Inspection on 13/12/07 for The Old Rectory

This inspection was carried out on 13th December 2007.

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 Old Rectory 12/06/08

The Old Rectory 23/05/07

The Old Rectory 06/11/06

The Old Rectory 19/01/06

The Old Rectory 17/05/05

The Old Rectory 08/11/04

The Old Rectory 30/09/04

The Old Rectory 09/09/04

The Old Rectory 15/06/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE The Old Rectory Spring Lane Lexden Colchester Essex CO3 4AN Lead Inspector A Thompson Unannounced Inspection 13th December 2007 10:15a 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 Old Rectory DS0000017974.V356600.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 Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Rectory Address Spring Lane Lexden Colchester Essex CO3 4AN 01206 572871 01206 573198 theoldrectory@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross Healthcare Group PLC trading as: Ashbourne (Eton) Limited Ms Paula Maddams Care Home 60 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) Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (60) of places The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 60 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 21 persons) The total number of service users accommodated in the home must not exceed 60 persons 23rd May 2007 Date of last inspection Brief Description of the Service: The Old Rectory is a large fully detached property that was originally built as the rectory for the local church in Lexden. The property has been considerably extended over the years to provide accommodation for up to sixty elderly people (over the age of 65) on three floors although, more recently, none of the bedrooms on the less accessible top floor have been in use and so the maximum number of residents has declined to 55. Most bedrooms are for single occupancy, although there are four double rooms. Communal space is provided with three lounges and three dining rooms situated on the ground and first floors of the home. A further small resident smoking lounge is provided on the first floor. Access between floors is provided via two passenger lifts. To the front of the home there are extensive, mature gardens. One small fully enclosed patio garden is provided to the side of the home with a second patio to the rear. Limited car parking for visitors is available inside the main entrance gate; further public car parking is available close by in Spring Lane. Bus services run along the main road at the top of Spring Lane, which provide access to/from Colchester town centre. The home provides personal care and support for residents with varying levels of dependency, including up to twenty one places for people who have dementia. The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 5 The current weekly charge for a room ranges from £350.00 to £650.00. Fees do not include chiropody, hairdressing, incidental items such as newspapers and staff time to accompany people to hospital. Past inspection reports are available from the home, and from the CSCI internet website. The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on Thursday 13th December 2007. The content of this report reflects the inspector’s findings on the day of the inspection along with information provided by the service and feedback by residents, relatives, staff and other parties. Practice and procedures occurring after this inspection will be reported on in future inspection reports. Discussions were entered into with residents, the manager and staff on duty. CSCI survey questionnaires were also provided to residents and staff. Random samples of records, policies and procedures were inspected and a tour of parts of the premises and grounds took place. Comments received from residents included: ‘ the food is usually good’’, ‘the staff are helpful and come when I need them, ‘ there are activities but I don’t get involved as I’d rather stay in my room’, ‘they (the staff) do organise things to do, sometimes I take part’, ‘the staff are good and I will talk to them if I’m worried about anything’, ‘my room is comfortable and warm, I get asked for my choice at mealtime, there are two choices, the food is quite good usually, and I do get enough to eat’, ‘the staff are friendly’. Visitors spoken with were complimentary of the care and support provided to residents by the staff and manager. Questionnaires were also left at the home so that relatives had the opportunity to make their views on the service known to the Commission. At the time of writing this report none had been returned. Staff confirmed they were supported by the management team. They also said that they had been offered training opportunities appropriate to their roles, but some did not think that the numbers of staff on duty were always sufficient to meet the residents support needs. Twenty three standards were looked at and the outcomes for residents against twenty of these was good, with three adequate. As a result this report includes three statutory requirements for action, and two good practice recommendations. What the service does well: What has improved since the last inspection? The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 7 Daytime staffing levels had been increased by one in response to issues raised in the last inspection report. An additional portable lifting hoist had been purchased (now five in total on site) for staff to use when supporting residents mobility needs. The out of use baths identified at the last inspection had been repaired and three new hot water boilers had been installed to ensure sufficient hot water supply to all baths and showers. The Pharmacy that supplies residents medication to the home now delivers fresh supplies a day earlier than at the time of the previous inspection. This change was at the request of the manager to give staff in The Old Rectory more time to identify any errors. Communal lounges had been redecorated with new floor coverings and new blinds and curtains fitted. Five bedrooms had been recarpeted. The stairs in the original part of the building had a new carpet. The manager was employed full time at The Old Rectory and was not required to work regularly at other care homes owned by Southern Cross Healthcare Group PLC. The gardens had received attention enabling residents the opportunity to fully enjoy their surroundings. 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 Old Rectory DS0000017974.V356600.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 Old Rectory DS0000017974.V356600.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): 2. Quality in this outcome area is good. People’s needs are assessed prior to admission so the individual and the home can be sure the placement is appropriate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two senior staff, including the manager or deputy manager visit prospective new residents to undertake an assessment of need. Evidence of this process was seen in care plan files for residents admitted since the last inspection and gathered from discussions with residents. Assessment headings covered included: personal care, communication, mobility, personal hygiene, diet, vision, hearing, continence, behaviour, manual handling, sleep, medication, foot & oral care, falls, social & risks. In addition the manager requests a copy of the Social Services assessment to supplement the home’s process. After assessment the manager writes to the service user confirming the placement. Evidence of this was seen on files. The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. The health and personal care residents receive is individualised and based on their assessed needs. The care home supports residents’ medication needs in a safe way. Residents’ rights to privacy is respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were inspected. Included was background information, personal details, and next of kin contacts. The residents’ needs/action sheet included the ‘aim of care’ taking account of the headings assessed when carrying out the initial assessment, and further sections added after admission. These were a physical & social assessment, a social profile, pressure care risks and a dependency assessment. Care plans seen also included risk assessments, records of residents’ weight, consultations, had been regularly reviewed (at least monthly) and included review and evaluation record sheets showing any changes. The manager advised that since the last inspection an additional format was being added to care plans which consisted of summary of needs sheets, so that new and agency staff could more easily read the main points of each plan. The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 11 Although these were not all yet completed, evidence was seen in files inspected that the new summaries had been written on manual handling needs. The manager said that District Nursing services support the home in pressure sore assessment and will also supply appropriate aids and treatment. Continence issues are supported by the community continence nurse and hearing needs are provided for by GP referral to a local hospital. A dentist visits the home, as does a chiropodist and an optician. Records of visits with written outcome notes were seen. The home’s medication policies and procedures covered ordering, receipt, storage, administration, homely remedies, self medicating and returns of unused stocks. Staff had been given training on medication issues. Evidence was seen of a course provided by the Pharmacist entitled ‘ Care of Medicines Foundation course’. In addition five staff had commenced a ‘Safer Handling of Medication’ distance learning course through a community college. Evidence of this was also seen. The manager said that only senior staff administer medication, staff spoken with confirmed this. Regular in-house competency assessments are also carried out, some of these were seen. Medication administration records were inspected no shortfalls were noted. Discussions with individual residents indicated that they were treated with respect by staff, as did observation of staff going about their duties and interactions with residents. Staff on duty were seen to be attentive and patient in their dealings with residents, and residents spoken with said staff were helpful and considerate. Visitors spoken with were also complimentary regarding staff attitudes towards residents and their visitors. Some residents said they had their own private telephone, others use either the home’s payphone or may receive calls of the portable office phone. The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 12 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): 12,13,14,15 Quality in this outcome area is good. The home provides flexible routines and a lifestyle that enables residents to make choices. Residents health and welfare is promoted by the provision of a varied and balanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager reported that residents meetings take place unfortunately the most recent meeting recorded prior to this inspection was January 2007. The manager holds three monthly meetings for relatives, minutes of these were seen for a meeting held on 2/10/07. The home had an activities coordinator who now works five days a week (previously had worked 4 days a week). There was a monthly activities programme seen and individual records had been kept for each resident of the activities offered and taken part in. These included: 1-1 discussions, bingo, videos, quizzes, board games, entertainers, hairdresser, beauty care, ball games, arts & crafts, knitting and indoor exercise. Staff training on providing ‘meaningful and variety in everyday life’ and dementia awareness (including activities) had taken place. Certificates of attendance have been seen. The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 13 The manager said that a church minister still visits The Old Rectory every month to hold a service in the home. The manager also said that the mobile library continues to call regularly. Residents spoken with confirmed they were satisfied with the choices and options made available to them regarding daily routines and leisure interests on offer. Although several said they chose not to take part. Visitors spoken with said they were always made welcome by staff, they also confirmed that residents activities did take place. Inspection of private rooms confirmed that residents had been permitted to bring their own personal items with them on admission. There was also confirmation of this direct from residents, who told the inspector of the furniture and personal items they had brought in with them. Nutrition records and menus evidenced choice and variety. The main daily meal is lunch with at least two choices, there is also a choice at tea. Residents spoken with were generally satisfied with the food and confirmed that there was always a choice. Cooked breakfasts are provided at least twice weekly (menued for Wednesdays and Saturdays) and supper sandwiches are offered each evening. Three residents spoken with said they ate in their own rooms by choice. The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 14 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): 16,18 Quality in this outcome area is good. People living at the home are protected from abuse and any complaints are responded to and managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Old Rectory complaints procedure contains guidance on how to make a complaint and who to complain to. Also included were timescales for responses from staff. In-house guidance included a detailed ‘management of complaints’ policy and procedure guide for managers reference. Evidence was seen to confirm that records are maintained in the home of complaints received (three logged since previous key inspection June 2007), and of any investigation and resulting outcomes. Residents spoken with said they knew who to speak to if they had any concerns, and that in the past management had responded positively to any queries/issues they had raised. There is an in-house trainer on adult protection matters who has provided training on this subject to staff. This included clarifying types of abuse, recognising signs and required actions if abuse was suspected. Staff spoken with displayed awareness of this subject and procedure, and evidence of the training was seen. The home’s policy on adult protection was inspected, included was written guidance for staff on recognising and reporting abuse and action to be taken by staff and the person in charge if abuse is suspected. The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 15 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): 19,26 Quality in this outcome area is adequate. Furnishings in the home looked comfortable and the home appeared internally safe, but some doors and frames need repair and redecoration. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A programme of redecoration had taken place since the last inspection. This had included new carpets, floor coverings, curtains and window blinds to some lounges stairs and corridors, and redecoration to some bedrooms. This had improved the environment for residents, however some doors and doorways had been damaged by wheelchairs, these should receive attention. The garden had received attention since the last inspection and looked safe and assessable. The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 16 Those bedrooms seen were comfortable and made homely with people’s personal possessions. During discussion with residents all said their rooms were comfortable. All private rooms had en-suite wc, except one, which the manager advised had a private designated wc close by. All radiators in the home that were seen were guarded, and lighting in residents’ rooms was considered domestic in character and fully appropriate for individuals requirements/needs. The Old Rectory had six bathrooms designated for use by residents (there is a seventh bathroom on the top floor which is an area of the home that is no longer used). Five of these had fixed hoists, and there were also two ‘walk-in’ shower rooms. The one bathroom without a fitted hoist (on the first floor) was out of use because of broken panels. The manager agreed to get this repaired and made fit for use. Since the last inspection improvements had been made to the hot water boilers to provide a more consistent supply to baths, and the baths that were out of action had been repaired. On the day of the inspection the premises were considered to be clean and hygienic. Policies and procedures were in place confirming that working practices are in place to control the spread of infection. The laundry had appropriate equipment for the home’s laundry needs. The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 17 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): 27,28,29,30 Quality in this outcome area is adequate. Staff had been trained to equip them with the skills for their role and staff recruitment procedures aimed at the protection of service users had been followed, however induction training for new staff needed better evidence that a structured process had been followed This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s staffing rota was inspected. The home was accommodating forty eight residents at the time of this inspection, and since the last key inspection (in response to issues raised at the time), daytime staffing had been increased to nine care staff, including two senior carers. Night time staffing remained at four on waking duties. Separate and additional rostered staff were employed to undertake catering, kitchen assistant, administrative, activities, housekeeper, laundry, domestic and maintenance duties. Discussion with staff and records confirmed that regular staff meetings are held at approximately three monthly intervals. Minutes of a meeting held on 2/10/07 were seen. Staff records and discussion with staff evidenced that application forms had been completed, interviews held, written references obtained, written terms & conditions issued and criminal records checks undertaken. Copies of proof of ID and photographs were also on file. The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 18 The manager reported that twelve staff had NVQ 2 and one had NVQ 3, evidence of pass certificates were seen, with a further six signed up to start NVQ 2 and eight due to commence NVQ 3. New staff undergo the home’s induction programme, but not all records seen evidenced that induction followed the Skills for Care structure base and core modules of: principles of care, service user need, organisation, role of the carer, meeting needs and maintaining health & safety in work. The home had access to company qualified in-house trainers on: food hygiene, manual handling, health & safety, fire awareness and POVA. Training records and discussion with staff confirmed that staff had been provided training on all these subjects. External training provided had included NVQ, continence, infection control, health & safety, first aid, bereavement, dementia and medication. A detailed training matrix identifies when individual staff are due update training. The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 19 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): 31,33,35,36,37,38 Quality in this outcome area is adequate. People living at The Old Rectory can expect to enjoy a home run in their interests and managed by a competent person with appropriately supervised staff, however some health & safety practice needed closer attention. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has ten years management experience, holds the registered managers award, is an NVQ assessor, and displayed as competent and professional throughout the inspection process. An annual quality assurance (QA) questionnaire exercise takes place. The last residents survey had taken place in December 2006, with relatives surveyed in June 2007. The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 20 Responses received were inspected. Questions included asking residents their views on care, food staff attitudes, activities and decision making. There was a summary statement of any actions taken resulting from the QA exercise. Some residents personal allowance monies were held for safe keeping by the home. Records of transactions, receipts and balances held were kept and were inspected with no errors noted. 1-1 formal staff supervision sessions take place. Evidence of this was seen and staff spoken with also confirmed this process. The format used included an overview and principles of good supervision with recorded notes on content, items taken forward and any tasks to be carried out. The home had COSHH data sheets for cleaning substances used. There were premises risk assessments in place (seen). Random samples of records required to be kept were inspected. These included: complaints, assessments, care plans, staff rotas, staff recruitment, accident records, visitors book, fire drills, regulation 37 notices, regulation 26 reports (registered person monthly reports), menus, medication, background info’ and next of kin details, cash held for safekeeping and fire procedures. All seen were satisfactory. Discussions with staff, management and inspection of records confirmed that training is provided to staff in moving and handling, fire safety, food hygiene, first aid and basic training in infection control. However not all health & safety practice was acceptable as one fire escape door leading to the car parking area was seen to be obstructed by a wheelchair. The manager had this moved immediately but staff practice must be monitored to ensure this risk does not reoccur. Certificates and service records were seen to confirm that the home’s fire equipment & alarms, passenger lifts, hoists, gas supply, portable electrical appliances and electrical installation supply had all been tested/serviced. The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 21 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 2 The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 22 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 OP30 Regulation 18 Requirement Induction training given to new staff needs to be based on the Skills for Care structure to ensure that the content syllabus of this training includes the subject headings, and skills to equip them for their roles. Timescale for action 29/02/08 2. OP19 23 Repairs must be made to the 29/02/08 damaged/out of use bath on the first floor to ensure the bath is fit for use. All fire escape doors in the home must be kept clear to enable people to get out of the building in an emergency. 31/01/08 3. OP19 OP38 13 The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 23 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 OP12 Good Practice Recommendations The number of residents meetings held each year should be increased, to provide residents better opportunities to discuss issues as a group and be kept informed about events in the home. Cracked/chipped paintwork on doors and doorframes should be repaired to ensure all areas of the home are well maintained. 2. OP19 The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Old Rectory DS0000017974.V356600.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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