Inspection on 15/08/06 for New Line Residential Home

This inspection was carried out on 15th August 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

New Line Residential Home 16/07/07

New Line Residential Home 02/02/06

New Line Residential Home 21/07/05

New Line Residential Home 05/10/04

New Line Residential Home 20/04/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE New Line Residential Home 28 New Line Greengates Bradford West Yorkshire BD10 9AS Lead Inspector Steve Marsh Key Unannounced Inspection 15th August 2006 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 New Line Residential Home DS0000001283.V307783.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. New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service New Line Residential Home Address 28 New Line Greengates Bradford West Yorkshire BD10 9AS 01274 616631 N/A N/A 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) Mrs Angela Copley Mrs Tracey Yeadon Care Home 16 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (11), of places Physical disability over 65 years of age (1) New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd February 2006 Brief Description of the Service: New Line Residential Home is situated about four miles from Bradford City centre. The home is on a main bus route from the city centre and is conveniently situated close to the shops and other facilities in the local area. There is also a large garden for the residents to enjoy, and a car park to the front of the property. New Line is a detached adapted property, which is presently registered to care for sixteen residents in both single and double bedrooms. All the communal areas used by the residents including the dining room and lounges are situated on the ground floor of the home, and toilet facilities are conveniently situated throughout the building. Fees at the home range from £318:00 to £354:00 per week. New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care homes are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home, Health and Personal Care etc. An overall judgement reflects how well the home delivers outcomes to the people using the service. The judgement categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded in the body of the report. More detailed information about these changes is available on website – www.csci.org.uk This unannounced inspection was carried out by one Inspector between the hours of 9:30am and 4:30pm. The last inspection took place in February 2006 and a number of requirements were identified at that time, one of which was outstanding from a previous inspection. The purpose of this inspection was to assess what progress the service was making in meeting statutory requirements and to assess the impact of any changes in the quality of life experienced by people living at Newline Care Home. The methods used during this inspection included the examination of records, observation of care/work practices, discussion with residents, relatives, staff and management and a tour of the premises. A pre-inspection questionnaire was also completed and returned to the Commission by the manager prior to the date of inspection. Survey questionnaires were provided to enable residents and/or their relatives share their views of the service with the Commission. No questionnaires were returned prior to the completion of the report. Detailed feedback was given to the registered manager at the end of the visit. Requirements and recommendations made during this visit can be found at the end of this report. What the service does well: New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 6 The home has established close working relationships with other healthcare professionals to ensure that the resident’s needs are met. The admission procedure is thorough and includes pre-admission assessments, visits to the home and trial periods if appropriate. The daily routines of the home appear flexible and residents are encouraged to make as many decisions as possible about their daily lives. The manager and staff are approachable, have a caring attitude and create a homely atmosphere for the residents. Staff interact well with residents and throughout the inspection were observed to be polite and helpful. Comments made by residents during the course of the inspection included “the staff are great, they will do anything to help you” and “ I didn’t really want to come into a old peoples home but I am now very happy and content living here”. The manager takes all complaints/concerns seriously and ensures action is taken to resolve matters. What has improved since the last inspection? What they could do better: New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 7 The manager must ensure that the care plans in place are specific to the needs of the residents and give clear guidance to the staff team. As the manager is currently registered to manage both Newline Care Home and Anewline Home Care Service, it is essential that the registered provider reviews her workload and ensures that suitable management arrangements are put in place for both services. The provider/manager must ensure that the three outstanding requirements highlighted in this report are addressed within the timescales set. The manager needs to continue to develop the quality assurance monitoring systems in place to ensure that the home is meeting stated aims and objectives. 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. New Line Residential Home DS0000001283.V307783.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 New Line Residential Home DS0000001283.V307783.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 5 – standard 6 is not applicable to this service Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Residents are provided with sufficient information to enable them and/or their relatives to make an informed decision about the home. The admission procedure is good and includes pre-admission assessment visits, introductory visits and trial periods if appropriate. However, the manager must ensure that the home only admits residents within the categories indicated on the registration certificate, to ensure that their needs can be appropriately met by the staff. EVIDENCE: The manager confirmed that no changes have been made to the homes Statement of Purpose or Service User Guide, which are given to all prospective residents and/or their representatives. New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 10 The records showed that pre-admission assessment visits are carried out to see prospective residents and the needs identified during this visit are reflected in their initial care plan. The manager is clear about the admission criteria although there is evidence to suggest that one recently admitted resident does not come within the range of categories stated on the homes registration certificate. The manager is aware of this and is currently in the process of finding a more suitable placement for the resident. In addition to the pre-admission assessment visit, prospective residents and/or their relatives are also invited to visit the home prior to admission to view the accommodation, meet the staff and other residents and stay for a meal if they wish to do so. All residents are initially admitted for a one-month trial period, which enables them and/or they’re relative to make an informed choice about their long-term future. It also allows staff time to carry out a more thorough assessment of their needs. Residents and relatives confirmed that staff had been very helpful during the pre-admission period and had answered any questions asked. The home does not provide intermediate care at the present time. New Line Residential Home DS0000001283.V307783.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The health and personal care needs of the residents are met, and whilst there is room for improvement in the care plan in place for one resident with behavioural problems, the manager has demonstrated a willingness and commitment to address this matter. EVIDENCE: Care plans have been completed for all residents and cover all aspects of their health and general welfare. Care plans are reviewed at least monthly or sooner if the residents’ needs change significantly. The four care plans reviewed were completed to a good standard and there was evidence in the documentation to show that the residents and/or their relatives are involved in the care planning process. However, for one resident exhibiting behavioural problems the care plan in place was not specific enough and did not give staff clear guidance on how to manage her behaviour. New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 12 All residents are registered with a general practitioner and have access to the full range of NHS services. The input of other healthcare professionals is clearly recorded in the resident’s care plan and specialist equipment is provided if required. Residents confirmed that they were pleased with the medical attention they received and said that staff always contacted their general practitioner if requested to do so, which they found reassuring. A relative visiting on the day of inspection said that she was always consulted and informed about any changes in her mother’s condition. On reviewing the medication system no discrepancies were noted and no concerns were raised. As recommended in the last inspection report the home has now arranged for the pharmacist to pre-print the Medication Administration Record (MAR) sheets instead of them being hand written by senior staff. The manager confirmed that at present no residents administer their own medication although risk assessments are routinely carried out on admission and residents would be encouraged to do if they had the capability. Staff confirmed that they constantly monitor residents taking long-term medication and would contact the general practitioner or pharmacist if they had concerns. Staff were able to describe the different ways in which they protected the residents privacy and dignity and residents confirmed that they were treated with respect and kindness at all times. In addition, one relative spoke about how the staff provided a homely environment for the residents and responded positively to any requests made by them. New Line Residential Home DS0000001283.V307783.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The home responds to individual needs and choices and continues to be an integral part of the local community. EVIDENCE: Staff described the choices available to residents, and explained how they respond to individual likes and dislikes. The daily routines of the home appear flexible and the residents confirmed that they are encouraged to make as many decisions as possible about their lifestyle. The home does not employ an activities co-ordinator therefore it is the responsibility of the care staff to organise activities, outings and entertainment for the residents. Residents confirmed that trips out are organised in line with their wishes and in addition to entertainers, church leaders/groups visit the home on a regular basis. New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 14 Two residents in particular were looking forward to a trip out to the coast, which is presently being arranged and said that they were involved in organising the recently held summer fayre. The home continues to be very much part of the local community, with many of the residents having previously lived in the area. They therefore like to keep in touch with the local news and whenever possible use the local shops and facilities. The home has a hairdresser who visits on a regular basis. Charges for hairdressing range from £5:00 to £15:00 depending on the service required. Residents confirmed that they were able to see visitors in their own rooms if they wished to do so and that family and friends were always made to feel welcome by the staff and offered light refreshment. All residents spoken to said that the meals provided were good and they were always offered an alternative if they did not like what was on the menu. The home offers a choice of cooked or continental breakfast in the morning and although there is a set meal at lunchtime, residents choose their evening meal from the list provided. Every Saturday lunchtime fish and chips are purchased from a local fish shop, a custom enjoyed by all residents. Staff confirmed that aids such as plate guards are used if necessary to help residents maintain their independence whilst eating and support and assistance is offered as and when required. Hot and cold drinks are freely available to residents throughout the day and night. New Line Residential Home DS0000001283.V307783.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Residents can be assured that the manager will take their concerns/complaints seriously and take action to resolve matters. EVIDENCE: The home has a complaints procedure and resident and relatives spoken to said that if they had any concerns they would feel able to raise them with the manager in the knowledge that they would be taken seriously and sorted out. The manager confirmed that no complaints had been received since the last inspection visit. Policies and procedures are in place at the home in relation to the protection of vulnerable adults and the training records indicated that with the exception of two, all staff have received adult protection training. Staff confirmed that they were aware of the homes policy on “whistle blowing” and their responsibility to protect the residents from any form of abuse. The manager had a good understanding of how to use Bradford multi–agency adult protection procedures and the Protection Of Vulnerable Adults (POVA) register. New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 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 the following standard(s): 19, 20, 24 and 26 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The home continues to provide a comfortable and safe environment for the residents and there is an ongoing programme of refurbishment and renewal. However, to ensure the residents privacy the manager must ensure that appropriate locks are fitted to bedroom doors as soon as possible. EVIDENCE: Both internally and externally the home is generally well maintained although some bedrooms and the dining room would benefit from decorating as part of the homes ongoing programme of refurbishment and renewal. All the communal areas used by the residents including the lounges and dining room are situated on the ground floor of the home, conveniently close to the toilet facilities. New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 17 Bedrooms are situated on both floors of the home and consist of both single and double rooms. There are no en-suite facilities in any of the bedrooms but in general they provide comfortable accommodation for the residents. There is a stair lift available to the bedrooms on the first floor to assist residents with mobility problems. Although not ideal, a double bedroom on the ground floor of the home is used by the hairdresser when she visits, with the permission of both resident’s who occupy the room. Residents said that they were happy with the standard of accommodation and confirmed that they were encouraged to personalise their rooms with items of furniture, pictures etc. It was pleasing to see that new vanity units had been fitted in a number of bedrooms as required in the last inspection report, however appropriate locks still require fitting to some bedroom doors to ensure the residents privacy. As the requirement to fit appropriate locks to bedroom doors has now been highlighted in the last two inspection reports the manager must now ensure that this matter is addressed as a matter of priority. On the day of inspection the general standard of hygiene and cleanliness throughout the building was good and no unpleasant odours were noted. New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Residents are now protected by a robust staff recruitment and selection procedure, which includes Criminal Record Bureau checks. However, the manager must continue to ensure that the amount of time spent by the care staff on cleaning, laundry and cooking duties does not affect the standard of care/service received by the residents. EVIDENCE: A staff rota was taken, which showed that sufficient care staff are employed on day and night duty to care for the residents and meet their needs. Following a staffing arrangement with the previous registration authority the home does not employ cleaning staff, but has increased the number of care staff hours to enable them to carry out cleaning duties. The home employs a part-time cook, although one a day a week the manager or a senior member of staff prepares the lunchtime meal. However, with the increased workload being placed on the manager due to the expansion of the home care service, it is recommended that additional catering staff are employed to provide cover seven days a week. The present night staffing arrangement is one staff on wakeful night duty and one staff sleeping on the premises. New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 19 The home continues to have a stable staff team with many members of staff having been employed for a number of years. There is recruitment and selection procedure in place and on reviewing the staff employment files it was apparent that the manager had responded to the requirements made in the last inspection report and was now following correct recruitment and selection procedures. Two written references and Criminal Record Bureau checks are now routinely obtained for all new employees prior to them starting work. All new members of staff receive induction training following which there is an expectation that they will study for a National Vocational Qualification (NVQ) at level two of three depending on the post they hold. At present five staff including the manager have achieve a NVQ and ten other members of staff are studying for the qualification. Training records clearly evidence that more emphasis is now being placed on providing staff training as required in the last inspection report and the home now appear commitment to having a trained and skilled workforce. The manager and staff confirmed that they receive a minimum of three paid training days per year in line with the National Minimum Standards. New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 The outcome in this area is good. This judgement has been made using available evidence including a visit to the home. The wellbeing of the residents remains very important to the manager and she continues to work hard to make sure that they are cared for in a safe and proper manner. However, there are concerns about the practicality of one manager effectively managing two registered services, therefore this matter must be addressed by the proprietor. EVIDENCE: Mrs Tracy Yeadon has been the registered manager for Newline Residential Care Home for a number of years and has achieved the Registered Managers’ Award. Mrs Yeadon is also the registered manager for Anewline Home Care New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 21 Services, which is owned by the same registered proprietor but operated from separate premises. Concerns were raised in the last inspection report about the difficulties of managing two services and an agreement was reached with the proprietor that a deputy manager would be appointed to assist in the management of the care home. Unfortunately the appointment did not take place although the home is currently advertising for a senior care assistant to join the senior staff team. Although the manager continues to provide good leadership to the staff team it is apparent that the Home Care Service is rapidly expanding and there are concerns about how practical it is for one manager to effectively manage two registered services. Following the inspection visit a meeting was held with the registered proprietor and manager and it was agreed that both services now required a separate manager. The proprietor will therefore address this matter and inform the Commission of the new management arrangements by the 20th October 2006. Staff confirmed that the manager has an open and approachable management style and residents said that she always listened to their views and opinions about the service. Residents meetings are held approximately every three months and minutes of the meetings are recorded. The manager is presently in the process of implementing quality assurance monitoring systems at the home and as part of this process a survey questionnaire will be sent out to the residents, relatives and other healthcare professionals in the near future. A summary of the survey including any action to be taken as a result of the findings will be published and made available to all interested parties including the Commission. The manager confirmed that the registered proprietor also continues to visit the home on a regular basis to review the standard of care/service. However, to comply with the Care Home Regulations 2001 the registered provider must complete a monthly report on the conduct of the home, which must be made available to Inspectors. Unfortunately even though this was highlighted as a requirement in the last inspection report no action has been taken to address the matter. To ensure clear channels of communications with the staff formal one-to-one supervision with the manager takes place approximately every two months, although it was noted that a full staff meeting had not been held since September 2005. Residents and/or relatives are encouraged to manage their own financial affairs if at all possible and at the present time the home does not hold money or valuables in safekeeping for any residents. However, this service would be offered to residents if no suitable alternatives could be found. New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 22 Policies and procedures are in place to ensure the health and safety of the residents, visitors and staff and they are reviewed at least annually by an external agency to ensure that they comply with legislation. Maintenance contracts/records showed that the equipment used by the staff and/or residents is serviced on a regular basis. However, no record could be found to indicate that the portable electrical appliances in use at the home had been tested as required in the last inspection report and therefore this matter must be addressed with some urgency. New Line Residential Home DS0000001283.V307783.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 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 2 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 2 X 2 New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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 OP7 Regulation 15 Requirement The registered manager must ensure that the care plans in place are specific to the needs of the residents. Appropriate locks require fitting to all bedroom doors. (Outstanding from the last two inspection reports – timescales 31/12/05 and 31/05/06 not met). The registered provider must ensure that suitable arrangements are put in place for the management of the home. The registered provider must prepare a monthly report on the conduct of the home and supply a copy to the Commission. (Outstanding from last inspection report – timescale 31/03/06 not met). All portable electrical appliances must be tested at least annually. (Outstanding from last inspection report – timescale 31/03/06 not met). Timescale for action 30/09/06 2 OP24 23 30/11/06 3 OP31 18 20/10/06 4 OP36 26 30/09/06 5 OP38 13 31/10/06 New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 25 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 2 Refer to Standard OP27 OP36 Good Practice Recommendations It is recommended that additional catering staff be employed. It is recommended that full staff meetings be held at regular intervals throughout the year. New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 New Line Residential Home DS0000001283.V307783.R01.S.doc Version 5.2 Page 27 - 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!