Inspection on 11/05/06 for Vallance Rest Home

This inspection was carried out on 11th May 2006.

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

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

Other inspections for this house

Vallance Rest Home 16/10/07

Vallance Rest Home 25/11/05

Vallance Rest Home 03/05/05

Vallance Rest Home 07/10/04

Vallance Rest Home 18/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Vallance Rest Home 7/9 Vallance Road Hove East Sussex BN3 2DA Lead Inspector Linda Boereboom Key Unannounced Inspection 11th May 2006 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 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. Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Vallance Rest Home Address 7/9 Vallance Road Hove East Sussex BN3 2DA 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) 01273 326053 Vallance Organisation Limited Mrs Maria Teresa Mirza Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is nineteen (19). Service users must be older people aged sixty five (65) years or over on admission. 25th November 2005 Date of last inspection Brief Description of the Service: Vallance Rest Home is a privately owned residential home, which has been owned and managed by the same family since 1980. The home is registered for up to nineteen older people over the age of 65 years. The premises consist of two Victorian houses converted into one. The home is presented across two floors ground and first floor, with access to the first floor via chair lifts or stairs. Resident accommodation consists of eleven single and four shared bedrooms with three bedrooms having en suite facilities. Communal facilities including two interlinked lounges and a dinning room. There is a small rear garden with the front mainly paved to provide some off road parking. There is alternative meter parking in the adjacent roads and a car park on the seafront. Pavements in the area are suitable for wheelchairs. The home is located within walking distance of Hove sea front, local amenities, including a library, museum with access for people with disabilities, and Sussex County Cricket Ground. The home is also very near to bus routes into all parts of Brighton and Hove Railway Station. The home’s literature says that it aims to provide a warm, comfortable, secure and above all caring environment for all its residents and staff. The owners are active members of the Registered Care Homes Association (RCHA) and the National Care Homes Association. Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on May 11 2005. Ms Kim Munn, the home’s Deputy Manager, who has been in post for six months, facilitated it. During the inspection the Inspector was able to speak with residents and staff, tour the premises and look at the home’s administrative procedures. Prior to the inspection some relatives and friends of residents were contacted by telephone to ask their views, in addition, three District Nursing Teams were also contacted by telephone and comments cards sent out to healthcare professionals, residents and relatives. Overall the inspection took nine hours. The home has both funded and private residents, two residents on the day of inspection were visiting for respite only, fees ranged from £267.80 to £403.00 per week. There are extra charges for chiropody, hairdressing, toiletries and personal items. The Inspector found the home to be very clean and tidy with a ‘home from home’ feel; Residents appeared content in their surroundings. The Inspector would like to thank the Registered Provider/Manager Mrs Mirza, Ms Munn and the staff on duty for their hospitality and for helping to make the inspection a pleasant and enjoyable one. What the service does well: What has improved since the last inspection? Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 6 All the requirements arising from the last inspection had been addressed, these included issues relating to health and safety, record keeping, and training; in addition the Deputy Manager had purchased new lampshades and counterpanes, and replaced net curtains at the front of the home. Some rooms had been redecorated. 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. Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 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 Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4,5 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The home ensures that prospective residents are appropriately assessed before being offered a place in the home and the opportunity is provided for them to have a trial visit to enable them to make an informed decision before moving in. EVIDENCE: The Inspector looked at resident’s files and found that all those looked at included a pre-admission assessment. Contracts for residency are held separately and each resident is prepared a contract once he/she has moved into the home. The Deputy Manager stated that either she or the Registered Provider/Manager undertakes all pre-admission assessments either in hospital or wherever the prospective resident is living. On the day of inspection the Inspector observed a prospective resident visiting the home to look at one of the vacant rooms and the Registered Provider/Manager making plans to visit the local hospital to undertake a pre-admission assessment. Assessments showed that all aspects of social, emotional and care needs had been looked at. All residents seen on the day of inspection were within the home’s registration category, there were no resident’s with specific social, cultural or Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 9 religious needs; however the Deputy Manager said these would always be catered for should the situation arise. The home is not registered for intermediate care and does not take emergency admissions. Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are well maintained with attention paid to monthly reviews. Residents are protected by the home’s medication procedures. EVIDENCE: Residents each have an individual care plan that is based on the pre-admission assessment. Individual records are kept of all healthcare professionals visits to residents. The Deputy Manager stated that at the start of each shift a handover is given to staff ensuring that they receive an up-to-date report on each resident. The home has access to all healthcare professionals within the NHS framework this includes a chiropodist, physiotherapist, occupational therapist and a dentist. An optician visited the home in January 2006 and saw all the residents to assess their eyesight. The requirements made relating to medication in the last inspection report had all been addressed. The Inspector looked at the medication storage facilities and found them to be suitable for the purpose, she also looked at records for controlled medication, returns records for medication disposal, and the mar sheets (medication administration records) for residents. The home has a photograph of each resident for easy identification and a copy of the signature of each member of staff who administers medication. The Deputy Manager Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 11 said that she takes responsibility for the administration of medication when she is on duty and only trained staff are able to administer the medication when she is away from the home. There was no evidence of stockpiling or of residents sharing creams and lotions. Medication requiring cool storage was kept in the fridge in a sealed container (i.e. eye drops). Records were also seen in the home for bathing and hair washing and two hourly prompts for residents who required assistance with using the bathroom. Residents, relatives and staff confirmed that residents are treated with dignity and respect. Relatives spoken to by the Inspector said that they are always able to use a quiet area in the home if necessary and residents are able to open their own post, with help if appropriate. The Inspector noted that staff always knocked on residents door before entering and that double rooms each had a screen in place for privacy when washing and using the commode. The Deputy Manager and Inspector discussed the home’s death and dying policy; the Inspector was satisfied that the policy in place, which included the involvement of the district nursing teams, and the homes ethos to involve relatives and friends as much as they wished with the offer of sharing the home’s facilities. Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is pro-active in helping residents to maintain social contact with family and friends and to enjoy their lives as much as possible in a homely environment providing autonomy and choice. The cook ensures that residents are provided with nutritious and well- balanced meals that suit their needs. EVIDENCE: To support evidence for this outcome area the Inspector spoke with relatives, residents and staff. The home has an activities co-ordinator who visits three times each week to undertake exercises, bingo, and artwork with residents in groups; should a resident be unwell or not wish to join in, arrangements are made for a one to one session to take place. Staff take residents out locally for coffee, shopping in nearby George Street or for a walk along the seafront. A diary is kept of residents who undertake such activities. Representatives from a local church visit the home every two weeks to take communion with residents who wish to do so, in addition the local vicar visits monthly. The home’s hairdresser visits fortnightly, a record is kept of those residents who wish to have their hair done and fortnightly a member of staff attends to residents fingernails, and uses nail-polish if they wish. The Inspector saw this taking place on the day of inspection. Clothes parties are arranged three Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 13 monthly, however if a resident requires something new in-between the Deputy Manager requests the organisers visit with a choice of garments and shoes. Relatives spoken with by the Inspector said, the care and choices given to the residents was ‘first class’, all confirmed that they were always offered a drink on arrival and residents supported this saying that their relatives could join them for a meal if notice was given to the home. They also confirmed that the staff organise parties and are keen to celebrate with the residents, in the past few months parties had taken place for residents’ birthdays and the Queen’s birthday, to which relatives were invited. It was agreed between the Inspector and Deputy Manager that a requirement will be included in this report relating to an activities board with information about forthcoming events and photographs being on display in a communal area of the home for residents and visitors to read. Throughout the inspection process it was clear that the home maintains good relationships with relatives and visitors, including the healthcare professionals who support the care provided. During the inspection staff were seen to be respectful, polite and friendly; residents with whom the Inspector had conversations supported this. One member of staff was helping a resident to put away her winter clothes replacing them with her summer wardrobe. The Deputy Manager also ensures that residents who have distant relatives are assisted to send cards and letters, sometimes with photographs enabling them to keep in touch; the Inspector was shown replies of appreciation. A requirement made in the last inspection report relating to staff wearing suitable protective clothing when entering the kitchen and serving food had been addressed and blue aprons purchased. All residents spoken with said they enjoyed their meals and that portions were sufficient if not too large. There is a rolling programme of menus and residents are given a choice if they don’t like the food on offer. The cook is pro-active in working with the residents and visits them personally having a chat and making sure they have the choice of meals and drinks they prefer; all spoke very highly of her. The home has a bowl of fruit in the communal sitting room and a constant supply of squash and water. On the day of inspection no resident required a specific religious or cultural diet and only one resident required a diabetic meal. Residents are encouraged to eat in the dining room that is able to seat everyone, however the Deputy Manager stated that most prefer to return to their individual rooms for meals. One letter of appreciation read ‘staff at the home are so helpful and kind; nothing is too much trouble. The first class care and meals provided for the residents are excellent’. Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality outcomes for this area are good. This judgement has been made using available evidence including a visit to the service. Residents are protected by the homes procedures for reporting and managing complaints, and adult protection training and procedures. EVIDENCE: No complaints had been received since the last inspection either by the home or the Commission for Social Care Inspection. The complaints procedure is available in the home and in the service user guide. The Deputy Manager reported that residents and relatives are informed of what to do if they have a complaint when they are admitted to the home. A photocopy of the process is supplied if necessary and reference made to the home’s written information. Residents were asked by the Inspector what they would do if they had a concern or complaint, all those asked said they would feel comfortable speaking to the senior staff. The Inspector looked at training records and noted that all staff had been trained in the protection of vulnerable adults. Staff spoken with were aware of the process, during feedback however, it was agreed between the Inspector and Deputy Manager that this would be re-affirmed during staff supervision. A recommendation will be made in this report that the home acquires an adult protection flowchart to be on view in the office for quick reference. Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 15 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): 19,20,21,22,23,24,25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The resident’s have a safe, warm and well-maintained environment in which to live that is comfortable and homely. EVIDENCE: Requirements from the last inspection had been addressed and the Inspector found that in addition, the Deputy Manager had replaced the majority of the curtains and lampshades with a plan to completely renew the bed valences and counterpanes by December 2006. The home also had a new fridge and freezer with digital temperature displays and a new industrial washing machine sited in the laundry outside the home. Net curtains at the front windows had all been replaced. The Deputy Manager also stated that rooms are being re-decorated as they become vacant. New staff tabards for working in the home had also been purchased. Plans were in place for the hall to be completely redecorated within the few weeks following inspection. The inspector read the weekly house-cleaning rota, which included the cleaning of tooth mugs, commodes, wheelchairs and the changing of beds. There was also a toilet-cleaning rota in place with two-hourly checks being recorded. Cleaning staff no longer shared Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 16 their role with caring duties and designated times for cleaning were between 9am-1pm Monday to Friday. The Inspector found the home to be bright, clean and tidy with no offensive odours. All residents’ rooms visited by the Inspector were well furnished with additional screens for use in shared rooms. Radiators were covered and the Deputy Manager assured the Inspector that the home did not have any uncovered hot water pipes at floor level. Throughout the home there was signage relating to health and safety and cross infection. The home has adequate communal facilities and although the dining room is small it is designed to accommodate all the residents should they wish to eat together. Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents and staff are protected by the home’s recruitment process and the training staff receive. EVIDENCE: All requirements relating to training, made in the last report had been addressed. Staff rotas showed that the home is staffed sufficiently with at least two senior care staff and two careworkers on duty during the day, in addition to this the home employs a cook, cleaner and maintenance person. During the night one waking night staff is on duty with back up from the Registered Provider/Manager who lives near to the home, this was reflected in the rota with clear guidelines on view on the office wall of whom to call in the event of an emergency. Staff spoken with by the Inspector said they felt well supported by the management staff. There was no evidence of staff working excessive hours. Staff in the home were encouraged to attend training sessions other than those that are mandatory. One member of the care staff had NVQ 2 and the Deputy Manager reported that eight staff would be commencing NVQ 3 on 18 May 2006. All staff undertake an infection control certificate with Brighton and Hove City College, which is valid for three years. The Deputy Manager was also undertaking a safe handling of medication certificate, also valid for three years. Basic induction training is undertaken by all staff with the aid of a specific induction handbook and support and advice from the Deputy Manager. Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 18 All staff files seen by the Inspector showed them to have been through a thorough recruitment procedure. All had references apart from two staff that had been in the home for many years, in addition all staff were Criminal Records Bureau checked. The Deputy Manager confirmed that she often followed up written references with a phone call to each referee and prospective staff attended at least two interviews and undertook a trial shift with a senior careworker to ensure suitability on both sides. All records looked at showed that staff had a job description and contract of employment. Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 19 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): 31,32,33,35,36,37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well managed ensuring the safety and security of the residents and staff. EVIDENCE: The Registered Provider/Manager has owned and overall managed the home for many years, however it is planned that the recently appointed Deputy Manager would apply to the Commission for Social Care Inspection to become the Registered Manager within six to eight months of starting her post. The Deputy Manager has twenty-three years experience in residential care, ten years of which were in a senior position, she also has NVQ 4 and the Registered Managers Award. The Inspector saw records of staff meetings having taken place two-monthly, staff confirmed they were invited to contribute to the agenda. Each staff member also receives a copy of the minutes along with topical items of interest relating to their work in the home. Residents did not have specific meetings but both residents and relatives felt Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 20 they were consulted about daily life in the home and changes that may occur. The Deputy Manager told the Inspector about plans for a cheese and wine party for relatives and friends of residents to ensure their involvement on how the home is run and to ask for their views on areas that could be improved or changed. The home does not have a specific quality assurance system in place although the Deputy Manager did confirm that maintenance checks did take place six monthly with records kept. A requirement will be made in this report that a quality assurance system is put in place to ensure residents, relatives and visiting professionals are able to give their views on the home. The Inspector suggested the Deputy Manager refer to standard 33 of the National Minimum Standards for guidance re quality assurance. The home has an arrangement for the administrative assistant to collect residents’ pensions who are unable to make alternative arrangements. The Deputy Manager takes responsibility for personal allowances and the Inspector saw countersigned records where transactions had taken place. All residents had their own lockable facilities, recently checked by the Deputy Manager. Requirements made in the last inspection report that clear records were kept of hairdressing and chiropody costs had been addressed. Staff records showed that supervision took place on a regular basis alternated with one to one sessions where information was exchanged on aspects of work in the home, followed by a question and answer session. The Inspector was satisfied with record keeping in the home and found it to be comprehensive and up to date. Policies and procedures had been reviewed and updated prior to the inspection. Staff training included moving and handling, first aid, food hygiene, health and safety, control of infection and fire safety, plans were in place for three staff to attend a first aid appointed person course in the near future. Records showed that fire drills took place with in-house fire training drill three monthly and a full evacuation of residents and staff six monthly. All fire equipment is regularly checked, requirements in the last inspection report relating to fire safety had been addressed. Through discussion it was agreed that a requirement would be made in this report that residents whose rooms had a fire door would be given specific instruction for their use and risk assessed accordingly even though both the residents and environment are risk assessed for fire safety; the standard will be assessed as met and rated as a 3. The Deputy Manager ensures that checks are regularly made to the emergency lighting system, fire doors and lights, electrical equipment including PAT testing (portable appliance test); the requirement referring to hot water testing in the last report had been addressed. The home’s accident book was seen to be in line with current legislation, the last minor accident having taken place on 7 May 2006. The home had a fully equipped first aid box in place. Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 21 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 x 3 3 3 3 Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP12 Regulation 16(2)mn Timescale for action The home to provide an activities 01/07/06 notice board in a communal area of the home for residents and visitors to read about past and forthcoming events. The home to prepare a quality 01/07/06 assurance system to enable residents, relatives, staff and visitors to give their views on the home. Residents whose rooms have a 15/06/06 fire door to be individually risk assessed and to be given instruction on its use. Requirement 2. OP33 24(1) 3. OP38 23(4)b c(iii)(v) 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 OP18 Good Practice Recommendations The home to obtain an adult protection flow chart from Brighton and Hove Council training department to be put on-view in the main office for staff to refer to. Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Vallance Rest Home DS0000014259.V289490.R01.S.doc Version 5.1 Page 24 - 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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