Inspection on 07/08/08 for The Coach House Residential Home

This inspection was carried out on 7th August 2008.

CSCI found this care home to be providing an Good service.

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

Extracts from inspection reports are licensed from CQC, this page was updated on 09/11/2008.

CARE HOMES FOR OLDER PEOPLE The Coach House Residential Home Carla Beck Lane Carleton Skipton North Yorkshire BD23 3BU Lead Inspector Karen Westhead Key Unannounced Inspection 7th August 2008 10:00 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 Coach House Residential Home DS0000070709.V369924.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 Coach House Residential Home DS0000070709.V369924.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Coach House Residential Home Address Carla Beck Lane Carleton Skipton North Yorkshire BD23 3BU 01274 491533 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) coachhouseres@btconnect.com Mrs Jean Ward Mr Claudio Quintana Alvarez Care Home 14 Category(ies) of Dementia (14) registration, with number of places The Coach House Residential Home DS0000070709.V369924.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: 2. 3. Dementia - Code DE, maximum number of places 14 The maximum number of service users who can be accommodated is: 14 Aged 55 years and above on admission First inspection since registered in February 2008 Date of last inspection Brief Description of the Service: The new owners took over The Coach House in February 2008. The previous owner still works at the home, as the registered manager. The Coach House can accommodate up to 14 older people who may be have a memory impairment or have a learning disability. The house is a large detached property, set in its own grounds. The new owners are in the process of altering the interior of the property to make full use of the space. The changes are detailed in the “Environment” section of this report. At the time of the visit there were eight single bedrooms and three doubles, a single and double bedroom are on the ground floor the remainder are on the first floor. A stair lift is available to take people from the ground floor up to the first floor. There is a well-tended garden and enclosed patio area with seating. There are views of the local countryside from upstairs windows. There is limited car parking in the grounds for staff and visitors. The home is located close to the local services and amenities of Carleton and Skipton. However there is no footpath from the home, so walking on the road might be unsafe. There is an information pack and service user guide, which informs people about the home. The fees ranged from £450 to £475 per week. Services such as hairdressing and private chiropody are available, but an additional charge is made. The new owners are going to display the most recent inspection report in the reception area so that those interested can read it. The Coach House Residential Home DS0000070709.V369924.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection process included looking at the information received about the home since it was registered in February 2008. The Commission for Social Care Inspection (CSCI) have not had any complaints or concerns about the home since registration. The purpose of this visit was to look at how the needs of people living at The Coach House are being met. This unannounced visit was done in one day; one inspector visited the home between the hours of 10.00am and 3.40pm. During the visit people living in the home, visitors, staff and management were spoken with by the inspector. Various records, including care plans, menus, accident reports and medication charts, were examined and parts of the building were looked at. During the visit surveys were handed out to visitors. Surveys had been sent to the home in June 2008 to be distributed to people living in the home, staff and health care professionals. Stamped addressed envelopes were also provided and people were asked to return the forms by 28th July 2008. At the time of writing this report a total of 3 surveys had been returned to CSCI by relatives. A self-assessment form was sent to the home prior to the visit and it was returned to the CSCI by the due date. It was clear and contained most of the information asked for. Further information was provided by the owners during the inspection visit. Information from the surveys and the self-assessment form are included in this report. What the service does well: These are some of the things people said about The Coach House: The care home “always” meets the needs of my relative. The Coach House “always welcomes new” people “making them feel at home.” “The new owners have improvement plans in place.” When asked what the home did well two people said “everything.” A good choice of food and drinks are available throughout the day. This makes sure people receive a varied and nutritious diet. The Coach House Residential Home DS0000070709.V369924.R01.S.doc Version 5.2 Page 6 There are various activities that people are able to join if they wish. Staff are recruited in a way that makes sure only people who are suitable to work with vulnerable adults are employed, ensuring the safety and protection of the residents. People wishing to move into The Coach House and their representatives are given enough information about the home before they move in. This enables them to make an informed decision as to whether The Coach House is the right place for them to live. The home is very clean, smells fresh and is a comfortable place for people to live and visit. Staff, the manager and the owners were described as kind and helpful and relatives said they make an effort to provide the type of care people need and deserve. People who live at the home are given choices in some areas of their lives and maintain a level of independence they feel safe with. Examples given included rising and retiring times, which clothes to wear, what food they want to eat and which activities they will join in with. This ensures they maintain some control, which is within their own boundaries and abilities. The staff team were confident about risk taking and did not over protect people who wanted to walk around the home, engage in outside activities or stay in their own bedroom. The staff team make sure there is good access to the primary health care team and other health professionals. The owners, who are also new to the area, are making use of the relationships, which already exist with local doctors practices and the good levels of communication, which have been developed by the previous owners and the transferring staff team. For continuity of care a large proportion of the staff, who worked at the home before the new owners took over, have stayed. The owners are receptive to their local knowledge and see this as an asset. What has improved since the last inspection? What they could do better: The CSCI needs to be kept informed of events in the home, which may affect the welfare of people using the service, the premises or those employed. For example: any death, illness, outbreak of infectious diseases, serious injury, theft or accident. This is a legal requirement. The owner needs to make sure The Coach House Residential Home DS0000070709.V369924.R01.S.doc Version 5.2 Page 7 all staff receive the training planned within the timescales agreed and that this includes topics such as adult protection; dementia care; diversity and equality and moving and handling. 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 Coach House Residential Home DS0000070709.V369924.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 Coach House Residential Home DS0000070709.V369924.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, 3 and 5. Standard 6 does not apply to this service. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are assessed before they move in and whenever possible they are involved in deciding if the home is right for them. The personalised needs assessment ensures that the diverse needs of people living at The Coach House are identified and planned for before admission. EVIDENCE: The records showed that people’s needs are assessed before they move into the home. The owner said that people would be encouraged to visit before making a decision about moving in. In some cases it is a relative or friend who may want to visit on behalf of the person needing care. Information about the range of services offered is available in the home. A new brochure has been produced which includes what the home now offers. The Coach House Residential Home DS0000070709.V369924.R01.S.doc Version 5.2 Page 10 One person said, “I am really happy” my relative “is here.” The inspector wanted to know how much choice people had had before they moved into The Coach House. Those people living in the home who could comment said they had lived there a long time, so they were not able to say how the new owners would handle it. Since the new owners took over, there have been three admissions. Historically the home was for men only. The owners have opened their admissions policy up to either gender and the latest admissions have been female residents. One relative said they were a bit anxious about this in the beginning as the “ladies are outnumbered”, 3 to 8. But they felt sure this would even itself out. The owners are sensitive to the homes history and take this into consideration when they are making changes. The group of men who have lived in the home a significantly long time, some as long as 20 years, said they were “taking it in their stride” and in fact had enjoyed the changes. One of the new female residents had known two of the residents through her employment many years ago and this had been a talking point. They said they had re-established old friendships. The Coach House Residential Home DS0000070709.V369924.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The needs of people living at The Coach House are identified and arrangements are in place to ensure that their diverse care needs are met. EVIDENCE: Everyone living at the care home has a care plan. A selection of care plans were looked at. There were some differences in the way paperwork was being filled in. Some care plans were more detailed than others, but the owner is providing on going training to support staff in this area. At the time of the visit some care plans were on an old format. Over the next three weeks the owner will have transferred all information onto the new documentation. All the care plans are stored in a secure trolley, in the main office area and are accessible to all staff who need to write in them. One of the main reasons for The Coach House Residential Home DS0000070709.V369924.R01.S.doc Version 5.2 Page 12 having a care plan is to inform staff how to deliver care; the care plans seen did just that. Generally the care plans were completed to a satisfactory standard and set out how people’s personal and health care needs should be met. There were some examples of where changes had been made in the care needed and this had been noted in the evaluation section. On the whole the care plans seen were person centred. They identify people’s abilities or the areas where they need support to carry out daily activities. Whilst talking with an inspector one person said, “It is just like my own home is this.” Another person said they liked it in the home because they “feel safe, the ladies know what I need and I only have to ask for it.” Risk assessments are in place for falls, nutrition, and the risk of developing pressure sores. At the time of the visit no one had a pressure sore. One person was in their bedroom through choice and was spending the day in bed. Frequent checks were made and the person knew how to summon help should they need it. The owner knows what equipment is available from community services and how this should be used. Visits by GPs, community psychiatric nurses and other health and social care professionals are recorded and it was evident that people have chiropody and eye tests. During the visit a specialist nurse called in to discuss the care of one of the residents. He spent time with the person in private and wrote in the care plan. This is a good example of people being treated with dignity and having the right to be seen in the private. Before the nurse left the owner was given details of the ongoing treatment and advice. It was clear that the main discussion had been with the person receiving the care and that they had had the support of staff as appropriate. The inspector gained the impression that this was usual practice and staff gave people time to make sure they understood what was happening and why. At the time of the visit CSCI were not aware of any adult protection matters affecting people living at The Coach House. Overall medicines are managed safely. No one in the home manages his or her own medicines. However, the owner must remain mindful that medication given out must be signed for at the time it is given. There were no controlled drugs on the premises but the owner is fully aware of the requirements for storage and recording. There are plans to provide a private office, medication room and a new reception area in what was the old dining room. There will also be a new front entrance, with ramped access. This will replace the old entrance, which has steps and leads onto an area, which is small, has a further step and meets the bottom of the staircase. The Coach House Residential Home DS0000070709.V369924.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s individual social and leisure needs are met and people are supported to keep in touch with family and friends as they wish. EVIDENCE: Daily routines are flexible, for example people can get up and go to bed when they choose and can stay in their rooms if they choose not to use the communal areas. A lot of effort is put into encouraging people to join in activities. An activity organiser has been employed and is coming to the home one day a week at present. People spoken to said they enjoyed the activities they joined in and they said they were given a choice to take part or not. People living in the home seem satisfied that there are activities for them to take part in if they wanted to. The activity organiser said she used a variety of ways to keep people occupied and interested in the world around them. On the day of the The Coach House Residential Home DS0000070709.V369924.R01.S.doc Version 5.2 Page 14 visit people were joining in armchair exercises, ball games, and walking and sitting in the garden. Information about people’s social care needs and preferences are to be included in the care plans once this has been reviewed and assessed. The owners are keen to re introduce visits from representatives from the local churches. Some people go out to church services on a regular basis and keep in contact with the community they knew before they moved in. Visitors are welcome at any time. Relatives said the home meets people’s different needs and that it “did not matter what time they came.” One relative thought this was important, as they could pop in throughout the day and were not restricted to visiting hours. People said they liked and enjoyed the food. New menus are to be introduced in the next few weeks. The inspector watched the lunchtime meal being served in the dining area. People were offered a cold drink with their meal and a hot drink afterwards. Food is served plated from the kitchen. The meal was nicely presented, it looked and smelt appetising. Staff were available to help or support people with dining and this was done discreetly. The meal was served and eaten in a relaxed and unhurried manner, giving people time to eat at their own pace. One person said, “The staff here are very good. My mother in law has come on a lot since moving in. She has got her appetite back.” The Coach House Residential Home DS0000070709.V369924.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The owners are keen to take complaints seriously and act on them. People are protected from abuse however, staff need further training in the protection of vulnerable adult procedures to make sure they know what to do if they suspect or see abuse occurring. EVIDENCE: Information about the complaints procedure is available in the home. People, who completed the survey or talked to the inspector, said they know who to speak to if they are not happy. One person said, “I haven’t had to complain yet but if I needed to I would speak to one of the staff, no problem.” The owners said they had not had a complaint since taking over. CSCI has not been contacted directly about any complaints or concerns. The home has a policy on the protection of vulnerable adults, (safeguarding). Staff spoken to had a good understanding of their responsibilities to protect people and had an understanding of what they would do if they had any concerns about someone’s welfare. However, it is important that they receive up to date training to make sure they are working to the current practice The Coach House Residential Home DS0000070709.V369924.R01.S.doc Version 5.2 Page 16 guidelines. The owner has agreed to make sure this is done in the next 4 months. The Coach House Residential Home DS0000070709.V369924.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, 20, 21, 22, 23, 24, 25 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a clean, comfortable and pleasant environment, which is well equipped to meet their needs. EVIDENCE: The home was clean, tidy and smelt fresh on the day of the visit. People living in the home said it is always clean and tidy. There is an ongoing programme of refurbishment and redecoration and there is a range of improvements the owners are planning. The home employs a handyman who takes care of all routine maintenance, the gardening and carries out health and safety checks. The Coach House Residential Home DS0000070709.V369924.R01.S.doc Version 5.2 Page 18 As already stated, there are plans to provide a private office, medication room and a new reception area in what was the old dining room. There will also be a new front entrance, with ramped access. This will replace the old entrance, which has steps and leads onto an area, which is small, has a further step and meets the bottom of the staircase. A ground floor bedroom, which is next door to the kitchen, is to be turned into a dining room and a hatch will be fitted so that the service of food is better organised. The home is set in its own grounds and there is limited car parking. The owners are planning to make the car parking area bigger. The enclosed patio area, with glass canopy, is an area people use in all weathers to sit out. This is a safe area for people who may want to have a walk outside. People had lots of their personal belongings in their bedrooms, which gives a sense of personalisation and a feeling of home, on person remarked. At present, due to there only being 11 people living in the home, care staff are doing the cleaning and laundry. A cook is employed to make the meals. The owners are looking to employ domestic staff in the future. The home is well equipped to meet the needs of people with physical disabilities. There are a number of ensuite and communal bathrooms and toilets. One of the two bathrooms has a device to help people get in and out of the bath. The other is domestic in style and people step in and out. The owner said this was not a problem with the current group of residents but that this would be reviewed as needs changed. There is a stair lift. The owners are considering installing a passenger lift in the future. The home does all the laundry, including linen and towels. There is a call bell system, which people can use to summon help from staff. It was heard during the day and staff attended to all calls within a short space of time. The Coach House Residential Home DS0000070709.V369924.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are enough suitably trained staff to meet people’s needs and people are protected because all the required employment checks are done before staff start work. EVIDENCE: The rota showed that there are enough staff on each shift. Staff files examined showed satisfactory recruitment procedures are in place. This means only those people suitable to work with vulnerable adults are employed. There is an induction programme that ensures new staff members are given the right information to be able to do their jobs properly. Staff spoken to said they had received training in the past. The owners have prepared a training programme, which will provide all staff with the up to date training they need to improve their existing knowledge and skills. This means that people living at The Coach House will be receiving care from a well-informed staff team whose practice is up to date. The training programme is to include all the mandatory The Coach House Residential Home DS0000070709.V369924.R01.S.doc Version 5.2 Page 20 training needed to meet people’s basic needs such as moving and handling, adult protection, dementia care and diversity and equality. 2 out of the staff team of 10 have achieved National Vocational Qualifications level 2 or above. The owners are keen to increase this in the future. Some of the staff have worked at the home a relatively long time and this gives a stability to the team they have formed and means they have been able to build meaningful relationships with people living at The Coach House and with this comes an element of trust. Staff were seen to carry out their jobs in a polite, friendly and competent way. Staff were seen being kind and respectful to people, there was also a warmth in the way they approached and spoke to people. Staff did not ignore anyone they came across in the course of their work; a gentle smile or greeting was given to each person to acknowledge them or reassure them of the time or event about to take place. This made people feel included and helped orientate others. People visiting and those living in the home said staff were always available to provide appropriate support. Feedback from surveys confirmed that staff are available and provide the care and support needed. One relative described staff as friendly, with a sense of humour. The Coach House Residential Home DS0000070709.V369924.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, 32, 33, 35 and 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is managed satisfactorily. People are given the opportunity to share their views about the service and are kept informed about changes. The environment is safe for people and staff because appropriate health and safety checks are carried out. EVIDENCE: The new owners have moved from out of the area. They have until recently owned and run a nursing home for over 20 years. The previous owner of The Coach House has stayed employed as the registered manager for the The Coach House Residential Home DS0000070709.V369924.R01.S.doc Version 5.2 Page 22 foreseeable future. This has helped with the transition and people who live in the home are getting to know the new owners. People using the service have in the past been asked about their views by completing annual questionnaires periodically. The replies were analysed and if necessary things were changed. The owners are looking at the best way to repeat this once they have settled in. The staff continue to promote an open culture that encourages people to express their views about the home and throughout the visit the owners were engaging with people and checking out their wishes. The manager was away on annual leave. One relative said they thought the new owners were making the right improvements and seemed genuinely interested in the future of the home. The home has provided written evidence that shows all equipment is maintained and serviced at the required intervals. There is system in place for recording and monitoring accidents. However, CSCI had not been informed of events which the home must notify them of. The owner is now aware of this requirement. When the owners took over it was agreed that particular training was to be provided specifically around Adult Protection, dementia care needs and equality and diversity. This will be completed within 6 months. The Coach House Residential Home DS0000070709.V369924.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 3 3 3 X 3 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 3 3 3 3 3 3 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 3 3 X 3 X X 3 The Coach House Residential Home DS0000070709.V369924.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? First inspection STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP37 Regulation 37 Requirement The registered person must make sure they inform the CSCI in writing, without delay, of any event listed in Regulation 37. The registered person must make sure all staff, including senior staff, receive up to date training so that they can do their jobs competently. Timescale for action 03/09/08 2 OP30 18 12/12/08 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 Coach House Residential Home DS0000070709.V369924.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Coach House Residential Home DS0000070709.V369924.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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