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Inspection on 01/12/08 for Rectory House Nursing Home

Also see our care home review for Rectory House Nursing Home for more information

This inspection was carried out on 1st December 2008.

CSCI found this care home to be providing an Adequate service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What the care home does well

Rectory House provides an attractive, comfortable and homely environment for the people who live there. Service users and their families tell us that many improvements have recently been made, they are pleased with the standard of care currently being provided and also tell us that they are being supported by a kind and caring staff team.

What has improved since the last inspection?

All of the people living in the home have had their needs re-assessed and have had comprehensive care plans and healthcare plans completed and medication is being well managed and audited. Records such as risk assessments and daily staff records have been improved and there is a clear audit trail of the care being provided to service users. There is evidence of service users having activities and outings and people tell us that they are happy with the quality and choice of food being provided by the new cook. People have the equipment they need to ensure that they can be safely cared for and any infringement on people`s freedom, for example, use of bedsides is recorded and agreed with service users or their representatives. A large number of improvements have been made to the physical environment of the home and this includes complete redecoration of the building and the purchase of new carpets, some furnishings and a new bathroom / wet room containing specialist equipment has been built. Staff training and monitoring has been increased and the staff team tell us that they feel well supported. A new clinical nurse lead has been employed and is updating systems in the home. Monitoring of health and safety issues in the home has been increased and records of regular checks and audits are in place. There is evidence in records that the Registered Providers are carrying out regular audits of all areas of the management and running of the home and service users and families tell us that they are very pleased with improvements to the standard of care being provided. We have been informed by the Registered Providers that a new manager has been recruited and will begin employment early in January 2009.

What the care home could do better:

To ensure that service users are protected at all times, the Registered Provider must ensure that all the required recruitment documents such as application forms and CRB checks are in place and kept at the home for inspection.

CARE HOMES FOR OLDER PEOPLE Rectory House Nursing Home West Street Sompting West Sussex BN15 0DA Lead Inspector Annie Taggart Unannounced Inspection 1st December 2008 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 Rectory House Nursing Home DS0000052037.V373336.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. Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rectory House Nursing Home Address West Street Sompting West Sussex BN15 0DA 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) 01903 750026 01903 751921 rectory@caringhomes.org Rectory House (Sompting) Ltd Manager post vacant Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - N to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: 2. Old age, not falling within any other category - OP The maximum number of service users who can be accommodated is: 48 20th October 2008 Date of last inspection Brief Description of the Service: Rectory House is a care establishment registered to provide nursing care for forty-eight service users. Rectory House is a detached property arranged on three floors and situated in Sompting village within easy travelling distance of Lancing and Worthing town centres with their shops and other amenities. The accommodation includes two lounge/dining room areas, one on the ground and another on the first floor. Building work has been completed to increase the number of bedrooms and communal space. There are thirty-eight single and five double rooms. There is a large garden to the front, side and rear of the house. Car parking is available at the front. The fees are currently between £800 and £900 per week. Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means the people who use this service experience adequate quality outcomes. In preparation for this visit we looked at the last inspection report and the reports from four Random visits carried out by the Commission since the last key visit. We also looked at information from the AQAA (Annual Quality Assurance Assessment), we considered information from complaints that we have received and we took account of the Safeguarding meeting requirements made regarding concerns about the home. The unannounced inspection visit was carried out by Annie Taggart at 9.30am on 1/12/08 and lasted for six hours. During the visit we tracked the care plans and all supporting documentation such as daily records for four service users and looked at the system for administering and recording medication. We looked at evidence of activities and outings for people, looked at menus and food records and saw the main meal of the day being prepared and served. Records for the running of the business including complaints, incidents and accidents, Regulation 26, Registered Provider’s visits and Regulation 37 reports, maintenance and fire records were also seen. The recruitment records for four new members of staff were tracked and a Requirement was made regarding these Standards. We spent time with all but four of the service users currently living in the home, either in their private bedrooms or in communal areas and they were very positive about the changes in the home. Three family members in the home at the time of the visit also said they were pleased with the care being provided. Two registered nurses and six other staff members were spoken with and all said that they felt well informed about the needs of service users and well supported by senior staff. Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 6 The acting manager was not in the home at the time of the visit and feedback was given to the senior nurse on duty and also to Ms Julie Mason, operations manager for Caring Homes Ltd. What the service does well: What has improved since the last inspection? All of the people living in the home have had their needs re-assessed and have had comprehensive care plans and healthcare plans completed and medication is being well managed and audited. Records such as risk assessments and daily staff records have been improved and there is a clear audit trail of the care being provided to service users. There is evidence of service users having activities and outings and people tell us that they are happy with the quality and choice of food being provided by the new cook. People have the equipment they need to ensure that they can be safely cared for and any infringement on people’s freedom, for example, use of bedsides is recorded and agreed with service users or their representatives. A large number of improvements have been made to the physical environment of the home and this includes complete redecoration of the building and the purchase of new carpets, some furnishings and a new bathroom / wet room containing specialist equipment has been built. Staff training and monitoring has been increased and the staff team tell us that they feel well supported. A new clinical nurse lead has been employed and is updating systems in the home. Monitoring of health and safety issues in the home has been increased and records of regular checks and audits are in place. Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 7 There is evidence in records that the Registered Providers are carrying out regular audits of all areas of the management and running of the home and service users and families tell us that they are very pleased with improvements to the standard of care being provided. We have been informed by the Registered Providers that a new manager has been recruited and will begin employment early in January 2009. 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. Rectory House Nursing Home DS0000052037.V373336.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 Rectory House Nursing Home DS0000052037.V373336.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): 1 2 3 and 6 Outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. There is good information available about the services on offer in the home. A comprehensive assessment process is in place to ensure the home can meet people’s needs and contracts of terms and conditions of residency are in place. EVIDENCE: The home provides good information about the services on offer and we saw that all service users had a copy of the Statement of Purpose and Service User’s Guide in their private rooms. All of the people living in the home have had their needs and wishes reassessed and these have been recorded and agreed with the involvement of service users and their families. We also saw that there was a comprehensive assessment process in place for use with prospective new service users. Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 10 We saw that people had contracts of terms and conditions of residency agreed and these had been signed by service users or their representatives. Rectory House does not provide intermediate care. Rectory House Nursing Home DS0000052037.V373336.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 Outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. There are detailed care plans in place to inform the staff team of the needs and wishes of each service user. The home is working with other healthcare professionals to ensure that people’s healthcare needs are met and medication is being well managed, EVIDENCE: For each person living in the home there is now a detailed care plan in place to guide the staff team to people’s individual needs and choices. The plans contain a life history, personal preferences and social and spiritual choices and are outcome based with goals being identified and agreed with service users. There are also detailed plans regarding personal and healthcare needs and in the four plans that we tracked we saw that areas such as pressure care, pain management, communication, records of people’s weights, wound Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 12 management and behavioural difficulties were recorded with a plan of action on how they are to be managed and all of these had recently been reviewed and updated. Body maps have been used to identify where people may have problems with pressure areas or wound care and we saw that there is an audit system in place that is monitored monthly by the area manager. We saw that one service user had fallen and had bruised their face but it could not be ascertained when this had happened. Daily records and incident and accident forms had been completed, photographs had been taken of the injury, the person’s family had been contacted and a doctor had visited. There was a falls risk assessment in place for this person and an alarm pad in their bedroom. Where there are areas of need that require infringement on service user’s freedom, for e.g. the use of bed rails, this is risk assessed and consent is gained from the service user or their representative. We saw that risk assessments had been completed for moving people, for risks of falls and for dealing with people who have poor mobility and for some people falls alert floor pads were in place. People had the equipment they needed to ensure that their independence is promoted and that they are being safely cared for, we saw that pressure mattresses had the setting required detailed on beds, nutritional and fluid intake charts were completed and were up to date and there was evidence of the home working with other professionals such as a dietician and physiotherapist. Service users told us that they were happy with the care being provided and one person said, “ since I have not been feeling so good lately, the staff have been very kind and understanding and give me a lot more help”. We looked at the system for the administration and recording of medication and saw that only trained nurses administer medication in the home. MAR (Medication Recording Charts) were current with no gaps in signing and we saw that medication was being well managed. We checked on the records for one controlled medication and found this to be correct. A family member told us, ‘ the home is so much better, in fact extremely good, the level of care has been increased, the staff team seem happier and the environment has been improved’. Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 and 15 Outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. In order to ensure that people have their social needs met, the home offers a range of activities and outings, visitors are made welcome at any time and there is a varied menu of fresh home cooked meals being provided. EVIDENCE: For each person living in the home there was an activities plan completed that detailed their interests and hobbies. Records showed us that there is a programme of activities on offer that includes quizzes, craftwork, trips out, outside entertainers and gentle exercise. For some people who are too unwell or do not wish to join in with sessions, the activity co-ordinator spends one to one time with them and this is recorded in people’s activity records. During the visit people were getting ready for Christmas and had made cards and small gifts and several people told us that they were looking forward to the Christmas entertainment and concerts and also helping on the stalls at the Christmas Fete that was being held later in the week. Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 14 One person told us, ‘ I can now go out to the shops and to trips and every day I have something I can do, it makes me feel like a new person’. Visitors told us that they could call in to the home at any time and were always made welcome and service users confirmed that a religious service was held on a regular basis. We saw that nutritional assessments detailing people’s likes, dislikes and allergies form part of the care plan and menus and food records showed us that a variety of fresh, home cooked meals are on offer. Records showed us that a dietician has also provided advice and support for some people. We saw lunch, the main meal of the day being prepared and served and special diets were catered for and people had alternative choices. All of the service users we spoke to were very complimentary about the standard of food being provided and said they were very happy with the menu choices provided by the new cook. Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. There is a system in place for recording and investigating concerns and complaints, the staff team have received the relevant training and are aware of their responsibilities regarding protecting service users from the risk of all forms of abuse or harm. EVIDENCE: There is a complaints procedure in place, a copy of which is displayed in the main area of the home and also forms part of the Service User Guide. A system is also in place for recording and investigating complaints and service users and a family member told us that they felt confident that any of their concerns or complaints would be taken seriously and acted upon. We saw that incidents and accident are recorded and that there is a system in place for these to be monitored by the home’s head office. Since the last key inspection there have been a number of complaints received both by the home and by the Commission leading to safeguarding referrals, which were investigated by the West Sussex Safeguarding Team. Outcomes from these investigations have now been completed and action has been taken by the home to improve deficits to the service being provided. One referral has been made to the POVA (Protection of Vulnerable Adults) list. Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 16 At this visit we saw from training records that the staff team had attended updated Safeguarding training and three staff members told us that they would report any suspected abuse straight away. Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 21 22 24 and 26 Outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. There have been a large number of improvements made to the environment, the home is bright, well maintained and clean and people have the equipment they need to assist with their care. EVIDENCE: Since the last key inspection the home has undergone a complete programme of redecorating and updating the environment. All communal rooms and some bedrooms have been redecorated, new carpets and curtains have been provided in many areas and also some new furniture has been purchased. Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 18 In the new wing of the home there is a bright attractive lounge area and a second large room has been changed to provide day care activities and for use by the hairdresser. A new large bathroom/ wet room with specialist bathing equipment has been built and all service user’s bedrooms have been fitted with automatic closures so that they can choose to leave their doors open if they wish to do so. The registered providers have told us that they are not going to use the bedrooms on the third floor of the home as they are difficult to access and some people felt isolated when using them. The home now looks bright, attractive, homely and welcoming and we saw that people had the equipment they need to assist with their care and independence. We looked at the maintenance book and saw that regular health and safety checks are carried out and this included hot water temperature checks, fire checks and general maintenance of the building. Equipment such as bacterial hand washes and protective clothing for staff is in use and the home was clean and hygienic throughout. Service users and families visiting the home told us that they were very pleased with the changes and were happy with their private bedrooms. Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 and 30 Outcomes for service users in this area are adequate. This judgement has been made using available evidence including a visit to this service. Although service users tell us that they are being supported by a kind and caring staff team, to ensure that people are protected at all times improvements are needed to recruitment practices. EVIDENCE: By looking at staffing rotas and observation on the day of the visit we saw that there are sufficient staff on duty to meet the needs of the twenty four people currently living in the home and we were told that this will be reviewed as new service users are admitted. There were two Registered Nurses, six care staff and kitchen staff, cleaners a laundry and maintenance person. Recently a new clinical lead nurse has been appointed and she showed us evidence of how she is improving records in the home by ensuring that there are systems in place to monitor the care being provided. Service users and families visiting the home were complimentary about the staff team and comments included, ‘the staff are really lovely, there is a Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 20 different atmosphere here altogether’ and ‘ things here are much better, the staff are happier and have more time to spend with you’. During the visit we saw that the staff on duty were kind and patient in their dealings with service users. An example of this was that one person was feeling unwell and constantly ringing their bell, sometimes when the staff member had only just left the room. All of the staff answering the bell were kind and patient and tried to re-assure the person in a calm and caring manner. Training records showed us that there is a system in place for tracking where updates are needed in mandatory training and we saw that the staff team have recently had updated training in areas such as moving and handling, infection control, dementia awareness and Safeguarding people form risk of abuse and harm. There are policies and procedures in place for the recruitment of staff. We saw the records for four recently employed people, one person had all the required checks in place that included a current CRB (Criminal Bureau Check) and two references but for a further three people there were no application forms on file. We were told by the administrator that these carers had been recruited from oversees by the home’s head office from a recruitment agency, copies of their application forms had not come to the home. For one senior nurse there was a POVA First in place but the home had not received a full CRB before the person started employment and could not show evidence that they were being monitored until such time as the CRB arrived. The administrator checked with the CRB help line but it had not yet been processed. Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 and 38 Outcomes for service users in this area are adequate. This judgement has been made using available evidence including a visit to this service. An acting manager who has been responsible for positive changes being made to the care people are receiving is currently running the home. However there must be a Registered Manager in place with the required skills and experience to ensure that the changes are embedded in practice and improvements must be made to recruitment records as detailed in the staffing section of this report. EVIDENCE: The home has been without a Registered Manager since 2006 and is currently being run by a capable and competent acting manager who has wide experience in managing homes within the group. Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 22 The Registered Providers have informed the Commission that a new manager has been appointed and will take up position early in January 2009. The staff on duty were very positive about the way the home is currently being managed and said that they felt well supported and monitored by the acting manager. A Registered Nurse told us, ‘ it is much better now that all the systems are in place, we just have to follow them and record everything and then we know we have done a good job and have shown evidence of what we do’. A quality assurance process is in place that elicits the views of service users, their families and professionals involved with the home. We were shown copies of surveys that had recently been sent to people and were told that the outcomes from the process would be used to inform the future development of the home. We saw that residents meeting are held so that people can have a say in the running of the home and also staff meetings and staff supervisions are recorded. Regular quality audits covering all of the areas of the management and running of the home are being carried out by the Registered Providers, examples that we saw included clinical issues, nursing care and infection control management and we saw that Regulation 26 Provider’s visit are carried out monthly and this includes case tracking of service users. There are also clear systems in place for management of service user’s monies and the home bills service user’s families or legal representative. Regulation 37 events that have an effect on the lives of service users are recorded and sent to the Commission as required and from looking at maintenance records we saw that health and safety issues are being identified and addressed. The home has a fire risk assessment in place and records show that the staff team receive regular training. There have been a number of safeguarding referrals investigated regarding the home and to ensure that service users are protected at all times, improvements must be made to recruitment practices as detailed in the staffing section of this report. Rectory House Nursing Home DS0000052037.V373336.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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 3 X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 X 3 3 3 2 Rectory House Nursing Home DS0000052037.V373336.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. 1 Standard OP29 Regulation 19 (b) and Schedule 2 Requirement To ensure that service users are protected at all times the Registered Provider must ensure that recruitment records such as application forms are kept at the home for inspection and that staff receive a current CRB check before commencing employment. Timescale for action 31/01/09 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 Rectory House Nursing Home DS0000052037.V373336.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone 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 Rectory House Nursing Home DS0000052037.V373336.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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