Inspection on 20/09/07 for Pantiles Residential Care Home

This inspection was carried out on 20th September 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

Pantiles Residential Care Home 17/01/07

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Pantiles Residential Care Home 67 Harriots Lane Ashtead Surrey KT21 2QE Lead Inspector Mavis Clahar Unannounced Inspection 20th September 2007 09:40 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 Pantiles Residential Care Home DS0000067929.V346400.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. Pantiles Residential Care Home DS0000067929.V346400.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pantiles Residential Care Home Address 67 Harriots Lane Ashtead Surrey KT21 2QE 01372 275310 01372 279201 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) The Pantiles Care Home Limited Paula M J Johnson Care Home 16 Category(ies) of Dementia (2), Old age, not falling within any registration, with number other category (16) of places Pantiles Residential Care Home DS0000067929.V346400.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2007 Brief Description of the Service: Pantiles care home is registered to provide care for 16 older people. The home is a large detached house set in a residential road, close to the village of Ashtead. The home offers fourteen single bedroom accommodations, and one double bedroom. Nine of the bedrooms have en-suite facilities and there are ample bathrooms, shower facilities and toilets throughout the property. There is a range of communal areas including a lounge, conservatory and dining room. The garden is well maintained and secure for all residents to use. Car parking is offered to the front of the house. The fees for this home range from £440 to £480 per week. Pantiles Residential Care Home DS0000067929.V346400.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit, which forms part of the key inspection undertaken by the Commission for Social Care Inspection, (CSCI) was completed by Mrs Mavis Clahar on the September 2007 and lasted for five hours, commencing at 09:40 hours and concluding at 14:50 hours. The first part of the visit was spent with the registered manager of the home, discussing and agreeing how the inspection process would be conducted. This was followed by discussion about the Annual Quality Assurance Assessment (AQAA) she submitted to CSCI, the training needs of the care workers and how these needs were being identified and met, and employment and induction of new care staff. A review of the requirements given at the last inspection was undertaken and these were all completed within the agreed time scale. A review of residents’ files and care workers records was undertaken and all found to be in good order. The second part of the visit was spent reviewing residents care notes, which were up to date and sampling selected policies and procedures. The information contained in this report is gathered from residents’ notes and records kept by the home, from information contained in the AQAA, from relatives and residents feedback in the pre inspection questionnaires and from discussions with residents. Information was also gathered from direct observation by the inspector, along with discussions with care workers, and one visitor present on the day of the visit. The third part of the inspection was spent visiting and discussing with residents and observing lunchtime activities. Residents were enthusiastic about their home and the service they receive. Residents spoken to said they enjoyed their lunch, which was prepared freshly in the home’s kitchen. Time was spent observing the presentation of the meal, care workers and residents’ interactions and to obtain feedback on the meal, its suitability, taste, texture and amount. The inspector observed that portions were varied to suit the appetite of the residents and that they all ate their meal in a very social gathering, all sitting at tables which were laid for four, with a small vase of flowers and condiments. Residents commented positively on their meal, and the food served at the home in general. Many residents spoke highly of the choice of beverages they were offered during the mid-day meal, and it would appear that the glass of wine with their meal was very much appreciated. A tour of the home was undertaken and it was observed that residents’ bedrooms were kept in very good condition, both decorative and clean and tidy. The bedrooms are attractively presented. Generally, the home presents as clean and tidy. However, it was noticed that there is a lack of towels in hand washing areas for staff to dry their hands. A requirement was issued on Pantiles Residential Care Home DS0000067929.V346400.R01.S.doc Version 5.2 Page 6 this standard. The inspector would like to thank all the residents and care staff that made the visit so productive and pleasant on the day. The final part of the visit was spent giving feedback to the manager and provider about the findings of the visit. What the service does well: What has improved since the last inspection? All requirements issued on the last inspection have been actioned within the given timescales The home continues to be proactive in meeting the training needs of the care workers in order that seamless care can be offered to the residents. So far one member of staff have undertaken the Equality and Diversity course. The home continues to refurbish bedrooms and replace worn carpets as per their annual refurbishment plan. Fire doors have been fitted to bedrooms on the ground floor. Pantiles Residential Care Home DS0000067929.V346400.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. Pantiles Residential Care Home DS0000067929.V346400.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 Pantiles Residential Care Home DS0000067929.V346400.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): 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their relatives have the information needed to choose a home, which will meet their needs EVIDENCE: A selection of service users files were reviewed and it was noted that residents received a needs assessment prior to moving into the home. Furthermore, the first four weeks is used as a trial period for both new resident and the older residents, to ensure the new resident is comfortable on all counts in the home. It was also noted that all residents are given a contract of residency, and this contract is signed either by the resident or their representative. The manager told us she has visited prospective residents in their home to get to know them and their families before the resident is moved into the home. This was verified by the documentation reviewed of the newest admission to the home and in discussion with the residents. The manager told us that a more comprehensive assessment as reviewed in resident’s file is obtained, Pantiles Residential Care Home DS0000067929.V346400.R01.S.doc Version 5.2 Page 10 once the service user has settled in the home. The manager, who is skilled in the art of assessing residents care needs usually, carries out this assessment. Standard 6 does not apply to this home. Pantiles Residential Care Home DS0000067929.V346400.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. The home has a good and clear care plan in place for residents, which also includes appropriate risks assessments. This forms the basis for care based on the agreed care needs of the service users and demonstrated that health and personal care needs were met. Care staff receives training to meet the assessed care needs of the residents ensuring that competent staff supports residents and their health and care needs are met. The home’s medication policy on receiving, storing and administering and return of medication was in place and being adhered to thereby ensuring the safety and protection of the residents. Residents are treated with respect and are encouraged to maintain their dignity and privacy when delivering personal care. EVIDENCE: Pantiles Residential Care Home DS0000067929.V346400.R01.S.doc Version 5.2 Page 12 The randomly selected care plans were clear and easy to read, identifying potential and actual risks to residents with risk assessments completed as required. It was stated in the Annual Quality Assurance Assessment (AQAA) that care plans are reviewed monthly by the key workers and where possible with the residents. This was supported by the review of the care plans. The daily work sheet along with discussion with residents demonstrated that residents’ care needs are fully met. Care Plans reviewed demonstrated that residents care needs are identified and are being met. Residents spoken to, rated the personal care they receive at the home as very good; they said they were contented, they had enough to eat and can do as they like. Pre inspection questionnaire received by CSCI indicated that both residents and relatives are contented with the care offered by the home. One visitor to the home further supported this on the day of the inspection. Residents said their relatives and friends are able to visit as often as they wished, and the number of visitors to the home evidenced this on the day of the inspection. No resident at the time of inspection was responsible for his or her medication, but the manager produced a sample of risk assessment for residents who wish to self-administer. The manager told us that any resident who wish to selfadminister their medication can change their mind at any time and the staff will administer their medication to them. Good clear records are kept of medication receipts, storage, and administration and returned. There is a list of staff trained and assessed as competent to administer medication and this is kept on the medication trolley at the front of the medication charts. In discussion with care workers assessed as competent to administer medication it was evident they were working within the home’s policy and procedure on administration of medicines, which include using the Medication Administration Record (MAR) Sheet. The manager should be congratulated for her production for each resident an overview of their medication listing the name of the medication, the dosage, the frequency, the maximum quantity in any twenty-four hour, the contraindications and warnings, plus further information on the medicine. The General Practitioner and the manager sign this sheet. Care workers spoken to say they found this a great learning tool. Residents said the staff treated them very well. One resident said, “the staff are so kind. They will come to you at the drop of a hat”. Care workers were observed interacting with residents in a friendly but respectful manner. One resident told us they go out at least three times per week driving themselves to wherever they want to go, and that they keep in touch with their family and friends by email. They further told us they are treated with respect and they have their privacy respected and maintained at all times. Pantiles Residential Care Home DS0000067929.V346400.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. Service users lifestyles matched their needs and preferences and where possible they are able to maintain contact with family, friends and the local community. Service users are able to make choices in accordance with their abilities and were provided with a balanced diet in pleasant surroundings and in an unhurried way. EVIDENCE: Activities for service users are displayed in a prominent position in the home. On the day of the inspection service users were observed being engaged in gentle activities. In discussion with one-service users we were told, “I do not do a lot of the activities because I am hardly here. I am able to take myself out as much as I want and I do this about three times per week. I go out for meals with my friends or just to visit with them. I will continue to do this as long as I can. We were told that representatives of various Religious Denomination visits the home and contained in the home’s statement of purpose are guidelines on how the home meets the religious needs of the service users. Pantiles Residential Care Home DS0000067929.V346400.R01.S.doc Version 5.2 Page 14 Generally, in the good weather residents will go out walking with the careers and in the winter months they stay mostly indoors and participate in card games, beauty therapy, and puzzles. We were told that since the home has reached almost full capacity, the residents are more interested in their activities and in particular, a trip to the nearby Dorking Halls to see a play was a great success with all who went including relatives excepting for one resident who did not like the play. One resident told the inspector “I am able dress myself with help from my carer, after she helps me with my bathing”. “Staff are kind. I can’t knock the staff”. Another resident said “the food is good really good and I get enough to eat. The staff are so very good. I walk in the garden when the day or weather is ok”. In discussion with the care worker she said she has been with the home for some time and she has completed her induction and commenced the National Vocational Qualification (NVQ) Level 2 (L2) course, and has attended all the mandatory courses She was able to discuss issues relating to Equality and Diversity which she has learnt in her NVQ L2 course. She told us she can apply most of the six strands of Equality and Diversity during her span of duty when caring for the residents. Residents told us their friends and families are always welcome to visit at any time. The inspector observed many visitors to the home during the inspection visit and one spoke at length to the inspector. One resident told us visiting is open to relatives and there is a Holy Communion service on a monthly basis. All residents are registered with a General Practitioner (GP). Further health care provision is obtained from the District nurse, Community Psychiatric Nurse, Occupational Therapist Dentist Audiologists Physiotherapist and Chiropodist as requested by the GP. Records of visits are kept and are available for inspection. The inspector observed that residents were dressed appropriately for the weather. In discussion with the residents the inspector complemented one on how well groomed she looked. She told the inspector she has always tried to look her best at all times. On the day of inspection residents were observed enjoying their food. The menu is four weeks rotating, and review of residents’ personal folders revealed monthly nutrition screening is carried out with appropriate actions taken. Catering facilities are managed and carried out by the home’s cook, who has a good knowledge of the dietary needs of the service users. The inspector did not sample the meals, but the residents spoken to all said the food is good, the texture just right and the amount was what they ordered. Pantiles Residential Care Home DS0000067929.V346400.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. The home has a satisfactory complaints policy and procedure and training in place that evidenced that residents and relatives concerns are listened to and acted upon. Robust Safeguarding adults’ policies are in place to protect the service users from abuse. EVIDENCE: The home has a complaint policy, which outlines the processes the home undertakes to respond to complaints received. There was one complaint logged in the complaints book since the last key inspection and this was recorded as a satisfactory outcome within the homes time frame for dealing with complaints. CSCI have not received any complaints about the home. The manager told us issues raised are dealt with instantly before they spiral into a complaint There are a number of thank you notes and letters of appreciation from grateful relatives to the whole staff team praising their work with their relatives. All staff as evidenced in the training record and substantiated in discussion with care staff, have completed the Safeguarding Adults Course, which is based on the local authority (Surrey multi-agency Policy). Pantiles Residential Care Home DS0000067929.V346400.R01.S.doc Version 5.2 Page 16 Pantiles Residential Care Home DS0000067929.V346400.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 physical design and layout of the home enables service users to live in a safe, well- maintained and comfortable environment, which encourages independence, and protect their privacy and dignity. EVIDENCE: The manager told us that the management and staff encourage service users to see the home as their own home. It presents as a comfortable, attractive home, which has all the specialist adaptations, needed to meet the service users needs. The home presents as comfortable with extensive work being started on the upgrading of the property. We were told that in repairing the various leaks in the roof the builders found much more damage than was first suspected. Consequently the complete roof had to be replaced and this has affected the progress of the refurbishment in the home such as the kitchen. We noticed Pantiles Residential Care Home DS0000067929.V346400.R01.S.doc Version 5.2 Page 18 that good risk assessments were drawn up for service users immediately affected during restoration of the roof. The home has attractive gardens, which are well maintained and there is good access to the gardens from various parts of the home. Some service users told the inspectors that they try to go out daily weather permitting to enjoy the gardens. The inspector noted that adverse weather would not stop service users enjoying the garden, as the windows are low enough to allow service users to view the gardens from their armchairs. It was noted that service users were able to personalise their bedrooms with small items of furniture, paintings on the wall and many family photographs. It was observed that no towels were provided in bathrooms and en-suites for staff to dry their hands following hand washing. A requirement was issued on this standard. Generally, the home presents as clean, safe, pleasant, hygienic and tidy and free from offensive odours. Random review of care workers training record demonstrated they have had training in infection control and this was evident in the storage of waste. Pantiles Residential Care Home DS0000067929.V346400.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 fulfil the aims of the home and meet the changing needs of the service users Skilled competent staff met Residents’ needs. EVIDENCE: The staff rota demonstrated the number and grade of staff on duty to provide care and attention to service users for any twenty-four period was adequate to meet the assessed care needs of the service users. Review of training records indicated all staff have undertaken the medicine training as required from the last inspection. Care workers have undertaken training and updating in Manual Handling, Dementia care, principles of care and all staff files sampled contained record of having undertaken a period of induction during the first three months of appointment. Random review of care workers files indicated that the home complied with the regulation regarding employment of staff to work in the care home. The records contained evidence that care workers attended all training offered. Recruitment to the home is through a process of equal opportunity and in accordance with the code of conduct and practice set by the General Social Care Council (GSCC). All staff has Criminal Record Bureau (CRB) and Pantiles Residential Care Home DS0000067929.V346400.R01.S.doc Version 5.2 Page 20 Protection of Vulnerable Adults (POVA) checked prior to commencing employment, and they are in receipt of terms and condition of employment as evidenced in their randomly selected files. During discussion with the manager it was stated that staff are regularly supervised. This was supported in discussion with care staff spoken to on the day and by records kept by the home. There was evidence that newly appointed staff undertook a programme of induction and care workers in discussion supported this. Documented evidence indicated that the home ensures that care workers undertake the mandatory training with yearly updates as necessary to maintain their competency to fulfil their duties. This was evidenced through discussion with the manager and care workers. Pantiles Residential Care Home DS0000067929.V346400.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 has the experience to run the home and works to continuously improve services and provide an increased quality of life for the service users. There is a strong ethos of being transparent and open in all areas of running the home. The views of service users and their relatives are actively sought in the running of the home Service users financial interests are safeguarded. The service provides training on health and safety issues for all staff and service users are involved in the running of the home. EVIDENCE: Pantiles Residential Care Home DS0000067929.V346400.R01.S.doc Version 5.2 Page 22 The manager has demonstrated that she has kept herself updated on issues relating to care of the service users and staff in her charge. She has attained the Registered Managers Award and also the National Vocational Qualification Level 4 in care. In discussion with the manager it was evident she was knowledgeable about the care needs of the service users and the training needs of the care workers to meet these identified needs. There are clear lines of accountability within the home, each member of staff spoken to on the day of inspection aware of their role and responsibilities. Regular residents meetings are arranged and minutes of the meetings are passed to the owners who will action requests as soon as possible. The owners are in attendance on twenty-four hourly basis, and are able to monitor the running of the home through interaction with service users, relatives and care workers. The home does not become involved in service users finance. Review of documented records demonstrated that health and safety checks are routinely carried out at the home. All equipment examined on the day was properly maintained. Records indicated that fire drills, fire alarm, water temperature fridge and freezer recordings were regularly checked. Random sample of care workers’ training files demonstrated that up to date and relevant training were carried out by care workers to protect service users’ health, welfare and safety. In discussion with care workers they discussed their understanding and implementation of appropriate procedures to safeguard service users. Further more they spoke about their understanding of promoting safe working practices based on their health and safety training. Throughout the service there is a highly evolved understanding of the equality and diversity needs of the individual service users. Care workers are confident in delivering high quality outcomes for service users in the areas of age, sexuality, gender, disability and belief. Although the care workers are knowledgeable about issues relating to race and equality and diversity, they are not able at the moment to put this knowledge into practice, as the current service users are all Caucasians. Pantiles Residential Care Home DS0000067929.V346400.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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 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 Pantiles Residential Care Home DS0000067929.V346400.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 OP26 Regulation 16 (2) (j) Requirement Provide disposable hand towels in toilets and bathrooms to prevent cross infection occurring. Timescale for action 20/11/07 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 Pantiles Residential Care Home DS0000067929.V346400.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Pantiles Residential Care Home DS0000067929.V346400.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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