Inspection on 22/08/05 for Standon Hall Care Home

This inspection was carried out on 22nd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Standon Hall Care Home 24/05/06

Standon Hall Care Home 09/02/06

Standon Hall Care Home 22/03/05

Standon Hall Care Home 02/08/04

Standon Hall Care Home 01/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Standon Hall Care Home Standon Near Eccleshall Stafford Staffordshire ST21 6RA Lead Inspector Yvonne Allen Unannounced 22 August 2005 9:30am 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 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. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Standon Hall Care Home Address Standon Near Eccleshall Stafford Staffordshire ST21 6RA 01782 791555 01782 791396 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Standon Hall Home Limited Mrs Beverley Davies Care Home with Nursing 25 Category(ies) of 2 DE registration, with number 9 OP of places 25 PD 25 PD(E) Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: PD minimum age 60 years Date of last inspection 22 March 2005 Brief Description of the Service: Standon Hall is a care home providing personal and nursing care and accommodation for up to 28 service users over the age of 65 years. The home also provides care for up to 2 service users with dementia (over the age of 65 years) and care, including nursing care, for up to 28 service users with physical disabilities over the age of 65 years.A private company known as Standon Hall Home Ltd owns the home.The home is located on the outskirts of the market town of Eccleshall in Staffordshire. It is in the middle of the countryside and is not close to shops, pubs or other conveniences. The home has a minibus to transport service users to nearby towns and villages.The home was built as a stately home several years ago and was first registered as a nursing and residential home on 6/3/96. Service users are accommodated on two floors. The home also has an attic and cellar area.The home has 14 single rooms, 2 with ensuite facilities and 7 double rooms, and 5 of which are ensuite. There is a passenger lift. The home has extensive grounds and gardens, which are well maintained and accessible. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by two inspectors and took 5.5 hours. During that time inspectors toured the home and met with residents, staff and visitors. Relevant records and documentation were also examined. The Acting Manager was on annual leave and the Deputy Care Manager was overseeing the management of the home in her absence. This care home is receiving two unannounced visits this year as it has a history of significant shortfalls in meeting National Minimum Standards and associated regulations. A monitoring visit was made to this home between inspections to ensure that requirements are met within the timescale. What the service does well: What has improved since the last inspection? After a considerable period of instability, management of the home has now improved with the employment of a permanent manager who is undergoing registration with the CSCI. The low scoring of this standard is due to the fact that the manager is not yet fully registered and approved with the CSCI. A recently appointed deputy supports the manager. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 6 Staff now feel more supported with their training needs and staff supervision is taking place. As a result staff morale has improved within the home Mandatory health and safety staff training has improved also. Quality assurance has improved with evidence of audits being now carried out, these now need to be developed further to include all areas. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 4 Following an initial assessment of needs, residents and their families can be assured that the home will be able to meet these needs in a polite and professional manner. EVIDENCE: There was evidence that service users had undergone an assessment of their needs before entering the home. These were contained in care plans. Where residents had been admitted via social services, their assessments were seen contained in individual plans. The inspectors spoke to several residents, and a set of visitors, and the general consensus was that the standards of care received was what they would have expected in a care home. Within this generalisation, some residents were less satisfied than others. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 9 One person was concerned that a lady who sat by her at teatime needed constant encouragement to ensure she took an adequate diet, and felt that staff neglected her. When questioned, a senior member of staff referred to the care plan that recognised this persons needs, and told the inspectors that her placement next to the more able resident was intentional, and that this encouraged the lady with her diet. The staff member felt that the resident enjoyed helping the other resident and actively encouraged this lady to sit next to her. A senior care assistant at the home was heard making telephone calls to the hospital in order to arrange an earlier appointment at the eye clinic for one of the residents who was experiencing pain following eye surgery. This was done in a professional polite manner. The care assistant was persistent and succeeded in securing an early appointment for the lady who was relieved at the news. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 Care plans required further attention particularly in relation to reviews and consultation with residents. Improvements need to be made in order to ensure that the rights, wishes and dignity of residents are upheld at all times. EVIDENCE: Case tracking was undertaken. A sample of care plans chosen in response to talking to residents, or as a result of observations taken when walking around in the home, were reviewed in detail, and formed part of the case tracking methodology of this inspection. One care plan in particular had some quite prescriptive restrictions recorded by health professionals at the point of admission, but was very short on supporting evidence that would have informed staff as to why this person should not do certain things, and the module on consent had not been signed either by the resident, or by anyone acting on his behalf. Later, when being interviewed, this particular resident said that he did not know what was in his care plan. Both these issues were subsequently seen to have been picked up by the manager during a recent audit of care plans, but such fundamental aspects of caring for someone should have been completed much earlier than Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 11 nine months after admission. Concern was also felt about the lack of a protocol for dealing with sexually inappropriate behaviour, incidents of which were recorded several times in the daily record. Whilst the more recent entries reflected a more consistent approach to the use of care plans, there were worrying discrepancies in the way reviews were recorded, some being regularly written up with a note of whether there was any change to record, some merely having evaluation dates entered, and some with no entries at all. The actual daily records were much better, reflecting activities engaged in, care given, pressure area monitoring, and food and fluid intake, in an informative and appropriate manner. Concern was also expressed to the senior member of staff on duty regarding the care plan of a former resident of 30 years standing of a large mental health institution, who was recorded on admission as having smoked ten cigarettes a day all his life. There were instructions to staff to encourage him not to smoke more than three cigarettes a day, but no evidence of any input from himself, or anyone acting on his behalf, in this decision. There appeared to be an assumption that smoking is undesirable, without any specific medical direction relating to this particular resident, or evidence of a risk assessment justifying this infringement of his lifestyle. None of the residents who spoke with the inspectors felt that their privacy was compromised by the action of care staff, but the need for a gentleman wheelchair user to leave and enter the building by a side/rear entrance most certainly did not uphold his dignity, and will be the subject of a requirement. The inspectors also felt that having his name written in indelible ink onto the fabric of his shirt, whilst convenient for laundering, was an abuse of this gentleman’s personal dignity, and there will be a requirement concerning this practice as well. These plans detailed visits by both G. P. and District and Community Psychiatric Nursing services, and access to Dentist, Optometrists, Chiropodists, and a range of other specialist health professionals, for both input and advice. There were weight charts, tissue viability assessments, sleep pattern records, and details of regular outpatient and hospital visits for ongoing medical conditions, as well as visits to the accident and emergency department as and when required. Assessment for, and provision of, continence supplies, was in evidence, and this was supported by discussion with a senior member of staff. In the room of one resident a tub of aqueous cream was noticed. This had been dispensed on 15/3/05, but had no date of being opened on it. The clinical room was very warm and there was no thermometer in place to monitor this. Instructions stated that some liquid medicines should be kept below 25 degrees centigrade, and whilst the room temperature was not measured, both inspectors felt that it was too hot for the appropriate storage of this item. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 The activity hours provided, standard of meals served and promotion of personal autonomy for residents are all in need of further improvement and attention to detail in order to maximise the quality of life experienced by the residents in the home. EVIDENCE: Residents were asked about their level of satisfaction with the way they spent their time. One gentleman wanted to be able to write some letters, but said he had no paper or a pen, and this was brought to the attention of the senior member of staff on duty. There was concern about the number of dedicated activity hours to the home. The activity co-ordinator worked 25 hours but this was divided between this home and the other home on the complex – whose residents had differing needs. A requirement has been made prior to this inspection for more activity/therapeutic hours to be provided between the two homes. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 13 Evidence of residents having brought into their rooms personal possessions was very mixed. Some rooms, especially the larger ones, displayed several items of furniture as well as photo’s and other smaller mementos, whist some rooms were very sparsely furnished. The proprietors had obviously been concerned that each resident should have a photo frame in which to put snaps of their choice, but in some rooms, even these were still blank. The inspectors suggested that where residents did not have any homely possessions to bring with them, such as those people who had spent most of their previous lives in long stay institutions, that items should be purchased on their behalf, and extra attention given to decorating their rooms, to make them less austere. The inspectors were able to talk to the daughter of one resident, and she stated that the quality of the food in general was poor and that her mother was dissatisfied with the meals in general. One resident stated that the food varied. He said that there was plenty of variety, but in his opinion there had recently been a reduction in quantity. He also compared the deserts to school diners, saying that there seemed to be a preponderance of milk puddings. Another resident said that he would have welcomed the opportunity to have an egg with his toast each morning. The inspector had to get him to repeat this, and was concerned that some staff might not have known what it was that he was asking for. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home has a satisfactory complaints system and the systems in place help to safeguard residents from harm. EVIDENCE: The manager of the home maintains records in relation to the investigation and outcomes of complaints. From those seen previously, these are very thorough and unbiased. Up to date information regarding the number of complaints currently being dealt with by the manager was unavailable as she was on annual leave at the time of the inspection. The CSCI have received no complaints directly for this home since the last inspection. There was a clear complaints procedure displayed on the wall. Staff are made aware of the policy on POVA during the induction period. There was written evidence of training sessions on abuse. Staff spoken to confirmed that they would know what to do in relation to the reporting of abuse. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 15 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 standard(s) 19, 20, 21, 22, 23, 24, 25 and 26 The home offers accommodation in very spacious surroundings. However, the general décor and standard of furnishings is poor and antiquated and the home requires redecorating and refurbishing in most areas. EVIDENCE: On a previous inspection, attention had been drawn to the weeds infesting the terrace at the front of the hall overlooking the grounds and countryside, and weed killer had obviously been applied, as the weeds were no longer verdant, but dead. They now need to be removed so that residents can benefit from the stately surroundings of this home. Internally, many of the metal-framed windows were in a poor state and were in need of redecoration. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 16 The lounges were extraordinarily spacious, with many original features such as fireplaces and carved over mantles, and panelling. However, their very size made them appear sparsely furnished, especially the room used by the smokers. Unfortunately this room is all too easy to identify from the cigarette burns in the central carpet. Also some of the armchairs were very worn, and in need of replacement Some of the communal toilets visited were in severe need of an upgrade, with fittings that would not have looked out of place in a museum. In the toilets numbered 32, on the upper floor, a toilet cubicle had been taken out of service to install hand-washing facilities, there was no soap dispenser or/and hand towel provided. This work must be completed and the site made safe for residents immediately. The inspectors were concerned in bedrooms where washing or en-suite facilities had been provided in a separate, room with dividing door, that some lacked provision of emergency call equipment. In bedroom number 25, a heavy wardrobe was no longer secured to the wall, and constituted a potential hazard to both staff, and the resident. In one bathroom on the upper floor, both the shower unit, and the water supply to the Parker bath were tested, and even after leaving them running for excess of two minutes, the water was merely tepid. Both inspectors identified chandeliers in communal areas of the home where light bulbs were not working, the highest number in any one unit being three bulbs that needed replacing. Another resident who was confined to a wheel chair, and whose ability to communicate verbally was limited, took the inspectors to the front door, pointed to the steps, and proceeded to indicate to them that a ramp should be fitted, so that he was not stigmatised by having to use a rear entrance that did have level access, when everyone else was able to use the front door. In bedroom number 14 the carpet was very rippled and presented a tripping hazard. This must be replaced and made safe. In bedroom 17 the towel rail in the en suite was broken and needs repairing. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29 Staff are carefully selected to work at the care home and are provided in sufficient numbers. However, attention needs to be given to improving communication between staff and residents. EVIDENCE: Some residents said they became embarrassed by the number of times they had to repeat things to staff whose first language was not English, or by having to repeatedly ask them what it was they were trying to say. The inspectors also had difficulty in communicating with some carers on duty, and question the proportion of international staff, in a home where many people have reduced hearing ability, or levels of confusion. They feel it to be particularly important that staff not only have a working grasp of the English language, but are also trained in diction and annunciation so that they communicate that English in a clear and audible fashion. There were a total of 19 residents accommodated in the home at the time of the inspection, 9 of whom were in receipt of nursing care. The acting manager was away on annual leave and the recently appointed deputy care manager was on duty. He was working supernumery on management duties. There was a registered nurse on duty supported by 3 care assistants, one of whom was a senior. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 18 The staffing levels provided at the home at the time of the inspection were found to be in keeping with minimum requirements for the number of residents accommodated. Employee files were examined and found to contain the required police checks and references. There was no work permit in place for one of the employees recruited from oversees. The inspector was informed that this would be at head office but a copy of this must be kept at the home and available for inspection. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36, 37 and 38 Residents and staff benefit from the new management style in the home. The development of quality assurance would help to improve services provided in all areas. EVIDENCE: The acting manager of the home was on annual leave at the time of the inspection. She had applied for registration with the CSCI and had recently attended an interview. She had the necessary skills and experience to run the home. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 20 Staff commented that they felt supported by the manager and that improvements had been made in relation to the day-to-day management. Formal staff supervision had been commenced and records were in place. One of the registered nurses had recently been promoted to Deputy Care Manager of the home. The manager had started to carry out quality surveys and there was evidence of the auditing of care plans. This now needs to be further developed to include all the services offered by the home and to take into account the views of the residents. The food and meals served at the home now needs auditing. Records were maintained securely and in accordance with data protection requirements. Records were examined in relation to the maintenance and servicing of equipment at the home. Inspectors were very concerned to discover that the required remedial work/replacement in relation to the water tanks, as recommended by the Water Authority Department in May 2005, had not taken place. An action plan is now required from the providers. In bedroom 13, the covering of the hot water pipe work needs to be continued along the bottom in order to minimise the risk of burns to the resident. It was noted that some of the bedroom doors did not have the name of the resident in place. This must be addressed as per fire safety requirements. Mandatory staff training had taken place and records maintained. This had improved since the last inspection. Staff spoken to confirmed that they had received this training. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 2 15 2 COMPLAINTS AND PROTECTION 2 2 2 2 2 2 2 2 STAFFING Standard No Score 27 2 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 1 1 3 x x 3 3 2 Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 22 yes 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 7 Regulation 15 (2) Timescale for action Reviews in care plans must be Immediate consistent and include signatures and on of the assessing nurse. going PREVIOUS REQUIREMENT. Residents must be allowed to Immediate continue with lifelong habits such and on as smoking unless there is going supporting medical evidence to suggest otherwise. A risk assessment must be developed. The autonomy and dignity of Immediate residents must be respected and and on promoted at all times by the going staff in the home. This was in relation to the writing of a residents name on the front of his clothing. Clothing should be labelled discreetly. A thermometer must be installed Immediate into the clinical room to monitor and on the temperature in which going medication is stored. The redecoration and Immediate refurbishment programme and on throughout the home must be going developed and continued without delay. PREVIOUS REQUIREMENT Liquid soap, disposable towels By 30/9/05 and a waste bin must be provided by the washhand basin in the toilets - numbered 32. Version 1.40 Page 23 Requirement 2. 7 15 (2) 3. 10 12(4)(a) 4. 9 13 (2) 5. 19 23(2)(b) 6. 26 16(2)(j) Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc 7. 8. 9. 19 and 38 19 and 38 25 13 (4) 13 (4) 23 (2)(j) 10. 11. 12. 13. 25 24 24 22 23 (2)(p) 13 (4) Emergency call bells must be provided in all ensuite rooms. The wardrobe identified in room 25 must be secured to the wall to prevent it toppling over. The temperature of the hot water at the outlet to the Parker bath must be maintained at 43 degrees centigrade. Light bulbs must be replaced around the home where needed. By 30/9/05 Immediate and on going Immediate and on going Immediate and on going By 30/9/05 By 30/9/05 By 20/10/05 Immediate and on going Immediate and on going Action Plan required by 30/9/05 By 30/9/05 Immediate and on going 14. 27 15. 16. 29 38 17. 18. 38 38 The carpeting must be replaced in bedroom 14 and the flooring made safe. 23(2)(b) The towel rail in the ensuite in bedroom number 17 must be reaired. 23(2)(n) A ramp must be installed at the front entrance to allow wheelchair users front access to and from the home. 19 (5) All staff employed must posess the required communication skills in order to be able to meet the needs of residents. 19(schedu Employee files must contain le 2) copies of work permits in relation to staff from overseas. 23 (5) All water tanks must be brought up to WS Reg 1999 standards or replaced. PREVIOUS REQUIREMENT 13 (4) The remaining exposed hot water pipes must be covered in bedroom 13. 23(4)(iii) Bedroom doors must display the name of the resident accommodated in the room. 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 Good Practice Recommendations E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 24 Standon Hall Care Home 1. 2. Standard 14 15 Attention should be given to improving and personalising the bedrooms for residents who do not have the capacity to do so. Quality audits should be further developed and carried out in relation to the quality, quantity and variety of meals provided. This should include the views of the residents in the home. 3. Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Standon Hall Care Home E51-E09 S22376 Standon Hall V246128 220805 Stage 4.doc Version 1.40 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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