Inspection on 06/07/06 for Stella Matutina Convent

This inspection was carried out on 6th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Stella Matutina Convent 24/10/05

Stella Matutina Convent 03/06/05

Stella Matutina Convent 18/02/05

Stella Matutina Convent 16/09/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Stella Matutina Convent 16 Clifton Drive Ansdell Lytham St Annes Lancashire FY8 5RQ Lead Inspector Phil McConnell Unannounced Inspection 6th July 2006 09:30 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 Stella Matutina Convent DS0000009719.V298296.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. Stella Matutina Convent DS0000009719.V298296.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stella Matutina Convent Address 16 Clifton Drive Ansdell Lytham St Annes Lancashire FY8 5RQ 01253 734834 01253 794424 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) Sisters Of Charity Of Jesus And Mary Mrs Pauline Louvain Calvert Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Stella Matutina Convent DS0000009719.V298296.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th October 2005 Brief Description of the Service: Stella Matutina is owned and run by The Sisters of Charity of Jesus and Mary, which is a religious order with a charitable status. The ethos of the home is to provide a good quality care service within a setting that allows service users the opportunity to live their lives in a secure and safe environment, whilst meeting their assessed needs. The home is situated in its own grounds and there is an enclosed garden area at the rear of the home with pleasant sitting areas overlooking the sea. There are parking areas available at the side of the home. Stella Matutina is located in a residential area of Lytham St Annes and is close to local shops and amenities. Service users of all religious denominations are welcome to live at Stella Matutina. The home has a chapel and a priest is in attendance, church services are conducted and spiritual guidance is offered if required. The home is registered to accommodate 41 service users and there are 41 en suite bedrooms At present only female service users are cared for. The present rate of charging is £375 per week. Stella Matutina Convent DS0000009719.V298296.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The assimilation of information, from questionnaires and comment cards from service users, relatives, GP’s and other professionals, (including the provider) since the last published report by the Commission for Social Care Inspection (CSCI) and an unannounced visit to the home, were all used to fully assess the key standards identified in the National Minimum Standards for older people. Policies, procedures and all care documentation within the home were also examined. The visit to the home lasted approximately eight hours. There was a really good atmosphere within the home during the visit and four service users were ‘case tracked’ which means that their files were examined with some discussion-taking place with them throughout the inspection. Discussions also took place with other service users, who were not part of the ‘Case tracking’ process. The registered manager was available throughout the day and there was the opportunity to have conversations with other staff members, including the homes chef, care staff, activities organiser, the homes hairdresser and some of the service users’ relatives, who were visiting the home. What the service does well: A large number of service users’ questionnaires, comment cards from relatives and GP’s were returned to the Commission for Social Care Inspection (CSCI). Generally most of the comments were quite positive. There is an excellent standard of care being delivered at the home and it is apparent that the provider is strongly committed to maintaining as much as possible this level of care and support to vulnerable people. Service users’ care plans are reviewed monthly and there were detailed ‘dependency profiles’, which are also completed on a monthly basis. A well-trained staff group are provided with good training opportunities to ensure they have the knowledge and skills to meet the needs of the service users. Some of the comments in the returned questionnaires were: “The staff are very helpful” “The staff are always on hand” and “The only time when they aren’t immediately available is when there has been an emergency in the home” and from relatives, “It is an excellent care home, I am very pleased that my Mum is staying here”. A comment received from a GP, “Very impressed with the care and facilities” Stella Matutina Convent DS0000009719.V298296.R01.S.doc Version 5.2 Page 6 An activities organiser is employed and varied ranges of activities are available, which helps to meet individual needs, however, one relative commented: “There are not enough activities for the people who are more mobile”. The staff were seen responding appropriately to service users’ needs and all tasks of a personal nature were carried out in a sensitive and caring way. The environmental standards at Stella Matutina are excellent and in many ways exceed The National Minimum Standards. Meals are varied with an alternative available if required. Service users were pleased with the choice and variety available; one service user wrote “On the whole the meals are of good quality and well presented”. 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. Stella Matutina Convent DS0000009719.V298296.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 Stella Matutina Convent DS0000009719.V298296.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Intermediate care is not provided at Stella Matutina) “Quality in this outcome area is – ‘Good’. This judgement has been made using available evidence including a visit to this service.” A thorough detailed pre-admission process is in place with sufficient information and guidance, to enable a prospective service user to make an informed choice. EVIDENCE: The policy and procedure for a new service user moving to the home was examined and found to be thorough and satisfactory. Four service users were case tracked’, including two of the most recent admissions to the home and all of their files contained full and relevant assessment documentation including: admission assessments, care plans, detailed social services assessments and up to date daily record sheets. Stella Matutina Convent DS0000009719.V298296.R01.S.doc Version 5.2 Page 9 The service users and the staff spoken to were familiar with the admission process, one service user commented, “I had several visits on respite, before I came to live here permanently and I cannot fault the care I have been given”. In discussion with some of the service users’ relatives, it was apparent that everything possible is done to ensure that a smooth and assuring transition for the service user is considered when moving to Stella Matutina. Stella Matutina Convent DS0000009719.V298296.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 “Quality in this outcome area is – ‘Good’. This judgement has been made using available evidence including a visit to this service”. The home works in partnership with other agencies to ensure that service users’ health needs are fully assessed and addressed. Service users are empowered where possible to administer their own medication, thereby promoting independence and choice. Equality, dignity and respect is actively and positively demonstrated in the way that care is provided. EVIDENCE: Four service users’ care plans were examined and were found to be up to date, containing relevant information with clear guidance on how to provide individual personal care and how to meet a person’s health care needs. Individual information was available with regard to service users’ specific health needs and there was evidence that, hospital appointments, GP’s Stella Matutina Convent DS0000009719.V298296.R01.S.doc Version 5.2 Page 11 appointments and other treatments and consultations with other health professionals had been carried out. This helps to demonstrate that people’s health needs are monitored and treated correctly when necessary. Care plans are reviewed monthly, helping to demonstrate that individuals’ needs are regularly monitored and assessed, in order to ensure that their needs are adequately met. There was a fully equipped treatment room, which also contained the service users’ medicines. The medicines were stored safely and securely, with controlled medicines appropriately stored in a secure locked steel cabinet. The local pharmacist carries out a three monthly audit and Simon Hill a pharmacy inspector with the Commission for Social Care Inspection (CSCI) carried out an advisory inspection and made some recommendations, which were addressed by the provider, demonstrating that professional advice is sought and acted upon, in order to protect and safeguard service users. All of the service users’ medication records were examined and they all contained individual photographs, helping to avoid any confusion when administering medication. The records were up to date and correct, with only suitably trained staff eligible to administer medication. For the service users who are able to self medicate, there were signed contracts/agreements in place between them and the provider, confirming that individuals are responsible for taking their own medication. Highlighting that when possible, individuals are supported and enabled to be independent. In observation throughout the visit, service users were treated respectfully and with dignity and some comments received were, “My mother is treated with great kindness and respect” and “Stella Matutina has a wonderful, calm and caring atmosphere with very patient helpful staff, who are caring and considerate”. Stella Matutina Convent DS0000009719.V298296.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. “Quality in this outcome area is ‘Good’. This judgement has been made using available evidence including a visit to this service”. Interdenominational religious services are provided, helping to ensure that the religious and cultural needs of service users are met. Visitors are openly welcomed to the home, demonstrating that relationships with family and friends are maintained and encouraged. The quality of the meals provided is consistently good; with the food menus providing a balanced and wholesome diet, helping to promote a healthy eating plan for service users. EVIDENCE: The home employs an activities organiser for three days a week and a programme is organised to try and meet all individual needs. Throughout the home there was evidence of the various activities that have taken place, with photographs showing trips out and activities / hobbies that individuals have been involved in. Notice boards contained posters and a newsletter is published advertising forthcoming events and activities. Stella Matutina Convent DS0000009719.V298296.R01.S.doc Version 5.2 Page 13 There are regular parties arranged and it was said, “We use any excuse to have a party, Easter, St Patrick’s Day, St Georges Day, all birthdays and anything that would create an interest, in order for people be to stimulated and motivated”. However, some of the service users’ questionnaires cards suggested that people would welcome more opportunity to be able to access more leisure and recreational activities outside of the home environment. There was a key worker (service users have a named worker) system in place; helping to promote trust and confidence between the service user and the staff member, thereby, helping to ensure a service users’ changing needs are identified and acted upon as quickly as possible. The home has it’s own chapel with daily services being held. A number of the service users attend these services and in discussion with individuals, people appreciate the opportunity to practice their faith within the home environment. There is also the opportunity for other service users to worship in the way they choose, with ministers from other denominations visiting on a regular basis. This indicates that people’s religious beliefs and practises are catered for and supported. The home has an open house policy with visitors to the home being made welcome and service users are encouraged to maintain relationships with their families and friends. One relative commented, “This is a really friendly and inviting place to visit” another visitor said, “I visit quite often and at different times and it is always the same, I am always made very welcome”. There was a choice of menus available, which were seen to be nutritious, varied and appetising. There was the opportunity to have lunch in the home and the meal was really good and well presented. Staff were observed supporting service users in a calm, relaxed atmosphere, with sensitivity and gentleness. Some of the service users chose to have their meals in their own rooms, which demonstrated that mealtimes are flexible and service users’ wishes and choices are catered for. Some comments from service users regarding the meals were quite positive including: “I get plenty and I like them very much” “On the whole the meals are of good quality and well presented” and one of the visitors said, “The dining room looks just like a good quality restaurant and the meals are served beautifully”. Stella Matutina Convent DS0000009719.V298296.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. “Quality in this outcome area is – ‘Good’. This judgement has been made using available evidence including a visit to this service” Thorough satisfactory policies and procedures are in place, helping to protect vulnerable people. Staff members are suitably and adequately trained, in order to manage any protection issues. EVIDENCE: The home had a comprehensive complaints policy and procedure in place, regarding the safeguarding and protection of vulnerable adults. There had been one complaint since the last inspection and this had been dealt with appropriately and satisfactorily. Questionnaires and comment cards received from service users and relatives all indicated that people are aware of the complaints procedure and how to complain if needed. The service users, who were spoken with, knew whom they could speak to in the home if they had a complaint. They were also aware that the inspector for CSCI (commission for social care inspection) could be contacted if they chose to do so. Stella Matutina Convent DS0000009719.V298296.R01.S.doc Version 5.2 Page 15 There was a thorough policy in place to deal with a suspicion or allegation of abuse. The inspector spoke with staff members and they were fully aware of the procedures to follow, if there was any suspicion or alleged abuse and would be confident in the process, highlighting that staff had been trained in the protection of vulnerable people. Stella Matutina Convent DS0000009719.V298296.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. “Quality in this outcome area is – ‘Excellent’. This judgement has been made using available evidence including a visit to this service. The home is clean, hygienic and well maintained, helping to ensure that people live and work in a safe, comfortable and pleasant environment. EVIDENCE: A tour of the home was completed and throughout it was found to be of an excellent standard .It was clean and hygienic with a fully equipped kitchen and laundry with hand washing facilities strategically placed, helping to ensure that any risk of infection is well managed and controlled. Training in the control of infection had been provided to staff, in order to promote a clean and safe environment for service users and staff. Many of the comment cards and questionnaires referred to the good standard of cleanliness within the home, one person wrote, “My friend has a very pleasant room, which is beautifully clean and nicely furnished”. Stella Matutina Convent DS0000009719.V298296.R01.S.doc Version 5.2 Page 17 An excellent standard of décor was evident throughout the home with service users’ bedrooms containing personal belongings, such as photographs, ornaments and some of their own furniture items, demonstrating that people are encouraged to bring their own personal possessions into the home, in order for it to be familiar and as comfortable as possible. There was appropriate specialist equipment observed around the home, such as lifting hoists, walking frames and wheelchairs, thereby helping to ensure that individual needs are catered for, whilst independence is promoted. The home employs a maintenance man, who carries out any minor repairs, in order to ensure that the home is safely maintained. The grounds of the home are very well maintained with plenty of seating available. On the day of the visit a number of the service users were sitting in the garden, with some commenting on how much they enjoy the garden and being able to sit out. It was observed that the service users were wearing hats and there were umbrellas, to help protect people from the sun. Stella Matutina Convent DS0000009719.V298296.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. “Quality in this outcome area is – ‘Excellent’. This judgement has been made using available evidence including a visit to the service”. The staff team have the necessary skills and experience to provide an excellent standard of care to vulnerable people. The home has a rigorous recruitment process, which gives the confidence that service users are protected and safeguarded as much as possible. A satisfactory supervision and appraisal system is in place, which gives staff the encouragement and confidence to know they are supported and equipped to deliver a good service to vulnerable people. EVIDENCE: The staffing levels were examined and found to be adequate and satisfactory, with the staff files containing information with regards to the experience, skills and training that staff have received with mandatory training being provided to all staff, with an improved recording system. (Previous recommendation). The staff demonstrated a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. There is a thorough recruitment in place, with staff files containing evidence that Criminal Record Bureau (CRB) checks had been carried out and staff are Stella Matutina Convent DS0000009719.V298296.R01.S.doc Version 5.2 Page 19 only employed on the satisfactory completion of these checks with two independent satisfactory references being obtained, thereby helping to ensure that service users are protected and safeguarded by having a robust recruitment and selection process. The previous inspection report recommended that a more thorough health questionnaire be introduced for all new prospective employees, this has been satisfactorily implemented and the employee application form has also been reviewed and updated. This helps to further protect vulnerable adults in aiming to recruit people that are adequately screened and checked with regulatory bodies. Individual staff supervisions are held on a six to eight week basis, where any further identified training needs are discussed and acted upon. One staff member said, “we have a specific work load and the manager is always praising you” another person said, “I have worked in other care homes and this is by far the best, I know that I am appreciated”. Supervision and training records were inspected and found to be satisfactory. Demonstrating overall that staff are suitably qualified, well-trained (See Recommendations and What they could do better sections) and supervised in order to meet the service users’ assessed needs. Stella Matutina Convent DS0000009719.V298296.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. “Quality in this outcome area is – ‘Good’. This judgement has been made using available evidence including a visit to this service” The home is well managed and organised, ensuring as much as possible that service users receive a good quality service. The health and safety certificates were up to date, helping to ensure that people are protected and safeguarded. The financial arrangements for residents were thorough enough to ensure that individuals’ finances were protected. EVIDENCE: The manager has many years of experience in the care profession and is adequately qualified. Stella Matutina Convent DS0000009719.V298296.R01.S.doc Version 5.2 Page 21 In discussion with other staff members, there was a general opinion that the manager is approachable and fair, one person said, “The manager is brilliant, she makes you feel relaxed and you can talk about anything”. Most of the home’s policies and procedures have been reviewed and amended if needed since the last inspection, helping to ensure that policies are kept up to date and relevant for the care and protection of vulnerable adults. Joint meetings with staff and service users were held regularly to help ensure that people are satisfied and content with the service being received. The provider continues to maintain the ‘Investors in People’ award, which is an independent standard of quality assurance. A further external award with regard to quality assurance has also been maintained ‘The RDB Quality Benchmark Company Award’ and the provider has been accredited with 5 Stars and 4 Crowns with full wheelchair accreditation, once again demonstrating that the home is well run for the benefit of the service users. There was documented evidence that all staff have received mandatory training, including: moving and handling, protection of vulnerable adults (POVA), the control of substances hazardous to health (COSHH) and infection control, with refresher courses being available when needed. However, as previously mentioned, it would be beneficial to service users and individual staff members if further training could be accessed, in order to keep up to date with legislation and any new procedures such as, up to date catering practices in a care setting. There was an up to date health and safety policy, with comprehensive, individual and corporate risk assessments, promoting the health, safety and independence of service users. All inspection certificates were in place and up to date, including: gas safety certificates, electric check certificates, fire extinguisher checks, lifting hoists and emergency lighting certificates and inspection records were available with regard to the testing of Legionella. (Previous recommendation). There was sufficient evidence to demonstrate that the health and safety of service users and staff is promoted as much as possible, to help ensure that people live and work in a safe and healthy environment. There were procedures in place, regarding service users’ finances, with appropriate and adequate records being kept, helping to ensure that people’s finances are safeguarded. Stella Matutina Convent DS0000009719.V298296.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X 4 3 Stella Matutina Convent DS0000009719.V298296.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NONE 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. Standard Regulation Requirement Timescale for action 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 OP12 OP30 Good Practice Recommendations The service users would benefit if the activities programme could include more regular options to access outside recreational and leisure activities. Staff need to be encouraged to pursue appropriate training, with regards to any changing needs of service users, the promotion of good practice and maintaining expertise. Stella Matutina Convent DS0000009719.V298296.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Stella Matutina Convent DS0000009719.V298296.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!