Inspection on 06/11/06 for The Old Rectory

This inspection was carried out on 6th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 13/12/07

The Old Rectory 23/05/07

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 Draft Unannounced Inspection 6th November 2006 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 Old Rectory DS0000017974.V319346.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.V319346.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 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) www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Ms Paula Maddams Care Home 62 Category(ies) of Old age, not falling within any other category registration, with number (62) of places The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 62 persons) 19th January 2006 Date of last inspection Brief Description of the Service: The Old Rectory is a large fully detached property that was originally constructed 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-two elderly people (over the age of 65) on three floors. Accommodation is provided in fifty-four single and four double bedrooms located on all three floors of the home. 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 well-maintained 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. The home is well equipped to meet the needs of the current resident group, and provides the appropriate aids and equipment to assist individuals with limited mobility. Information was not supplied regarding the fees charged. Past inspection reports are available from the home, and from the CSCI internet website. The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on Monday 6th November 2006, with a second announced visit taking place on 9th November to complete the process. The content of this report reflects the inspector’s findings on the day/s of the inspection along with information provided by the service and feedback by service users, relatives, staff and other parties. Practice and procedures occurring after this inspection will be reported on in future inspection reports. Discussions took place with six residents, the registered manager, care manager, five members of staff and three visitors. Random samples of records, policies and procedures were inspected and a tour of parts of the premises and grounds took place. All residents spoken to expressed satisfaction with the care and accommodation provided, and were generally satisfied with the quality of the food offered. Visitors spoken with were complimentary of the care provided to residents by the staff and management team. Questionnaires were left at the home so that residents and relatives not spoken with on the day/s had the opportunity to make their views on the service known to the Commission. Staff confirmed they received support from management. They also confirmed that they had been offered training appropriate to their roles. Twenty-eight standards were inspected with twenty-five met and three almost met. What the service does well: The residents living in The Old Rectory benefited from an established and experienced staff team, who displayed knowledge of the needs of individuals in their care. The atmosphere in the home was friendly and relaxed. The grounds were spacious and accessible to residents. The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Out of use baths need to be repaired and available for use. Information on where to access independent advice (Advocacy services) should be made known to residents and relatives. -----------------------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.V319346.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s assessment format and process ensured that initial perceived needs were identified upon admission. EVIDENCE: Two senior staff, including the general manager or care manager visits 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 relatives. 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 there may be a Social Services assessment on file which supplements the home’s process. A care plan is compiled after admission, this will involve service users and appropriate relatives. The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 9 The Old Rectory DS0000017974.V319346.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. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs of residents were adequately detailed in individual plans of care. Health care needs of residents were met and residents felt they were treated with respect. EVIDENCE: Four 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 included comprehensive risk assessments, records of residents’ weight, consultations, had been regularly reviewed and included review and evaluation record sheets. The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 11 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 were seen. The homes medication policies and procedures covered ordering, receipt, storage, administration, homely remedies, self medicating and returns of unused stocks. Staff training on medication issues had been provided by the pharmacist. In addition several staff had attended a ‘safer handling of medication’ course. Only senior staff administer medication. Certificates of training attendance were seen and staff spoken with said they had received training on the system used. Regular in-house competency assessments are also carried out. 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 professional 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. Treatments and consultations are provided in private, residents’ also confirmed that they wear their own clothes and that staff use their preferred term of address. The Old Rectory DS0000017974.V319346.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. This judgement has been made using available evidence including a visit to this service. The lifestyle experienced within the home matched the expectations of residents. They were able to maintain contact with family, friends and participate in the local community. Residents were offered a varied, balanced diet and were supported to exercise choice in their daily lives. EVIDENCE: Residents meetings had taken place, minutes of issues discussed and decisions made were inspected. Residents spoken with said they had been aware of and had attended the meetings. The manager also holds three monthly meetings for relatives, minutes of these were also available. The home had an activities coordinator who works four 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. The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 13 These included: 1-1 discussions, bingo, videos, quizzes, board games, entertainers, hairdresser, beauty care, balls 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 were seen. A church minister visits to hold a service in the home once a month, by coincidence a service took place in one of the lounges on the first day of this inspection. A mobile library visits regularly. The manager advised that the home would soon have shared access with two other home’s of a new mini bus. She said this should improve community access opportunities for residents. 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. Some personal allowance monies are held for safekeeping and records of transactions and receipts are kept. The manager advised that the home does not act as appointee for any of the residents. There was no information seen regarding access to independent advice (Advocacy). This information should be made known to residents and relatives, there is a recommendation to this effect in this report. It should be noted that on the second inspection visit the manager had placed a notice about Advocacy on the main notice board 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 been permitted to bring in with them. Nutrition records and menus evidenced choice and variety. The main daily meal is lunch with 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 and suppers are available every evening. Two residents said they ate in their own rooms by choice. Since the last inspection all catering provision has transferred to in-house control. Prior to this a contract catering service had been used. The registered manager therefore has improved influence and control regarding menus and food provided, in liaison with the two chefs. Menus are discussed at residents meetings and the manager advised she would be individually asking residents their views on the food at least every week. Records of comments received will be kept. The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 14 The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Residents knew how to complaint and the home’s complaints procedure allowed for residents and relatives to formally raise any concerns or areas of dissatisfaction with the service. The home’s adult protection policies, procedures and practices were aimed at ensuring residents welfare. EVIDENCE: The home’s complaints procedure contains guidance on how to make a complaint and who to complain to. Also included were timescales for responses from the home. 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 and of any investigation and resulting outcomes. Residents spoken with said they knew who to speak to if they any concerns, and that in the past management had responded positively to any queries/issues they had raised. There had been no complaints since the last inspection. The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 16 There is an in-house trainer on adult protection matters, who has provided training to staff which included clarifying types of abuse, recognising signs and required actions if abuse suspected. Staff spoken with displayed awareness of this subject and procedure. The homes 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 home was provided (by CSCI) a copy of the latest POVA guidelines. Already on site were the Essex Vulnerable Adults Protection Committee guidance booklets on abuse, which are provided to all staff. Induction and NVQ training also includes adult protection issues. The home also had a ‘whistle blowing’ policy which provided guidance to staff on their responsibilities to report any concerns to management. The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Furnishings in the home looked comfortable and areas of the premises seen were acceptably maintained. Private accommodation was comfortable and suited to needs and preferences. The home appeared safe, accessible, clean and was considered to be hygienic. EVIDENCE: The home was fully accessible to residents accommodated and was adequately maintained externally and internally. Gardens were well laid out and accessible. Individual private accommodation and facilities are all considered to be of a good standard, domestic in character, and suited to the needs of residents. The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 18 Fifty seven (all but one of the total rooms available) bedrooms benefit from ensuite facilities. Communal wcs are located in the bathrooms and around the home. Staff call systems were located in all private rooms and communal rooms seen. The home is equipped with two shaft passenger lifts to provide access between floors. Private rooms were well decorated, comfortable and evidenced individual taste. During discussion with residents all said their rooms were comfortable. Door locks and keys are provided according to individual choice and risk assessment. All rooms seen were naturally ventilated with windows and all were centrally heated. The manger advised that a rolling programme of investment was underway to equip all rooms with an electric profile adjustable bed by 2008. The home had five bathrooms, four had hoists, and two ‘walk-in’ shower rooms. One of the bathrooms is out of use long term (no hoist fitted) and on the day of the inspection three of the four remaining baths were out of action. One had no hot water, one had no hot water and a cracked/holed casing and one had a broken hoist. The manager produced replacement parts received and a worksheet as evidence to confirm repairs were scheduled to take place on the days immediately following the inspection. The holed bath casing was an issue that had not been fully noted. This report included a statutory requirement on this issue. The manager undertook to confirm to CSCI when all repairs had been completed. Hot water supply in the home is regularly tested by staff and records were seen to confirm this. 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. On the day of the inspection the premises were considered to be clean and hygienic. Policies and procedures were available for inspection confirming that working practices are in place to control the spread of infection. The laundry room was inspected and was equipped with appropriate washing machines (with sluice cycle programme) and tumble driers. The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels appeared to meet the needs of residents. Staff had been provided in-house training opportunities to equip them with the skills for their role. Staff recruitment procedures aimed at the protection of residents had been followed. EVIDENCE: The home’s staffing rota was inspected. The home was accommodating forty nine service users at the time of this inspection and minimum staffing levels were eight care staff on daytime shifts and four on waking night duties. The manager post is sumernumery. This number increases to nine staff on morning shifts when the home is full. Separate and additional rostered staff were employed to undertake care manager, catering, kitchen assistant, administrative, activities, housekeeper, domestic and maintenance duties. The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 20 Discussion with staff and records confirmed that regular staff meetings are held at approximately three monthly intervals. 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 as were records of training and induction. The manager reported that eleven staff had NVQ 2, evidence of pass certificates were seen, with a further eleven signed up to start this award. This equates to 73 of the care staff team and exceeds the standard ratio of 50 . New staff undergo the home’s induction programme. Records of this were seen, and staff spoken with who had employed since the last inspection confirmed they had received induction training. The induction package seen included sections on the 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.V319346.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had been run and managed efficiently and effectively. Procedures for gaining the views of residents and relatives were in place and had been implemented. Records required by regulation were in place. Financial practices in the home appeared to have been competently managed. The health and safety of residents and staff appeared to have been assured. The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager has nine 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 questionnaire exercise takes place. The last survey had taken place in June this year and responses received were inspected. Questions included asking residents their views on care, food staff attitudes, activities and decision making. There was not summary statement nor evidence that any action had been taken resulting from the QA exercise. This report includes a recommendation on this point. 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, these were scheduled for review. 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, 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. Certificates and service records were available for inspection to confirm that the home’s fire equipment, passenger lifts, hoists, call alarms, emergency lights, gas supply, portable electrical appliances and electrical installation supply had all been tested/serviced within recommended timescales. The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 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 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 3 3 The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP19 Regulation 23 Requirement The registered provider must ensure that the cracked/holed bath on the ground floor is repaired and made fit for use. Timescale for action 30/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP14 OP33 Good Practice Recommendations The manager should ensure that residents and their relatives are aware of how to contact external advocates. The registered manager should ensure that there is a written summary of the findings and of any resulting actions taken following the home’s annual quality assurance process. The Old Rectory DS0000017974.V319346.R01.S.doc Version 5.2 Page 25 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.V319346.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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