CARE HOMES FOR OLDER PEOPLE
The Meadows Nursing Home 94 Loughborough Road Thringstone Coalville Leicestershire LE67 8LR Lead Inspector
Lesley Allison-White Unannounced Inspection 18th July 2007 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 Meadows Nursing Home DS0000001920.V341312.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 Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service The Meadows Nursing Home Address 94 Loughborough Road Thringstone Coalville Leicestershire LE67 8LR 01530 223800 01530 223833 themeadows@craegmoor.co.uk Craegmore.co.uk Park Care Homes (No 2) Ltd 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) Mrs Anne Elizabeth Pyecroft Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34), Physical disability over 65 years of age of places (34) The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Room G9 to be used only as specified in detailed letter from the National Care Standards Commission dated 22 April 2002 19th July 2006 Date of last inspection Brief Description of the Service: The Meadows Residential and Nursing Home is a care home providing accommodation for up to thirty-four service users including people with Nursing needs. It is located in the village of Thringstone near Coalville, Leicestershire. The home can be accessed by car from Loughborough, Coalville and Ashby de la Zouch. Bus services run regularly through the village. Local beauty spots include Charnwood Forest and Bradgate park. The home is within easy access of the M1 and M42 motorways. The building itself is a modern purpose built property set in its own grounds and is located in a residential area. Accommodation is available on ground and first floors. A passenger lift provides access to the first floor. All areas of the home and grounds are accessible for people with limited mobility. Fees range from £412.50 per week plus top up of £22.00 per week to £500.00 per week plus top up of £22.00 per week. A service user pack is given to service users and/or their families. It is clearly written. It contains the terms and conditions of residency and includes the current fees. A copy of the Commission For Social Care Inspection (CSCI) report is available in the hallway for prospective visitors to read. The Employers Liability insurance is also displayed in the hallway. The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is on outcomes for service users and their views of the service provided. The inspection took place on a Wednesday. It took over six hours to complete. The Meadows Care Home provides care for up to thirty-four service users. There were thirty service users in the home on the day of inspection, plus one service user in hospital. Service users fall within the category of old age or with a physical disability. Discussion was held with six service users. However other service users were observed in their daily routine. Three service users relatives spoke with the inspector, a District Nurse and student. Four staff members spoke with the inspector. The primary method of inspection used was “case tracking”. This involved speaking to the service users who use the service provided, looking at two service users care plans, making observations, talking to four service users in detail and observing care practices. All the required key standards were inspected during this visit. There were no areas of concern raised by the last inspection report. There were no requirements made at this inspection and one recommendation has been made. The deputy manager assisted during the inspection. What the service does well:
A service user pack is given to service users and/or their families. (This is information about the service provided at the home). It is clearly written. It contains the terms and conditions of residency and includes the current fees. A relative’s comment on the assessment before admission: ‘When I made an initial enquiry about my relative needing a care home the Registered Manager was very responsive and came out to the community hospital to see how she could help me and my relative.’ There were a number of detailed assessments on each service user relating to their personal needs, social needs and religious needs as necessary. Details of external services were clear such as when advice was obtained from the doctor, the chiropodist or other health care professionals. The inspector spoke
The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 6 with a visiting District Nurse and the student with her. The District Nurse’s opinion on the care staff was positive. The inspector spoke with two care staff members who were able to describe the care within the care plans matching the care that they followed. From observations of care practices staff treat residents with respect and privacy is given during personal care. Service users comments on care were as follows ‘Staff are helpful, polite and very hard working.’ ‘It is nice to have assistance when I need it yet remain independent.’ ‘The night staff are good. I need a hoist to help move me. I think they are competent when they use the hoist.’ Relatives’ comments on care included ‘Visitors are made to feel welcome by the staff.’ ‘I have no faults with the care that my relative receives.’ ‘I am invited to attend the social services reviews at the home and I attend.’ ‘We are both very happy with the care at the Meadows Care Home.’ ‘My relative has put on weight since being at this home. This pleases me. My relative was very poorly. My relative is much stronger now and moves in the chair all the time.’ As part of a therapeutic activity, dogs from a special scheme visited ‘The Meadows’ and those that commented really took pleasure from this activity. Pictures of this happening were also seen on the activity board displayed in the hallway. The inspector also saw the two gentlemen that were case tracked at the last inspection. Both service users were still good friends and although one of them stayed in his room resting on his bed on the day of inspection his good friend visited him. It was a pleasure to see. Other service users also formed friendships and chose to dine together or sit together during the days. The service users’ case tracked comment about the food was that it was nice. Both had a soft diet and thickened fluids due to some swallowing difficulties. The portions were small and well presented. Many other service users commented about the food at the home expressing how good it was every day.
The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 7 Service users comments on activities included: ‘I enjoy taking part in the ‘your voice’ service users group. We discuss how we feel, the state of the home and other things. The meetings are recorded and every service user has a copy.’ ‘A church service takes place alternate Thursdays.’ ‘Visitors and relatives can visit when they want to.’ ‘The hairdresser comes on a Monday or Tuesday most weeks, the chiropodist every 6 weeks. I enjoy the activities and enjoy the reminiscence activity where we talk about past holidays and things that we enjoy doing.’ A relative’s comment on activity ‘My relative is unable to take part in many activities, but the staff were kind enough to include her on a recent trip to Skegness. I was pleased about this.’ Service users comments on complaints ‘I made a complaint to the boss (The Registered Manager) I wanted something to do, to work and really help out as the maintenance person was not available for a while. She was very good and allowed me to water the plants around the garden or to shred papers as I remember. I have also helped to paint an empty bedroom’. By providing individuals meaningful activities and listening and acting on concerns, this service user felt satisfied living at this home. ‘The bosses of the firm visited and wanted to know how they could improve their care homes, I told the bosses to get the food right, they did and the food here is marvellous.’ ‘If I had any concerns I would talk to the Registered Manager.’ Comments from relatives included ‘I find the management at this home very reasonable. If I have any issues I would go straight to the Registered Manager.’ I find her very approachable. Service users’ bedrooms seen by the inspector were clean and well presented. Service users comments about where they live included ‘My bed room is the way I like it.’ A key worker system is in place. On speaking with staff about this role staff explained that as a key worker they are allocated to a service user to ensure The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 8 that tasks that may get forgotten are checked and done. They will get to know the service users and their families better and form a friendship with them. In the Annual Quality Assurance Assessment form returned by the Registered Manager to CSCI over (85 ) of staff had the mixtures of skills to meet the needs of the service users, which included relevant training. Training records included training on the Protection of Vulnerable Adults. There was evidence of good recruitment practices. In this way the service users are supported and protected by well- trained staff competent to do their jobs. Within this service there is a good awareness and understanding of equalities and diversity this is shown through the delivery of care. This results in good outcomes for the service users. 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 summary of this inspection report can be made available in other formats on request. The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 9 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 Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 10 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Meadows Care Home has a good admission process with clear information available describing the services provided at the home. All service users receive an assessment of their individual needs. EVIDENCE: A service user pack is given to service users and/or their families. It is clearly written. It contains the terms and conditions of residency and includes the current fees. A copy of the Commission For Social Care Inspection (CSCI) report is available in the hallway for prospective visitors to read. Two service users were selected they were not able to move independent of help and speech was limited due to their conditions. The Registered Manager, deputy or senior Registered General Nurse (RGN) carry out a full assessment process before a service user is admitted to the home. Emergency admissions
The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 11 are accepted and within a twenty- four-hour period assessments are done to ensure that the new service users needs can be met. Trail visits of one month are offered by the home to every service user. A relatives comment on the assessment before admission: ‘When I made an initial enquiry about my relative needing a care home the Registered Manager was very responsive and came out to the community hospital to see how she could help me and my relative.’ Standard 6 intermediate care is not offered at this home. The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 12 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. The home is successful in delivering appropriate care to individual residents. EVIDENCE: Each of the service users records contained their photograph. A new member of staff could use this as part of their orientation to the service user. There was evidence of the person centred planning process in progress. Relatives were involved in assisting with consent and signing care documents on behalf of the service users selected. Each of the service users had a key worker who was responsible for updating and evaluating the information in the care plans. (Care plans are care records about the service user.) There were a number of detailed assessments on each service user relating to their personal needs, social needs and religious needs as necessary. The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 13 Details of external services were clear such as when advice was obtained from the doctor, the chiropodist or other health care professionals. The inspector spoke with a visiting District Nurse and student with her. The District Nurse’s opinion on the care staff was positive. Medicines that belonged to the two service users were checked and satisfactory and it was good to see that the preferred used name of service users had now been added to the medicine recording system, as had any note about allergies. As neither of the two service users case tracked were on controlled drugs (drugs decided by the government to need special recording and checking systems) two other service users control drug supplies were checked and found also to be satisfactory. The inspector spoke with two care staff members who were able to describe the care within the care plans matching the care that they followed. From observations of care practices staff treat residents with respect and privacy is given during personal care. Service users comments on care were as follows ‘When someone needs to go to hospital the staff will go with them.’ ‘The staff are kind and helpful.’ ‘Staff are helpful, polite and very hard working.’ ‘It is nice to have assistance when I need it yet remain independent.’ ‘The night staff are good. I need a hoist to help move me. I think they are competent when they use the hoist.’ Relatives’ comments on care included ‘Visitors are made to feel welcome by the staff.’ ‘I have no faults with the care that my relative receives.’ ‘The staff are very good. They are quite friendly. They are very accommodating and will always respond to me when I ask for help with my relative.’ ‘I am invited to attend the social services reviews at the home and I attend.’ ‘We are both very happy with the care at the Meadows Care Home.’ The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 14 ‘My relative has put on weight since being at this home. This pleases me. My relative was very poorly. My relative has recovered, don’t know how but they did and is much stronger now and moves in the chair all the time now.’ ‘Mum is kept pretty comfortable.’ The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 15 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. Service users said that The Meadows Care Home succeeds in meeting their identified daily and social needs and they feel satisfied. EVIDENCE: Both service users said that they had relatives who lived near by and visited regularly. The inspector spoke with some of their relatives as well as other service users relatives who were not part of the case tracking process. Comments have been included. The upstairs lounge was quiet. Three people were in it with a Television (TV) on. Two of the service users could see the TV but took little interest in it. Another service user (case tracked) sat looking out of the window. In the Annual Quality Assurance Assessment returned by the Registered Manager, the manager identified the need to ensure that as many service users could enjoy meaningful activities. A quiet area with specialised equipment for visual and bodily comfort is planned for such service users if they prefer, as they are less able to access the other forms of activities.
The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 16 Other service users were able to tell the inspector about a new service provided at the home. As part of a therapeutic activity, dogs from a special scheme visited The Meadows and those that commented really took pleasure from this activity. Pictures of this happening were also seen on the activity board displayed in the hallway. The inspector also saw the two gentlemen that were case tracked at the last inspection. Both service users were still good friends and although one of them stayed in his room resting on his bed on the day of inspection his good friend visited him. It was a pleasure to see. Other service users also formed friendships and chose to dine together or sit together during the days. The service users case tracked comment about the food was that it was nice. Both had a soft diet and thickened fluids due to some swallowing difficulties. The portions were small but well presented. Many other service users commented about the food at the home expressing how good it was every day. Service users comments on activities included: ‘A dog visits every 2 weeks as part of the ‘pat the dog’ scheme.’ ‘I enjoy taking part in the ‘your voice’ service users group. We discuss how we feel, the state of the home and other things. The meetings are recorded and every service user has a copy.’ ‘A church service takes place alternate Thursdays.’ ‘Visitors and relatives can visit when they want to.’ ‘The hairdresser comes on a Monday or Tuesday most weeks, the chiropodist every 6 weeks. I enjoy the activities and enjoy the reminiscence activity where we talk about past holidays and things that we enjoy doing.’ A relative’s comment on activity ‘My relative is unable to take part in many activities, but the staff were kind enough to include her on a recent trip to Skegness. I was pleased about this.’ The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 17 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. There are policies and procedures for dealing with complaints and protection thereby giving protection to the residents. EVIDENCE: The Commission for Social Care Inspection has received one complaint about this service. It has been satisfactorily documented and resolved. The complaints book was checked and satisfactory. The complaints procedure is displayed in the entrance to the building. Service users who spoke with the inspector explained what they would do if they had a problem. Relatives who spoke with the inspector were happy to express their concerns or complaints and knew that the Registered Manager would address them. There are policies in place for dealing with complaints and protection. The inspector was unable to see the staff records at the time of inspection but information requested has been sent to the CSCI office. Staff who spoke with the inspector were able to explain the training that they had received whilst working at The Meadows Care Home. Staff receives training on the Protection of Vulnerable Adults (POVA). Staff who spoke with the inspector were able to
The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 18 demonstrate their understanding of the issues involved ensuring that service users are protected in this way. Service users comments on complaints ‘I made a complaint to the boss (The Registered Manager) I wanted something to do, to work and really help out as the maintenance person was not available for a while. She was very good and allowed me to water the plants around the garden or to shred papers as I remember. I have also helped to paint an empty bedroom’. By providing individuals meaningful activities and listening and acting on concerns this service user felt satisfied living at this home. ‘There are some funny rules here such as window restrictors and I am not allowed to wash staff cars, something to do with health and safety I was told.’ The inspector explained why these rules are applied to the service user who appeared to accept it. ‘The bosses of the firm visited and wanted to know how they could improve their care homes, I told the bosses to get the food right, they did and the food here is marvellous.’ ‘If I had any concerns I would talk to the Registered Manager.’ The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 19 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. Residents are provided with a safe, hygienic and comfortable environment. EVIDENCE: Service users’ bedrooms seen by the inspector were clean and well presented. On the day of the inspection the maintenance person was seen checking the water temperatures, window fastenings and testing the fire alarms. This information was recorded in the records kept at The Meadows Care Home. At the ‘your voice’ meetings it is also recorded as being a discussion point for service users. ‘I like my bedroom’ ‘My bed room is the way I like it.’
The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have confidence in the staff that care for them. The staff receives regular training and are able to meet the service users needs. EVIDENCE: A key worker system is in place. On speaking with staff about this role staff explained that as a key worker they are allocated to a service user to ensure that tasks that may get forgotten are checked and done. They will get to know the service users and their families better and form a friendship with them. In the Annual Quality Assurance Assessment form returned by the Registered Manager to CSCI over (85 ) of staff had the mixtures of skills to meet the needs of the service users, which included relevant training. Training records included training on the Protection of Vulnerable Adults. There was evidence of good recruitment practices. Staff records inspected was satisfactory and had relevant information in them. In this way the service users are supported and protected by well- trained staff competent to do their jobs. The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 21 The staff rota seen was satisfactory. Service users felt their needs were met. Service users said that the staff were polite and helpful to them and their relatives. The relatives who spoke with the inspector also confirmed this. The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 22 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager ensures that the home is run in the best interest of service users. EVIDENCE: The Registered Manager has the attained National Vocational Qualifications (NVQ) in care has experience and is competent to run the home. The service users finances were not checked at this inspection as neither the Registered Manager or the finance administrator were present at the time of inspection the Annual Quality Assurance Assessment (AQQA) completed by the Registered Manager indicated that all the necessary records were up to date.
The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 23 The management process ensures that through supervision and staff meetings the staff receive feedback on their work. The maintenance person was also seen doing and recording routine safety checks on the day of inspection. The relevant fire checks are up to date. Comments from service users included ‘If I have a problem I go to **** she will sort things out’. Comments from relatives included ‘I find the management at this home very reasonable. If I have any issues I would go straight to the Registered Manager.’ I find her very approachable. The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? None STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 OP38 Good Practice Recommendations All staff should ensure that good moving and handling practices are followed at all times in the home. The Meadows Nursing Home DS0000001920.V341312.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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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