Inspection on 24/07/06 for St George Residential Home

This inspection was carried out on 24th July 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

St George Residential Home 08/07/08

St George Residential Home 17/01/06

St George Residential Home 18/04/05

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 St George Residential Home 42-43 West Cliff Whitstable Kent CT5 4PP Lead Inspector Chris Randall Unannounced Inspection 24th July 2006 09:30 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 St George Residential Home DS0000062884.V304155.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. St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St George Residential Home Address 42-43 West Cliff Whitstable Kent CT5 4PP 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) 01227 280599 Darbyshire Care Ltd Mr David Gilbert Care Home 18 Category(ies) of Dementia - over 65 years of age (1), Learning registration, with number disability over 65 years of age (1), Old age, not of places falling within any other category (16) St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2006 Brief Description of the Service: The premises are a two storey detached older property which as been adapted for its present use. The accommodation for service users is provided on the ground and the first floors. There is a stair-lift to provide access to the first floor. However, this does not give completely step free access because there are two sub-landings on the first floor. The home has 10 single and 4 double rooms, nine of which have en-suite toilet facilities. The property is located on a quiet residential road. There are extensive views across a golf course and out to sea from the front and an enclosed garden at the rear of the property. Whitstable town centre is about one quarter of a mile away. The current fees for the service at the time of the visit range from £302 to £420 per week. Information on the Home’s services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. The e-mail address of the home is care@stgeorgecarehome.co.uk St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on evidence gained from the providers pre-inspection questionnaire; comment cards received from service users, family and friends, visiting health & social care professionals, and care managers; and a site visit to the home. The site visit included talking to service users visitors, the manager, and staff; inspection of records; and general observations. What the service does well: What has improved since the last inspection? What they could do better: In the interests of clarity the service users contract/terms and conditions should be expanded to include the fee payable and by whom; and the room number of each service user St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 6 Written entries on the MAR sheets should be double signed and dated to ensure safety. Staff files should be updated to comply with the revised Schedule 2, and staff supervisions need to be formalised and recorded to evidence that all care staff receive supervision at least 6 times a year 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. St George Residential Home DS0000062884.V304155.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 St George Residential Home DS0000062884.V304155.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service Prospective service users will receive information, have an assessment of their needs, have a trial visit to the home, and be confident that the home can meet their needs before deciding to make this their home. Contracts need some revision to ensure service users are clear about the amount they need to pay. EVIDENCE: The home has an up to date statement of purpose and service user guide and this is provided to all prospective service users and/or their representatives. Both are available in large print when requested. Three out of four service user comment cards received confirmed that they had received sufficient information about the home before moving in. St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 9 Each service user is provided with a contract/statement of terms and conditions when they move into the home. Three out of four service user comment cards received confirmed that a contract had been received. The contracts are available in large print when requested. Contracts need to be amended to include details of the fee payable and by whom, and the room number of the service user and a requirement has been made regarding this. The manager, together with either the head of care or the provider, visits all prospective service users and carries out an assessment of their needs. For service users who are care managed a joint assessment is also obtained. These assessments are used to ensure that the home will be able to meet the needs of the prospective service user, and to form the basis of their plan of care. The home will not admit service users whose needs they are unable to meet. Comment cards received from Health and Social Care Professionals all confirmed the management take appropriate decisions when they can no longer manage the care needs of the service user. All prospective service users are offered the opportunity of a trial period of 6 weeks during which time they can decide if the home is right for them and the home can be sure that they can fully meet their needs, and that the new resident will fit in with the existing service users. This home does not offer the facility of intermediate care St George Residential Home DS0000062884.V304155.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Service users can be confident that their health & personal care needs will be met by the home, that they will be treated with dignity, and that their privacy will be upheld EVIDENCE: Each service user has a care plan individualised to their particular physical and mental needs. Individual daily reports are written three times a day. Care plans are currently being reviewed three monthly with the service users (as indicated by a previous inspector). However the manager has now indicated that he will arrange for them to be reviewed monthly. All service users are weighed regularly. Care plans include, an Assessments, information sheet, details of care requirements, a plan of care, risk assessments, details of interests and religious needs, weight chart, and details of visits to and from doctors, nurses and other professionals. St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 11 The staff, supported by a multi-disciplinary team, meet Service users health care needs. Staff are able to recognise the signs of pressure areas developing and these are reported immediately to the district nurses. Professional advice is sought from the continence advisor, chiropodist, opticians, and other professionals as needed. All of the service user comment cards received confirmed that they always receive the care, and the medical support they need. Visitors, Health & Social Care Professionals, and Care Manager comment cards received all confirmed they are satisfied with the overall care provided. One visitor comment card stated ‘my father xxx died at the weekend. In all his time at St. Georges he couldn’t have received better care’. Service users commented, “I am being well looked after”, “they are looking after me”, and “they look after me properly”. The home’s procedures for the recording of medication received, administered, and disposed of are sufficiently comprehensive to allow for an audit trail. Medication storage is appropriate. However, written entries in the MAR sheets are not currently being double signed and dated and a recommendation is made regarding this. Service users privacy and dignity are upheld, as are their rights to equality and diversity. They have lockable rooms (although some service users have chosen not to have this option), staff knock on doors before entering, and the service users rooms are their own private space and can be used to pursue their individual diverse needs, and be personalised to their own requirements. The interactions between staff and service users are polite and appropriate. St George Residential Home DS0000062884.V304155.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, & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Service users are able to take part in varied and interesting activities, they are encouraged to maintain contact with family and friends, have choices in all aspects of their daily lives, and the meals they receive are wholesome and nutritious EVIDENCE: The home employs an activities coordinator, who does far more than just organise occasional activities, for five days each week. A typical day would include taking a service user to the bank, doing someone’s hair, cleaning glasses, manicures, removing facial hair, chatting with service users, sorting service users clothes, checking what service users need from the in house shop, and organising an activity. The co-ordinator commented, “This morning I have been round and put sunscreen on everyone in case they choose to go in the garden”, and “I take people into town if they want” .The in house shop is open daily, service users choose the list of what is stocked; prices in the shop have recently been reduced. Any profit made from the shop is used to pay for St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 13 bingo prizes for the twice-weekly bingo sessions. In house activities include Bingo twice a week, crafts, making jewellery, potting plants, Easter Bonnets, making Christmas hats for residents and their families, War Time sing-along in November with flags and streamers, and Strawberries and cream tea for Wimbledon. Service users commented, “I join in as much as I can”, “We have holy communion monthly”, and “I like Bingo”, The home aim to include a weekly outside activity provider; these include a monthly exercise class and 2 different musical entertainers, one who plays all the old songs and the other a couple who sing a variety of songs including opera. One service user commented, “I enjoy the activities, they are quite exciting. We are playing bingo this afternoon. Last week we had a sing along couple, they are marvellous, they sing opera”. Occasional days out are organised, recent excursions have included, Manston Airport with fish and chip lunch, the Museum at Herne Bay to see wildlife photos, and a garden centre with afternoon teas. The home are hoping to be able to share a mini bus on a month and month about basis with the other home in the same ownership. Service users are encouraged to maintain their independence and mobility and commented, “I go in the garden sometimes”, “I like to get out for a walk every day if I can”, and “I have just been sat out on the seat at the front, its lovely today”. Service users are encouraged to maintain contact with their families and friends. Visitors present on the day of the inspection, and comment cards received from visitors, all confirmed that they are made welcome in the home. One service user commented, “Staff give visitors a cup of tea”, and a visitor commented “they always make us welcome”. The home gives service users choices in all aspects of daily life including what to wear, what to have for meals, what time to get up/go to bed, where to sit during the day and for lunch, whether to go to town, and which activities to join in. The manager commented “they have choices in everything they do”. The home operates a two-week menu and this is discussed at resident meetings and altered to suit their changing wishes. A copy of the weeks menu choice is completed by each service user with assistance from staff where needed. The meals provided are freshly cooked, nutritious, wholesome, and attractively served and include fresh meat and vegetables. All enjoyed the meal served on the day of the inspection. Mealtimes are unhurried, social events, and assistance is given discreetly where needed. Service users commented, “we get a choice of meals, whatever comes is very nice”, “I am having Cornish pasty for lunch today”, “ I am having stew and dumplings for lunch”, and “The food is very good”. St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 14 St George Residential Home DS0000062884.V304155.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 inspected at least once during a 12 month period. 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 Service users can be confident that their complaints will be listened to and acted upon and that they will be protected from abuse EVIDENCE: The home has a clear and easily understandable complaints procedure and a copy is on display in the hallway. There have been no complaints recorded since the last inspection. Service users and their families confirmed that they would know how to make a complaint, and health and social care professionals and care managers confirmed they had not received any complaints about the home. One service user commented, “I have no complaints at all”. Service users are protected from abuse. Staff spoken to confirmed they would know what to do if they suspected abuse. Some staff have received adult protection training and the manager is making arrangements for others to receive this training. All staff employed are checked by the Criminal Records Bureau and all new staff are checked against the Protection of Vulnerable Adults register. St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 16 St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 17 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, 24, 25, & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Service users live in a home that is clean, comfortable, homely and well maintained. They are able to personalise their bedrooms to meet their individual needs. EVIDENCE: The home has a programme of routine maintenance. On the day of the inspection visit the outside of the building was in the process of being completely redecorated, and decoration of hallways was also taking place. The grounds have been improved significantly since the last inspection; an area with gravel and potted plants has been provided; the fish pond has been relined and tidied; and the grassed area is tidy with new tables and chairs St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 18 provided. A stair lift is been provided to allow access to the first floor, however there are still some rooms that have to be accessed by a few stairs. The garden room/lounge is comfortable and has been fitted with an air conditioning unit to aid temperature control in the hot weather. An activities board in the garden room displays photos of service users enjoying activities that have taken place. There is a pleasant dining room with sufficient seating for all service users. New double glazed units are on order to replace those in the dining room that are misted and blown. There is wheelchair access from the garden room to the garden area. Furnishings and lighting in the communal areas are domestic in character. There are sufficient communal toilet facilities provided to meet the needs of the service users. In addition 9 bedrooms have en-suite toilet facilities. There is one assisted bath and one level access shower available. Service users bedrooms are decorated and fitted to suit their needs. They are able to bring items of their own personal possessions to further personalise their rooms. The requirement on the last report that suitable precautions should be taken against the risk of a service user being scalded accidentally by hot water has been addressed and washbasins are being fitted with temperature restrictors; those currently without the thermostatic valves have been fitted with push button taps as an interim measure until valves can be fitted throughout. Radiators are appropriately covered to avoid risk to service users. The home is clean and hygienic, and there were no unpleasant odours in evidence on the day of the inspection visit. Infection control procedures are satisfactory and a sluice has been provided next to the laundry. Service user comment cards received confirmed that the home is always fresh and clean. One service user commented, “the cleanliness is top hole, done very well”. St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 19 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, & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Service users are cared for by a sufficient number of properly trained staff. Robust recruitment procedures protect service users from harm. EVIDENCE: The staffing levels in the home are sufficient to meet the needs of the service users. Day shifts consist of the manager or head of care together with 2 care assistants, and overnight there is one waking night staff and one sleep-in carer, who works on the floor until 22:30 and then from 06:00. In addition there is a cook employed 5 days a week with the Manager doing the cooking on the other 2 days a week; a cleaner is employed 3 days a week, the activities co-ordinator works 5 days a week, and there is a handyman employed 2 days a week.. In addition to the cleaning performed by the dedicated cleaner, the night staff clean the communal rooms and toilets, and the care staff do some cleaning tasks during the afternoons. Care assistants commented, “I am quite happy doing some cleaning, its part and parcel of looking after them”, and “we do what we can daily, I don’t mind”. One service user commented, “everything is properly carried out, they are always nice to us, and there are enough staff on duty”. St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 20 The pre-inspection questionnaire completed by the home indicated that 66.6 of care staff have achieved NVQ 2 in care or above. On the day of the inspection it was mentioned that the Head of Care had just passed her NVQ 3 and a care assistant had just passed her NVQ 2 thus increasing the overall percentage of trained staff. A staff member commented, “I am waiting to start my NVQ”. The home has a robust recruitment procedure. No new staff are taken on until 2 written references have been received, an enhanced disclosure from the Criminal Records Bureau has been requested and a satisfactory check of the Protection of Vulnerable Adults register has been received. Staff files need to be updated to comply with the revised Schedule 2 of the regulations and a recommendation has been added regarding this. Staff are trained to do their jobs. All new staff undergo induction training and this is just being updated to the new Skills for Care induction package. The home have training videos on first aid, moving and handling, health and safety and infection control and these all include questionnaires for completion to check understanding. The manager is in the process of changing the questions for staff training updates. A concern had been raised about a moving and handling procedure, and the manager has arranged for the moving and handling instructor from the other home in the same ownership to visit the home for 3 days in order that all staff can be updated and retrained in this subject. Service users comments about the staff included, “the staff are not to bad”, “the staff are good”, and The staff are very nice, they help us as much as they can”. Visitor comment cards included the comments, ‘staff help my aunt xxx with all her letters, birthday cards and presents etc. Phone calls are difficult due to my aunt being deaf but staff do their best to relay best wishes etc’, and ‘…but more importantly, all the staff are very kind and caring’, St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 21 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, 35, 36, & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Service users live in a friendly, well-run home with a supportive manager and effective management and health and safety practices. EVIDENCE: The registered manager has almost completed his Registered Managers award and will start his NVQ 4in in care as soon as this is complete. A Head of Care, and a dedicated team of staff support the manager. The provider visits the home regularly to check on standards and give support. Staff confirmed that they get support from the manager and from the Head of care. Staff comments included, “if I come up with an idea I can air it”, “the head of care is very good, you can talk to her and she will help if she can”, “we ask for St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 22 information and she (head of care) supports us”, and “the manager is very approachable”.. The atmosphere in the home is friendly and welcoming. A service user commented, “we all get on well together”, and staff comments included, “the atmosphere is very good, everybody gets on with everybody, “I find its very relaxed and homely, not a lot of rules and regulations, nobody has to do anything” and “it’s a nice environment, everyone knows everyone, like a big family”. The home has a comprehensive system for seeking the views of its stakeholders. Questionnaires are sent annually to service users, friends & family, district nurses and GP’s, and staff. A report of the questionnaire analysis is produced and includes actions taken to address any concerns that have been raised. This years questionnaires have recently been circulated. There are meetings for service users, and for staff. In addition the manager holds meetings with the head of care weekly and meets with the provider monthly or 2 monthly. The provider carries out regular audits of the home. Service users money Although supervisions of staff is taking place by way of regular observations, daily contact, and staff meetings, planned and documented supervisions only take place 6 monthly at present. A recommendation has therefore been made that supervisions should be formalised and recorded at least 6 times a year. Staff comments about supervision included “Dave comes back and checks us. I have not had supervision yet, but I am waiting”, “I am observed, we have staff meetings and I talk with the head of care”, and “yes I am supervised – the manager does spot checks at night”. The home protects the health safety and welfare of service users and staff. All COSHH materials are safely stored in locked cupboards. Staff are trained in first aid, fire, infection control and other relevant subjects. Refrigerator and Freezer temperatures are checked and recorded daily and foods are stored in accordance with good practice. A requirement was made on the last report that the Registered Provider should ensure that a suitable system of fire safety competency appraisal is re-established and this has now been addressed. All staff spoken to confirmed that they had received fire training in the last 12 months. The head of care is now being trained to take over staff fire training. St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 23 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 1 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 2 X 3 St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP2 Regulation 5 (1) (b) Requirement The service users contract/terms and conditions should be expanded to include the fee payable and by whom; and the room number of each service user Timescale for action 30/09/06 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 3 Refer to Standard OP9 OP29 OP36 Good Practice Recommendations Written entries on the MAR sheets should be double signed and dated Staff files should be updated to comply with the revised Schedule 2 Staff supervisions need to be formalised and recorded to evidence that all care staff receive supervision at least 6 times a year. St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 St George Residential Home DS0000062884.V304155.R01.S.doc Version 5.2 Page 26 - 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!