Inspection on 06/12/06 for Sibbertoft Manor Nursing Home

This inspection was carried out on 6th December 2006.

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

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

Other inspections for this house

Sibbertoft Manor Nursing Home 14/02/06

Sibbertoft Manor Nursing Home 22/07/05

Sibbertoft Manor Nursing Home 30/11/04

Sibbertoft Manor Nursing Home 01/09/04

Sibbertoft Manor Nursing Home 17/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Sibbertoft Manor Nursing Home Church Street Sibbertoft Market Harborough Leicestershire LE16 9UA Lead Inspector Irene Miller Key Unannounced Inspection 6th December 2006 10:45a 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 Sibbertoft Manor Nursing Home DS0000012641.V322125.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. Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sibbertoft Manor Nursing Home Address Church Street Sibbertoft Market Harborough Leicestershire LE16 9UA 01858 881304 01858 881488 matron@sibbertoftmanor.com 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) Pretty 333 Limited Mrs Patricia Margaret Bevin Care Home 28 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (28) of places Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To be able to admit the named person of category PD named in variation application number V34219 dated 3rd August 2006 into Sibbertoft Manor Nursing and Residential Care Home No one falling within category DE (E) may be admitted into Sibbertoft Nursing and Residential Care Home for personal care where there are 15 service users who fall within the category of DE (E) already accommodated within this home No one falling within any category prescribed by the Care Standards Act 2000 and its regulations can be accommodated in Sibbertoft Manor Nursing and Residential Care Home where there are already 28 service users accommodated within this home To be able to admit the named person of category PD named in variation application number V35746 dated 9 October 2006. 14th February 2006 3. 4. Date of last inspection Brief Description of the Service: Sibbertoft Manor provides nursing & residential care for up to 28 residents over the age of 65 years, within the registration criteria they can provide care for up to 15 people diagnosed with dementia, and trained nursing staff are on duty at all times. The home is situated in the pleasant village of Sibbertoft, on the boarders of Leicestershire and Northamptonshire, the home is set within its own extensive, enclosed grounds with pleasant gardens that overlook the open countryside. All residents’ bedrooms are spacious to include en-suite facilities with walk in shower and there are additional toilets and assisted bathing facilities. The communal areas within the home are furnished to a high standard, there are separate sitting rooms, including a quiet room, and dining areas, and satellite television is available. All areas of the home and garden are well maintained and made accessible to residents with limited mobility and there is a passenger lift to the first floor. The home has a minibus and there are ample car-parking facilities within the grounds to the home. Fees range from £477.78 to £1335.97 per week. Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This inspection was a ‘Key Inspection’ that focused on the key standards under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for older people. Prior to the inspection taking place the Commission for Social Care Inspection sent out to the home a pre-inspection questionnaire for completion by the Registered Manager. The completed pre-inspection questionnaire was returned to the Commission for Social Care Inspection and provided information on the management systems within the home. The primary method of inspection used was ‘case tracking’ that involved selecting three residents and reviewing the care that they received and viewing written information on their care, such as the care plans (a care plan sets out how the home aims to meet individual residents personal, healthcare, social and spiritual needs). Discussion took place with residents, staff, visitors and the homes management and general observations of care practices were made. Policies, procedures and records in relation to staff recruitment, complaints, medication and general maintenance and upkeep of the home were viewed. The registered manager Mrs Patricia Bevin was available at the home throughout the inspection. The inspector spent two hours planning the areas to focus on at this inspection, based upon information gained from reviewing the homes service history, the last two inspection reports and information from the pre inspection data collection system. The inspection took place over a period of approximately six hours. Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The registered manager is advised to refer to the Medical Devices Agency bulletin entitled Advice on the Safe Use of Bed Rails issued in July 2001 (04) when assessing the suitability of the use of bedside rails in relation to compatibility with the type of bed and any hazards they may have that could compromise the safety of the bed occupant. Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 7 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. Sibbertoft Manor Nursing Home DS0000012641.V322125.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 Sibbertoft Manor Nursing Home DS0000012641.V322125.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): Standard 3 (standard 6 does not apply to this service) Quality in this outcome area is good. The information made available to prospective residents and their representatives ensures that they can make an informed choice as to whether the home can meet their needs and expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information is made available to prospective residents and their representatives prior to admission, to include the homes statement of purpose and service users guide that sets out the homes aims and objectives and the range of services and facilities available within the home. There were pre admission assessments of needs carried out prior to the resident moving into the home, that identified whether the home could meet Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 10 the prospective residents physical, health and emotional needs, the assessment formed the basis of the care plans in use. Upon admission into the home the resident is provided with a settling in period of one month, after which a full review takes place to ensure that the home can meet and continue to meet the needs and expectations of the new resident. Sibbertoft Manor Nursing Home DS0000012641.V322125.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 & 10 Quality in this outcome area is excellent. The home meets the resident’s personal care and healthcare needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were viewed and all contained information for staff to follow on the range of physical and emotional needs of the residents, such as information on the individual personal care required, to include personal preferences and capabilities, the treatment and prevention of pressure sores, nutritional assessments and fluid intake monitoring. Risk assessments were in place and there was specialist moving and handling, bathing equipment and pressure relieving equipment in use. The needs of residents with visual impairment were identified within the care plans, such as the need to be supported with orientation in and around the home. Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 12 Residents that were at risk of falling out of bed had bedside rails in place and consent for their use had been sought from the residents and where informed consent was difficult to obtain the resident’s next of kin had been involved in the decision. Discussion took place with the registered manger on the importance of ensuring the residents safety when using bedside rails, the registered manager was advised to refer to the Medical Devices Agency bulletin entitled Advice on the Safe Use of Bed Rails issued in July 2001 (04) when assessing the suitability of the use of bedside rails in relation to compatibility with the type of bed and any hazards the introduction may have that could potentially compromise the safety of the bed occupant. Trained nursing staff administers the residents medication, there was one resident that required the use of inhalers, which they managed independently. The nursing staff were observed administering the lunchtime medication to residents and displayed a thorough knowledge of the needs of the residents in relation to their medication needs and preferences. The storage and administration of medication records were well managed, the registered manager conducts random checks to ensure high standards are maintained within this area, and that staff continue to comply with the homes medication policies and procedures There was records of visits from the residents general practitioner following healthcare changes being identified by the staff and of medication reviews taking place. All the trained nurses had attended training on medication management to update their knowledge and practice, and staff spoken with had a sound knowledge of the residents medication needs. The staff were observed interacting well with residents and demonstrated a sound understanding of the residents right to be treated with dignity and respect, residents were observed chatting with staff in a relaxed manner. On speaking with residents they were very complimentary of the staff saying they were marvellous and that the home is very nice and they felt safe living there. Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 13 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 & 15 Quality in this outcome area is excellent. The home matches the social, cultural, recreational and occupational expectations of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Visitors said that they were made welcome into the home by staff saying that there was no restrictions to visiting times and spoke highly of the staff, saying they were very friendly and had high standards of care. The staff and the registered manager were observed relating to visitors, welcoming them into the home, and making themselves available should visitors wish to discuss anything in relation to the care of their relative. The home welcomes visits from representatives from the churches within the local community, and on the day of inspection a church service took place within one of the ground floor lounges. The local church vicar conducted the service, and approximately twenty local parishioners also attended the service. The staff were observed to encourage and facilitate residents to attend the service, and were observed welcoming the visitors into the home. Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 14 The home employs an activity co-ordinator, who is very dedicated to providing personal emotional and social support for the residents living at the home, on speaking with one of the residents who due to their health spent much of their time within their bedroom, they said that the activity person visiting them and spent time with them sitting and chatting, and where praising of the staff who often called in for a chat. In the main outings are arranged on an informal 1-1 basis, during the inspection one of the residents went shopping to Market Harborough supported by one of the staff, the home had its own mini bus which some of the staff are insured to drive. Activities that take place within the home included, Bingo, cards, music afternoons, games and flower arranging. Outside entertainers were welcomed into the home, and there was information on the resident’s notice board (located on the wall outside of the ground floor lounge) of up and coming events, such as dates booked for a pianist to provide musical entertainment, visits from a mobile clothes shop and library. The home uses a visiting music and movement therapist to encourage residents to participate in some gentle armchair exercises. Residents were encouraged to carry on with their hobbies and pastimes, one resident was a keen letter writer and had been busy writing letters and Christmas cards and was making plans to visit the post office to ensure that they arrived to their overseas destinations before Christmas. The resident spoke of their enjoyment of going for walks around the village, and on how helpful the staff had been in providing them with a circular walk route map, as the resident had been a little anxious that they may lose their direction. One resident that spent time within their bedroom enjoyed the company of their own pet budgie, the home also had a budgie who provided some company for residents in general, the budgies appeared well cared for and their cages were clean and well kept. Residents were observed to enjoy the comfort of their own surroundings, watching television, listening to their favourite radio stations and reading a book. A professional hairdresser visits the home approximately every six weeks and was providing hair care for residents on the day of inspection, in between the hairdressers visits the staff ensured that resident’s hair care needs were met. Residents were observed to move around the home freely, and to spend time in their chosen areas of the home; the interaction between resident to resident and resident to staff was good. Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 15 In addition to the communal areas within the home there was quiet areas available for residents to receive visitors, and within some of the bedrooms viewed there was a small sitting room for residents to receive visitors in private if they wished. There was a good selection of meals available for residents to choose from on a daily basis, on the day of inspection the choice of meals available was chicken casserole, chicken curry, mushroom pasta or salmon steak, there was list available for catering staff on the food preferences of each resident. On speaking with the catering staff they were aware of residents that had special dietary needs such as diabetes, and those with swallowing problems that required foods to be pureed and drinks thickened. The daily menu was on display within the dining room, residents had the choice to have a cooked breakfast seven days a week if they wished. The lunchtime meal sitting was observed, the dining room was pleasant and the tables set, with co-ordinating table cloths and napkins, and fresh flowers There was seating available to accommodate residents that required the use of wheelchairs and additional chairs for staff to sit beside residents that required assistance with their meals. The staffing levels over the lunch time period were increased due to an overlap of staff from the morning shift and staff starting the afternoon shift, this enabled residents that required additional support at meal times to receive this. The staff were observed to provide practical assistance such as help with feeding and where observed offering residents choice, the staff were skilled in how they supported the residents, ensuring that dignity and respect was maintained at all times. Sibbertoft Manor Nursing Home DS0000012641.V322125.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 & 18 Quality in this outcome area is good. Residents can be assured that any complaints or concerns that they may have will be listened to, taken seriously and acted upon and that they will be protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is made available to all new residents and their representatives. Quality assurance audits take place every six months, the records of feedback surveys from September 2006 were viewed, in the main the comments were very positive, however there was some concerns raised by relatives the manager had responded to their concerns and arrangements were put in place to address them to their satisfaction. The homes management complies with the Care Homes Regulations Act 2000 (Regulation 37) to keep the Commission for Social Care Inspection informed of deaths, illness or other events within the home, and no complaints had been received prior to the inspection-taking place. Abuse awareness training was provided to all staff on recognising what is abuse and how to report any suspected or actual abuse incidents, within the home there was a copy of the Northamptonshire Multi Agency Adult Protection Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 17 Policies and Procedures to refer to, ensuring that the residents safety was protected at all times. Sibbertoft Manor Nursing Home DS0000012641.V322125.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 19,23,24,25 & 26 Quality in this outcome area is excellent. Resident live in a home that is clean, comfortable and well maintained to a high standard. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A limited tour of the building was conducted and bedrooms viewed were very personalised, residents are encouraged to bring in items of furniture from there home that are important to them such as their own bed, chairs (and in some rooms full three piece suites), china cabinets, dressing tables, pictures, photos, ornaments and plants. In many of the rooms viewed resident had their own television and Sky satellite television stations were available, within the bedrooms there was telephone points available and within some of the bedrooms viewed residents had use of their own telephone. Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 19 Within the bedroom of one of the residents the family and the staff had ensured that the resident’s favourite drawings of animals and horses were on display the theme had been extended along the passage leading to the residents bedroom. The large open fireplaces had seasonal floral displays available these were provided by a local florist, and throughout the house there were fresh floral arrangements on display; the activity co-coordinator had created theses with the residents during flower arranging activities. The staff had made an effort to decorate the home for Christmas, a large Christmas tree was on display within sitting area adjacent to the front entrance, and all residents bedrooms had a personal fibre optic Christmas tree available. The main kitchen was clean and tidy, and food safety systems were in place to prevent cross contamination. There was a very high standard of cleanliness throughout the home, hand sanitiser was available at the entrance to the home and visitors were encourage to use it on entering and leaving the home, the staff carried pocket sized hand sanitisers with them. From the pre inspection information provided and records available within the home, it was demonstrated that regular maintenance checks to the water, heating, gas, electrical and lighting systems were carried out. Work had been carried out to improve the level of fire protection following the recommendation from the Fire Safety Officers visit of 9th October 2006. Each bedroom had individual thermostatic controls to control the temperature to suit individual preferences. The external of the property appeared very well maintained and the garden looked pleasant and well kept. Sibbertoft Manor Nursing Home DS0000012641.V322125.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 & 30 Quality in this outcome area is excellent. The staff team are trained and skilled in caring for the residents, and high staffing ratios ensure that the residents needs can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of inspection there was one trained nurse, six care staff, four housekeeping staff, and two catering staff to meet the needs of 26 residents, in addition the registered manager was available, within the home. The shift times had been carefully thought out to ensure that there was a high staffing level available at peak times of the day, particularly over the lunchtime period to ensure that the meal was not hurried and that residents could receive full assistance and support. The staff training included training on fire safety, moving and handling, health and safety, food hygiene, adult protection, and infection control. In house dementia care and protection of vulnerable adults training had been provided through the use of a video training pack and supporting materials such as a multi choice questionnaire and information handouts. Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 21 Additional training for registered nurses included, medication and wound management, first aid, infection control, syringe driver training and assessing pain in confused patients. The home has reached the National Minimum Standard target of 50 of the staff being trained in a National Vocational Qualification level 2. Staff recruitment files viewed evidenced that residents were protected through robust staff recruitment procedures being followed to include checks through the Criminal Records Bureau (CRB) and two written references being obtained. Staff employed from overseas had obtained police checks from their home countries and the home had obtained CRB clearance prior commencing employment on entering the United Kingdom. Staff spoken with said that they enjoyed working at the home, that the manager supported them and that the training was sufficient to enable them to carry out their duties. Sibbertoft Manor Nursing Home DS0000012641.V322125.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 31,32,33,35 & 38 Quality in this outcome area is excellent. The ethos and leadership of the home promotes the resident’s health safety and welfare. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager was observed to have a good rapport with residents, visitors and staff who all confirmed that the manager had a style of management that was is very open and approachable. Quality assurance feedback systems were in place based upon seeking the views of service users and their representatives, and comments received in the quality assurance audit conducted in September 2006 were very positive. Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 23 Residents meetings take place approximately every two months, and minutes of the meetings were viewed. Resident’s finances were not managed by the home, residents and their representatives were advised to appoint an advocate/appointee, all records relating to residents and staff of a confidential nature was stored securely. The manager demonstrates that they are fully aware of the needs of residents and supports staff to ensure that they deliver a good standard of care. The manager is open to new ideas and continues to develop their skills. Sibbertoft Manor Nursing Home DS0000012641.V322125.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X 4 4 4 4 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 X X 3 Sibbertoft Manor Nursing Home DS0000012641.V322125.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 Sibbertoft Manor Nursing Home DS0000012641.V322125.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Sibbertoft Manor Nursing Home DS0000012641.V322125.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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