Inspection on 23/11/06 for Radbrook Nursing Home

This inspection was carried out on 23rd November 2006.

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

Radbrook Nursing Home 10/01/06

Radbrook Nursing Home 10/08/05

Radbrook Nursing Home 24/09/04

Radbrook Nursing Home 15/06/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Radbrook Nursing Home Stanhill Road, (Off Bank Farm Road) Radbrook Shrewsbury Shropshire SY3 6AL Lead Inspector Pat Scott Key Unannounced Inspection 23rd November 2006 10:30 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 Radbrook Nursing Home DS0000022270.V296991.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. Radbrook Nursing Home DS0000022270.V296991.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Radbrook Nursing Home Address Stanhill Road, (Off Bank Farm Road) Radbrook Shrewsbury Shropshire SY3 6AL 01743 237800 01743 237813 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) www.morriscare.co.uk Morris & Co Limited Mrs Jean Hannah Bidder Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (20), Terminally ill (3) of places Radbrook Nursing Home DS0000022270.V296991.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The Home must comply with the Staffing Notice as issued by the Shropshire Area Health Authority dated 8th May 1990. The home may accommodate a maximum of 43 service users. The home may accommodate any balance of older persons requiring nursing care and younger physically disabled persons to the total of 43, including 3 terminally ill persons. 10th January 2006 Date of last inspection Brief Description of the Service: Radbrook Care Home is registered with the Commission for Social Care Inspection to provide accommodation with en-suite facilities for 43 people needing nursing care. Radbrook is one of a group of nursing homes run by Morris Company Care Division. The home is situated on the outskirts of Shrewsbury with local bus services close by. The home provides 5 sitting areas, which are located at the end of each wing, 1 dining room/conservatory, which is on the ground level and situated at the front of the building. There is a large sitting room upstairs. There is access to a garden and car parking is available. Morris Care make their services known to prospective service users in: The Statement of Purpose, Company Brochure and web site which also contain their contact e mail address. The inspection report is mentioned in the statement of purpose and is available in the home. Morris Care’s rates are reviewed annually and service users are notified one month in advance. The additional charges to service users are clearly laid out in the admission agreement. Fees for Radbrook as of 23/11/06 are: £699 per person per week. All service users pay monthly by standing order. Radbrook Nursing Home DS0000022270.V296991.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, staff records kept in the home, medication records, discussion with people who use the service and their relatives, discussions with the staff team, discussion with the manager, tour of the premises, previous inspection reports, quality assurance process, Fire Authority reports, Environmental Health Office reports, observation of care experienced by people using the service. What the service does well: What has improved since the last inspection? What they could do better: It is considered that this home is currently performing very well, setting its own objectives for continual improvement. Radbrook Nursing Home DS0000022270.V296991.R01.S.doc Version 5.2 Page 6 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. Radbrook Nursing Home DS0000022270.V296991.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 Radbrook Nursing Home DS0000022270.V296991.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Key Standards 1.2.3.4.5 Prospective residents and their representatives have the information needed to choose a home which will meet their needs They have their needs assessed and a contract which clearly tells them about the service they will receive. EVIDENCE: Significant time and effort is spent making admissions to the home personal and well managed. Examples of completed admission questionnaires were available. These are completed within 24hrs of admission to the home with a comments section for any service user that is discharged. Feedback regarding these forms is given to the relevant staff team. Visitors, relatives and enquirers who walked through the door were greeted by helpful care and reception staff. Radbrook Nursing Home DS0000022270.V296991.R01.S.doc Version 5.2 Page 9 Prospective service users and their families are treated with dignity, respect and understanding for the life changing decisions they need to make. One service user stated that her transition to care from her own home made her feel at ease. There is a high value on responding to individual needs for information, reassurance and support. The service considers carefully the needs assessment for each prospective service user before agreeing admission to the home. Examples of assessments were within care plans viewed. The manager ensures that a summary of any assessment undertaken through the care management arrangements is obtained and insists on receiving a copy of the care plan. Prospective service users and their family, always have the opportunity to visit and spend time in the home prior to agreeing admission. Staff are prepared to visit the prospective service user and their family to get to know them and answer questions. A service user commented that she had been seen by a member of staff before being admitted. The home provides various formats for giving information on the statement of purpose and service user guide on the services and facilities the home can offer e.g. leaflets, brochure, photographs. Service users were involved in developing them. Clear information about contracts/terms and conditions, fees and extra charges is available in a format appropriate to the individual service user and their family’s, capacity and language. Administration staff spend time with service user to ensure they understand the terms and conditions of the placement. They are regularly reviewed and kept up to date, involving service users, their families and their representatives. A service user able to comment stated exactly what she paid, how she paid it and when. Staff are qualified and skilled to meet the specialist needs of a prospective service user. Staff are well briefed on the needs of new residents through weekly team meetings. Each care plan seen reflected the needs of the individual taking into account their cultural, religious and social preferences where this is appropriate Radbrook Nursing Home DS0000022270.V296991.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Key Standards 7.8.9.10.11 The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: From discussions with staff it is clear that the home involves service users in all aspects of their life. All service users have a concise care plan. The home has systems in place to ensure the care plan is reviewed and updated monthly and arranges additional reviews when changes take place. Feedback and involvement is a continuous ongoing process, staff spend time with individual service users to ensure they understand decisions and actions. The provider has robust quality monitoring systems in place which ensure that staff comply with policies and procedures, i.e. questionnaires, monthly visits by senior management, supervision and appraisals. Radbrook Nursing Home DS0000022270.V296991.R01.S.doc Version 5.2 Page 11 The care plan is used as a working tool and is understood by all staff that were spoken with. It is written in clear language and can be used in an emergency by people who are not familiar with its content. Each care plan seen included a comprehensive risk assessment. Management of risk takes into account the needs of service users balanced with their wishes for independence and choice. One service user who was behaving in an anxious manner was taken to the local shops by a care assistant. Following which she was much happier and calm. Records show that staff keep up to date with training, professional research and literature, in both the social care and clinical fields, and ensure that care plans are informed by the relevant social and clinical guidance. Care plans demonstrated that staff actively promote the service users’ right of access to the health and remedial services that they need, both within the home and in the community. Systems are in place to make sure service users are reminded about appointments and that they are not missed. The basis for charging for escorts to appointments is clearly laid out within the brochure and admission agreement. Records show that the home arranges for health professionals to visit frail service users in the home and provides facilities to carry out treatment. Staff keep a regular check on health aids, making sure they are working effectively and that each service user has the necessary aids to improve their quality of life. The home operates to an efficient medication policy, procedure and practice guidance. Staff all have access to the written information and understand their role and responsibilities. Part of a medication round was observed. Quality assurance systems confirm that policy is put into practice. Medication records were seen to be completed in full and are seen as key to the efficient management of health care matters for service users who have complex needs. The home strongly promotes independence, and those service users assessed as being able are encouraged and facilitated to keep, and take their own medication. The home has a sustained record of full compliance with the administration, safekeeping keeping and disposal of controlled drugs. The need to respect service users privacy and dignity when delivering health and personal care is a key principle of the homes aims and objectives. Staff spoken with were aware that this also applies to all areas of the service users’ life. Service users are consulted and can decide which staff members they want to help them with their personal care. The staff group is balanced to enable choice of male, female and age related preferences. The manager and provider routinely observes staff attitude and approach to privacy and respect and constantly seeks and values service users’ views and Radbrook Nursing Home DS0000022270.V296991.R01.S.doc Version 5.2 Page 12 experiences. A relative’s compliment letter stated that “we have received excellent care and attention to detail both in medical terms and personal care”. The homes policies, procedures and guidance support and inform practice. The wishes of individual service users about dying and terminal care, and the arrangements they want after death are openly and sensitively discussed with both the service user their family during the development of a specific end of life care plan. These are clearly recorded, respected and known to the staff delivering the care. The home has a detailed policy, procedure and practice guidance to help staff when handling terminal care and death. The manager has encouraged participation in the Gold Standard Framework for end of life care. A member of staff spoken with stated that staff receive in house and external training and practical advice in caring for these service users, and stated that they have continuous support and opportunities to discuss any areas of anxiety and concern. Facilities are provided to allow relatives and friends to stay with the service user and to assist with their care if the service user wants this. Radbrook Nursing Home DS0000022270.V296991.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Key Standards 12.13.14.15 Residents are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: From information seen and talking to service users and the activity coordinator the home provides a full and stimulating life style with a variety of options to choose from. The home seeks the views of service users and considers their varied interests and abilities when planning the routines of daily living and arranging activities. Routines are very flexible and service users can make choices in all areas of their life. The routines, activities and plans are service user focussed, regularly reviewed, and can be quickly changed to meet individual service users’ needs. Photo albums of activities enjoyed were on display in the foyer. A service user stated that they receive a newsletter that includes forthcoming events as well as a months events calendar and a puzzle Radbrook Nursing Home DS0000022270.V296991.R01.S.doc Version 5.2 Page 14 page. Service users were being offered aromatherapy hand massages. Extend classes are provided weekly by the manual handling link trainer and service users of all abilities are encouraged to attend. Service users stated that they “love the classes, even if I cant do much”. Policies, procedures and practice guidance focus on residents being in control of their life. The home employs an activities coordinator who is responsible for creating meaningful activities and experiences both in the home and the wider community. She is also participating in an extend course. Service users are actively encouraged to keep in contact with family and friends living in the community. Visitors are welcome at any time and facilities are available for them to have a drink or a meal with the service user. Service users can choose to entertain visitors in their own rooms or perhaps a lounge or garden areas. The provider is installing satellite TV in service user bedrooms. A relative spoken with considered the home to be a “friendly caring place with dedicated staff”. The approach and attitude of the staff team give service users the opportunity and support to remain independent. Staff give help when it is needed and have contacted advocacy groups and encouraged their involvement with individuals in the home. The home’s policies, procedure, guidance and quality assurance systems ensure that service users are protected from financial abuse. The home employs a newly recruited cook, kitchen assistants and stewards. Records show that they are qualified and experienced , and are important members of the care team and are well aware of the recorded dietary and cultural needs of each service user. The cook is committed to involving service users in menu planning and making sure that they are able to enjoy the food they prefer and like. To this end she has devised a questionnaire for service users to comment on their favourite dishes. The menu is varied, balanced and nutritious. Food is served to meet the need of all service users including those who have swallowing or chewing difficulty. Staff were seen to give assistance to those service users who need help to eat, they were discrete and sensitive. The mealtime was relaxed, the staff member patient and helpful, and allowed the service user the time she needed to finish her meal comfortably. Service users stated they appreciate the good quality food they are served and being able to have a drink when they wish and the availability of snacks. They also enjoyed being able to eat in their own room when they wish. Radbrook Nursing Home DS0000022270.V296991.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Key Standards 16.18 Residents have access to a robust, effective complaints procedure, are protected from abuse and have their legal rights protected. EVIDENCE: The service has a clear complaints procedure that highlights the importance of complaining or making suggestions for improvement. Service users able to make comment spoke of their understanding of how to make a complaint and they are fully aware of what can be expected to happen if a complaint is made. Discussions with the manager and sight of the complaints records showed that outcomes of two complaints this year had been managed very effectively. The service records evidence that it has learnt from the process, via the quality management team. Issues are discussed at service user meetings together with plans for any action to prevent re-occurrence. Service users at the home stated that they are extremely satisfied with the service provision. One service user stated that they “couldn’t wish for better”. The manager is very clear when an incident needs external input, and is open in discussing incidents with external bodies (CSCI, local adult protection) to clarify difficult judgements. Radbrook Nursing Home DS0000022270.V296991.R01.S.doc Version 5.2 Page 16 The manager ensures through training, supervision, review and quality monitoring that care staff fully comply with the policies and procedures provided in relation to protecting and safeguarding the rights of the residents. The manager involves advocates and, or, volunteers to enable all residents what ever their capacity to enjoy a quality lifestyle which includes being able to attend places of religion. The service has effective arrangements in place to make sure all residents have the opportunity to vote in elections. Radbrook Nursing Home DS0000022270.V296991.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Key Standards 19.26 The physical design and layout of the home enables residents to live in a safe and comfortable environment, which encourages independence EVIDENCE: The home has a pleasant environment, which provides aids and equipment to meet the care needs of the residents. It is safe place to live with rooms that meet the national minimum standards or are larger and all have en-suite facilities. Service users have the choice to bring small personal items of furniture into the home which were seen in those rooms entered. All the homes fixtures and fittings meet the needs of the residents and can be changed if their needs change. Radbrook Nursing Home DS0000022270.V296991.R01.S.doc Version 5.2 Page 18 The shared areas provide a choice of communal space with opportunities to meet relatives and friends in privacy or in their own rooms. There is a choice of bathing facilities, both assisted and unassisted, showers and baths and there are a number of toilets strategically placed around the home. The home is well lit, clean and tidy and smells fresh. However, two service user bedrooms had very stained carpets which need replacing. The management has a good infection control policy. They seek advice from external specialists, e.g. infection control, and encourage their own staff to work to the homes’ policy to reduce the risk of infection. Radbrook Nursing Home DS0000022270.V296991.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Key Standards 27.28.29.30 Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of residents EVIDENCE: The service has a good recruitment procedure that has the needs of service users at its core. The service is highly selective, with the recruitment of the right person for the job being more important than the filling of a vacancy. The provider prioritises training and facilitates staff members to undertake external qualifications beyond the basic requirements. The strategy introduces internal developmental training, to complement formal training as part of an ongoing training plan. The service empowers staff to share skills and knowledge with colleagues. Job roles are clearly defined and performance managed. Records of all training undertaken are kept, are accessible and demonstrated that a wide variety of topics are available. GPs provide lectures to staff on chosen topics six times a year. Seven service users and one relative all stated that staff are very skilled in their role, and are able to meet their needs. The manager views induction and any probationary period as being an extension of recruitment. There is little use of any agency or temporary staff Radbrook Nursing Home DS0000022270.V296991.R01.S.doc Version 5.2 Page 20 but where they are used there are good systems for their induction and support. The home employs a manual handling link trainer who works at Radbrook and other Morris Care establishments. Her role includes auditing manual handling risk assessments and the development of generic risk assessments for equipment. This information is fed into the health and safety meetings. From files seen of recently recruited staff, the interview and selection process is based upon identified criteria that is closely related to the job being advertised and supports the procedure. Radbrook Nursing Home DS0000022270.V296991.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Key Standards 31.33.35.38 The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a competent provider. EVIDENCE: The registered manager has the required qualification and experience to meet the key standards, is highly competent to run the home and meet its stated aims and objectives. The manager is able to demonstrate through formal qualification, and experience and ability that she is highly competent in the following areas: care of older people, conditions and diseases associated with Radbrook Nursing Home DS0000022270.V296991.R01.S.doc Version 5.2 Page 22 old age, end of life care, quality assurance systems, development and implementation of the services policies and procedures, good people skills, strong leadership of staff which leads to confident workers. Staff have practice handbooks and easy access to all documents, which are discussed during supervision, staff training and weekly team meetings. Quality monitoring systems provide management evidence that practice reflects the homes policies and procedures. The provider is committed to ensuring the health, welfare and safety of service users and staff. Records are clearly written and up dated, the quality assurance system confirms that the findings from risk assessments have been actioned. There is strong evidence that the ethos of the home is open and transparent with the views of both staff and residents listened to, and valued. There is a detailed business and financial plan which gives a clear indicator of the success and efficiency of the business arrangements. The home has the regular support of a qualified accountant and business advisor. The insurance cover in place ensures that the home is well able to fully meet any loss or legal liabilities. The home actively encourages service users who wish and are capable, to manage their own money and valuables, making sure they have the facilities to do this safely. The home has very efficient systems to ensure effective safeguarding and management of service users’ money including record keeping. Radbrook Nursing Home DS0000022270.V296991.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 4 3 4 4 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 4 Radbrook Nursing Home DS0000022270.V296991.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 Radbrook Nursing Home DS0000022270.V296991.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Radbrook Nursing Home DS0000022270.V296991.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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