Inspection on 22/06/07 for The Bellingham Residential Home

This inspection was carried out on 22nd June 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

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 The Bellingham Residential Home 47 Church Road Lytham St Annes Lancashire FY8 5PR Lead Inspector Phil McConnell Unannounced Inspection 22nd June 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 The Bellingham Residential Home DS0000068550.V336920.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. The Bellingham Residential Home DS0000068550.V336920.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Bellingham Residential Home Address 47 Church Road Lytham St Annes Lancashire FY8 5PR 01253 737356 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) anne.roberts@homecall.co.uk A1 Residential Care Ltd Anne Louise Roberts Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places The Bellingham Residential Home DS0000068550.V336920.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 15 service users to include:*Up to 15 service users in the category of OP (Old age not falling within any other category). Date of last inspection Brief Description of the Service: The Bellingham is registered to accommodate 15 people of either sex aged 65 years and above. The home is owned by Mr and Mrs Roberts and Mrs Anne Louise Roberts is the registered manager. The Bellingham is situated close to the centre of Lytham, affording people easy access to shops, cafes, banks and many other community resources. All of the bedrooms in the home provide ample space for people to create their own sense of home and to entertain guests as they please. Communal accommodation is situated on the ground floor, bedrooms are situated on the ground and first floor, and a chair lift is in place to assist those service users who require assistance to negotiate the stairs. The present rate of charging is between £350-£390 per week. The Bellingham Residential Home DS0000068550.V336920.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Various 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 pre inspection questionnaire, (completed by the registered manager / owner) an unannounced inspection visit to the service on the 22nd of June 2007, which lasted approximately 8hrs. There were 8 service users’ questionnaires and 5 relatives questionnaires returned to the Commission for Social Care Inspection (CSCI). All of the returned questionnaires were positive and complimentary about the level of care being provided at The Bellingham. The Bellingham has been under new ownership since November 2006. The new owners are Mr and Mrs Roberts, with Mrs Roberts now being the registered manager. The registered manager was available throughout the inspection visit. During the visit to the home 4 service users’ files were examined, including the most recent person to go and live at The Bellingham and discussions took place with some of the service users throughout the day. Their files were well organised with all relevant documentation being in place. There was the opportunity to have a brief discussion with two visitors to the home, who were visiting their relatives. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. Four staff files were also examined, including the last person to be employed at The Bellingham, with all documentation being found correct. Throughout the inspection visit there was the opportunity to have conversations with other staff members. 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). What the service does well: The Bellingham Residential Home DS0000068550.V336920.R01.S.doc Version 5.2 Page 6 The increased involvement and inclusion of people living at the home is very good, this is demonstrated in the way that people are actively encouraged to be involved in the planning of food menus and in what is going on in the home, with regards to the redecoration and the positive improvements that are taking place. There is a calm and relaxed atmosphere within the home. Both staff and people living at the Bellingham appear happy and content. There is a general consensus that the meals have greatly improved, following the implementation of the improved menus. The present staff team are committed, dedicated and professional in their care and support of the people living at the home. There is evidence of good relationships with health professionals. The home is well managed, with an improved clear management structure in place. There appears to be good relationships with relatives of people living at the home. The monitoring of quality assurance both externally and internally is satisfactorily carried out. Staff training and supervisions are adequately provided, helping to ensure that quality trained and skilled staff provide a good level of care. What has improved since the last inspection? From all of the information gathered including, questionnaires, discussions with people living at the Bellingham, visitors/relatives and the staff team, it is apparent that the change in ownership/management has brought about an improvement in the service being provided. There is an obvious improvement in staff moral since the last inspection. During the inspection, some of the people living at the home made a point of saying how much things had improved since the new ownership. “The changes are marvellous” and “everything is so much better now”. The redecoration and refurbishment that has already taken place, is of a good standard. There has been an increase in the activities available within the home; this helps to promote motivation and stimulation to people. The Bellingham Residential Home DS0000068550.V336920.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Bellingham Residential Home DS0000068550.V336920.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 The Bellingham Residential Home DS0000068550.V336920.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 standard 6 N/A. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a thorough pre-admission assessment process in place, which helps to ensure that individuals needs will be correctly assessed and met. EVIDENCE: The policy and procedures for a new service user moving to the home were examined and found to be thorough and satisfactory. Four service users’ files were examined, including two of the most recent admissions to the home and all of their files contained full and relevant assessment documentation including: admission assessments (Social Services and the homes own pre-admission assessment document), new individual contracts (drawn up with new owner) updated care plans, with a more detailed The Bellingham Residential Home DS0000068550.V336920.R01.S.doc Version 5.2 Page 10 document entitled, ‘Lifestyle and Interests’ including, ‘what I like to be called’ ‘my family life’ ‘my working life’ and ‘what I enjoy’. One relative wrote, “My relative was placed as an emergency, but all the information was provided later”. A service user wrote, “I came to look around the home before I moved in” and a persons’ file stated that, the person had visited the home for a pre-admission assessment and then returned to hospital for a short time, where the person made the decision to move to The Bellingham. During the inspection visit one relative said, “my mother was admitted from hospital, following an assessment”. Hospital assessment information was also available for inspection. The Bellingham Residential Home DS0000068550.V336920.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. Good care plans and risk assessments are in place, helping to ensure that individual’s needs are being appropriately met. EVIDENCE: Four service users’ care plans were examined and they were found to be up to date, containing relevant information with clear guidance on how to provide individuals care needs. As already mentioned a ‘lifestyle and interests’ document is completed, this complements the care plan. It was evident that peoples’ care plans were developed from the initial assessment. The care plans set out in detail what action was required to ensure that all aspects of health, personal and social care needs of service users are met. The Bellingham Residential Home DS0000068550.V336920.R01.S.doc Version 5.2 Page 12 Individual information was available with regard to peoples’ specific health care needs and there was evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out. Thorough records were observed of visits from GP’s, district nurses, chiropodists and other health professionals. This helps to demonstrate that people’s health needs are monitored and treated correctly when necessary. Each care plan consisted of individual assessments including risk of going out alone and manual handling. The care plans and risk assessments are reviewed on a monthly basis. Some of the comments from service users were, “The home meets all of my needs. I am very happy here” “they look after me very well” and “it’s absolutely excellent”. 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. Records were examined to ensure that all medicines received and administered were maintained (MAR sheets). Each of the record sheets had a photograph with the date of birth on for each individual. It was also observed that a ‘resting pulse record chart’ is kept for anyone who is prescribed ‘Digoxin’, which is a medicine used for heart related problems. The manager said, “this good practice has resulted in an improvement in the administration of medication to one person at least”. Medicines were kept in a locked cupboard. Although at the present time nobody at the home is prescribed controlled drugs, there was a separate locked secure cabinet to contain any future controlled drugs. None of the present service users self medicate, however there were contracts/agreements readily available for anyone who wanted to take their own medication. ‘Boots’ supply the medication in the home and the manger said, “Boots have recently completed a medication audit. They are really fantastic”. In observation throughout the visit, service users were observed being treated respectfully and with dignity. The Bellingham Residential Home DS0000068550.V336920.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. There has been an increase with the activities available within the home and the improvement in the quality of meals, has given people more stimulus, motivation and contentment. EVIDENCE: The previous report highlighted the need for the introduction of a more detailed programme of activities. Since the last inspection a new proprietor/manger has taken over and it was evident that there have been some improvements. The manager commented, “although there are no general activities as yet, we have had entertainers come into the home and we have beauty afternoons, which include foot spas and nail manicures, this is for men and women” and it is planned to have The Bellingham Residential Home DS0000068550.V336920.R01.S.doc Version 5.2 Page 14 ‘special afternoons’, where people will be able to sample new and different foods and try new and various activities, this will be to further identify what are peoples likes and dislikes”. There are regular religious services in the home, which are carried out by local churches. The manager has purchased a multi person vehicle, “in order to be able to take people on trips”. The manager was informed that a documented activities programme would be beneficial, with regular records kept of people attending the various events and activities. Some of the service users and one visitor commented that there had been some improvement, with one person saying, “I have been to the afternoon activities, the church services, carol service and walks with the staff around the local area” and another person said, “I’m free to go in and come out as I please, if I wasn’t happy I would leave”. There is an open house policy at the home and in discussion with some visitors, they were able to confirm that they can visit whenever they wish and they are able to see their relative in the privacy of their own room. Some of the service users said they choose to spend most of their time in their rooms and one person said, “I like my own room, they have tried to get me downstairs, but I prefer staying here”. The staff were observed taking meals to other service users, who also chose to have their meals in their bedrooms. It was observed during a tour of the premises that people had brought into the home their own personal belongings. This helped to demonstrate people’s own choices and individuality. A number of people informed me that the meals have greatly improved and there was a general consensus that “the meals are very good” and “it is nearly all home cooking”. There was the opportunity to have lunch at the home and it was well presented in a calm, relaxed atmosphere. One person was seen being supported with eating her meal and this was done in a sensitive and professional manner. The monthly rolling menus have also improved and the service users are actively involved in deciding what meals to have on the menu. The homes cook said, “since the new management came, I have been able to make more decisions regarding the running of the kitchen, it’s so much better” and “there is always an alternative to the regular menu” The menus were observed and they appeared to be well thought out and planned with plenty of variety and choice. Laminated menus are displayed on the home’s notice board. The Bellingham Residential Home DS0000068550.V336920.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: The home had a comprehensive complaints policy and procedure in place, regarding the safeguarding and protection of vulnerable adults. There have been no complaints received by the commission for social care inspection (CSCI) since the last inspection visit. 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. One person wrote, “It has not been necessary to complain, but I am sure things would be appropriately dealt with if needed” and a person living at the Bellingham said, “I do know how to make a complaint, but I don’t have any”. One other person wrote, “the care for my aunt has been very good at the Bellingham, any problems with my aunt they will phone me straight away and we will talk things over”. The Bellingham Residential Home DS0000068550.V336920.R01.S.doc Version 5.2 Page 16 A new secure and confidential post box has been placed in the reception area for anyone to post any complaints or compliment comments that they may have. 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 could be contacted if they chose to do so. 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. The Bellingham Residential Home DS0000068550.V336920.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 good. 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 full tour of the home was completed and throughout it was apparent that a number of improvements have taken place since the last inspection visit including, 4 of the bedrooms have been tastefully decorated with new bedding and curtains (there is a full redecoration programme in place), the shower room has been refurbished, a new fire alarm panel has been installed, the gardens have been greatly improved and a portable ramp has been purchased. A number of people commented about the positive changes that have taken place in the home, one person wrote, “improvements are constantly being The Bellingham Residential Home DS0000068550.V336920.R01.S.doc Version 5.2 Page 18 made, for example the menu’s, the ramp and the gardens” and another person said, “my relative has been very happy at The Bellingham and every change has been good”. The kitchen was clean and hygienic, however it is in need of being refurbished. In discussion with the manager an assurance was given that the kitchen is going to be fully renovated in the near future. The laundry is situated in the basement, it was well organised, with adequate machines to cater for the homes needs. All cleaning materials are stored in a safe and secure area of the laundry. All of the comment cards were positive about the cleanliness in the home, one person wrote, “The home is always clean and my room is perfectly clean”. One relative wrote, “the new owners are doing improvements in the home also with decorating outside and in, but this takes time and I have seen some improvements”. The hall, stairs and landing are being re-carpeted within the next couple of weeks. Service users’ 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. All but one of the bedrooms are ensuite and there are sufficient toilet and bathing facilities within the home. There was appropriate specialist equipment observed around the home, such as lifting hoists, stair lift, walking frames, bath seats/shower chairs and wheelchairs, thereby helping to ensure that individual needs are catered for, whilst independence is promoted. As already mentioned the gardens are neat and tidy, which is an improvement since the last inspection. The outside of the building is also in the process of being redecorated and from observation it is being done to a very good standard. Overall the environmental standard is good, with changes having already taken place under the new management and it is envisaged that more improvements will happen in the near future. One person said, “Since the new management, it’s a much happier environment” The Bellingham Residential Home DS0000068550.V336920.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. People are supported and cared for by, well-trained, skilled and dedicated staff, helping to give service users and relatives the confidence and assurance that people are safeguarded and protected. EVIDENCE: The staffing levels were examined and were generally 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. There is a thorough recruitment process in place, with staff files containing evidence that Criminal Record Bureau (CRB) checks had been carried out and staff are 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 Bellingham Residential Home DS0000068550.V336920.R01.S.doc Version 5.2 Page 20 Staff files contained information with regards to the experience, skills and training that staff have received with a full and thorough induction programme in place. Over 73 of staff have achieved the national vocational qualification in care (NVQ) and it is planned for all staff to attend a fire training course in July, which will be provided by a training officer from the fire brigade. One staff member said, “I have recently done a hygiene course and I am going to do a health and safety course”. Some other comments were, “It’s great here now, the residents are more chatty and happier and the changes are for the better” “if I didn’t work here and walked in I would be comfortable for a relative of mine to come and live here” and “I’m very happy working here, I really feel part of a team”. Individual staff supervisions are held on an 8 weekly basis and annual appraisals are also carried out. The Bellingham Residential Home DS0000068550.V336920.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 adequate. This judgement has been made using available evidence including a visit to this service. The home is generally well managed; however there is a need to ensure that all inspections relating to health and safety are carried out and appropriate certificates obtained. This will help ensure that people are safeguarded and protected from harm. EVIDENCE: The registered manager/proprietor at The Bellingham has many years of experience in care work and has had previous responsibility for managing other care settings. The Bellingham Residential Home DS0000068550.V336920.R01.S.doc Version 5.2 Page 22 A new management structure has been introduced in the home, which gives shared managerial responsibility to the senior members of staff. However the overall running of the home remains with the registered manager. In discussion with some of the staff team it was apparent that good relationships exist between the manager and staff, some of the comments were, “it’s so much better now and the manager is like a breath of fresh air” “the manager has allowed me to take decisions, having this responsibility is much better” and “the change in management is a big improvement”. The manager said, “We have had some staffing problems, but now we have a really good staff team, who are committed and dedicated”. The organisation has maintained the Investors in People Award, (a quality assurance monitoring organisation) demonstrating that there is a commitment from the organisation to have its quality of care assessed both internally and externally. The organisation has also implemented a number of self-auditing systems and quality assurance checks. Satisfactory procedures were in place, regarding service users’ finances, with records being kept. All of the homes policies relating to health and safety were examined and although they are robust and thorough they are in the process of being reviewed and updated, helping to show that the health and safety of all who live and work at the Bellingham is taken seriously. The homes Inspection certificates were examined and unfortunately the gas, electric, and portable appliance (PAT) certificates were not available for examination. The manager was informed that these important checks need to be carried out as soon as possible and copies of the inspection certificates are to be forwarded to the commission for social care inspection (CSCI). All other relevant health and safety certificates were in place. The Bellingham Residential Home DS0000068550.V336920.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 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 The Bellingham Residential Home DS0000068550.V336920.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. 1 Standard OP38 Regulation 13 (4) (a) (c) Requirement The registered person should ensure that all health and safety inspections are carried out and certificates obtained. (See management section) Timescale for action 30/06/07 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 OP12 Good Practice Recommendations Initiate an activities programme, with records of attendance kept. (See daily life and social activities section) The Bellingham Residential Home DS0000068550.V336920.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 The Bellingham Residential Home DS0000068550.V336920.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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