Inspection on 22/06/05 for Rufford Care Centre

This inspection was carried out on 22nd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rufford Care Centre 04/03/09

Rufford Care Centre 04/09/08

Rufford Care Centre 17/06/07

Rufford Care Centre 19/07/06

Rufford Care Centre 28/02/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Rufford Care Centre Gateford Road Gateford Worksop Nottinghamshire S81 7BH Lead Inspector Adrew Sales UNannounced 22 June 2005 - 10:00 nd 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 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 and Care Homes for Adults 18 – 65*. 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. Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rufford Care Centre Address Gateford Road Gateford Worksop Nottinghamshire S81 7BH 0190 953 0233 0190 953 3044 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Florence Mallaband Limited Vacant Care Home - Private 100 Category(ies) of DE (E) Dementia - over 65 25 registration, with number PD Physical Disability 25 of places OP Old Age 50 Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Services Users shall be within categories DE (E) (25), PD (25) or OP (50). Date of last inspection 18/11/04 Brief Description of the Service: Rufford Care Centre is a purpose built care home. The home was officially registered with the National Care Standards Commission on August 26th 2003. Rufford Care Centre is owned and managed by Gateford Care Ltd. The home is situated on the Worksop bypass along Gateford Hill approximatly one mile form the centre of Gateford. Rufford Care Centre is registered to accommodate up to one hundred service users, alll in single occupancy rooms. The home is divided into four units that offer a specific specialist care service. Clumber Unit offers accommodation for up to twenty-five younger adults between the ages of eighteen and sixty-five. Hardwick Unit offers accommoadtion for up to twentyfive service users over the age of sixty-five who require twenty-four hour nursing care. Welbeck and Thoresby Unit offers a total of fifty places across the two units for people with mental health related illnesses, in particular service users suffering from varying degrees of Dementia. The care home is registered to cater for up to four service users at any given time who may require terminal care and up to eight places are avialble for adults over the age of forty-five who may have Dementia. The Care Centre has been designed so that each unit can run indepentdently with their own communal settings. The catering and laundry service are based within the basement of the centre and they provide a service across the four units.. Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and was conducted by Andy Sales on the 22nd June and also 24 June with Steve Keeley, Regulation Inspector. The home’s manager was present during the inspection. The process of case tracking was used to determine outcomes for residents throughout all of the four units. This involves assessing the individuals plan of care and discussing the outcomes with the individuals or advocates and staff concerned. Altogether 11 service users were case tracked. Two relatives and five members of staff were spoken with and their views incorporated into the report. The feedback from all residents and relatives spoken with was very positive. What the service does well: What has improved since the last inspection? The Welbeck suite has been redecorated and has greatly improved the appearance of this unit. The staff on the welbeck unit still strive to provide a quality service and cope very well in the continued absence of a unit manager. The clumber unit for people with physical disabilties has a new manager. Significant improvements have been made in respect of standards, morale and occupancy levels since the last inspection. Feedback from residents on this unit was extremely positive and credit must be awarded to the new manager and staff. Similarly, feedback from all the units was positive and signifies a proprotionate high level of satisfaction with the services. Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 6 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. Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Standards Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitablity of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) na EVIDENCE: Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9. All residents have assessment plans detailing their support requirements, preferences and areas of risk. Residents are supported to make their own decisions and balance their decisions with appropriate risks. EVIDENCE: Eleven care plans across the four units were assessed. Documentation is thorough. Detailed descriptions of personal assistance required, were present, together with comprehensive mobility assessments. Records of multi agency assessment and reviews are recorded, alongside care staff daily records. The service users care plan is generated from an assessment of need based on the Activities of Daily Living Model. The care plans are well-written and kept in Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 10 good order. Some care plans were seen to contain very good information for carers, setting out in detail the action they need to take to meet individual need. Residents and staff spoken with confirmed that residents were encouraged to make their own decisions and staff were made aware of their rights as citizens during the induction process. Limitations in decision making are recorded in the care planning process. Many residents spoke of how the staff support them to help themselves and the ways in which they support them to maintain and increase their independence. This was a particularly positvie issue throughout the home, specifically in the Clumber unit. Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experiencd in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,16,17 Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 12 The home plans and supports residents well in developing and maintaining their independence. Catering in the home is well organised and is well thought of by residents. EVIDENCE: Residents methods and paths for social and communicative development are discussed at the care planning stage and opportunities to evaluate this are given during the review process. Eleven of these were observed. A number of residents discussed with the inspector how they were supported by the staff to maintain their independence. In particular some residents on the Clumber unit were extremely pleased with the assitance provided in physical tasks, ie; assitance with physiotherapy programs and mobility. Autonomy and choice are promoted throughout the staff induction program. Staff spoke with inspectors and demonstrated ideas which support the promotion of independence. Discussions with the manager and staff team evidenced that promoting independence based on certain limitations was encouraged. Staff were observed to be friendly, courteous and to respect service users wishes. Discussions with residents on the day of inspection provided evidence that they are empowered where possible to exercise their choice in all aspects of daily life. Several residents spoken with on the day of inspection confirmed they are encouraged to be as independent as much as physically, mentally possible. The kithen was inspected and the staff showed the inspector, records equipment and food storage areas as well as menu planning. The whole operation is extremely well managed. Residents spoke very highly of the food provided within the care home. The four dining areas are pleasantly decorated, with seating for all residents if required. Each of the four units also have a pleasant, well-equipped kitchenette areas that can be utilised by residents, relatives and visitors. Staff members were available to assist residents who may require assistance with their dietary needs/intake from appropriate assessment. Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 Residents feel they are treated with respect and receive support in an appropriate manner. The healthcare needs of residents are well planned for. EVIDENCE: During the inspection eleven residents were case tracked. The outcomes for service users receiving support were discussed and matched with their assessment plans. The feedback was generally very positive. Of the two relatives spoken with, both were very pleased with the standard of care for their relatives. Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 14 Staff were observed interacting with residents with personal care and social issues. All residents expressed satisfaction in the way they were addressed. Each residents care plan that was case tracked contained a thorough health needs assessment. Incidences of pressure sore management, continence management, monitoring of nutrition were all evident and supported by comprehensive risk assessments. Tissue viability is managed by the registered nurses on site and daily visits by the District Nurse teams. Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are sageguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The home operates a clear and comprehensive complaints and adult protection framework. EVIDENCE: Complaints are well documented and outcomes recorded. The inspector discussed an outstanding complaint with the manager, a copy of which was sent to the commission. The manager has responded to this complaint. Residents spoken with were aware of the procedure and how to raise concerns. There are policies and procedures available at the home concerning adult protection issues including responding to suspicion of abuse/neglect, dealing with physical and verbal aggression and management of service user’ finances. The manager confirmed that there were no adult protection issues outstanding. The home has a policy that encompasses rights of service users. The staff team demonstrated an understaning of these policies. A number of staff spoken with said they had attended Adult Protection training via Doncaster College. Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 30 The home is kept clen and hygienic. EVIDENCE: Policies and Procedures are in place for Infection Control. The Home was found to be clean, tidy throughout and free from malodours. The laundry area is extensive and the laundry facilities were found to be of a high standard. Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 17 The inspector spoke with the housekeeper and some of the domestic team. Their efforts in keeping an extensive property in such a clean and presentable condition are commended. Residents and relatives felt this was very important and wanted their appreciation passed onto the staff. Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 34 and 35 (Adults 18-65) and Standards 27,29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,36 The home provides training and induction at appropriate intervals. Supervision frameworks are in place. One unit is without a manager and the staff there do not receive appropriate supervision. EVIDENCE: The home provides suitable induction and training programs for all new staff. Training is provided in all mandatory Health and Safety subjects. Certificates were observed. Care specific training is also provided to respond to the particular care needs of each unit. Staff members spoke of courses they have attended, including, wound management, Dementia awareness training at the home and a 3 days foundation to Dementia course provided by Bassetlaw Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 19 hospital. The Welbeck suite which provides support to people with dementia, provides reference material to assist staff. The annual training schedule was shared with the inspector. Residents felt the staff were competent and experienced. Supervision processes are in place in the home and some staff stated they receive support from unit managers. However some staff they did not receive supervision due to the continued absence of a unit manager on the dementia unit. Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 39 and 42 (Adults 18-65) and Standards 33,35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,42 The home is well managed and the Health, Welfare and Safety of residents is promoted through policy and practice. One unit has been without a manager, for the previous two inspections. Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 21 EVIDENCE: The registered manager has an NVQ level 4 in management and care and is a Registered General Nurse. The manager has extensive experience of working in health settings including care homes. The registered manager ensures safe working practices through provision of training in mandatory health and safety subjects. Abuse awareness training is also including within the staff induction programme. Each unit benefits from a dedicated unit manager. The Welbeck suite, which caters for people with dementia, has been without a unit manager for some considerable time. Considering the needs of the residents and staff, this is not acceptable and also constitutes a breach of registration. The care home is nearly two years old and affords a safe living and working environment. The building is maintained to a high standard, generally any repairs are addressed immediately. The home has appropriate Health and Safety policies and procedures in place. Staff spoken with, demonstrated a good understanding of Health and Safety issues and their responsibilities. Records were observed for the appropriate testing and servicing of the following systems and appliances. • • • • • • • Electrical appliances Lifts Hoists Gas Fire alarms Fire equipment Water supply Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score 3 3 Score ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x 3 x x x x 3 3 Standard No 24 25 26 27 28 29 30 STAFFING x x x x x x 3 Score 11 12 13 14 15 16 17 Standard No 31 32 33 34 35 36 x 3 x x x 2 3 2 x x x 3 x Version 1.40 Page 23 CONDUCT & MANAGEMENT PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rufford Care Centre Score 3 3 x x 37 38 39 40 41 42 43 C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc yes 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 36 Regulation 18 (2) Requirement The registered person shall ensure that persons working at the care home are appropriately supervised. Timescale for action August 30.2005. 2. 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. Refer to Standard Good Practice Recommendations Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 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. Rufford Care Centre C53 C03 S63345 Rufford Care V233919 220605 Stage 4.doc Version 1.40 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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