Inspection on 26/10/06 for Treetops Residential Home

This inspection was carried out on 26th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Treetops Residential Home 24/10/08

Treetops Residential Home 27/02/06

Treetops Residential Home 28/06/05

Treetops Residential Home 10/03/05

Treetops Residential Home 05/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Treetops Residential Home 3 Lower Northdown Avenue Cliftonville Margate Kent CT9 2NJ Lead Inspector Christine Grafton Unannounced Inspection 26th October 2006 10:05 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 Treetops Residential Home DS0000023613.V306094.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. Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Treetops Residential Home Address 3 Lower Northdown Avenue Cliftonville Margate Kent CT9 2NJ 01843 220826 01843 220826 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) Gracefind Limited Mrs Wendy Hughes Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To admit two (2) Service User with dementia whose date of birth are 03/06/1913 19/06/1915. To admit two (2) Service User whose date of birth are 04/01/1942 20/03/1929. 27th February 2006 Date of last inspection Brief Description of the Service: Treetops is a three-storey detached building, with bedroom accommodation on each of the three floors. There are 18 single bedrooms (10 of which have ensuite facilities) and 3 doubles. There is a shaft lift to all floors. Each bedroom has a call bell and television point. There are three separate lounge areas, one of which may be used for residents to smoke in. There is a secluded garden to the rear, with a covered patio area, where residents may sit in warm weather. The home is situated in a residential part of Cliftonville, close to local shops and all public amenities. Public transport can be easily accessed and there is unrestricted on-street parking. Treetops has been under the same ownership for over 15 years. The staff team consists of a manager and carers who provide 24-hour care, including a member of staff awake and one member of staff who does a split night shift that includes 3 hours sleeping in. There are also separate catering and domestic staff. Information provided by the provider and manager by the manager on 26th October 2006 states that the current fees for the home range from £295.00 to £400.00 per week dependent upon the level of care and type of bedroom occupied. Additional charges are made for hairdressing, chiropody, toiletries, travel and escort. Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report takes account of information obtained from various sources, including a visit to the home; telephone contacts; written information provided by the manager and surveys completed by, or on behalf of a sample of residents, relatives and general practitioners. Six residents’ surveys all contained positive comments about the home, including two that made some comments that were followed up during the visit and used to inform the outcome of this inspection. Six relatives’ comments cards returned all contained positive comments and four general practitioner comments cards were returned, one with a comment that this is an excellent home and the others with no concerns raised. An unannounced visit took place on 26th October 2006 between 10.05 hours and 16.15 hours and consisted of talking to the owner, manager, staff on duty, some of the residents, looking round parts of the home, observing interactions between residents and staff and checking some records. The care of four residents was case tracked. At the time of the visit there was 24 residents. What the service does well: What has improved since the last inspection? A set of ‘sit–on scales’ has been purchased following a recommendation made at the last inspection. This was deemed important, as there are some Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 6 residents who are not able to stand on their own without assistance. Weight records are used to monitor nutrition and general health. The front garden has been paved and a ramped entrance created to the home with handrails to improve access for people with disabilities. A resident commented that this is better for residents going out in their wheelchairs. The back garden patio area has had an attractive wooden cover added to protect residents from the sun’s harmful rays when they sit out there in the summertime. Several residents commented that they had made good use of this. Several new beds, wardrobes and drawer units have been purchased as part of the home’s ongoing improvement plan, helping to maintain a comfortable, homely environment for residents. Following the last inspection, staffing levels have been reviewed and changes made, after consulting with residents. Improvements have been made in the afternoon and early evening period to make sure that there is enough staff on duty to meet residents’ needs. 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. Treetops Residential Home DS0000023613.V306094.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 Treetops Residential Home DS0000023613.V306094.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is good information available about the home so that people can make an informed decision about whether the service is right for them. The admission process for new residents is well managed, with time and effort spent to make sure that their individual needs are fully assessed and everything is ready for them when they move into the home. The home does not provide intensive rehabilitation, or admit people for intermediate care, so standard 6 is judged as not applicable. EVIDENCE: The service users’ guide and a copy of the last inspection report are kept in the entrance hall beside the visitors’ book. The statement of purpose and service users’ guide have been reviewed and updated and contain all the necessary information. A resident described the way their admission to Treetops had been managed, stating that the manager had first visited them in their own Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 9 home and brought a book about Treetops with her. Next she had visited the home and stayed for lunch, when she met some of the staff and other residents. This resident and two other recently admitted residents each described how supportive all the staff had been when they first moved in and said that the admission process had been a positive experience. A copy of a resident’s application for residence and contract was seen to contain details of the fees, services provided and terms of occupancy. Details of the room number are recorded on each individual care plan. Assessment records and care plans were seen for three residents admitted since the last inspection. Evidence was seen of a full and comprehensive needs assessment carried out prior to admission and continued and developed upon moving into the home. From records seen and discussions with the manager and three new residents it was clear that that the assessment process had been carried out with skill and sensitivity. Copies of the care management assessments had been obtained and there was a wealth of relevant information recorded in each person’s care plan to guide staff in providing the right level of care to meet the residents’ assessed needs. Care plans are individual and ‘person centred’. Treetops Residential Home DS0000023613.V306094.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The care planning system in this home is of a high standard, ensuring that residents’ individual needs are well understood and closely monitored. Care plans provide all the information necessary to maintain consistent care and are written in a way that ensures anyone unfamiliar with the person’s care would be able to use them appropriately in an emergency. Management of risk makes sure that residents’ needs are balanced with their rights to independence and choice. EVIDENCE: Care plans are clear, very detailed and cover all assessed needs, setting out the staff actions needed to meet all aspects of the health, personal and social care needs of the residents. Care plans are ‘person centred’ and ‘living’ documents that are used as working tools by staff on a daily basis and are reviewed as an ongoing process, reflecting when new needs are identified, or needs change. Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 11 The home works closely with health care professionals such as doctors and community nurses. A general practitioner comments card contained this comment: “Excellent home – never had any problems.” A set of ‘sit-on scales’ has been purchased so that now all residents (including the non-weight bearing) are regularly weighed and their weights are closely monitored. The assessment and care planning process clearly identifies any individual risks and provides staff with the necessary guidance to help them reduce the particular risks. Several good examples were identified as part of the case tracking, for instance, the risk of falls due to a wheelchair dependent resident trying to be independent had been discussed with them and their relatives and agreement reached for a course of action. The things that the resident might attempt alone are identified and actions agreed to reduce the risk of falls had been thoroughly documented. Other risks such as the use or non-use of wheelchair footplates had been thoroughly assessed and appropriate action taken to maintain safety. This had involved the use of special adaptations to a wheelchair. Residents said the staff are very supportive and help them to maintain their independence. Medications are stored in a secure lockable drugs trolley. A carer was observed administering the lunchtime medications in an appropriate way. Medication administration records (MAR sheets) were completed after the carer had seen the residents take their medication. There were no gaps in the MAR sheets. There is a locked drugs refrigerator and a controlled drugs (CD) cupboard, both of which are situated in a busy corner of a room. At the last inspection, it was identified that the CD cupboard had been fixed to a wall in a poor position. The manager confirmed that this had been reviewed, but as there is only one controlled drug in use, given at set times of the day, the risks had been assessed as low risk. It was stated that this would be reviewed again if there were more controlled drugs in use. The CD register had been properly signed and amounts tallied with amounts of the drug left in the bottle. A relative’s comments card stated: “The home is warm and friendly, my grandmother has been happy with her care. There is a lovely balance between banter with residents and respect.” Another commented: “I am very pleased with the home and the way my aunt is treated, I think it is excellent and I can’t thank them enough.” Treetops Residential Home DS0000023613.V306094.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 at least once during a 12 month period. 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. Residents are enabled to influence what happens in the home, to take part in various activities and to exercise choice in their daily lifestyles. A varied menu is provided that meets the nutritional needs, tastes and choices of residents. EVIDENCE: Residents and staff spoke about some of the activities that take place, including: weekly exercise sessions run by an external person that involves music and movement and is popular with a number of residents; weekly bingo; fortnightly film shows; manicures and individual wheelchair outings on a 1:1 basis with staff. Some residents also spoke about a bus outing to Herne Bay in August that they had enjoyed. A resident spoke about weekly visits to a nearby day centre and monthly visits to an Arthritis Club. Care plans contained entries indicating regular hairdresser visits, the celebration of Holy Communion, visits from friends and relatives and wheelchair outings either with staff or families. Some residents spoke about their individual interests, including reading novels and newspapers, watching television programmes and DVD’s and listening to music. Residents also spoke Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 13 about their enjoyment of just sitting and chatting with each other in the lounges. The manager stated that between 13.00 hours and 14.00 hours, staff are encouraged to spend 1:1 time with residents and this can involve sitting and reminiscing with them, nail care, playing games, reading to them, or taking them out for walks. External entertainers are also booked to do music and singing and a notice of a forthcoming event was seen displayed. A resident spoke of their daily routine and confirmed that their choice to spend regular time in their bedroom is respected. Other residents spoke of their visitors and confirmed that visitors are always welcomed. A four weekly menu plan is displayed in large print in the dining room. This indicates two options at the dinnertime and teatime meals and the choice of a full cooked breakfast or cereals and toast every morning. The menu plan indicates a nutritious diet and minutes of residents’ meetings indicate that residents’ choices are taken into account. The manager stated that menus are regularly reviewed and changed according to residents’ tastes. Several residents commented that the food is always very nice. The dinnertime meal was discreetly observed and seen to be well presented and an unhurried occasion. Treetops Residential Home DS0000023613.V306094.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know that their complaints will be listened to and acted upon. Appropriate systems are in place for the protection of residents from abuse. EVIDENCE: The home’s complaints procedure is prominently displayed with details of how to contact the commission. Residents spoken to praised the home, saying they had no complaints and would speak to the manager if they had any concerns. They all said that the manager listens to them if they have any problems and she makes sure they are sorted out. Residents are given the opportunity to raise any concerns at residents’ meetings and there is a more formal channel via the complaints procedure. The manager keeps detailed records of any complaints investigated and a record was seen of a recent complaint investigation. This indicated that the complaint had been properly investigated and action taken to address issues raised. The staff-training matrix indicates that three staff have attended training on abuse and one staff member has attended a course on challenging behaviour. Some other staff have attended courses on dementia care and risk assessment. Detailed policies and written guidance on abuse are readily Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 15 available. The manager stated that abuse is discussed within the staff formal supervision sessions. Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 & 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 homely well-maintained environment, with aids and equipment to meet their care needs. The recent adaptations and provision of specialist equipment has maximised some residents’ independence. EVIDENCE: Since the last inspection, the front garden has been paved with a ramped slope and handrails to the front entrance of the home. This has improved access for people in wheelchairs and those with mobility problems. An attractive wooden cover has been added to the patio in the back garden so that residents can be protected from the sun in the summer. A resident in their survey commented upon their enjoyment of sitting in the garden. Four new beds and five sets of new wardrobes and drawer units have recently been purchased and were seen to be of good quality. The provider stated that there Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 17 is an ongoing redecoration programme and it is planned to fit new flooring in the smoking lounge within the next two months. It was seen that disability equipment had been specially purchased to meet a resident’s needs, including fixtures to the bed and bedroom for one resident, plus adaptations to a wheelchair. The home has other equipment including an electric bed, air mattress and a recliner armchair for residents’ comfort. Areas of the home seen were clean and free from offensive odours. Liquid soap and paper towels are available for staff hand washing in bathrooms and other areas where soiled items are handled. There is an appropriate foot operated pedal bin for the disposal of clinical waste. Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. 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. Staff rotas make sure that there is enough staff on duty to meet residents’ needs, with the appropriate deployment of staff and skill mix to ensure safety. The management of this home is working hard to provide a trained workforce for the benefit of residents. Recruitment practices need further improvement to ensure that residents are fully protected. EVIDENCE: Staff rotas indicate that improvements made following the last inspection have been maintained, for instance there are now three staff on duty each afternoon and early evening, plus a tea time cook. One of the day carers starts work at 07.00 hours to help the two night staff get residents up. The manager stated that she works alongside staff and is personally involved in training them. The rotas confirm that the manager works a significant number of shifts outside of normal ‘office’ hours and in conversations with both residents and staff they made it clear that they value this. Details of residents’ dependency levels and the total care hours provided indicate that staffing levels comply with the Department of Health guidance if a Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 19 proportion of the manager’s hours are included. Overall, evidence provided and observations made during the visit indicate that the staffing levels are appropriate to meet the needs of the current residents. Dependency levels are not routinely recorded, but the manager agreed to record them in future and to keep them under regular review. Six staff have completed their National Vocational Qualification (NVQ) level 2 in care and a further two staff are currently working towards it. Two carers are currently undertaking their NVQ level 3 in care. A record was seen confirming that the manager uses the Skills for Care certified induction training programme, which is completed over a three-month period. A resident’s survey indicated, “the staff are exceptional.” An audit of three staff files indicates that on the whole, appropriate checks had been carried out, but the protection of vulnerable adults register (POVA) and criminal records bureau (CRB) checks had not been received until several months after two carers had started work at the home. The manager stated that she obtains verbal confirmation of the POVA first check from the umbrella organisation that deals with the home’s CRB checks, but there was no written record to confirm this. A record has been started since the last inspection to evidence that staff are properly supervised until the return of their CRB check. The manager stated that she always ensures that those staff are supervised. Although there has been some improvement since the last inspection, the manager agreed that further improvement is still necessary. Staff training records indicate that staff have been enabled to attend a variety of external short courses during the past year, including: first aid, health and safety, food hygiene, manual handling, fire safety, care home medication, dementia care, stroke awareness and adult protection. Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager runs this home well and ensures that residents benefit from her leadership style. Residents and staff are able to influence how the home is run. Health and safety practices safeguard residents, staff and visitors to the home. EVIDENCE: The manager has a supervisory management qualification and has attended a variety of short courses to update her knowledge, skills and competence. Evidence at this inspection again indicates that the manager is very competent and experienced, but standard 31 specifies that registered managers should obtain a level 4 National Vocational Qualification (NVQ) in management and care or equivalent. The manager’s qualification is not equivalent to an NVQ Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 21 level 4 and she has previously stated that she does not intend to undertake this, but is clearly committed to managing the home to provide a high quality of care to residents. Therefore although this standard is scored a ‘2’ as ‘almost met’, the outcome for residents is that this standard is clearly met. Residents and staff spoken to at this visit were again complimentary about the manager’s leadership approach and the way she runs the home. A resident’s survey indicated that Treetops provides a very good service. Two relatives’ surveys and a doctor’s survey indicated that the home is excellent. Quality monitoring includes regular residents’ meetings, staff meetings and questionnaires. Care staff receive regular formal supervision. The registered provider visits the home regularly and writes formal monthly reports. Records of residents’ monies held on their behalf were seen to be well kept. The fire safety logbook was well kept. All staff receive annual fire training from an external consultant and in between, the manager goes through the fire procedure with them when she carries out the routine fire safety checks. The manager agreed to record the dates of this fire instruction against staff names in the fire log book. Environmental risks assessments are carried out and regularly updated. Good hazard analysis records were also seen. Documentation was seen indicating that sufficient staff have been trained in moving and handling, health and safety, first aid and food hygiene. Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 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 3 X X 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP29 Regulation 19 Requirement New staff must not be employed unless they are fit to work at the care home and information is obtained as specified in Schedule 2. Recruitment procedures must ensure that CRB/POVA checks are carried out for all employees prior to their start date. (Previous requirement 28/06/05). 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 Refer to Standard OP9 Good Practice Recommendations To keep the position of the controlled drugs cupboard under review with regard to staff safety when accessing it. DS0000023613.V306094.R01.S.doc Version 5.2 Page 24 Treetops Residential Home 2 OP27 That records of residents’ dependency levels are kept and regularly reviewed and updated to inform the staffing calculation. Treetops Residential Home DS0000023613.V306094.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Treetops Residential Home DS0000023613.V306094.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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