Care Home: Ancliffe

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well The staff provides a good standard of care for the residents living at the home. The premises are clean and safe and the standard of the accommodation and communal areas is good. The home offers several areas where residents can meet with their visitors. There have been few staff changes, so residents are looked after by people they know and can trust. The home offers a variety of activities to suit resident`s capacities and expectations. The meals served at the home are good offering residents variety and choice. Ensures that medication is correctly administered to residents as prescribed. What has improved since the last inspection? The manager has worked hard to ensure that the paperwork required by regulation had been completed and was up to date. Mandatory training and refresher training is ongoing. The outside area was clean and tidy and free from rubbish. There was less clutter around the home and items that had previously been inappropriately stored had been removed to a more suitable area. The new bathroom suite had been fitted and work completed. What the care home could do better: The manager and staff must continue with improvements made to the necessary paperwork and that this is ongoing and sustained CARE HOMES FOR OLDER PEOPLE Ancliffe Warrington Road Goose Green Wigan Greater Manchester WN3 6QA Lead Inspector Judith Stanley Unannounced Inspection 19th June 2008 09:15 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 Ancliffe DS0000005721.V366353.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. Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ancliffe Address Warrington Road Goose Green Wigan Greater Manchester WN3 6QA 01942 230439 01942 498211 kath.ryan@clsgroup.org.uk www.clsgroup.org.uk CLS Care Services Limited 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) Mrs Kathleen Ryan Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability over 65 years of age (8) of places Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 8 PD(E) and up to 40 OP Date of last inspection 27th February 2008 Brief Description of the Service: Ancliffe - part of the CLS group of Homes - is situated on the outskirts of Wigan and is approximately 10 minutes away from the main town centre; other local amenities are close by. Ancliffe provides personal care and support for 40 residents. The Home is a purpose built, single storey building, all rooms are single, 4 offer en suite facilities. The Home has several lounge/dining areas; bathrooms and toilets are sufficient in number and are in close proximity to private and communal areas. There is limited outside space, however there is an enclosed patio area that is accessible to service users. Limited car parking is available at the front and side of the Home. The current scale of fees ranges from £312,15 to £354,04. Additional charges are made for hairdressing, toiletries, newspapers and magazines, transport, private chiropody. Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection was unannounced and included a site visit. The inspection was carried out on one day over 5 hours. The home’s manager was available throughout the day to assist with the inspection. Part of the time was spent in the office looking at the information the home holds on residents (care plans) and other records the home needs to keep to ensure the home is being properly run. The inspector spoke with staff and residents throughout the course of the day. The inspector also looked around the home and checked some of resident’s bedrooms for cleanliness and comfort. Prior to the inspection the home was sent an Annual Quality Assurance Assessment (AQAA) to complete. This is a self-assessment form that provides the inspector with information about what the home does well at, what improvements they have made and in what areas they need to improve. To find out more about the home, comment cards were sent to residents, relatives, and staff. Four residents, six relatives and three staff returned comment cards. There were no added comments on the resident’s surveys, however responses indicated their overall satisfaction about the home and the services provided. One relative said, “Every possible need is met, my mothers needs are looked after above any expectations I had. My mother settled in from day one, this was because of the kind and friendly nature of everyone”. Another said, “A healthier and more varied choice of food, and that the laundry procedures and accuracy of items being returned would improve the service”. Other relatives comment cards indicted overall satisfaction about the care their relatives received. Staff comments included, “Good support from manager, I can always speak with her if I have any concerns, we work well as a team and are a friendly and welcoming home”. Another said, “ At first I was placed with another more experienced member of staff. They ‘budded’ me until me until I was more confident enough to maintain my role. I was given information and support throughout my induction. I have attended some interesting training courses and I have regular supervision and appraisals with my manager”. There have been no complaints made to the manager of the home and no complaints have been forwarded to the CSCI. Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The manager has worked hard to ensure that the paperwork required by regulation had been completed and was up to date. Mandatory training and refresher training is ongoing. The outside area was clean and tidy and free from rubbish. There was less clutter around the home and items that had previously been inappropriately stored had been removed to a more suitable area. The new bathroom suite had been fitted and work completed. Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 7 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. Ancliffe DS0000005721.V366353.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 Ancliffe DS0000005721.V366353.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): 1,2,3 and 4 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their supporters are provided with up to date information that helps them in making a decision about moving into the home and the services provided. EVIDENCE: The home has a statement of purpose and a service users guide. This information is available on the information table in the main corridor. The information is detailed and tells people about what they can expect if they come to live at the home for example, the home’s aims and objectives, the facilities and amenities, health needs, daily life and activities, catering, personal finances and possessions etc. There is also a Welcome Pack and a photograph album to show prospective residents what goes on in the home and a complements file with thank you letters and cards. The company also Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 10 has a quarterly magazine ‘Calypso’ which informs people about what’s going on within other CLS homes. The CSCI report is available in the corridor for all to read if they wish. We chose four residents care plans for inspection. On examination all four contained a pre admission assessment. The pre admission assessment is completed at the most convenient place for the prospective resident and is carried out to ensure that the home and staff can meet the individual needs of the resident. The assessment includes, residents details, medical conditions, cognitive patterns, hearing, communication, vision, moods and behaviour, well being, mobility, continence, bathing, dressing, personal hygiene, foot care, pain systems, nutrition, oral care, skin condition, sleep patterns and medication. The manager confirmed that all of the four residents whose care plans we looked at had a written contract/ statement of terms and conditions, regardless of how their care is purchased. These are kept separately from the main care plans in a secure location. The home is offering care for up to five residents with a diagnosis of a dementia related illness. Most of the staff had completed dementia training and the remaining eleven staff are to undertake this training as soon as possible. Ancliffe DS0000005721.V366353.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): 7,8,9 and 10 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and care needs were well met and care plans provide clear guidance to staff in each area of residents care. Residents were treated with dignity and respect and their right to privacy was upheld. EVIDENCE: Four care plans were examined. All contained comprehensive information relating to residents personal, social and health care needs. There was some good information documented and care plans were written in a person centred way, such “I need help getting dressed, I have a good appetite”. The records of residents bathing and weights were looked at and were now being completed. There was evidence in the care plans that residents had given their consent for photographs to be taken, access to records, training, self administration of Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 12 medication, laundry, care plans, statement of terms and conditions and personal allowances had been agreed. There was evidence to show that all four care plans had been updated monthly as required. There was evidence that risk assessments had been carried out for falls and moving and handling and nutrition, however some needed updating to ensure that the information is current and up to date. Care plans contained information to show that the health care needs of the residents were being met and that outside agencies such as the district nurse, the doctor, chiropodist, optician are contacted as required and their advice acted up on. Observation throughout the inspection showed that the personal care needs of the residents were being met. Attention to all residents was given to personal grooming, residents were seen to be clean and clothes had been nicely laundered. Ladies had had their hair done and the gentlemen were cleanshaven. There was a good atmosphere within the home and the inspector heard staff speaking with residents in friendly and respectful manner. It was evident that good relationships had been formed between the residents and with staff. Staff were observed knocking on bedrooms and toilet doors and waiting for a response before entering to ensure the residents privacy and dignity was respected at all times. During this inspection the pharmacist inspector looked at how well medicines were handled. We looked at medicines for four residents together with the records about their medication. We found that most records about medicines were clear and accurate and could show that medicines had usually been given as prescribed and that most medicines could be accounted for. Improvements in the recording of the application of creams would help to show that creams are being applied properly and more information on how to give medicines which are prescribed on an ‘as required’ basis would make sure there was little risk of harm to residents’ health. Some residents liked to look after their own medicines and the staff supported them to do this safely. Most medicines including controlled drugs were stored properly and safely, although it is recommended that the storage of unwanted medicines should be reviewed. The manager told us that she audited the medication on a regular basis to check that medicines were being given properly and the records were accurate. Ancliffe DS0000005721.V366353.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): 12,13,14 and 15 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s interests and links with visitors are encouraged; ensuring residents live as normal a life as possible. Meals are good and the needs of residents are well catered for with a balanced and varied selection of food provided. EVIDENCE: The home has an enthusiastic activities coordinator who with the help of residents plans and delivers a wide range of indoor and outdoor activities. Residents spoke with high regard for the activities coordinator saying, how hard she worked to make sure there was always something going on in the home and how she encouraged people to join. Residents are registered to use the ‘Ring and Ride’ service and on the day of the inspection, nine residents had an early lunch as they were going to a social event at the local church. Residents were looking forward to going as they told the inspector about the entertainment provided and the tea and cakes they Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 14 would be having later. Residents go out of the home on a regular basis and visit garden centres and a trip to Parbold Hill was planned at the weekend. During regular craft sessions, residents had made some very professional cards that were for sale; the money made went back in to the residents fund. As some residents are not able or indeed do not wish to go on the trips there is a wide range of indoor activities, including games, scrabble, quizzes, film shows, entertainers, arts and crafts, bingo and dominos. Details of the activities are displayed and there is a photographic record kept of the activities residents takes part in. There is also a tuck shop facility for residents to purchase small items. Residents with religious beliefs are encouraged and enabled to maintain links, and the local clergy visit the home on a regular basis. Care plans contained details of resident’s preferred religion. The home maintains links with the local community such as a local large superstore that had made plans with the home to provide transport, lunch and to purchase plants from a garden centre and in return the home support them organising different events. The home also supports other local charities. The home is a busy home with visitors welcome at any time. One visitor had called to take out her relative for the afternoon and another to take his relative shopping. Visitors spoken with were very complementary about the manner and approach of the staff and the care provided. Residents spoke about the meals at the home and said how good they were and that there was always a good selection offered at every meal. A flexible breakfast is served until mid morning, so that residents can have a lie in if they wish. On the day of the inspection the choices included: porridge, cereals, eggs, bacon, tomatoes, toast and preserves and tea or coffee. During the course of the morning staff go round and ask what residents would like for lunch and dinner. A lighter lunch was offered with a choice of soup, sandwiches, cheese salad, and jacket potato with a choice of filling, followed by a choice of dessert. A previously stated some residents were having lunch early to allow them to get ready to go out. Early evening dinner is the main meal of the day and residents had a choice of chicken pie, creamed potatoes, mixed vegetables and gravy or bacon scallops followed by homemade cakes. It was noted that the dining tables were nicely set with tablecloths, napkins, appropriate cutlery and condiments and insulated drinks jugs of tea or coffee with milk and sugar on every table. Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 15 Suppers are available with a choice of snacks and drink of the residents’ choice, including hot milk drinks. Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 16 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): 16 and 18 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives, can have confidence that people will be protected from abuse and have their rights, including the right to complain, protected by effective staff training and procedures. EVIDENCE: A complaints procedure exists and any records of concern or any complaints would be suitably logged along with the outcomes. Residents said they would speak to a member of staff or the manager if they were worried about anything. A copy of the complaints procedure is available in the service user guide. Information provided on the AQAA showed that there had been no complaints made to the home since the last inspection and no complaints had been forwarded to CSCI. All staff complete a staff induction programme on commencing work at the home, which covers areas of adult protection. This is also covered in NVQ level 2 training. Most of the staff had also completed the social services training in the protection of vulnerable adults; there is just five staff still to do this training. Training in the protection of vulnerable adults should be updated every two years so that staff are kept informed of any new polices and Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 17 procedures and to ensure that they have the confidence and knowledge to deal with any issues of abuse that could occur. There have been no safeguarding issues reported by the home within the last year. Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 18 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): 19,24 and 26 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Ancliffe is maintained to a good standard making it a homely, comfortable, clean and pleasant home for residents to live in. EVIDENCE: From a tour of the premises, it was evident that there is an on going programme of maintenance in place. All the communal areas were comfortable and clean and well equipped with televisions and music centres. Residents are free to wander around the home and sit in any of the lounges, however most people tend to stay in the same lounge with the same people. Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 19 A selection of resident’s bedrooms was looked at. These were found to be clean and tidy and comfortable. Residents had personalised their rooms with their own possessions brought with them from home. Bathrooms were nicely decorated, with domestic style features to enhance a relaxed atmosphere for residents when bathing. In all toilet cubicles there was a good supply of liquid soap and paper towels. The outside grounds of the home were well maintained; the gardeners were at the home on the day on the inspection. Patio and seating areas were tidy and provide a pleasant area for residents to sit outside. Systems were in place to control the risk of cross infection. Staff were seen wearing different protective clothing when carrying out different tasks. Any person entering the kitchen must put on a white overall. The laundry is sited away from the food preparation and food storage areas and does not intrude on the residents. The laundry door was locked. The home clean and tidy and free from any offensive odours. Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 20 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): 27,28,29 and 30 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are satisfactory ensuring the consistency of care for people living at the home. The residents were cared for by staff that were safely recruited, suitably experienced and trained to meet the residents care needs. EVIDENCE: On the day of the inspection there were sufficient staff on duty. Staff rotas were available for inspection. There are two waking night staff on duty. The staffing levels must be constantly reviewed as the needs of the residents change. This has been discussed at previous inspections and assurances given that extra staff would be on duty if needed. Domestic and kitchen staff are employed in sufficient numbers to cater for the needs of the residents and to support care staff. Several of the staff had worked at the home for a number of years and good relationships had been formed between the residents and staff. From the inspector’s observations, staff morale appeared to be good and the staff went about their work in an efficient and happy manner. Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 21 Staff training in NVQ’s is progressing well with over 50 of staff having achieved level 2 or above in care. 83 of the catering staff and 17 of care staff had received training in safe food hygiene. Other training included moving and handling, fire training, pressure care, infection control and palliative care. There is always a trained first aider on each shift. A copy of each members of staff’s employment file is kept at the home in a secure location. Staff files were inspected at the last inspection in February 2008 and showed that staff had been rigorously recruited. There had been no new staff employed since the last inspection. Staff files will be checked at the next inspection. Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 22 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): 31,33,35 and 38 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is experienced and competent ensuring the home is run in the best interests of the residents. Regular maintenance and fire safety checks are carried out, promoting the health and safety of both residents and staff. EVIDENCE: The home’s manager has a significant number of years experience in working with elderly people and is qualified to NVQ level 4 in care and has completed the Registered Managers Award. The manager ensures that the residents living at the home have the things they need to make their life as comfortable as possible and both staff and residents spoke favourably about the manager Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 23 and her caring skills. It was evident that from discussions and observations that the manager knew her residents well. The manager operates an ‘open door’ policy so that she may be approached at any time by staff or residents or their families. This was seen on the day of the inspection when visitors to the home were very comfortable talking with the manager. The manager had made significant improvements with the paperwork and the organisation of the office had greatly improved. The manager must sustain these improvements and the overseeing of staff to ensure they are completing records and care plans as required. Quality assurance systems were in place. This is an area that the manager has worked hard to improve. These included: monthly visits from senior management who visits the home and completes a written report of their findings; these were available for inspection. A residents meeting was held in the March 2008, staff meeting for all staff in April 2008 and the care team leaders meeting was also in April 2008. The home’s service manager held a meeting with domestic staff on 21 January 2008. Minutes of meetings were available for inspection. Customer satisfaction questionnaires are sent at intervals and the home has a suggestions box for anyone to post comments, ideas etc. The home has achieved the Investors in People Award and has been awarded a five star rating by RDB (Residential Domiciliary Benchmarking). RDB is an independent company that inspects the home and awards a star rating. RDB has no connection with CSCI. Some of the residents have small amounts of money held by the home for safekeeping. We checked the four residents whose care plans we had looked at and three of them had money at the home. This was checked against the balance sheets and no discrepancies were noted. Receipts of any transactions were kept. Policies and procedures were in place. The staff team have completed health and safety training. Any accidents, incidents or injuries had been recorded and the CSCI informed as necessary. With the pre inspection materials, the manager provided a list of maintenance and associated records. These were checked at the last inspection in February 2008 and were valid. Certificates will be checked at the next inspection. Fire safety records showed that all the fire tests had been undertaken and the date of the last fire drill was carried out on 10 April 2008 and was suitably recorded. Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 24 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 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x 3 x 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 2 x 3 x 3 x x 3 Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Waterloo, Liverpool L22 OLG 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 Ancliffe DS0000005721.V366353.R01.S.doc Version 5.2 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!