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Inspection on 16/07/08 for Shottendane Nursing Home

Also see our care home review for Shottendane Nursing Home for more information

This inspection was carried out on 16th July 2008.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Observation and discussion with residents at the key inspection visit confirmed that the standard of personal care provided was delivered to a high standard. It was observed that staff respect residents dignity and privacy, and have a good rapport with residents. The food menus, the quality of the food seen at the visit and at previous visits, together with the variety of food provided indicates that the residents are well catered for and have choices. The standard of the environment within the home is good providing residents with an attractive and homely place to live. The large garden areas are attractive and well maintained.

What has improved since the last inspection?

The home continues to maintain and provide a good standard of service. Nearly completed `dignity lounge` on the first floor that will incorporate computer facilities. Armchairs have been purchased that can be wheeled; thus aiding persons that have mobility difficulties to access areas of the home. Re-decoration is ongoing at the home. The pond in the garden is being re-stocked Staff training is ongoing at the home.

CARE HOMES FOR OLDER PEOPLE Shottendane Nursing Home Shottendane Road Margate Kent CT9 4BS Lead Inspector Sandra Crosby Unannounced Inspection 16th July 2008 09:45 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 Shottendane Nursing Home DS0000026113.V367686.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. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shottendane Nursing Home Address Shottendane Road Margate Kent CT9 4BS 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) 01843 291888 01843 292140 colin.foreman@shottendane.plus.com Mr Norman Edward Temple Mr Laurence John Waitt, Nigel John Cripps Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38) of places Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th August 2006 Brief Description of the Service: Shottendane Nursing/Residential Home is a large detached property, which was constructed in 1910 in the country manor style. Following a major conversion programme, it was registered as a nursing/residential home in 1989. Service User accommodation is on three floors, comprising of single and double bedrooms 20 of which have en suite WC and washbasin facilities. Each bedroom has a TV point and a call alarm and some bedrooms have telephone line points. A passenger lift provides access to all levels. The home is situated in extensive well-maintained secluded grounds and backs onto farmland. There are ample car parking facilities. The home is situated in a residential area and is approximately two miles from the centre of Margate. Public transport to and from Margate is available a short distance from the home. Margate town has many facilities expected of a seaside town, including beach and promenade as well as banks, library, cinema, railway station, places of worship and shops. Information from the manager stated that the fees range from £340.00 to £840.00 per week dependent upon individual needs. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good, quality outcomes. This report contains the findings of the home’s key inspection and takes account of information obtained from various sources since the last inspection of 015 August 2006, including an Annual Service Review dated 12 December 2007 and a visit to the home. The key inspection visit was unannounced and carried out on Wednesday 16 July 2008 between 09.45 and 16.00 hours and on Thursday 17 July 2008 between 09.30 and 13.30. During the inspection the inspector spoke with several residents, the manager, the business manager and staff on duty. Various records were seen and an accompanied tour of some areas of the home was made. The person in day to day management is not registered with the Commission but for the purposes of this report is identified as the manager. The manager has worked at the home for four weeks at the time of this visit. Information contained in the completed Annual Quality Assurance Assessment (AQAA), was comprehensive and information and observations made at the time of the inspection visit has been used when completing this report. Seven of twelve service user surveys were returned providing both positive and negative comments about life at the home for example ‘they all do their best’, ‘will make anything I request’, ‘caring leisure therapist’, ‘staff have made a great effort to carry on as normal when lift out or action’, ‘sometimes short staffed’, and ‘some less qualified staff do not listen at all’. The findings of this inspection were discussed with the manager and business manager at the end of the visit, and overall indicate that this home provides good quality outcomes provision for the residents and in line with CSCI ratings agenda this service has achieved a good 2* rating. The manager and business manager confirmed that issues raised in relation to medication administration, person centred care-planning documentation, and prompt response to call bells by staff would be addressed. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The home continues to maintain and provide a good standard of service. Nearly completed ‘dignity lounge’ on the first floor that will incorporate computer facilities. Armchairs have been purchased that can be wheeled; thus aiding persons that have mobility difficulties to access areas of the home. Re-decoration is ongoing at the home. The pond in the garden is being re-stocked Staff training is ongoing at the home. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,3 and 6 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes Statement of Purpose and Service User Guide provide residents and prospective residents with the information they need to make a decision about moving into the home. The assessment process is thorough and prospective residents move into the home knowing that their needs can be met and that their independence will be maximised and promoted. Standard 6 was judged as not applicable at this inspection visit. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 10 EVIDENCE: The Statement of Purpose and Service User Guide have been seen at previous inspection visits. Both documents are well presented and suitable for purpose. The business manager confirmed that these documents are currently being updated, as amendments are needed for example change to management structure including new manager and changes in relation to the homes transport. As the manager has only been working at the home for four weeks, completed pre-assessment information was looked at for one person who was to be admitted to the home the following day. The manager had carried out the preassessment visit and completed pre-assessment documentation. Comprehensive information was seen and this would be used when setting up the care plan. The manager reported that specialist equipment required as assessed was due to be delivered that day thereby ensuring that the home would be able to meet the persons needs on admission. It is not the general policy of the home to admit people on a short-term basis, and the manager confirmed that short-term care was only provided occasionally. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 and 10 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents do not always benefit from care plans that show that person centred care is promoted, and that health needs are being met. Personal care is offered in a way to protect resident’s privacy and dignity. The systems for medication administration are not always robust; however there are clear and comprehensive policies and procedures in place to ensure residents medication needs are met. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 12 EVIDENCE: Four care plans were seen. The care planning system contains the components as required by regulation, however currently the care planning system seen does not always promote person centred care. The health needs of residents in the main are well met, but again not always appropriately recorded and that this could be detrimental to the well being of residents. For example the type and size of catheter to be used together with a date for renewal; lack of instruction for staff in relation to providing care for person who uses a continence device. Information in relation to pressure area care documentation did not always clearly document the area of concern; the treatment to be provided, follow up action to be taken. A requirement in relation to pressure area care documentation was made at the inspection visit dated 15 August 2006. It was seen that regular reviews of the care plan were being undertaken following the requirement made at the inspection visit dated 15 August 2006, however the majority of the documentation seen stated ‘no change’ although other information in the care plan indicated that changes had taken place. These issues were discussed with the manager who said that currently she is looking at ways in which the care planning system can be improved and will be working with the specialist lead in assessment training from the PCT to improve the system to be used at the home. Evidence was seen in the minutes of a Team Meeting dated 10 July 2008, that the issues above had been noted by management it being emphasized for example that all interventions to be documented. Observation and discussion with residents at the inspection visit confirmed that the standard of personal care provided was delivered to a high standard. Medication records were seen and indicated that overall they were appropriately signed and up to date, however the number of gaps seen was discussed with the manager and deputy manager. The correct procedure for recording in the controlled drugs book was not always being used for example the index did not provide a continuation page number, and for one medication where it was recorded that two tablets were remaining, these were not in the controlled drugs cupboard and had inadvertently been put in with the empty blister packs, and at the time of the visit not disposed of appropriately. As a requirement was made at the inspection dated 15 August 2006, these issues were fully discussed with the manager and deputy manager who both agreed to address these issues. Nursing staff said that they had recently undertaken medication training. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 13 An issue in relation to call bells not being answered promptly was raised in resident surveys, it was also witnessed by the inspector at the time of the inspection visit. Management at the home are aware of this issue and evidence was seen in the minutes of the Team Meeting dated 10 July 2008 about the time taken to answer call bells and stating that ‘a member of nursing or care staff deliberately ignoring a call bell or red light will be treated as abuse’; a notice was also seen in the staff room that was a further reminder to staff in relation to this issue. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 and 15 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident they will have satisfactory opportunities regarding lifestyle choices. Residents are supported to maintain contacts with families and friends and enjoy a balanced and healthy diet. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 15 EVIDENCE: It was seen that lifestyle at the home was relaxed and that residents were able so far as is possible to carry on their lifestyle expectations. An activities person is employed part time at the home, and maintains records of activities undertaken. At the time of the visit the person was on leave but staff confirmed that activities undertaken included for example bingo, skittles, bowls, crosswords and basket ball together with one to one time spent with individual residents in their bedroom. The home is currently planning a Bar-bque in the near future and the manager said that the pond that have been out of action will hopefully be back in action by the time this event takes place. Minutes of the residents meeting dated 09 July 2008 recorded that residents expressed very positive comments about the previous day’s music therapy session and the activities person was thanked for a successful programme of activities during the period that the lift was out of use. This also highlighted the value of using resident’s rooms where appropriate to involve less mobile residents in leisure activities. Visitors were seen around the home during the time of the inspection visit, and residents talked about family and friends that visited them at the home. It was seen from the accompanied tour of the home and talking to residents that choices in relation to for example whether they spend their time in their bedroom or in the communal areas, whether they join in activities, whether they spend time in the lovely garden areas. The food menus were seen, together with observation of the meals provided on one of the days of the inspection. Residents gave positive comments about the food provided and were aware that alternatives were available. Completed residents surveys also confirmed that the food was good. It is indicated that the home maintains a high standard in relation to variety and presentation of food. Discussion with the cook indicated that they had nearly completed an NVQ – Professional Cook. People feel their rights as citizens are recognised and promoted, including fairness, equality, dignity, respect, and autonomy over their chosen way of life. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and visitors know their complaints will be listened to and acted upon. Staff have good knowledge and understanding of adult protection issues, which protects the residents from abuse. EVIDENCE: The home has a complaints procedure, and the manager confirmed that there had been no formal complaints made since the last inspection. No issues of concern or complaints have been received at the Commission office during the last twelve months. Policies and procedures are in place to safeguard persons and staff have knowledge and understanding of adult protection issues to ensure that residents are protected from abuse. It was evidenced from talking with staff at the inspection visit that they were aware of the policies and procedures in place in relation to adult protection, and were able to talk through what action they would take should an issue of concern be raised. Staff have received training in relation to Safeguarding Vulnerable Adults, however further training is required for those staff that have not as yet undertaken this training. The business manager has confirmed since the inspection visit that this issue will be addressed. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 17 Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,20,21,22,23,24,25 and 26 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and comfortable home that is continually improved by an ongoing programme of refurbishment and redecoration. EVIDENCE: The standard of the environment within the home is good providing residents with an attractive and homely place to live. The large garden areas are attractive and well maintained. The home was clean and pleasant at the time of the inspection visit. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 19 The AQAA states that regular maintenance of the building, fixtures and fittings, and compliant with fire service and environmental health department requirements is maintained. These statements were confirmed during the accompanied tour of some areas of the home. An accompanied tour of the premises was made with one of the carers. Bedrooms were well appointed and all contained personal possessions of the residents. The manager said that re-decoration is ongoing and the maintenance man was seen re-decorating one of the bedrooms at the time of the inspection visit. Residents spoken to confirmed that they liked their bedroom and that the furniture was arranged to suit their needs. A communal area on the first floor has been re-decorated and separated into two areas in order to provide what is called the ‘ Dignity Lounge’ providing an area where resident/relatives/friends can meet. Within this area a computer area is being set up that residents will be able to use if they choose to. A number of new armchairs have been purchased that staff are able to wheel to different areas thereby enabling residents with mobility difficulties to access other areas of the home. The AQAA states that contingency plans implemented during the lift refurbishment took into account the views of residents as expressed by a resident who attended the Contingency Planning Meeting. There was also reference to the lift refurbishment seen in the Resident Meeting notes dated 09 July 2008. The completed residents surveys commented on the difficulties during this time and praises the staff for example one resident ‘speaks highly of respect they feel for staff battling with inconvenience of lift not working’. The work has been completed and the lift is fully operational. The laundry assistant provided information about the laundry system in use, and it was seen that all laundry was dealt with appropriately. The AQAA states careful monitoring of infection control management, and follow latest available guidelines. A new Housekeeping Supervisor with both health service and care home experience has just been appointed to oversee cleaning and laundry services. It was seen that there is a good system in place for the disposal of clinical waste. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a mainly well-trained, enthusiastic and supportive staff team. Staff training needs to be further developed to ensure that all staff have the skills and knowledge needed to meet the needs of the residents. The homes practice regarding the recruitment of staff ensures residents are protected. EVIDENCE: The staff rota was seen, and it was indicated on the days of the visit that there were sufficient staff on duty at that time to meet the needs of the current group of residents. Resident surveys commented about staff shortages at the weekend and the manager confirmed that this issue had been recognised and that further staff were to be recruited to address this issue. The manager said that a flexi-bank of staff were to be implemented to provided cover as and when needed. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 21 Four staff files were viewed and showed that the home carries out a thorough recruitment procedure with good records kept, covering for example application form, two references and CRB plus POVA checks. The training matrix was seen for the home, and indicates that staff training is ongoing at the home. This matrix however was not up to date making it difficult to make a judgement at this time. One member of staff spoken to said that during the last year she had undertaken Infection Control, Palliative Care and Food Hygiene training, together with having NVQ Level 2 and will be starting NVQ Level 3. The AQAA documentation states that the home has achieved higher that the 50 required by regulation of carers with NVQ Level 2. The AQAA states that supporting staff through supervision, appraisals and development. The manager is currently undertaking individual supervision of staff and has already had a staff meeting since starting at the home. A Key Worker scheme operates within Shottendane, and the Key Workers are encouraged to endeavour to find out the views of their specific residents. Evidence of this was also seen by way of a notice board that clearly showed what the role of key workers within the home was. People are well supported by a staff team that recognises and responds appropriately to their diverse needs and human rights. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35,36 and 38 were inspected at this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a mainly well run home and the health, safety and welfare of service users and staff are promoted and protected. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 23 EVIDENCE: The current manager has been in post for four weeks, is well qualified and has previous experience in a management role. On satisfactory completion of the probationary period of 12 weeks, she will be applying to the Commission to become the registered manager of the home. The inspector talked with a number of staff, they spoke highly of the new manager and said that if they have any concerns about residents or their care, they would go to the manager. They were confident that she would address their concerns. The AQAA documentation indicates that maintenance certification is up to date, and it was evidenced that the maintenance person is completing any work that requires undertaking. The external grounds are well maintained. The personal allowance monies records maintained by the company have been seen at previous inspection visits, and indicate that a sound accounting system is in place. The home has a quality assurance system in place and the business manager will continue auditing as required by regulation. Discussion took place in relation to Regulation 26 Reports, and the business manager said that the registered responsible person would again provide written reports to the home. People enjoy as good a quality of life as possible because the home is managed in a way that takes into account and promotes their human rights and equality and diversity needs. The manager and business manager confirmed again at the end of the visit when feedback discussion took place, that issues raised in relation to incorrect medication administration recording; improvement needed to person centred care-planning documentation recording for example comprehensive pressure area care and regular review information; prompt response to call bells by staff that these issues would be addressed. Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 24 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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 Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: 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 Shottendane Nursing Home DS0000026113.V367686.R01.S.doc Version 5.2 Page 27 - 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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