Inspection on 06/03/07 for Ramsgate Care Centre

This inspection was carried out on 6th March 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.

Other inspections for this house

Ramsgate Care Centre 19/01/06

Ramsgate Care Centre 10/10/05

Ramsgate Care Centre 08/03/05

Ramsgate Care Centre 05/10/04

Ramsgate Care Centre 04/03/03

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Ramsgate Care Centre 66-68 Boundary Road Ramsgate Kent CT11 7NP Lead Inspector Joseph Harris Key Unannounced Inspection 6th March 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ramsgate Care Centre DS0000023710.V315093.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. Ramsgate Care Centre DS0000023710.V315093.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ramsgate Care Centre Address 66-68 Boundary Road Ramsgate Kent CT11 7NP 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) 01843 585444 Choicecare 2000 Limited Julie Cuthbert Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Ramsgate Care Centre DS0000023710.V315093.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. At any time, no more than four (4) Service Users under the age of 65 years but over the age of 55 years to be accommodated at the Home. 19th January 2006 Date of last inspection Brief Description of the Service: Ramsgate Care Centre is a detached property that is registered for 41 elderly service users. Accommodation is on two floors and all rooms are en suite. There is a shaft lift in use to access all floors. The Home is located in a residential area of the town with easy access to public transport, shops and amenities. A number of parking spaces are available on site and there is on street parking available close by. The Home is spacious and has wide corridors throughout the building, giving easy access for wheelchair users. There are a number of lounge areas sighted around the building. There is an open-air courtyard with seating for service users in the centre of the Home plus a large garden to the rear. The current fees for the service at the time of the visit range from £303.25 to £520.00 per week. Information on the Home services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. Ramsgate Care Centre DS0000023710.V315093.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection culminated in a site visit to the home on 6th March 2007. The visit commenced at 9.30am and concluded at around 4.30pm. During the course of the inspection discussions were held with the registered manager, various staff members including senior carers, carers, maintenance and domestic staff. A number of service users were also asked about their experiences in the home. It was not possible to speak with any visitors during the course of the day. A range of documentation was examined relating to, amongst other things, service users, staffing, training, recruitment, health and safety and policies and procedures. A tour of the premises was also undertaken including communal areas, some bedrooms, medication storage and laundry facilities. What the service does well: What has improved since the last inspection? A number of requirements had been made at the previous inspection, all of which had been satisfactorily addressed. The statement of purpose and service user’s guide have been updated and a new contract has been implemented providing clearer information about the service expectations and responsibilities. The registered manager has reviewed and updated individual service user plans to good effect providing clearer guidance for staff to meet individual needs. Policies and procedures have also been reviewed and are now written in a more understandable and accessible manner. All staff receive adult protection/abuse awareness training and these procedures have also been updated. Ramsgate Care Centre DS0000023710.V315093.R01.S.doc Version 5.2 Page 6 All incidents and accidents are appropriately recorded and reported. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ramsgate Care Centre DS0000023710.V315093.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 Ramsgate Care Centre DS0000023710.V315093.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): 1, 2, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with detailed information about the home. A contract covering terms and conditions of residency is given to all residents. Service users only move into the home following a detailed assessment of needs. The home does not routinely accept service users for respite care. EVIDENCE: The home has developed a statement of purpose and a service user’s guide, which cover all the key aspects of living in the home. A copy of both documents are kept in all bedrooms and additional copies on the noticeboard and available on request. Both documents are written in a clear and understandable manner and are available in larger print if required. The service user guide provides a good overview of the home’s facilities, philosophy of care and routines. The statement of purpose provides greater detail about Ramsgate Care Centre DS0000023710.V315093.R01.S.doc Version 5.2 Page 9 the service outlining staffing, training, emergency procedures, making complaints and responsibilities within the home amongst other things. Both documents are kept under review and, with the exception of some minor amendments, are up to date. The organisation has issued an updated contract, which had come into use on the day of the inspection. The new document has been written in an understandable format using an easily legible font. It covers the key aspects of terms and conditions of residency including fees, rooms occupied, additional fees and service expectations. The contracts are provided to all service users and/or their representatives. The registered manager stated that she and senior staff are available to answer any questions regarding the content of the contract. A signed copy of each contract is retained on file and a copy given to the service user/representative. The home operates an effective and detailed assessment process for all prospective service users. Following referral the registered manager requests information from care managers including joint assessments, care plans, background history and risk assessments. In the case of private referrals as much information as possible is collated through family members and the individual. On receipt of this information the prospective service user and their family are invited to visit the home. In all cases the registered manager and a senior member of the care staff then visit the individual in their current accommodation and complete a detailed assessment. The organisation has recently developed new and comprehensive assessment forms that cover all areas of health and social care as well as personal preferences and other information. It is acknowledged that this document is still under review and is subject to amendments as it is lengthy. Following admission to the home the placement is subject to a review by all parties including involved professionals and families after a period of 4-13 weeks to ensure that needs and expectations are being met. The home does not routinely accept referrals for respite care due to the fact that the occupancy levels are maintained to a high level. However, the registered manager stated that the home would consider such referrals, which would be subject to detailed assessment. No service users receiving respite care were staying at the service at the time of the inspection. Ramsgate Care Centre DS0000023710.V315093.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): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An individual plan of care is developed for each service user and service user’s healthcare needs are met. Medication systems promote safe administration and are well managed. Service users are treated with dignity and respect. EVIDENCE: A number of individual service user plans were examined. The plans have been developed using the available assessment information provided by care managers and the home’s own pre-admission and on-going assessments. There is a clear process informing the plans and each individual’s needs are reviewed on a monthly basis using a variety of assessment tools. A plan of care is developed providing guidance for staff to enable them to meet the individually assessed needs. In some cases the action plans could be further developed, which was discussed with the registered manager, however there is a good range of information available to ensure that all care needs can be met. Risk assessments are also developed on an individual basis and similarly Ramsgate Care Centre DS0000023710.V315093.R01.S.doc Version 5.2 Page 11 additional guidance could be provided however there are clear risk management systems in place. The home does use some generic risk assessments, which is a practice that could also be reviewed. The healthcare needs of service users are adequately addressed. It was reported that the home receives good support from district nurses and GPs. Good processes are in place to ensure that the on going healthcare needs of residents are regularly assessed and changing needs addressed in respect of pressure area care, nutrition, continence and oral health. The home supports service users to attend appointments and consultations in the home are conducted in privacy. Medication systems in the home are well managed. There is good information supporting medication processes including company policies and the home’s individualised procedures. There is other available information such as the Royal Pharmaceutical Society Guidelines and an up to date copy of the BNF. Storage facilities are sited on both floors of the home and are adequate for the needs of the service and well organised. Medication administration records were up to date in all circumstances. 4 service users currently self-administer some of their medications and systems are in place to ensure a satisfactory level of competency in this regard. All staff administering medication receive appropriate training. Staff respect the privacy and dignity of service users. All the service users spoke highly of the staff making comments such as “the staff are all excellent”, “ I’m very well cared for” and “all the staff are wonderful”. It was evident that staff have established good relationships with residents taking into account individual preferences and needs, which is underpinned by the attitude of the registered manager and senior staff. There is one double room in the home, which is currently used as a single room and the registered manager stated that it was unlikely to be used as a double room at any in time in the future. Ramsgate Care Centre DS0000023710.V315093.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have opportunities for fulfilling activities and a range of recreational pursuits. Residents are able to exercise choices over their lives. A healthy and balanced diet is provided. EVIDENCE: A range of recreational activities are available on a regular basis in the home that are open for all service users to participate in. These include outside entertainers such as Tony Stocks – the Music man, a twice-weekly visiting arts and crafts lady, hairdresser, bingo, quizzes and armchair exercises amongst other things. Individual likes, interests and preferences are recorded and the staff showed a good awareness of individual tastes. Information about forthcoming activities is posted on notice boards and service users are made aware of these. The home encourages friends and families to keep in close contact with service users and there is a flexible approach to visiting times. Service users stated that their visitors are always made to feel welcome and that the staff are friendly and helpful in this regard. There is adequate space for people to meet Ramsgate Care Centre DS0000023710.V315093.R01.S.doc Version 5.2 Page 13 in private whether this is in individual bedrooms or in quiet rooms in the home. There is a visitor’s notice board and it was reported that information about the home, organisation and events are made available. Residents are encouraged to bring personal possessions into the home and retain their independence for as long as possible. Service users are able to manage their own finances as appropriate and the home has information available about advocacy services. There is an access to records policy in accordance with the Data Protection Act 1998. Service users provided positive comments about the quality of food in the home. “The food is very good” and “If I don’t like what’s on the main menu there are alternatives available.” Mealtimes were observed to be relaxed and unhurried, providing a social time for residents and staff. There is a large and spacious dining area that is comfortable and well equipped. The menus demonstrated that a varied and nutritious diet is provided and the home ensures that special dietary needs are met. There is a full-time cook who has gained the intermediate food hygiene qualification supported by a kitchen assistant daily. Drinks and snacks are available throughout the day. Ramsgate Care Centre DS0000023710.V315093.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear complaints process in place. Service users are protected from abuse. EVIDENCE: The home has a clear complaints procedure in place, which is given to new service users and their relatives. A copy of this is also posted on the notice board within the home. The procedure promotes any concerns or complaints to be raised with senior staff on duty in the first instance with the aim of addressing any problems informally, however should this prove unsatisfactory there is a formal procedure which ultimately can be reviewed by an area manager within the organisation if appropriate. There is process for recording complaints and service users also have the opportunity to raise concerns within the residents meetings when they occur. The registered manager reported that there have been no complaints made since the last inspection. Policies and procedures are in place and have been recently reviewed with regard to the protection of vulnerable adults and staff have a good awareness of issues relating to this. The registered manager is a trained trainer in adult protection and abuse awareness and provides training on this topic throughout the organisation as well as in Ramsgate Care Centre. The majority of all staff have received adult protection training and the remainder are due to receive Ramsgate Care Centre DS0000023710.V315093.R01.S.doc Version 5.2 Page 15 this training in the near future. There have been no adult protection alerts raised in relation to the service. Ramsgate Care Centre DS0000023710.V315093.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable, safe and well maintained environment and the home is clean and hygienic. EVIDENCE: The service was purpose built in 1995 and has been designed well. There are wide corridors and doorways throughout and easy access to the outside garden space and main road. The home is set over two floors, which are easily accessible with a passenger lift connecting the floors. The bedrooms are all of a comfortable size and well furnished. Service users commented that their individual spaces met their needs. There is adequate communal space including a large open plan dining/sitting room and additional quiet rooms on both floors. There is a well equipped hairdressing salon and many of the activities take place in the ground floor dining area. The home has a team of domestics and is kept to a good standard of cleanliness throughout. There are Ramsgate Care Centre DS0000023710.V315093.R01.S.doc Version 5.2 Page 17 no offensive odours and the décor and furnishings are modern and suitable for the needs of the home. Despite the size of the home and the fact that it is a relatively new building there remains a homely atmosphere, which also promoted by the furnishings and fittings. All of the bedrooms have en-suite facilities and although there is provision for one double room, this is currently used as a single room. The laundry facilities are suitable for the needs of the home with industrial size washing machines all having the benefit of a sluice facility. The home employs a laundry assistant. There are adequate hand basins sited throughout and policies and procedures relating to the control of infection. Staff also receive training in this area. There is a large kitchen, which was awarded the gold standard clean food award by the environmental health department. It was reported that the home complies with the requirements of the local fire department. Ramsgate Care Centre DS0000023710.V315093.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are suitable numbers of adequately trained and competent staff on shift at all times. The home’s recruitment practices are well managed. EVIDENCE: The home operates a flexible staff rota system allocating staff at the busiest times. The rotas are kept up to date and demonstrate that there are usually 7 carers on duty throughout the morning shift and 3 carers during the afternoon. The registered manager aims to take a hands on role and works a variety of shifts throughout the week. In addition to the carers on duty there is also a senior member of staff on shift at all times. At night there are 3 waking staff. In addition to the care staff the home is supported by an administrator, a cook and a kitchen assistant, 3-4 cleaners per day, a laundry assistant and a maintenance man. There is an on-call out of hours systems in place. The registered manager supports staff to work towards NVQ awards. Currently the majority of staff have achieved an NVQ level 2 award and over 50 of the staff team are NVQ qualified. Some staff have progressed to complete the NVQ level 3, however because individuals have to pay for the cost of this course themselves this prohibits the number who are willing or able to enrol. A number of the cleaners have achieved NVQ level 1 awards in housekeeping Ramsgate Care Centre DS0000023710.V315093.R01.S.doc Version 5.2 Page 19 and both cooks are working towards NVQ 2 awards in cookery. All service users spoken to commented on the “excellent” staff working in the home. The home has robust recruitment procedures in place and a number of staff files were examined containing all required information including CRB and POVAfirst checks, two written references, proof of identity and completed application forms. All staff receive a statement of terms and conditions of employment and a job description. The registered manager demonstrated a positive attitude towards staff training and there is a programme of updating of mandatory training courses on going. It was noted that some staff require food hygiene and manual handling training, but there was evidence to demonstrate that the relevant courses have been booked for the coming months. Additional training courses are also provided including ASET medication training, infection control and adult protection. Ramsgate Care Centre DS0000023710.V315093.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. There are quality assurance processes in place, which continue to require further development. Service users’ financial interests are safeguarded and their health, safety and welfare are promoted. EVIDENCE: The registered manager has managed the home for 5 years and had many years of previous experience in the care sector prior to appointment. She has completed her Registered Managers Award and has almost completed her NVQ level 4. She demonstrated a positive attitude towards management of the care home taking a collaborative and inclusive approach, delegating tasks appropriately and taking a ‘hands on’ roll working with service users. She has Ramsgate Care Centre DS0000023710.V315093.R01.S.doc Version 5.2 Page 21 continued to develop her own training needs recently becoming a trained trainer in adult protection issues. Staff spoke very positively about her management skills saying that she is “approachable”, “a good listener” and “good to work for”. The quality assurance processes in the home have been focussed on as an area of improvement and positive steps have been taken in this respect, although further development is required. Regular monthly monitoring visits are now being undertaken by the area manager and, despite the fact that some amendments to the format and the depth of information recorded could be improved it was evident that this is now a positive and objective system. Quarterly audits have also been introduced focusing on health and safety, medication and finances. A series of questionnaires have also been formulated for service users, staff and stakeholders that provide a reasonable means of providing feedback about the quality of service, but need further development to enable clear and targeted feedback about the home. Once questionnaires have been completed and returned there is a need to collate the information into a report format and provide a clear action plan to address any concerns raised as part of this process. Refer to recommendation 1. Service user finances are appropriately managed, the home and organisation do not take on an appointee role. Service users or an independent appointed representative manage individual financial affairs. The home provides a safe keeping service for small amounts of money and valuables and adequate records are kept of all incoming and outgoing transactions. The home has procedures in place and provides suitable training with regard to safe working practices for all staff covering all essential areas such as first aid, fire safety and infection control. The home maintains the regular servicing of utilities including the gas powered systems, electrical wiring and equipment and ensures a safe environment. A number of service checks were due including the CORGI gas safety and NICIEC electrical wiring and the certificates for these were not on the premises. All certificates including waste disposal contracts must be available for inspection at all times, the registered manager agreed to forward copies of the relevant documentation to the Commission for Social Care Inspection at the earliest opportunity. Refer to recommendation 2. The manager was also advised to liaise with the environmental health department regarding testing for Legionella. The risks to service users from hot water/surfaces are well managed. All equipment including laundry, kitchen and aids such as hoists are regularly checked and serviced as required. Environmental risk assessments have been carried out and are reviewed and updated. The fire safety logs were up to date, although it was noted that there had been a period where safety checks had not been adequately recorded. However, the home has recently employed a new maintenance man with responsibilities for health and safety and he demonstrated a sound knowledge and understanding of the need for clear documentation and of safety issues and has recommenced clear and routine checks. All accidents and injuries are Ramsgate Care Centre DS0000023710.V315093.R01.S.doc Version 5.2 Page 22 clearly recorded and there are good systems for reporting any related issues appropriately. Ramsgate Care Centre DS0000023710.V315093.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X 3 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 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Ramsgate Care Centre DS0000023710.V315093.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. 1 2 Refer to Standard OP33 OP38 Good Practice Recommendations To continue to develop objective, accountable and measurable quality assurance systems. To ensure health and safety servicing and maintenance certificates and contracts are available for inspection at all times. Ramsgate Care Centre DS0000023710.V315093.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Ramsgate Care Centre DS0000023710.V315093.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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