Inspection on 09/11/06 for Somerville House

This inspection was carried out on 9th November 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 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

Somerville House 12/03/09

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Somerville House Somerville House Somerville Road Willand Cullompton Devon EX15 2PP Lead Inspector Louise Delacroix Key Unannounced Inspection 9th November 2006 9:10 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 Somerville House DS0000067589.V306291.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. Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Somerville House Address Somerville House Somerville Road Willand Cullompton Devon EX15 2PP 01884 820811 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) Graysar Associates Limited Mrs Sarah Gwenllian Kingdon Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th December 2005 Brief Description of the Service: Somerville House is a large detached, converted and extended property in a quiet residential area of Willand on the outskirts of Cullompton. To the rear of the property is an attractive garden, which has level access for residents. The home provides residential care and support for older people with accommodation on the ground and first floor, which is reached by a stairlift. Mr and Mrs Kingdon own the home, and Mrs Kingdon is also the registered manager. The home’s last inspection report is on display. The scale of weekly fees range from £290 - £430. This fee does not include hairdressing, chiropody or incontinence pads. Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a day and was unannounced, lasting approximately eight hours. At the time of the inspection, seventeen people were living at the home. Five residents contributed to the inspection, as did the owners, visitors and staff members. Prior to the inspection, surveys were sent to residents, staff members, visitors/relatives, health and social care professionals, which have been incorporated into this report. High numbers of staff and residents responded. As part of the inspection, four people were case tracked; this means that four residents were asked about their experience of living at the home where possible, their rooms were visited and the records linked to their care and stay inspected. During the inspection, a tour of the building took place and records including fire, care plans, staff recruitment, training and medication were looked at. Time was spent talking to residents individually and people visiting the home, and a period of time was spent in the dining room as people ate their lunchtime meal. Prior to the inspection, the home completed a pre-inspection questionnaire, which provides the commission (CSCI) with current information about the service, staff and people living at the home. What the service does well: Prospective residents are provided with suitable information to help them make a decision about the home, have the opportunity to visit, and the manager meets with them to answer questions and to assess their needs. Residents have care plans and have been involved in their completion. These focus on meeting their health needs. Health interventions are well documented and show the home works in close partnership with health professionals. Residents feel that they are treated with dignity and respect by staff e.g. feeling listened to. There is a range of activities, including external entertainment, and suggestions made by residents are followed up where possible. Visitors are made welcome and the quality of the food was praised. The home is decorated and maintained to a high standard, and attractively furnished. Residents’ rooms are personalised with lockable doors to promote privacy, and the owners are committed to providing more en-suites where Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 6 possible. The home is clean and odour free, which residents and visitors confirmed was always the case. Staff training is promoted; including NVQs, and new staff are supported to learn their new role. The home has strong recruitment practices to help safeguard the residents. The home is well run by a suitably qualified manager. The owners clearly recognise that Somerville House is the residents’ home and people living at the home can voice their views in regular residents’ meetings and the quality assurance system has been developed. Records are well managed and fire safety is up to date i.e. training and safety checks. 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. The summary of this inspection report can be made available in other formats on request. Somerville House DS0000067589.V306291.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 Somerville House DS0000067589.V306291.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have their care needs assessed, receive written information about the service and are able to visit the home to enable them to make an informed choice about whether it will suit them. EVIDENCE: Twelve residents who responded to the CSCI survey said they had received enough information about this home before they moved in to ensure it was the right place for them to live. A relative felt they had been well informed about the home by the owners. The manager spoke about their commitment to meeting with prospective residents to enable them to ask questions and in order to ensure that they can meet their care needs. This was evidenced by the home’s assessment paperwork, which covers a range of care needs including health and social, Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 9 which is supplemented where appropriate with information from Social Services. During the inspection, a prospective resident was seen being shown around the home to help them make a decision. People living at the home said that either they had asked a relative to visit the home on their behalf because they had been too ill to visit or they had forgotten if they had visited. The home does not provide intermediate care. Somerville House DS0000067589.V306291.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Minor improvements to residents’ care plans would make them more effective documents. Residents’ health needs are well met and medication is generally well managed. Residents are treated with dignity and their privacy is upheld. EVIDENCE: Plans of care for four residents were looked at during the inspection. They showed that residents and their representatives had been involved in the content of the plans, and demonstrated meeting the health needs of residents, which is good practice. But they would benefit from a wider focus that includes evidencing how residents’ identified social interests are met. For example, one person’s plan stated that they had an interest in wildlife and this was linked to their sense of well-being but the plan of care did not show how this need had been met. Two plans of care did not state the people’s spiritual/religious choices, while another plan said the person held a religious belief but did not show how they were supported with this. Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 11 The plans of care are reviewed on a monthly basis but these could be improved by more detail to ensure that all aspects of the residents’ health and social needs are being met by the home. The individual records for each resident shows that their health needs, including monitoring weight loss or gain, are well met with good links with health professionals e.g. intervention by an eye specialist, GPs, district nurses and chiropodist. There was also evidence of good practice relating to supporting people with their diabetes. In their responses to the CSCI survey, eleven residents said they always receive the care and support they need, and two said usually. Comments included ‘the staff are very good to me’ and ‘I receive help all around the clock’. Eight residents said they always receive the medical support they needed and two said they usually did. Three people left this question blank this may be because they have not been unwell. One person said ‘whenever I have been ill the doctor has visited. The service has been excellent’. Responses from care staff showed they were confident about what to do in an emergency, if residents’ needs change and what do if residents were unwell. Relatives’ survey comments include ‘I think it is a very well run caring home and my mother is very happy there; the owners and staff are wonderful! My relative has had health problems which have been quickly dealt with’ and ‘personal care and patients welfare are of a very high standard’. Another comment from a relative was ‘my mother is very well looked after at Somerville. I couldn’t ask for a more caring home’. Five health and social care professionals completed surveys about the service the home provided and they all felt that the staff communicated clearly and worked in partnership with them. Comments included ‘an excellent home’. Those involved in medication, who responded to the survey, felt it was well managed by the home, and that specialist advice was incorporated into residents’ plans of care. Medication is generally well managed in the home with a good standard of recording. Staff were observed discussing pain relief with residents and offering them choice. Staff were also seen observing residents’ body language to check on residents’ level of pain. Discussion took place with a member of staff about their training, and they were able to give examples of good practice and to recognise an error in their practice and the steps needed to improve it. The manager is clear about the rights of residents regarding medication and involving them in changes. During the inspection residents were positive about the care staff’s attitude towards them. One person said ‘I am very grateful for the wonderful kindness I receive, and there is not one single thing I would alter’. All respondents to the CSCI survey felt that staff listen and act on what they said, and one person commented ‘They are very helpful indeed’. People confirmed they were called Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 12 by their preferred name and said staff respected their privacy. Relatives and social and health professionals’ surveys confirmed that they could see residents in private. Residents were positive about the visitors’ lounge, which maintains their privacy. Somerville House DS0000067589.V306291.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): 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. The ethos of the home enables people living there to influence the service i.e. food and the activities they would like to participate in. They are able to maintain choice and control over their own routines. The atmosphere of the home is welcoming and friendly, which both residents and visitors benefit from. EVIDENCE: During the inspection, a relaxed and friendly gentle exercise session was organised by staff, who demonstrated sensitivity towards the different abilities of people taking part. Residents were heard laughing, and appeared to be enjoying the light hearted banter that took place. One resident then led group singing. A member of staff commented in their survey ‘I think the care home is one of the best, they always have some kind of entertainment on for the clients, which is nice’. The home has an activities notice board which evidenced for November Christmas card making, a trip to see the Christmas lights, a ‘pat the dog’ session and a visiting singer. There were also photographs of a visit from the donkey sanctuary and themed musical nights, which included staff dressing up Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 14 and dancing. Several residents spoke about how they much they enjoyed this form of entertainment and how they enjoyed the arranged trips. In response to the CSCI survey, three residents said there were always activities arranged by the home that they could take part in. Four people said ‘usually’ and three people said ‘sometimes’ in response to this question. Minutes from residents’ meetings show that people are able to suggest ideas for outings and activities, and where possible these are followed up. One person said ‘ we have trips to the seaside, and this week we went to the donkey sanctuary’. A relative commented that there should be ‘more outings…also to encourage conversation between residents to keep minds active’ and another felt residents would benefit from more individual one to one attention. The owners explained that sometimes when events are arranged that some people then choose not to take part. One resident commented that ‘people just tend to sit around’ but then explained that they personally chose not to get involved in activities. One resident said they enjoyed sewing and knitting and were supported by staff to maintain this skill. All visitors felt welcomed by the staff and generally felt consulted. A conversation between a relative and the owner showed a positive and friendly relationship. A resident spoke about the small kindnesses and thoughtfulness shown to them by one of the owners. A resident said ‘there are activities but I sometimes do not take part. I do not like singers’. This comment helps show that people living at the home are able to exercise choice about how they spend their day. Daily notes in residents’ plans of care show that people exercise choice over when they get up and have their breakfast, which residents confirmed. This was also the case with the time people going to bed, and where they spent their time during the day. In response to the CSCI survey, nine residents said they always liked the meals at the home, and three said they usually liked the meals. Comments included, ‘the meals are always very nice and tasty. If there is something you don’t wish to have they are always ready to provide something you enjoy’, and ‘the food is very good and I enjoy my food’. Four people who were involved in the inspection were positive about the quality of the food provided, describing it as being ‘good’ or being satisfied with the high standard. One person praised the introduction of themed meals based on food from different countries. This has included Italy and Germany. People confirmed that choice is offered, and that alternatives are provided to the menu. One person commented that they liked being consulted about the food and another person felt that the staff knew individual likes and dislikes. The dining room is attractive, and an observed meal was served in a relaxed atmosphere. Relatives commented in their survey response that ‘we are very pleased with the care and the good food, and they go out of their way to please and help everyone’. Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 15 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system with evidence that residents’ feel that any concerns would be dealt with by the owners. Residents’ wellbeing is safeguarded by knowledgeable staff. EVIDENCE: The home’s complaint procedure is clearly displayed. Neither the owners nor CSCI have received a complaint about the home in the last 12 months. This was confirmed by the surveys from health and social professionals. Residents said that if they had a problem they would speak to the owners who were described as approachable. In response to the CSCI survey, nine residents said they would always know who to speak to if they were unhappy and three said they usually knew. One person said ‘I am always happy so there is no-one I need to speak to’. Generally residents felt they knew how to make a complaint. A newer resident said they were unsure who to speak with about a concern so the manager said they would ensure they spoke to them. The resident’s relative said they had no concerns and knew who to speak to if this changed. During the inspection, two members of staff confidently demonstrated their understanding of their role to report poor practice in line with safeguarding vulnerable adults. This was also evidenced by staff responses to the CSCI survey. Staff training records also confirm that training on this subject has been provided. Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 16 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): 19,22,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is high providing residents with an attractive and homely place to live, with an adequate number of assisted baths, and the provision of lockable doors/storage space and safety measures to promote residents’ privacy and well-being. Residents and staff would benefit in further investment in moving and handling equipment. EVIDENCE: The home is tastefully decorated with obvious thought being put into furnishings and carpets. The garden is attractive, and people said they enjoyed using it. Rooms are tastefully decorated to a high standard and those seen during the inspection had suitable furniture and attractive carpets. Residents Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 17 are able to lock their doors if they choose to and can store private possessions in lockable storage space. The owners have continued to invest in the home by purchasing of a second chair lift to make one area of the home more accessible, and replacing the previous chair lift. The owners confirmed they plan to install a sluice in line with residents’ increasing needs, as current practice to manage emptying and cleaning commodes is not ideal. They have already invested in some items of moving and handling equipment to maintain residents’ independence and have two larger pieces of equipment on loan, which they are trialling for suitability. All staff who responded to the CSCI survey were extremely positive about the home but many had raised concerns about residents’ mobility decreasing and a lack of appropriate equipment. Residents spoke favourably about their rooms and how they were furnished. All twelve bedrooms seen, contained personal possessions and are carpeted. All the rooms seen were bright and had plenty of natural light, with central heating and guards fitted to promote residents’ safety. One en-suite toilet did not have a radiator guard in place but the owner confirmed that a risk assessment had been completed based on the needs of the resident using the room. The temperature of the hot water was tested and was within the recommended range. Throughout the home paper towels and liquid soap were available to help towards infection control. The inspection was unannounced; all the rooms seen during the visit, including residents’ rooms and communal bathrooms, were very clean and odour free. Residents said this was always the case with comments such as ‘it is very well kept’ and ‘the home is fresh and clean’. Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 18 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): 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 home promotes staff training and good practice within staff recruitment helps maintain residents’ safety and well-being. EVIDENCE: On the day of the inspection, there were three care staff on duty, plus the deputy manager and the manager, as well as the cook and the domestic. In response to the CSCI survey, ten residents said that staff were always available when they needed them and three people said they were usually available. A resident said ‘When I ask for something done, they act very kindly day or night’. Social and health care professionals who responded to the survey said that a senior staff was on duty when they visited, which is good practice. Nine visitors said there were sufficient staff and ten said there was always a senior on duty. The home has almost reached the recommended fifty percent level of care staff trained in NVQ 2 in care. Three staff recruitment files were inspected. Staff records are well kept, which enables a clear audit trail to take place and shows that the owners are committed to safe practice by ensuring that references, identification and Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 19 safety checks are in place before staff begin working at the home. Employment gaps have been explored and documented, which is good practice. The home has significantly invested in training for staff and recognised the positive impact this has on the well-being of residents. A staff member who states ‘Somerville House provides good learning opportunities to maximise staff potential and the welfare of service users’ sums this up. This training includes the protection of vulnerable adults, medication training, food hygiene, moving and handling and first aid. Senior staff have also attended infection control. New staff are supported by a thorough induction, particularly when they have not had previous care experience. This is then signed off when the competency is met. Staff members commented that ‘the training in the care home and outside, I think is well above the standard’ and ‘I love working here! I have been given lots of opportunities for training, now doing NVQ 3’. Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 20 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): 31,32,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, making it a safe and inclusive environment. EVIDENCE: The manager has now completed her registered manager’s award, which was a condition of registration. A staff member commented that ‘the current owners work well towards the standards – continually improving the running of the home’, and another said ‘I feel the home is run very well and that I get all the support I need…it is a home not an institution’. Staff spoke positively in their survey responses about the support they received from the manager, and the general open and supportive atmosphere of the home. For example, ‘this is a really happy comfortable home and the Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 21 atmosphere is lovely, the rapport between staff and clients are very good’. Staff also said that communication was good and that teamwork was promoted, although one person felt that handovers between shifts could be improved as the current system meant they could be rushed. The owners acknowledged that this had been raised at a staff meeting and that steps had been taken to try and address this concern. Communication is further enhanced by an appropriately worded communication book, which shows a respect for residents. The owners continue to develop the home’s quality assurance and explained that they have given feedback to residents from previous questionnaires. The owners value resident and staff meetings and a staff member said ‘It provides a warm homely atmosphere; clients are encouraged to do things for themselves and to involve them in the running of the home. Through discussion with residents, it was clear that they had then opportunity to influence events concerning the home. This was also evidenced by a discussion with the owners about plans for the home. The owners explained that they did not become generally involved in managing residents’ personal allowances, apart from one resident. Records for this person were well kept and could be easily audited. There has been a thorough approach to fire training and risk assessing. Staff records showed a commitment to ensuring that staff are appropriately trained, and fire safety checks are up to date. Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 22 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X 2 X 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 3 3 X 3 X X 3 Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 23 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 No requirements made. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations Plans of care for the people living at the home would benefit from more detailed monthly reviews to ensure residents’ identified needs are being fully met. These plans should also include the social and religious/spiritual needs of residents, and how these will be met. If residents choose not to discuss their religious/spiritual needs or do not hold these beliefs then this should be documented rather than the form left blank. Suitable moving and handling equipment should be provided in the home to meet the changing needs of residents. 2. OP22 Somerville House DS0000067589.V306291.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Devon Office Unit 1 Linhay Business Park Ashburton Devon TQ13 7UP 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 Somerville House DS0000067589.V306291.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. 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