CARE HOMES FOR OLDER PEOPLE
Rectory House Nursing Home West Street Sompting West Sussex BN15 0DA Lead Inspector
Miss H Tomlinson Unannounced Inspection 10th May 2006 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 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.V292976.R01.S.doc Version 5.1 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) 01206 828290 Rectory House (Sompting) Limited Post Vacant Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. Forty Eight service users in total may be accommodated. Five service users aged between sixty to sixty five may be accommodated. One service user aged between fifty and sixty five years may be accommodated. 11th December 2005 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. There is also a conservatory, which is separate from the main building but is part of the communal area. 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. Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection. Two Inspectors, Mr D. Bannier and Miss H. Tomlinson, conducted the inspection. The inspection began at 9am and the inspectors left the home at 6pm. Prior to the visit to the home information was gathered from previous inspections and information received regarding the service. During the inspection a full tour of the premises took place, inspectors spoke to the manager, staff and visitors. Care practices were observed, care plans and daily records examined and other documents seen as necessary throughout the inspection. The inspectors met the majority of residents living at the home during the visit and eleven were spoken with in detail. At the time of this inspection the home had been without a registered manager for some months. The current manager had begun the application process to be registered with the Commission. Following the last inspection five requirements were made. At this inspection one of these requirements, that to have a registered manager, was outstanding. No new requirements were made. What the service does well:
Residents spoke highly of the staff working in the home. They discussed how they were “always happy and smiling” “kind, helpful and polite.” Residents said they were happy to live at the home and it was described as a “five star hotel with nursing.” Residents were not admitted without a comprehensive assessment of their needs being completed. All residents had a documented plan of care, which was based on their needs assessment and other health assessments carried out once they became accommodated at the home. The storage, administration, recording and disposal of medication safeguarded the residents. Residents said their privacy and dignity was promoted and protected by the staff and they were polite, helpful and kind. They said their choices around the routines of daily life were sought and respected by staff. Residents could have visitors at any reasonable time. Residents said they enjoyed the food served at the home and had plenty to eat offered to them. They were offered assistance if needed. Staff had received training in the protection of vulnerable adults. The recruitment procedures safeguarded residents since all necessary checks on prospective staff members were carried out. The home was clean, tidy and free from offensive odours. A good standard of maintenance and decoration was present, with fixtures and fittings being in good order. Resident’s bedrooms were suitable to meet their needs. They had their personal items and some furniture with them. Personal leisure equipment and private telephones were present.
Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 Page 6 Staff had received training for the role they were to carry out. This included all statutory training and more informal training regarding health and nursing issues. They said they felt well supported by each other, senior members of staff and the manager. Measures were in place to review the quality of care and the service offered. This included consultation with the residents who said they could talk to staff and the manager at any time, attend resident’s meetings and comment on the service provided. What has improved since the last inspection? What they could do better:
Residents and or their relatives should be involved in the production of a plan of care. The planned activity programme should take place and the activity coordinator should work the hours in that role, as are documented on the duty rota. The social history of the residents was not completed on the care plans. Residents said staff were too busy to spend time talking to them. Residents’ preferences around the routines of daily life, such as rising and retiring times, should be recorded on the plan of care. This would ensure those residents who were unable to verbally inform staff had their wishes respected. Specific nutritional assessments should be kept for each resident. The recording of complaints made, with details of the investigation and outcomes should be clearly documented and available for inspection. The amount of communal space available should be adequate for residents to choose whether to stay in their own bedrooms or sit together. Areas designated as communal space should not be used for staff, making it unavailable to residents. The manager agreed to write to the Commission to inform them how this was to be resolved with a timescale for action. The call bell system was inadequate in that staff could not hear it when behind a closed door assisting a resident. The manager confirmed this was to be replaced in the near future and a purchase order for the new system was seen. The laundry should be kept clean. Staff should wear protective clothing when handling soiled linen, to prevent the spread of infection.
Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 Page 7 Residents should be offered the option of having locks fitted to their bedroom doors. The use of agency staff should be reduced so as to provide a consistency of care in the home. The manager confirmed a recruitment drive was underway and they tried to use agency staff familiar with the home and the residents, where possible. The person acting as manager of the care home must be registered with the Commission. 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. Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 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.V292976.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 A comprehensive assessment of health and personal care needs is carried out prior to any resident becoming accommodated in the home. More information regarding social needs should be included. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Residents had a thorough assessment of their needs carried out prior to being accommodated in the home. This was done by the manager, or another member of staff qualified to do so. Detailed information regarding their health and personal needs was gained from the prospective resident and others involved in their care. The social and emotional needs were not so detailed and the biography section of the care plans seen was blank. Residents would benefit if more information was gathered. There was no evidence the resident or their representative were informed, in writing, that the home could meet their needs. A statement to this effect was present on the assessment.
Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 All residents had up to date and detailed plans of care, based on regularly reviewed health assessments. There was no evidence residents had been involved in the construction of their care plans. The storage, administration and recording of medication safeguarded the residents. Staff respected and protected the privacy and dignity of the residents. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: All residents had a plan of care documented. This included all aspects of daily living and needs identified in the pre-admission assessment. The care plans seen were reviewed monthly and any changes incorporated in a revised plan. There was no evidence the residents or their representatives had been involved in the drawing up or reviewing of the plans. It was intended to introduce folders for residents, to be kept in their bedrooms, with consent, which would be constructed in consultation with residents and relatives. Health care needs were assessed and met. Assessments were reviewed and incorporated into the plan of care. Specific nutritional assessments should be done, to inform the plan for adequate nutrition. Any pressure relieving
Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 Page 11 equipment needed was identified on the assessments and put in place. Staff spoken with were aware of the needs of individual residents and how these should be met. Residents said they were well looked after, could see the G.P. when they needed and had been referred to other professionals when necessary. The staff discussed how advice and information from specialist health professionals was sought and used for the benefit of the residents. One resident said they had enjoyed aromatherapy as part of a pain management and relaxation approach. The storage, administration, recording and disposal of medication safeguarded the residents. All medication in the home was administered by the qualified nurses. One resident had variable doses of medication prescribed. The administration chart for this was unclear and the times of the last dose given could not be easily read. This was brought to the manager’s attention. Residents spoken with said their privacy and dignity were respected by staff. They said staff were “polite helpful and kind.” Staff were observed to be courteous and respectful. Bathroom and bedroom doors were closed when care was being given. Care had been taken with the resident’s appearance, for those who could not attend to this themselves. Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 The planned activity programme was not taking place. Some activities were arranged for the residents and those who wished to join in said they enjoyed them. Residents and visitors said they could visit the home at any time. Residents said they were able to make choices about their routines of living. Meals were nutritious, tasty and appealingly served. The routine meant some residents waited much longer than others to be served. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: An activity programme for the week was on display on a notice board in a corridor. The activity planned for the morning was to be a music morning. However, this did not take place as the activity coordinator was required to assist residents with their personal care, despite being on the duty rota as the activity co-ordinator five days per week. The manager advised the inspectors that this was due to a member of care staff being sent home as they were unwell. During the afternoon the activity coordinator arranged to play a board game with those residents who were interested. Some care plans had preferences documented, such as rising and retiring times and spiritual needs. Residents spoken with said staff asked them how
Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 Page 13 they wished to be assisted and they were able to make choices about their daily routine. Visitors said they were welcomed into the home at varied times of the day and were given up to date information about their relative. The meals served were nutritious, tasty and hot. Residents spoken with said they liked the meals and there was plenty of food served. One resident said “ The food is okay. There is enough of it and it is the kind of food that I like. It has to be liquidised for me.” Residents had the opportunity to eat at dining tables in the first floor lounge. Few took this option with many eating in their own rooms. Those residents needing assistance were sat in comfortable chairs in the lounge and assisted on a one to one basis. It was discussed that the meal times were busy, with staff serving many residents with trays and so those who needed assistance were waiting a long time. The hot dessert was put out while residents were still eating their main course and went cold for some residents. The manager said the mealtime routine would be reviewed. One resident, who needed assistance, began to cough and choke during the meal. An agency staff member was assisting this resident and other, permanent members of staff, had to leave the residents they were assisting and go to their aid. They did this efficiently and apologised to the residents they left unattended. The suitability of the agency staff member, who was not familiar with this resident, being allocated to assist them was discussed with the manager. Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Residents said they felt able to discuss any complaints or concerns with the manager or any senior member of staff. It was not clear how or where records of complaints were kept. Residents were protected from abuse by staff who had received appropriate training and had knowledge of procedures. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service EVIDENCE: There was some confusion regarding how and where complaints were recorded. The monthly report from the manager showed two complaints had been received into the home. There was no record of these complaints or evidence of investigation and outcome. There was no evidence complainants were being informed of how complaints had been managed. Three letters of concern had been received by the Commission. The issues were raised with the manager and reviewed during this inspection. It was discussed with the manager that relatives who raised concerns were not clear how they were dealt with, particularly if they had been discussed with the senior member of staff on duty, rather than the manager. The procedure for recording, investigating and reporting outcomes of complaints should be reviewed. Residents who were spoken to said they would raise any concerns or complaints with the manager. They also said they were confident they would be taken seriously. A written complaint procedure has been included in the Service User’s Guide, a copy of which has been issued to each resident.
Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 Page 15 Staff spoken with could identify types of abuse and were aware of the procedure to follow should they have any concerns regarding residents in their care. Records seen confirmed that all staff had received training in identifying different types of abuse and reporting allegations of abuse. Residents spoken to confirmed they were well cared for and felt safe. Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,22,24 and 26 The home was clean, tidy, free from offensive odours and well maintained. The amount of communal space was lower than recommended. The nurse call system and staff response was inadequate. Some practices around infection control should be reviewed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The home was clean, tidy and free from offensive odour. The communal areas and bedrooms were in a good state of decoration and the fixtures and fittings were well maintained. There is a limited amount of communal space which is below the recommended amount per resident. The conservatory, at the rear of the building, is accessible only using an outside path and has a high step which would make it inaccessible to some residents. Currently it is used as a staff room. The manager said a new conservatory was being built and she was asked to put the timescales for this in writing to the Commission. Few residents used the lounge. In the morning the ground floor one was being used
Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 Page 17 for staff training, which made this communal space inaccessible for residents. All communal space must be accessible for residents at any time. Bedrooms seen were clean and bright. Residents said they could bring in personal items and their own furniture, pictures, soft furnishings and individual telephones and leisure equipment was seen. Bedroom doors did not have locks fitted. It was discussed with the manager that all residents should be offered the option of having a lock fitted for their privacy. Fire doors were closed or held open by approved devices. At the last fire service inspection some work was required to ensure the fire safety precautions in the home were satisfactory. The manager was requested to confirm to the Commission, in writing, that this work had been completed. At the last inspection there was an issue of hot water not reaching the top floor and sinks in the bedrooms in this area not having regulation valves in place. The manager confirmed this had been remedied. Staff said they still had to let the taps run for some time before the water became hot, on this floor. The inspectors discussed with the manager that the call bells were ringing for too long before being answered by the staff. Residents said they had to wait a long time for help at various times of the day. The manager confirmed a new system had been approved and was awaiting fitting. This would provide a facility of timers so staff could be monitored in terms of time to answer a buzzer. Also they would ring inside all bedrooms and bathrooms to allow staff to hear them. One staff member was seen to walk past a bedroom where the call bell was activated. The system of answering call bells should be reviewed. Hand washing facilities were available. Since the last inspection hand wash basins had been fitted in all bathrooms. Staff wore plastic aprons when appropriate. Protective gloves were not always worn when needed. The linen skips containing soiled linen were on the corridors uncovered. This should be reviewed. Parts of the laundry were not clean. Staff had received training in infection control. Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Residents needs were being met by the staff numbers on duty. There is a high reliance on agency staff which could lead to inconsistency of care. Recruitment procedures in the home protected the residents. Staff had received training appropriate for the work they were doing. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The duty rota showed an adequate number of staff on duty for the residents accommodated. A recognised tool is used to assess the numbers required against the dependency of the residents. On the day of the inspection staff were very busy assisting residents meet basic needs and confirmed they had little time to spend with residents. There was a high dependency on agency staff. For the week commencing 6th May twenty four care assistant day time shifts and four trained nurse day time shifts were covered by agency staff; three care assistant night time shifts and five trained nurse night time shifts were covered by agency staff. The qualified nurses commented that this did impact negatively on their workload as the staff did not know the residents and had to be supported. The manager confirmed there was an active recruitment process ongoing and in the meantime they tried to use the same agency staff to ensure some consistency for the residents. The inspector examined the files of two staff who had started work at the care home since the last inspection. Records seen showed that the manager had obtained the necessary paperwork about each member of staff before they commenced work.
Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 Page 19 Training records were seen. Those for the induction of new staff were kept by the individual staff member until completed. Staff spoken with discussed the induction training which covered all aspects of the work they were expected to perform. Other records showed thirty per cent of care assistants had the NVQ qualifications. Other statutory training such as fire, moving and handling, first aid and infection control had been completed by staff at the home. Staff spoken with said the training was good and relevant to their work. Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36 and 38 Staff and residents benefit from an experienced manager. The application for registration with the Commission had not been submitted at the time of this inspection. Measures were in place to review the quality of care and service provided at the home. Residents financial interests are protected by the procedures and records in the home. Staff receive supervision and feel well supported. The health and safety of the residents was promoted and protected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 Page 21 EVIDENCE: The manager had not submitted an application for registration with the Commission, at the time of this inspection. She had worked at the home in the position of manager for 9 months. She has many years experience of nursing adults in both the UK and abroad. Staff reported that there had been changes for the better since her arrival. They described her as supportive and knowledgeable. Due to the manager not yet being registered with the Commission the requirement to have a registered manager in the home remains in place. Several measures of the quality of care and service provided were in place. The manager produces a comprehensive monthly report, which is submitted to her line manager. This includes clinical issues, the environment, staffing issues including the use of agency staff and any other matters which affect the running of the home. Residents meetings take place and minutes from April were shown to the inspector by a resident who attended. Residents said they liked these meetings, could discuss any issues and most felt their concerns were listened to. Administrative staff deal with the financial affairs of a number of residents. This has been done with the express wishes of the residents concerned. A record of money received has been kept together with how the money has been spent. Wherever possible a receipt has been obtained to confirm any transaction undertaken on behalf of residents. A secure place has been provided where money and valuables deposited by residents can be kept safely. The manager or other senior staff carry out supervision of care assistants at the home. Records showed all staff had received two supervision sessions since January 2006. Staff spoken with said they felt well supported by the manager and other staff members. The Registered Nurses said there had been some marked improvements in the home over the past three months. Much of this was accredited to the manager. Staff had received training in the health and safety of residents and themselves. At times a large amount of equipment was stored on the corridors and this could cause obstruction. Work was underway, during the inspection, with regard to fire doors. No issues of health and safety were raised during the inspection. Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 2 X 2 X 3 X 3 STAFFING Standard No Score 27 2 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP31 Regulation 8 Requirement A care manager must be appointed and registered with the CSCI. This requirement remains unmet from the inspection of 11/12/05. A new timescale has been given. Timescale for action 31/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 Page 24 Rectory House Nursing Home DS0000052037.V292976.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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