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Inspection on 11/05/05 for Sunningdale Court Nursing And Residential Home Hull

Also see our care home review for Sunningdale Court Nursing And Residential Home Hull for more information

This inspection was carried out on 11th May 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has an experienced and enthusiastic team of staff who work well together and enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive high standards of care. Residents and visitors were complimentary about the general manager and the staff. One relative said `the staff are good at talking with relatives and visitors, letting you know if there is anything wrong with your relative before you visit or notifying you if the resident is going out so you do not waste your time coming to the home `. Two other people living at the home said ` the general manager is caring, she visits us every day and listens to any problems we may have and takes action if needed`. Meals are well presented and offer people at the home a choice and variety of different foods. One resident said that `staff are very helpful, they will get you a drink whenever you need one and always ask what you want to eat at each meal time`. Activities at the home are well planned and carried out on a regular basis. Residents are delighted with the weekly trips out on the minibus and enjoy visiting the local community in this way. Three residents said that `we go out every week to the local shops or sightseeing and there is a trip to the New Theatre arranged for later this month`. Residents are provided with a warm, safe and comfortable environment that welcomes visitors and makes them feel at home. The home is clean and staff work hard to make sure the building is odour free.

What has improved since the last inspection?

Staff have worked hard to create detailed and informative care records that reflect the care being given, the progress made by the individual residents, and which clearly show the residents choices, preferences and decisions about their daily lives. Residents and relatives are pleased with the way care is being given and said `the staff are very supportive and encourage everyone to be as independent as possible`. The general manager is becoming more confident in her role and has provided staff with clear instructions about how the home is to be run, what they must do to improve things and what is expected of them. Residents living at the home say that `things have improved over the past few months`, and that `the staff have made changes to the way they do things and seem happier in their work because they are getting good advice and guidance from the top`.

What the care home could do better:

The home has been without a registered manager for some time and although four acting managers have been in post since the last manager left, there has not been an application for registration to the Commission. The improvements within the homes service (seen at this inspection) show that the staff are responding to having good direction and leadership from the general manager, and residents are noticing a positive effect on their care. The recruitment of a permanent registered manager with the right skills and knowledge could only enhance this progress.

CARE HOMES FOR OLDER PEOPLE Sunningdale Court Nursing & Residential Home Birkdale Way Newbridge Road Kingston upon Hull HU9 2BH Lead Inspector Eileen Engelmann Unannounced 11 May 2005 at 9.30 am th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Sunningdale Court Nursing & Residential Home Address Birkdale Way Newbridge Road Kingston upon Hull HU9 2BH 01482 587924 01482 222012 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ashbourne Homes Limited Vacant Care Home with Nursing 49 Category(ies) of DE Dementia (49) registration, with number PD Physical Disability (49) of places OP Old Age (49) TI Terminally Ill (49) Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: To admit another service user under the `younger disabled` category, therefore, increasing the number in this category to three (3). Date of last inspection 19th October 2004 Brief Description of the Service: Sunningdale Court is a care home with nursing, which provides accommodation for 49 residents within the categories of Dementia, Old age, Physical Disabilities and Terminal Illness. The home is purpose built for its current use and accommodation is located on two levels, with passenger lift access to the upper floor. The home is owned by Ashborne Homes, a national organisation, which provides support to the home’s management team from a regional office. The home is situated to the east of the City of Hull, easily accessible by the city’s link road and close to public transport services. Local amenities are within a short walk of the home. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out with the general manager; staff, visitors and residents of Sunningdale Court care home. The inspection took 5.25 hours and included a tour of the premises, examination of staff and resident files and records relating to the service. Three of the staff on duty, nine of the residents and three visitors were spoken to; their comments have been included in this report. What the service does well: The home has an experienced and enthusiastic team of staff who work well together and enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive high standards of care. Residents and visitors were complimentary about the general manager and the staff. One relative said ‘the staff are good at talking with relatives and visitors, letting you know if there is anything wrong with your relative before you visit or notifying you if the resident is going out so you do not waste your time coming to the home ’. Two other people living at the home said ‘ the general manager is caring, she visits us every day and listens to any problems we may have and takes action if needed’. Meals are well presented and offer people at the home a choice and variety of different foods. One resident said that ‘staff are very helpful, they will get you a drink whenever you need one and always ask what you want to eat at each meal time’. Activities at the home are well planned and carried out on a regular basis. Residents are delighted with the weekly trips out on the minibus and enjoy visiting the local community in this way. Three residents said that ‘we go out every week to the local shops or sightseeing and there is a trip to the New Theatre arranged for later this month’. Residents are provided with a warm, safe and comfortable environment that welcomes visitors and makes them feel at home. The home is clean and staff work hard to make sure the building is odour free. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 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. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3 and 4. The homes Statement of Purpose and Service User Guide are good, providing residents and prospective residents with details of the services the home provides and enabling them to make an informed decision about admission to the home. All residents undergo a full needs assessment and are given sufficient information about the home and its facilities prior to admission, to enable them to be confident that their needs can be met by the service. EVIDENCE: The statement of purpose and the service user guide has been up dated and reviewed since the last inspection. These documents are available in every resident’s room and contain a wealth of information about the home and the service provided. One resident spoken to is fairly new into the home and said that her family had been able to visit the home prior to her making the decision to come in. The resident had been provided with sufficient information about the home to make an informed choice about the placement. Each resident has their own individual file and all four of those looked at had a full needs assessment completed within them. The information from the assessment process is used to formulate the individuals care plan. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 9 Four residents spoken to were able to give detailed information about their care needs and the input they required from the staff, service and outside professionals, and this was found to be accurately documented within their care plans. Those residents at the home who receive nursing care have undergone an assessment by a NHS registered nurse from the Health Authority, to determine the level of nursing input required by each individual. Staff members on duty were knowledgeable about the needs of each resident and had a good understanding of their specific problems/abilities and the care to be given on a daily basis. Staff training files showed that there is an ongoing development programme where individuals participate in safe working practice sessions and can access specialist subjects linked to meeting the specific needs of the residents within the home. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 and 11. The health care needs of the residents are well met, with evidence of good multi disciplinary working taking place on a regular basis. Staff have a good understanding of the resident’s support needs and offer personal care in a way that promotes the residents privacy, dignity and independence. EVIDENCE: Individual care plans are in place for all residents and clearly set out the health, personal and social care needs identified for each person. Four of the plans looked at have been evaluated on a monthly basis and any changes to the care being given is documented and implemented by the staff. The care plans are well written and included detailed information about the needs and expectations of the residents and the care being given on a daily basis. Three service users spoken to were aware of their care needs and said that they had good access to their local GP, district nurse (for those who are residential), chiropodist and other health care professionals. Documentation of the wound care being given in the home shows that staff are making good progress in healing wounds and staff spoken to said they had good links with the tissue viability nurse for advice when needed. The home provides a Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 11 physiotherapist for those residents who need this service and this input and any progress is documented within the individual’s care plan. The medication policy for the home says that individuals can self-medicate if they want to and after a risk assessment has been completed and agreed. All nine of the residents spoken to prefer to have staff administer their medication. Checks of the medication records and the system used showed that these are up to date, accurate and well managed. The nine residents and three relatives spoken to were very pleased with the way that care is given by the staff. Two individuals said that ‘ staff are kind and caring, they are supportive and give us choice in all our daily actions’. Staff, residents and visitors were communicating in a friendly and relaxed manner with jokes and light-hearted banter being shared with everyone. As one resident said ‘if we can’t have a laugh then what’s the point in being here’. Information about individual resident choices and wishes regarding death and dying is recorded within their own care plan. One resident said ‘I have talked to my family and the staff about dying and have been able to set my affairs in order, they all know what I want to happen when I’m gone’. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. Residents are provided with choice and diversity in the meals and activities provided by the home. Individual wishes and needs are catered for and people have the option of where, when and how they participate in both eating and leisure activities. EVIDENCE: A number of residents living in the home were spoken to and all said how good the activities were, and that they all had the opportunity to go out on a regular basis. The activity organiser was busy taking three residents out to see the local VE day exhibition and those left behind said that they had gone out earlier in the week on another trip. One resident said she ‘enjoyed reading her magazines and doing word searches to keep my mind active’, whilst another individual said ‘my family come and take me out on a regular basis and I like going up stairs to the top lounge to do bingo and dominoes with the others’. There were a large number of visitors to the home throughout the day and three who were spoken to were very pleased with the open visiting and the welcome they received from the staff. One visitor said ‘ I come to see my mum every day and the staff will ring me if she is going out on a trip so I do not waste my time travelling to the home when she is elsewhere’. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 13 Discussion with five residents showed that they are offered choice in their daily activities and have a good awareness of their rights. Advocacy information is available throughout the home and a number of individuals had used their postal votes to participate in the general election in May 2005. All residents spoken to were full of praise for the quality and quantity of the meals provided at the home. There are two sittings at lunchtime, the first for those needing help from the staff with eating and drinking and the second for those residents who are more independent. One resident said ‘the staff always ask us what we want to eat and we have a good choice of food at every mealtime’. Jugs of fruit juice are kept in the lounges at all times and the residents said ‘we can help ourselves or the staff will get us one and those who need assistance have regular drinks offered’. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17 and18. The home has a satisfactory complaints system with evidence that residents’ views are listened to and acted upon. Staff and residents are confident about reporting any concerns and the general manager acts quickly on any issues raised. EVIDENCE: The home has a clear and simple complaints procedure that residents, relatives and staff are aware of and are confident of using if needed. The complaints records show that there have been no complaints made since the last inspection and residents spoken to said ‘Ann (the general manager) comes round to see us every day and talks to us about any niggles we may have. She tries to solve them immediately and will get back to us if she needs to take time to resolve them’. All residents spoken to were aware of their right to vote and four individuals said that they had used their postal votes at the general election in May, although two others said that they could not be bothered with politics. The home has policies and procedures to cover adult protection and prevention of abuse, whistle blowing, aggression, physical intervention and restraint and management of resident’s money and financial affairs. The staff on duty displayed a good understanding of the vulnerable adults procedure. They are confident about reporting any concerns and certain that any allegations would be followed up promptly and the correct action taken. Information in the staff training files showed that they all have received Protection of Vulnerable Adults training and that this was an ongoing part of the homes staff development programme. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 24 and 26. The standard of the environment within this home has improved since the last inspection, providing residents with an attractive and homely place to live. EVIDENCE: The home has had a number of bedrooms and communal areas redecorated since the last inspection and all areas seen were bright, clean and odour free. The general manager has an ongoing programme of maintenance and renewal and this showed that new carpets are planned for six bedrooms and the upstairs corridors, and new curtains have been ordered for eight bedrooms. New bedspreads have been purchased for the bedrooms to replace the old duvets; these are colour co-ordinated with the other furnishings in the rooms. Seven residents spoken to were very pleased with their individual rooms and said that they had ‘brought in a number of personal possessions to make them feel more homely’. All bedrooms are supplied with door locks and lockable storage space to ensure resident’s valuables are kept safe. Staff have a master key, which can be used to gain access in an emergency. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 16 The home is clean, warm and comfortable and no malodours were present. Domestic staff spoken to said that they ‘follow a deep cleaning rota to ensure that all bedrooms are thoroughly cleaned from top to bottom on a regular basis’. Five residents said that they were satisfied with the laundry system at the home and that there was a quick turn around on the clothes sent for cleaning. One relative said that she took her relatives clothes home to wash, but this was a personal decision and not due to any concerns over the service provided by Sunningdale Court. Discussion with the laundry staff indicated that problems identified at the last inspection (around unclean linen) have now been resolved by ensuring all staff use the correct products during the wash cycles, including specialist stain removers. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30. The standards of recruitment, induction and training of staff are very good with appropriate checks being carried out and staff demonstrating a clear understanding of their roles, ensuring that residents are protected from risk and looked after by motivated and knowledgeable people. EVIDENCE: Information in the staffing rotas shows that there is two nurses and seven care staff on duty during the day shift and one nurse and four care staff at night. Extra staff are called in to cover for taking residents to appointments and additional ancillary staff are on duty throughout the day. The general manager said that she has assessed the number of staff on duty at night against the tasks to be completed and is satisfied that sufficient numbers are in place. Residents and relatives spoken to are very happy with the amount of staff on duty and said ‘they are always helpful and available to see to anything you need doing and nothing is too much bother’. The home has a comprehensive recruitment policy and procedure and when three staff files were checked it was evident that the general manager follows the procedure, and ensures the interview process, police/CRB checks, written references, health checks and past work history are all obtained and satisfactory before the person starts work. One staff member whose file was looked at is from another country and has undergone all checks necessary for foreign workers including work permits, passport and immunisation records. Nurses at the home undergo regular registration audits with the Nursing and Midwifery Council to ensure they are able to practice. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 18 The home has a rolling staff-training programme offering staff access to mandatory training and some specialist subjects linked to the needs of the service users. There is a large training plan on the wall of the home and staff are notified of the available training dates and when they are expected to attend. Up take of the training is very good as participation is linked to the contracts for the care staff. One staff member said that ‘the training here is excellent, I am doing a distance learning course on Dementia and want to learn more in the future’. Another member of staff was pleased that ‘the home helps us to retain our nursing registration by offering courses to keep up our PREP’. There is an induction and foundation course that meets National Training Organisation (NTO) specification for new members of staff, and 46 of the care staff have achieved an NVQ 2 or 3, with nine more staff members going through the training. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36 and 37. The general manager is supported well by the senior staff in providing clear leadership throughout the home, with all staff demonstrating an awareness of their roles and responsibilities. The home regularly reviews aspects of its performance through a good programme of self-review and consultations, which include seeking the views of residents, staff and relatives. EVIDENCE: There is no registered manager and this has been the case since 2003 when the last manager left. There have been four acting managers since this time, but none made application for registration to the CSCI. The home is actively recruiting for a registered manager and currently Ann Bond (the general manager) is supported by trained nurses twenty-four hours a day at the home, and has additional support from Ashbourne Homes Limited on a regular basis. Staff spoke highly of the general manager saying that ‘ Ann gives clear guidance on what is expected of us and is very supportive, she tells us if we are not doing something right and is strict but fair’. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 20 Resident and relative meetings are held on a regular basis and minutes are circulated to people living in the home. Staff have meetings with the general manager and everyone is encouraged to join in with discussions and voice their opinions. Residents and staff agreed that they are able to express ideas; criticisms and concerns without prejudice and the management team will take action where necessary to bring about positive change. The home has an up to date quality assurance award from the local council (QDS 1 and 2). Feedback is sought from the residents and relatives through regular meetings and satisfaction questionnaires. Policies and procedures are up dated and reviewed as an ongoing practice and action is being taken to ensure the requirements of the inspection reports are met. The general manager completes in-house audits of the home and its service on a monthly basis, and an external auditor from Ashbourne Homes Limited does a spot check throughout the year. Staff supervision files show that individuals receive formal supervision with their line managers on a regular basis and staff appraisals are also completed each year. The responsible individual completes a monthly Regulation 26 report, and sends a copy to the Commission. Records required for the protection of residents and the running of the business are in place, reviewed and up dated as required. Residents are aware that they can access their personal records as and when they wish to do so. Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 2 3 4 x x 3 3 x Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 22 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 31 Regulation 8 Requirement A manager must be appointed and seek registration with the Commission (given timescale of 1/11/04 was not met). Timescale for action 1/9/05 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. Refer to Standard Good Practice Recommendations Not applicable Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Sunningdale Court Nursing & Residential Home J54_s956_Sunningdale_v229122_110505_Stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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