Inspection on 27/07/06 for Parkhouse Grange

This inspection was carried out on 27th July 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 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

Parkhouse Grange 12/03/09

Parkhouse Grange 28/10/07

Parkhouse Grange 03/11/05

Parkhouse Grange 23/08/05

Parkhouse Grange 11/04/05

Parkhouse Grange 04/05/04

Parkhouse Grange 22/03/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Parkhouse Grange 47 Park Road Earl Shilton Leicestershire LE9 7EB Lead Inspector Kim Cowley Unannounced Inspection 27th July 2006 12:30 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 Parkhouse Grange DS0000001679.V304430.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. Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkhouse Grange Address 47 Park Road Earl Shilton Leicestershire LE9 7EB 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) 01455 851333 01455 851333 A.L.A. Care Limited Mrs Regina Summerfield Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number disorder, excluding learning disability or of places dementia (10), Mental Disorder, excluding learning disability or dementia - over 65 years of age (10), Old age, not falling within any other category (40), Physical disability (5), Physical disability over 65 years of age (5) Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No-one under the age of 55 years may be admitted into the home in categories MD or PD. Service user numbers. No person falling within categories MD/MD(E) may be admitted to the home when there are 10 persons in total in these categories/combined categories already accommodated in the home. Service user numbers. No person falling within categories PD, PD(E) may be admitted to the home when there are 5 persons of these categories/combined categories already accommodated in the home. Service Users Numbers No person falling within the category DE(E) may be admitted to the home when there are 20 persons of that category already accommodated in the home. Named Person To admit a named person in category SI(E) as identified in correspondence with CSCI dated 10.5.04 Service User Numbers No person falling within the category DE/E may be admitted to the home when there are 20 persons of that category already accommodated in the home. Named Person To be able to admit a named person in the category SI(E) as identified in correspondence with CSCI dated 10 May 2004 3.11.06 3. 4. 5. 6. 7. Date of last inspection Brief Description of the Service: Parkhouse Grange is a 40-bedded purpose built residential care home. It opened in 1996 and is situated in Earl Shilton, close to a range of local amenities. The home caters for older people, some of whom have mental health needs or physical disabilities. All bedrooms are single and 10 have ensuite facilities. There are three lounges, a dining room, and a conservatory downstairs, and a lounge with an adjoining roof garden upstairs. The home is set in 1.5 acres of landscaped gardens. Fees range from £370 to £410 per week. Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the home visit, the inspector spent half a day reviewing the last inspection report, and information relating to the home received since that inspection. During the course of the inspection, which lasted four hours, the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means that the inspector looked at the care provided to three residents living at the home by talking with the residents themselves; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were inspected. The Manager and three other members of staff were interviewed. The staff team, staff training opportunities, Manager, commitment to resident choice, and health and safety programme were commended. What the service does well: Parkhouse Grange is a well-run residential home with a caring and enthusiastic Manager and staff team. All resident interviewed said they were happy with all aspects of the home, and in particular the Manager and the staff team. One resident commented ‘I am very happy in this home.’ Another said ‘I can’t say a bad word about this place.’ This was an unannounced inspection and all areas inspected were clean, tidy and fresh. One resident commented, ‘The home is very clean.’ A visiting professional wrote, ‘Always very clean and odour free. Very pleasant decoration and always in good condition.’ On the day of inspection the weather was hot and staff had taken steps to ensure residents were comfortable. Electric fans were in use in the lounges and residents were served with ice cream milkshakes to keep them cool. A small group of residents were playing scrabble with a member of staff in the conservatory, and other residents were listening to music in one of the lounges. The atmosphere in the home was relaxed and friendly. The staff team is established and there is a core of experienced staff who have worked at the home for many years. The home is fully staffed and staffing hours exceed CSCI’s recommended minimum. During the inspection staff were observed as being warm, caring and professional and to have excellent relationships with residents. All residents interviewed praised the staff team. Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 6 One commented, ‘You’ve only got to ask and the staff will get you anything.’ A member of staff said, ‘We put a lot into working here, and we get a lot back too. The residents are lovely.’ The Manager has 13 years experience in care, three at management level, and is well qualified for the job she does. She has a good rapport with both staff and residents and was knowledgeable about her role at the home. All residents interviewed spoke highly of her. One said, ‘Gina’s smashing. She’s really lovely. If she can help you she will.’ A visiting professional wrote, ‘The Manager at Parkhouse Grange is always most helpful and informative regarding the clients under her care.’ What has improved since the last inspection? 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. Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 7 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 Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 8 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): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. EVIDENCE: The home takes both private and social services funded residents. The Manager assesses all new referrals using a standard checklist to determine their needs. The home admits older people, some of whom have mental health needs and/or physical disabilities. Social and health service assessments are taken into account when a decision is made about whether the home is suitable for a particular resident. The Manager said ‘It’s very important that residents have a thorough assessment before they come in. I try and talk to families, and health and social care staff as well as the resident so I can get a full picture of their needs. We do take residents with dementia providing they do not have extreme challenging behaviour.’ Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 9 One resident commented, ‘I came for an assessment and I just stayed. I didn’t want to leave once I’d seen this place.’ Standard 6: This home does not provide intermediate care. Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 10 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, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ health and social care needs are met. EVIDENCE: Care plans are computerized. They were inspected and found to be of good quality, being comprehensive and containing appropriate risk assessments. They stress what residents can do, as well as what their needs are. The Manager said ‘This is a more positive approach and helps staff to see the many abilities our residents have, despite them needing residential care.’ Care plans are reviewed at least every four months. The Manager has implemented new NHS guidance on infection control. The aim is to reduce the risk of MRSA and other infections. An anti-bacterial hand wash is now kept on the front desk and all visitors are encouraged to use it. Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 11 The Manager said staff have good relationships with local GPs and District Nurses, who respond promptly if a resident needs a visit. Chiropodists (both NHS and private), a dentist, and an optician visit the home when required. Health care records showed that staff are quick to respond should a resident’s health deteriorate. A contract pharmacist supplies the residents’ medication and provides advice to staff. All staff who administer medication have completed a 12 weeks ‘Safe Handling of Medication’ course. One resident commented, ‘The staff bring your tablets to you. They’re very good like that.’ Staff are trained to treat residents with dignity and respect. This training takes place during their induction and when they shadow experienced members of staff. The Manager and seniors lead by example. ’ Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 12 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, 15 The quality outcome for this area is good. This judgement has been made using the available evidence including a visit to the service. Daily life and social activities enable residents to lead full lives. EVIDENCE: Activities provided include karaoke, armchair exercise, board games, and music. Church services (various denominations) are held in the home once a month. Three residents and a member of staff were playing scrabble during the inspection. One resident has organised a raffle to raise money for activities. She raised over £100 and this has been used to buy new board games for the home. The Manager said a residents’ meeting was held to choose and plan activities, and an activity programme was devised as a result. This is set out in an activities book, which is kept in the office. Staff and residents are planning Parkhouse Grange’s 10th anniversary celebration, an evening barbecue to be held in August. This will be for staff and residents and their friends and relatives. Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 13 Shops, the library, and Age Concern are close to the home. Mobile hairdressing is available with dates advertised on the residents’ notice board. Hairdressing is free (with the exception of perms and colours). A mobile library visits the home once a month and changes the supply of books. The home has an ‘open house’ policy for visiting. Visitors can stay for meals if they wish and can see residents in their bedrooms or in one of the lounges. The home has links with Age Concern, and advocacy services can be requested through this organisation. Two part-time cooks and a kitchen assistant are employed. Menus are planned every six weeks. Residents’ meetings give residents the opportunity to contribute to the planning process. In addition the cooks talk to residents every morning when they ask them what meals they would like that day. Breakfast is served from 8 to 8.30am, lunch (the main meal of the day) at 12.30pm, tea at 5pm, and supper at 9.30pm. All residents’ interviewed made many positive comments about the food including: ‘The food’s good. There’s always a choice at dinner between two things. If you said you didn’t like either of them they’d make you something else.’ ‘The cooking is of a good standard.’ ‘I have cereal and toast in the morning but I can have a cooked breakfast if I want.’ ‘We’re very well fed here – I’ve put on loads of weight!’ Menu records showed healthy and varied meals being served with choices at every meal, including vegetarian options. Lunch served during the inspection consisted of steak and onion pie, or pork and stuffing (plus a vegetarian option), served with brussels sprouts, sweetcorn and carrots. Dessert was chocolate gateaux or ice cream. Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 14 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, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents feel able to talk to staff about any concerns they might have. EVIDENCE: The home has a Complaints Procedure, which is displayed in the entrance. A copy is given to all residents and their representatives on admission. The Complaints Procedure has been updated to include information about how to complain to CSCI if complainants do not want to complain directly to the home. One resident commented, ‘If something was wrong I’d tell the staff or the Manager.’ No complaints have been received by the home since the last inspection. The home has a written policy called ‘Guidelines for the Prevention of Abuse to Residents’. This document provides information on safeguarding residents and explains procedures for passing on concerns to the relevant parties (in accordance with the Public Disclosure Act 1998 and Department of Health Guidance ‘No Secrets’). The Manager said ‘Staff are trained from day one to protect residents from abuse. They are approachable and residents can confide in them if there is anything wrong. All staff know they can come and tell me if they are not happy about the way another staff member is behaving.’ She added, ‘The staff are Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 15 caring and would let me know if things aren’t going as they should be. They would whistle blow.’ Parkhouse Grange DS0000001679.V304430.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, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in an environment that is safe and well maintained. EVIDENCE: The home was purpose built and provides a good standard of accommodation to residents. It is set in extensive landscaped gardens, which are wheelchairaccessible. There is a secure section of the garden at the rear of the home. This area is suitable for residents who wander. There is a walkway, a lawn, and a patio area with tables and chairs. It has been designed and created to a high standard and provides a secluded, safe area for residents to enjoy. A gazebo has been purchased so residents can sit outside in the shade on hot days. The home’s handyman is shared with two other ALA Care homes. For audit purposes the home is divided into three zones with a senior responsible for Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 17 each. Details of any work that needs doing is put in the home’s repairs book for action to be taken by the handyman. Contractors maintain the gardens This was an unannounced inspection and all areas inspected were clean, tidy and fresh. Three part-time cleaners are employed to cover a seven-day week. One resident commented, ‘The home is very clean.’ A visiting professional wrote, ‘(The home) is always very clean and odour free. Very pleasant decoration and always in good condition.’ Parkhouse Grange DS0000001679.V304430.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, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Well-trained and professional staff meets residents’ needs. EVIDENCE: The staff team is established and there is a core of experienced staff who have worked at the home for many years. The home is fully staffed and staffing hours provided exceed the Residential Forum’s recommendations. There are three to four staff and the Manager on duty during the day and two waking members of staff on at night, plus a senior member of staff (usually the Manager) on call. The home’s Responsible Individual is based at the home three days a week. Since the last inspection a new part-time administrator has been appointed. She provides administrative support to the Manager and care staff, enabling them to spend more time with the residents. During the inspection staff were observed as being warm, caring and professional and to have excellent relationships with residents. All residents interviewed praised the staff team and the following comments were made: ‘The staff care for us very well.’ ‘(One of the care workers) has helped me a lot. She has helped me in every way.’ ‘You’ve only got to ask and the staff will get you anything.’ ‘All the staff are nice.’ Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 19 When recruiting staff a checklist is used to document the vetting and assessment process. Staff are sent an application pack and asked to come to the home for an interview, bringing with them the necessary documentation. If staff take up a post before they have received Criminal Records Bureau clearance or references they work under supervision at all times until they arrive. All staff are given contracts, the ALA Care Ltd profile and company structure, health and safety information, and an employee handbook. This process helps to provide a safer environment for residents. Staff undergo the TOPSS induction, ‘First Steps’, which leads to NVQ Level 2. Courses in Dementia Care, Basic Food Hygiene, Infection Control, Safe Handling of Medication, and Manual Handling are followed. The Manager has the NVQ Registered Manager’s Award, and the majority of staff have NVQ Level 2 or above. All staff have an annual appraisal with the Manager. Three staff were interviewed and all said they were happy working at the home. Comments included: ‘I love it here – it’s such a friendly place.’ ‘We put a lot into working here, and we get a lot back too. The residents are lovely.’ ‘I’ve been on a course in dementia which has helped me to understand confused residents.’ ‘We get loads of training. They’ve put me on NVQ Level 3. They do everything they can to put us through training.’ The staff team and the training programme were commended. Parkhouse Grange DS0000001679.V304430.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, 33, 35, 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents live in a home that is safe and well managed. EVIDENCE: The Manager has 13 years experience in care, three at management level. She has NVQ Level 4 and the D32/33 Assessors Award. She has a good rapport with both staff and residents, and was knowledgeable about her role at the home. The Manager commented, ‘I love what I do and I have an excellent staff team. The rule in the home is that the residents come first and all my staff understand and accept this.’ All residents interviewed spoke highly of her. One said, ‘Gina’s smashing. She’s really lovely. If she can help you she will.’ Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 21 A visiting professional wrote, ‘The Manager at Parkhouse Grange is always most helpful and informative regarding the clients under her care.’ The Manager was commended for her work at the home. Annual quality assurance questionnaires are sent out to residents, relatives, and visiting professionals. The latter group (including GPs, dentists, psychiatrists, and opticians) has just been surveyed and to date four responses have been received, all positive. Residents at Parkhouse Grange are encouraged to make choices about aspects of their daily lives, for example bedtimes and how they spend their day. Residents’ comments included, ‘I have a lie-in when I want one’, and ‘We get up and go to bed when we like.’ The Manager accepts that it is more difficult to enable residents with dementia to make choices, but said that staff encourage them as far as possible. She commented ‘I know they can’t make a lot of choices about their lives, but they can make some choices, even if it’s just between two outfits in the morning when they’re getting dressed. We also observe their body language – if they push their dinner away they probably don’t like it, so we can offer them something else. By caring for them we gradually learn what makes them happy.’ The staff were commended for encouraging residents to make choices about their lives. Residents’ finances are handled by the residents’ themselves, or their representatives. The Manager said that if any concerns arise about residents’ access to their own monies social service are informed. There is a range of policies and procedures in place to maintain health and safety in the home. Good records were available to show the home is properly maintained and in discussions the Manager demonstrated her commitment to keeping the environment safe. The Environmental Health Officer inspected the kitchen on 13.07.06 and no requirements or recommendations were made. The Manager said she is implementing a new food safety system, ‘Safer food better business’, designed by the Food Stands Agency. This system replaces risk assessments with a food audit diary. Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 22 Since the last inspection staff have had fire training and a fire drill involving a full evacuation of the building. Staff have also completed a written test about fire safety and the Manager is analysing their responses. A fire audit has been carried out by the Fire Department, and the home has an updated Fire Risk Assessment in place. The Manager is knowledgeable about health and safety in a residential care setting and has a proactive approach to keeping the environment as safe as possible for residents and staff. Health and safety procedures in the home were commended. Parkhouse Grange DS0000001679.V304430.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 3 X X X X 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 3 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 4 Parkhouse Grange DS0000001679.V304430.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. 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 Parkhouse Grange DS0000001679.V304430.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Parkhouse Grange DS0000001679.V304430.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. 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!