Inspection on 30/07/08 for St Nectans Residential Care Home

This inspection was carried out on 30th July 2008.

CSCI found this care home to be providing an Good service.

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 Nectans Residential Care Home 14/08/07

St Nectans Residential Care Home 24/05/06

St Nectans Residential Care Home 13/02/06

St Nectans Residential Care Home 09/08/05

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 08/11/2008.

CARE HOMES FOR OLDER PEOPLE St Nectans Residential Care Home 3 - 9 Cantelupe Road Bexhill-on-Sea East Sussex TN40 1JG Lead Inspector Debbie Calveley Unannounced Inspection 30th July 2008 07:50 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 Nectans Residential Care Home DS0000063996.V367712.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 Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Nectans Residential Care Home Address 3 - 9 Cantelupe Road Bexhill-on-Sea East Sussex TN40 1JG 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 220030 pl.finn@tesco.net www.stnectans.co.uk St Nectans Residential Care Home Ltd Patrick Finn Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is thirtyfive (35). Service users must be older people, aged sixty-five (65) years or over on admission. 14th August 2007 Date of last inspection Brief Description of the Service: St Nectans is registered to accommodate up to 35 older people. The home is situated on a residential street a short level walk from Bexhill town centre and railway station. The home is close to the seafront and some rooms have a seaview. The building has been adapted from four adjacent properties, which are now interlinked. Accommodation is provided on four floors and consists of well-sized single bedrooms with en-suite facilities. All areas of the home are accessible to all residents by means of a shaft lift. There is a lounge with open access to the dining area. There are two further areas where residents may sit on the ground and first floor and take their meals with visitors if they wish. There are assisted baths on each floor and communal lavatories with safety features. There is flat access to the rear of the building and steps up to the front door, though a further door on the front of the building does allow flat access to the home. There is a paved and lawn area to the rear of the home where residents may sit out. A brochure is available to all callers at the home as is the last inspection report. Current fees are between £357.00 and £515.00. The website address is www.stnectans.co.uk St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at St Nectans will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home and follow up contact with resident’s representatives and visiting health and social care professionals. This unannounced inspection was carried out over 6.5 hours on the 30 July 2008. There were twenty-six residents living in the home on the day, of which five were case tracked and spoken with. During the tour of the premises eight other residents both male and female were also spoken with. The purpose of the inspection was to check that the requirements of previous inspections had been met and inspect all other key standards. A tour of the premises was undertaken and a range of documentation was viewed including the Service Users Guide, Statement of Purpose, care plans, medication records and recruitment files. Four members of care staff and the cook were spoken with in addition to discussion with the manager and deputy manager. Telephone contact was made with visiting professionals following the visit The information received verbally and from surveys has been incorporated into this report. Four staff and nine surveys from people who use the service were received fully completed. An Annual Quality Assurance Assessment was received from the Manager completed in full prior to this key inspection. What the service does well: There is a Statement of Purpose and Service Users Guide that gives prospective residents the information required to enable them to make an informed choice about where they live. Residents confirmed that they were visited by the manager prior to admission to the home and two stated they had been invited to visit the home to see if they liked it enough to live there. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 6 The menus evidence a well thought out balanced diet with a varied choice of food in line with resident’s preferences. Quality assurance systems are in place, which enables the service to monitor and improve their service. There is an open-house policy, which welcomes visitors at all reasonable times. Satisfactory arrangements are in place to safeguard residents’ finances. Staff provision is well maintained with a robust recruitment practice being followed and appropriate numbers of suitably qualified staff working in the home. The atmosphere of the home is pleasant with good interaction seen between residents and staff. The Comments received from residents regarding the care received included: ‘ Staff very kind ’ ‘ very happy here, I chose it because of its position and have no complaints’ ‘ We receive excellent care and care workers are kind, considerate and supportive of our every need’ There is a robust recruitment process in place to protect the residents. St Nectans provides a clean, safe and well-maintained environment, which is appreciated by the residents and their relatives. Comments regarding St Nectans were generally positive and included: ‘I have been here for a long time and like it’ ‘ I haven’t been here long, but its quiet and peaceful, I am comfortable’. What has improved since the last inspection? What they could do better: The home needs to confirm in writing to the prospective resident or their representative that with regard to the needs assessment completed the home can meet the needs of the prospective resident. This ensures that decisions around admission to the home are informed. The environmental risk assessments need to be reviewed regularly to ensure the continued safety and well being of the residents. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St Nectans Residential Care Home DS0000063996.V367712.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 Nectans Residential Care Home DS0000063996.V367712.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. St Nectans provides prospective residents and relatives with a good level of information about the home, its facilities, services and the costs involved. The admission procedures allow for the needs of prospective residents to be assessed by a competent person before admission, although people are not assured in writing that their needs will be met. EVIDENCE: There is a range of well-documented information about the home and the services it provides. The home has a folder containing the Statement of Purpose and Service Users Guide and a copy of this is available along with the last inspection report and a the homes monthly activity programmes. Residents and relatives spoken with were clear on the service provided by the home and the costs involved. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 10 The registration certificate is clearly displayed and was found to be accurate at the time. The last three admissions to the home were identified and the records relating to the admission procedures followed were reviewed. This confirmed that pre admission assessments are completed and provide a clear assessment of prospective residents care needs. These are completed by the manager or deputy manager discussion with the deputy manager confirmed that these are used to ensure new admissions to the home are appropriate and that the home have the staff, equipment and environment to meet the identified care needs. Prospective residents’ are seen either in their home or hospital before admission and the input from relatives and other professionals is used whenever possible. This approach should be more clearly recorded on the assessment documentation to demonstrate the procedure followed. Two residents confirmed that they had visited the home and stayed before choosing the home to live in. It was however noted that the home does not confirm having regard to the assessment that the home can meet the assessed needs of the prospective resident. This was discussed with the manager who was advised that this should be completed in writing in accordance with the required documentation. Intermediate or rehabilitative care is not provided at St Nectans. St Nectans Residential Care Home DS0000063996.V367712.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Residents who use the service experience good quality outcomes. This judgement has been made using a range of evidence including a site visit to this service. From direct observation the health and personal care needs of residents are met with evidence of specialist advice sought when necessary. EVIDENCE: The care documentation pertaining to five residents was reviewed in depth as part of the inspection process. A new care planning system has been introduced since the last key inspection. The residents medical and social needs were found recorded in the care plans in sufficient detail to enable the staff to offer appropriate care and support. The specific needs of residents were identified and staff were able to discuss how these are met and what additional support may be required. Risk assessments are carried out; further guidance is needed in respect of staff promoting continence. The care plans are reviewed on a regular basis; however there was little evidence that residents and relatives are involved in this process. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 12 Discussion took place during the inspection in respect of introducing a more person centred care planning format. The clinical room is also the staff office and there are suitable storage facilities for medication stocks and dressings, a medicine trolley is stored and secured appropriately when not in use. From direct observation the morning medications were administered safely and were in line with the homes policies and procedures. There are policies and procedures in place for staff to refer to regarding the safe administration, storage, disposal and recording of medication. The systems for recording and checking controlled drugs were found to be thorough, when used. One resident was self-medicating her controlled medication and this was appropriately risk assessed. The Medication Administration Charts (MAR) were viewed, errors noted by the staff on receipt of the medication charts need to be followed up with the dispensing chemist. Residents at the home said staff looked after them ‘very well’ and this was supported by relatives who also felt that the ‘home is very good’ and they know what support and care the resident’s need and want. Communication between residents, visitors and staff was relaxed and friendly with staff chatting to residents as they assisted them, asking them what support they wanted and if they were comfortable. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Social activities and meals continue to be creative and provide daily variation and interest for people living in the home. Residents are able to make a range of choices about their lives as well as maintaining links with friends and relatives. EVIDENCE: The activities provided in the home have been well received and enjoyed by residents that were spoken to. The activity programme evidences daily activities seven days a week. The range of activities includes quoits, scrabble, charades and the homes shop is open everyday, the Internet in the second lounge is also open daily. There are a number of residents that go out to meet friends independently and the home arrange outings out to Beachy Head and other popular venues. The residents are consulted regularly at home meetings’ about their preferences regarding activities. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 14 Discussions with residents confirmed that they joined in activities only if they chose to do so; some residents prefer their own company and often spent their time in their own rooms. Resident’s rooms were found to be individual and personalised and each resident has their preferred term of address recorded in their care documentation and this preference was respected. Residents were seen to have their choices respected through out the day with decisions being responded to. The home has open visiting hours as long as respect is shown to all residents living in the home. Breakfast and the mid day meal was observed and was seen to be organised and well managed. It was confirmed that residents had a choice at all mealtimes, which included a vegetarian choice. Those residents saying they did not like the main choice were seen to have alternatives provided that they did want. Menus are used and circulated the day of the meals being provided; it was discussed that it would be beneficial to keep a daily record of resident’s intake which would enable staff to identify early any eating irregularity. All feedback regarding the food was complimentary and comments included ‘good food’ ‘I have choices in the meals and the meals are good’. The dining areas are pleasant and well furnished with natural light. Staff were seen to be following good practice when serving and distributing the meals. The meals provided looked appetising and were served in a manner that ensured it looked attractive. The kitchen had recently been inspected by the Environmental Health Organisation and the manager confirmed they were working towards meeting the two requirements made regarding fly screens and flooring. The cleaning schedule is in place and the cook completes the ‘Safer Food and Better Business’ daily. The cook was knowledgeable regarding the catering needs of individual residents, and takes pride in the fresh produces and home cooking. Fresh fruit is provided in the lounge for residents. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has a formal complaints system with evidence that residents feel that their views are listened to and acted upon. Staff receive training to protect residents from abuse EVIDENCE: The complaint policy and procedure is clear and uncomplicated and a copy of this is readily available in the home and the Service Users Guide. A system of recording complaints was demonstrated to the inspector during her visit to the home. The home has not received any complaints since the last inspection. Residents spoken with confirmed that they were confident that any complaints or concerns that they had would be listened to and responded to effectively. The home has relevant guidelines on the protection of vulnerable adults and staff have now all received appropriate training. The management team has a clear understanding of adult protection guidelines and are aware of how to initiate an investigation if required. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, clean and safe environment for those living in the home and visiting. Residents are enabled and encouraged to personalise their room, and rooms are homely and reflect the resident’s personalities and interests. EVIDENCE: A tour of the home confirmed that the home is well maintained and that rooms are attractive with some being very personalised. There is an on going maintenance programme and staff enter any areas identified in to a book which the maintenance person then attends to. Residents spoken to said that they liked their rooms, one saying that the home ‘feels like my home ’. There is an attractive rear garden with seating areas and although this is a bonus for the home, residents spoken with said they rarely used it. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 17 The home promotes and maintains residents privacy by ensuring all bedrooms have a lock. All residents have a key to their own room unless a risk assessment indicates otherwise. They also have a key to an outer door where this has been agreed in their care plan. Residents are offered a choice of room on visiting the home (vacancies permitting), all the bedrooms are of a good size and all have an en-suite facility. The communal areas are also attractive and allow for different uses ensuring residents have choice and how they spend their time. There is also a dining/lounge area available for residents and their guests. There are adequate communal bathrooms and shower rooms in the home, with specialist equipment to ensure all residents are able to have a bath or shower. Call bells are provided in all areas and staff were seen to be attentive and ensured residents were appropriately supervised whilst in the communal areas. The lighting in the home is of domestic quality and there are above bed lights as well as the main ceiling lights. Water temperatures are controlled and monitored monthly and a record kept. Random temperatures were taken and were of the recommended level. There are systems in place for monitoring safety issues such as fire checks, fire drills, PAT testing, electrical tests and gas and boiler checks and all the rooms are routinely checked for safety and maintenance issues. The records in the home confirmed they were up to date. The tour of the home confirmed that staff are aware of the fire safety policies, no doors were found inappropriately wedged open. The home was clean and fresh smelling. Comments received included ‘ all rooms are bright, fresh and kept clean to a very high standard’. Good practice in respect of infection control by staff was observed during the inspection visits and there were gloves and aprons available in the home. The laundry area was found to be clean and safe. Residents were complimentary regarding the laundry service. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Robust recruitment procedures are in place to protect residents, and staff training ensures they are aware of their roles and are able to provide the support and care the resident’s need. EVIDENCE: At the time of the inspection visit 27 residents were living at St Nectans. The staffing rota was viewed and the staffing levels were seen to be sufficient to meet the needs of the residents at this time. The manager confirmed that the staffing arrangements are flexible and respond to resident’s dependency. Staff spoken to said that there was enough staff to look after the residents to a good standard. Comments received included ‘sometimes the staff are too busy to chat for long’ ‘I never have to wait for assistance’. Feedback received from residents, relatives and visiting care professionals as part of this inspection was very positive about the staff and comments received included ‘very friendly, knowledgeable staff, couldn’t wish for better people to care for me’ ’ ‘I am very well cared for and staff are nice’ ‘I can not speak too highly of the staff’. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 19 A selection of staff recruitment files were viewed and demonstrated that a robust recruitment process has been maintained to protect residents and contained all the relevant information required. There was evidence of health questionnaires, Criminal Record Bureau checks, two references, a resume of previous employment and work permits where necessary. All the paperwork is kept within a locked room. There is an induction programme specific to the home in place, and the Skills for Care induction programme is to be introduced in the near future. Staff spoken with said that training opportunities at the home are good and they are well supported by the senior staff and the manager. Staff and the training list seen confirmed that compulsory training such as manual handling, adult protection, first aid and fire safety are being undertaken. The deputy manager is introducing a training matrix, which will track the training needs and refresher dates. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The overall management of this home is good with effective systems in place to protect residents. EVIDENCE: The registered manager has the necessary experience and knowledge to manage the home effectively. The management team is completed by the deputy manager who has many years of experience in care. The staff spoken with said that they felt supported by the management structure of the home. Residents were aware of who the manager was and of his role in the home and spoke highly of the deputy manager. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 21 The ethos of the home is to focus on the residents and staff were observed doing this. The quality assurance systems in the home include questionnaires sent out to residents and relatives following admission to the home. The introduction of this formal quality assurance and quality monitoring systems has enabled the management to objectively evaluate the service and ensure it is run in the residents best interests. The quality assurance results are audited and action taken to address any suggestions of improvement made. Regular resident and staff meetings contribute to the quality assurance systems in the home. The home holds small amounts of monies on behalf of some people living in the home and it was confirmed that all transactions are recorded and receipts obtained as necessary to ensure that residents are protected from financial abuse. Staff supervision was discussed and staff supervision has been commenced. The template used was viewed. Staff spoken with confirmed that they receive supervision and a plan of the year’s supervision sessions was seen. Environmental risk assessments are in place, however they were not up to date and therefore place residents and staff at risk. It would be beneficial to spread the first aid boxes out throughout the home so as to be easily assessable in the event of an accident. The kitchen first aid box would benefit from including a burns treatment and an eye- wash for fat splashes. Good practice was observed throughout the inspection in respect of promoting the safety and well being of the residents. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 2 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 2 St Nectans Residential Care Home DS0000063996.V367712.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. 1. Standard OP3 Regulation 14(1) Requirement That registered person confirms in writing that having regard to the assessment made on any prospective service user that the home can meet those needs. That the registered person ensures that the generic environmental risk assessments are reviewed regularly to ensure resident’s safety. These should include risks presented by the garden. Timescale for action 30/09/08 2. OP38 13 30/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP9 Good Practice Recommendations That a more person centre approach is used in care planning. That errors on the medication administration charts are followed up with the dispensing chemist. St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Nectans Residential Care Home DS0000063996.V367712.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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