Inspection on 22/11/06 for Springcroft

This inspection was carried out on 22nd November 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

Springcroft 23/02/06

Springcroft 28/09/05

Springcroft 03/02/05

Springcroft 08/07/04

Springcroft 29/10/02

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Springcroft 58 Springfield Road St Leonards On Sea East Sussex TN38 OTZ Lead Inspector Elizabeth Dudley Key Unannounced Inspection 10.00a 22 November 2006 nd 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 Springcroft DS0000014057.V309442.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. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springcroft Address 58 Springfield Road St Leonards On Sea East Sussex TN38 OTZ 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) 01424-431856 Mr T Samy Mrs Rosemonde Marie-Josee Samy Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated at any one time is twelve (12) Service users should be aged sixty-five (65) and over on admission. Only older people who have been assessed as requiring nursing/residential care are to be accommodated. 23rd February 2006 Date of last inspection Brief Description of the Service: Springcroft Nursing Home is a detached property in a residential road in St Leonard’s-on- Sea. It is registered to provide nursing care for 12 service users. The home is on three floors. There is a shaft lift and in addition to this there are two stair lifts provided. Fire escape staircases evacuate to the rear garden. Service users have use of a lounge and conservatory for communal activities. There is level access to the home through the front garden. A gate at the side of the property gives security to a rear, neatly tended, walled garden providing a pleasant area for service users. The home offers nursing care in a relaxed, but professional environment. The information regarding the current fees was provided by the manager on the 1st September 2006 range from £417-£500. Charges for extra services such as hairdressing and chiropody are variable, depending on the service provided and information on these are provided by the home. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on the 22nd November 2006 over a period of five hours. Mrs Samy, home manager and Mr Samy homeowner, facilitated the inspection. During the visit to the home, a tour of the premises took place and documentation, including care plans; health and safety documentation, medication, catering records and staff personnel and training files were examined. All residents in the home were spoken with; in depth conversations were held with four of them. Discussions were also held with five members of staff working at the home that day. Ten questionnaires were sent out by the CSCI to residents and visitors to the home and three to General Practitioners. Of these, six were returned by visitors and residents and two from General Practitioners. All of these made positive comments about the home ‘Staff are willing and helpful’, ‘Staff check the residents frequently’ and ‘Any requests made are acted upon and thought and care given to solving any problems that may arise’. A Health Care Professional described the home as ‘an excellent home’. What the service does well: The home provides nursing care to ten residents in a homely comfortable environment. Care plans include the current needs of the residents and described the actions to be taken to meet these needs in sufficient detail. All care plans showed that residents or representatives were consulted during formation and review. The home provides a small range of activities which are sufficient to meet the needs of the residents living in the home at present, these include outings by car and the providers took three residents on a short holiday to a local resort this year. There is sufficient flexibility to enable the range of the activities to be increased should the assessed needs of the residents vary. Staff are provided in sufficient numbers and with the relevant skills to meet the needs of the residents and the home shows a commitment to staff training. Over 50 of the staff have their National Vocational Qualification level 2 in care. Residents spoken with stated that the food is good and is ‘nicely presented’, and ‘although they don’t always get it right for me, as I am a fussy eater, they will change it to something I like’. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 6 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. Springcroft DS0000014057.V309442.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 Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 and 6 Quality in this outcome area is excellent, this is based on the available evidence including a visit to this service. All residents receive sufficient documentation to enable them to make an informed choice of home. Documentation has been produced in a format that facilitates its use by residents. EVIDENCE: The Statement of Purpose and Service User Guide include all information required by the National Minimum Standards and the regulations. All residents have a copy of this document that is provided to them when the manager undertakes the pre-admission assessment. The service user guide is now provided in a small booklet in larger format print, thus improving ease of use. The statement of terms and conditions meet the regulations, and all residents are provided with a copy of this document. Some residents and all representatives of residents spoken with were able to verify that they had Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 9 received this on admission of the resident to the home. The manager provides information on fees charged prior to the resident entering the home. The manager undertakes a thorough assessment of need with the prospective resident and this forms the basis of the care plan. All residents or their representatives are encouraged to visit the home prior to the admission of the resident, with residents being admitted for a four-week trial period. Relatives and residents spoken with said ‘the manager came to see me before I came in’, ‘I received all the information and the terms and conditions’ and ‘My son received all the information and the manager came to see me and brought some with her’. All staff have receive ongoing training in the care of the older person and three members of the care staff have their National Vocational Qualification level 2 in Care. Some members of the care staff are overseas registered nurses who are completing their adaptation training in the home and attending university, for registration with the Nursing and Midwifery Council. The home does not admit residents for intermediate care therefore this standard does not apply to this home. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11 Quality in this outcome area is excellent, this is based on the available evidence including a visit to this service. The care received by the residents is informed by care plans, which accurately reflect their current assessed needs. The standard of medication administration and recording safeguards the resident. EVIDENCE: Care plans are formed from the original assessment and updated to reflect current nursing needs required by the resident. They address the social, psychological and health care needs of the resident. All care plans included wound, nutritional and continence care plans for residents and showed involvement of other health care professionals when required. Care needs, and the action to be taken to meet these needs have been recorded in detail, and residents or their representatives have participated in the formation of the care plan and its review. All care plans have been reviewed on a minimum of monthly basis. Daily care records of residents were fairly detailed and described the care that had been given. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 11 All care plans contained risk assessments and consent forms for bedrails as well as general risk assessments. One comment card returned from a General Practitioner indicated general satisfaction with the home, whilst another included the comment ‘an excellent home’. Residents were seen to be treated with dignity and respect. Relatives and residents described the staff as ‘Very kind and caring and my sister always looks nice, staff come and talk to her and help her join in anything that is going on’, ‘The staff always treat her with respect’ and ‘Staff always knock the door when they come in and say excuse me and are very polite to me’. Some residents have their own phones and all residents looked well cared for and well groomed. There is a key worker system in operation, whereby staff take responsibility for the well being of individual residents. The clinic room was clean with evidence of regular recording of both clinic room and drug fridge temperatures. Notices warning of the dangers of medical gases were in place and there was evidence of equipment used undergoing regular testing. There was evidence of policies and procedures, which have been updated to reflect current practice within the home. All medication charts had been signed following administration of medication and there were no controlled drugs currently being used in the home. Residents nursed in bed appeared comfortable and there was evidence of nursing interventions taking place that were relevant to the needs of the individual. The home has taken part in the Liverpool care framework pilot study, this is a tool used in the care and pain control of the terminally ill resident. This is implemented in the home at present. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good; this is based on the available evidence including a visit to this service. Activities to suit the present assessed needs of the residents are provided with the home showing the flexibility to increase the variety and provision of these should the need arise. Catering is sufficiently varied to stimulate residents’ appetites and reflects resident’s preferences. EVIDENCE: Activities are provided which reflect the abilities of residents presently residing at the home. The manager and provider take residents out for car rides and out for tea or lunch and they took three residents on a short holiday this year. Other activities include reminiscence, painting, one to one time, board and card games, and a dog visiting the home. Musical and other entertainers are brought in periodically. The manager and staff were aware of the need to include more activities in the event of residents with varying abilities being admitted into the home. Staff said that ‘residents like us to sit and talk about their past lives and families or look through their photographs with them, they also enjoy being taken out in the wheelchair’. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 13 One resident stated ‘I get bored sometimes but I do more now than I did at home’. Questionnaires received from residents and representatives expressed satisfaction with the activities provided. There is an open visiting policy and visitors said that they were made welcome and were able to visit at any time, that the manager kept them informed of any concerns and that they were able to be part of the care planning process if the resident agreed. Ministers of religion visit the home. The manager has obtained advocates for residents as required. Residents said that their privacy and dignity were respected, that all medical and nursing interventions took place in their own rooms and that staff answered their bells very quickly. There is a choice shown on the menu for all meals, which is made known to the residents verbally on a daily basis. Most residents said that they were aware of the choices available. There was evidence of fresh fruit and vegetables in the home and the staff have undertaken the food hygiene course. The kitchen was clean with records as required by the Environmental Health Agency in place. Suppertime desserts seemed to be repetitive but residents said that they were ‘Alright’, stating that they could have a different dessert if they so wished. Homemade soup and a cooked option are offered at suppertime on some days, Residents said that they were happy with the food provided and relatives commented on how well nourished the residents appear. Staff were seen to be giving assistance with food in a sensitive manner, the presentation of liquidised and soft diets was good. Meals are served in either the resident’s own room or the lounge/dining area; with breakfast being served in the residents’ own room. The time of breakfast is flexible in accordance with individual residents’ preferences. Snacks and drinks are provided at any time of day or night. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 and 18 Quality in this outcome area is excellent, this is based on the available evidence including a visit to this service. Residents feel able to make a complaint with the knowledge that this will be addressed in a fair and open manner. Staff have sufficient training and knowledge to be aware of their role in the safeguarding of residents. EVIDENCE: The complaints procedure is displayed in the main hallway and included in the service user guide. Residents and relatives spoken with said that they were aware of the complaints procedure but had not needed to make a complaint, any minor concerns had been dealt with immediately and in a satisfactory manner. The home has received no complaints in the previous twelve months and records are kept about concerns received, and the actions taken to address these. All staff were aware of their responsibilities regarding the protection of those in their care, and had all had received the appropriate training. The manager and provider were both aware of the reporting protocols under the adult protection system and the procedures involved. No adult protection issues have taken place in the home. Residents can take place in the civic process by postal voting. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 and 26 Quality in this outcome area is good; this is based on the available evidence including a visit to this service. Residents live in a clean and comfortable home with adequate aids and equipment to meet their assessed needs. EVIDENCE: The home and garden are adequately maintained and provide a pleasant home for the residents. Redecoration has taken place, both of residents and the communal rooms. Carpets, curtains and bed linen are fit for purpose. Communal space consists of a lounge/dining area leading onto a conservatory, which accesses the garden, this is suitable for wheelchair access. The lounge is furnished and decorated in a homely fashion and several residents were using the lounge on the day of the visit. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 16 There are three bathrooms with assisted bathing facilities and three of the six single bedrooms and one of the three double bedrooms have ensuite facilities consisting of a washbasin and wc. Other rooms have washbasins provided. Communal and individual room sizes are in line with the revised National Minimum Standards. Individual residents rooms are homely and comfortable with residents being able to bring in their own possessions. All residents have a variable height bed. There are lockable doors and drawer space with keys being provided within the auspices of risk assessment. All rooms are provided with window restrictors and radiator guards and there was evidence that water outlets to residents’ rooms are tested on a regular basis to ensure that the temperatures are within the recommended guidelines. There is sufficient equipment in the form of pressure relieving mattresses, cushions, assisted bathing facilities and moving and handling equipment to meet the needs of the residents. Each resident is provided with a lifting belt. Access to areas of the home is provided by a shaft lift, two chair lifts and a wheelchair lift. There are policies and procedures addressing the control of infection and staff have received appropriate training. There are two mechanical sluices and these were clean and odour free. Soiled laundry is placed in red bags and washed separately. All parts of the home were clean and free from noxious odours and there were adequate supplies of impermeable aprons and gloves available. All staff wear protective clothing when entering the kitchen area. The water is tested to ensure that there is no risk from Legionellas disease on a yearly basis. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is excellent, this is based on the available evidence including a visit to this service Staff are employed in suitable numbers to meet the needs of the residents. The home demonstrates a commitment to staff training to ensure they have the skills and knowledge necessary to provide informed care to residents. Robust recruitment practices safeguard the residents living in the home. EVIDENCE: There was evidence of adequate numbers of staff employed over a twenty-four hour period to meet the needs of the residents. Sufficient numbers of domestic and catering staff are employed to support the home. Staff turnover is minimal. Staff employed by the home provide cover for sickness and holidays therefore no agency staff are used at the present time. A training programme is in place and identifies that staff undertake training in matters relevant to the care of the residents. This has included infection control, catheter care, enteral feeding, management of wound care, subcutaneous fluids, management of continence, pressure area care, administration of medications and care planning. All staff undertake mandatory training, which includes moving and handling, fire, and first aid training. Individual training records are in place. The home demonstrates a commitment to the training of staff. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 18 Staff also took part in the pilot study for the Liverpool Care Pathway and this is now being implemented. All staff have an induction course on commencement of employment. The induction course ‘Core standards for care’ is being put into place, this is a recognised course which can form part of the modules for the National Vocational Qualification in Care. Registered nurses have a localised induction and undertake shadowing of existing qualified nurses employed at the home. Staff spoken with stated that they had all undertaken induction training and that they were supported during further training to increase their knowledge and skills. There was evidence that the manager and registered nurses use the latest Royal Marsden Hospital guidelines, and researched care is undertaken. The provider was, until recently, a nurse trainer at the university and facilitates much of the training in the home. All personnel files have the appropriate documentation as required by the regulations. 50 of staff have the National Vocational Qualification level 2 in care and further staff are commencing study for this. Some of the overseas nurses working at present as carers have completed their adaptation course and are waiting for their Nursing and Midwifery Council registrations to be completed. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37 and 38 Quality in this outcome area is excellent, this is based on the available evidence including a visit to this service. Management systems in place ensure the safety and welfare of residents, visitors and staff in the home. Ongoing monitoring of the quality of services offered by the home and the inclusion of residents’ views and wishes ensure that the service provided by the home is of a standard that meets the needs of the residents. EVIDENCE: The manager and provider have owned the home for several years and both have achieved the National Vocational Qualification level 4 in management and the Registered Managers Award. Both are Registered General Nurses (Level 1). The provider has nurse teaching qualifications. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 20 All staff and residents stated that there was a good atmosphere within the home and that management was very helpful. Residents and visitors spoken with, and returned questionnaires made only positive comments about the staff and management, ‘There is a very homely atmosphere, the owner and manager come in and chat’ and ‘Staff are always friendly and helpful and always cheerful’. All staff have supervision on a two monthly basis and records are kept on this. The manager receives supervision from the provider. Regulation 26 visits take place and are kept in the home. These were seen to address issues in detail and provide constructive criticism and suggestion. Interviews with staff, residents and visitors were included in these reports and there was evidence that actions needed were addressed. All residents have a quality-monitoring questionnaire given to them on admission and this is repeated on a yearly basis. Other audits around the home take place, including catering, medication and cleanliness. Questionnaires are provided to relatives of residents and comments from all surveys are used to inform and improve the service offered by the home. The manager stated that she would send out questionnaires to health care professionals. Letters and testimonials received by the home were seen, all were positive. Two comment cards received back to the CSCI from local General Practitioners described the home as an excellent home. The manager is the appointee for two residents and records and bank accounts relating to these were in order, relatives of one of these residents said that they received regular reports on how the money is used and were able to access the records when they wished. They were ‘completely satisfied’ with the home’s management of the money. Some personal money is kept for other residents and records of these are present. There is a business plan in place and all required certificates of insurance were in date. All policies and procedures have been reviewed on a regular basis. Records relating to the staff and residents are secure and reviewed regularly. Staff have undertaken all mandatory training in place and have a yearly first aid certificate. Certificates relating to the servicing of equipment and utilities were in place and in date, with testing for Legionellas taking place annually. Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 21 There are risk assessments which cover all working practices within the home. Any accidents taking place are recorded in the appropriate documentation and ‘Regulation 37’ reports detailing any events detrimental to residents are sent to the CSCI. There is a fire risk assessment in place and the manager was aware of the implications of the new fire orders 2005. Records of fire drills include how long it takes to respond and complete fire drills. Springcroft DS0000014057.V309442.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 4 3 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 4 28 3 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 3 3 4 4 3 Springcroft DS0000014057.V309442.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. Refer to Standard Good Practice Recommendations Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Springcroft DS0000014057.V309442.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!