CARE HOMES FOR OLDER PEOPLE
The Grange Care Home Keighley Road Colne Lancashire BB8 0QG Lead Inspector
Mrs Marie Matthews Key Unannounced Inspection 17th April 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 Grange Care Home DS0000022465.V333049.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 Grange Care Home DS0000022465.V333049.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service The Grange Care Home Address Keighley Road Colne Lancashire BB8 0QG 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) 01282 866054 01282 866054 the.grange.colne@fshc.co.uk Alliance Care (Dales Homes) Limited (wholly owned subsidiary of Four Seasons Healthcare Limited) Lynn Ann Duncan Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (36), Physical disability (4) of places The Grange Care Home DS0000022465.V333049.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 who require nursing or personal care. Up to 36 service users who fall into the category of OP. Up to 4 service users who fall into the category of PD. 6th December 2005 Date of last inspection Brief Description of the Service: The Grange Care Home is a converted and extended Victorian house, which provides accommodation for up to forty people who require nursing or personal care. The current registration includes thirty-six places for older people and four places for younger people with a physical disability. The home was converted from the original house and has had additional accommodation added. The home is situated in a quiet residential area on the outskirts of Colne close to shops and on a main road bus route. There is car parking in the grounds of the home. Lawned areas with mature trees surround the home and there are outside seating areas to the front of the building. The garden is well maintained and easily accessible to those residents who need to use a wheelchair. There are thirty single rooms and five shared rooms. Eighteen of the single rooms and three of the shared have en-suite toilets and hand wash basins. Two shared bedrooms have an en-suite bathroom. There is a passenger lift between floors. Communal areas in the home include three lounges and a dining room and there are seating areas in the reception hall. The Grange Care Home is part of the Four Seasons Health Care Group but registered to Alliance Care (Dales Homes) Ltd. Information about the services offered by the home is provided in the form of a service user guide and is available, with a summary of the most recent inspection report, to existing and prospective residents and their relatives. On the day of the key inspection the weekly fees ranged from £319.00 to £460.00. Items not covered by the fee are newspapers, toiletries, hairdressing, private chiropody and contributions to some outings and activities. The Grange Care Home DS0000022465.V333049.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced key inspection, including a visit to the home, of The Grange Care Home was conducted on 17th April 2007. The inspection process included looking at records, a tour of the home, discussions with the registered manager, two staff, seven people who lived at the home and one visitor. Information was also included from a survey form filled in by one resident. The inspection also looked at things that should have been done since the last visit and a number of areas that affect resident’s lives. There were twenty-nine people living in the home on the day of the inspection. What the service does well:
People were provided with enough information to enable them to make decisions about whether the home was the right place for them. The home always collected detailed information about what care people needed before they moved into the home; this would make sure they would have their needs met. This information was included in a care plan that would be used by the staff to ensure people would be looked after properly. Staff were aware of privacy and dignity issues and were seen responding to people in a positive and friendly way. The home employed a member of staff who was responsible for arranging activities and entertainments and ensuring people’s diverse needs were met. One lady said she enjoyed doing different activities with her friends and could also stay in her room if she did not wish to join in. Another lady said she was ‘never bored, there is always something to do’ and had made some ’lovely friends’ since coming to the home. One lady said ‘I have to spend a lot of time in my room and they try to find me different things to do’. The home operated a key worker system so that each person had a ‘special’ member of staff to support them. People said their visitors were welcomed at any time, could be involved in aspects of their care and could have a drink or meal if they wished. One visitor said ‘ I always get a cup of tea and a smile when I visit’. The menu offered a choice of meal at each sitting and was displayed on a notice board each day so that people knew what the choices were. One lady said ‘I’m a picky eater but there is always something for me’ another said ‘the
The Grange Care Home DS0000022465.V333049.R01.S.doc Version 5.2 Page 6 food is fine we always get a choice’; one gentleman said ‘it’s a bit bland sometimes’ and another said ‘ I can choose what to eat and its always very good’. People knew whom to complain to and were certain their concerns would be listened to. The company monitored the number and type of complaints and action had been taken to ensure similar complaints do not occur. One lady said ‘I know how to complain, it’s in the book in my room’. Another said she was always asked if she was happy with everything. People said they were well looked after and one lady said ‘I don’t regret moving here and my daughter is happy that I’m safe and looked after’. The home had clear procedures in place to help staff to protect people in the home; staff said they had received training and knew how to respond if abuse was suspected. A tour of the home showed that the home was comfortable, well maintained and safe and provided a pleasant environment for people to live in. All areas of the home were bright and pleasantly decorated and there were signs of ongoing improvements to maintain and improve the home. One lady said ‘ I have a lovely room and can look out into the gardens’, another said ‘my room is always bright and clean’; one visitor said ‘the home is always clean and fresh’. Grounds were attractive, safe and accessible to people. There were sufficient staff to meet people’s needs. People said they were ‘well looked after’ and that ‘staff help when needed’. Comments about staff included ‘they are very dedicated’ and ‘I’m looked after very well the staff are kind and friendly’. Staff were given a range of appropriate training that would improve standards of care for people in the home. Staff were supported and supervised to ensure they had the skills and knowledge to meet people’s needs. The home was safe and well managed. People’s views and opinions had been sought to make sure the home was meeting people’s needs and expectations. What has improved since the last inspection?
The detail in the care plans had been improved and included information that had been collected from different sources to ensure people’s needs were taken into consideration. The plans had been reviewed and updated regularly to reflect current needs and people had been involved in decisions about their care. The home had responded to concerns about the storage and recording of medications; this made sure people’s medicines were managed safely. Two staff employment files were looked at and showed the home had followed a safe recruitment procedure that had protected people from the risk of abuse from unsuitable people. The Grange Care Home DS0000022465.V333049.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 Grange Care Home DS0000022465.V333049.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 Grange Care Home DS0000022465.V333049.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 and 3. Standard 6 was not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were provided with enough information to enable them to make an informed choice about admission to the home. Detailed information was collected about prospective ‘residents’ before they were admitted to the home to ensure their needs would be met. EVIDENCE: The service user guide and statement of purpose that contained detailed information about the home had been updated and was available to both existing and new residents to help them to make an informed choice about admission to the home and what rights they had. Two care plans were looked at. The home had collected detailed information about people’s needs before they moved into the home; this would make sure they would have their needs met. This information was included in a care plan
The Grange Care Home DS0000022465.V333049.R01.S.doc Version 5.2 Page 10 that would be used by the staff to ensure people would be looked after properly. One person said they had been able to look around the home and ask questions before making it their home; another said their family had arranged everything and had been given information to help them to make an informed decision. The Grange Care Home DS0000022465.V333049.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. People received health and personal care that was based on their individual needs. EVIDENCE: Everyone had a care plan that included detailed information about what care was needed to meet people’s individual needs. Three care plans were looked at in detail. The care plans were organised and included information that had been collected from different sources before admission to the home to ensure all aspects of their needs were taken into consideration. The care plans had been reviewed and updated regularly to reflect current needs and people had been involved in decisions about their care. Any risks that would affect people’s safety had been considered and action to be taken by staff to reduce or remove the risks was recorded clearly in the plan to ensure staff were able to keep people safe from harm.
The Grange Care Home DS0000022465.V333049.R01.S.doc Version 5.2 Page 12 It was clear that people’s general health was monitored and they had access to a range of health care services; necessary aids and equipment were provided to support and help people to maintain their health and independence. The GP and other health care professionals had been consulted if the home had concerns regarding a persons’ health. Staff had received appropriate training to help them to maintain people’s health care needs. Nutritional assessments showed that people’s weight was monitored weekly or monthly dependant on the risk; this meant that staff could respond quickly to any changes in people’s health. A number of people were on monitoring charts to ensure they were given the right care; however some of these charts had not always been completed in full and it was not clear whether the right care had been given at the right time. The registered manager completed monthly checks of people’s care plans to make sure they were up to date and that people were getting the correct care to meet their needs. An unannounced inspection had been done in January this year to check whether the home was handling medicines correctly. This inspection looked at action taken to improve management of people’s medicines. The home had responded to the concerns and records showed that medicines were being given at correct times, handwritten records were countersigned and ‘when required’ prescriptions were supported by clear instructions to guide staff. The safe storage of medicines and recording of medicines for disposal had improved to ensure there was no mishandling. Staff were aware of privacy and dignity issues and were seen responding to people in a positive and friendly way. One person said her husband visited every night to help her to bed and often stayed for his evening meal. Another person regularly visited her family for the weekend and staff helped her to do this. People said their privacy was respected and staff would knock on doors before entering. The Grange Care Home DS0000022465.V333049.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. Social and recreational activities generally met people’s diverse needs and expectations and they received a healthy varied diet according to their assessed requirements and choices. EVIDENCE: The home employed a member of staff (activity co-ordinator) who was responsible for arranging activities and entertainments and ensuring people’s diverse needs were met. Each person had a ‘social activity plan’ that detailed their likes and preferences and included information about activities they had participated in and whether they had enjoyed it; this helped the activity coordinator to plan suitable activities for each person. The records showed that various activities and entertainments were provided for people either in groups or on a one to one basis, although the detail in the records did not truly reflect the range of activities that the home had provided. One lady said she enjoyed doing different activities with her friends and could also stay in her room if she did not wish to join in. Another lady said she was ‘never bored, there is always something to do’ and had made some ’lovely friends’ since coming to the
The Grange Care Home DS0000022465.V333049.R01.S.doc Version 5.2 Page 14 home. One gentleman said ‘there isn’t enough going on but I prefer to stay in my room and watch television or read the paper’; staff had made sure that his newspapers were delivered to his room. One lady said ‘I have to spend a lot of time in my room and they try to find me different things to do’. People said they were able to choose whether to meet their visitors in the lounges or could spend time in their rooms. Information had been collected about people’s choices and preferences and lives before they were admitted to the home to help staff to care for people properly. The home operated a key worker system so that each person had a ‘special’ member of staff to support them. Visitors could visit in the lounges, bedrooms or in a number of quiet seating areas around the home. The menu offered a choice of meal at each sitting and was displayed on a notice board each day so that people knew what the choices were. One lady said ‘I’m a picky eater but there is always something for me’ another said ‘the food is fine we always get a choice’; one gentleman said ‘it’s a bit bland sometimes’ another said ‘ I can choose what to eat and its always very good’. Records showed that people were given a choice and that there were other alternatives provided that were not included on the menu. The registered manager was advised to ensure the record of food served was completed in full as there were a number of gaps and it was difficult to show what food people had eaten. New dining room furniture had been provided and the dining room was bright and pleasant and the tables attractively set; people could also dine in their rooms if they preferred. One lady said she and her husband had dined outside during the warmer weather and had enjoyed this time together. Staff were seen helping people who needed support with their meals. The Grange Care Home DS0000022465.V333049.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 excellent. This judgement has been made using available evidence including a visit to this service. People had access to a robust and effective complaints procedure and were certain their concerns would be listened to. People were protected from abuse by staff awareness and the homes’ policies and procedures. EVIDENCE: The complaints procedure was clear and easily accessible and was displayed in the entrance hall and in people’s rooms. The records showed that the home had followed procedures and responded appropriately to any concerns raised. People were aware of whom to complain to and one lady said she would ‘be sure to get things done’ if she had a problem, another said she would leave this to her husband and one lady said ‘I am very happy, I have nothing to complain about’. One lady said she had been ‘told who to speak to if I have any problems’ another said ‘I know how to complain, it’s in the book in my room’. The company monitored the number and type of complaints every three months and action had been taken to ensure similar complaints do not occur. People said they were well looked after and one lady said ‘I don’t regret moving here and my daughter is happy that I’m safe and looked after’. The Grange Care Home DS0000022465.V333049.R01.S.doc Version 5.2 Page 16 The home had clear procedures in place to help staff to protect people in the home; staff said they had received training to ensure they knew how to respond if abuse was suspected. Policies and procedures supported staff with the protection of resident’s finances and with how to respond to physical and verbal aggression to make sure everyone was safe. The process of dealing with complaints and concerns was open and transparent; records showed the registered manager had sought appropriate advice from external bodies to ensure the matter was dealt with properly and that people’s safety and well being was maintained. The Grange Care Home DS0000022465.V333049.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. People were provided with a clean, safe and well-maintained environment that met their individual needs in a comfortable and homely way. EVIDENCE: A tour of the home showed that the home was comfortable, well maintained and safe and provided a pleasant environment for people to live in. All areas of the home were bright and pleasantly decorated and there were signs of recent refurbishment in the lounge, a number of bedrooms and dining areas. Bedrooms were personalised, bright and clean although two bedrooms had an unpleasant odour and needed attention; this was discussed with the registered manager. The Grange Care Home DS0000022465.V333049.R01.S.doc Version 5.2 Page 18 Not all rooms had en suite facilities although toilets and bathrooms were located close by; aids and equipment were provided to support and maintain people’s safety and independence. Locks to doors and secure storage were provided to assist people to maintain their privacy and call units were accessible and answered promptly. One lady said ‘ I have a lovely room and can look out into the gardens’, another said ‘my room is always bright and clean’; one visitor said ‘the home is always clean and fresh’. Records showed that the home was well maintained and improvements to the home were ongoing; this made sure the home was a pleasant place for people to live in. Grounds were attractive, safe and accessible to residents and their visitors. The home still did not have a sluicing disinfector to help reduce the risk of cross infection although this was on order and due to arrive soon. The Grange Care Home DS0000022465.V333049.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. A safe and robust recruitment procedure, based on equal opportunities, had been followed and this protected residents from the risk of abuse and harm. Staff were sufficient in numbers, competent and skilled and had received relevant training that would improve outcomes for people who lived in the home. EVIDENCE: The duty rotas were clear and showed there were sufficient staff to meet people’s needs. Two staff spoken to felt there were enough staff but ‘could always do with an extra pair of hands’ and ‘enough staff to give people a choice’ and ‘we are a good team and work well together’. People said they were ‘well looked after’ and that ‘staff help when needed’. Comments about staff included ‘they are very dedicated’ and ‘I’m looked after very well the staff are kind and friendly’. Records and discussions with staff confirmed they were given a range of appropriate training that would improve standards of care for people in the home. More than half of care staff had a recognised qualification that would
The Grange Care Home DS0000022465.V333049.R01.S.doc Version 5.2 Page 20 give them the skills and knowledge to help them to meet people’s needs. It was noted that a number of people were mentally frail and had specialised needs; staff would benefit from specialised dementia training to give them an awareness of how they could best meet people’s needs as they were often relied upon to make decisions for people. The recruitment procedures were clear and provided safe guidance for staff to help them to protect people. Two staff employment files were looked at and showed the home had followed a safe recruitment procedure that had protected residents from the risk of abuse from unsuitable people. People were not involved in the interview and selection of new staff and this should be considered to allow them to be involved in running of the home. The Grange Care Home DS0000022465.V333049.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, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was safe and well managed and people’s opinions were obtained and acted on. Staff were supported and supervised to ensure they had the skills and knowledge to meet people’s needs. EVIDENCE: The registered manager was Lynn Duncan who is a registered nurse with experience in management and care. She does not have a relevant management qualification but is due to complete the registered managers award to enhance her skills and knowledge. People made positive comments regarding her contribution to the home. Comments included ‘ she is very nice and cheerful’ and ‘she is very approachable’.
The Grange Care Home DS0000022465.V333049.R01.S.doc Version 5.2 Page 22 People’s views and opinions had been sought as part of annual surveys and meetings although the registered manager said there had been a poor response. Records showed that meetings involving people who lived in the home and their visitors had been held last year; the registered manager said these had been poorly attended but that further meetings would be held. The registered manager said she regularly toured the home to discuss various issues and obtain people’s views and they confirmed this. Meetings were held with staff on a regular basis and staff said they were confident they could raise issues. The home had achieved the Investors In People award; this was an external quality monitoring system that would help the home to maintain and improve standards. There was a plan for the ongoing development of the home. Policies and procedures were continuously reviewed and updated to provide staff with current and safe guidance. The registered manager had responded promptly to any issues identified at the last inspection to ensure people’s safety was not compromised. There were a number of efficient systems in place to check that staff were following safe policies and procedures. People’s finances were managed appropriately and clear and accurate records were maintained. Head office conducted regular audits of the records to ensure they were being managed safely. Two staff confirmed they had received regular one to one supervision and support and had received feedback about the standard of their work. Details regarding the number of supervisions completed were sent each month to head office for monitoring purposes. Records showed that systems were serviced regularly and staff confirmed they received regular training to keep them and others safe from harm. The Grange Care Home DS0000022465.V333049.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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 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 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 3 X 3 The Grange Care Home DS0000022465.V333049.R01.S.doc Version 5.2 Page 24 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. 1. Standard OP8 Regulation 12 Requirement Records to support that appropriate care is being given, as indicated in the care plan, must always be completed in full. With particular reference to positional changes and fluid monitoring charts. Timescale for action 14/05/07 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. 2. 3. Refer to Standard OP12 OP15 OP31 Good Practice Recommendations The detail in the record of activities should be improved to reflect the range of activities provided. The record of meals served should be completed in full. The registered manager should obtain a recognised management qualification. The Grange Care Home DS0000022465.V333049.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection 2nd Floor, Unit 1 Tustin Court Port Way Preston Lancashire 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
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