CARE HOMES FOR OLDER PEOPLE
The Chanters Care Home Tyldesley Old Road Atherton Manchester M46 9AF Lead Inspector
Judith Stanley Unannounced Inspection 22 August 2007 09:15 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 Chanters Care Home DS0000065685.V339339.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 Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service The Chanters Care Home Address Tyldesley Old Road Atherton Manchester M46 9AF 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) 01942 884500 01942 896599 thechanters@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Tracey Marie Evans Care Home 40 Category(ies) of Dementia - over 65 years of age (5), Learning registration, with number disability over 65 years of age (1), Old age, not of places falling within any other category (40) The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The Home is registered for a maximum of 40 service users to include:up to 40 service users in the category of OP (Older People) up to 10 service users in the category of DE(E) (Dementia over 65 years of age) up to 1 male service user in the category of LD(E) (Learning Disability over 65 years of age) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The service should at all times employ suitably qualified and experienced members of staff, in sufficient numbers, to meet the assessed needs of the service users with dementia. The service should ensure that all staff receive training in dementia care and refresher training also take place. 22nd November 2006 2. 3. 4. Date of last inspection Brief Description of the Service: The Chanters Care Home is owned by Southern Cross Health Care and offers care for 40 male and female residents. It is situated in Atherton off the main road close to the town centre, with access to shops and other local amenities, including public transport. The Chanters offers accommodation to people who require assistance with personal care and support, for one resident with a learning disability and for people with a dementia related illness. The Chanters is a purpose-built two storey property that offers all single rooms with en suite facilities. Bathrooms, toilets, communal lounges and dining rooms are available on both floors. The home has safe, enclosed gardens to the rear with suitable seating and car parking is available at the front of the home. The current scale of fees at The Chanters ranges from £285.00 to £400.00 per week. Additional charges are made for hairdressing, holidays, toiletries, daily papers and magazines and some trips out. The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection which the home did not know was going to happen included a site visit. The inspector was at the home from 09:15 until 15:30. Part of the time was spent in the office looking information the home holds on residents (care plans) and other records the home needs to keep to ensure that the home is being properly run. The inspector spoke with the home’s manager, the administrator, staff, residents and relatives. The inspector made a tour of the home with the manager and also unaccompanied. Prior to the inspection the manager was required to complete the Annual Quality Assurance Assessment (AQAA) which provides the inspector with information about how the home meets the National Minimum Standards, what they think they do well at and how they could improve. The information informs the CSCI about the training staff have undertaken, about the home policies and documents and about the maintenance of equipment etc. Samples of this information are checked during the inspection. To find out more about the home comment cards were sent to residents, relatives and other people who visit the home, such as doctors, and district nurses. Eight residents and two relatives returned comment cards, there were no returned comment cards from visiting professionals. All but two of the returned residents comments have been signed that staff have assisted the residents to fill them in. For future reference it may be beneficial for an outside advocate to assist residents in completing comment cards, as this may give a different view of the home. No added comments were made and from the information received residents appeared happy with the overall care provided. One relative said. “ The home provides my mum with a homely environment and the carers always do their best for all the residents”. Another said, “When visiting, the home is always clean and tidy, the staff are friendly and any problems we have had have been dealt with quickly. Sometimes it seems as if there is a shortage of staff, whether it was the time of when we visited or absenteeism I don’t know but the staff who are on duty do a good job”. There have been no complaints made to the manager of the home and none have been forwarded to the CSCI. One relative has raised two issues over toiletries and continence products, which the manager has dealt with and documentation was available of how this had been resolved. What the service does well:
The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 6 The Chanters is a well-managed and well run home ensuring a high standard of care for the people living there. The premises are clean and safe and the standard of the accommodation is good, there are effective systems for keeping the home maintained to a good standard. There have been few staff changes, so residents are looked after by people they know and can trust. The home has several communal rooms so residents have a choice of where they sit and with whom they wish to spend time with. The manager is supported by an experienced administrator. Records are kept to a good standard, and the office is well organised and everything is to hand. There are additional checks and procedures in place to ensure everything is properly accounted for. The home encourages prospective residents, where possible to visit the home and stay for a meal. To welcome new residents on arrival at the home a welcome gift pack of toiletries and a small bottle of champagne is waiting for them in their room. What has improved since the last inspection?
Staff training has been planned and delivered. The home has been redecorated in most areas and has had new carpets and furnishings. New flooring has been laid in the bathrooms. All staff now had a satisfactory police check. Added seating areas have been made of the corridors to allow resident to sit together. As with all Southern Cross homes The Chanters is now using the new ‘NUTMEG’ nutrition planning for menus. There has been further improvement with the planned activities. The pay phone has been relocated to a place where residents can make and receive calls in private. The Chanters Care Home DS0000065685.V339339.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 Chanters Care Home DS0000065685.V339339.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 Chanters Care Home DS0000065685.V339339.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): 1,2, and 3 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides prospective residents and their supporters with up to date information about the home that helps them in making a decision about moving in to the home and the services provided. EVIDENCE: The home has a statement of purpose and a service user guide. This is available to prospective residents and to residents all ready living at the home. The information is clear and concise and informs people of the services and facilities available. The name of the registered provider is currently being changed, the rest of the information is correct as written. The last CSCI inspection report is available for anyone to read should they wish to.
The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 10 All residents have an up to date contract with the home whether they are funded by social services or pay for their own care. Five care plans were chosen for inspection. On examination all contained a pre admission assessment to ensure that the resident’s health, personal and social care needs could be met. Assessments are carried out at the most convenient place for the prospective resident, either at their own home, hospital or at The Chanters. The assessment is detailed and covers the residents well being, all areas of risk including history of falls, mobility, continence, bathing and dressing, personal care, oral and foot care, nutritional status, medication and likes and dislikes. The assessment provides staff with the information they need to ensure that the individuals care needs can be met and provides the base line for the drawing up of the care plan. The Chanters Care Home DS0000065685.V339339.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 were assessed Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans provide staff with the information they need to meet the needs of the residents. Personal support is offered in such a way as to promote resident’s privacy and dignity. EVIDENCE: Five care plans were chosen for inspection. One of the care plans looked at was for a resident who was admitted as an emergency. The care plan contained a pre admission assessment and enough information at that time to enable staff to meet the needs of the resident. A social profile was seen, this included religious and spiritual needs, place of birth, school days, working years, war years, marital status, community involvement, pets, smoking preferences, beverages and alcohol, preferences for afternoon sleep, all meal arrangements for example time of meals preferred
The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 12 and where meals are taken and choices of daily papers. This information is useful for staff to get to understand the resident better and can generate areas of conversation. Other information in the care plan included risk assessments for example risk of falls and mobility, nutrition, pressure care, moving and handling and the use of bed wedges as a safety measure. As well as the main care plan, there is a quick glance file, which informs staff about the residents nutritional needs, personal care required and given, activities and progress notes. There was evidence to demonstrate in the care plans that outside agencies, such as doctors, district nurses and the chiropodist are contacted and visit the home as required. Observation throughout the inspection showed that the personal care needs of the residents were being met. Attention to all residents was given to personal grooming, residents were seen to be clean and clothes were nicely washed and ironed. Ladies had had their hair done by the hairdresser and gentlemen were clean-shaven. Staff were seen knocking on residents doors and on bathroom and toilet doors and waiting for a response before entering. Kitchen staff were seen accompanying residents to the dining room before lunch and were heard explaining to some residents who were confused where they were going and why. Staff were friendly and respectful to residents and it was evident that good relationships had been formed. The senior on duty gave out the morning and lunchtime medication. Residents were given tablets in appropriate manner and offered a drink to help them swallow them. Medication was then recorded on the individual’s drug sheet. All medication is securely stored, including any controlled drugs. The Chanters Care Home DS0000065685.V339339.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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with well-cooked food, which they like, in good portions at times that suit them. EVIDENCE: The home has an activities coordinator who works Monday to Friday who with the help of the residents plans and delivers a wide range of indoor and outdoor activities. Activities offered include bingo, dominoes, arts and crafts, beauty care, reminiscence sessions and shopping trips. A family night with a buffet supper had been arranged at a local club close to the home for residents and their families to spend time together away from the home. At the time of the inspection four residents had gone to stay at another Southern Cross home in Blackpool. Other residents had just returned and had enjoyed themselves. The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 14 Visitors are made welcome to visit the home at any time; there are no restrictions as to when people can visit. Residents can meet with visitors in one of the lounges, or in the privacy of their own rooms. Two visitors were spoken with and both expressed their satisfaction about the care provided. One said. “The staff are very friendly and always make me welcome, I have no immediate concerns”. The manager encourages and develops links with the local community for example the family night out arranged and with residents going out, some unaccompanied to the local shops and other amenities, which is important for them to maintain. New menus have been introduction by the company using a system called, “NUTMEG”. All meals have been planned to ensure that residents receive a well-balanced and nutritious diet. The emphasis is for more fresh food and home cooked food to be served, for example all soups are homemade. The menus are carefully planned and provide cooks with recipes and the exact amount of ingredients needed for the number of people they are cooking for. The new menus have so far proved to be successful. Residents spoken with were satisfied with the meals served and with the variety and choices. Residents have given some of their preferences, which have been included in the planning. A flexible breakfast is available to allow residents to get up when they are ready. Breakfast consists of assorted cereals, toast and preserves, tea or coffee. Other alternatives are available as requested. Lunch is the main meal of the day, on the day of the inspection residents were offered roast pork, apple sauce, roast and creamed potatoes, diced swede, broccoli and gravy, followed by a choice of apple pie and custard, yoghurt or ice cream. The alternative to the main meal was cheese and broccoli bake. A choice of fruit juice or water was served with the meal. A lighter afternoon tea is served with the day’s choices of baked potato with a tuna filling or sandwiches and homemade cake. Suppers are available before residents retire. A choice of hot and cold drinks and snacks are served during the day. The day’s meals were written on the menu boards in the dining rooms. Staff go round to the residents asking them what they would like to eat and orders are taken. Meals are served in the dining rooms on both floors, or where the resident is most comfortable. Staff encourages residents to dine together as this is a social time. Hot trolleys ensure the food is maintained at the correct temperature.
The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 15 The dining rooms are comfortable and offer a pleasant environment for residents to dine in. Tables were seen to be nice, set with tablecloths, napkins, suitable and matching crockery, appropriate cutlery, condiments and water glasses. A small vase of flowers on each table gave the finishing touches. The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 16 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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives, can have confidence that residents will be protected from abuse and have their rights, including the right to complain, protected by effective staff training and procedures. EVIDENCE: A complaints procedure exists and records of complaints are kept and properly recorded, along with the outcome. There have been no complaints, however one relative has raised some concerns about toiletries and continence products. It is the companies’ procedure to formally record these concerns and how it was resolved. This information was clearly documented in the complaints file and available for inspection. The CSCI have not received any complaints about The Chanters since the last inspection. There have been no safeguarding issues reported by the home since the last inspection. The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 17 All staff had now received training in the protection of vulnerable adults and staff spoken with were confident how they would respond to any incidents of abuse in any of its forms. The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 18 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 Chanters is maintained to a high standard making it a homely, comfortable, clean and pleasant place for residents to live. EVIDENCE: From a tour of the premises, it was evident that several areas of the home had been refurbished. Since the last inspection communal areas of the home had been decorated and the bedrooms were on a rolling programme of redecoration. The bathroom room floors had been replaced as these were heavily stained at the last inspection.
The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 19 The home’s foyer is bright and nicely decorated and is a pleasant area for people to sit together. Several resident’s rooms were looked at, bedrooms were clean and tidy and it was evident that residents had been encouraged to personalise their rooms with their own belongings brought with them from home and with photographs and mementoes. With the exception of one room the home was free from any offensive odours. One room had a strong smell of urine. The manager addressed this immediately and ordered new flooring to be laid, which would be done by the end to the week. The bathrooms are nicely decorated so as to offer a relaxed atmosphere for residents when bathing. There was no evidence of communal toiletries; these are brought into the bathrooms when residents are ready to bathe. The outside of the home is well maintained and the grounds were seen to be neat and tidy. There is appropriate seating for residents to sit outside. Systems are in place to control the risk of cross infection. Staff were seen wearing different protective clothing when carrying out different tasks. The laundry is sited on the first floor away from food preparation and food storage areas and does not intrude on the residents. The domestic team work hard to ensure that all areas of the home are clean and tidy, and the laundress ensures that resident’s clothes are swiftly laundered and returned to resident’s rooms. The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 20 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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be sure that their needs can be met by good staffing levels and with a competent, experienced well-trained staff team. EVIDENCE: The staff rotas were available for inspection and showed that there was sufficient staff on duty each day and night. Domestic and kitchen staff are employed in sufficient numbers to cater for the needs of the residents and to support care staff. Several of the staff working at The Chanters have worked at the home for a number of years. This provides good, consistent and reliable care to residents by people they know and can trust. From the inspectors’ observations, staff morale appeared to be good and the staff seemed genuinely happy to be working at the home. The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 21 The staff group is predominately female, however there are three male members of staff on the team. This is good for conversation and company for the male residents living at the home. The manager is supported by an experienced deputy manager, who is very capable of managing the home in the absence of the home’s manager. A staff training matrix was available and evidenced that staff training was progressing and that mandatory training had been undertaken, for example moving and handling, protection of vulnerable adults, first aid (there are some trained nurses working at the home) , fire safety, dementia and food hygiene. Out of the twenty-seven staff employed sixteen have NVQ level 2 or above with another five staff working towards the qualification. The manager has introduced a new induction pack for new members of staff starting work at the home. A full copy of the each members of staff employment file is kept at the home in a secure location. Three files were chosen for inspection. Files contained personal details, application form; a declaration of health, equal opportunities, a recent photograph, job descriptions and other forms of identification. Two files contained two written references, the other file was of a long standing member of staff who had been employed prior to this current manager being in post, having no references. The home’s manager has ensured that any new staff employed has undertaken a robust recruitment procedure and the inspector on checking other staff files found evidence of two references. The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 22 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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Chanters is run by a well qualified, and suitably experience manager. Residents can be sure that their best interests will be the central focus, with a positive and inclusive approach to making the service better. EVIDENCE: The homes manager has worked with the elderly for a number of years and is qualified to NVQ level 4 in care and also has the Registered Manager’s Award. The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 23 The home’s manager is committed to her own training as to that of her staff team and sees this as an essential element to delivering good quality care for residents. The way in, which the home is managed, is open and transparent. The home’s manager operates an ‘open door’ policy so that she may be approached at any time by staff or residents or their families. This was observed on the day of the inspection when members of two families wished to speak with the manager. The office is well organised so that staff have the access to the paperwork and contact information they need during a shift. The manager is well supported by an experienced administrator who has worked at the home for number years. There is a good system of continuous self-monitoring in the home, which includes satisfaction and quality surveys. There is internal auditing of the records the home is required to keep. External auditing is carried out by the companies’ head office. Some of the residents living at The Chanters have handed over the responsibility for their financial affairs to their families but keep a small amount of money with the manager for safekeeping. Others manage their own financial affairs. A sample of residents’ money was checked and found to be in order and matching the written records of transactions. Equipment and systems used in the home are serviced and maintained, and records were easily accessible. Repairs are carried out by the home’s maintenance staff and by the company, other maintenance and service contracts are in place. The following checks have taken place and certificates were available to verify that: Weekly fire checks are carried out on the alarms and fire doors. Monthly checks are carried out on the emergency lighting. The last fire drill was 05/01/07 (another fire drill would be beneficial). Lift was serviced 10/01/07. Water testing 15/03/07 Bath hoists 11/01/07 Gas 11/04/07. Accidents, injuries and incidents are recorded properly and reported to the relevant body, a monitoring sheet oversees the process. The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 24 The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 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 3 The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO 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 The Chanters Care Home DS0000065685.V339339.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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
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