Inspection on 25/09/07 for Soothill Manor

This inspection was carried out on 25th September 2007.

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

Soothill Manor 03/02/06

Soothill Manor 26/10/05

Soothill Manor 26/10/04

Soothill Manor 30/04/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Soothill Manor Soothill Lane Batley West Yorkshire WF17 6EU Lead Inspector Tracey South Unannounced Inspection 25th September 2007 09:20 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 Soothill Manor DS0000026290.V343290.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. Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Soothill Manor Address Soothill Lane Batley West Yorkshire WF17 6EU 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) 0845 6032551 01924 471297 Tri-Care Limited Mrs Gwyneth Dawn O`Donnell Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th September 2006 Brief Description of the Service: Soothill Manor is a care home providing personal care and accommodation for up to 36 older people. This is a traditional style house with extensions, which are in keeping with the older part of the building. The lounge and dining areas are very comfortable and pleasant for people to sit talking together or entertaining their visitors. There are 22 single rooms and 7 double rooms, the majority benefit from ensuite facilities. There are two stair lifts. The home is set within pleasant gardens with far reaching views of the surrounding countryside. The current charges at the home range from £475 to £535. Additional charges are made for hairdressing, newspapers and chiropody services. Information about the home and the services provided are available from the home in the statement of purpose and service user’s guide. Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit carried out to the home by an inspector on the 25th September 2007. The visit began at 09.20am and the inspector left the home at 3.20pm. During the visit the inspector spoke with some of the people who live at the home, care staff, the visiting hairdresser and the home’s manager and deputy manager. Care records were examined and the inspector audited a sample of medications, reviewed staff recruitment records, and looked around the home. The staff at the home also completed a self-assessment questionnaire that was requested by CSCI (Commission for Social Care Inspection) about people who live at the home, the staff that work there, the service provided and any incidents or accidents that have occurred. Prior to this visit surveys were sent out to obtain the views of people who live at the home, their relatives and people’s doctors. Eleven surveys were sent out to people living at the home, five were returned. Eleven surveys were sent out to relatives, eight were returned. Three surveys were also sent to people’s doctors – two were returned. The inspector would like to take this opportunity to thank everyone who participated in the inspection process. What the service does well: Relatives were asked as part of the survey sent to them what they felt the care home does well. Responses received include: “Mum has lived at Soothill Manor since 2006. It was her own decision to go into care. The kindness, friendship and care she has received over this time has helped her to settle and feel cared for.” “The staff at the care home all look after my Aunt very well. I have not heard my Aunt complain about any of them.” “The general standard of care at Soothill Manor is of the ‘highest standard’. They have cared for other family relatives in the past always to our best expectations. This standard still applies today.” “Sympathetic personal care for my aunt’s everyday physical needs. Good comfort in bright, pleasant surroundings. Good Food.” Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 6 “They are extremely caring. They know each individual and his/her needs. They are just marvellous”. “Plenty of entertainment to pass the time. All staff very pleasant at all times.” “Food is cooked on the premises, which is filling and nutritious. Activities take place and there is regular entertainment. My father is very happy and contented and well looked after”. The atmosphere at Soothill Manor is warm and friendly. Staff and people living at the home share good relationships with each and there is a mutual respect between them, which was observed throughout this inspection visit. People living at the home spoke of how they enjoy their lives in that they are looked after extremely well and provided with meals they enjoy and there is plenty to do if you choose to. People said that they have control over their lives in that they choose how they spend their day, get up when they want and feel able to say when they don’t want to join in with group activities. Those people who are frail and rely more on staff receive support in a manner, which respects them as an individual. 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. Soothill Manor DS0000026290.V343290.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 Soothill Manor DS0000026290.V343290.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): 3 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are properly assessed prior to them moving into the home in order to ensure that their needs can be met. EVIDENCE: The home’s self assessment indicates that people are able to visit the home and spend time with staff and other people who live at Soothill Manor, to help them reach a decision as to whether it’s the right home for them. Arrangements can also be made for those people who wish to stay overnight. As part of the initial visit to the home staff take the opportunity to gather more information about the person, this helps them to find out whether or not the home will be able to meet the person’s needs. A number of different assessments are completed, some by social services and the health authority Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 9 which is used to inform staff about the level of care the person needs and this information is then used to form the basis of the initial care plan. There was evidence within the three care records examined that people had been properly assessed and able to visit the home before moving in. Surveys completed by relatives and people already living at the home indicate that they received enough information about the home, which helped them decide if Soothill Manor was the right place for their relative. Soothill Manor DS0000026290.V343290.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): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s care plans are detailed and outline the level of support and care each person requires in ensuring their health and welfare needs will be met. Medication systems are generally well managed and people’s rights to privacy and dignity, are supported by caring staff. EVIDENCE: Surveys sent to relatives asked if the home meets the needs of their loved ones. Seven replied ‘yes’ and one person replied, ‘usually’. Comments received from relatives include, “The care staff all ‘care’ and are loving towards residents and are patient. Every member of staff is helpful, willing to assist and very pleasant – I cannot fault any of the staff.” “Most impressive.” People at the home were happy to talk about their life saying that although there was no place like home they felt very well looked after. One person said she enjoyed living at Soothill Manor and that the food is always good and the Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 11 staff are kind and caring. Everyone who spoke with the inspector said the staff are very good to them and they are on hand when needed. Staff were observed caring for people in a respectful and dignified manner throughout the day of this visit. The atmosphere at Soothill Manor is very relaxed and friendly and people looked at ease in their surroundings. Three peoples’ care documentation was examined and this included their individual care plan. All three care plans were generally of a good standard although the personal care and physical wellbeing section in two peoples’ plans were vague. For example, their needs had been identified, however there was very little written on how the staff should support them. The manager said she would make sure the senior staff write more detailed information about the level of support required. There was good evidence to confirm that care plans are reviewed on a regular basis to ensure that the plan reflects the individual’s current needs. Risk assessments have been carried out to identify any risks to the individual. Where a risk has been identified a care plan is produced to minimise the risk. Manual handling plans are used to identify the support people require with their mobility, so that staff are clear about what is expected of them. Staff were observed assisting people with their mobility safely. There was good evidence in peoples’ care records that they are able to access health care services such as the dentist, chiropody, opticians and everyone living at the home is registered with a doctor. One person explained that they had recently been seen by the optician and obtained some new glasses. The same person confirmed that if they ever feel unwell they are asked if they want to see their doctor. Surveys returned by peoples’ doctors indicate that the peoples’ privacy and dignity is respected, in that they are able to see their patients in private. Another person who spoke with the inspector said they receive regular visits by the district nurse in relation to their health needs. A sample of three people’s medication was checked during the visit. This showed there to be good systems in place for the recording, storing, administration and disposal of medications. The medication record sheets were neat, tidy and easy to follow. There were a couple of administrative errors that were pointed out to the manager during the visit in order for them to be put right. All staff responsible for administering medication receive training and are monitored for three months to ensure they have a good understanding of the how to deal with medicines. Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at the home are offered a range of activities and are able to make their own choices about how they spend their time. Meals provided are good, varied and served in a pleasant environment. EVIDENCE: The home’s self-assessment, completed as required by CSCI, indicated that staff encourage people to participate in activities and entertainment in the home. The introduction of the daily activities planner has enabled staff to spend more quality time with people. There was evidence of this when speaking to people and from direct observations made during this visit. People who spoke with the inspector confirmed that they are able to make their own decisions as to how they spend their time. One person said that they decide what time they get up and go to bed. This person spoke about their life before they moved into the home and how they try to take part in things such as Holy Communion as they have throughout their life. This person explained that there is a church service that takes place every month and in addition to this the local priest calls in to give Holy Communion. People spoke of the different activities that take place at the home and there was Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 13 evidence of items that had been made as part of the arts and crafts sessions that take place every fortnight. Some people said that they don’t like to join in activities but they do enjoy watching television programmes. A film show was organised for later that day and during the afternoon staff were seen conducting a quiz with some of the people in the downstairs lounge. Surveys sent to relatives asked if they felt that the care home supports people to live the life they choose. Four replied, ‘always’, two replied, ‘usually’ and one person said “that their relative’s dementia is such that she has no confidence to make a choice about her lifestyle. She is concerned only that her physical care needs are met which of course is done very well indeed”. Another person wrote, “My relative is extremely infirm and finds difficulty in accepting this very old age. Her mental state however is good. She cannot live the life she would prefer but this home does everything to help her come to terms with this.” One person who completed a survey wrote, “Dawn and all the staff made me a wonderful birthday party and superb buffet for my special birthday in February this year.” Relatives are welcome to visit the home at any reasonable time and the visitors’ book shows that a number of people visit on a daily basis. Those people spoken to during this visit confirmed that their relatives and friends visit them when they can. Relatives are always invited to the annual Garden and Christmas parties and there were photographs displayed in the home showing people having a good time. One relative who completed a survey wrote, “I and my family are very happy to visit Soothill Manor and always feel very welcome.” Everyone who spoke with the inspector was complimentary about the quality of meals on offer. People are offered a nutritional and balanced diet and specialist requirements are catered for. As a tribute to this the home has received a Gold Award in association with Kirklees Council’s Health Choice Award. Staff were observed serving lunches to people and supporting those who need help with their meals in an appropriate manner. The atmosphere at lunchtime was relaxed and unrushed. Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are protected from abuse and they can be confident that their complaints will be listened to and acted upon. EVIDENCE: The home has a complaints procedure, which is clear and easy to follow in terms of informing people how to make a complaint. The procedure is displayed in various parts of the home and is included as part of the home’s statement of purpose and service user guide. The home has not received any formal complaints since the last inspection over 12 months ago. Concerns raised by people living at the home are documented and these records were examined during this visit. The information recorded was not very detailed in terms of how the concern/complaint had been resolved and the manager was asked to include more information when dealing with future concerns. Surveys completed by relatives indicate that they are aware of how to make a complaint. People living at the home told the inspector that if they were unhappy about something they would tell a member of staff. One person who completed a survey wrote, “I would tell Dawn, the manager, if I had a problem or one of the staff.” Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 15 Staff who spoke with the inspector were clear about how and why they should report any incidents of abuse at the home. Policies and procedures are in place to guide staff about who they should alert when an allegation of abuse is made. All but two staff have received safeguarding (adult protection) training within the last twelve months. The manager explained that she has requested training dates for the two staff concerned. Soothill Manor DS0000026290.V343290.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 and 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home offers people a homely, comfortable and clean environment. EVIDENCE: The standard of cleanliness is good and there were no unpleasant odours noted in any part of the home. The atmosphere on the day of the visit was warm and friendly and people looked comfortable whilst sitting in various parts of the home. The accommodation is set over two floors and access to the first floor, for those people who can’t manage the steps, is by a stair lift. Comments made in relatives’ surveys include, “Due to the age of the building, an old manor house, there are some issues. Although stair lifts are available, unfortunately due to the layout of the building there are no lifts”. “The only thing that is a nuisance for my Aunt is the fact there is no lift to the 1st floor so she has to rely on one of the staff taking her up and down the two stair lifts.” During the last inspection the CSCI were informed that planning permission had been granted and work would commence in September 2006 to extend the Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 17 home, which would include a passenger lift, to date this has not happened. The manager said she was not aware of when the planned work will commence. The home has been successful in gaining a capital grant from Kirklees Metropolitan Council. The grant is to be used to improve the gardens and walkways and to provide handrails making the garden more accessible to people. Since the recent legislation regarding smoking in public places Soothill Manor has now become a non-smoking home. Existing smokers including staff members are expected to smoke outside the home. Soothill Manor DS0000026290.V343290.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 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s needs are met by trained staff who have undergone a thorough recruitment process before they are allowed to work in the home. EVIDENCE: Relatives’ surveys asked if the care staff have the right skills and experience to look after people properly. Seven replied, ‘always’ and one person replied, ‘usually’. People living at the home said how kind and helpful the staff are. Care practice was observed during this visit and the relationship between staff and people being cared for was very positive. The atmosphere at the home is warm and friendly and there is a mutual respect between those who live there and the staff. The manager explained there are six staff on duty between the hours of 8am and 5pm and from 5pm there are five staff on duty. Three staff work during the night. Care staff are supported by domestic, laundry and kitchen staff. During this visit staff were seen to communicate well with each other. The start of a new shift involves being informed about what has happened the previous shift so staff are aware of how each person is. Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 19 There are 59 of the care staff who have either achieved or are working towards an NVQ (National Vocational Qualification) level 2 in care. A further six staff are currently working towards NVQ level 3 in care which shows commitment from staff in wishing to further their knowledge of caring for vulnerable people. The recruitment files of two members of staff were audited in detail and found to contain the required information and recruitment checks. These checks are necessary to help protect people from potentially unsuitable staff. Training records were examined in respect of the two staff files audited. Only one person had received induction training in accordance with “Skills for Care” which is the National Training Organisation for care staff. The manager was asked to look into this and make sure that this person starts the training as soon as possible. The second person had carried out induction training and explained to the inspector how she had received support from senior care staff when completing the standards. The member of staff was very positive about her time at the home and said she has taken part in a number of different training courses since starting work there in November 2006. She spoke of the good team spirit at the home and said that the management staff are approachable and supportive. The inspector also spoke to the visiting hairdresser who was complimentary about the way in which people are cared for at Soothill Manor. She said she has been visiting the home for approximately three years and feels it is a “lovely home” where staff are kind and respectful towards people in their care. Training records indicate that the majority of staff have received fire training, medication administration, dementia, food hygiene, health and safety, safeguarding and manual handling training within the last 12 months. Some staff have been identified as needing manual handling refresher training which is planned for 5th October 2007. Whilst examining staff records it was noted that individual staff had received training on a number of subjects all on the same day. For example one person had completed safeguarding, health and safety, food hygiene, dementia, medication administration and fire training on 13th November 2006. This is a lot for people to take in at any one time especially when that person is new to the care industry. Although there are no concerns about how staff care for people at Soothill Manor, the organisation should consider whether such an approach to training new staff, is correct in terms of them gaining knowledge. Soothill Manor DS0000026290.V343290.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, 33, 35 and 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well managed and the health, safety and welfare of people living at the home and staff is promoted and protected. EVIDENCE: Mrs Dawn O’Donnell is the registered manager at Soothill Manor. She has a number of year’s experience of working with older people in a residential setting and has achieved the NVQ level 4 award in Management. Staff spoke positively about the manager saying she was supportive and approachable. It was clear from observations during the day that the manager is well liked amongst the people living at the home. Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 21 Information supplied by the home in their self-assessment states that they seek the views of people who use their service by sending out questionnaires to people living at the home and their relatives. They also hold meetings at the home twice a year when they invite relatives to share their views about the home. The information received from the manager prior to the inspection explained how meetings have been introduced to encourage people living at the home and their relatives to share their ideas about the kind of service they would like to receive. Since listening to people about what they would like the home is planning to arrange more local outings. Some people have small amounts of personal money that is held safely at the home. Records are available to show when money is deposited on behalf of people. The records show the individual cash balance for each person and how their money is used on their behalf, including receipts for goods and items purchased. Four peoples’ finances were checked during the visit and were found to be correct. There is evidence of routine maintenance and servicing of equipment in the home. The home carries out weekly fire safety checks and these are recorded. Soothill Manor DS0000026290.V343290.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 x 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X X 3 Soothill Manor DS0000026290.V343290.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 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. 2. Refer to Standard OP7 OP30 Good Practice Recommendations All sections of peoples’ care plan should describe the level of care and support they require ensuring their needs are met. The member of staff identified during the inspection visit should commence induction training. The organisation should review its training policy to ensure that new staff in particular, receive the appropriate level of training to assist them gain the knowledge they need to care for people properly. Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Soothill Manor DS0000026290.V343290.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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