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Inspection on 13/11/06 for St Ronans Nursing and Residential Care Home

Also see our care home review for St Ronans Nursing and Residential Care Home for more information

This inspection was carried out on 13th November 2006.

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

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

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

Service users and their relatives spoke positively about the home, the standard of care and the attitude of staff. One comment received was, "They managed a severely disabled patient with care and compassion over several years". A number of heath and social care professionals reported that they werehappy with home`s communication and that there was always a senior member of staff available to confer with. They also stated they were able to see service users in private and that if they gave specialist advice it is incorporated in the service users care. All felt that the service users` medication is appropriately managed and were unanimous in that the management /staff take appropriate action decisions when they can no longer manage the needs of service users in their care. The management team continuously strive towards excellence. They are affiliated with a number of organisations, which monitor quality standards and control measures within the home relating to health and safety practice, employment and business. The managers are well-informed regarding recent changes in social care and participate in keeping abreast of all best practice initiatives through membership with the care associations. They also undertake good quality monitoring and are now expanding this in view of the recent changes in social care regulation. The majority of service users are happy with their accommodation and the support provided. They are complimentary about the care and feel their expectations and desires are met. The home is clean and staff have been reported to be considerate and caring. There is a considerable amount of investment made by the owners in the premises.

What has improved since the last inspection?

On a recent inspection by the Hampshire Fire and Rescue Service on November 3rd 2006 the service was informed by letter that: "It was noted by my inspector that general housekeeping and fire safety management are to a very high standard and the staff should be commended for their efforts."

CARE HOMES FOR OLDER PEOPLE St Ronans Nursing and Residential Care Home 23 - 27 St Ronans Road Southsea Portsmouth Hants PO4 OPP Lead Inspector Clare Hall Key Unannounced Inspection 13th November 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.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 Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Ronans Nursing and Residential Care Home Address 23 - 27 St Ronans Road Southsea Portsmouth Hants PO4 OPP (023) 92 733359 (023) 92 817738 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) Mr John Pattison Ms Jane Helliwell Ms Amanda Jayne Brett Care Home 33 Category(ies) of Dementia - over 65 years of age (33), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (33), Old age, not falling within any other category (33), Terminally ill (33), Terminally ill over 65 years of age (33) St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the TI category can not be admitted under the age of 55 years. 15th December 2005 Date of last inspection Brief Description of the Service: St Ronans is a care home providing nursing and personal care for 33 older people in the categories of terminally ill, mental disorder, excluding learning disabilities and those with mental frailty associated with old age. There is a condition of registration that no person under the age of 55 years can be admitted with terminal illness. The home is owned by a partnership of two people and is the only home owned by them in the area. The home is three large, four-story Victorian houses that were converted to a care home a number of years ago. The home is located in a residential area of Southsea in close proximity to the seafront and local shops and is in easy access to Portsmouth city and the local hospitals. The current providers are in the process of negotiating and planning extensive alterations to the home, over the next two years, to provide level access to all parts of the home and general refurbishment of the home. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced site visit to St Ronans Nursing and Residential Home took place on 13th November 2006 and was undertaken by one inspector over one day. Throughout the visit the managers and the provider were available and the staff assisted the inspectors in general. Managers, staff and ancillary staff were spoken with. The judgements made in this report were made from information gathered pre-inspection from previous reports, the service history, Regulation 37 notices received and reports sent to the CSCI by the provider. Also considered were correspondence with the home, contact sheets, reports and feedback relayed to the commission by staff. The managers assisted the audit process by handing out relevant comment cards pre inspection to service users other stakeholder’s health and social care professionals and staff. The management team completed the pre inspection evidence and this was very informative. The environment was not audited in depth as the previous visits had concluded that the environmental requirements had been met and that the home was clean, hygienic and homely. The inspector had the opportunity to sit in the main lounge areas and observe the routines and care practices in the home. As a result of this audit two requirements have been raised. Despite their being concerns regarding the physical environment and layout of the home the Provider does have plans to expand, develop and improve the layout and size of the home. What the service does well: Service users and their relatives spoke positively about the home, the standard of care and the attitude of staff. One comment received was, “They managed a severely disabled patient with care and compassion over several years”. A number of heath and social care professionals reported that they were St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 6 happy with home’s communication and that there was always a senior member of staff available to confer with. They also stated they were able to see service users in private and that if they gave specialist advice it is incorporated in the service users care. All felt that the service users’ medication is appropriately managed and were unanimous in that the management /staff take appropriate action decisions when they can no longer manage the needs of service users in their care. The management team continuously strive towards excellence. They are affiliated with a number of organisations, which monitor quality standards and control measures within the home relating to health and safety practice, employment and business. The managers are well-informed regarding recent changes in social care and participate in keeping abreast of all best practice initiatives through membership with the care associations. They also undertake good quality monitoring and are now expanding this in view of the recent changes in social care regulation. The majority of service users are happy with their accommodation and the support provided. They are complimentary about the care and feel their expectations and desires are met. The home is clean and staff have been reported to be considerate and caring. There is a considerable amount of investment made by the owners in the premises. What has improved since the last inspection? What they could do better: The physical layout of the home is limiting. There are concerns regarding dining facilities, bedroom spaces, and clinical provision for medications and laundry, general storage and hand washing facilities. It was also raised that wherever and whenever poor outcomes occur in relation to care practice, they must now be addressed through staff supervision. Catering staff also need to develop a system for consultation regarding food and meals. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 7 Staff could improve their focus on person centred planning and meet care needs on a more holistic approach incorporating personal choices and preferences. The manager needs to review the homes policy for establishing needs prior to the emergency admission of clients. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.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 Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The management are open to exploring ways on how to further improve their admission processes so as to ensure the service users are admitted to a home they feel will meet their desires and expectations. EVIDENCE: The home has produced a statement of purpose and other information materials setting out its aims and objectives, the range of facilities and services it offers to residents and the terms and conditions on which it does so in its contract of occupancy with residents. The majority of service users responding to the Commission’s questionnaire stated they felt informed. An area needing improvement was identified for the procedure regarding emergency admissions. It was agreed that the home will explore ways of seeking the necessary information to ensure the needs of any individual can be met before even prior to an emergency admission, rather than this being ascertained following admission. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 10 The manager has agreed to look at ways how this could be done at short notice. The manager has also agreed to look at how the process for trial visits could be improved. This will ensure expectations for service users are met and any transition for service users is a positive one and one that accommodates their choices and preferences. The process for planned admissions is good. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Through person centred planning the manager is now working towards re educating staff in a philosophy which will emphasise less on tasks and more on meeting the needs of the individual. There is some way to go as some staff are still addressing the service users needs as a task. The outcomes are good and service users are satisfied with the support they are provided. EVIDENCE: It was clear that the staff have worked hard to improve the recording of assessments and other care records. During discussions the manager has identified how she can move onto the next stage of ensuring the care information recorded is pertinent, continuously reviewed and reflective of service users current needs. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 12 The process of audit was discussed which should further improve outcomes. The manager was keen to develop a system for audit. Service users’ feedback suggested that they were very happy with the support provided and the majority were very complimentary regarding the staff and the care they provide. The home has invested in quality equipment necessary to meet the health needs of individuals. Good audit processes were seen for the management of falls. The process for the recording, storage of controlled drugs was safe and in line with best practice. During a tour of the premises and observation of care practice, staff were seen upholding and promoting the service users needs for privacy and respecting their personal space. Relatives confirmed tasks were undertaken by seeking consent, mail was provided directly to service users and their choice to remain in the privacy of their own room respected. The manager was keen to discuss progress regarding person centred planning and areas which could be improved upon. These were noted in how the staff address service users needing assistance with food early morning and what they were given. The manager agreed that the way care is delivered will be audited top ensure it reflects a more person centred approach. Feedback received from four general practitioners’ identified that they felt staff demonstrate a clear understanding of the care needs of service users. The manager provides good information to staff regarding end of life care pathways and references/guidance to palliative care. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Service users are satisfied with the level of provided entertainment. Some services are dissatisfied with the meal choices but the manager is keen to address this through expansion of the homes current quality assurance programme. The support of clients during mealtimes will also be looked at in lines with person centred planning, which the manager is currently implementing. EVIDENCE: The service users were unanimous in stating the home provides encouragement and opportunities to be involved in leisure and social activities. Service users felt they had a choice regarding how involved they wished to be in the homes activities. They were observed making use of the facilities, music, television, newspapers and personal hobbies. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 14 Pictures on the walls showed service users enjoying visits to the home by organisations within the community. One service user explained how she was able to vote by post. One relative said how she is able to visit freely and sit with her mother in the privacy of her room. Service users felt they had choices regarding their everyday lives and that their opinions were respected. The inspector received a few negative comments regarding the meals despite the majority of service users being completely satisfied. This was in respect of the provision for establishing preferences and offering regular choices. The meal provided looked very appetising and nicely presented. After serving the food some service users actually did not want their meal and were then offered choices. The management agreed it may be beneficial to seek their preferences before serving the meals, offering a choice and monitoring more closely the opinions of the residents with respects to provision and quality. All records pertaining to the catering and food hygiene were in order and the homes chef holds the necessary certificates in food preparation. The manager discussed how standard 15 could be audited and has agreed also to look at this in line with person centred planning. The current use of clothes protectors, beakers will need to be looked at to ensure each service user if offered only the necessary aids in a respectful and dignified manner. Staff were observed supporting clients in a polite and unhurried manner. The current environment only allows eight of thirty service users to sit at the dining table. The remaining service users sit around the lounge or choose to sit in their rooms. It was stated that this is going to be addressed in the plans to extend the existing premises. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The homes philosophy is open and transparent. Service users and stakeholders are informed of how to raise concerns /complaints. EVIDENCE: Some service users reported they were not aware of the full complaints procedure. During the visit all the necessary information regarding complaints was seen clearly written and accessible in the communal areas and in service users rooms. Staff comment cards identified appropriate measures are taken in the event of a service users wishing to complain. The home openly displays letters of compliment and monitors satisfaction. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 Quality in this outcome area is adequate. This judgement has been made using the available evidence including a visit to this service. The current premises are registered but are in need of significant improvement. Space and facilities are limited and a clear timescale of when works will be undertaken to improve the existing premises and facilities has not been made clear by the provider. The provider does invest heavily in all areas and acknowledges the environmental shortfalls. It would be considered good practice to review the homes infection control procedures in light of the new department of health guidance. EVIDENCE: The home has undergone some extensive alterations on the ground floor to allow level access to all areas of the ground floor accommodation. There are St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 17 also further alterations planned so as to improve the accommodation and facilities provided. It was clear during a tour of the premises that the provider has tried to maintain and upkeep the décor and general maintenance of the property. The current environment and layout is in great need for improvement. The areas causing concern are; • • • • • • • • • • Toilets are without hand basins. There is a lack of accessible and good bathing/ showering facilities. There is a lack of storage. There is limited space for the storage of medications and clinical equipments. One service user’s room is used as a through-fare. The layout of some rooms cause call bells to be laid across the room when the service users are in bed. Some rooms are not wide enough to accommodate a bedside locker and light within direct reach. The laundry floor and surfaces need to be maintained, as they cannot be cleaned as necessary in their current state. The position of the electrical sockets cause extension leads to be in excess use. The dining facilities cannot accommodate more than eight persons. It was clear there is considerable ongoing financial investment in the premises. The inspector was reassured that all the above concerns will be addressed in the new refurbishment and extension. The home will also be putting in a new shaft lift to make all areas of the home more accessible. It was noted that the sluice was out of use but the replacement equipment was delivered the day of the visit. This was stated to have been out of order for a month. The commodes were seen soaking in one of the homes unused bathrooms. The homes infection control policy was dated 2004 and the manager was informed there is a new guidance document regarding infection control, which was released this year. The homes current practice in relation to cleaning commodes and accessibility to hand washing facilities needs to be looked at in relation to the new guidance. Overall the infection control practices were not of concern. Service users felt that “Great efforts are taken by staff to keep the place clean”. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 18 Due to the limited space the home has areas where clinical equipments are openly stored and there are numerous notices, which are not conducive to a “homely environment”. It was stated that this will be improved with forth coming refurbishments. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Staffs are competent and the manager has improved their recruitment practices since the last inspection. The providers are well informed of employment law and anti discriminatory practice is upheld. EVIDENCE: During the visit the inspector observed the needs of service users being met by the number of staff on duty. A couple of service users reported they did not have their call bells answered quickly enough but here was no evidence to suggest this was a problem for the majority of the service users or during the visit to the premises. Staff records and comment cards would identify the homes commitment to providing a good level of training for staff. Training is provided in lines with the guidance from the skills for care council. Staff comment cards stated they were satisfied with the level of training provided. Records indicate over 50 of the homes staff hold a formal qualification in care. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 20 Recruitment records audited identify the home adopts a robust recruitment procedure. Discussions with management during the visit indicated that staff keep abreast of all aspects of employment law and related best practice, which is commendable. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The standard of administrative practice, projects undertaken and records kept would indicate the home is managed by competent, informed and skilled personnel, who strive continuously to monitor and develop ways in which to improve the already good standards within the home. The manager is keen to address areas needing improvement and acknowledges the needs to address poor care practice through regular supervision. EVIDENCE: The management team provided quality pre inspection information regarding the service prior to the visit being undertaken. This information with the St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 22 evidence gathered on the day clearly identified that there is a united and strong management team running the home. The staff are committed to providing quality services and measuring outcomes for service users. They make great efforts to keep abreast of best practices and changes for adult social care. They are open and transparent in that they invite outside agencies and organisations to monitor their commitment for quality and being a good business employer. The home has invested a great deal of time in quality processes and audit. They now want to develop an audit tool, which will monitor the quality of their provision in line with the new outcomes for social care provision and in meeting the national minimum standards. Staff do attend regular meetings and service users are kept informed by newsletter. Areas of poor practice in the provision of personal care and the supervision of care workers were identified as an area needing improvement. Staff comment cards indicate that supervision is not undertaken regularly and records have not been kept of any supervision. Therefore it could not be identified how poor outcomes for care practice are addressed. It was clear that personal care outcomes for the majority of service users was good but there was a concern that some individual care workers standards of care were poor in relation to hair care, nail care, personal hygiene and supporting the needs of individuals with regards to clothing and attention to personal detail. The home has a policy not to handle service users monies. It was explained that there are some issues with regards to some service users not being able to have adequate access to funds and that they are currently pursuing ways to ensure all service users have access to their personal allowance through family and care managers. All records would indicate all the necessary maintenance and equipment checks are undertaken. The home has a robust health and safety policy and records are up to date and organised. Staffs receive induction in line with best practice guidance and the management team are very keen to ensure compliance with relevant legislation for fire health and safety. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 23 The areas the manager said she will be addressing are for the recording, assessing and recording of appropriate manual handling interventions and better record keeping of the random water checks. In a recent letter from the fire authority the home was commended on its standards of safety and practices for fire prevention. St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 24 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 3 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 3 18 3 2 2 2 3 3 3 2 2 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 2 3 3 St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 25 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 OP36 Regulation Reg 18(2) Requirement Timescale for action 31/01/07 2 OP19 23 You are required to ensure that persons working at the care home receive formal supervision at least 6 times per year and records of this taking place, be maintained. All staff should have a supervision session by the given date. The provider must forward to the 30/12/06 commission the proposed time scales for when the environmental concerns regarding wash hand basins, bathrooms, service user bedrooms, dining room, storage and clinical areas will be improved. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Ronan`s Nursing and Residential Care Home DS0000011505.V313628.R01.S.doc Version 5.2 Page 27 - 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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