Inspection on 30/11/07 for Swansea Terrace Nursing Home

This inspection was carried out on 30th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Swansea Terrace Nursing Home 04/01/10

Swansea Terrace Nursing Home 26/11/09

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 Swansea Terrace Nursing Home 108-114 Watery Lane Ashton Preston PR2 1AT Lead Inspector Phil McConnell Unannounced Inspection 30th November 2007 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 Swansea Terrace Nursing Home DS0000069767.V351026.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. Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Swansea Terrace Nursing Home Address 108-114 Watery Lane Ashton Preston PR2 1AT 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) 01772 717829 01772 713768 Swansea Terrace Care Home Limited Mrs June Patricia Stopforth Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (39), Physical disability (5) of places Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home with Nursing - code N, to people of the following gender:Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP, (maximum number of places: 39) Physical Disability - Code PD (maximum number of places: 5) The maximum number of people who can be accommodated is: 44 Date of last inspection Brief Description of the Service: Swansea Terrace has been under new ownership since June 2007 and Nightingale Premier Health Care Ltd owns the home. The home is situated in the docklands area of Preston and it is close to shops, cinema and restaurants. The home comprises of 42 single bedrooms and 1 double bedroom. Bedrooms are situated on the ground and first floor, with access being available by a passenger lift. There are lounge and dining areas on the ground floor. There is a varied programme of leisure and social activities available. The present rate of charging, depending on individuals care needs is between £342 and £589. Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information was gathered in order to assess the key standards that are identified in the National Minimum Standards for care homes for older people, including: the Annual Quality Assurance Assessment, (AQAA) which is a self assessment document completed by the manager and an unannounced inspection visit to the service on the 30th of November 2007, which was carried out by 2 inspectors, with the inspection lasting approximately 7 hrs. The registered manager Mrs Patricia Stopforth was available during the inspection visit. During the visit to the home 5 service users’ files were examined, including the most recent person to go and live at Swansea Terrace and discussions took place with some of the service users throughout the day. All of the files were well organised with all relevant documentation being in place. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. Five staff files were also examined, including the last person to be employed at Swansea Terrace, with all documentation being found correct. Throughout the visit there was the opportunity to have conversations with other staff members, including senior staff, the homes cook and the recently appointed activities coordinator. All of the feedback from these discussions was quite positive. The homes policies, procedures and all other documentation including health and safety files and certificates were examined. (See management section). A full tour of the home was also carried out. (See environment section). Swansea terrace has been under new ownership since June 2007. The feedback received from service users, relatives and members of staff has all been extremely positive and there is awareness that many changes are taking place, in order to improve the peoples lives that live there. What the service does well: The home is well managed and organised, giving the assurance that service users health and care needs are paramount. The pre-admissions procedure is thorough, helping to ensure that people’s health and care needs are adequately assessed. Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 6 There is a fairly static staff team, which helps give the service users and their relatives some assurance that there is a consistency and continuity of care being provided by knowledgeable and familiar people. What has improved since the last inspection? What they could do better: The national vocational qualification (NVQ) training is still below the acceptable 50 level. It was stated by the manager, “although we are below the 50 , we are beginning to make some progress. As already mentioned the care plans are much better than they were previously, however there is a need to include more information and detail. Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 7 It would also be beneficial to ensure that all risk assessments are incorporated into peoples’ care plans. The kitchen is in need of being completely refurbished. An assurance has been given that a new kitchen will be provided early in 2008. 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. Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 8 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 Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 9 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): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Swansea Terrace has a thorough and comprehensive pre admission process in place, helping to ensure that peoples’ needs are accurately identified and provided for. EVIDENCE: Five service users’ files were examined including the most recent person to go and live at Swansea Terrace. All of the files contained relevant assessment documentation including: admission assessments, care plans, reviews of plans and up to date daily record sheets. The Annual Quality Assurance Assessment (AQAA) states, “We have a new pre-admission assessment tool, that is very comprehensive. We visit the prospective new resident prior to admission, inviting the family to join us, where we discuss all aspects of the service users care needs” and “We follow the exact procedure for a service user who is to be admitted for intermediate Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 10 care. This is to ensure that we have any specialised equipment and information, regarding any intensive therapies that the person would require”. There was documented evidence to show that the correct procedures are being followed, in order to ensure that individuals needs are identified and determined if the home can meet the persons needs. It was evident that a thorough and robust pre-admission process was in place and in discussion with the manager it was clear that the process is successfully used for all new service users who to come to live at Swansea Terrace. The feedback received from service users and relatives was that people are given sufficient and adequate information regarding admission, in order for them to make an informed decision. Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 11 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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The improved care plans are adequate, with specific health care needs sufficiently identified. It is evident that peoples’ assessed needs are met, with people being treated with respect and dignity. EVIDENCE: New improved care plans have recently been introduced to the home. They are pre-printed, with the plans containing more relevant categories, however some of them are limited in sufficient detail, for example, if a risk has been identified and a risk assessment has been completed, then this needs to be referred to in the persons care plan. However it is acknowledged that the plans are new to the home and very much in the early stages of being used. Overall there is recognition that the plans are much better than the ones used previously. Plans are reviewed on a monthly basis and relevant, accurate and appropriate daily records are also maintained. This helps to show that individuals’ needs are regularly monitored and assessed, in order to ensure Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 12 that peoples’ needs are adequately met. One person wrote, “At the start of each shift, we are made aware of residents recent daily and evening health needs. This is very useful in giving us the knowledge to be give the best care we can as carers”. Five Peoples’ files were examined and they were up to date containing other appropriate and relevant information including, background history, permission for photograph, personal information, NOK, GP, pre-admission assessment, manual handling assessment, list of valuables, various risk assessments and detailed medical information. There is a policy in place for staff to adhere to regarding the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. The management have recently changed pharmacists to ‘Boots’ and it was commented, “this has improved our system so much”. Medicines were kept in a secure locked room, with newly acquired ‘purpose made’ metal wall cupboards, which were very well organised and tidy. Secure trolleys are used for the administration of medicines. Separate locked provision is also available for the correct storage of the controlled drugs that are being dispensed at the home. Only trained qualified staff administers medication. The medicine administration records (MAR) were observed and found to be accurate with medication being correctly administered. People’s medication records contained photographs, helping to eliminate any potential errors. All medication is appropriately stored, administered, recorded and when needed disposed of correctly. The controlled drugs register was examined and this also was accurately maintained. Some of the comments regarding individuals health care were, “the home provides really good nursing care in a caring, friendly and welcoming environment” and “myself and my son have always been informed about anything that’s happening to my husband, we have no concerns at all”. Members of the staff team were observed demonstrating a caring, sensitive, dignified and respectful approach, with people responding positively and it was evident that good relationships existed between the service users and the care staff. This was particularly evident at lunchtime, when members of staff were demonstrating sensitivity; patience, respect and understanding to some people who needed assistance with their meals. Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 13 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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The increase in the provision of activities within the home has had a positive effect on the service users, with people now feeling much more stimulated and motivated. EVIDENCE: The provider has recently employed an activities coordinator and during the inspection visit there was the opportunity to observe some activities taking place. Service users were actively getting involved in the activities being provided including, chair exercises and later on a music sing-along. It was apparent that people had become familiar with the activities now being provided. In discussion with the coordinator it was evident that there is a clear and dedicated commitment to continuing to maintain and increase a varied and stimulating programme of activities and events for the service users. Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 14 The activities and any forthcoming events are prominently displayed in the home. People were quite positive about the increase of activities within the home. The majority of surveys returned to the commission (CSCI) were very complimentary about the new owners of Swansea Terrace including, “The new owners seem to be improving services overall” “There have been a lot of positive changes with the new ownership” “we are very happy with the new owners, many things in the home have improved in the last couple of weeks” and some service users said, “There is now more to do, than just sitting around in a circle” and “definitely a big improvement, we are now being treated like people”. 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 visiting relative said, “We are always made welcome and my father appears to be very happy”. During the inspection visit there was the opportunity to observe people visiting service users and it was evident that people are openly encouraged to visit and are made welcome. A new cook has recently been recruited and form the feedback received it was evident that people are impressed with the meals being provided. There was a choice of meals available (new menus) which were seen to be nutritious, varied and appetising. There was the opportunity to have lunch in the home and the meal was good and well presented. Some of the comments received were, “I really like the new menu” “I can’t fault the meals” and “the meals are really good, I have put weight on”. Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 15 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Satisfactory policies and procedures are in place, helping to demonstrate that vulnerable people are protected and safeguarded from abuse. EVIDENCE: A comprehensive complaints policy and procedures were in place regarding the safeguarding and protection of vulnerable adults. No complaints have been received since the last inspection. Questionnaires that had been returned to the commission indicated that people are aware of the complaints procedure and how to complain if they need to. Some of the comments were, “We know how to make a complaint. We had to complain in the previous home, where our father lived. Everything here is so much better” and “I have never had to complain but I would know what to do if I needed to complain”. People, who were spoken with, knew whom they could speak to 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. Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 16 There was a thorough policy in place to deal with a suspicion or allegation of abuse. Some staff members were spoken to and they were fully aware of the procedures to follow in the event of any suspicion or alleged abuse and would be confident in the process, to ensure the protection of service users. It was also observed that training in safeguarding adults is made available to staff. The homes manager has received satisfactory training in order to facilitate this important training. Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The kitchen is in need of being totally refurbished. When completed, this will help give the assurance that people live in a safe and well-maintained environment. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a reasonably good standard, it was clean, homely and fresh smelling. Since the last inspection visit a number of positive changes have taken place including, some redecoration to the lounges, corridors and passageways, some of the bedrooms and the visitors room. The new décor has been completed to a very good standard. On the day of the inspection a team of decorators were working on the first floor corridor and what was also evident was that they were causing very little disruption to the running of the home. It is planned to Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 18 redecorate the home throughout and if the same standards are maintained, then the décor will be of a really good quality. The previous report made a recommendation that the lounge windows were in need of being covered with appropriate net curtains or blinds, in order to safeguard peoples dignity and privacy. It was reassuring to find that the new owners have satisfactorily addressed this issue. There is also a new ‘call alarm’ system in place and the feedback demonstrates that “this is a great improvement”. The laundry is much better organised than it was previously, with new good quality machines, which are more than adequate to meet the homes needs. It was also apparent in the laundry and throughout the home that the management of ‘infection control’ is very well maintained. This helps to ensure that people are protected from potential hazards to their health. The kitchen was clean, hygienic and as well organised as it could be, considering that it is now in need of a full overall. A recent environmental health report also stated that the kitchen is in need of being fully refurbished. An assurance was given that “a new kitchen will be installed early in the new year”. Peoples’ bedrooms contained personal belongings, such as televisions, 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 a passenger lift, lifting hoists, walking frames, bath seats/shower chairs and wheelchairs, thereby helping to ensure that individual needs are catered for, whilst independence is promoted. Some of the comments received regarding the environment were, “the home has improved so much” “I have every confidence that the new owners will continue to make Swansea Terrace a better place than it was before” and “at the moment there are a lot of changes and it looks like things are really improving”. Overall the environmental standard is generally quite good, with the changes that have taken place since the last inspection being of a good standard. In discussion with the manager, it is envisaged that more improvements will happen in the near future. (Kitchen and redecoration). Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The staff team have been correctly recruited and have the necessary skills and experience to provide a good standard of care to vulnerable people. EVIDENCE: The staffing levels for Swansea Terrace were examined and were found to be adequate and satisfactory. As already mentioned 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. A new staff handbook was observed and it was stated that it was being distributed to all staff in the coming week. The book contained information and guidance on, aims and objectives, health and safety policy, manual handling and the fire safety policy. There is a thorough recruitment process in place, with staff files containing evidence that Criminal Record Bureau (CRB) checks had been carried out and Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 20 staff are only employed on the satisfactory completion of these checks with two independent satisfactory references being obtained. It was also observed that any overseas staff have Home Office clearances to work in the UK. This helps to demonstrate that vulnerable people are protected and safeguarded, by having a robust recruitment process. Staff files contained information with regards to the experience, skills and training that staff have received including, an induction programme, training records, appraisals and supervision notes, which are every 8 to 10 weeks. The national vocational qualification in care (NVQ) training programme is still not meeting the required level of training that is needed. It was commented by the manager, “Although NVQ training is below 50 we are beginning to make some progress”. Some of the comments were, “we are continuously being given training in many different areas of care work and working within the care home, most of which I have found very useful” and “staff are now given better training and made more aware of what is good, questionable and bad practice”. All of the feedback regarding the staff team from relatives and people living at the home was generally positive and complimentary. Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. 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 are safe and receive a good quality service EVIDENCE: The registered manager has many years of experience in the care profession and is a qualified nurse. She has been the registered manager for Swansea Terrace for over 3 years and she has recently experienced the home being taken over by new owners. From feedback received the new ownership has created a positive and exciting attitude within the home. People said, “I believe that management are Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 22 committed to giving the best care” and “the patient care is much better and the staff get good support from the manager and the new owners”. The manager commented that she is “now able to be a manager, where as before I was counted as one of the nurses” and “This is evident in the increase of people choosing to come and live at the home, I am able to carry out preadmission assessments within a proper and appropriate timescale”. The manager is also a trained facilitator and provides quite a bit of the staff training within the home. The home’s new policies and procedures were examined and they were found to be up to date, relevant, satisfactory and of a good quality. The manager and the new owners have shown commitment and dedication in getting the opinions and ideas from service users and staff. This has been by way of regular team meetings and service user meetings. This helps to show that the provider is actively seeking to provide a quality service. 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 health and safety inspection certificates were in place and up to date, including: gas safety certificate, electric check certificate, fire extinguisher checks, PAT (portable appliance testing), emergency lighting certificate, pest control, legionella certificate, hoists and passenger lift inspection certificate. There was sufficient evidence to demonstrate that the health and safety of people who live and work at Swansea Terrace is promoted as much as possible, to help ensure that a safe and healthy environment is maintained. 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. Overall the home is better-organised and managed, with peoples’ welfare, safety and health being promoted and appropriately monitored. Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 23 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 3 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 X 2 X X X X X X 2 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 3 X X 3 Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Swansea Terrace Nursing Home DS0000069767.V351026.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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