Inspection on 20/11/07 for Ridgway Court

This inspection was carried out on 20th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

Thorndene

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Ridgway Court 48 Ridgway Road Farnham Surrey GU9 8NW Lead Inspector Pauline Long Unannounced Inspection 20th November 2007 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 Ridgway Court DS0000070359.V349682.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. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ridgway Court Address 48 Ridgway Road Farnham Surrey GU9 8NW 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) 01252 715921 Abbeyfield Wey Valley Society Limited Mrs Julie Winifred Hynd Care Home 16 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0), Physical disability (0) of places Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Old age, not falling within any other category (OP) 2. Physical disability (PD). The maximum number of service users to be accommodated is 16. Date of last inspection First Inspection Brief Description of the Service: Ridgeway Court is owned and managed by the Abbeyfield Way Valley Society Ltd. The service is registered to provide personal care for up to 16 older people, including Dementia and Physical disability. The home is set over two floors and stairs or lift allows access to the first floor. The 16 bedrooms all have en-suite facilities. Bathrooms are shared and have been fitted with specialist bathing equipment as necessary. There are two communal lounge areas and a dining area. The residents can also access a well maintained and secure garden area. The home is located in a residential area close to the town of Farnham and some local shops. There is ample car parking space available at the back of the building. The fees at the home are £540 pounds per week to £580 pounds per week. Daily newspapers are included in this cost. There are extra costs for Chiropody and Hairdressing. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was the first inspection and was an unannounced ‘Key Inspection’. The inspector arrived at the service at 09.00 and was in the service for 5 hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The AQAA (Annual Quality Assurance Assessment) document sent to the service was returned to the Commission in the required timescale. It was clear and gave us all the information we asked for. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. The CSCI would like to thank the residents, the manager and staff for their hospitality, assistance and co-operation during the “Key Inspection” process. What the service does well: The registered manager and staff demonstrated an open and inclusive approach to the residents care. Good relationships have already been formed between the residents and staff and this was evident during the course of the site visit. Residents were observed as being relaxed and confident with the manager and staff. The home promotes and encourages contact with family/friends and the local community. Residents spoken with were complimentary about the care and services provided by the home. Relatives commented that the staff at the home were friendly and approachable and nothing was too much trouble. Health care professionals commented that the home promotes respect and encourages individuality. The standard of environment is good, providing the residents with a pleasant and homely place to live. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 6 From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. What has improved since the last inspection? 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. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The homes Statement of Purpose is not specific to Ridgeway Court nor does it contain all of the required information. Prospective Residents needs are appropriately assessed prior to admission to the home. The home does not provide for intermediate care. EVIDENCE: The Statement of Purpose used by the home is a corporate document. It covers all of the organisations homes and is not specific to Ridgeway Court. It does not contain all of the information required according to Schedule 2 of The Care Homes Regulations 2001 (as amended). The statement of Purpose needs to be reviewed and amended to ensure that it is specific to Ridgeway Court and that it reflects all of the required information. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 9 The care needs assessments undertaken at the home are good. Three of the residents files were sampled and evidenced holistic care needs assessments, which covered all daily living activities for example; washing, dressing, continence, diet, mobility-including falls, sleeping patterns, communication, hearing, eyesight, medication, skin integrity, pressure sores, mental state, orientation, memory, food likes and dislikes, social activities and religious beliefs. All of the documents had been signed and dated by a representative from the home. Residents spoken with confirmed that they had, had an assessment of their needs prior to moving into the home. The home does not provide an intermediate care service. A requirement has been made in respect of these areas. Please refer to page 26 of this report. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The care plans at the home are comprehensive providing staff with clear guidance as to how to meet resident’s needs and goals. Residents are protected by the homes medication procedures and practices and they are treated with dignity and respect. EVIDENCE: Three of the Residents care plans were sampled and were found to be detailed and well written. The care plans gave clear guidance to the reader in respect of a residents needs, goals and any risks to their health and safety and their likes and dislikes in respect of social activities. There were clear action plans as to how the goals would be achieved and the risks minimised. The residents and their relatives had agreed with the care plans sampled and signatures were in place to evidence this. A representative from the home had also signed the care plan. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 11 All of the care plans sampled had been reviewed on a monthly basis with changes noted. Residents spoken with confirmed that they had been involved in drawing up their care plans. One health care professional commented that the home respects and encourages individuality. There was evidence in the care plans sampled of visits from health care professionals and residents commented that their health care needs were being met. The homes medication procedures, practices and storage were examined and were found to be good. The medication policy is clear, easy to read and understand. The senior staff who have undertaken training in respect of safe handling of medication administers the medication. The senior staff spoken with confirmed that they had undertaken training and training records evidenced this. We observed the lunchtime medication being administered; this was carried out in an unhurried, sensitive and safe manner. The medication records were examined and were found to be well documented with no gaps in signatures noted. Discussions were had with manager and staff in respect of recording the full reason for a resident refusing their medication. Some of the residents at the home are being administered controlled drugs. The storage and recording of these drugs was sampled and found to be satisfactory. Administration was not observed, however staff discussed the process. Five of the residents at the home are responsible for keeping and administering their own medication. Risks assessments have been undertaken in respect of each resident and lockable facilities have been provided in their bedrooms in order for them safely store their medication. Through out the visit we observed that residents were treated with respect and that their right to privacy was promoted. Residents and relatives commented that they were always treated respectfully and that the staff, were kind, helpful friendly and caring. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Activities are provided at the home and residents are encouraged to take part. Families and friends are encouraged to visit the home. The meals at the home are nutritious and appetizing and meal times were observed as being a positive and pleasant experience for the residents. EVIDENCE: The home has developed and implemented an activities programme. There were list of the activities posted on notice boards through out the home. As discussed earlier in this report residents likes and dislikes around activities had been recorded in their care plans. On the day some residents were taking part in carpet skittles, one resident was enjoying a game of “Connect 4” with a member of staff. It was noted that the mobile library was visiting the home and that talking books and books with large print were available. Residents commented that they enjoyed taking part in the activities at the home and that on occasion they had gone to one of the organisations other homes to attend functions. The manager discussed the various activities planned for the Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 13 up and coming festive season, for example; carols by candlelight a Christmas party and a Pantomime. Residents are encouraged to practice their faith and arrangements have been made for those who wish to receive a visit from a Priest/Vicar. Those who wish to take Communion have the opportunity to do so once a month. The manager commented that if a resident wished to go to church arrangements would be made in order that they could attend. The manager stated that there were no restrictions on families and friends visiting the home and that they are encouraged to stay for a meal if they wish. Several residents had telephones in their bedrooms in order for them to keep in contact with their families, friends and their GP surgeries. Through out the visit residents were observed moving around the home freely and making choices as to where they wished to be and what activities they wished to take part in. One resident was observed to go out to the local garden centre with their family. A lunchtime activity was observed. The food appeared wholesome, nutritious and appetizing and was nicely presented. Residents chose where they wished to sit. The meal was served directly from the kitchen and staff were observed offering choices of vegetables and drinks. Some of the residents were enjoying a class of sherry. All of the residents spoken with commented that the food was good and that they enjoyed the meal times at the home. One relative commented that they had concerns about the quantity and quality of the food. This was discussed with the manager at the time and she stated that no one had ever made a complaint to her about the food. She may wish to consider including a question about the quality of the food in the up and coming service user survey. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are protected by the homes complaints and safeguarding procedures. EVIDENCE: The home has a complaints procedure in place, which is easy to read and understand. No complaints have been made since the home opened, and there was no evidence of a complaints log being kept. Discussions were had with the manager in respect of the benefits to residents and staff of developing a complaints log. She agreed to complete one. Residents spoken with commented that they had not had to make a complaint, but if they did they would speak with the manager. The Commission has not received any complaints about this service since it opened. The homes Safeguarding Adults Policy and Procedures were sampled. Whilst it was noted they were easy to read and understand they need to be reviewed and amended to fully reflect the Local Authority Procedures. The homes procedure stated that the Police would be informed of concerns and that the police would make a decision as to any actions taken. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 15 The manager was advised that the Local Authority were the lead Agency in respect of Safeguarding Adults Procedures and that they should be informed in the first instance. At the time manager amended the homes instructions to staff in this respect and stated that she would inform the operations manager in order to ensure that the Organisations Procedure was changed. The home has a copy of the Local Authority (Protection Of Vulnerable Adults from Abuse Procedures.) now referred to as Safeguarding Adults Procedures. All of the staff have undertaken training in Safeguarding Adults from Abuse and training records evidenced this. No referrals have been made under Safeguarding Procedures since the home opened. Discussions were had with the staff and scenarios put them in respect of potential safeguarding adults issues and the process for reporting their concerns, they demonstrated a good understanding of what could be a potential safeguarding issue and how to report any concerns they might have. A requirement has been made in respect of these areas. Please refer to page 26 of this report. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,23,26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, well-maintained, clean and homely environment, which meets their individual and collective needs. EVIDENCE: All areas around the home benefit from a homely touch and the home was found to be clean and tidy and fresh aired, no malodours were noted. Furnishings and fittings are of a good quality and residents commented favourably on both their individual rooms and the communal areas. One resident commented that she liked her room very much and that it “was always well cleaned”. Another resident commented that “it was just like home” Resident’s rooms were bright, clean, well ventilated and centrally heated, with evidence of many personal items. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 17 The home has an enclosed garden to the back of the property. The garden is nicely kept and provides a very pleasant area for the residents to spend time. Resident’s have a good view of the garden from the conservatory and some commented that they liked to look at the garden. There is no wheelchair access to the garden from the conservatory, if required residents would have to access the garden from the side of the property. During the tour of the home it was noted that a trolley with cleaning materials had been left unattended. This was brought to the manager’s attention, and it was removed immediately. The laundry room was unlocked and cleaning materials were not stored in a locked facility. Cleaning materials were also stored in one of the kitchen cupboards and again this was not lockable. The manager addressed these immediately and arranged for locks to be fitted. She confirmed the following day that the locks had been fitted to all of the appropriate cupboards. The home is clean pleasant and hygienic with good infection control measures in place, for example; protective clothing, gloves and antibacterial hand wash are provided for the staff. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. EVIDENCE: The staffing rota was sampled and evidenced that were two care staff and a senior carer on duty during the waking day, and two waking night staff on duty one being a senior carer. There are two domestic staff on duty from Monday to Friday, however no domestic cover at weekends. Discussions were had with the manager in respect of the lack of domestic cover at the weekend and she stated that care staff undertook the cleaning duties at the weekend. We advised her to satisfy herself that care staff would have enough time to ensure that resident’s holistic needs were being fully met at the weekends. Three staff files were sampled and evidenced good recruitment practices. All 3 of the files had the required documentation in place including, completed application forms with good employment histories, 2 references, Criminal Record Bureau Checks (CRB) and Protection of Vulnerable from Abuse (POVA) checks. It was noted that each file had an interview impression checklist, but there was no evidence of questions asked or responses received. It would be Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 19 good practice to have a list of questions and responses and would provide evidence of good equal opportunities practice. All of staff files sampled evidenced induction training, mandatory and good practice training certificates, for example; fire awareness, manual handling, food hygiene, continence, medication, drugs assessment, dementia and one day first aid. Discussions were had in respect of the need for a home to have a qualified First Aider on duty 24 hours a day. The manager stated that the Deputy Manager was undertaking this qualification and that the other senior staff would be included in this training. As discussed earlier in this report, it was noted during the tour of the building that cleaning materials had been left unattended. Discussions were had with the manager in respect of all staff undertaking COSHH (Control of Substances Hazardous to Health) training. The manager stated that the home had a COSHH awareness policy which staff are made aware of during induction she stated however, that arrangements would be made for all staff to undertake this training. She confirmed the following day that the training had been booked for the last week in November 2007. NVQ (National Vocational Qualification) training is given a high priority at the home. Three of the senior staff have achieved an NVQ3, four of the care staff have achieved an NVQ2, three care staff are undertaking an NVQ3. The manager and deputy are undertaking NVQ 4 in care. All of the residents spoken with commented that the staff were good at their jobs, and were friendly and helpful. Recommendations were made in respect of these areas. Please refer to page 24 of this report. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The resident’s benefit from an open and inclusive management approach to the running of the home and from a well supervised staff team. Their views are sought, listen to and acted upon. Their financial interests are safeguarded by the homes procedures. The health, safety and welfare of the residents and staff are promoted and protected and their safety is ensured. EVIDENCE: The registered manager is experienced and competent. She has worked in a care setting for 18 years, the latter five as a deputy manager. She has achieved the Registered Managers Award and is undertaking an NVQ 4 in care. All of the residents and staff spoken with, commented that the manager has a Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 21 hands on and inclusive approach to the residents care. This was evidenced on the day as the manager was observed interacting with residents and staff. All appeared to be relaxed and confident in her company. One resident commented that the manager is pleasant and helpful and appears to be on excellent terms with the staff. One health care professional commented that the manager and home respects and encourages individuality. The AQAA (Annual Quality Assurance Assessment) document was returned to the Commission in the required timescale. It was clear and gave us all the information we asked for. The home actively seeks the views of the residents. Resident’s meeting are held, where residents are encouraged to express their views and the minutes of these meetings were sampled. The home is in the process of implementing a service users survey however as the home has only been opened for four months they have not sent any service users surveys out to residents or other stakeholders. The manager was confident that resident’s views are actively sought on a daily basis as she spends time out on the floor and meets with all of the residents. Residents spoken with commented that the manager was always around. We sampled a number of letters of thanks received at the home. Discussions were had with the manager around resident’s personal monies. She stated that some of the resident’s at the home manage their own finances and that those who cannot their families/representatives have the responsibility. She commented that on occasion the home would purchase sundries for residents and invoice the families for payment. Discussions with the manager and care staff indicated that one to one staff supervision meetings were being held and records evidenced this. The staff commented that, they are also expected to attend regular team meetings. The most recent team meeting was held on 06/11/07 as evidenced in the minutes of the meetings. Health and safety checks are routinely carried out at the home and records evidenced this. The manager stated that she walks the floor on a daily basis in order to identify and address any issues, which may arise. As discussed earlier in this report there were some concerns around the storage of hazardous substances, however following the site visit the manager confirmed that locks had been fitted to all of the appropriate storage cupboards and that the cleaning materials were stored safely. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 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 2 X 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 X X 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? 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 OP1 Regulation 4 Requirement Timescale for action 21/12/07 2. OP18 12(1) 13(6) The Statement of Purpose must be specific to Ridgeway Court and must contain all of the information required by Schedule 2 of The Care Homes Regulations 2001(as amended). The Safeguarding Adults 21/12/07 Procedure must be amended to reflect the Local Authority Safeguarding Adults Procedures. 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 OP27 OP38 OP29 Good Practice Recommendations Undertake a review of the use of domestic staff cover at weekends. Review the arrangements in place for the number of qualified first aid staff at the home Develop a list of questions and expected responses to be used at interview. Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 24 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:inspection.southeast@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 Ridgway Court DS0000070359.V349682.R01.S.doc Version 5.2 Page 25 - 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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