Inspection on 12/07/07 for Tweed View House

This inspection was carried out on 12th July 2007.

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 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

Tweed View House 12/07/06

Tweed View House 31/08/05

Tweed View House 28/04/05

Tweed View House 14/10/04

Tweed View House 27/04/04

Tweed View House 10/10/03

Tweed View House 30/04/03

Tweed View House 12/06/02

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

CARE HOMES FOR OLDER PEOPLE Tweed View House Tweed Street Berwick Upon Tweed Northumberland TD15 1NG Lead Inspector Anne Urwin Brown Unannounced Inspection 12th July 2007 09:30 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 Tweed View House DS0000000513.V344832.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. Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tweed View House Address Tweed Street Berwick Upon Tweed Northumberland TD15 1NG 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) 01289 303550 01289 331764 tweedview@hotmail.com Berwick Care Homes Miss Moira Jane Simpson Care Home 37 Category(ies) of Dementia - over 65 years of age (27), Old age, registration, with number not falling within any other category (9), of places Physical disability over 65 years of age (1) Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2006 Brief Description of the Service: Tweed View is located within walking distance of the centre of Berwick upon Tweed near the railway station and bus station. The building was formerly a hotel and has been adapted to provide residential care for up to thirty-seven older people, fourteen of whom are diagnosed as having dementia. The Home provides accommodation on three floors and a shaft lift is fitted. At the back of the building there are attractive views of the River Tweed and surrounding areas from the building and the garden. The Statement of Purpose/Service User Guide is available at the home and provides clear information about the service provided. A copy of the last inspection report is also available. Fees range from £409.40 to £414.71 per week. Additional charges are made for hairdressing, toiletries, dry cleaning, telephone calls, newspapers and magazines. Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 12th July 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 12th July 2007. During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager/provider what we found. What the service does well: Good information is provided for people considering coming to live at Tweed View to help them make an informed choice. Each person has a contract that clearly states the terms and conditions of residence. The needs and wishes of each person living at Tweed View are properly assessed before they move into the Home. This means that staff know about the needs of each person and what care and support they require. Each person has a care plans that provides information about their needs and how these are met. Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 6 The arrangements for supporting people to make decisions about their daily lives and individuals preferences are clearly recorded. Satisfactory arrangements are in place for people to take part in activities in line with their needs and preferences. The arrangements for supporting people living at Tweed View to maintain contact with their friends and family were good. The relationships between staff and people living at the home are good and personal support was provided in such a way as to promote and protect privacy and dignity. The meals at the Home provide a varied, nutritious diet. Good systems are in place for dealing with complaints and people living at the home are confident that their concerns will be listened to and acted upon. There are enough staff at Tweed View and very good training opportunities are provided. This means that staff have the skills to meet the needs of the people living there. The staff are well supported by the Manager. What has improved since the last inspection? What they could do better: Some individual records need to contain more information about how risks are minimised. Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 7 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. Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2, 3 and 6 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information is provided for people thinking about living at Tweed View so that they are able to decide whether or not to move into the home. Contracts are clear and fair and protect people living at the home. Good comprehensive assessments are carried out before and after admission to ensure that peoples’ needs can be planned and met at Tweed View. Intermediate care is not provided. EVIDENCE: The Statement of Purpose/Service User Guide is comprehensive and contains all of the information identified in Schedule 1 of the Care Standards Regulations. It includes information about the services offered by the home Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 10 including staffing, who the home can care for, social activities, and arrangements for religious observance as appropriate, complaints, care planning, and the home’s environment. Residents and their representatives are encouraged to visit the home and spend time, this results in them having good information on which to base their decision to move into the home. Each person is supplied with a written contract and copies were available in the individual files. The home’s contract provides clear information about peoples’ rights and responsibilities, what is covered by the fees and terms and conditions of occupancy. One person said that she thought she could recall having signed the contract and had its content explained to her. Individual records contain full pre-admission assessments, which are completed by the Manager or the senior staff. The assessments cover the areas identified within Standard 3 of the National Minimum Standards for Care Homes for Older People. Staff draw up individual plans of care using the information in the assessment. In addition care management assessments were available in the records sampled. Four people spoken with during the inspection said that they were satisfied that staff were aware of their needs when they came to live at the home. They said they felt well supported when they came to live at Tweed View. The home is not registered for, and therefore does not provide, intermediate care. Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good individual plans provide information for staff to support meeting peoples’ needs. Care is planned sensitively with people living at the home in a way they prefer. Peoples’ health care needs are well met using a multi-agency approach. This helps to keep people healthy. Good procedures and practice for dealing with medicines protects those living at Tweed View. EVIDENCE: Each resident has an individual plan of care, which is based on the admission assessment and is then added to during the placement. The care planning system was being revised during the inspection and some plans had been completed using the new system and others were in the process of being updated. The new plans show evidence of peoples’ diverse needs including Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 12 specific health care, physical and sensory disabilities, religion and contact with relatives and friends. The care plans contain assessments for nutrition, skin care, moving and assisting, and continence promotion as well as a dependency rating. These are regularly reviewed. Risk assessments are in place for specific interventions, and these are generally updated when necessary. More information is needed in two plans to show how risks are minimised. Each person has regular reviews and they are involved in this process together with relatives/representatives if appropriate. Three people said that they are very satisfied with the care they receive; they said staff are caring and kind. Staff are well informed about individual needs and demonstrated this during the inspection. Peoples’ health care needs and any specific treatments are clearly recorded. All contact with the doctor, district nurse and other health care professionals is recorded appropriately. Records showed that the home seeks expert advice from external professionals if necessary. Aids and other equipment are in place for those who need them. Residents said that the staff are aware of their health needs. They said they get support to attend appointments. Two service users said they were satisfied that they can access the health services that they need. The systems for managing medicines in the home are in line with safe working practice guidelines. The records relating to the administration of medicines are fully completed and staff are clear about the procedures. A monitored dosage system is in use and records show the right checks are made when medicines are received and disposed of. Staff training in handling medicines has been provided. Risk assessments are in place for people wanting to manage their own medicines and lockable storage is provided for each resident in their room. Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have good opportunities to take part in a variety of leisure pursuits and activities that helps them to maintain good links with the local community. Service users are encouraged to exercise control over their lives, which helps them retain their independence. Mealtimes are flexible to suit individual preferences and lifestyles. People are give plenty of choice and are supported sensitively to eat meals where they have specific needs. EVIDENCE: People living at Tweed View said that they are able to make choices about their daily routines, like when they get up, go to bed and what they do with their time. Individual routines are identified within care plans and during the inspection it was apparent that people were encouraged to make choices about their lifestyle. During the inspection staff were involving residents in activities. A programme of activities is arranged and made available to people living at Tweed View. People coming to live in the home receive information that describes regular activities and outings organised. They are encouraged to make their wishes about their daily routine and any interests or hobbies known Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 14 to staff. Staff said that they are able to spend time on an individual basis with people living in the home. The atmosphere is homely and during the inspection it was observed that people are encouraged to make choices about where and how they spend their time. There are videos, music tapes, newspapers and books available. Two people said they much preferred spending time in their rooms as they enjoyed their own company and the view from their windows, while others said they preferred to spend time with other residents. People living in the home said that they have regular visitors and this was evident from the Visitors Book and from seeing visitors coming in during the inspection. Two people said that they could see visitors in their own rooms or in the public areas of the home. Information is available for relatives about visiting and this is made available before a resident is admitted. People are encouraged to continue to manage their finances for as long as they are able and this was evident from care plans. They are encouraged to bring in furniture, ornaments and pictures from their previous homes. Rooms are personalised and reflect peoples’ interests and taste. People are encouraged to follow their own religion and local ministers visit the home regularly. The manager is aware of advocacy services and information about this is made available to people living in the home. The menu shows that a varied diet is provided that offers choice at each mealtime. Peoples’ likes and dislikes are recorded and the cook regularly consults with them about the food. There is choice about where food is served so that people can choose to have their meals in their room or in the dining room. People said that the food is sufficient, very good and that they have plenty of choice as well as being able to make suggestions for the menu. Staff have completed Food Hygiene training. Tweed View House DS0000000513.V344832.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): Standards 16 and 18 were inspected. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A comprehensive complaints procedure is in place to ensure that complaints are dealt with effectively and to the satisfaction of the complainant. Good arrangements for protecting people using the service are in place. EVIDENCE: There is clear information about how complaints will be dealt with in place at Tweed View. People living at the home said that they knew how to make a complaint and that they felt able to speak to the manager or the staff if they have any concerns. Three complaints have been made during the past year and records show appropriate investigations were carried out. Two complaints were upheld and these were addressed promptly and people were satisfied with the outcome. The other complaint was not upheld, but there was evidence that the service had been flexible and offered this person additional assistance above the normal service requirements. Residents said that they felt able to raise issues with staff and this was confirmed in questionnaires completed by relatives. Records of complaints are good and show a full investigation is carried out showing that the home’s management takes seriously any complaints made. Staff were aware of how to help someone living at Tweed View to make a complaint. Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 16 Policies and procedures provide clear guidance to staff about protecting people living in the home and the action to be taken in the event of any allegations being made. People using the service are made aware of what abuse is and the safeguards in place for their protection. Access to external agencies is promoted. Staff were clear about the procedures to be followed if an allegation is made. Staff training has been provided in Protection of Vulnerable Adults. Tweed View House DS0000000513.V344832.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): Standards 19, 20, 21, 22 and 26 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Tweed View provides a safe, well-maintained homely environment that encourages independence. Good quality accommodation is available for individuals in single rooms. Specialist equipment is available to maximise peoples’ independence. The home is clean, pleasant and hygienic. EVIDENCE: Maintenance systems are in place and records are available of work carried out. The home is well decorated and furnished in a homely style. Rooms are regularly re-decorated and the main hallway has recently been re-plastered and decorated. Work is going on in the garden to make it more suitable and attractive for people living in the home and further plans are in place for a safe patio area on the first floor. Ramps are available for disabled access at the front door and at the rear of the building into the garden. A new shaft lift has Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 18 been fitted to replace the existing one. This helps people get to the first and second floors. All public areas of the home are furnished and decorated to a good standard. The arrangements for lighting are appropriate to residents’ needs with low level lighting available for reading and other activities in sitting areas and bedrooms. During the inspection six people said that they were very satisfied with the accommodation and were very comfortable. They said they are able to move around the home easily and staff help them as necessary. One person said she enjoyed spending time in her room, but went to join other people for meals. Bathrooms and toilets are equipped to meet the needs of the people living at Tweed View and appropriate aids are fitted to suit individuals. Thirteen rooms have en-suite toilet and wash hand basins fitted. People using these rooms said they enjoyed the greater privacy this gave them. Records show that appropriate assessments are carried out where there is a need for specific aids or adaptations to meet people’s needs. Disabled access is available throughout the home. Records showed that a physiotherapist or other appropriate professional has undertaken individual assessments that led to equipment or aids being provided for individuals. There are grab rails and other aids in corridors, bathrooms and lavatories to suit peoples’ needs. Call system points are fitted throughout the home as necessary. All rooms have windows for ventilation. There ongoing repairs being carried out to windows. Central heating is fitted and the temperature can be adjusted. Radiator guards are fitted to protect people living at the home. A professional heat loss analysis has been carried out to identify where improvements can be made. Tests are carried out annually on all electrical equipment. Thermostatic controls are fitted to all hot water outlets. Emergency lighting is fitted. The home was clean and no odours were evident during the inspection. The laundry is well organised and equipped with suitable equipment. The concrete floor needs repainting and this is highlighted in the refurbishment programme. Information and training for staff is provided about Infection Control and domestic staff have access to training that leads to National Vocational Qualifications (NVQ). Tweed View House DS0000000513.V344832.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): Standards 27, 28, 29 and 30 were inspected. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff numbers are sufficient to meet the needs of the people living at Tweed View. Opportunities for training are very good and this enables staff to learn new skills to better support the people living at the home. Good recruitment procedures protect people living at the home. EVIDENCE: The rota showed that staffing levels are adequate to meet peoples’ needs. There is committed staff team that are experienced and knowledgeable about the care of older people. People living in the home said during the inspection that there were enough staff on duty at the home. One person said that there “there are always enough staff to help me and they are very good at knowing what I need help with.” Staff said that there are enough staff to cover the rota and that arrangements for covering holidays and sickness work well with bank staff undertaking cover. At night there are three waking night staff on duty and people living in the home said that they find there are sufficient staff to meet their needs. There is a real commitment to gaining recognised qualifications at Tweed View that is to be commended. Seventy one per cent of permanent staff have National Vocational Qualifications (NVQ) in care and five staff are currently Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 20 working towards completing their awards. Senior staff are undertaking NVQ Level 4 in caring for older people as routine. One member of the domestic staff has also completed recognised qualifications. Staff said they feel training is very well supported by the management of the home. Training records show that good opportunities were provided during the past year. Records are clearly maintained and offered an efficient and easily examined system. Statutory training is provided and includes moving and handling, food hygiene, first aid, fire, and health and safety. Staff said that new staff have a full induction and records confirmed this. They also said that there have plenty of opportunities to access training. Support and training is provided for staff coming from abroad that includes language skills and care practice. One staff member said he had felt well supported by the management and other staff. Staff recruitment policies and procedures are in place to protect people living at the home and records show that these are followed. Policies show a commitment to equal opportunities. Appropriate reference and Criminal Records Bureau checks are carried out and evidence of these was in individual records. Tweed View House DS0000000513.V344832.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): Standards 31, 33, 35 and 38 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager has an open style and good management systems ensure that the service provided suits the needs and wishes of the people living at the home. Quality assurance systems are in place to shape the quality of the service to suit the needs of the people living there. Personal allowance management is good and the systems and records are in place to allow audit to be effective. Peoples’ financial interests are safeguarded by the appropriate systems for handling money held on their behalf. People living in the home and staff are protected by the good systems and practices for health and safety. EVIDENCE: Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 22 The Manager has an open style and has the required qualifications and experience to run the home and meet its aims and objectives. There are clear lines of accountability. Management systems for strategic and financial planning are in place to ensure the home runs smoothly. The Manager has a clear vision of the home’s values and priorities. The Manager communicates a clear sense of direction and is able to evidence an understanding and application of ‘best practice’ systems in relation to customer satisfaction, continuous improvement and quality assurance. One of the people living at the home said, “If I have any problems I can talk to the Manager or the Deputy Manager as they listen and do something about it.” The Manager undertakes regular training and understands and values the importance of her continuing professional development. She and the Deputy Manager are working on a further management qualification. There are effective systems in place for safeguarding and managing money held on behalf of people living in the home including clear records. People using the service or their relatives have access to the records whenever they wish. Records show that training in moving and handling, first aid, fire safety, food hygiene and infection control is provided at regular intervals. Staff said that they receive this training. Records showed that regular checks are made of electrical equipment and the central heating system. Risk assessments are in place for safe working practices. Staff said that appropriate induction training is provided for new staff and records are in place to confirm this. Records of fire alarm tests, servicing of fire equipment and the alarm, fire training and emergency lighting are kept in a suitable manner. Full details of accidents are kept. Tweed View House DS0000000513.V344832.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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 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 4 17 X 18 4 3 3 3 3 X X X 3 STAFFING Standard No Score 27 3 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Risk assessments should be regularly reviewed to ensure that there is clear information about how risks are minimised. The introduction of the new systems for care planning should be completed. Tweed View House DS0000000513.V344832.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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