Inspection on 18/06/08 for Stanton Nursing Home

This inspection was carried out on 18th June 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

Stanton Nursing Home 11/06/09

Stanton Nursing Home 22/06/07

Stanton Nursing Home 28/06/06

Stanton Nursing Home 22/11/05

Stanton Nursing Home 25/05/05

Stanton Nursing Home 10/11/04

Stanton Nursing Home 29/06/04

Stanton Nursing Home 17/02/04

Stanton Nursing Home 12/12/03

Stanton Nursing Home 28/08/02

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

CARE HOMES FOR OLDER PEOPLE Stanton Nursing Home 8 Queens Road Weston Super Mare North Somerset BS23 2LQ Lead Inspector Melanie Edwards Unannounced Inspection 09:30 18th June 2008 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 Nursing Home DS0000020288.V360454.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. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanton Nursing Home Address 8 Queens Road Weston Super Mare North Somerset BS23 2LQ 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) 01934 625640 F/P 01934 625640 tessa@larkinfamily.co.uk Mr Charles Larkin Mrs Teresa Larkin Mrs Sara Saunter Care Home 26 Category(ies) of Dementia (26) registration, with number of places Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with Nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Dementia (Code DE) The maximum number of service users who can be accommodated is 26. 22nd June 2007 Date of last inspection Brief Description of the Service: Stanton Nursing Home is registered with the Commission for Social Care Inspection to provide nursing care for 26 residents suffering from dementia or associated conditions aged 65 years and over, the home is situated above the town centre of Weston super Mare and not far from local amenities. The home is a converted Victorian house and accommodation is provided over three floors, access is provided to all levels via a passenger lift and a stair lift.The fee to stay at the Home is £571.95 a week. Stanton Nursing Home DS0000020288.V360454.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. Please note: some of the residents are very confused as they have Dementia, and this makes it harder for them to express their views. We met twenty of the twenty-one residents who are living at the Home. We also spoke to a number of visitors. We spent time observing residents and staff together. We joined a small group of residents for lunch. We met the registered manager Mrs Sara Saunter, one of the registered providers Mrs Teresa Larkin, a registered nurse, four care assistants and the chef. We saw residents being assisted with their needs by staff. We looked at a selection of records relating to the day-to-day running and management of the Home. The records we saw included two care plans, two assessment records, medication records, staff duty records, supervision records, accident records, fire records, and menus. We saw the majority of the environment. The only areas that we did not see were a small number of bedrooms. The ‘AQAA’ (an annual quality assessment document that all Homes are required to complete) has been used to help form the judgments in the report. The Home was operating within the required conditions of registration set down by us. The conditions of registration set out the type of care and the needs of residents as well as the numbers of residents who may stay at the Home. What the service does well: The philosophy of the Home is to try and provide person centred care for the residents. This means staff try to ensure that even though residents have Dementia, they are still treated as unique individuals. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 6 The service supports very confused and very vulnerable residents to live a fulfilling life. For example we witnessed staff and residents dancing and singing along with an outside singer. This is a really good way the staff support residents to still enjoy life. Residents are treated with kindness and consideration. Staff take time to help residents meet their needs, and support them to do as much for themselves as they could. Residents are provided with a well-balanced and varied diet. The environment is suited to the needs of confused and vulnerable residents; it is tastefully decorated and furnished in a homely style. 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. The summary of this inspection report can be made available in other formats on request. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 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 Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of residents’ are well assessed by the Home. Residents and their representatives can get hold of a good range of information they need to make a choice about whether to live at the Home. The Home does not provide intermediate care for residents. EVIDENCE: We looked at the service users guide and the statement of purpose to find out about the sort of information there is available about the Home. The service users guide explains the type of care, and service that is provided. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 9 There are copies of the services users guide and the statement of purpose available for residents’ representatives so they can have the information about life in the Home. The statement of purpose and the service users guide contain clearly written information about the service. Both documents are written in an easy to understand style. There is also information about the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is also included. The complaints procedure is in each service users guide so people know how to complain about the service. There are photographs of the Home in the service users guide. The Home has its own website that contains a range of helpful information about the service. Mrs Larkin told us that she receives many enquires about the service from people who have accessed the Homes website. We read two residents assessment records to find out how well the service is assessing residents’ needs. We found the assessment records to be informative. The assessments showed what each resident’s range of physical, mental and social needs are. There was a good level of information included about residents level of confusion as a result of their Dementia .The actions taken to support the person had also been recorded in the assessment records. The assessment records have been written in a clear and easy to understand style. They also focus on the strengths of the resident and what they are able to do independently. The Home does not provide intermediate care for residents. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ care plans demonstrate how needs are met. Residents’ health needs are well met. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: We observed every member of staff on duty, and we found all of them to be patient kind and caring to the residents .We witnessed staff helping the residents with a range of needs in a really warm and thoughtful way. We saw that the staff knocked on doors before they went into rooms to try and protect residents privacy .We also saw suitable screens in place in the double rooms that there are in the Home. We read two care plans to find out how residents are supported to meet their needs. As already mentioned when writing about residents assessments Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 11 records, the care plans are written in a positive way. One of the care plans had been written using a new care plan format. This care plan contained a very good level of information in it. The second care plan was written using the Homes old format for writing care plans. This care plans contained an adequately detailed level of information in it.The care plans generally focused on the strengths of each person. The care plans were satisfactorily informative and set out what to do to meet the care needs of the residents. Care plans had been reviewed and updated regularly. This demonstrates residents’ needs are monitored and kept under review. However we advised Mrs Saunter that due to the confusion that residents experience as a result of their Dementia it would be very beneficial to include up to date information about each residents Mental Capacity. This helps to protect the legal rights of residents who may not be able to make informed choices in their daily lives. We saw a good level of information in the care plans about the life history of each person and what matters to them, including important family and friends. We saw supporting information in the care plans that demonstrated residents are well supported with their physical health care needs by the GP, the dentist, and the chiropodist. The Community Nurses also sometimes support residents with their health needs. We checked the practices and procedures for administration, storage and disposal of residents’ medication. We looked at five residents’ medication administration charts in detail. We saw a photograph of each resident kept with his or her administration chart for ease of identification purposes. Medication stock was generally satisfactorily organised. There was a satisfactory system for ordering and receiving medication, and the records were up to date. Medication stock is stored in a cupboard in a movable metal drugs trolley, which is kept in a locked clinic room. We saw one of the registered nurse give residents their medication at lunchtime .The nurse was calm and patient and took time with each resident to make sure they had their medication. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have a nutritious and well-cooked diet. Residents are well supported to be able to exercise choices in their daily lives. Residents can take part in a variety of social and therapeutic activities that are suitable for their needs. Residents are supported to receive visits from family and friends. EVIDENCE: Residents benefit from a good variety of social and therapeutic activities in the Home, which are very suitable for their needs. There is a flexible timetable of social activities that take place in the Home every day. Activities are planned in a flexible and informal way, due to the confusion levels of residents. Activities that take place include twice weekly visit from different musicians and singers, drives to the community, and hand massages .One or two residents also go regularly to a local tea dance that is run by the ‘ Alzheimer’s Society ’. The Home also has its own dog, who seems to be really well liked by the residents. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 13 There are photographs of residents on various trips to pubs, coffee shops and to other places in the community. A group of residents go out for a day trip at least once a week to a variety of places in the community, including regular trips to the sea front. There is a hairdresser who comes in on a regular basis .We talked to them about how they support the residents .The hairdresser told us that they work in a very informal, and flexible way when attending to residents hair. We saw residents receive visits from their family and friends. Visitors told us that the staff are very welcoming and friendly to them. The Home has a relaxed and flexible visiting policy this benefits residents as this means they can keep in contact with family and friends. This is also written about in the statement of purpose, and this helps visitors to know what service they can expect. As it is very hard for residents to be able to directly make choices in their daily lives, the Home aims to still meet residents’ individual needs. This was seen by residents getting up at different times in the morning, residents having their meal times in a very flexible way, and being offered meal times choices as well. Mrs Larkin also actively seeks the views of residents relatives and significant others in the running of the Home. This helps ensure that the likes, dislikes of the residents can be taken forward by their relatives and friends on their behalf. We checked the menu to see if residents are provided with a well balanced diet. The meal options we saw were nutritionally well balanced and varied. There are choices available each day, and staff show residents each choice of meal on a plate in front of them .We noticed that this practise really seemed to help residents to make a choice of dish. Residents’ special diets are well catered for, and there are a variety of special meals provided for residents who need them. We ate a portion of the lunchtime meal with a small group of residents. This was a choice of homemade pork in a marmalade sauce, or breaded fish with lemon, with potatoes and cooked vegetables followed by choice of home made deserts .The meals were tasty and nourishing, and well presented. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ complaints are responded to well and are taken very seriously. Residents are satisfactorily protected from the risk of harm or abuse. EVIDENCE: Mrs Larkin told us that they have decided to take a very transparent and open approach to complaints. Staff are being encouraged by Mrs Larkin to report all residents concerns and potential complaints. This is a good way of demonstrating how seriously residents’ complaints are taken. There have been five complaints made since the last inspection related to different aspects of life in the Home. Mrs Larkin and Mrs Saunter had dealt with all of the complaints promptly and thoroughly. Residents’ representatives are given their own copy of the Homes complaints procedure. This helps to make sure residents have the information they need to make a complaint. The complaints procedure includes the up to date contact information for the Commission if a person wants to contact us directly There is a policy in place relating to the issue of protection of vulnerable adults from abuse. The policy is to help to guide staff to take the correct course of action if they ever have to respond to an allegation of abuse Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 15 All staff do regular one day training courses run by North Somerset Council on understanding of the principle of the protection of vulnerable adults from abuse. The staff we met had an understanding about the subject of abuse and how they protect residents in the Home. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,22,24,25,26.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home is safe, satisfactorily maintained, and suitable for the needs of residents who live there. EVIDENCE: Stanton Nursing Home is an older residential style property located among private houses and a short distance from the town of Weston Super Mare. This helps residents to be a part of the local community. We saw residents looking very comfortable and relaxed in the surroundings. There is a keypad security lock onto the front door, and the doors at the foot of each set of stairs in the Home. The statement of purpose sets out the reason for the use of keypad entry systems. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 17 The environment looked satisfactorily maintained throughout. A full time maintenance worker is employed to address general maintenance and they were observed carrying out their duties during the inspection. The service records were seen for the fire fighting equipment, the lift, and electronic equipment. The records showed that an external contractor had serviced equipment in the last twelve months. This helps demonstrate that the Home is safe and well maintained. We saw a domestic assistant working hard cleaning the Home. We found the environment be clean and tidy in all of the areas that we saw. The kitchen was clean and tidy and in good order. All kitchen staff do regular food hygiene training to ensure they have a good understanding of safe practises for preparing and cooking food. There are hot water temperature regulators fitted to all hot water outlets to which residents have access. Radiators are fitted with low surface temperature covers. Windows are restricted, and this all helps to make the environment safer for the residents. There are adaptations in place to assist residents and visitors with disabilities throughout the Home. There is a dining room and two lounges. The Home is set in its own grounds. The garden looked to be well maintained and there are patio seats and a secure garden where residents can sit and walk safely. Residents’ bedrooms have been personalised to reflect the tastes of residents with photographs, mementos and small items of furniture. The standard of furniture and fittings is satisfactory, and help to make the environment look homely. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 18 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): 27,28,29,30.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are cared for by a sufficient number of competent trained staff. Residents are protected by the Homes recruitment procedures. EVIDENCE: We checked the number of nursing and care staff to see if there is enough staff on duty to support residents. There is a minimum of one registered nurse on duty at all times and three care assistants in the morning, with three to four care assistants on in the afternoon. At night there are two registered nurses and three care assistants on duty. There are additional staff members on duty on a regular basis, if needed to give extra support to residents both in and out of the Home. Mrs Saunter works some management hours and some clinical hours to ensure they are up to date with matters in the Home. As we have already commented on all of the staff we saw were really warm and sensitive in manner when supporting the residents. There are full time catering, and domestic staff also employed although the number of these staff was not reviewed. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 19 Mrs Larkin has done an accredited course in understanding Dementia run by Bradford University. She has been training the staff on a range of good practises and principals when supporting people who have Dementia. When we talked to the staff about Dementia, they demonstrated a good understanding of how it impacts on the lives of the residents. We checked the training records of one registered nurse and two care assistants were reviewed to see if registered nurses are keeping up to date with their clinical knowledge and practice. There was evidence that demonstrated registered nurses had attended clinical training sessions, and updating over the last twelve months. The care assistant’s records demonstrated staff had attended training sessions over the last six months. There is now also a number of care staff in the Home who have National Vocational Qualifications. We checked the staff employment files of one registered nurse and two care staff. We saw two written professional references taken up for all new staff prior to offering work at the Home. In addition, all staff complete a Criminal Records Bureau check before commencing employment. These checks are a further safeguard for vulnerable residents. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 20 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): 31,33,35,36,37,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a Home that is well run. Staff are well supervised in their work, and this helps them to better support residents. Residents’, staff, and visitors, health and safety is generally satisfactorily protected. EVIDENCE: Mrs Saunter has been the manager of the Home for over twelve months .She is a registered mental health nurse and she has years of experience caring for people with a range of mental health needs, and Dementia. She is registered with us as the manager of the Home. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 21 This demonstrates she is fit and competent to be the manager. Mrs Saunter works a set number of management hours each week, and she also works some shifts alongside staff. This helps Mrs Saunter to keep in daily touch with residents and staff. Mrs Larkin also take a very active involvement in the running and management of the Home. The staff told us that Mrs Larkin and Mrs Saunter are both very approachable and they can make their views known to them. However we advised that there should be more regular staff meetings held so that the team have additional opportunities to make their views known. Currently Mrs Saunter told us she has only had three staff meetings since she stared working at the Home. Mrs Larkin has put in place a quality assurance system in place to check on the quality of the care and the service residents receive. Residents’ families are encouraged to complete regular surveys about the service and the Home .Mrs Larkin uses this information to improve standards even further in the Home . Mrs Saunter and Mrs Larkin support staff with regular one to one supervision sessions. The supervision records that we looked at demonstrated staff are being well supervised and supported. The staff we met all told us that they have regular one to one support sessions with Mrs Larkin and Mrs Saunter. Mrs Saunter told us that the Home does not take responsibility for looking after residents finances .This is clearly explained to all new residents and their families. We found residents’ records to be satisfactorily maintained, up to date, legible and in order. The records relating to the management of the Home were also satisfactorily maintained and in order. Individual records and the Home’s records are kept secure .We have referenced other records elsewhere in the report. There are health and safety audits of the whole environment done regularly. The audits aim to address health and safety areas throughout the Home. The environment looked satisfactorily maintained throughout. The fire logbook record showed fire alarm tests and drills are being done carried out. However there were gaps of times recorded on three occasions when the fire alarms been tested for between ten days and two weeks. All kitchen staff do regular food hygiene training to ensure they have a good understanding of safe practises for preparing and cooking food. All staff do regular health and safety training in range of areas including food hygiene, fire safety, and infection control. This helps ensure staff have a good understanding of health and safety principals and practises. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 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 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X N/A 3 3 2 Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 23 NO 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 OP38 Regulation 23.4.c (v) Requirement Fire alarm tests must be carried out on a regular basis. Timescale for action 19/06/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP33 OP7 Good Practice Recommendations There should be regular staff meetings held, to give the team additional opportunities to make their views known. Care Plans should include up to date information about each Residents Mental Capacity. Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Stanton Nursing Home DS0000020288.V360454.R01.S.doc Version 5.2 Page 25 - 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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