Inspection on 22/06/06 for Ryelands

This inspection was carried out on 22nd June 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ryelands 10/07/07

Ryelands 23/02/06

Ryelands 28/10/05

Ryelands 01/03/05

Ryelands 30/11/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Ryelands 15 Beddington Gardens Wallington Surrey SM6 0JF Lead Inspector Deborah Yapicioz Key Unannounced Inspection 22nd June 2006 09:15 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 Ryelands DS0000007194.V300497.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. Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ryelands Address 15 Beddington Gardens Wallington Surrey SM6 0JF 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) 020 8647 6837 020 8254 7047 home.wal@mha.org.uk home.fxg@mha.org.uk Methodist Homes for the Aged Mrs Sandra Carole Roche Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 Rooms to be used as Double Rooms for the use of husbands, wives, partners, brothers or sisters only. Room number 42 (Dementia Unit) size 19 Sq.m Room number 23 (Personal Care Unit) size 20.709 Sq.m Room number 25 (Personal Care Unit) size 23.256 Sq.m 23rd February 2006 Date of last inspection Brief Description of the Service: Ryelands is owned by a voluntary organisation ‘Methodist Homes for the Aged’ and is situated a short distance from Wallington town centre. The home is open to all regardless of gender, race, financial position or religious faith. The home is now registered to provide care to 48 elderly persons (32 personal care and 16 dementia care). Methodist Homes for the Aged has just completed a major building programme. This included demolishing the original home on the site and rebuilding the home to include a residential unit (Ryelands), supported independent living flats (Moorlands), and a separate dementia unit (Brooklands). For the purpose of this inspection report both the residential units (Ryelands and Brooklands) are referred to as Ryelands. The new building it is generally well thought out and has been designed specifically for the purpose. There has been good involvement of the service users. The gardens are thoughtfully designed with level paths and handrails allowing full access to less mobile residents. The garden at Ryelands is shared with the residents of Moorlands. The garden at Brooklands (the dementia unit) is designed to stimulate the senses with safe water features and scented, colourful plants. Accommodation in both units includes spacious single bedrooms on both floors. All service users’ rooms have en-suite facilities and a kitchen area. There is a lift serving all floors. The conditions for registration included recommendations that the three double rooms are only used for husbands, wives, partners, brothers or sisters only. The scale of charges is £533-579 or £628 in Brooklands. Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on the morning of 22nd June 2006. The home was inspected under the National Minimum Standards Care Homes for Older People. The relief manager Karen Stephens was on duty and facilitated the inspection. Methods of inspection included talking with service users, a tour of the premises, observation of contact between staff and service users and a discussion with the relief manager and other staff members. Records examined included the service users plans, complaints, staffing records, training records, Medicine Administration Record Sheets, menus and staff meeting minutes. The relief manager had completed a Pre inspection Questionnaire and the information supplied in that document has been used in the inspection report. Several comment cards were received from family members and the General Practitioners at the surgery used by the service users. The inspector would like to thank the service user, the staff team and Ms Stephens for their help in facilitating the inspection and to everyone who took the time to fill in a comment card. What the service does well: Issues of respect and how to treat service users with dignity is incorporated into the induction training of new staff. During the inspection staff were observed to be treating service users in a pleasant, friendly manner. Service users spoken to during the inspection felt that the staff team are nice to them treated them well and respected their privacy. Personal autonomy has been increased for service users through the design of the service users’ rooms, which includes accessible showers and kitchenettes. Service users have the option of preparing their own breakfast in their rooms and are also able to be more independent with personal care. Four service users’ rooms have kitchen work surfaces and sinks with adjustable height levels, as well as adjustable power points. Choice is maximised at mealtimes with the flexible meal service. The home manager left earlier this year and since her departure a temporary management structure has been put in place. The inspector was informed that interviews had recently taken place for the post of home manager. The staff members and service users spoken to during the inspection were looking forward to the new manager taking up their post although they felt that the temporary arrangements had worked well with minimal disruption. Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 6 The home has monthly service users meetings and there was evidence in the minutes of those meetings that the issues raised are followed up and resolved. 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. Ryelands DS0000007194.V300497.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 Ryelands DS0000007194.V300497.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,6 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home provides good information and introduction opportunities for prospective service users and their families to make an informed choice about moving to the home. A needs assessment is always completed to ensure that service users needs can be met at the home. EVIDENCE: A statement of purpose and service users guide is available to interested parties, which outline the service and facilities available to prospective residents. The service users guide (known as the Welcome Pack) is also in a tape format, which was compiled by the RNIB. Both documents are regularly reviewed and the inspector was informed that they would be updated to reflect the change in management once the new manager is in post. A needs assessment is requested from the referring care manager and the home management team also completes the in-house assessment to ensure that the home is suitable and the service users needs can be met. Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 9 The home has separate assessments for Ryelands and Brooklands. The Ryelands domiciliary assessment covers areas such as personal care, physical care, social/emotional needs, contact details, personal preferences and food (likes and dislikes). The resident’s personal profile is usually compiled by a family member including a life history. The Brooklands unit assessment includes hospital admissions, medication and emotional needs. The service users files looked at during the inspection all contained assessments completed before the service users moved into the home. The service user and their family (if it is appropriate) are involved and consulted in each stage of the admission. Service users and their families are encouraged to visit the home before a decision to move is made. The home has a contract in place, which includes rooms to be occupied, who is liable for breech of contract, fees, complaints and the trial period. The home does not provide intermediate Care so therefore standard six is not applicable. Ryelands DS0000007194.V300497.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Monitoring of the service users health is well managed although; there were still some gaps in the recording of administered medication. The service users have individual care plans, which include consultation with service users. Care plans are regularly updated to ensure the service users changing needs are met. EVIDENCE: Issues of respect and how to treat service users with dignity is incorporated into the induction training of new staff. During the inspection staff were observed to be treating service users in a pleasant, friendly manner. Service users spoken to during the inspection felt that the staff team are nice to them treated them well and respected their privacy. The home has a system in place for updating care plans. The care plans carries on from the original care plan and assessment. The plans looked at during the inspection were comprehensive and indicated that residents’ individual needs were identified and the actions to be taken to meet the requirements. The care plans are reviewed regularly and the staff team at the home monitor the plans and make regular entries to record daily activities and any areas of concern. Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 11 Risk assessments are on the service users files, some relating to behaviour and how to deal with them. Property lists were also seen on service users files. The service users are registered with General Practitioners at a local surgery. Comment cards were received by the Commission for Social Care Inspection from the local General Practitioner surgery, which were positive about the care provided at Ryelands. The service users at Ryelands need varying degrees of assistance with their personal care. The level of support needed is written into service users care plans. Service users who are prone to pressure sores had the necessary equipment for the promotion of tissue viability and prevention or treatment such as airbeds, soft cushions and heavy-duty foam cushions. Pressure sore risk assessments (Waterlow) are carried out and districts nurses routinely visit the home. The home has a policy on the receipt, recording, storage, handling, administration and disposal of medication. Records examined showed that there were still some gaps in the Medicine Administration Record Sheets. This is a cause for concern and was discussed with the acting manager Karen Stevens. Ms Stevens was aware of the issue; She has discussed it with the staff team and has taken steps to resolve the problem. This will be monitored again at the next visit. Ryelands DS0000007194.V300497.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15, Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents are able to enjoy a stimulating life style with a variety of options to choose from. The home has sought the views of residents and considered their varied interests and abilities when planning the routines of daily living and arranging activities. The service users at the home are offered the opportunity to engage in various activities that satisfy their social, cultural, religious and recreational interests and needs. The home has an open visitors policy to ensure family links are maintained. Dietary needs are catered for with meals that are nutritionally well balanced and clearly based on the service users food and drink preferences, providing them with daily variation and healthy eating options. EVIDENCE: The home has two activity rooms and two music rooms (all with induction loops). The music rooms and the communal lounge all have pianos. The service users at Ryelands can choose to participate in a variety of activities including prayers, reminiscence, trips out, various faith services, keep fit, crafts, games, quizzes, art, visiting shops, barbeques and the celebration of events. Records are kept of activities undertaken. The home has a hairdressing room and a hairdresser attends three days a week. The home has recently appointed a new activity coordinator for Brooklands. The activity programme provides choice and variety; activities in the Brooklands unit are tailored to the needs of people with dementia. Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 13 During the inspection service users were seen undertaking various activities including a “sing a long” and listening to music. Service users spoken to during the inspection were happy with the activities organised by the home. The home has monthly service users meetings and there was evidence in the minutes of those meetings that the issues raised are followed up and resolved. The home also organises coffee mornings and fairs which help raise money for the homes amenity fund. There is an open visitors policy and families are welcome to visit at any time, although the service users can choose who they wish to see. Visitors can be seen in any part of the home including bedrooms. The home invites relatives and families to any social events. Service users can bring in their own possessions and furniture if they wish. Information regarding contacting advocates is included in the service users guide. Exceeding the standard is evidenced by: personal autonomy being increased through the design of the service users’ rooms, which all includes accessible showers and kitchenettes. Service users have the option of preparing their own breakfast in their rooms and are also able to be more independent with personal care. Four service users’ rooms have kitchen work surfaces and sinks with adjustable height levels, as well as adjustable power points. Choice is maximised at mealtimes with the flexible meal service. On the day of the unannounced inspection a wide variety of well-balanced, nutritional food was observed to be available in plentiful supply. Menus are on a six weekly cycle and there is a choice of two main meals. The homes meal system has been designed for meals where a self-service style selection of foods is presented. This removes the need to pre-book meals, allows meal items to be mixed and allows a change of mind at the time of the meal. Fresh fruit and vegetables are used at all times. The home has regular meetings between the cook, the service users and the management team to discuss menu options. Ryelands DS0000007194.V300497.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is complaints policy and procedure, which facilitates good access to the complaints system for the residents, their family or their representatives. The home has the appropriate policies in place to ensure the protection of vulnerable service users. EVIDENCE: Ryelands has a complaints procedure, which outlines how a complaint is dealt with and timescales for action. The complaints procedure is included in the service uses guide and service users spoken to during the inspection were ware of it. The home keeps a record of any comments or complaints made about the service. The acting manager has recently introduced a new system for recording complaints. This was available for the inspection and was easier to read than the previous systems and provided details of the actions taken to resolve the complaint. Service users during discussions said that they did not have any complaints about the care that they were receiving. The home has in place procedures for responding to suspicion or evidence of abuse, including whistle blowing, and passing on concerns to the Commission for Social Care Inspection. A copy of Sutton’s Vulnerable Adults Policy and Procedures was seen in the office. Training of staff in the area of protection is regularly arranged by the Home. Staff team spoken to during the inspection were aware of the complaints procedure and the adult protection policy and were aware of the need to report any incidents. Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,24,25, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user’s bedrooms provide privacy and reflect individual interests and preferences. The general décor of the home is good providing a comfortable, clean and safe environment for service users to live in, although some of the carpets are showing signs of wear and tear. EVIDENCE: Ryelands is situated in a mainly residential area, close to the centre of Wallington. It is also close to rail and bus links. In recent years the home has been undergone a major building programme resulting in a newly built home, supported independent living flats and a separate dementia unit. The home is well thought out, designed specifically for the purpose, and with good involvement of the service users. When Brooklands, the dementia unit was built, current ideas on service provision for people with dementia (from organisations such as The Alzheimer’s Association) were incorporated into the building i.e. no “dead ends” in corridors. The unit has spacious communal areas allowing residents freedom to settle in a variety of seating areas. In Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 16 Ryelands there are activity areas and small lounges as well as the large communal lounge/dining area. The décor is light and bright however it is beginning to show signs of wear and tear particularly the carpets. The stained carpets in the entrance hall and in Bedroom 15 (Ryelands) need to be cleaned or replaced The gardens are planned on a circuit and are designed to stimulate the senses with safe water features and many scented and colourful plants. On the morning of the unannounced inspection the home was comfortable, bright, well ventilated and free from offensive odours. The home has separate laundry facilities away from the food preparation areas. Service users have been encouraged to personalise their rooms. There were many “homely” touches such photographs, plants and flower arrangements. There is ample communal space through out the home, which appeared comfortable, bright and was furnished appropriately with areas for service users and their visitors to meet in private. The service users spoken to during the inspection were very happy with their bedrooms. Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team at the home have a range of skills and abilities, which enable them to meet the needs of the service users living at the home, ongoing training to build on staff skills is provided. EVIDENCE: Since the last inspection the home has set up their own set of bank staff to cover vacancies and staff holidays or illness. The relief manager demonstrated how this had had the duel benefits of reducing spending on agency staff and ensuring consistency for the service users. The staff team receive an induction when they begin at the home relevant to the post that they are holding and a record is kept on the staff file. The induction programme of the newly appointed laundry assistant was seen during the inspection. The issues covered included infection control, accident reporting, fire safety, Control of Substances Hazardous to Health and using laundry equipment. The job descriptions for staff at the home staff clearly states what is expected of its employees in terms of their roles and responsibilities and the values that should underpin their conduct Staff files hold copies of the staff contracts, copies of passports/birth certificates, references, working time regulations forms and copies of Criminal Records Checks. The home has also compiled a training profile of the staff team, which details the training completed by the staff team. The Staff team have attended training courses including National Vocational Qualifications, infection control, Protection of Vulnerable Adults, manual Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 18 handling, food hygiene and first aid. Evidence of training is kept on staff files. The home holds regular staff team meetings, which are recorded. The staff members spoken to during the inspection made positive comments on their experience of working at the home. The service users spoken to during the inspection said that the staff team treated them well. Observations of the contact between the staff team and service users confirmed this. The staff team receive an induction when they begin at the home a record is kept on the staff file. The induction programme of the newly appointed laundry assistant was seen during the inspection. The issues covered included infection control, accident reporting, fire safety, Control of Substances Hazardous to Health and using laundry equipment. Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management style appears to be transparent with clear lines of accountability, however a permanent home manager must be in post and register with the Commission for Social Care Inspection. In the main health and safety arrangements are in place to ensure potential risks to service users health and safety are so far as reasonably possible identified and minimised. EVIDENCE: The home manager left earlier this year and since her departure a temporary management structure has been put in place. Karen Stephens is the relief manager for the home. The inspector was informed that interviews had recently taken place for the post of home manager. The staff members and service users spoken to during the inspection were looking forward to the new manager taking up their post although they were complimentary about the relief manager and felt that the temporary arrangements had worked well with minimal disruption. Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 20 The relief manager and senior members of the staff team undertake staff supervision sessions. There has been a marked improvement in the frequency of supervisions brining it in to line with the national minimum standards. The home has had regular fire drills since the last inspection and the home has recently passed the Methodist Homes quarterly health and safety check. Service users interests are taken into account in the running of the home through service users meetings, reviews and one to one meetings with service users. Service users relatives or the local authority handle the majority of residents’ finances if they are unable to do this themselves. No one at the home acts as appointee for any service user. The home manager demonstrated an awareness of health and safety issues. Records required for the safety and well being of service users are in place including accidents, water temperatures, complaints, incidents, food records, staff and service users case files, medication records and so forth. A first aid box and a fire blanket are situated in the kitchen. There are fire extinguishers throughout the house. The home has a health and safety policy in place and the staff team receive training on issues such as basic food hygiene, fire and manual handling. Each of the service users has the option of a phone line in their bedrooms. The home is also in the process of installing a new phone system after on going problems with the present system. Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X X X 3 3 X 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 2 X 3 X 3 X X 3 Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP19 Regulation 23(2)(d) Requirement Timescale for action 30/10/06 2. OP9 17 (1)(a) 33. (I) The stained carpets in the entrance hall and in Bedroom 15 (Ryelands) need to be cleaned or replaced The registered person must 22/06/06 ensure medication administration records are correctly filled in at all times. The registered person must ensure a ‘suitably’ qualified and competent individual submits an application to register as the homes manager, subject to a fit person interview with the Commission. 30/10/06 3. OP31 9(1) (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. Refer to Standard Good Practice Recommendations Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 23 Ryelands DS0000007194.V300497.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Ryelands DS0000007194.V300497.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!