Inspection on 20/02/06 for Stanton Court

This inspection was carried out on 20th February 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.

Other inspections for this house

Stanton Court 04/05/07

Stanton Court 26/09/06

Stanton Court 30/10/05

Stanton Court 29/03/05

Stanton Court 20/07/04

Stanton Court 21/11/03

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Stanton Court Stanton Drew Bath & N E Somerset BS39 4ER Lead Inspector Wendy Kirby Unannounced Inspection 20th February 2006 9:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 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. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stanton Court Address Stanton Drew Bath & N E Somerset BS39 4ER 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) 01275 332410 01275 333510 stanton.court@blueyonder.co.uk Brightwell Care Limited Diane Jane Piekarski Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. May accommodate up to 36 persons aged 50 years and over requiring nursing care May accommodate up to 3 persons aged 65 years and over requiring personal care. Staffing Notice dated 22/02/2000 applies Managers must be a RN on parts 1 or 12 of the NMC register. Date of last inspection 30th October 2005 Brief Description of the Service: Stanton Court Care Home is registered to provide care for 36 residents requiring nursing and personal care. The home is situated in the village of Stanton drew near Chew Magna. The home can be accessed by car and public transport services and is approximately 20 minutes from Bristol or Bath. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection conducted as part of the annual inspection process. The inspection lasted one day. During the inspection the inspector spent time in discussions with the manager, registered provider, and sister in charge and examined a number of records, including four residents care plans, and records relating to the day-to-day running and management of the home. The inspector received an accompanied tour of the premises. Time was spent observing the residents in the home throughout the course of the visit and four were spoken with at length and two visitors. Members of staff were observed on duty and two were consulted individually. What the service does well: Staff were observed as being respectful, warm in manner, good humoured and sensitive towards the residents within a relaxed homely environment. A high standard of personal and nursing care is provided and staff work hard to meet the needs and wishes of the residents. Residents stated that staff were responsive to their care needs. The manager and the sister in charge had built a good rapport with individuals and were knowledgeable about the care needs of the individuals living in the home. The activities provide a regular, varied and stimulating programme. Activities include, organised trips and in-house entertainment. The homes environment and its surroundings meets the residents needs and provides great pleasure and enjoyment to them. All areas of the home were tastefully decorated, clean and well maintained. Meals were well presented and residents requiring help with feeding were well supported. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 6 What has improved since the last inspection? 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. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 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 the following standard(s): 3,5 Prospective residents needs are assessed prior to admission to determine the suitability of placement to ensure that their needs can be met. EVIDENCE: The Inspector looked at four pre-admission assessments, which were completed fully and were informative. The prospective resident, family and carers are involved in the pre-assessment and all information is used to determine the suitability of the placement. Where possible the manager had also obtained comprehensive assessments and care plans from other professionals involved for example, social workers and hospital staff. Prospective residents are encouraged to visit the home either for the day or perhaps for lunch dependent on their wishes. A brochure containing a service user guide and statement of purpose is also made available to prospective residents and their families. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 9 One resident spoken to as part of the inspection confirmed that she had received relevant information prior to admission and had made a visit to the home before she made her decision where to live. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 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 the following standard(s): 7,8,10 Individualised planned care is detailed in each residents file, along with risk assessments, however the information had not been reviewed consistently and subsequently some information was out of date. Although health and personal needs are identified the resident’s social needs are not full in content. Staff have a good awareness of individuals needs and treat the residents in a warm a respectful manner, which means that they can expect to receive care and support in a sensitive way. EVIDENCE: Four resident’s care plans were inspected to monitor how residents are being supported to meet their needs. Care plans addressed resident’s physical and health needs however their social needs were not full in content. Plans were not completed with regards to social needs including, psychological, emotional, and cultural needs The plans had not all been reviewed monthly and required updating to reflect the residents current needs. The care plans did not indicate that wherever possible the resident or family had been involved in their development. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 11 Health Care needs were well evidenced in the Care Files and included, wound care, nutritional, and pressure area risk assessments. Some of the information had not been regularly reviewed and information was out of date. Records of the General Practitioner (GP) visits/contact with residents and the outcomes were also available. The home had access to pressure relieving equipment and this was documented in the plan of care. Specialist referrals and visits from other professionals were evidenced in care files including community, chiropodists, opticians and dentists. The Inspector was informed that each resident was referred to a GP on admission to the home and an initial first visit was then set up. The GP conducts a weekly visit to the home. Good working relationships with the GP have been formed, who will visit on request. The GP conducts six-monthly medication reviews for each resident and also requests regular blood tests on the residents as part of their health screening. Risks assessments had been developed to identify potential risks including manual handling and the use of bed rails. It was evident from consultation and observation that the manager and the sister in charge had built a good rapport with individuals and were knowledgeable about the care needs of the individuals living in the home. Residents stated that staff were responsive to their care needs. The atmosphere in the home on the day of the inspection was relaxed. Staff, the manager and residents were observed to have good relationships. Staff responded to residents in a sensitive and professional manner. Staff were witnessed knocking on residents doors before entering confirming respect for the residents individual privacy and dignity at all times Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 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 the following standard(s): 12,13,14,15 Residents benefit from a varied activities programme, which is both enjoyable, stimulating and meets individual preferences and expectations. Residents maintain family contact and staff encourage family and friends to join in with household activities. Relatives feel they can advocate openly on behalf on their relative. Residents receive a varied and wholesome diet that they are able to influence. EVIDENCE: Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 13 In conjunction with the staff the providers develop a monthly timetable of activities and forthcoming events. A copy of this is circulated to each resident and placed in communal areas throughout the home, to ensure that all residents and visitors are aware of planned activities. Residents take part in a range of social activities including reminiscence therapy and organised games. Residents spoken with expressed firm favourites such as arts and crafts particularly sweet making, and making things for special times in the year e.g. Easter and Christmas. Trips out have included garden centres and Brockley Coombe, which are organised twice a year. A number of residents said that there is regular entertainment provided in the afternoons including singers, entertainers and guest speakers. Special events are arranged for this year and residents and visitors are sent invitations to attend “Midwinter Caribbean Cruise Party”, “Strawberry tea” and “Bank Holiday BBQ” to name a few. A photographic display of memorable days and events was on view in the corridor, which is regularly updated. One resident is taken to church by his daughter every Sunday, and the local Reverend takes a service in the home once a month and will visit residents individually if requested. The grounds and gardens are extensive at Stanton Court and the residents take advantage of sitting on the terrace enjoying the country views when the weather permits. The home also has a mobile shop and residents can buy a range of useful dayto-day items, including toiletries, sweets and a selection of greeting cards. The home operates an open house policy. One visitor visits every night at 8pm. Staff request that they are informed of people visiting before 11am so that they can ensure that residents are ready to receive guests. The hairdresser visits weekly. Due to the size and layout of the dining room it is not possible for all residents to enjoy the social advantages of dining together. Staff had used their expertise and knowledge of the residents, personalities, preferences and ability to eat independently, when seating them for lunch. Some residents had chosen to eat their meals in their rooms. Staff were seen taking both courses to the residents in their rooms, which indicated that their puddings would be getting cold whilst they were eating their first course. This was discussed with the manager who explained that she had previously asked Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 14 staff to cease this practise and it was agreed that she would request that this does not happen again. Residents that required assistance with eating their meals were supported by staff members, this was performed in a respectful, sensitive way, for example without rushing the residents and staff were sat at the same level as the resident. Staff were seen to be polite and helpful when serving the meals giving explanations and making comments to the residents such as “be careful it may be a little hot”, “would you like me to cut your food up for you”, and “would you like any salt or pepper”. The meal on the day of inspection was fish with a parsley sauce, potato and fresh vegetables followed by homemade sponge and strawberry custard. Comments from the residents were “the food was very tasty” and “the fish was lovely”. All residents were served a variety of squashes with their meals and throughout the day. Some resident’s had chosen to have a glass of sherry with their meals. The inspector spent time with the cook and her assistants. The chef was able to demonstrate a competent awareness of individual requirements and needs of the residents, including personal preferences. There were menu cards in the kitchen, which detailed what the individual liked for breakfast and requests. The chef stated that some of the residents enjoy a full English breakfast whilst others prefer tea and toast but that requests are always catered for. The 8-week menu rota displayed traditional meals and choice was available at each setting. The menus are reviewed to reflect seasonal trends and availability of produce. Extras are ordered on request for birthdays and special occasions. The inspector was told that if a resident enjoyed a bottle of stout every night then they would order this in for him. The chef explained that she spends time with the residents on a daily basis to see if they have enjoyed their meal and if they are happy with the menus. One resident sends the chef a daily written note commenting on the meal provided. Fresh fruit and vegetables are delivered daily and bowls of fruit are passed around to residents during the drinks rounds. The kitchen was clean and spacious and stores exhibited a good range of foods. Some storage cupboards were cramped and shelving was limited. Cardboard boxes had been placed on top of two upright freezers, which is a fire risk, and a requirement was made to remove them. Since the inspection the inspector has been notified that this has been done. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 15 The inspector was informed that there were not sufficient hot water supplies to assist with cooking, and some of the washing up. The providers explained that the water tank, which supplies the kitchen, also supplied water to a bathroom and some resident’s hand basins in their rooms which means that hot water can run out when the bathroom is in heavy use. A requirement will be made to provide adequate water supplies to these areas. It was understood that the provider was in the process of doing this prior to publication of this report. Documentation was provided to show the inspector that required temperature checks were being carried out on fridges and freezers and that food was also being probed after being cooked before serving. Risk assessments were in place and up to date. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The systems in place help to protect residents from abuse and ensure complaints are responded to promptly, however staff training is needed to consolidate the protection of residents. EVIDENCE: A copy of the complaints procedure is on display in a well-frequented part of the home, which means people will know how to obtain the required information if they want to make a complaint. There have been no complaints received. The manager has attended training on the Protection of Vulnerable adults (POVA) and has been on the Alerter course and enrolled on the Investigators course, however all other staff in the home have not received in house or formal training on POVA issues. This was discussed with the manager and provider during the inspection and will be addressed as part of their need to develop a training plan for all staff with regards to mandatory training. There are procedures as well as a range of guidance information on the topic of protection of vulnerable adults from abuse’. The availability of this information should increase staff awareness and understanding of their role in protecting vulnerable adults who live at the home. A number of staff are undertaking the National Vocational Qualification in care award, and a component of the award addresses issues around the topic of the protection of vulnerable adults from abuse. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25,26 The home is clean safe, and looks well maintained. In one area of the home there is not an adequate supply of hot water. EVIDENCE: The home is set in extensive landscaped gardens in a quiet village, near to a church and village pub. The owners have renovated and refurbished the home to a high standard whilst retaining several original character features. The building is an older spacious converted property, built over three floors, with a range of suitable adaptations in place throughout the home to assist people who may have limited mobility. There is lift access to each floor. The property is located a car ride away from the village of Chew Magna, where there are shops, services and amenities. The home is also a short drive away from nearby motorway access, and a large shopping mall. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 18 The inspector walked around the inside of the home and viewed, most of the bedrooms, all bathrooms and the communal living areas including the dining room, two lounges and a large conservatory. Room sizes are generally adequate for their stated purposes, particularly the lounges and conservatory and some of the bedrooms. One lounge has recently been re-carpeted. A number of rooms have en suite facilities provided. The remaining rooms are not en suite, but have hand washbasins and shared toilets are located in close proximity to all bedrooms. As mentioned previously in the report adequate provision must be made to provide one area of the home with sufficient hot water. All areas of the home were tastefully decorated, clean and well maintained. Great attention has been given to ensure that all areas are homely. Residents had been supported to personalise their bedrooms with pictures and ornaments. The manager stated that residents are able to bring items of furniture should they wish. Residents were making full use of these areas and their bedrooms on the day of the inspection. A number of residents said how much they liked the views of the countryside from their bedroom windows. The home was clean and free from unpleasant odours. The home employs domestic staff on a daily basis. Residents’ comments confirmed that their bedrooms were cleaned on a daily basis and regular spring-cleans were completed including the cleaning of the carpets. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 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): 29,30 Residents are supported and protected by the homes recruitment policy. Residents, visitors and staff would be further protected if all staff received mandatory training. EVIDENCE: The recruitment process was examined and all staff records examined showed that the home follows a recruitment procedure. Records contained application forms, references, and a CRB (Criminal Records Bureau) disclosure. There is an induction programme, which includes Fire Safety, Manual Handling, Health and Safety. The home has a mentor system where all new staff are linked with and shadow a senior staff member during each shift to enable continuity and continued training throughout the induction process. Although some staff had received mandatory training, including manual handling, first aid and fire safety, records did not evidence that all staff had completed this. The inspector spent some time throughout the day sitting in the communal areas observing staff carrying out their duties and assisting residents. Staff were respectful, warm in manner, good humoured and sensitive towards the residents within a relaxed homely environment. The inspector spoke to several residents and two visitors who expressed very positive views about staff and Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 20 the care they receive providing comments like, “I am so lucky to be here” “I’m fairly new here and I have settled in well and am well looked after by the girls” One relative stated that his parent was very happy here and that “nothing was too much trouble for the staff”. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 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): 31,32,33,38 Residents’ needs and best interests are central to the management approach in the home. The manager’s supernumerary hours must be reviewed to ensure that she can fulfil her managerial duties. The health and safety of residents, staff, and visitors is protected, however, records must identify which staff members require fire drill training. EVIDENCE: Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 22 Unfortunately the newly appointed manager and the inspector were only able to have discussions towards the end of the inspection, however the inspector was confident that the manager had demonstrated her enthusiasm and ability to manage the home effectively. The inspector looks forward to spending more time with the manager at the next inspection. The manager was appointed on October 2005. During the inspection, through observation and discussion the inspector had concerns with regards to the manager not working supernumerary on a full time basis. It was evident in discussion with the manager that she had concerns regarding her workload. The home does not have a receptionist or administrator and as the staffing notice states these duties should be excluded from the manager’s role. On a particular day that the manager is working as the trained nurse in charge of the effective running of the shift, working with the residents and staff, providing health care e.g. dressings and medication rounds she has to work as a receptionist answering the phone and deviate from her shift responsibilities to deal with management issues e.g. liaising with residents relatives. During the inspection the manager came on duty in the afternoon to work a late shift as the trained nurse in charge, she was interrupted five times during handover by telephone enquiries and two relatives wanting to speak to her. The inspector has concerns that the manager can fulfil her duty as a trained nurse working shifts and maintain an effective efficient managerial presence at the same time. It is therefore a requirement that the registered provider of the home review the hours of the manager to ensure that she has sufficient supernumerary hours to fulfil all responsibilities of her role as the Registered Manager. As referred to at the previous inspection yet again there was a very high degree of satisfaction expressed by all of the residents and visitors spoken with. Based on the comments made and through the inspectors observation it is evident that residents feel the home is run in their best interests and to ensure their needs are being met. Examples of comments made by residents and relatives included, “Diane, has introduced herself to me and I know that I can go to her or the sisters if I have any concerns” and “Oh Diane is lovely she always comes and says hello to me every day”. Some of the Health and safety records in the home were examined. Documentation showed that all relevant checks were maintained correctly and at the required intervals including all fire alarms and equipment, emergency lighting and the water temperatures. The homes records showed all necessary service contracts were up to date including, gas and electrical services, manual handling equipment and lift servicing. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 23 Fire drills had been carried out weekly however records could not identify that all members of staff had been present during the drills. The providers have a comprehensive in house fire-training programme and written evidence indicated that staff were aware of the fire evacuation process. A requirement is made for fire drills to be carried out no less than 6 monthly for day staff and 3 monthly for night staff unless the fire authority will confirm that current arrangements suffice. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 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 X X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 2 X 3 3 3 3 STAFFING Standard No Score 27 X 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X X X X 2 Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 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 OP7 Regulation 15 Requirement A Care plans to be more detailed and regularly updating in order to reflect the resident’s current needs accurately. B Residents and/or their representatives must be involved in this process, wherever possible. Timescale for action 21/08/06 2 OP21 23 2j 3 OP30 OP18 OP31 18 (1) Submit to CSCI an Action Plan as 31/07/06 to how adequate hot water facilities are to be restored. It was understood that this was addressed prior to the publication of the report. Arrangements must be made for 18/07/06 all staff to receive mandatory training. The Nurse Manager supernumerary hours must be reviewed. 18/07/06 4 18 (1) a 5 OP38 23(4)(e) All staff must attend a drill every 18/07/06 three months for staff on nights and every six months for staff on days unless the fire authority will confirm in writing that current arrangements suffice. DS0000020291.V282533.R02.S.doc Version 5.1 Page 26 Stanton Court RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP15 OP19 OP30 Good Practice Recommendations It is recommended that staff do not take hot puddings to residents at the same time as their first course Extra shelving in the kitchen store cupboard would enable the staff to access equipment effectively and safely. Development of a training matrix would assist with maintaining mandatory training. Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Stanton Court DS0000020291.V282533.R02.S.doc Version 5.1 Page 28 - 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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