Inspection on 06/06/07 for Ranelagh Grange

This inspection was carried out on 6th June 2007.

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

Ranelagh Grange 24/03/06

Ranelagh Grange 13/01/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ranelagh Grange 90 Stoney Lane Rainhill Merseyside L35 9JZ Lead Inspector Mr Paul Kenyon Key Unannounced Inspection 6th June 2007 12:50p 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 Ranelagh Grange DS0000066256.V340316.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. Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ranelagh Grange Address 90 Stoney Lane Rainhill Merseyside L35 9JZ 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) 0151 493 1558 0151 430 9351 Prime Healthcare UK Limited Miss Christine Jones Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (36), Physical disability over 65 years of age (3) of places Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service may admit up to 36 service users in the category of Old Age and up to 3 in the category of Physical Disability over 65 years of age. 24th March 2006 Date of last inspection Brief Description of the Service: Ranelagh Grange is registered to provide 39 beds for personal and residential care for older persons over 65 years of age. The home is now privately owned by Mr Patara of Prime Healthcare Ltd. The Registered Manager is Mrs Chris Jones Taylor. The home is situated close to Whiston hospital near to local amenities. The building is a large detached building which offers a highly decorated and maintained environment. Fees are currently charged at £368 to £378 per week. Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the main key inspection to be held at Ranelagh Grange with the home having no notice that the inspection was to take place. The inspection included a tour of the premises, an examination of records related to the care of residents there, discussion with staff and discussions with residents and a relative. All comments are included within this report. National Minimum Standards for older people were used to measure the quality of care provided at the home. What the service does well: Residents benefit from having their needs identified before they come to live in the home by both those who fund them as well as the home. In turn all needs are included within a plan of care that is reviewed and includes residents and relatives in the review process. The health needs of residents are met and medication systems are safe. IN addition to this, the home seeks to maintain the independence of residents by providing them with the opportunity to self medicate if it is safe to do so. Residents are supported in a dignified manner with their privacy upheld. Residents benefit from having an activities programme, which is individual and varied in nature. Residents are able to receive visitors whenever they wish and can receive them in private. There is an emphasis in the home whereby staff encourage residents rather than do things for them in order to promote independence. Meals met the nutritional needs of residents. Residents and relatives are provided with the information they need to make a complaint and are protected from abuse. Residents benefit from living in a home, which is well maintained, home like and well decorated, and free from offensive odours. Residents benefit from being supported by sufficient staff who in turn are recruited correctly and receive training to do the job. Residents benefit from a service that is well managed and benefit in particular from having ample opportunity to provide views on the quality of the service. Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 6 Residents have their financial interests safeguarded and their health and safety promoted. Comments from residents, staff and a relative included: ‘Staff are lovely’ ‘We are well looked after’ ‘I have been able to bring things into my room from home’ ‘My room is very nice’ ‘The Manager is very nice’ ‘The Manager is great and approachable’ ‘I love the work’ ‘Nothing can be improved, I am quite happy at the moment’ ‘the home is well appointed, clean with no odours, staff come over as professionals’ ‘it is alright’ ‘food is reasonable’ What has improved since the last inspection? What they could do better: The service needs to ensure that staff receive supervision to the frequency outlined as a minimum in national minimum standards. A number of recommendations are included within this report. Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 7 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. Ranelagh Grange DS0000066256.V340316.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 Ranelagh Grange DS0000066256.V340316.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 excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from having their needs identified prior to admission in the form of both Local Authority assessments (where applicable) and the home’s own assessment in all cases. EVIDENCE: Assessment information was examined for five individuals who had come to live at Ranelagh Grange in the past few months. Two people are funded by a Local Authority and assessments are in place from them as well as the service’s own assessment. For those who self fund, the home’s assessment is in place. The Home assessment consists of information relating to oral care, mobility, personal care, manual handling, nutrition, continence and other issues. Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 10 Ranelagh Grange DS0000066256.V340316.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 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from having their needs summarised in a plan of care, which are reviewed and include the views of residents and their families. The health needs of residents are met. Medication systems are safe and residents benefit from having their privacy promoted. EVIDENCE: Five care plans were examined. All care plans are secured and all residents have a care plan. One person had been admitted the previous day and her care plan was being drawn up. All care plans have the same format but differ in detail relating to their needs. Care plans include general details such as religion and ethnicity, power of attorney details and next of kin details. The care plan is then broken down into areas of importance relating to the needs of residents for example, nutrition, continence, psychological health, personal care support, mobility, and sleeping and social activities. The same applied for Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 12 all other sampled care plans. All care plans are subject to review and there was evidence that some residents had agreed the contents of them yet further evidence that the home is setting up meetings with the resident and relative to discuss aspects of each care plan and use the session as a quality assurance exercise. These have begun and evidence of one such meeting was viewed. In respect of health needs, all these are identified through the care planning process and include reference to the level of support required, such as continence, oral care and mobility. Records are available suggesting that district nurses had attended three individuals. These have either been discharged or are still being monitored. One person continues to receive involvement from district nurses for a pressure sore. A tour of the building noted that some beds have pressure relief mattresses on them. Appropriate monitoring of such conditions continue as well as ongoing assessment. Nutritional assessments are done at least monthly and include monitoring the weight of the individual as well as issues relating to their general health. Light exercise is included within the activity programme. Ongoing hospital and General Practitioner appointments were evidenced through records. Interviews with residents confirmed that when they are ill, they have access to a Doctor. A medication policy is in place. This outlines the arrangements in place as well as reference to the possibility that residents may wish to self medicate. One person self medicates at present. All medication is stored in portable trolleys, which are tethered and locked when not in use. The Proprietor of the home has a proposal to create a medication room. The site for this has been identified and a builder was present during the inspection to discuss the proposals. A Monitored dosage system in place and additional facilities are in place for storing medication within a fridge where necessary. All medication records were appropriately signed and included evidence that received medication has been signed for. Records for disposed medications are in place. An interview with a senior member of staff confirmed that she had received medication training. Only certain individuals are designated to administer medication and a sample of signatures is in place. During the inspection, it was evidenced that residents were able to receive visitors in private and this was confirmed through discussions with one resident. Staff were consistently being observed knocking on bedroom doors and waiting for responses from individual residents. Clothing was noted to be marked discreetly. Shared rooms are in place but residents and the owner confirmed that these were not to be doubly occupied but would remain as single rooms. Preferred names are included within care plans. Staff were noted to provide advice to some residents who have a degree of confusion in respect of using the toilet done in a dignified manner. A reminder was available on one bedroom door to remind staff to ensure that rooms are locked when not in use. Throughout the visit, staff were noticed to speak to residents in a dignified manner. It was noted in a bathroom area that there was information which Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 13 was not appropriate to be on display. It is recommended that these be removed. Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 14 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 excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from being offered a variety of activities in line with their wishes. Residents also benefit from having contact with their families as well as having their independence promoted. Meals provided meet the nutritional needs of residents. EVIDENCE: Two assistant managers act as organisers of activities within the home. An activities programme is on display and indicates a timetable of activities that may be undertaken during the week. Such activities include: trips out, bingo, quiz, arts and crafts, and light exercise. Part of one lounge has been created into an activities area. General information is retained relating to local activities and outings as well individual files of what activities each resident tends to be involved in. Examples of individual activities include: mature motivation, light exercise, dancing/singing/ church activities, films, trips out, art and crafts, bingo and another good range of activities. All activities are included within the social history of each care plan. The day of the inspection coincided with a visit to Chester Zoo. About six residents went. The home has Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 15 a minibus for trips out and staff attended with residents. Residents were interviewed about routines confirmed that they able to get up when they wish. Further evidence of activities was on display in the form of paintings throughout the home. One resident did state that she felt that she could benefit from some foot massage with an aromatherapist and this is raised as a recommendation in this report. Two residents were interviewed and confirmed that they have contact with their families and are able to receive visitors in private. The visit evidenced that two residents were receiving visitors and both were able to receive them in private. The Inspector was able to hold discussions with one relative about the care that his mother received. No residents receive advocacy services at present. It is recommended that information on local advocacy services be provided. Observations noted that many residents are able to mobilise independently through the home. Some rely on walking aids and were encouraged by staff to be as independent as possible using these rather than assisting them directly. Financial affairs tend to be carried out by families in the form of power of attorney arrangements. Interviews with residents confirmed that they are generally happy with the standard of food provided. One stated that it was ‘alright’ and could be more varied although she noted that the residents meeting should give the opportunity for her to raise any comments about food. Meals are prepared in a well-equipped and organised kitchen. Menus are available and details of the meals provided are available to residents. The preferences of individual residents are recorded within a separate record where the wishes of residents are elicited. Food stocks are sufficient. Kitchen staff are employed in the home in the form of cooks and kitchen assistants. A large dining room is available and is a pleasant area. Drinks were noted to be available to residents throughout the afternoon in the form of hot and cold drinks given that weather was hot on the day of the visit. All residents have their nutritional needs screened on a monthly basis. Two residents were noted to have diabetes and in one case this was only controlled by diet. Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 16 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 excellent. This judgement has been made using available evidence including a visit to this service. Residents and relatives benefit from having a clear complaints procedure and will have any complaints investigated. Residents are protected from abuse. EVIDENCE: A complaints procedure is available for relatives and residents and this includes reference to the Commission for Social Care Inspection. This procedure also has an emphasis on compliments as well. Residents were asked if they would know what to do if they had a complaint. They felt that they knew. One relative confirmed that all information relating to the procedures of the home had been relayed to him and that he was aware of the complaints procedure and would go to the manager directly if there were any issues. Complaints records are available. These outlined complaints received and outlined details of the complaint and action taken. One complaint received by Commission for Social Care Inspection in April 2006 and this was referred to the provider for investigation. Details of the investigation were present within the complaints records. A procedure for the referral of abuse allegations is in place relating to the reporting procedures to Local Authorities with whom the home contracts with. Interviews with staff confirmed that they had received abuse awareness Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 17 training and certificates reinforced this. Included in these interviews staff were aware of the whistle blowing procedure as well as the role of Commission for Social Care Inspection in this. No allegations of abuse have been made since the last key inspection. Residents were asked if they feel safe at Ranelagh Grange and they confirmed that they do. Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 18 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 excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a very well decorated, well appointed, home like environment, which is clean and hygienic. EVIDENCE: A tour of the premises was undertaken. The home is set back from the main road and offers privacy all round. Grounds are very well maintained, as is the exterior of the home. Grounds have adequate seating areas for residents to use and residents were witnessed using these given that the day was accompanied by fine weather. All grounds receive sufficient sunlight. Access to garden area is available for all. The interior of the home is well decorated. Lounge areas are available. One lounge area is large but steps have been taken to divide the room into more intimate and home like areas. Part of this Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 19 lounge now has new tables and chairs, which are used, as an activities area and this was being used during the inspection. All lounge areas are home like and have benefited from the addition of digital television services as well as new air conditioning fans. A conservatory area is available which again is home- like in appearance with suitable blinds to ensure comfort in hot weather. A number of rooms were viewed. These are well decorated and include personal effects. Improvements since last inspection include portable fans, activity room created within lounge and Internet access for residents. Maintenance staff are employed and repairs records are available. The tour of the premises noted that there are no offensive odours in the building. Residents commented on this, ‘it is spotless’. A relative also commented that ‘it was clean and that there were no bad odours and it was very pleasant and this was one of the factors for his mother coming to live here’ Domestic staff are employed through the week. A laundry is available and is located away from food preparation areas. This includes industrial appliances with sluicing facilities. The laundry is well organised and has sealed floor and washable walls. Hand wash facilities through the home and protective items are available. A clinical waste-disposal system is in place. Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 20 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, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having sufficient staff supporting them. Residents are protected by the recruitment procedure. Well-trained staff support residents. EVIDENCE: A staff rota is available. This includes reference to the staff designation. The rota suggests usual staffing levels include five staff as well as manager and deputy manager. Domestic staff and catering staff-cook and kitchen assistants are also employed. The last key inspection identified a number of vacancies, which may have an impact on the staffing levels in the home, but these have been reduced. Two staff members were interviewed, both considered that there is enough staff on duty at any time. One senior staff was able to confirm that arrangements were in place in the event of staffing shortfalls but that this did not happen although some days were busier than others. Two personnel records were viewed. Both had application forms, proof of identity, initial police checks, Criminal Record checks, two references, medical declarations, police declarations, Photographs and training certificates. Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 21 In respect of training, staff interviews noted that staff had received training in fire awareness, first aid, infection control, health and safety, food hygiene, abuse awareness. One senior added that they had had the chance to do a medication awareness course. Two new starters have undergone an induction into care values at a local college. This involves a four-day course and there was also evidence of orientation induction about the layout of the home on file as well. Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 22 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, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a service that is managed by an experienced individual who has a management team in place to ensure the smooth running of the home. Residents and relatives benefit from having a lot of opportunities to have their views taken into account about the quality of the service they receive. The finances of residents are safeguarded. Residents do not benefit from being supported by consistently supervised staff. The health and safety of residents is promoted. EVIDENCE: Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 23 The Manager has been in post for a number of years and is about to commence a NVQ Level 4 qualification. The Manager has a management team in place in the form of a Deputy Manager and two assistant managers. The Manager is supernumerary. Residents stated that they liked the Manager and staff considered her to be ‘supportive, open, approachable and helpful’ .One relative stated that he considered the management team to appear open and approachable. Quality assurance is done in a number of ways. The Inspector was able to interview residents in private and staff were willing to be interviewed. The service uses annual stakeholder surveys for residents, relatives and staff and has used an external agency to conduct a quality audit-the results of these are pending. The Owner has introduced a suggestion box in order to get the views of individuals. Residents meetings occur on a regular basis and these identify those issues that are important to residents on a whole host of topics-the owner is available on at least a weekly basis and has advertised this by notice. The care plans sampled suggested that families act as power of attorney and deal with finances. The home does offer a system for retaining monies for safekeeping. This is reinforced by appropriate storage facilities as well as accountable records doubly signed and accompanied by receipts. Staff confirmed that they have received supervision or appraisals but this has not been done to the frequency outlined in national minimum standards. The manager is attempting to clear the backlog yet the system is such at present that the manager supervises all staff. This is considered to be a very time consuming task and it is required that delegation to other senior members of staff is done to enable the staff team to be supervised. Staff do receive regular team meetings and contact with the manager/deputy manager. A number of issues with health and safety were examined. Staff interviews backed up that training had been done in mandatory topics and certificates backed this up on file. Fire alarms are tested regularly as well as emergency lighting and checks to fire fighting appliances. Accident records are maintained as well as records, which analyse the frequency of accidents on a monthly basis-evidence, is there that in the case of some injuries sustained through accidents that emergency services are contacted. Water temperatures are monitored, radiators are covered and risk assessments are in place. A monthly audit of health and safety also occurs. A health and safety policy is available and is on display in the staff room for staff reference. Portable appliances are tested and certificates are in place for electrical and gas systems. Control Of Substances Hazardous to health (COSHH) assessment forms are in place as well as a fire risk assessment from February 2007. Certificates of registration and liability insurance is also available. Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 24 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 2 X 3 Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP36 Regulation 18 Requirement The registered person must ensure that staff receive the minimum levels of supervision required Timescale for action 31/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. .1 2 3 Refer to Standard OP10 OP12 OP14 Good Practice Recommendations The written materials identified during the inspection should be removed from bathroom areas Consideration should be given to introducing aromatherapy massage in line with one resident’s wishes Information on local advocacy services should be made available to residents and relatives Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Ranelagh Grange DS0000066256.V340316.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!