Inspection on 17/08/06 for Rutland Crescent (25-27) Care Home

This inspection was carried out on 17th August 2006.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rutland Crescent (25-27) Care... 09/01/06

Rutland Crescent (25-27) Care... 10/03/05

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Hunter`s Lodge

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Rutland Crescent (25-27) Care Home 25 - 27 Rutland Crescent Harworth Nottinghamshire DN11 8HZ Lead Inspector Judith Avill Unannounced Inspection 17th August 2006 05:30 Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 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 Rutland Crescent (25-27) Care Home DS0000008794.V299586.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 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. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rutland Crescent (25-27) Care Home Address 25 - 27 Rutland Crescent Harworth Nottinghamshire DN11 8HZ 01302 759636 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) www.mencap.org.uk Royal Mencap Society Mr Roger Stocks Care Home 7 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (1) of places Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide care for services users of both sexes whose primary needs fall within the following categories:Learning Disablity (7) including Learning Disability over 65 years (1) 9th January 2006 Date of last inspection Brief Description of the Service: Rutland Crescent is a home for seven adults with a diagnosis of learning disabilities. At the time of the inspection one service user is over 65 years. The home is situated in a residential area of Howarth and is within walking distance of local amenities. The house is an adapted pair of semi-detached houses, which blends completely with the housing surrounding it. People are supported to attend day centre and are well integrated into village life. Fees are assessed based on individual needs. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on 17th August 2006 at 5.30 pm by Judith Avill. The inspection is for the year April 2006 to March 2007. The methodology of the inspection focused on the requirements and recommendations set at the previous inspection and the outcomes of the standards as stated in the report. Residents and three staff were spoken with as part of the inspection observations. Records examined included, residents person centred plans, medication records, service user contracts, risk assessments, health and safety records. What the service does well: What has improved since the last inspection? What they could do better: One of the residents has problems accessing the garden, as there is no ramped access from the rear of the house. This is limiting their access to the garden and enjoyment of the garden facilities. To ensure this resident and any other residents who may experience limited mobility have access to the garden a ramp needs to be provided. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 6 The organisation has specific medication policies and procedures for staff to follow. The home follows the procedures for storage, receipt and administration of medication but details of the pharmacist and how staffs follow the practice for disposal of medication is not recorded. The registered person must ensure that the procedure for disposal of medication is recorded for staff to follow. 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. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 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 Outcomes 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) Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 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 suitability 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 the following standard(s): 2 (Adults) 3 &6 (Older people) Quality in this outcome area is good. This judgement has been made using evidence including a visit to this service. Admission procedures ensure prospective residents are assessed prior to admission, gradually introduced to the other residents and staff, thus providing reassurances that their needs could be met. EVIDENCE: Three residents records viewed contained details of a full assessment prior to admission and the resident’s involvement in the pre admission visits to the home. There have been no new admissions since the last inspection. Rutland Crescent does not provide intermediate care. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 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 the following standard(s): 6, 7 & 9 (Adults) 7, 14 & 33 (Older People) Quality in this outcome area is good. This judgement has been made using evidence including a visit to this service. Residents are involved in decisions about their lives and supported to take risks as part of an independent lifestyle. EVIDENCE: Three residents files were inspected. Records examined included Person centred plans, personal and financial record and risk assessments. Person centred plans included details of actions to be taken by staff to support residents, risk management strategies and details of individual choices and preferences. A new member of staff spoken with commented that the person centred plans were very help-ful in helping make residents preferences and needs clear. The senior staff on duty had a good knowledge and understanding Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 10 of residents needs. Residents spoken with said they were happy at the home and were involved in all aspects of the home. They commented on being involved in cooking, in garden activities and community events, and how they were able to make their own choices of activity and lifestyle with help from the staff. Individual residents said they were proud of their person centred plans and showed them to the Inspector. Plans seen included documents typed by individual residents, certificates and photographs. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 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 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 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 the following standard(s): 12, 13, 15, 15 & 17 (Adults) 10, 12, 13 & 15 (Older people) Quality in this outcome area is good. This judgement has been made using evidence including a visit to this service. Residents were supported to develop as individuals and to join in appropriate activities. EVIDENCE: Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 12 Residents spoken with commented on their attendance at day centres, college, work and leisure activities they were involved in and said they enjoyed living at the home and were able to choose their activities. The resident’s person centred plans seen evidenced individuals involvement in activities on an individual basis in the community and some group outings with other residents. The person centred plans are developed with individual residents and include photographs, personal preferences and details of family contacts. Residents are well aware of their person centred plans and their content. The residents commented that the meal observed being served at the commencement of the inspection was their choice. The menu observed provided a variety of nourishing food. Records of food provided are maintained. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 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 the following standard(s): 18,19 & 20 (Adults) 8,9 & 10 (Older people) Quality in this outcome area is good. This judgement has been made using evidence including a visit to this service. Resident’s personal and health care needs were met with support and assistance from staff and other health care professionals. The disposal of medication procedure used at the home needs to be recorded for staff to follow. EVIDENCE: The person centred plans include aspects of health, personal care and risk assessment for individual residents. Plans viewed evidenced that preferences for how staff support individual residents are clear and include details of medical treatment, nutritional monitoring and specialist services. Resident’s medication is stored securely and records supported that residents receive their medication as prescribed. Support plans seen evidenced details of dental care hospital visits and referral to specialist as required. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 14 Details of how individual resident’s medication is obtained and the method of administration administered are recorded in the person centred plan. Staffs spoken with were aware of the procedure for the disposal of medication but no written record of the procedure and details of the pharmacist used were evidenced. The organisations written policy on the disposal of medication gives guidance but no detail of which pharmacist and the records of returns. For consistency of practice the disposal of medication procedure be written for all staff to follow. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 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 safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) 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 the following standard(s): 22, 23 (Adults) 16, 18 & 35 (Older People) Quality in this outcome area is good. This judgement has been made using evidence including a visit to this service. The home has a satisfactory complaints procedure with evidence that residents feel that their views were listened to and acted upon. The staff team had an understanding of the policies and procedures in relation to safeguarding vulnerable adults, thereby protecting residents from potential harm. EVIDENCE: The organisations complaints and recruitment policy and procedure are followed. All staff files evidenced application forms, references and Criminal record Bureau checks obtained before staff commenced employment at the home. One complaint has been recorded since the last inspection, the outcome and action to date is recorded. At the time of the inspection the outcome is ongoing. Residents spoken with said they felt able to raise concerns with staff at the home. From the recorded complaint evidenced staff have acted on complaints received. The organisation has employed a resident to act as an advocate for residents of the Mencap homes in the area. This is a new project for the organisation. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 16 The advocate has begun to meet residents from home in the area, a member of staff is supporting the person in their employment. Staff spoken with were aware of action to be taken in the event of a suspicion /allegation of abuse. Policies and procedures and training records evidenced staff attendance on training on the protection of vulnerable adults. The home has had one referral through adult protection procedures, which is under investigation. Residents commented they felt safe living at the home. Residents financial records viewed evidenced residents are involved in managing their personal finances. Financial records and monies checked were accurate and maintained up to date. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 24, 30 (Adults) 19 & 26 (Older people) Quality in this outcome area is good. This judgement has been made using evidence including a visit to this service. Standard of the environment was good and provided residents with an attractive and homely place to live. EVIDENCE: Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 18 The home is well maintained and presents as a comfortable and homely environment. Staff confirmed and records seen evidenced that repairs were undertaken within reasonable timescales. The older resident or residents with limited mobility have no access to the rear garden, as there is no ramped access. There are 2 bathrooms, one of which is specially adapted for residents with limited mobility and a shower room. There is also a bathroom available for the use of sleep-in staff, and a separate toilet available on the ground floor. All bathrooms and toilets have safety locks fitted to ensure privacy. There is a lounge and dining room, which provides adequate space for the number of clients. Furnishings are of a good standard, with a range of seating. Photos of residents living at the home and ornaments create a pleasant homely room. Residents bedrooms viewed were well personalised. Residents spoken with expressed their pleasure in their bedrooms and having their personal effects displayed. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 19 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 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 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 the following standard(s): 32, 34 & 35 (Adults) 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using evidence including a visit to this service. The staff team have the competencies and qualities required to meet the needs of the residents. The recruitment policies and procedures in place provide safeguards to protect people living at the home. EVIDENCE: The staff rota seen evidenced the number of staff working at the home, the manager confirmed that there are sufficient staff to meet the needs of the residents. Residents spoken with commented there were enough staff to accompany them on activities. The staff files examined and discussion with a Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 20 new member of staff confirmed that application forms are completed, references and Criminal Record Bureau checks obtained prior to employment and new staff shadow experienced staff at the commencement of employment. Staff training records viewed evidenced that staff receive induction, foundation and specialist training in specific conditions affecting some of the residents. Staff spoken with confirmed that they have attended training on specific conditions to meet the needs of the residents accommodated. Information from the pre inspection questionnaire and from the member of staff involved in organising training at the home evidenced that over half o the staff working at the home have obtained NVQ qualifications at level 2 and seven staff have achieved higher qualifications. The manager reported budgets are available for specialist training events. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 21 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 37, 39 and 42 (Adults 18-65) and Standards 31, 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 the following standard(s): 37, 39 & 42 (Adults) 31, 33, 35 & 38(Older people) Quality in this outcome area is good. This judgement has been made using evidence including a visit to this service. The home is run in the best interests of the residents. Health and safety policies and procedures are in place to ensure the welfare of the residents accommodated at the home. EVIDENCE: Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 22 The manager and senior staffs at the home have worked at the home for a number of years and are experienced in managing a care setting. Staff spoken with commented on the support received from the manager and staff. One resident commented on the help and support that they had from one individual member of staff. Senior staff spoken with confirmed their attendance on training to update their knowledge and skills. The organisation has an internal quality assurance system. The Commission receive copies of the regular visits and reports from the service manager these include details of discussions with residents and staff, records of complaints and events and checks on the accommodation. A resident at one of the homes is an advocate for residents in the area as this is a new project relationships are being built and a process for feedback to the organisation is being developed. Staffs spoken with were aware of the health and safety procedures and records of fire and health and safety tests are maintained up to date. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 3 40 X 41 X 42 3 43 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 24 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 YA20 Regulation 13 (2) Requirement The registered person must ensure that the homes practice of disposal of medication is recorded. The registered person must ensure that a ramp is provided for residents to access the garden Timescale for action 10/10/06 2 YA24 23 ((2) (n) 10/10/06 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 Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Nottingham Area Office 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. Rutland Crescent (25-27) Care Home DS0000008794.V299586.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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