Inspection on 29/05/08 for St Winefrides Rest Home

This inspection was carried out on 29th May 2008.

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

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

Other inspections for this house

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE St Winefrides Rest Home 32 St Winefrides Road Littlehampton West Sussex BN17 5HA Lead Inspector Ian Craig Unannounced Inspection 29th May 2008 10:06 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 Winefrides Rest Home DS0000070955.V363163.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 Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Winefrides Rest Home Address 32 St Winefrides Road Littlehampton West Sussex BN17 5HA 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) 01903 717455 02392 294472 Shakti Care Services Ltd Mrs Indira Seedeehul Care Home 20 Category(ies) of Dementia (0), Mental disorder, excluding registration, with number learning disability or dementia (0), Old age, not of places falling within any other category (0) St Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE) Mental Disorder (MD) The maximum number of service users to be accommodated is 20. 2. Date of last inspection N/a Brief Description of the Service: St. Winefrides Rest Home is a detached building in a residential are of Littlehampton and is a short distance from the sea and promenade. There is a rear garden, which the residents use, and there is a parking area at the front of the home. It is registered to accommodate up to 20 older persons including those with dementia and/or a mental disorder. The home is staffed 24 hours per day and there is a registered manager. Activities are provided for the residents. Although the home has one double bedroom, at the time of the visit all residents were accommodated in single rooms. There is a lounge, which overlooks the rear garden, and the home has a dining room. The weekly fees range from £338.00 to £500.00. St Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The inspection was unannounced and lasted 5 hours. During that time a tour of the premises was undertaken. A number of residents were spoken to and one resident was interviewed in private. A resident’s relative was also interviewed. Survey forms were sent by the Commission to residents, and also to professionals linked with the home asking for their views about the service. Ten of these were returned and have been used for the purposes of this report. Discussions took place with the registered manager and with Mr. Seedehul, the responsible individual from the company who owns the home, Shakti Care Services Ltd. Two staff were interviewed about their work at the home. Records, documents and policies and procedures were also looked at as part of the inspection. This is the first inspection of the home under its new owners and new manager. What the service does well: The home carries out comprehensive assessments of residents’ needs including those people considering a move into the home. Potential residents and their relatives are able to visit the home to help them decide if they wish to move in. Residents state that their care needs are met and the home has been successful in improving a resident’s mental and physical health according to formal reviews carried by health and social services. A range of activities are available for the people who live at the home and choice is available in a number of areas, such as for food at meal times. Meals are nutritious and of a good standard. The people who live at the home are able to express their views. There are regular residents’ meetings which have resulted in residents being able to St Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 6 suggest how they would like to see the home improve which has then been followed up by the home’s management. The home’s environment is clean and well maintained. The new owners have plans to improve the environment by creating a second lounge area and other facilities. Staff have access to a variety of training courses and state that they feel supported by the home’s management. Staff have formal individual supervision and a system of formal appraisal monitors their performance. Checks are carried out on newly appointed staff so that the home knows they are employing suitable persons to work in the home. The manager is a qualified registered mental nurse with extensive experience of managing health and social care for those with mental health needs. What has improved since the last inspection? What they could do better: Improvements could be made to residents’ privacy by ensuring that each person has been offered a key to his or her bedroom door and recording this. This is also the case for providing lockable storage for residents to secure valuables. Newly appointed staff receive an induction but this is not always recorded. This should be completed so that the home’s management are sure that new staff have been instructed and are deemed competent to care for the people who live at the home. The fire alarm needs to be tested each week. Consideration and assessment of the locking of the front door for reasons of security needs to be completed and recorded to show that residents’ personal freedom has been considered. St Winefrides Rest Home DS0000070955.V363163.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 Winefrides Rest Home DS0000070955.V363163.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 Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home carries out a thorough assessment of the needs of anyone referred to the home for possible admission. This ensures that the home only admits those whose needs it can meet. Residents receive information about the home before moving in and are able to visit the home before making a decision about moving in or not. EVIDENCE: St Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 10 Information about the home is available for those considering a move into the home in the form of a brochure, a Statement of Purpose and a Service Users’ Guide. These are located in the entrance hall and the manager explained that each person receives copies of the Statement of Purpose and Service Users’ Guide during the process of being assessed for admission. Residents confirmed that they received information about the service before moving in. Residents also stated that they were able to come and have a look around the home, sometimes accompanied by a relative, before deciding to move in. Residents and a relative of a resident confirmed that they received a copy of a contract for their placement at the home. Copies of contracts with the local authority for individual residents are held with records. When someone is referred to the home for possible admission the manager completes a Referral Form. The next stage involves the manager visiting the person to carry out an assessment. This includes the completion of pro forma, which includes the following needs: • Personal details • Physical well being • Personal care ability • Personal hygiene • Mobility • History of falls • Continence • Diet and weight • Breathing • Communication • Sleep routines • Vision • Hearing • Oral health • Foot care • Personal safety and risk taking • Religious and cultural needs • Social interests • Hobbies past and present • Mental health Further assessments are carried out for Risks, Mental Capacity, Mental Health and Dementia. Residents’ records include copies of assessments carried out by health and social services including specialist assessments undertaken by the Care Programme Approach for those with mental health needs. Once admitted to the home reviews and assessments take place on a regular basis and include barthel and monthly score matrix assessments. St Winefrides Rest Home DS0000070955.V363163.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. Each resident’s needs are fully assessed and care plans are of a good standard. The home meets the personal and health care needs of the people who live there. The people who live at the home are treated with respect and dignity. EVIDENCE: Care records were looked at for five people who live at the home. There is a photograph of each resident held with both the care and medication records. St Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 12 Following assessment a care plan is recorded for each person. These give details of how personal and health care needs are to be met. Mental health needs are also included in the care plans and include details of behaviour, symptoms, and how staff are to provide support and care. Individual strengths are acknowledged with an emphasis on how the resident can maintain and develop these strengths. Assessments and care plans also show that individual residents are supported to maintain and develop their independence after the home has carried an assessment of any risks. These include the following activities: going out independently and exercises. A resident described how he/she has been able to maintain his/her independence by using her own transport to go out and about. The manager showed that the home offers a flexible approach to providing care. For example, staffing levels were increased for one person so that there was a ratio of one staff member exclusively for one person for significant periods of time. Health service review minutes detail how the care provided has improved this person’s physical and mental health. Records also show that the home liaises with specialist health services such as speech and language therapy, community mental health services and district nursing teams for assistance and guidance with needs such as pressure sore treatment and prevention. Each person has a moving and handling assessment and guidance for staff when involved in transferring any person. Care plans include details of each person’ social needs. These include how the person likes to spend their time, how stimulation is to be provided and activities provided. Religious and cultural needs are assessed and detailed. Care staff described how residents’ care needs are met and that they have received training in working with mental health needs such as dementia. Each of the survey forms returned by residents state that the home ‘always’ provides the care and support they need and that staff are ‘always’ available when needed. A visiting relative stated, ‘the standard of care is excellent and scores 10 out of 10.’ Residents also state that their medical needs are always addressed. Residents and a relative described the care staff as kind. Arrangements for privacy of bedrooms took place. The home’s management are making arrangements for a resident to have a suitable door lock for reasons of privacy and security. This is also referred to in the Environment section of this report. The home’s medication procedures were looked at. Currently, staff are trained in medication procedures by the manager. The home has plans for staff to receive medication training from a local college in the near future. Reviews of St Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 13 medication are arranged and the manager described how the home monitors the effects of each person’s medication regime. Where feasible, residents sign an agreement to have prescribed medication. Medication records and stocks of medication show that medication is being administered as prescribed. Medication stocks are appropriately stored. St Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 14 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. The people who live at the home are able to choose how they spend their time and have access to community facilities. Activities and stimulation are provided which residents benefit from. Meals are nutritious, of a good standard and include a choice of many homemade items. EVIDENCE: Residents were observed sitting in the garden. One person stated how much he/she likes sit in the sun in the garden enjoying watching the birds and admiring the trees and flowers. A number of residents were sat in the lounge either reading or playing board games. Several residents regularly play St Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 15 scrabble and dominoes together. Several residents were receiving visits from relatives and one person was being taken out on an excursion. A resident described how he/she likes to go out visiting places. One resident described how she knits woollen clothes for a charity. Another resident was completing crossword puzzles in his/her room. The manager and a resident described how there are regular trips out for the residents, usually by car. A diary is maintained showing regular daily activities for the residents. An entertainer visits the home on a regular basis. The home organises events to celebrate religious occasions and other significant dates, such as bonnet making at Easter. Books are available for the residents to read and one resident stated how he/she visits the local library. Some of the residents have a daily newspaper delivered. A number of residents have their own telephone line to their bedroom. There are residents’ meetings every 1 to 2 weeks when residents are encouraged to discuss anything about life at the home. The manager explained that this has resulted in residents being able to suggest improvements to the facilities, such as the location of the television in the lounge. The home has a menu plan and thee is a record of meals provided. Residents confirmed that they are asked each morning what they would like to eat from a choice of two meals for lunch. On the day of the visit this was chicken casserole or chicken pie with mashed potato, broccoli, cauliflower, peas and carrots. Dessert was a choice of bakewell tart or lemon meringue. The meals are home made and looked appetising. Comments from residents and a relative are that the meals are very good. Arrangements are made for any special diets or cultural preferences such as kosher food. A resident and a relative confirmed that a specialist diet is provided. The dietary needs of residents are monitored and recorded where necessary. This includes checks on checking how much is eaten and regular weight checks. St Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 16 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 home takes steps to ensure that the rights of the people who live at the home are upheld and that they are protected from possible abuse. EVIDENCE: The home’s complaints procedure is available to residents and their relatives in several formats. A copy of the procedure is displayed in the hall and is contained in the home’s Statement of Purpose and Service Users’ Guide. Residents confirmed that they know what to do if they have a complaint. The home has a logbook to record any complaints. The home has its own procedures for dealing with suspected abuse of vulnerable adults as well as a copy of the local authority procedures. Staff receive training in adult protection. This is recorded and was confirmed by the staff. St Winefrides Rest Home DS0000070955.V363163.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, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and well maintained reflecting a commitment to promoting the dignity of the people who live at the home. EVIDENCE: The communal areas of the home were seen as well as a number of residents’ bedrooms. There is a lounge with a wide screen television and comfortable seating for the residents, who were observed reading and playing board games. Large sliding St Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 18 glass patio doors open onto the garden where there are seats and tables. A resident was enjoying the sunshine and stated how much he/she liked sitting in the garden. The home has plans to create an additional lounge. There is a dining room with tables and chairs. Carpets have been recently replaced in communal areas. Bedrooms are clean and decorated in a homely style. Residents have various items of their own possession in their rooms including furniture, books, pictures and items related to hobbies. Each bedroom has a telephone line, which residents can activate to have their own dedicated telephone. All bedrooms are single. Four of the bedrooms have an en suite toilet. There are two communal bathrooms on the first floor, one of which has a hoist. There is also a ground floor bathroom. The home plans to create a further bathroom with a walk in shower facility. The home is clean and there is an absence of any unpleasant odours. It was noted that the locks on bedroom doors are not suitable for those wishing to have a key to their room. There was no clear record that any of the residents has been offered a key to his or her bedroom door. One reside says he/she has not been offered a bedroom door key. This was discussed with the home’s management who stated that one person wishes to have a bedroom door key, but that this has not been recorded, and that a suitable lock will be installed. A suggestion was made that each person is asked and/or is assessed regarding whether or not they wish to have a bedroom door key and a record made. This was also found to be the same for the provision of lockable storage in bedrooms, which could be addressed in a similar way. One resident stated that he/she is able to leave the home when he/she wishes, but that the front door is frequently locked by a bolt at the top, which he/she cannot reach. This is done for the security of those who may leave the home placing themselves at risk. The home’s management state that this is being looked into and arrangements made that permit security, freedom of movement, and also meet fire safety standards. St Winefrides Rest Home DS0000070955.V363163.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. Staff are generally well trained and supplied in sufficient numbers to meet the needs and wishes of the people who live at the home. Residents are protected by the home’s recruitment procedures. EVIDENCE: The home aims to provide at least 3 care staff from 8am to 8pm each day. The staff rota, observations and discussions with staff confirmed that the home is achieving this. The home’s management team work in the home and their hours are additional to the above. Residents, and a relative, describe the staff as kind and helpful. The home employs 16 care staff. 5 of these are qualified at National Vocational level 2 or above in care and a further 5 staff are studying for the award. St Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 20 Training records and conversations with staff confirm that a variety of training courses are available. This includes staff attending the following: urinary tract infection, mental capacity, care planning, adult protection, risk assessment, mental health, mental capacity and strokes. Staff confirmed that they have received training from a local college in working with people with dementia. Each staff member attends training in moving and handling and fire safety. A number of staff are trained in first aid and food hygiene. Newly appointed staff receive an induction. The home has an induction procedure based on nationally recognised standards. For three recently appointed staff the induction programme has only been recorded for one person. The two remaining staff have previous experience in care work, which led the manager to consider that using the common induction standards was not necessary. There was neither a record of an induction taking place nor an assessment of the care staff members’ ability to work without supervision. Staff confirm that they receive regular supervision. Records show that individual staff performance reviews take place. Regular staff meetings take place and are recorded. Staff recruitment procedures were looked at. Checks are made on staff before they commence work and include 2 references being obtained, a criminal record bureau (CRB) and protection of vulnerable adults (POVA) ‘first’ check. Staff undergo an interview before starting work to check their suitability for the post. St Winefrides Rest Home DS0000070955.V363163.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, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed with the needs and wishes of the people who live at the home central to much of the decision making. Some improvements are needed to the ensure the health and safety of staff and residents. EVIDENCE: The manager has more than 35 years of experience in nursing care and management in both health service and residential care settings. She is a St Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 22 Registered Mental Nurse and a State Enrolled Nurse. She completed a National Health Service management course in 1999, but has not completed the National Vocational Qualification level 4 in care or the Registered Manager’s Award. The home has a number of ways to monitor its performance including the completion of a monthly report on the performance of the home. Surveys are distributed to residents and their relatives asking for comments about the service provided. There are regular meetings where residents are consulted about any planned changes and where they can speak about life at the home and suggest improvements. This was confirmed from discussion with the home’s management and with a resident. The home does not use a formal system of audit but it was clear throughout the course of the inspection and from the completed Annual Quality Assurance Assessment (AQAA) that the home’s management is involved in reviewing the home’s practices and procedures. The management of the home are clear about plans for the home’s future including refurbishment plans and other improvements that they need to make, although these are not set out in a formal annual development plan. Where the home handles any resident’s finances a record is maintained of any amounts being held, withdrawn or deposited. Valuables are securely stored. Records and conversations with staff and management confirm that regular individual staff supervision takes place. Arrangements are being made for additional staff to receive first aid training. Staff are trained in moving and handling and infection control. The issues involved in the locking of the front door by a bolt are mentioned in the Environment section of this report. A full assessment of the safety of residents including fire evacuation should be carried out including liaison with the fire service if necessary. The home completes a record of weekly testing of the fire alarm. It was noted that this had not been done for the previous 4 weeks although the manager stated the tests had been carried out but not recorded. Radiator covers protect residents from possible burns. Temperature control devices are installed on baths and showers to prevent possible scalding from hot water. It was unclear if regular tests are carried out of the water temperatures. This should be carried out and a record maintained. St Winefrides Rest Home DS0000070955.V363163.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 3 4 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 2 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 St Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 24 N/a Are there any outstanding requirements from the last inspection? 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 OP30 Regulation 18 (1)© Requirement Newly appointed staff must receive an induction and suitable training to ensure that they are competent to work independently. Timescale for action 30/07/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Winefrides Rest Home DS0000070955.V363163.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Winefrides Rest Home DS0000070955.V363163.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. 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