and day visits. The assessments focused on a person centred approach and whether the home could meet the needs of the resident. The home have developed a letter/proforma to notify any prospective service user whether their individual needs can be met by the home. The manager said that the needs of existing residents already in the home were as important as the prospective residents when considering if the home and the staff team could meet individual needs. The home offered a six week trial period and this was documented in the service user guide. The files of two residents recently admitted into the home were examined. Both files included detailed pre- admission assessment documentation. Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s goals and aspirations were identified, and there was a focus on what the individual person could do, and the support they required in order to achieve these goals and aspirations. EVIDENCE: Residents care plans were in place and contained detailed and comprehensive information to assist carers to provide support in a manner that was preferred by the individual resident. There was an emphasis on listening to the needs of residents and consulting them on how they would like to be supported and on how they would like to receive their planned care. Two care plans were examined in detail and gave a good overview on how to support the individual resident and how the resident wanted to live their life. The care plans included detailed risk assessments and provided strategies and
Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 12 interventions to be used by staff to minimise risk and to assist residents in leading an independent lifestyle. Care plans indicated that there was contact and consultation with local General Practitioners, and hospital consultants. Information from specialist appointments was transferred to the care plan where appropriate to reflect any changes in care needs. Care plans included all appropriate documentation and assessments including falls, nutrition, pressure sores, moving and handling. From discussions with staff, it was evident that they had a good understanding of individual care needs, and through case tracking it was evident that staff had the knowledge and understanding of the care plans. One member of staff who was spoken to was able to provide detailed information about how to manage the frustrations of a resident, and what strategies were in place to ensure that this resident enjoyed a positive lifestyle and received the appropriate support to maintain as much independence as possible. There was evidence that all care plans were reviewed regularly. Information from monitoring tools- for example falls management and monitoring, could easily be cross referenced to the care plan. Where frequency of falls had been identified a new care need and a new care plan had been developed with appropriate accompanying risk assessments. Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 13 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home offers residents the opportunities and support to participate in social and leisure activities. EVIDENCE: Care plans evidenced that residents in the home were supported to maintain contact with family, friends and the local community. Residents in the home were supported to pursue their interests and hobbies. During the course of this visit a number of activities were offered to residents, which included visits to the local shop, playing snooker and games. Residents are also supported to access activities in the wider community. One resident attends a cultural centre on a weekly basis, another resident attends an adult education centre. Residents have access to IT systems and use of the Internet. A computer was available on each unit and was available to be used by residents.
Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 14 In a recent service user survey, the feedback from residents and their relatives was that they felt the home would be a better place to live if more activities were available. The home management have taken this feedback seriously, and in response to this, the activity organiser posts have been increased from two full time posts to include an additional part time post. Most residents’ spoke positively about their experience of the home and in particular spoke highly of the staff. Staff who were interviewed demonstrated an understanding of residents’ rights. One member of staff said, “ Residents can do what they want. Our role is to guide them and support them to do what they want”. All the staff who were spoken to confirmed that activities take place on a daily basis. It was evident that residents were encouraged and supported by staff to maintain their social contacts, and it was noted that a number of residents enjoyed weekend home visits. The residents in the home benefit from have access the home’s own mini bus transport. A number of residents were spoken to during the course of this visit. Residents commented on the flexible routines and were confident in stating that they were able to choose their own routines and how they wanted to spend the day. Residents had mixed views about the meals served in the home. Some expressed dissatisfaction, whilst others were very satisfied. One resident said, “Meals are bang on- you can’t argue about them, they’re smashing”. The manager said that meals had been discussed at the last residents meeting and that new menus were being developed, taking into account the suggestions made by residents in the home. Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home supports people to access healthcare services and has a medication administration policy, procedures and systems in place. Some shortfalls were identified with the recording of medication and these were addressed by the manager of the home to ensure the safety and well being of residents. which could potential place residents at risk. EVIDENCE: There was evidence that residents were supported to access healthcare professionals and where appropriate referrals were made to specialists clinicians. Medication was examined on two of the units. Comprehensive medication policies were in place accompanied by the Royal Pharmaceutical Guidelines for Great Britain, which supports good practice. The home had good systems in place for handling medication and the manager said that medication was audited monthly. On the whole, medication was well recorded, and stock levels in the monitored dosage system balanced with the Medication Administration
Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 16 Records (MAR) sheets. However, stock levels and recoding were examined of the stocks of loose medication and it was found that stock levels of one medication did not balance with MAR sheets. There was some confusion on the stock levels of Warfarin, which has to be given in different doses as prescribed. However, discussion with the staff responsible for the administration of this medication provided evidence that there were regular and consistent checks to ensure it was administered as prescribed. Discussion took place on how to improve the management of administration of this medication and it was agreed that the manager would regularly audit loose medication and associated records in the home. Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Polices and procedures were in place to protect residents from neglect and abuse, and staff received training in adult protection procedures. EVIDENCE: There was a complaints policy in place, and information about how to make a complaint was included in the service user guide. Each unit had a copy of the complaints procedure on the notice board, including a version in picture format. The complaints file contained evidence of a monthly audit, where the manager carried out an evaluation any complaints made to the home. The system evaluated the number of complaints made, checked the written records and letters to the complainant, and ensured that there was continuity from receipt of the complaint to action taken. Two complaints had been received by the home since the last inspection. The records demonstrated that the home takes all complaints seriously and that procedures had been followed with appropriate response to the complainant. The complaints file was well organised and detailed that a thourough investigation had taken place. The Commission had not received any complaints about this home since the last inspection. Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 18 The home used the Manchester Multi- Agency policy for the Protection of Vulnerable Adults from Abuse, including the Department of Health Guidance ‘No Secrets’. There was evidence on staff files that all staff had received training in adult protection procedures. Training was followed up with an evaluation questionnaire so that the manager could check the level of understanding after staff had attended the training session. This was commendable, as this provided the manager with a tool to evaluate staff knowledge and identify whether further training was required. Most staff who were spoken to had a good understanding of adult protection procedures, however, some were not aware of the full procedures. The manager was able to demonstrate that she evaluated staff knowledge of care practice issued through training feedback and through the supervision process. Where shortfalls were identified, additional training was arranged for individual staff members. Where residents are placed from outside the Manchester area, the adult protection policies and procedures need to include referral contacts of all those local authorities. Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 19 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides residents with a safe and comfortable environment. EVIDENCE: All bedrooms in the home had en suite facilities comprising of WC and hand washbasin. Additional toilet facilities were available on each unit. All of the toilet and bathing facilities were fitted with appropriate privacy locks, which could be overridden in the event of an emergency. Each unit contains a lounge, dining room and kitchen, with an additional room used as a smoking room for residents. The home was clean and tidy on the day of this visit and no unpleasant odours were detected. There was evidence of a rolling programme of maintenance and renewal. The manager said that new carpets had been ordered for one unit, and that there was a rolling programme to provide new furniture throughout the home. The kitchen floor covering had recently been renewed. The manager
Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 20 said that additional money had been allocated for pictures and soft furnishing, including occasional furniture to enhance the home and create a homely atmosphere. The manager said that part of her role included a weekly tour of the building for audit purposes. A handyperson was employed full time to assist with minor repairs and painting. He was supported by a part time handyperson. Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 21 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34, and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were protected by the recruitment and training practices operated by the home. EVIDENCE: Policies and procedures were in place for the recruitment of staff. Staff files were examined and contained all the necessary documentation. The manager confirmed that all staff employed by the home have a Criminal Record Bureau (CRB) check in place, and this was evidenced in staff files which were examined during this inspection. Staff training portfolios provided evidence of ongoing training and development. Most staff had completed NVQ training and management staff were appropriately trained and receiving ongoing training and development opportunities.
Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 22 The home focused on promoting equality and diversity- some staff in the home had been on Equality and &Diversity training- as a result they had purchased a training tool in the form of a game which was designed to promote awareness and understanding on equality and diversity issues. Staff who were interviewed consistently confirmed that they were offered opportunities for ongoing training and development and, confirmed that they received regular supervision which was used as a forum to identify training needs. Training in adult protection was in place. It was detailed and comprehensive and included an evaluation tool in the form of a Questionnaire so that the manager could assess staff understanding of abuse issues. There were a number of examples where the manager monitored training and development of staff in the home. Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 , 42 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents in the home benefit from having a manager with the management skills to provide a quality service and the home has systems in place to help people to express their views. EVIDENCE: It was evident from talking to residents and staff that there was stable management. Staff said that there was an open door policy operated in the home and that they felt confident in approaching the manager with any issues of concern. One member of staff said she though the manager was firm but fair. The manager said that the registered provider was very supportive and that the management team had been given healthy budgets for the running of the
Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 24 home. This included finance to develop staff training, activities, and the general fabric of the home. There was evidence of regular weekly management meeting and weekly meetings with staff on each unit. During these meeting all aspects of care practice are discussed by management and senior staff. The operational manager is involved in some of these meetings and has the opportunity to assess and evaluate the performance of the home, staff team and management. Staff spoke highly of the management style. One member of staff said, “ The management are very supportive”. The home have a good IT system which provides additional tools for the manager to maintain a comprehensive record of staff training and supervision. The manager confirmed that all servicing and maintenance of equipment in the home had been carried out. Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Moston Grange Nursing Home DS0000043121.V329660.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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
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