CARE HOMES FOR OLDER PEOPLE
St Lawrence Residential Home 102-104 Oswald Road Scunthorpe North Lincs DN15 7PA Lead Inspector
Beverly Hill Key Unannounced Inspection 6th July 2006 09:00 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 Lawrence Residential Home DS0000065182.V295678.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 Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service St Lawrence Residential Home Address 102-104 Oswald Road Scunthorpe North Lincs DN15 7PA 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) 01724 847082 01724 845327 Ajay Kumar Jebodh Priscilla Devi Jebodh Sharon Shaw Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 29th September 2005 Brief Description of the Service: St Lawrence Residential Home is situated close to the town centre of Scunthorpe within easy reach of local amenities. It is registered to provide care and support to twenty-four service users in the category of older people. The home consists of two Edwardian brick built houses extended over two floors, serviced by a through floor lift and stairs. The home has ten single and seven shared bedrooms, all with en-suite facilities. There are two bathrooms with toilets, both of which are assisted, and a walk-in shower room. In addition there is a single toilet facility. All are strategically placed for ease of access to service users. There is a large lounge separated into three individual sections incorporating one large and one small seating area and a dining area. The latter has four separate dining tables to seat four to six people at each. Leading on from the larger seating area is a conservatory with easy chairs and coffee tables and an additional staff room. There is a small well-maintained garden to the rear of the building and car parking space for approximately eight cars. Overall the home has a comfortable, homely feel and is generally well maintained. According to information received from the home on 12.5.06 their weekly fees are between £292 and £315. Items not included in the fee are toiletries, hairdressing, chiropody and transport. Information about the services the home provides is kept in each of the service users bedrooms. St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place over one day. Throughout the day the inspector spoke to seven service users to gain a picture of what life was like for people who lived at St Lawrence’s. The inspector also had discussions with the proprietor, the manager, one senior carer, one carer, the homes cook, a kitchen assistant, a laundry worker and two domestic staff. The inspector looked at assessments of need made before people were admitted to the home, and the home’s care plans to see how those needs were met while they were living there. Also examined were medication practices, activities provided, nutrition, complaints management, staffing levels, staff training, induction and supervision, how the home monitored the quality of the service it provided and how the home was managed overall. The inspector also checked with service users to make sure that privacy and dignity was maintained, that people could make choices about aspects of their lives and that the home ensured they were protected and safe in a clean environment. The inspector also observed the way staff spoke to service users and supported them, and checked out with them their understanding of how to maintain privacy, dignity and choice. Prior to the visit to the home the inspector had sent out a selection of surveys to service users, some family members, a selection of staff members and professional visitors to the home. Those returned were analysed and comments checked out during the inspection. Those returned from service users had positive comments about the care and support received and one relative stated, ‘loving care given at all times’. The professional visitors such as GP’s, district nurses, a community psychiatric nurse and social services made very positive comments and all ticked the box that asked if they were satisfied with the care provided. The district nurses said that staff were ‘very responsive to individual patients needs’ and they ‘always ask for advice’ and ‘ I have always found the home to be welcoming and proactive in their residents care’. What the service does well:
Staff members within the home have built up a good relationship with visiting health professionals and communicate well with them, asking for advice and attending training organised by them. The staff members spoken to enjoyed their work and knew the service users well. They seemed to be friendly and spoke to people in a nice and caring way. Service users spoken to liked the staff, stating that ‘nothing is too much trouble’ and ‘they always knock on our doors before coming in, they are good girls’. The proprietors visited the home regularly and spoke to service users and staff. This meant that people could talk to them and make suggestions about what happens in the home.
St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 6 The home provides a well balanced diet and the manager and staff stressed the importance of lots of fluids, ‘even more so in the hot weather’. This was observed during the inspection and everyone had an individual jug of juice and a beaker by their table in the lounge and staff members were seen encouraging people to drink and replenishing jugs. Service users spoken to liked their meals and stated that there was always a choice at mealtimes. The home was clean and tidy and people spoken to were happy with the cleanliness of their bedrooms. All bedroom doors had signs, which stated, ‘private, please knock before entering’. This was important as it served to remind staff and other visitors to respect privacy. Staff members spoken to say they had lots of training and records confirmed this. Training was important to make sure staff were competent in caring for older people. What has improved since the last inspection? What they could do better:
St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 7 Although the home provided some activities they must explore this further to look at other areas where people might like to participate. Most people joined in the activities provided but one survey returned stated that there were sufficient activities ‘sometimes’. This might be that the home hasn’t quite got it right for everyone. The home had thee care staff members that had completed specific training for the care of older people called national vocational training level 2 and 3. They had five more staff members progressing through the course and when these complete it the home will have met the target of 50 of care staff trained to this level. Three further care staff members had registered on the course but had not started yet. The manager had almost completed her management training but still had a few sections to go before she is fully qualified. The training is important as it adds to all the other training staff members have taken and is a recognised qualification in care. The way the home checked that people were happy with the services provided had improved but they need to send out questionnaires to professional visitors, as it was important to get the full range of views. The home must ensure that they have means of checking service users weights so they can keep an eye on more vulnerable people and have information to pass onto the dietician when required. 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 Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users had assessments of need completed prior to admission and the home obtained copies of assessments completed by care management. This enabled the home to have full information about the service user in order to meet needs. The home offered visits and trial stays so people could assess the services provided by the home. EVIDENCE: The home evidenced that service users were only admitted after an assessment of need had been carried out either by the manager or by care management when funded by them. The home obtained copies of care management assessments. This enabled them to make a decision as to whether the persons’ needs could be met. After the assessment the manager formally wrote to the service user or their representative stating the homes capacity to meet needs. St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 10 Since the last inspection one person had been reassessed and to ensure that staff were able to support their needs extra training in dementia care had been organised for senior care staff and two care staff members. The home had appropriate moving and handling equipment to meet the needs of the current service users and staff members had developed good working relationships with professionals who visited the home. Staff described how they supported someone during admission, introducing them to other service users and showing them around. The manager confirmed that the key worker system enabled a named staff member to be allocated to the service user to help build up the initial relationship. When spoken to service users were happy with their choice of home. One person described how they were now settled at the home and that the first few weeks were a trial period and another person stated they used to visit the home for respite stays and decided to stay. The manager and staff confirmed that the home offered short respite stays when vacancies allowed and this enabled people to see what the home was like. St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health and personal care needs were met in a way that respected privacy and dignity and medication was managed appropriately. EVIDENCE: Care plans detailed service users needs and the tasks staff needed to complete to meet them. They were evaluated monthly and there was evidence of reviews held with care management. The care files included a range of information on moving and handling needs, risk assessments for falls, bed rails, smoking and eating safely, and likes, dislikes and preferences, including the gender of personal carers. One care plan detailed alternative communication methods, which staff built on continually. There was also evidence of access to professional health care staff, outpatients’ appointments and local facilities. Service users spoken felt their needs were met and staff members were knowledgeable about their needs. There were no service users with any pressure sores in the home. At the last inspection the home had no means of monitoring the weight of service users
St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 12 unable to stand. Although this had not been an issue the manager and staff confirmed quotes for sitting scales had been obtained and care staff and catering staff worked together if they noticed someone was not eating their meals, documented this and maintained vigilance. There was evidence that key workers had taken care files into supervision to be discussed with senior staff. Service users spoken to described how staff supported them in ways that respected privacy and dignity and the inspector observed staff members’ interaction with service users in various positive ways, for example, supporting a service user to eat their lunch, chatting whilst supporting another to walk safely, administering medication, encouraging fluids and generally sitting and talking in the lounge areas. One service user stated, ‘ they always knock first and close doors’ and another said, ’they will cut up your food for you if you need it’. Staff members explained how they ensured screens were used in the three, shared bedrooms, how they always closed doors and curtains for personal care tasks, and how they ensured that the personal belongings and clothes for one service user were not used for another. All bedroom doors had signs, which stated, ‘private, please knock before entering’ Generally the medication was managed well. All medication was stored and recorded appropriately and there no missed signatures after administration. One issue was resolved on the day when staff checked out a dosage with the prescribing GP. The manager confirmed they received good support from the local pharmacist and used a monitored dosage system for accuracy. Staff who administered medication had completed an accredited medication course. St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected 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 judgement has been made using available evidence including a visit to this service. The home provided nutritional meals and flexible routines, which enabled service users to make choices about aspects of their lives. If staff supported service users in the participation of meaningful occupational activities, this could enhance their quality of life further. EVIDENCE: Since the last inspection the staff had completed social profiles and histories of service users in order for them to establish likes, dislikes and preferences, including gender of personal carer. These were reflected in care plans and service users spoken to felt that they could make choices about aspects of their lives like meals, joining in activities, bathing, smoking, visiting friends and relatives and getting up and going to bed when they choose. They confirmed that routines were flexible and one person told the inspector, ‘I like to sleep in, I don’t get up until late, that’s ok, they make my bed later’. They also said, ‘this is my home, I like it here, it feels like my home’. The inspector saw visitors come and go throughout the day and the atmosphere in the home was relaxed and sociable. One survey from a relative
St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 14 stated, ‘all the staff are very nice and welcome you with a lovely smile’. Service users were chatting to each other and staff and one person confirmed they liked to join the staff during their breaks for a cigarette. There was an agenda for activities but staff described that they didn’t always stick to it. They asked service users what they wanted to do each day. One staff member said, ‘If people want to have a quiz two days in a row then that ok, we try to do what they want’. One survey response to a question on activities was, ‘we play bingo and join in with the quizzes. There are dominoes and cards to play with and most times I win’. The staff explained that one service user used to like folding napkins and setting the tables and another used to like peeling potatoes but this no longer happened. The inspector suggested staff have discussions with service users about any meaningful occupational activities they may like to participate in and work these into care plans. The meals prepared and presented were enjoyed on the day and menus examined confirmed that choices were available. One person said, ‘the meals are excellent and I always ask for seconds. You can always get the drinks you want’. One service user said they enjoyed a Guinness in the afternoon but confirmed, ‘the best ones are served in Ireland’. St Lawrence Residential Home DS0000065182.V295678.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 and 18 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 complain about services and are protected from abuse by the general openness within the home, staff members’ knowledge of policies and procedures and adult protection training. EVIDENCE: The home had a complaints procedure that was displayed in the home. Staff members were aware of the procedure and the documentation used to record niggles, concerns or more formal complaints. Service users spoken to knew who to speak to if they had any complaints and most named the manager in person. One complaint that had been received since the last inspection had been investigated thoroughly and resolved. Another complaint received anonymously by the Commission was investigated by social services but was not substantiated. One relative survey reported that they were unaware of the complaints process but they hadn’t needed to use it. The home had a policy and procedure on the protection of vulnerable adults from abuse and all staff had completed training. Staff members spoken to gave a very comprehensive answer to questions about abuse and how to respond if they suspect it has occurred and the manager was aware of how and to whom a referral had to be made. Service users spoken to stated they felt well looked after and surveys received from relatives and visiting professionals confirmed these statements.
St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 16 St Lawrence Residential Home DS0000065182.V295678.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, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provided a safe and clean environment for service users. EVIDENCE: The home was clean and tidy and domestic staff obviously worked hard to maintain standards. Since the last inspection a system had been developed to ensure key workers checked the cleanliness of the en-suite areas and this appeared to be successful. Service users spoken to were happy with their home in general and their bedrooms, and surveys were positive, although one relative commented that pictures and photos sometimes were missed. Bedrooms were personalised to varying degrees with pictures and ornaments. Some people chose to furnish their room with their own small items of furniture and two people chose to use their own double beds. One bedroom checked had a new bed and bed rails in place. The manager confirmed that all
St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 18 decisions for bed rails were made with the district nurses and they supplied and arranged for them to be fitted appropriately. The proprietor and manager had developed a basic redecoration and refurbishment plan that set out goals for the next six months and longer-term goals. Four new beds had been purchased and two bedrooms re-carpeted. The flooring in the en-suite area of bedrooms was due to be replaced in stages. The home was well maintained, was accessible and suitable for its purpose. St Lawrence Residential Home DS0000065182.V295678.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of service users were met by a well trained, staff team and their wellbeing and safety was ensured by a robust recruitment policy and procedure. EVIDENCE: The home had sufficient staff on duty to meet the needs of service users. This was confirmed in discussions with service users and staff and analysis of surveys received. Six of the seven surveys received stated they always received the care and support needed and the seventh said this was usually. Four stated that staff members were always available and two stated usually and five stated that staff always listened to you and acted on what you said whilst one said this was mostly. All the relatives’ surveys returned indicated there was always sufficient staff on duty and they, and professional visitors, were satisfied with the care provided. Service users spoken to during the inspection stated, ‘staff are very nice, you can have a laugh and a joke with them’ and ‘they are nice girls, nothing is too much trouble’. The inspector observed the staff approach people in a friendly way and there was time to sit and talk to them. Mealtimes were unhurried. Discussions with staff and examination of records indicated that staff training was a priority for the manager, who was proactive in seeking out training courses for staff. The home had a training plan, which included mandatory and
St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 20 service specific training and updates had been completed. Training was a mixture of in-house courses such as moving and handling, as the manager was a moving and handling trainer, external facilitators for courses such as fire, health and safety, loss and bereavement, diabetes awareness and dementia care and distance learning for infection control, basic food hygiene and adult protection. Staff administering medication had completed accredited training and nine staff had completed first aid. Induction followed a basic orientation programme during the first month and then skills for care standards during the next two months. The manager and staff informed the inspector that they were currently learning about another culture, which may be useful for the future. There had been improvements in staff recruitment and all new staff members had references and checks in place prior to starting work. St Lawrence Residential Home DS0000065182.V295678.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, which promoted the health, welfare and safety of service users who lived there and staff who worked there. EVIDENCE: The manager had made good progress with their own training and had almost completed the registered managers award. A further management course was planned for July and August. They managed the home well and staff spoken to described the manager as supportive and approachable and they stated they received formal supervision every six weeks. Documentation supported this. Service users knew the managers first name and said they would see her if they had concerns. Meetings were held for service users, relatives and staff to put forward their ideas and the homes proprietors visited regularly. Staff and
St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 22 service users described how the proprietors sat and talked to them and this was evident on the day of inspection. In discussions it was clear that the manager and proprietor, who is a district nurse, had sound ideas about the needs of service users and these ideas were put into practice. For example there was a recognition that dementia care training would equip staff with the necessary skills to support a particular service user so this was arranged and good hydration helped to keep service users alert and prevent falls so fluid intake was encouraged. The inspector observed this on the day. Risk assessments were completed to ensure people could make choices and participate in activities safely. Documentation was kept up to date and equipment was maintained. The home managed a small amount of personal allowance for several service users. This was accessible at all times and documented appropriately. The home had almost completed requirements for the Gold Standard Award presented by the local authority and their final assessment was due in August. This meant that they have developed systems to monitor the quality of their services. The manager and staff confirmed they all took part in the preparations for the assessment and all will continue to be part of quality assurance. This involved audits, for example of the environment, finances and medication, and questionnaires to service users, staff and relatives. The manager developed action plans to meet any shortfalls identified. Surveys will need to be sent to professional visitors to obtain their views on the home. St Lawrence Residential Home DS0000065182.V295678.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 X X 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 X 3 3 X 3 St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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 OP8 Regulation 12 Requirement The registered person must obtain ways of monitoring the weight of service users unable to stand (previous timescale of 30/11/05 not met) The registered person must expand the opportunities for recreational and occupational activities to enable all service users to participate. The registered person must expand the quality monitoring questionnaires to include professional visitors to the home and make results of surveys available to service users and a copy to CSCI. Timescale for action 30/09/06 2 OP12 16 31/08/06 3 OP33 24 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 Refer to Standard OP28 Good Practice Recommendations The registered person should continue to work towards
DS0000065182.V295678.R01.S.doc Version 5.2 Page 25 St Lawrence Residential Home 2 OP31 50 of care staff trained to NVQ Level 2. The registered manager should continue to work towards completion of the Registered Managers Award and NVQ level 4 in care. St Lawrence Residential Home DS0000065182.V295678.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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