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Inspection on 16/08/07 for Pendale Retirement Home

Also see our care home review for Pendale Retirement Home for more information

This inspection was carried out on 16th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Pendale has been a care home for many years and has a good stable staff group, which provides continuity and stability for residents. The inspector found during the visit that staff demonstrated a good awareness of the needs of the residents and he observed good interaction between residents, management and staff. The residents said that they are happy living at the home and that all the staff are kind and helpful. A written pre admission assessment is done to ensure that residents admitted to the home are provided with care to meet all their needs. The staff had an awareness of equality and diversity and said that they treat everyone as equals and respect people`s different ways and habits. There have been some improvements in the decorating and carpet replacement since the new owners took over.

What has improved since the last inspection?

The percentage of care staff who have completed their NVQ (National Vocational Qualification) training has increased to 84%. The manager is now registered with CSCI.

What the care home could do better:

Almost all of the bedrooms are in a poor state and need decorating. Some rooms were found to have wallpaper peeling off and cracked plaster on the walls and ceilings. The carpet in one bedroom was found to be in a terrible state and not fit for purpose.The owners who live in the south of the country are not visiting the home often enough to support the manager. One of the owners should visit the home on a regular basis to talk to the manager, staff and residents. She should complete a Regulation 26 form monthly and leave a copy in the home. A copy of the report should also be sent to CSCI. In the last year only one regulation 26 report was received by CSCI and none were available at the home. This form is completed to ensure that owners who do not work at the home on a daily basis either himself or herself or a representative looks at all areas of the home and leaves a written report. The manager is not sending Regulation 37 reports to CSCI. This regulation requires the manager to inform CSCI of incidents like accidents, deaths, etc occurring at the home. The manager should complete the Registered Manager`s Award.

CARE HOMES FOR OLDER PEOPLE Pendale Retirement Home 6/8 Greystoke Place Blackpool Lancashire FY4 1NR Lead Inspector Mr Ajam Auckburally Unannounced Inspection 16th August 2007 10:00 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 Pendale Retirement Home DS0000065288.V342108.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. Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pendale Retirement Home Address 6/8 Greystoke Place Blackpool Lancashire FY4 1NR 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) 01253 342191 Pendale Care Limited Miss Natasha Suttenwood Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only: Code PC, to service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP. The maximum number of service users who can be accommodated is 23. Date of last inspection 9th June 2006 Brief Description of the Service: Pendale Care Home is situated in a residential area in the south of Blackpool and close to the sea front. The home can accommodate a maximum of 23 residents of both sexes who are 65 years or older. Accommodation is provided in 23 single bedrooms all with an ensuite facility. The ground floor comprises of two lounges and a dining room with the front lounge overlooking the Solarium Gardens and the promenade. The home has a passenger lift, which residents can use independently. A small sheltered patio area with seating facilities for residents is available at the back of the home. There were 16 residents living at the home at the time of the inspection and they all appeared to be well cared for. Current weekly fees are between £294 and £345 and additional extras like newspapers and private chiropody are paid for by the residents. Hairdressing is provided free of charge unless residents wish to make their own arrangements. Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Under IBL (Inspecting for Better Lives) Pendale was assessed as requiring a statutory key visit (inspection) between April 2007 and March 2008. An unannounced key site visit was carried out on 16th August 2007. The inspection lasted 5.5 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection despite being an unannounced one was carried out in a friendly atmosphere and with the full cooperation of the staff and the residents. During the inspection, some records were looked at and all the residents and the staff were spoken to. The residents were very positive about the care they receive and the way the staff treat them. Every year we asked the registered person to provide us with written information about the quality of the service they provide and to make an assessment of the quality of their service. A questionnaire called the AQAA (Annual Quality Assurance Assessment) is sent for the manager of the home to complete and return. We use this information, in part, to focus our inspection activity. The completed questionnaire gave information about several areas such as staffing, checks that the home has made about the safety and maintenance of the building, information about residents and other useful information. The AQAA also requests information about good practices and developments. Questionnaires were also sent to residents, the families and other professionals such as district nurses and doctors. By the time the inspection was carried out, five relatives had returned their completed forms. When they were analysed, four were satisfied with all aspects of the home and one made some adverse comments about the staff. The manager was able to give satisfactory explanations about the concerns raised. There were 16 residents living at the home at the time of the inspection and there were 3 care staff, and a cook on duty. The manager who was off duty came to assist with the inspection. The number of staff on duty was sufficient to look after the well being of all the residents. The staff were observed to be polite and attentive when talking and dealing with the residents. Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Almost all of the bedrooms are in a poor state and need decorating. Some rooms were found to have wallpaper peeling off and cracked plaster on the walls and ceilings. The carpet in one bedroom was found to be in a terrible state and not fit for purpose. Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 7 The owners who live in the south of the country are not visiting the home often enough to support the manager. One of the owners should visit the home on a regular basis to talk to the manager, staff and residents. She should complete a Regulation 26 form monthly and leave a copy in the home. A copy of the report should also be sent to CSCI. In the last year only one regulation 26 report was received by CSCI and none were available at the home. This form is completed to ensure that owners who do not work at the home on a daily basis either himself or herself or a representative looks at all areas of the home and leaves a written report. The manager is not sending Regulation 37 reports to CSCI. This regulation requires the manager to inform CSCI of incidents like accidents, deaths, etc occurring at the home. The manager should complete the Registered Manager’s Award. 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. Pendale Retirement Home DS0000065288.V342108.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 Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provides good information both verbal and written to enable new residents to decide whether to choose the home or not. EVIDENCE: The last resident admitted to the home was spoken to. She said that she has been coming to the home for day care for a few years and had no hesitation in becoming a permanent resident. She added that she was impressed with the staff and the friendliness of the place. The manager said that prospective residents are encouraged to visit the home and spend some time with the other residents. They can have a meal and participate in daily activities. Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 10 The manager said in most instances, it is a member of the family of prospective residents who would visit on their behalf. The manager would visit and assess prospective residents either in their own homes or in hospitals. During the visit a written assessment is done to decide whether the home can meet the needs of the resident. Questions will include such things as mobility, mental state, likes and dislikes, any idiosyncrasies and other needs, which will help the staff, provide the right care. A full assessment is carried once the new resident is admitted and continues all the time. Regular reviews are carried to ensure that the level of care provided is appropriate. Written information such as the service user guide is given to new residents and their families. Every resident has a written contract, which gives details of the services to be provided, and how much they need to pay. This document is signed by the resident or their representatives and also the owner of the home. Intermediate care is not provided at Pendale. Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well cared for by a team of dedicated staff. Their health and well being are promoted well and they are treated with respect and dignity. EVIDENCE: Two residents were case tracked to evidence how the staff meet the health and social care needs of the residents. Case tracking means that the services provided to the residents are closely examined by talking to them, observing staff interactions and reading records kept. One of the residents was the last one admitted whilst the other one has been at the home for many years. Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 12 The resident who was the last person to be admitted to the home said that she used to attend day care for several years. She said that she has always found the staff to be good and caring and had no hesitation to becoming a permanent resident. The other resident has been at the home for few years. He is quite independent and is able to able to go out. The written records show that they were assessed before they were admitted to the home which means that the care provided is geared to their needs. The manager said that the medical needs of the residents are met by involving their GP and other health care professionals such as district nurses, dentist, optician, and chiropodist. The care staff spoken to said that they encourage the residents to remain as independent as they want and provide them with full assistance when they need it. The stock of medications was examined and some discrepancies were found in the number of Temazepam kept in the Control Drug cupboard. The number of tablets was in excess to what the records showed. The manager explained that this was due to the resident being in hospital and the dosage of the tablet being wrongly written. However, the number of tablets with the right dosage was found to be correct and the wrong ones were being sent back to the chemist. The medications are kept in a locked cabinet in the office. Medications are only dispensed by experienced staff who have attended a relevant course. Residents who are able and willing may after an assessment keep and take their own medications. None of the current residents was self medicating. The staff said that they meet the needs of all the residents and care for them with dignity and respect. Staff were observed to be polite and respecful when speaking and dealing with the residents. Pendale Retirement Home DS0000065288.V342108.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. There is a good range of activities to keep the residents motivated. Residents are able to participate in activities of their choosing. EVIDENCE: The residents said that they are happy with the level of activities in the home. They said that there is something going on almost everyday. Activities include bingo, dominoes, music, exercises, carpet bowls and the occasional entertainers. The staff said that they would do any reasonable activity the residents wanted. One of the residents being case tracked has his own car and he said that he often goes out for a drive. Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 14 The residents said that they enjoy the afternoons activities very much. The residents said that they are able to do what they like and that if they need assistance, the staff would help them. Residents were seen moving around the home freely and sometimes with the assistance of the staff. Relatives are encouraged to visit the home when they want. Comment cards returned by 5 relatives were generally positive about the care provided. One had some concerned about the attitudes of staff which was found not to be justified. The manager was able to explain satisfactorily the reasons for the adverse comments. A choice of meals with several alternatives is provided during the main meal which is at lunchtime. A wide choice of food is also provided at teatime and breakfast. Food is normally served in the dining room as a social gathering, but residents may eat in their rooms if they wish. The records of meals served were examined and they showed that a good variety of nutritious meals are provided. The manager said that she and the catering staff are aware what kind of food the residents like and tend to put them on the menu. Residents are consulted regularly and can have such food like tripe, black puddings etc. The residents spoken said that they enjoy the food very much and that they can within reason have what they want. They said that they get plenty to eat and drink during the course of the day. Pendale Retirement Home DS0000065288.V342108.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 adequate. This judgement has been made using available evidence including a visit to this service. There are detailed policies and procedures on how to deal with complaints and abuse. The manager had failed to inform CSCI of an alleged abuse incident. Residents are able to speak freely if they have any concerns. EVIDENCE: The manager, following advice at the last inspection has produced a policy on adult abuse. It describes the different types of abuse and what staff should do in the event of an abuse taking place. Following a recent case of abuse by a staff towards a resident, the manager has successfully referred this person to be included on the POVA (Protection Of Vulnerable Adults) list. However, neither the manager nor the owner had informed CSCI of this incident. A few of the care staff team have attended a course on abuse and the manager was asked to ensure that all staff attend this training. Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 16 The residents said that they feel safe living at the home and that if they had any complaints, they would not hesitate to speak to the manager. The manager said that she speaks to the residents everyday and deal with any problems they may have straight away. She also said that she has an open door policy and residents, staff and relatives can see her when they want. The manager said that there has not been any complaints made by residents or relatives. She was advised to keep a book to record any complaints or concerns raised. The residents said that they have no complaints about anyhting. They said that all the staff are kind and helpful. They said that if they are unhappy about something, they would speak to the staff and the manager. The residents were observed to be free from neglect and abuse. They all appear to be well cared for. Pendale Retirement Home DS0000065288.V342108.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 poor. This judgement has been made using available evidence including a visit to this service. The programme for maintenance and upkeep of the home is poor. The environment for the residents to live in is poor. EVIDENCE: Pendale is situated in south shore area of Blackpool and close the sea front. Accommodation for the residents is provided in all single rooms with an ensuite facility. There are two lounges on the ground floor and a dining room. They are adequately fitted and furnished and residents can use them freely. Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 18 During a tour of the home, most of the residents’ bedrooms were found to be in poor conditions. The carpet in one bedroom was very dirty and worn and looked awful. It was not acceptable for the carpet in a resident’s room to be in such a terrible state. It was however reassuring that the manager took immediate steps to remedy the situation. A carpet fitter arrived during the inspection to measure the room for a new floor covering and the manager said the work will be carried as soon as possible. The wall in another bedroom was found to have been smeared with mucus and although cleaned up had left the wall stained. The manager said that this wall will be repainted very soon. The conditions of the remaining bedrooms were poor. Some had wallpaper peeling off, some had plaster coming off the walls and ceilings and the general state of décor was poor. The carpet on the office floor was dirty and not inviting to visitors and residents. The radiators in the lounges still need to have suitable covers fitted to them to prevent anyone from being burnt. Three residents spend most of their day in their rooms. They said that they preferred it this way and that they all the staff are supportive and respect their choice. They said that if they need anything, the staff will bring it for them. The home was found to be clean and generally in good hygienic conditions. Pendale Retirement Home DS0000065288.V342108.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. There are good procedures for recruiting and ensuring that new staff are fit to work at the home. Residents are cared for by a team of well-motivated staff. EVIDENCE: The number of staff on duty has been maintained to a good level to meet the needs of the residents. At the time of the inspection, there were 3 care staff and the cook on duty. The manager who was off duty came to assist with the inspection. Staff rotas examined show that the staffing level is well within the recommended level for the number of residents at the home. The manager demonstrated a good understanding of the procedures to be followed when selecting and recruiting staff. The staff files examined show that appropriate checks have been carried out before offers of employment were made. Such checks included CRB (Criminal Records Bureau) and a POVA (Protection Of Vulnerable Adults). Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 20 Each file also contained two references for the staff. The staff spoken to said that they enjoy working at the home very much. They said that the manager is very supportive and listens to what they have to say. Most of the staff working at the home have been there for many years and said that they have good working relationships with the residents and the other staff. The residents said that the staff are marvellous and will do anything for them. There were good interactions between the residents and the staff. They all appeared to be happy and content Thirteen care staff are employed at the home and 11 of them have completed their NVQ (National Vocational Qualification) level 2. The other two staff are currently on the NVQ course. This means that 84 of them have done this course. The recommendation is that 50 of them should achieve this qualification. This is commendable. The manager said that the staff have attended basic courses like Moving and Handling and Food Hygiene but would like them all to attend other courses like Dementia and Abuse. Pendale Retirement Home DS0000065288.V342108.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 adequate. This judgement has been made using available evidence including a visit to this service. The management support for the manager by the owners is not adequate. The manager is providing a good service to the residents and staff but needs more support from the owners. EVIDENCE: Pendale is owned by Pendale Care Ltd and the responsible person is Mrs Jacqueline Cox who lives in the South. She is supported by her husband Mark. Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 22 A manager Natasha Suttenwood, has recently been registered with CSCI and is managing the home on behalf of the owners. The manager said that the owners are not visiting the home regularly to support the her. The manager said that sometimes she finds it difficult to get in touch with them. There are areas in the home like decorating and refurnishing which are being neglected due the owners not spending time at the home. As the registered providers do not work in the home on a day to day basis, one of them should visit the home on a regular basis to talk to the manager, staff and residents. Once a month, they should complete a Regulation 26 form. This form is completed to ensure that owners who do not work at the home on a daily basis either himself or a representative looks at all areas of the home and leaves a written report. A copy of the report should also be sent to CSCI. Copies of the Regulation 26 should also be left at the home. The manager has not been sending Regualtion 37 reports to CSCI. This regulation requires the owner or the manager to notify CSCI of incidents like Death of a resident, accidents, theft and abuse at the home. The newly registered manager is doing a good job in managing the home but said that she needs more support form the owners. The manager has completed her NVQ level 4 but needs to complete the Regsitered Manager’s Award. The staff said that the home is well run and that they have confidence in the manager. They said that they work as a team and receive support from the manager. Pendale Retirement Home DS0000065288.V342108.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 1 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 2 X 3 X 3 X 2 3 Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 2. Standard OP33 Regulation 26 Requirement The registered provider must visit the home and prepare a written report on the conduct of the home and a copy send to CSCI Timescale for action 31/10/07 3. 4. OP37 OP25 37 23 6. OP19 23 The providers must inform CSCI 31/10/07 of incidents at the home All heating radiators must be 31/12/07 fitted with low heat covers. previous timescales 31/07/06) and 1/12/06 The bedrooms and other areas of 31/12/07 the home must be maintained and decorated to a good standard (previous timescale 31/08/06 and 1/12/06) 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 Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 25 1. 3. OP31 OP30 The registered manager should complete her Registered Manager’s Award The providers should ensure that staff receive appropriate training such as Adult Abuse and Dementia Pendale Retirement Home DS0000065288.V342108.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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. 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