Inspection on 21/11/05 for Tuxford Manor Care Home

This inspection was carried out on 21st November 2005.

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

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

Other inspections for this house

Tuxford Manor Care Home 27/06/07

Tuxford Manor Care Home 11/07/06

Tuxford Manor Care Home 13/06/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Tuxford Manor Care Home Tuxford Manor 143 Lincoln Road Tuxford Newark Nottinghamshire NG22 0JQ Lead Inspector Steve Keeling Unannounced Inspection 21st November 2005 09:30 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 Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 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. Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tuxford Manor Care Home Address Tuxford Manor 143 Lincoln Road Tuxford Newark Nottinghamshire NG22 0JQ 01777 872555 01777 872666 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) Hallmark Healthcare (Tuxford) Ltd Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users shall be within category OP Date of last inspection 13th June 2005 Brief Description of the Service: Tuxford Manor Care Home provides 45 places for Older People that require residential care. The Home is situated on the outskirts of the town, close to a local public house although transport would be required to access the nearby shopping areas. The accommodation is provided on two floors with a passenger lift to enable easy access for people with restricted mobility. All ground floor and garden areas have level access. The facilities within Tuxford Manor are suitable to achieving optimum independence for the service users at the home. Wheelchairs can access all areas within the home, appropriate mobility aids are available such as hoists, transfer belts and strategically placed hand rails. Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over a 4-hour period and involved one inspector. The main method of inspection was case note tracking, this is a method of selecting service users within the home and discussing with them their expectations and experiences of living within the home environment. The case tracking method also analyses the records of the service users to ascertain if the service users identified needs are being addressed appropriately within the care home setting and that their safety and well being is being maintained. On this occasion two service users notes were case tracked. Also as part of the case tracking process, a staff member within the home was informally spoken with to further evidence the quality of care afforded to the service users. The home has been recently acquired by Hallmark Healthcare who were registered with the Commission for Social Care Inspection in May 2005 and is now scheduled to have a complete refurbishment in the near future. It was established that the acting manager is currently in the process of applying for registration with the Commission for Social Care Inspection and her application is progressing in a satisfactory manner. At the time of the inspection a total of 20 residents were accommodated at the home. It was evident that the acting manager and the care staff within the home are competent in the provision of a high standard of care for the service users. The acting manager and care staff within the unit was very helpful and cooperative thus ensuring that the inspection process progressed in a professional and efficient manner. What the service does well: Tuxford Manor provides a homely and safe environment for service users, all areas inspected was clean and smelt fresh. In promoting the homely environment within Tuxford Manor service users are encouraged to furnish their bedrooms with personal possessions such as photographs, pictures and small items of furniture. It was established that the home now employs an Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 6 activities coordinator to ensure that service users receive stimulating social activities within the homes immediate environment. Service users spoken with were very satisfied with the care they received at the home stating that care staff treated them with utmost respect and dignity. In ensuring that the home is safe for the service users, the acting manager ensures that all equipment within the home, designed to aid mobility, is serviced appropriately by external contractors. It was established that service users are afforded the opportunity to choose from a varied menu and that the meals provided are nutritious and wholesome. The acting manager with the support of the new owners of the establishment, Hallmark Healthcare, utilises effective documentation in identifying the holistic needs of the service users, it was evident that the needs of the service users are reviewed on a monthly basis to ensure all the service users needs are addressed effectively within the home. All documentation appertaining to the care of service users is stored within a secure environment to ensure service user confidentiality is maintained at all times. What has improved since the last inspection? The acting manager at the home with the support of the new owners is currently in the process of addressing identified shortfalls highlighted from a previous inspection performed on 13th June 2005. Services users are now provided with a contract which clearly states the terms and conditions of residency at the home. Service users receive a holistic needs assessment by a competent individual prior to commencing residency at the home to ensure that identified needs can be addressed effectively at Tuxford Manor. The acting manager now ensures that appropriate care plans are formulated from information gleaned from a pre-admittance assessment. Care plans are reviewed on a monthly basis to ensure service users needs are addressed effectively. It was evident that service users benefit from appropriate referrals to members of the multidisciplinary team as required, to ensure optimum health status. Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 7 An activities coordinator is now employed over three days at Tuxford Manor in an attempt to provide social activities that are stimulating, varied and enjoyable for the service users. Water temperatures are now monitored effectively within the home environment to minimise the risk of scold’s for the service users. It was evidenced that the acting manager now ensures that new employees only commence employment at the home prior to having appropriate Criminal Records Bureau (CRB) checks or Protection of Vulnerable Adult (POVA) checks and have two satisfactory references. The acting manager is now in the process of registering as the manager of the home and it was established that her application is progressing appropriately. 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. Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 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 Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1. 2. 3. 4. 6. Service users or their representatives receive appropriate information prior to admittance to the home so they can make an informed disissions as to the homes suitability in meeting identified needs. All service users are given a contact of terms and conditions of the home prior to admission. Trial periods of residency is available to service users to ascertain the suitability of the home prior to “full time” residency. The acting manager now utilises effective assessment documentation provided by Hallmark Healthcare. The pre-admittance assessment within the case tracked notes were detailed in identifying the specific needs of the residents to maintain optimum independence within the home. Tuxford Manor does not provide intermediate care services. Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 10 EVIDENCE: Service users or their representatives are now given information, in the form of a pamphlet, appertaining to the services that Tuxford Manor provides prior to admittance to the home. Within the pamphlet the homes statement of purpose is enclosed for service users perusal. The information appertaining to the services and facilities at the home ensures that an informed decision can be made as to the suitability of the home in meeting the service users needs. The acting manager of Tuxford Manor stated that the home can also offer “trial periods” of residency of up to one month for service users to further establish the suitability of the home in meeting the needs of the service users. It was evidenced that contracts of residency are now produced in triplicate and one copy is given the service user or their representative, one copy is stored within the home and one copy is retained at the organisations head office. The contracts of residency are available in large print to aid the communication process should service users have impaired vision. It was evidenced that the acting manager of the home is utilising Hallmark Healthcare pre-admittance assessment documentation effectively. The documentation is comprehensive and identifies all areas required to make an appropriate assessment of the service users needs and indeed the homes ability to meet the identified needs. Risk assessments are also performed for all prospective service users in an attempt to further ensure the safety of residents at the home. The holistic needs of the service users are reviewed on a monthly basis to ensure that the service users needs are addressed effectively within the home. Documentation appertaining to the care of service users is stored within a secure environment to ensure service user confidentiality is maintained at all times and also satisfies the data Protection Act (1998). Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 11 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. The service users health, personal and social care needs are set out in individual care plans that addresses identified needs gleaned from the preadmittance assessments. Service users identified needs are fully met. No service users within Tuxford Manor are responsible for the administration of their own medication at the time of the inspection, although facilities for selfadministration of medicines are available should it be required. Shortfalls in relation to the storage of medication were identified at the time of the inspection together with one discrepancy in relation to controlled medication of one case tracked service user. EVIDENCE: Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 12 With the aid of documentation supplied by Hallmark healthcare it was evident that the acting manager of the home is maintaining clear, concise and well organised care plans in which the service users needs were assessed holistically and all identified needs were addressed effectively as a result of the evaluation and care planning process. Care plans within the case tracked notes were evaluated on a monthly basis so as to address any changes in the service users needs. All care plans were signed and dated by the assessor. As far as practically possible all service users or their representatives are involved in the care planning process, which was evidenced by service users or their representatives signatures within the relevant documentation. The acting manager ensures that all service users are allocated a “key workers”. It is the responsibility of the key worker, under the supervision of the acting manager, to ensure that all identified needs of the service users are addressed effectively and that the care plans are reviewed apprpropriately. It was evidenced in the care planning documentation that appropriate referrals are now made the members of the multidisciplinary team (MDT) such as district nurses, dieticians and general practitioners in an attempt to ensure that service users receive appropriate health promoting interventions as they require. A clear record of the MDT interventions was evidenced within the case tracked service users files. At the time of the inspection no service users were responsible for the selfadministration of medicines. It was established that should a service user wish to be independent in the administration of medicines the acting manager in conjunction with the service users family, community pharmacist and general practitioners, would perform a risk assessment, if the service users was deemed as being safe, self-medication would be facilitated. It is necessary to store some types of medication within a controlled environment of a fridge to prevent medication degradation. It was evident that medication was being stored within a fridge but the temperature had not It is necessary to store some types of medication within the controlled been record appropriately since 20th September 2005 although the facility to record fridge temperatures had been provided by the acting manager. The case tracking process revealed that the quantity of controlled medication documented within the controlled medication book did not always corresponded to the actual amount medication available. As such the Commission for Social Care Inspection will require the responsible individual to provide a satisfactory explanation in relation to this discrepancy. Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12. 15. Service users have the opportunity and choice to participate in varied and stimulating social activities. Service users are provided with a wholesome, appealing and balanced diet. EVIDENCE: The acting manager at Tuxford Manor has recently appointing an activities coordinator who is employed for 16 hours over a three-day period. Currently the home provides activities such as bingo, arts and crafts, dominoes, reminiscence therapy, one to one interventions and quizzes. The home also provides guest entertainers such as singers and organists for the service users enjoyment. Relatives and friends are also encouraged to accompany service users to nearby shops and public houses thus promoting social interactions for the serviced users beyond the immediate home environment. It was established that service users, in the past, have experienced day trips with the aid of hired transport but these trips were somewhat infrequent as the home does not have its own transport at this time. The manager of the home ensures that religious needs are addressed effectively within the home as a monthly visits from religious representatives is encouraged, which the service users can attend if they wish. Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 14 It was evidenced that service users always have a choice of meals and that daily menus are displayed for service users perusal. At the time of the inspection the mid day meal was being served the food provided at the home appeared wholesome, nutritionally appropriate and varied. All service users spoken with stated that they enjoyed the meals provided. It was evidenced that the home adopts a “restaurant” style approach to meals times. Menu cards were displayed on all dining room tables and the overall appearance of the dining room is pleasing as all dining tables had table cloths, place settings and condiments present. The inspection process gave the opportunity to examine the kitchen environment, which was clean and well organised. Fresh fruit and vegetables were evident and it was established that the home receives a delivery of fresh produce twice weekly from a local supplier. Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16. Service users feel confidant that any concerns or complaints will be listened to, taken seriously and acted upon by the manager. EVIDENCE: Tuxford Manor benefits from clear policies and protocols provided by Hallmark Healthcare in relation to the reporting of concerns and complaints, the complaints procedure is available in the home foyer for service users and their representatives perusal. At the time of the inspection no complaints were being investigated at the home and no complaints have been received at the Commission for Social Care Inspection. Service users spoken with at Tuxford Manor stated that they felt safe and protected in the home and that the staff employed at the home are attentive to their needs. Through discussions with service users it was established that they felt confident that the manager at Tuxford Manor would be approachable, sensitive and professional in relation to the reporting of concerns and complaints should any be identified. Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 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. 25.26. The standard of cleanliness throughout the home is good, and all areas within the home smelt fresh and pleasant. The home provides a safe comfortable environment for the service users although some areas within the home are somewhat shabby and tired. It was evident that the new owners, Hallmark Healthcare are progressing in a satisfactory manner in relation to the planned total upgrade and refurbishment of the home which will commence in the near future. EVIDENCE: The inspection process allowed for the examination of service users bedrooms and communal living areas. All areas within the home were clean, homely, smelt fresh although some areas within the home are somewhat shabby and tired. Hallmark Healthcare, the new owners of Tuxford Manor are currently planning a total refurbishment and upgrade to the entire home which will include the lighting system and it was evidenced that a refurbishment schedule Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 17 has already been formulated as it is planned that the refurbishment should commence in the near future once tenders have been received. It was evident that residents had many personal possessions in their bedrooms such as family pictures, small items of furniture, televisions, radios and ornaments, thus promoting a homely, pleasant environment for the service users. To promote safety for the residents all radiators are enclosed and the windows have opening restrictors in place. At a previous inspection cleaning substances and toiletries were evident within the communal bathroom areas which represented a potential hazard the service users, it was established that the aforementioned substances are now stored appropriately as no substances were evident within the communal bathing areas at the time of the inspection To protect residents and promote the principles of infection control a “dissolvable red bag” laundry collection and washing service is in operation when required. It was established that care staff at the have received appropriate training in the principles of infection control. It was not evident that all the hot water outlets in the service users rooms are fitted with appropriate thermostatic valves to minimise to risk of scalds although hot water temperatures are recorded appropriately and it was evident that they were within acceptable parameters thus preventing unnecessary risks to the residents from hot water outlets Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 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): 28. 29. 30. Staff employed within Tuxford Manor receives appropriate training in health care provision with the support of Hallmark Healthcare thus ensuring service users are in safe hands. The service users within Tuxford Manor are protected by the homes recruitment policies and practices. EVIDENCE: Shortfalls in the homes recruitment practices identified at a previous inspection have now been addressed effectively by the acting manager at the home with the support of Hallmark Healthcare. Staff files now evidenced appropriate documentation to ensure the vulnerable service users are protected. The staff files examined contained Criminal Records Bureau checks (CRB) and two satisfactory references, it was established that no numbers of staff are employed at the home until the aforementioned checks have been undertaken and are satisfactory. The acting manager at Tuxford Manor now utilises documentation provided by Hallmark Healthcare and it was evident that the documentation is well organised, clear and concise. Since Hallmark Healthcare purchased Tuxford Manor on the 17th June 2005 significant progress has been made in relation to training opportunities afforded to care staff at Tuxford Manor. An examination of staff files evidenced that a comprehensive induction process, completed within the first week of employment, is performed at the Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 19 home. The staff files further evidenced that a comprehensive ongoing training programme is provided at Tuxford Manor. Training courses available included fire fighting protocols, abuse awareness training, health and safety training, safe handling of medications, infection control training, moving and handling training, first aid training and performance and appraisal training. The acting manager at the home also ensures that all staff receive bi-monthly supervision sessions in which staff can discuss any concerns they might have, identify strengths and weaknesses and determine training opportunities available to further enhance the care provision within the home. Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 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. 38. The acting manager at Tuxford Manor is of good character and is able to discharge her responsibilities fully. The home is run in the best interests of the service users. The acting manager ensures that the health and safety of service users and staff alike is promoted and protected at then home. EVIDENCE: The acting manager at Tuxford Manor is currently in the process of registering with the Commission for Social Care Inspection as the registered manager and it was established that her application is progressing in a satisfactory manner. Currently studying for her degree level Registered Managers Award and in possession of NVQ level three in health care provision it was evident that she is committed to the principles of ongoing education for herself and her staff, thus ensuring health care provision is appropriate and safe at the home. Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 21 The acting manager ensures that staff members receive supervision from either herself or senior members of her care team thus identifying and promoting good care practice at the home. Since the recent purchase of Tuxford Manor it is evident that the acting manager now feels supported by Hallmark Healthcare and her enthusiasm in relation to the proposed developments within the home was established. Through effective leadership skills and staff direction she has established an positive environment which is conducive to maintaining optimum independence for the service users at the home. The manager of the home maintains appropriate documentation, which is stored securely to protect service users confidentiality. It is the intention of the acting manager to initiate a residents and relative’s forum within the home in the near future so that issues relating to the all aspects of care can be openly discussed in an attempt to identify and address any concerns identified. Service users spoken with felt confident in the acting manager’s ability to manage the home in a clear supportive manner, and it was evident that the manager promotes a friendly relaxed environment for the enjoyment of the service users. In ensuring the health, safety and welfare of service users and staff are promoted within the environment of Tuxford Manor, the manager ensures that all staff receive appropriate training in fire fighting methodologies, Control Of Substances Hazardous to Health (COSHH) and the correct use of mobility aids. It was established that mobility aids the mobility aids such as hoists and baths are serviced appropriately by external contractors thus ensuring the health and safety of the service users and staff alike. It could also be evidenced that electrical equipment within the home undergoes Portable Appliance Testing (PAT) to ensure it is in good order and safe. . Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 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 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 x 3 X X X X X 2 3 STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 9 Regulation 13 (2) Requirement The registrered person shall make arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received at the home. Timescale for action 05/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Tuxford Manor Care Home DS0000063842.V267356.R01.S.doc Version 5.0 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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