Inspection on 17/05/05 for The Grange Nursing Home

This inspection was carried out on 17th May 2005.

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

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

Other inspections for this house

The Grange Nursing Home 20/04/10

The Grange Nursing Home 12/01/10

The Grange Nursing Home 23/11/09

The Grange Nursing Home 27/11/07

The Grange Nursing Home 04/12/06

The Grange Nursing Home 22/11/05

The Grange Nursing Home 25/01/05

The Grange Nursing Home 20/07/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Grange Nursing Home 72 Upper Northam Road Hedge End Southampton Hampshire Lead Inspector Isolina Reilly Unannounced 17/5/05 09:30am 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 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 Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Grange Nursing Home Address 72 Upper Northam Road, Hedge End, Southampton, Hampshire, SO30 4EB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01489 790177 Mr Roy Clive Northover Mrs Carolyn Sarah Ryves CRH 43 Category(ies) of OP- Old Age: 43 registration, with number PD- Physical Diability: 8 of places PD(E) Physical Disability over the age of 65 years: 40 TI- Terminally Ill: 8 TI(E)- Terminally Ill over the age of 65 years: 40 The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1- A maximum of 8 beds can be used at any one time for service users in the categories of PD or TI between the ages of 52 and 64. 2- A maximum of 3 beds may be used at any one time for service users who are only in need of personal care. Date of last inspection 25/1/2005 Brief Description of the Service: The Grange is a care home providing personal care and nursing care for fortythree service users over the age of 65 years. The home is registered to admit service users who are physically disabled and those who are terminally ill. There are conditions of registration, one being that the home may accommodate up to three service users at any one time who are in receipt of personal care only. The other condition is that no more than eight service users may be accommodated between the ages of 52-65 years. The Grange is owned by three partners and is a family business.The home is located in the suburbs of Southampton, and is in easy access to a motorway. The home is close to shops and other amenities, which service users, have access to if they choose. The home is a purpose built two-storey building that has been extended to provide more accommodation with en-suite facilities. The home has twenty-nine single rooms, twenty-four of which have en-suite facilities. The seven double rooms all have en-suite facilities and a passenger lift. The Grange has a large well -maintained garden, which is accessible to the service users. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The service users and relatives spoken with preferred to be identified as residents. The manager and staff confirmed this. This unannounced inspection took place over one day as part of the normal regulation and inspection programme. The opportunity was taken to look around the home, view records, procedures and talk with residents and staff. The inspector also had the opportunity to observe the lunch period, and interaction between residents and staff. Thirty-two residents, three relatives, one nurse and four carer were spoken with who stated that they felt the home provides an excellent service. What the service does well: The home has good process for admitting new residents with information regarding the service. The clients feel they are well looked after and respected by staff that seem to know what they are doing, are caring and helpful. They also all feel safe and comfortable at the home. The home has clear records that help staff to look after the residents as they wish to be looked after. The residents are also supported to access local health care services. The home encourages the residents to participate in different activities during the day. Staff have been trained to assist residents to participate in individual activities and there is a variety of entertainers that come to the home that most of the residents enjoy. The staff team is well trained and able to meet the needs of the residents. The real strength of the home is in the relationships that the staff have built with residents, their visitors and management. The home invests much time and money to ensure the staff have all the necessary knowledge and tools to provide the best care possible for the residents. The residents all stated that the meals in this home are very good with four different choices available for the main meal each day. The home is able to cater for different dietary needs. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 6 What has improved since the last inspection? 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 Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 6 The home has a robust admission process that is well managed and residents are given clear information regarding the service. The home does not provide ‘Intermediate Care’. EVIDENCE: Each of the four resident records sampled contained a signed contract. The contracts were informative and contained all the necessary information and the relatives spoken with confirmed that the contracts had been explained to them. The residents explained to the inspector that a family member was able to visit the home before making the decision to stay. The manager or deputy undertakes an interview with the resident and completes a full assessment of needs and aspirations. Within the individual residents’ files sampled a full admission assessment was recorded that reflected the care needs the residents expect, their likes and dislikes and reflected Social Services care manager assessments of need. The relatives spoken with said that the home asked lots of relevant questions and looks after the residents very well. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 9 The manager confirmed that the home does not provide ‘intermediate care’ rehabilitative short-term type care for Social Services. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 10 The residents are well looked after in respect of their personal, emotional and health care needs in such a way as to promote privacy and dignity. There is an excellent care planning system in place providing staff with the easily accessible information they need to meet residents’ needs. The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure residents’ medication needs are met. EVIDENCE: The residents spoken with were all very complimentary of the care provided by the home. Stating that staff are very helpful, polite, appear to know what they are doing and look after them well. They also said that the staff are always respectful and mindful of their privacy and dignity. The relatives spoken with confirmed this stating that ‘the home does an excellent job of looking after the residents’. The inspector observed the staff interacting with the residents and found them to be attentive and professional. There were staff around most of the time in the communal areas. Refreshments for both residents and visitors were offered regularly throughout the day. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 11 The four resident files were discussed with each individual resident who confirmed that they recognised the records and the staff have discussed their needs and care with them. The care plans contained written risk assessments and instructions to staff on how to look after the individual. The records also included names of relatives, friends, health care professionals and social services care managers who are involved in supporting the client. A resent photograph was seen on all the files. The home has developed it’s own care planning documentation that includes palliative care needs. The manager and deputy explained that Consultants have assessed the documentation system at the local palliative care centre. The home was advised to copy write the system as it has been written from a residential care rather than hospital or community perspective. This the home has done. The system is being phased in over a period of time and the care plans sampled utilising this new system were found to be informative easy to use and prompts staff across a range of care needs whilst being individual and flexible. The staff spoken with all commented on the improved new system and they found the system logical and felt more involved in the care planning/recording process. There were also records of doctor and nurse visits and information on outpatient, dental, optician and chiropractic appointments. Various residents stated that they had recently been seen by the visiting dentist and opticians, although one new resident stated that they had yet to find out when and how the to access dental and optician care. This was discussed with the manager and deputy who stated that the resident has only been resident for less than two weeks and will be offered an assessment with the visiting dentist and opticians. The recent treatment and the corresponding medical notes were present in the file. The staff were observed administering medication appropriately and the good medication administration practices are reflected in the home’s policy and procedures that were sampled. The home dispenses direct from pharmaceutical packaging and correctly stores the medication in appropriate cupboards on each floor within a locked medical room. The home has it’s own system for recording the administration of medication and each resident’s record also has a recent photograph. The registered nurses administer the medication. The receipt, administration and disposal records of medication were seen by the inspector and found to be satisfactory. The deputy showed the inspector the home’s medical rooms and cupboards that were found to be clean clinical areas with medication stored correctly in date and in sufficient quantities including dressings. The registered nurses double check prescriptions for quantity and ensure that unnecessary items are not being prescribed. The deputy manager confirmed that she regularly undertakes a full audit of medication rooms and stock levels. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 12 The deputy manager and senior carers spoken with confirmed that some senior carers have undertaken training in the safe handling of medication. The registered nurses and deputy manager confirmed that the nurses also undertake regular updates on medication practices. A copy of the Royal Pharmaceutical Guidelines for residential care was available a long with the most recent ‘MiMS’ pharmaceutical reference book. It was noted that the home has samples of some staff signatures and initials. This was discussed with the deputy manager who agreed that as good practice she would ensure that each medical room has a copy of all staff signatures and initials. This good practice will assist with tracking staff’s that have signed for medication. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 The residents experience a stimulating and varied life at the home with visitors made welcome, various formal and informal structured activities are made available including outside entertainment. Links with the community are good and enrich residents’ social and cultural opportunities both within the home environment and external. The home is able to meet the cultural and religious needs on an individual preference. The meals in this home are good offering both choice and variety, catering for special dietary needs in pleasant surroundings. EVIDENCE: The inspector observed residents reading large print books, daily newspapers, crossword and colouring books. The home has a large lounge that is divided into various quiet areas through the positioning of chairs. Some of the residents explained that they take part in organised activities. All spoken with including the relatives who had been encouraged to join in stated that they particularly enjoyed the visiting farm. On the afternoon the local bell ringing group provided the entertainment. The resident and staff also confirmed that they regularly provide a hand massaging and nail painting including every Friday therapeutic massage. The The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 14 home has a Physical Education teacher who runs a ‘Gym’. Several residents stated they liked to take walks around the garden or just sit out now that the weather was improving. A carer has completed ‘Activities training for Older Persons’ and undertakes craft activities one day a week aimed at individual abilities. Several residents stated that they enjoyed making things. The home has developed and implemented a ‘Management Committee’ that consists of relatives and other interested parties to become involved in the day-to-day running of the home and fundraising to cover costs of activities. Two residents and a relative confirmed that a Priest visits monthly to give communion. Some of the residents had confirmed that they have received their postal votes but had chosen not to participate. The relatives spoken with feel the clients are very well cared for and that they are made very welcome and part of the home. The inspector observed that all the relatives visiting that day had been offered refreshments. All the residents stated that the day routine is flexible and a meal can be put aside should they wish. One client’s meal was observed being put to one side for later because the individual did not feel hungry at the time. Another client explained that she preferred to have her main meal in the evening and staff would do this for her. In the dining room there is a chalkboard available but the staff will go around asking all residents’ choice from four options the day before and again at the beginning of each meal. The chef confirmed that he makes allowances for individuals who change their minds at the meal. In the office and kitchen is a full five-week menu. The chef and kitchen assistants spoken with explained that they are continuously seeking residents likes and dislikes with a view to offering choice on a one to one basis when the four main meal choices are not to their liking. The chef has made improvements to the layout of the kitchen to assist with the efficient running of the kitchen. Most of the clients felt the food was excellent, with generous portions, varied and choices are available if they do not like what is on the menu. The residents stated were very happy with mealtime experiences and felt they were not rushed. Some of the long-standing residents stated that the food and choice has improved. The meal was observed by the inspector and found to be relaxed, unhurried and the food attractively presented. The home keeps daily records of foods served and temperatures of hot probed meals and freezers and fridges are kept by the cooks and found to be satisfactory. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 15 The chef confirmed that the Environmental Health Office has not visited since the last visit by the Commission. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home has a satisfactory complaints procedure that residents are able to use. The staff have an understanding of Adult Protection issues that protects service users from abuse. The home has an open and positive approach to listening to residents and staff views and improving. EVIDENCE: All the residents spoken with stated that they would go straight to the manager or the nurse in charge if they had a concern or complaint. They all stated that the staff are very good and always listen to individuals concerns. The relatives also felt that the staff were patient, caring and always willing to listen. The home’s complaint procedure included the address for the Commission and that all complaints will be dealt with promptly within 28 days. The home has received no complaint to date. There is a system for logging complaints should they arise and the manager showed the inspector a file with correspondence from relatives and residents complimenting and thanking the home for the care received. All the residents spoken with stated that they always felt safe at the home. The relatives spoken to also confirmed this. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 17 The staff spoken with confirmed that they have received instruction and are aware of the protection of vulnerable adults from abuse. They have attended training on recognising and reporting of concerns or suspicions. There has been no allegation of abuse at this home. The home has a copy of the Hampshire County Council ‘Protection of Vulnerable Adults’ policy and procedure and it’s own policy and procedure reflects the guidelines from Hampshire County council’s own policy. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The home presents as a clean, homely, comfortable and suitable environment for the residents. The standard of the décor within the home is good with evidence of on-going maintenance and improvements. EVIDENCE: The residents stated that the home is always clean, warm and no offensive odours were detected. They also confirmed that there has been on going decorating including hallways, bedrooms and the car park has recently been re-gravelled. All the residents like their bedrooms but one resident sometimes would like a single room. When asked the resident confirmed that permission had been sought prior to moving into the home. This information was passed onto the manager for discussion with the resident and relatives. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 19 The home’s radiators and pipe work are safe ensuring that all potential hot surfaces are kept to low temperature. Most of the bedrooms where seen on a tour around the home and were found to be clean, bright and warm, furnished to the individuals taste and many had been personalise. All residents’ spoken with felt there were enough toilets and bathrooms or showers. During the tour of the home the inspector noticed that all the communal hand sinks have liquid soap for washing hands and disposable paper towels. There were gloves and plastic aprons available in the laundry rooms, toilets and bathrooms. The residents and relatives stated that they see the staff using them. The staff confirmed that they have received regular training on infection control. The home has an on-going programme to install appropriate locks for all bedrooms as agreed at previous inspections. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 The staff at the home are well trained, supported and employed in sufficient numbers to meet the residents needs. The home has an excellent ethos towards developing staff as individuals and this is reflected in the service users feeling safe and comfortable at the home. There are good recruitment procedures that are fully implemented ensure clients are not put at risk. EVIDENCE: The residents spoken with described the staff as ‘caring, friendly, helpful and there when they are needed.’ All the residents and relatives spoken with said there was sufficient staff around and that the staff know what they are doing. The rotas showed that a minimum of two registered nurses and seven carers in the morning. One registered nurse and five carers in the evening and one registered nurse and four carers awake each night. These figures exclude management and administrator. The home also employs a chef, kitchen assistants and cleaners. The staff spoken with felt that the recruitment process within the home is thorough. The inspector was able to sample four different staff records and found that they were detailed with the necessary checks taken to ensure staff are fit to work at the home. The staff spoken with stated that he induction programme run by the home was useful and very detailed. The files sampled held records of the individual staff home’s own induction’ training covering the key areas with the signatures The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 21 of the staff member and trainer. The manager confirmed that the home’s induction programme has been assessed against the Skills for Care Council induction standards. The staff spoken with confirmed that the home continues to provide and support staff to achieve qualifications in care to National Vocational Qualification (NVQ) level 2 and 3, and professional updating training for registered nurses. It was calculated from the training records that currently the home has over 57 of the care staff with a care qualification. The manager and deputy manager explained that they are in process of developing their own ‘Underpinning knowledge’ toward NVQ qualifications for care staff. This they feel is a more effective way of training the staff to the care needs catered for within the home. The home has trained key staff as internal verifiers for the NVQ process. The home’s training records shows that the home undertakes external and internal training utilising specialist skills and qualifications within the staff group. The staff confirmed that they undertake training regularly and the inspector sampled individual staff training needs analysis records. The inspector was able to sample training certificates and other records of instruction undertaken by the staff. The home has a positive supportive ethos and staff training with a programme of one to one monthly supervisions, annual appraisals and various staff meetings that are minuted. The training records also show that staff receive training in relevant health and safety subjects including food hygiene, moving and handling, fire safety, first aid and medication. Other subjects covered since the last inspection include time management, nutrition, diabetes, nail care, preparing residents for clinical procedures, care of the dying and syringe driver update. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The home provides a safe and auditable recording system for managing and monitoring clients’ money. EVIDENCE: The residents stated that the home help them to look after their money safely and it is always available to them when they wish. The administrator of the home showed the inspector the record system for recording monies in, out receipts and balances for the clients. A random record was chosen for assessment and the administrator counted the money out in front of the inspector. The balance was found to be accurate. The manager explained that she was not an appointee for any client. All the staff, residents and relatives spoken with found the management very pleasant supportive and approachable. The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 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 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x 3 x x x The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 24 NO Are there any outstanding requirements from the last 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 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. 1. Refer to Standard Good Practice Recommendations The Grange Nursing Home H54 S11449 The Grange Nursing Home V227570 170505.doc Version 1.30 Page 25 Commission for Social Care Inspection 4th Floor- Overline House Blechynden Terrace Southampton Hampshire National Enquiry Line: 0845 015 0120 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. 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