Inspection on 07/08/07 for St Peter`s Court Nursing Home

This inspection was carried out on 7th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

St Peter`s Court Nursing Home 04/09/06

St Peter`s Court Nursing Home 18/01/06

St Peter`s Court Nursing Home 01/06/05

St Peter`s Court Nursing Home 16/11/04

St Peter`s Court Nursing Home 05/05/04

St Peter`s Court Nursing Home 26/01/04

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

CARE HOMES FOR OLDER PEOPLE St Peter`s Court Nursing Home Spital Road Maldon Essex CM9 6LF Lead Inspector Ray Finney Key Unannounced Inspection 7th August 2007 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 Peter`s Court Nursing Home DS0000015361.V348681.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 Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Peter`s Court Nursing Home Address Spital Road Maldon Essex CM9 6LF 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) 01621 840466 01621 840801 admin.stpeterscourt@careuk.com manager.burroughs@careuk.com Care UK Community Partnerships Ltd Miss Elizabeth Dawn Langley Care Home 24 Category(ies) of Dementia (24), Dementia - over 65 years of age registration, with number (24) of places St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 60 years and over, who require nursing care by reason of dementia (not to exceed 24 persons) Persons of either sex, aged 65 years and over, who require nursing care by reason of dementia (not to exceed 24 persons) The total number of service users accommodated must not exceed 24 persons 4th September 2006 Date of last inspection Brief Description of the Service: St Peter’s Court is a care home with nursing for 24 older people with dementia. A multidisciplinary team that includes Registered Nurses, Care Assistants and other professionals allied to medicine, deliver care that enables people living in the home to receive the specialist support they need to live safely and securely. The care environment consists of purpose built bungalow style accommodation, situated in the grounds of St Peter’s Hospital in Maldon, Essex. There are eight single and eight double rooms. All rooms are on the ground floor, with staff areas only on the upper floor. St Peters Court is part of Care UK Community Partnerships Limited. At the time of this inspection all beds are contracted to the local Mental Health Primary Care Trust (PCT). Information about the home can be obtained by contacting the manager; inspection reports are available from the home and from the CSCI website www.csci.org.uk St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was looked at when compiling this report. Documentary evidence was examined, such as menus, staff rotas, care plans and staff files. The manager completed an Annual Quality Assurance Assessment with information about the home. Throughout the report this document will be referred to as the ‘AQAA’. A visit to the home took place on 7th August 2007; this included a tour of the premises, discussions with the manager, members of staff and conversations with relatives of people living in the home. Observations of how members of staff interact and communicate with people living there have also been taken into account. On the day of the inspector’s visit the atmosphere in the home was relaxed and welcoming and the inspector was given every assistance from the manager and staff. What the service does well: What has improved since the last inspection? There have been improvements to the environment since the last inspection. This includes new furnishings and redecoration of the communal areas and many of the individual rooms. Carpets and flooring have been replaced in the bedrooms, which has greatly reduced the odour problem throughout much of the home. There is a new manager in post who runs the home with support from the member of staff who takes the Clinical Lead and who is a registered nurse. St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St Peter`s Court Nursing Home DS0000015361.V348681.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 Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 (Standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People choosing to live at St Peter’s Court can be confident they will receive sufficient information about the home and their needs will be assessed before admission. EVIDENCE: At the time of the last inspection it was reported that the home had updated their Service User Guide and Statement of Purpose. The home continues to ensure that people wishing to move in to the home receive appropriate information. Information from the AQAA states that an information pack that includes the Statement of Purpose and a Welcome Pack is available for any prospective residents. The manager confirms that previous Inspection Reports are also made available. At the time of the inspection all beds in the home continue to be contracted to the health authority and there are appropriate contracts in place. St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 9 Information provided in the AQAA and discussions with the manager confirm that the home has a policy and procedures around admissions to the home. Most of the assessment is completed by the registered nurse who is the ‘Clinical Lead’ for the home. Records examined confirm that a comprehensive assessment of needs is undertaken before anyone is admitted. The AQAA states that the home uses the assessment to make sure they can meet the needs of the person wishing to move in and they have any equipment in place before admission. The management team spends whatever time is needed with prospective residents and their families answering questions and giving whatever information is required. St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals can be confident that their personal and healthcare needs will be met in St Peter’s Court. There are appropriate systems in place to make sure the administration of medication is safe for people living in the home. People can be confident that they will be treated with respect and dignity at all times. EVIDENCE: The AQAA states that all those living in the home have care plans based on assessed needs, which document personal choice and preferences as well as needs. A sample of three care plans examined all contain enough information to enable staff to provide good consistent care. Staff spoken with are able to demonstrate a good knowledge of people’s care plans. As previously reported, Care UK continues to operate a computerised care planning system throughout their nursing and care homes. Discussion with the manager confirmed that staff find the system easy to work with and update; all care plans examined had evidence of recent review. St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 11 The manager states in the AQAA that the home focuses on identifying risks for each individual and documenting them using a variety of risk assessments on the computer care based programme. As at the last inspection, everyone living in the home is registered with a G.P. The management team confirm that the home has good working relationships with health care professionals and one G.P. in particular visits regularly to review people’s healthcare needs. The AQAA states that assessments are carried out around people’s healthcare needs such as weight and nutrition; management of pressure sores is carried out with input from the tissue viability team and the use of pressure relieving equipment. Records examined confirm input from a range of health care professionals, including monthly visits from the tissue viability nurse. As previously reported, people’s healthcare needs are dealt with as far as possible within the home to minimise the disorientation that can be experienced by confused elderly people. The AQAA states that the home promotes continuity of care by having Named Nurses and Key Workers. Staff spoken with are able to demonstrate a good awareness of people’s healthcare needs. As at last inspection the home continues to follow appropriate procedures for the storage and administration of medication. A tour of the premises confirmed that there is an appropriate room for the storage of medication. Preparations and medications that need to be stored in controlled temperatures are kept in a fridge and temperature records are kept. Records examined confirm that Medicine Administration Record (MAR) sheets are completed appropriately and contain current photographs so that people are protected from the possibility of drug errors. The AQAA states that the home has good working relationships with the pharmacy providing medication to the home. Observations on the day of the inspection confirm that the home follows good practices around maintaining privacy and dignity for people living there. Relatives spoken with are complimentary about the way staff treat their relatives. As previously reported there are a number of shared rooms in the home. These rooms have curtains in place so that individual’s dignity may be maintained when receiving care. Staff spoken with are able to demonstrate a good awareness of issues around privacy and dignity. St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. St Peter’s Court provides people who live there with a lifestyle that meets their needs. People living in the home benefit from maintaining good contact with family and friends and they are provided with a wholesome, appealing diet that they enjoy. EVIDENCE: The home is in the process of implementing the Activities Based Care (ABC) project. The manager explained that the pilot has finished and they are being supported to phase in activities that are specifically designed for people with dementia, including tactile activities that people with cognitive impairment often respond well to. The management team is enthusiastic about the new approach, which will provide stimulation for people by engaging them in activities based around ordinary daily care. The AQAA states that social outings are now taking place. The home continues to improve activities and trips out to places like the butterfly sanctuary. The manager said that they now access a community minibus scheme locally, which has improved access to community-based activities. St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 13 The home has also improved the activitiy programme to introduce entertainers coming into the home. Records examined confirm that people are taking part in a variety of activities. As recorded in the AQAA, the home encourages links with family and friends in the communtiy and they have involved families in the planning of their relative’s activities. On the day of the inspection, relatives spoken with say that they are always made welcome and they visit the home regularly. The manager confirmed that there are no restrictions on visiting and relatives are welcome to stay for meals and drinks if they wish to do so. As previously reported, the cognitive impairment of people living in the home means that their ability to make choices is limited. However, staff spoken with say that they try to encourage people to make choices where they can such as choosing what to wear or what they would like to eat. Interactions observed between members of staff and people living in the home are supportive and encouraging, even in difficult circumstances. The AQAA states that people are encouraged to have their own personal possessions and to personalise their rooms. A tour of the premises confirmed that people living in the home have homely bedrooms and are surrounded by their own possessions. The home continues to provide people living there with a balanced diet based on a two weekly menu. There are always two options on the menu and staff use their knowledge of people’s likes to help them get meals that they enjoy. It was observed that people appeared to enjoy the lunchtime meal. A tour of the premises shows that a range of food is used including a variety of fresh vegetables. The AQAA also states that people have access to hot and cold drinks whenever they wish. St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service have access to a clear and understandable complaints procedure that ensures they are listened to. The home operates robust practices and procedures to ensure the protection of the people who live there. EVIDENCE: As previously reported, the home is part of the Care UK group and they follow the company’s policies and procedures for dealing with and recording complaints. Information provided in the AQAA indicates that the complaints procedure has been updated and is available to people living in the home and their representatives. Visiting relatives spoken with confirm that they would know what to do if they ever had a complaint, although that has not yet happened. The management team are able to demonstrate a good awareness of their responsibilities when dealing with concerns and complaints. Since the last inspection, one complaint has been received. Records examined show that this has been dealt with appropriately and resolved satisfactorily. The manager has an open door policy so that concerns can be discussed and dealt with quickly and appropriately. Staff spoken with confirm that they are able to discuss any concerns that may arise with the management team. St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 15 As at last inspection, people are protected by staff who have had Protection of Vulnerable Adults (POVA) training. Staff spoken with able to demonstrate an awareness of their responsibilities in safeguarding the vulnerable people living in the home. Records examined confirm that staff have had appropriate Criminal Record Bureau (CRB) checks. The manager provided information that nursing staff have had training on care planning around challenging behaviours, so that people living in the home are protected by staff who understand their cognitive impairment and support them appropriately. St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall people living in St Peter’s Court benefit from a safe and wellmaintained environment, although further progress needs to be made in the effort to eliminate odours. EVIDENCE: The home has made improvements to the environment since the last inspection. Information from the AQAA states that all areas of the home are to be redecorated in the refurbishment plan. The plan includes new carpets, furniture, curtains and bedding in bedrooms and new furniture and flooring in all the lounges and dining area. A tour of the premises confirmed that carpets have been replaced throughout the home in the bedrooms. The lounges are also in the process of being redecorated and the manager is able to demonstrate that a lot of thought is St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 17 going into the choice of décor so that people are able to relax in calm, comfortable surroundings. As previously reported, security is good throughout the home with keypad locks on the doors to keep people safe. Overall maintenance is good and internal decoration keeps the home looking fresh. As part of the ongoing process of redecoration, the home has commissioned someone to paint murals on the bathroom walls; this is due to start shortly. Computer images of the proposed murals show that they are of a high standard and should make the bathrooms very pleasant for people living in the home. The manager confirmed that families have been involved via resident meetings with the planning of the refurbishment. A tour of the premises confirms good. As previously reported the infection control are encouraged laundry in and clean laundry out. and tidy. that overall the standard of cleanliness is laundry is clean and good practices around by using separate doors for taking soiled The sluice rooms continue to be kept clean An internal audit report received by the Commission in May 2007 states that there are still some ‘odour challenges’. Although there have been improvements in the issues of odour throughout the home, it has not been entirely eliminated. Carpets in the corridors continue to present an offensive odour and these carpets need to be replaced if people living in the home are to benefit from a more pleasant and odour free environment. St Peter`s Court Nursing Home DS0000015361.V348681.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in St Peter’s Court benefit from a competent staff team, who are provided with an effective programme of training. The home’s recruitment procedure provides safeguards to ensure that appropriate staff are employed. EVIDENCE: The AQAA states that the home now has a lower turnover of staff and as a result they are using fewer agency staff. A discussion with the manager confirms that the home has a stable staff team that demonstrate a commitment to good practices and giving the people who live there good quality care. As previously reported there is a good skill mix of both qualified nurses and carers on all shifts to meet the complex needs of the highly dependent people living in the home. Information provided by the home shows that they continue to support staff to complete National Vocational Qualifications (NVQ). All staff have already undertaken or are in the process of undertaking their NVQ Level 2 or 3. The home uses robust recruitment processes using Care UK’s recruitment policy and procedure. A sample of three staff files were examined and all contain the documentation required to demonstrate that people are protected St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 19 by good recruitment procedures, including written references, proof of ID and Criminal Record Bureau (CRB) checks. Information provided by the home indicates that all staff are provided with a comprehensive induction programme. New staff commence their induction training as soon as the home has received a Protection of Vulnerable Adults check so that they are ready to start work when their enhanced CRB check is received. Records examined confirm that all staff are provided with appropriate training to ensure they are able to carry out their jobs. The management team explained about the computerised in-house training sessions that all staff take part in, using the ‘EL Box’. Care UK have provided an on-line training tool to deliver Control of Substances Hazardous to Health (COSHH) training, Food Hygiene, Health & Safety, Fire Safety and a care induction training in line with NVQ requirements. The AQAA states that more programmes are to be made available in the coming year. The management team explained that the courses are done either on a one-to-one basis or in a group and all staff have a mentor to support them. Staff spoken with said that the training is good. Records examined and staff spoken with confirm that the home also uses external training providers to deliver training specific to the needs of the people living in the home. St Peter`s Court Nursing Home DS0000015361.V348681.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. St Peter’s Court is well run by a competent management team and people living there can be confident that the home is run in their best interests. There are health and safety systems in place to ensure the welfare of both individuals and staff. EVIDENCE: Since the last inspection the appointed manager has gone through the registration process with the Commission and is now Registered Manager of St Peter’s Court. As well as a number of years management experience, she has a National Vocational Qualification (NVQ) Level 3 in care and a Certificate in Management Studies (CMS). Discussions with the manager show she is committed to attaining NVQ Level 4 in care. St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 21 Discussions with the manager, administrative staff and care staff show that people living at St Peter’s Court benefit from an open and positive atmosphere. Observations of the way the home is managed confirms that there is a good approach to leadership and management. Practices in the way the home is run, shows that all staff are valued as part of a strong team. Staff spoken with demonstrate a committed attitude to providing good care. This ensures that the ethos of the home reflects person centred working practices. Since the last inspection there have been improvements to the home’s quality assurance system. The home uses a variety of methods to obtain the opinions of relatives and other interested parties. There is a suggestion box in the reception area. The AQAA states that the home sends out a Customer Satisfaction Survey on a regular basis to monitor and obtain views on how they can improve the service. Views are also sought through relatives’ meetings. Documents relating to quality assurance were submitted to the Commission and they confirm that responses from completed surveys have been collated. Although there have been improvements in the home’s Quality Assurance system since the last inspection, the process could be improved if it identified actions that the home is taking in response to what people have said. The home’s procedures for supporting people around finances remains unchanged since last inspection. Records examined relating to finances are in order and the procedures for handling money are good. The home continues to follow sound procedures around safe working practices. Records examined and staff spoken with confirm that the home provides training to ensure people living in the home and members of staff are kept safe. Training includes Control of Substances Hazardous to Health (COSHH), Food Hygiene, Health & Safety and Fire Safety. Maintenance records examined are up to date, including servicing of electrical installations and equipment, fire equipment, hoists, the call system and gas appliances. The AQAA states that the home provides a safe and homely enviroment for people to live in. There is a comprehensive fire risk assessment in place and fire drills take place. Records confirm that there are regular checks on the environment and any accidents or incidents are fully documented. St Peter`s Court Nursing Home DS0000015361.V348681.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 X 3 X X 3 St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP26 Good Practice Recommendations The home should replace carpets and flooring in the halls and corridors to eliminate the identified odour and ensure people living in the home benefit from a pleasant, odour free environment. The manager should continue to develop the Quality Assurance system that is in place so that there is a clear action plan, which demonstrates that people’s views are being acted upon. 2. OP33 St Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Peter`s Court Nursing Home DS0000015361.V348681.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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