Inspection on 18/04/07 for Tweedmouth House

This inspection was carried out on 18th April 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

Tweedmouth House 26/09/08

Tweedmouth House 17/01/06

Tweedmouth House 20/07/05

Tweedmouth House 10/03/05

Tweedmouth House 26/07/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Tweedmouth House 4 Main Street Tweedmouth Berwick-upon-Tweed TD15 2HD Lead Inspector Suzanne McKean Key Unannounced Inspection 18th April 2007 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 Tweedmouth House DS0000000636.V330160.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. Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tweedmouth House Address 4 Main Street Tweedmouth Berwick-upon-Tweed TD15 2HD 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 330618 01289 330492 chris@tweedmouthhouse.fsnet.co.uk Mrs P Thomlinson Mr C Thomlinson Mrs P Thomlinson Care Home 55 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (16), Old age, not falling within any other of places category (38) Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2006 Brief Description of the Service: Tweedmouth House Nursing Home is a converted Grade II listed building comprising of three large traditional houses with some a modern extension to the rear of the building having been made to add to the premises size. It is situated in a very pleasant part of Berwick overlooking the river and with walking distance of local shops and amenities and near to the end of the old bridge connection this part of the town to the main shopping area of Berwick. The home is registered as a care home to accommodate fifty-five persons including seventeen places for those with dementia and thirty-eight for older persons. The home charges fees of between £409.40 and £568.92 per week depending upon the needs and requirements of the individual residents. As the home provides nursing care the free nursing care element of the funding is provided and is included in these costs. The home provides information about the service through the service user guide. A copy of the last inspection report from The Commission for Social Care Inspection is available in the entrance to the home. Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was carried out over ten hours on two days by one inspector. The manager was on duty during the second visit and assisted the inspector with the process. Twelve residents and seven relatives were spoken to individually during the visit. The inspector also spoke informally to others during the process of the visits. Four staff were spoken to separately and others chatted to briefly. Ten questionnaires were given to relatives selected by the inspector and five to residents, the information from those returned are included in the report. Records examined included, care plans, training records and the records for complaints as well as the health and safety, accident and maintenance records. Six residents were case tracked which is detailed review of specific residents care through examination of their care plan, speaking to the resident themselves and interviewing the staff who assist in their care. There were no requirements identified as a result of the last inspection. What the service does well: The residents spoken to during the visit were positive about the care they received and they were complementary about the staff and the way they are supported. An example of resident comments is “the staff always take time to listen to me.” The home is very well staffed in both numbers and skill mix and this results in a high standard of care being given in a consistent way. The residents are well cared for. The food being served is nutritious and well presented. A number of residents specifically described how much they enjoyed it for example “Food is always lovely”. Specialist diets and individual choice is provided for in a flexible and effective way. The social programme is varied and takes into account the needs and choices of the residents. Two residents asked said “there is always something for us to do” and “even when there is nothing going on we can spend time chatting to friends in the home”. Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Tweedmouth House DS0000000636.V330160.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 Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5, & 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Comprehensive assessments are carried out before and after admission to ensure that people’s needs can be planned and properly met. Detailed information is available to help people make choices about the service before moving in. The prospective residents are given excellent opportunities to visit and assess if they wish to move into the home. The home does not offer intermediate care. Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 9 EVIDENCE: All of the care plans contained comprehensive pre-admission assessments, which are completed by the senior nurses prior to admission. The preadmission assessment is used to create the care plan. The residents also have a care management assessment carried out by a Social Worker. This is given to the home on admission and from these documents an individual care plan is produced. All of the care plans looked at had these in place. During first visit the assistant manager was arranging for a resident to visit the home over a period of time for a few days a week so that they can spend time making the decision as to if they want to move in. A resident spoken to had been assisted by the home to visit while they were still in hospital by them providing transport to collect and return them after the visit. The home is not registered for, and therefore does not provide, intermediate care. Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is very good individual care planning and the care is being delivered in line with these plans. The residents have their healthcare needs effectively met. The wishes of the residents and their families are taken into account when planning the care. The staff treat the residents with respect and maintain their privacy so far as possible both when delivering care and throughout their daily life. The residents receive their prescribed medication in line with safe working practices. The medicines in the home are well managed and safely disposed of as necessary. Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 11 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 plans contain an assessment for nutrition, wound care, moving and assisting, and continence promotion as well as a dependency score. These are up to date and detailed and make it possible for the staff to plan how to care for the resident safely and effectively. Risk assessments are in place for specific part of the care being given, for example the use of bed rails. They are regularly reviewed and updated. Reviews are regularly held with residents and their representatives and there is always a senior representative takes part in this. The resident and the relatives are consulted when writing the care plans and this is confirmed by the completion of a form, which is signed by them. Relatives spoken to said they felt very included in the care planning process. Residents have access to NHS services and facilities. There is a good range of pressure relieving mattresses for the prevention of pressure sores. Nursing action taken for wound care was well recorded. And the home seeks expert advice from external professionals if necessary. The resident has the choice of staying with their own general practitioner if they are local or choosing between two local practices. The home has a good relationship with both. The staff described how they maintain residents privacy and were seen doing so when delivering care. The residents were very complementary about the care they received and said that the staff treat them in a “helpful and caring” way. An example of the comments made was that the staff were “always helpful and spent time talking” and “I didn’t think I would think of it as home but I do”. Staff address the residents by their preferred name and there was a friendly but respectful relationship seen between the residents and the staff. The systems for managing medicines in the home are in line with safe working practice guidelines. The staff record the medicines being ordered, the prescriptions are then checked on receipt from the General Practitioners and are then sent to the Chemist for dispensing. The home uses two chemists for the medicines their residents need. The medicines are then again checked against the records when received into the home so that any errors can be picked up. No residents are currently managing their own medication. Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are very happy with the flexibility of their routines and social activities, which meet their cultural, social, religious and recreational interests and needs. Good arrangements are in place for residents to maintain contact with their family and friends and the local community. They are suited to each individual’s needs and vary accordingly. Residents have a well-balanced nutritious diet, which offers choice and is very good quality and well presented. Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 13 EVIDENCE: The residents described the ways they are supported to take make choices in their daily lives. This includes things like the time they get up, what and when they eat and how they spend their time. Staff confirmed that they encourage resident to make choices about how they spend their day and are trained to make this part of the daily routines. Feedback from a resident said “Night staff in particular are prompt to come to my aid and there’s never any sign of ill temper. They get on with the task quickly and efficiently, no matter what the time. I sometimes have to call them five or six times a night. The young day staff are hard working and usually very pleasant”. The home employs two activities co-ordinators who have different skills and offer the residents different opportunities to spend their time. These include crafts, puzzles and sherry mornings as well as visiting entertainers coming into the home. A selection of recently made crafts is displayed in the home and is changed monthly to reflect the time of year and the events occurring. The residents enjoy visiting a local tea dance although on discussion with them they tend to enjoy watching others dance and the refreshments. Dominoes are particularly popular with the current relatives. Due to the dependency level of some of the residents a number of the activities offered are less active and provided on a more one to one basis. One resident who spends a large part of her day in her room described the way the staff come and spend time with her chatting, she said that the staff “always take time to sit and listen to me”. The home has a “mini van” which can take up to 6 residents or 5 with a wheelchair which Mrs Natalia Tomlinson feels is a good number to take out at a time. Two residents asked said, “there is always something going on” and “we spend time chatting to friends or staff”. The records of the activities provided is in place but not very detailed. It does not fully reflect the level of satisfaction of the residents or the extent to which they participated. Residents receive visitors at any reasonable time and can either use their own rooms, the small lounges or the larger, busier lounges to spend time with them. Relatives are given information within the residents’ guide about visiting arrangements. Residents said they were satisfied with the arrangements for visitors and that staff welcome them. Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 14 The kitchen area is very well organised and although the cooking area is small there are good additional areas for storage and dish washing. All of the catering areas are very clean. It is well stocked with an extensive range of good quality food. Their menu offers a variety of meals, which are popular with the residents, and are nutritious and well presented. There is no second choice for the main meal offered. However, the residents were confident that they could choose from a range of other options if they did not like, or choose to eat, the main meal offered. Relatives said that they felt that the residents enjoyed the food and that they were complementary about it when asked. Tweedmouth House DS0000000636.V330160.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good system for managing and dealing with complaints, which makes it possible for them to be investigated and action taken to address any issues identified. The residents are protected from abuse by the home through its recruitment and selection processes and good training packages, which include Adult Protection training for all staff. EVIDENCE: There is a complaints policy in place. This is well known to the residents and relatives although none had needed to use it. The Manager records complaints made and how they are investigated with action taken to make improvements as necessary. One issue had been raised by a social worker, which was dealt with using the complaints process. Although the issue was not actually a complaint and was an issue raised following a review. However, it was appropriate to use the process as it gave the home the opportunity to record it effectively. The issue was also looked at by Social Services the outcome of both being that there was no issue to be investigated. Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 16 Residents understood how to make a complaint, and could identify how they would be dealt with. Relatives who were visiting the home were aware of the complaints procedure but felt that their concerns were being dealt with before the need for formal complaint. All of the staff have received protection of vulnerable adults training. Staff could describe the principles of protection of vulnerable adults and were knowledgeable about how to alert senior staff of any concerns they have. Tweedmouth House DS0000000636.V330160.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The style of the decoration and furnishings is in keeping with the age and design of the buildings. This gives an atmosphere of pleasant comfort and traditional design. The home is clean and tidy and there are good systems in place to make sure that it is well maintained and decorated to a high standard. The necessary specialist equipment for the control of infection is provided in the home and the staff were aware of their responsibilities to follow good practice guidelines. EVIDENCE: The home is a converted building with purpose built extensions to offer additional accommodation to the rear of the property. Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 18 The extension, which accommodates those service users who have dementia, has good-sized corridors and is designed to allow service users to use the entire home with ease and in safety. Within the general care unit the decoration is in-keeping with the style of the home and the furnishings are suitable for the residents living there. The home is owner managed and so the mechanisms for planning the redecoration programme is less formalised than it would be in a larger organisation. However, there are opportunities for the staff to participate in plans for improvements and for identifying equipment and furnishings needed to maintain the standards. The residents spoken to were happy with the decoration and maintenance standards. The home is clean and was odour free. The residents’ bedrooms were personalised reflecting individual choices and preferences and three residents asked about their bedrooms said they were happy with the decoration and that they were kept clean by the staff. The laundry was clean, organised and well equipped. The sluices were tidy, clean and odour free and the disinfectors operational. Staff followed infection control policies throughout the day. The light and emergency call cords were all clean and all emergency cords reached skirting level. Tweedmouth House DS0000000636.V330160.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is staffed above the numbers that would have been required prior to the introduction of the Care Standards Act. There are very good staffing levels at all times and in all areas of the home. The staff are recruited and selected using a good system, which ensures that they do not present a risk to the residents and have the necessary skills and qualifications to care for them. All staff receive a comprehensive induction. The training programme is good and includes both moving and handling, fire, protection of vulnerable adults and health and safety. EVIDENCE: The staffing levels are set by the Manager and are above the levels normally provided in this type of home for the number of resident living there. On the first visit, which was unannounced, there were the following numbers of staff. Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 20 For the general care part of the home, accommodating 33 residents at the time:Assistant Manager (Registered Nurse) Two registered nurses Five care staff For Orchard House (Dementia Care Unit) One Registered Nurse (RMN) Three care staff In addition to this there was two domestic staff, one laundry, one cook and a kitchen assistant. The home employs an individual who serves the beverages between meals (the tea trolley). The home now employs a handyman who was on duty as was the housekeeper. One of the activities co-ordinator was also on duty. Mrs Tomlinson, the registered manager works mainly supernumery, which gives a number of additional hours for development of the service and detailed management of the care. Both Mrs Tomlinson and Natalia Tomlinson who manages the dementia care unit are involved in the planning of the care and the liaison with external health advisors. Staff records are completed in line with the homes policies and procedures, including two references and detailed application form. The requirement to have a CRB and POVA check in place is applied to all of the staff in the home. An induction programme is in place and there are records to support this. Each new member of staff is allocated to a mentor depending upon the role they are employed to undertake. The qualified nurse who was recently employed spent two weeks working supernumery with the assistant manager. Statutory and clinical training is given in line with the homes policy and includes moving and handling, fire, and health and safety. All staff have had the training at necessary intervals. Additional clinical training is given to staff. Recent examples of this has been continence care, for both care staff and qualified nurses, vision awareness training and bowel management. The home provides placement for nurses undertaking their adaptation training. These are nurses who are undertaking the course to be registered with the Nursing and Midwifery Council as they have received their nursing qualification in another country. These nurses work as carers while awaiting their registration. Although it inevitibly results in an increased workload for the senior staff it benefits the home greatly as the staff the opportunity to discuss current academic practice as well as having their clinical practice challenged by having to explain the reasons for their actions on a daily basis. It is therefore to be commended. Tweedmouth House DS0000000636.V330160.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager ensures that she has good systems in place to make sure that the home is managed effectively taking into account the needs and wishes of the residents. She is continuing to ensure safe working practices in the home in line with the policies and procedures. Personal allowance management is effective and the systems and records are in place to allow audit to be effective. Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 22 EVIDENCE: The Registered Manager, Mrs Pat Tomlinson, usually works supernumery except in exceptional circumstances although she is very involved in the care management. She has the Registered Managers Award (RMA) and extensive experience in care home management. The dementia care unit manager Natalia Tomlinson is currently undertaking her RMA and has almost completed it. There are clear lines of accountability in the home. The manager maintains her Professional Portfolio according to the NMC (UKCC) requirement for updating to maintain her nursing registration. The records to support the Managers confirmation that she ensures safe working practices in relation to first aid, food hygiene and moving and handling are in place and are satisfactory. Formal supervision for care staff is being completed although the format of this is proving less flexible than needed to make it a more useful process. There is a plan to address this. Senior staff work with carers to carry out informal supervision of their practice when delivering care this is to be used as part of the process. The qualified nurses are knowledgeable about the skills of the care staff. The manager takes the necessary action to ensure the health and safety of the service users. This is supported by the policies and procedures and by discussion with the Manager. The Manager has recently introduced a more extensive internal audit of the quality of the service provided. The senior staff that are responsible for the different areas in the home is completing this. The process includes an action plan to identify the improvements as identified. During the visits the relatives visiting were chatting in a very positive way with the staff or the Manager. This gives them the opportunity to approach her informally if necessary. The personal records kept in the home of residents who are receiving assistance to manage their finances are detailed, logical and appropriate. Receipts were in place for purchases made on behalf of residents and signatures of either two staff or one and the service user were in place. The personal allowance records allow the audit of individual residents moneys to ensure that it is being managed effectively. The home does not have a shared account for any resident’s money, which is an effective way of managing it. Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X 4 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 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Tweedmouth House DS0000000636.V330160.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 OP12 Good Practice Recommendations It is recommended that the home develop a more effective way of recording social activities being undertaken by the residents. It is recommended that the home develop a more effective way of recording clinical supervision being undertaken. 2. OP36 Tweedmouth House DS0000000636.V330160.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 Tweedmouth House DS0000000636.V330160.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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