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Inspection on 06/11/07 for St Petroc`s Care Home

Also see our care home review for St Petroc`s Care Home for more information

This inspection was carried out on 6th November 2007.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The people in the home are receiving a very good standard of care by kind and capable care staff. The home is well managed by an experienced manager and her deputy. The home is also very comfortable, elegant and clean. Comments during the course of the day included: "this is a lovely home, the staff are so kind, the meals are excellent".Consideration has been given to ensuring that people are given choices on all aspects of life in the home and this is confirmed by discussions with the people in the home when they talk about their daily routine. A considerable amount of effort has gone into gathering information on the "life history" of each person in the home allowing staff to have a good understanding of interests and the life of that person. The home has good working relationships with health care professionals and regular visits are made to the people in the home to ensure that their health care needs are being met. The home has an excellent quality audit/monitoring system that involves gathering feedback on the running of the home from all the people in the home and their relatives and professionals. In addition the manager and organisation carry out regular audits to ensure that good outcomes are being delivered at all times.

What has improved since the last inspection?

The statutory requirements of the inspection report dated the 27th July 2006 have been addressed.

What the care home could do better:

Care plans are held on each person in the home and these are completed to a good standard. Daily records support the care plans and it is recommended that some improvements could be made to this recording. For example when a problem has been identified the daily records should be very clear how the need/problem is being met. In addition staff should try to record how people are spending their day in the home. Records kept by night staff indicate that the people in the home generally sleep well at night. There is one waking and one sleeping in member of staff. It is recommended that this is regularly reviewed to ensure that this level of staffing is satisfactory to meet the needs at all times. There may be times when it is more appropriate for two waking night staff members to be on duty.

CARE HOMES FOR OLDER PEOPLE St Petroc`s Care Home St Petrocs Care Home St Nicholas Street Bodmin Cornwall PL31 1AG Lead Inspector Elaine Bruce Unannounced Inspection 6th November 2007 08:30 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 Petroc`s Care Home DS0000051613.V350202.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 Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Petroc`s Care Home Address St Petrocs Care Home St Nicholas Street Bodmin Cornwall PL31 1AG 01208 76152 01208 264663 stpetrocs@stone-haven.co.uk 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) Stonehaven (Healthcare) Ltd Miss Fiona Mary Searle Care Home 30 Category(ies) of Dementia - over 65 years of age (6), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (3), Old age, not falling within any other category (30) St Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Total number of service users not to exceed a maximum of 30 Date of last inspection 27/07/06 Brief Description of the Service: St. Petrocs Care Home is registered to provide accommodation and personal care for up to 30 older persons six of which may have dementia or three of which may have a mental disability. The home is situated in Bodmin, Cornwall benefiting from its closeness to shops, public transport and local community facilities. It is a detached house, set back from the road within large wellmaintained grounds and ample parking space provided to the front of the property. There are bedrooms on the ground and first floors with a passenger lift and stair lift provided to assist service users. Shared communal space is provided through the lounge, dining room and conservatory areas. The home has been under the ownership of Stonehaven (Healthcare) Ltd since November 2003 and the management of Fiona Searle since December 2002. Additional charges are made for chiropody, hairdressing, toiletries, newspapers, taxis and transport. Prospective residents are sent a brochure containing the home’s Statement of Purpose, Service Users’ Guide and information about Stonehaven Healthcare Ltd. The last inspection report is openly displayed in the front conservatory. St Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection at St Petrocs was unannounced and took place on the 6th November 2007 between the hours of 0830 and 1545. The manager and deputy manager were on duty during the course of the day and were very helpful in assisting with the inspection. Prior to the inspection a well completed Annual Quality Assurance Document was received as well as six people surveys, one relative and five staff surveys. During the course of the day an inspection of the care plans and associated records took place as did an inspection of staff training and recruitment files, medication was inspection as were the standard of the meals. The premises were inspected in relation to two standards. The majority of the people spoken to during the course of the day were spoken to in the privacy of their bedroom. Each person expressed unanimously positive comments on the standard of care that they are receiving at the home. They stated that the staff are very kind, the meals excellent and they talked enthusiastically about their daily life in the home. It is apparent that strong friendships have been formed with other people in the home as well as the staff in the home. The following comments were received in surveys about St Petrocs: “Overall I (and my daughter) are very pleased with St Petrocs home. The staff are all very friendly, helpful and polite”. “The staff are always on duty 24 hours, no personal task they can help with is ignored and they are always ready to help”. “I am so pleased with the care my mother is receiving at St Petrocs. All the staff show my mother such love and kindness”. “I enjoy my food always and I am quite fussy about what I eat”. The home is able to offer short stay care as well as longer stay and the weekly cost of care at this time ranges from: £400 to £750. What the service does well: The people in the home are receiving a very good standard of care by kind and capable care staff. The home is well managed by an experienced manager and her deputy. The home is also very comfortable, elegant and clean. Comments during the course of the day included: “this is a lovely home, the staff are so kind, the meals are excellent”. St Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 6 Consideration has been given to ensuring that people are given choices on all aspects of life in the home and this is confirmed by discussions with the people in the home when they talk about their daily routine. A considerable amount of effort has gone into gathering information on the “life history” of each person in the home allowing staff to have a good understanding of interests and the life of that person. The home has good working relationships with health care professionals and regular visits are made to the people in the home to ensure that their health care needs are being met. The home has an excellent quality audit/monitoring system that involves gathering feedback on the running of the home from all the people in the home and their relatives and professionals. In addition the manager and organisation carry out regular audits to ensure that good outcomes are being delivered at all times. What has improved since the last inspection? What they could do better: Care plans are held on each person in the home and these are completed to a good standard. Daily records support the care plans and it is recommended that some improvements could be made to this recording. For example when a problem has been identified the daily records should be very clear how the need/problem is being met. In addition staff should try to record how people are spending their day in the home. Records kept by night staff indicate that the people in the home generally sleep well at night. There is one waking and one sleeping in member of staff. It is recommended that this is regularly reviewed to ensure that this level of staffing is satisfactory to meet the needs at all times. There may be times when it is more appropriate for two waking night staff members to be on duty. St Petroc`s Care Home DS0000051613.V350202.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 Petroc`s Care Home DS0000051613.V350202.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 Petroc`s Care Home DS0000051613.V350202.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 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have good information about the home in order to make an informed decision about whether the service is right for them. The personalised needs assessment means that people’s diverse needs are identified and planned for before they move into the home. EVIDENCE: An up to date statement of purpose document/service user guide is available to read in the entrance of the home. Each person visiting the home and each person in the home and or their representative is given these documents in a folder that is professional in it’s presentation and information. The documents clearly indicate the services that are provided at the home and the terms and conditions of the placement. St Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 10 Prior to admission each person is assessed by the manager or the deputy manager. Sometimes where care needs may be more complicated pre admission assessments take place by both the manager and her deputy. A pre admission document assessment form is then completed and care needs identified. In addition assessment information is sought prior to admission from health and social care professionals, although the home clearly state that this information is sometimes hard to obtain. The home is able to offer a respite care service and a number of people have come to stay at the home following an initial respite care stay. St Petroc`s Care Home DS0000051613.V350202.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Discussions with people in the home and inspection of care planning records evidences that health and personal care needs are being met with privacy and dignity, although some improvements could be made to the daily records EVIDENCE: Each person at the home has a plan of care in place that identifies the health, social and personal care needs of that individual. The people in the home are involved in the care planning process and regular reviews of care needs are taking place. Risk assessments are in place and nutritional screening is ongoing and clearly monitored by regular weighing. Daily records are completed by the care staff. It is recommended that more attention be given to this recording to ensure that it evidences at all times that the needs identified in the care plan are being met. St Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 12 Each person is registered with a general practitioner and the home has good working relationships with the local health care professionals. Records are in place of all health care input to the people in the home and this includes chiropody, optician and community nursing services for example. Each person spoken to during the course of the day expressed unanimously positive and wonderful comments about the kindness of the staff and the way that they are looked after at the home. Each person is given an option whether they wish to receive their care by a male or female carer and all observation and conversations with the people in the home indicated that they are treated with respect and their privacy is maintained at all times. A specific room is available for the storage of medication and medication is administered to each person from a medication trolley using a blister pack system. The storage and administration of the medication was found to be satisfactory as was the storage and administration of controlled medication. All the medication administration records were completed appropriately and all staff who administer medication have received training. The medication policy and procedure is up to date and staff have read this documentation. St Petroc`s Care Home DS0000051613.V350202.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities and opportunities for stimulation are provided for in the home and visitors are made very welcome. Meals and mealtimes are an enjoyable social occasion for all the people in the home and there is a good choice of meals provided at all times. EVIDENCE: A full programme of events provides the people in the home the opportunity to join in a range of activities including bingo, music, regular visits out and one to one time to include for example manicures. A recent Halloween party took place which was apparently very enjoyable. On the day of the inspection an upstairs lounge was ready for a number of people to play cards and enjoy time together. When talking to this group of people they explained how positive it is for them to get together and enjoy their cards and each others company every morning except on a Sunday when Communion takes place. On the day of the inspection the hairdresser was in the home and the majority of the people in the home were looking forward to having their hair done. St Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 14 Care planning documentation identifies the social care needs of each person in the home and considerable effort has gone into gathering information on each person to develop a life history. A staff member spoke about the importance of a life history to understand each person better and how they can look after each person with a full understanding of their background and experiences. The life history information has been completed very well on each person in the home. During the course of the day the people spoken to explained how they chose to spend their day at the home and the pleasure they have in making these choices. A form is in place for staff to gather information on the people to ensure they know what they “like to do” and “does not like to do”. Visitors are welcomed into the home and all visitors to the home are asked to sign the visitors’ book on arrival at the home. Daily records indicate when people have received a visitor and visiting is encouraged at all times. Visitors are provided with tea or coffee. The meals at the home are served in a pleasant dining room or the privacy of a bedroom if that is the choice of that person. The menu changes regularly to suit the people in the home and any specific requests that they may have. On the day of the inspection the main meal of the day was diced port stew with carrots, swede and broccoli or a choice of salad or chicken drummers, this was to be followed by plum sponge. There is a choice of meal at every occasion and the meal for the day is displayed in the entrance of the home. The home employs two cooks to cover the week and there are times when the manager has responsibility for meal preparation which she says she enjoys. An inspection of the kitchen took place by the District Council Environmental Health Officer on the 23/08/07. The requirements from this inspection have been addressed and met. Documentation is in place for the good practice guidance re “Safer Food, Better Business”. The home monitors the weight and diet of all the people in the home and addresses concerns where identified. Individual food choice records are in place and the times when people would like their drinks. All the people spoken to during the course of the day expressed very positive comments on the standard of the meals at the home. One person stated: “the meals here are excellent”. St Petroc`s Care Home DS0000051613.V350202.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people in the home can be confident that any concerns or complaints that they have will be listened to and acted upon and that they will be protected from any form of abuse EVIDENCE: The complaints policy and procedure for the home is well displayed for all to see and each person has received this documentation which includes all information required should someone wish to complain. The document has been well thought out to ensure that the people in the home and their representatives know that there are clear stages in the complaints process and the home want to know if anyone is not satisfied so their concerns can be addressed as soon as is possible. This document is called: “Who can I tell if I am not happy”. All staff employed at the home have received safeguarding training for the protection of all the people in the home. The manager and deputy manager are due to attend adult protection training for trainers run by Cornwall County Council which will then be brought back to the staff in the home. Policies and procedures are in place to guide staff to ensure that procedures for joint working are followed if required. St Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 16 St Petroc`s Care Home DS0000051613.V350202.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. 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. The people at St Petrocs live in a very pleasant, well maintained home that is comfortable, warm and clean. EVIDENCE: St Petrocs is a very attractive home with quality fittings and a great deal of character to the building. The entrance is very pleasant with comfortable seating and a choice of communal areas is available on the ground and first floor. Again, each of these areas is very elegant and comfortable and includes a dining room and two lounges. Bedrooms are provided on the ground or first floor of the home. A shaft lift is available to the first floor of the home if required although there are some bedrooms that are accessed by the use of stairs only. Bedrooms are very individual and have been personalised. St Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 18 The gardens surrounding the home are very pleasant and regular maintenance of the gardens takes place to keep them tidy. Care parking is available in the grounds of the home. Specific members of staff are employed for cleaning duties and the home was found to be very clean on the day of the inspection. The laundry is provided with industrial machines and care staff have responsibility for these duties. It is noted that improvements could be made to the laundry floor around wear and tear. The home has a small number of registered beds for people with a dementia and or mental disorder. There are no specific adaptations for these “beds” within the home and the home is not provided with a locked facility. Service records indicate that all equipment is regularly serviced as required. There are plans for work to take place in the corridors of the home to include painting and decorating St Petroc`s Care Home DS0000051613.V350202.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. 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 people in the home are cared for by knowledgeable, capable and very kind staff. A review of staffing levels at night must take place regularly to ensure that current levels meet the needs. Recruitment practices at the home protect vulnerable people EVIDENCE: On the day of the inspection there were three care staff on duty as well as the registered manager, deputy manager, cook and cleaner. All the staff members are identified on the staffing rota. At night there is one waking and one sleeping in member of staff. Although night check records indicate that people generally sleep well at night and do not require assistance a regular review of these night time staffing levels should take place to ensure that the levels are satisfactory at all times. All staff members are encouraged to undertake NVQ training and the majority of the staff have obtained this qualification. Statutory training for the staff is all up to date to include first aid, moving and handling and fire drill training. Good practice training regularly takes place and includes dementia care for St Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 20 example. Some training takes place internally using videos and written materials with questions then asked which are sent away for marking. One staff survey form indicated that the home provides a high standard of training. The manager explained that recruitment of new staff members has been very difficult recently with hopefully this now addressed by the recruitment of overseas staff. Recruitment procedures are being followed correctly when a staff member is employed to include a criminal bureau records check and two written references being taken. All new staff receive induction training based on the Skills for Care guidance. The home follows equal opportunities procedures for recruitment and all staff when employed receive a contract of employment. All the people spoken to during the course of the day expressed very positive comments about the staff in the home. They stated that all the staff are very kind and one staff member was consistently referred to as “wonderful”. St Petroc`s Care Home DS0000051613.V350202.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people at St Petrocs live in a very well managed home. The management team continually strive to provide a stimulating, safe environment where people are well cared for with respect and their choices considered at all times. EVIDENCE: The manager at the home has achieved the registered managers award qualification as well as maintaining her registration as a general nurse. She undertakes regular training and this has included in the last year infection control, moving and handling and death and dying. She works at the home during the week and is on call at all times when not in the home. She is well St Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 22 supported in her duties by a very experienced deputy manager who has obtained her NVQ 4 qualification. The manager and the deputy presented extremely well during the course of the inspection process and these observations were confirmed by the people in the home. The manager attends regular 6 monthly meetings with other managers who are in charge of homes’ in the organisation. The provider’s quality assurance policy ensures that the people in the home have a say about the service that they are receiving. Survey forms are sent out giving an opportunity to the people, their representatives and professionals about standards in the home. The manager also undertakes her own regular audits and surveys looking at specific areas. These audits are completed to a very high standard and are undertaken very regularly to ensure that the home is consistently measuring outcomes of care delivery. Regular people and staff meetings also take place to give the people in the home the opportunity to have their say about standards of care delivery. A representative from the organisation visits the home monthly and produces a written report on his visit as required by legislation. The manager explained the support that is always available to her and the staff from the Directors. The majority of the people in the home manage their own finances with the support of their relatives/representatives. Where this is not happening the home holds money on behalf of a number of people and records are in place to evidence incoming and outgoing expenditure. An audit of these records was found to be satisfactory. Health and safety responsibilities lie with the registered manager who ensures that staff receive appropriate training and equipment and maintenance of the building is ongoing. Risk assessments are in place as required to include for example fire risk assessments. Staff survey comments indicate that “the manager is an excellent support”. St Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 4 x 3 x x 3 St Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 OP7 Good Practice Recommendations The daily records could be improved to ensure they fully reflect the care plans and evidence how a person is spending their time in the home. Consideration should be given to improving/replacing the laundry floor. To regularly review the night staffing levels to ensure that they are meeting the care needs of the people in the home at all times. 2. 3. OP26 OP26 St Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Petroc`s Care Home DS0000051613.V350202.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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