Care Home: Clayton Manor Nursing Home

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What the care home does well What has improved since the last inspection? The management of medications has improved so that all medicines received in the home are recorded. What the care home could do better: The home should continue to maintain the high standard it has achieved. CARE HOMES FOR OLDER PEOPLE Clayton Manor Nursing Home Rood Hill Congleton Cheshire CW12 1YZ Lead Inspector Joan Adam Unannounced Inspection 23rd January 2009 10:30 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 Clayton Manor Nursing Home DS0000018844.V373948.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. Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clayton Manor Nursing Home Address Rood Hill Congleton Cheshire CW12 1YZ 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) 01260 299622 01260 281823 claytonmanor@schealthcare.co.uk Modelfuture Limited, Manager post vacant Care Home 78 Category(ies) of Dementia - over 65 years of age (26), Old age, registration, with number not falling within any other category (36), of places Physical disability (18) Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. The total number of service users must not exceed 78 No more than 32 service users in the category OP, in receipt of nursing care only, may be accommodated. No more than 4 service users in the category OP, in receipt of personal care only, may be accommodated. No more than 18 service users aged 18 to 65 years, in the category PD and in receipt of nursing care only, may be accommodated. No more than 26 service users aged 65 years or over and in receipt of personal care only, in the category DE(E), may be accommodated. 10th January 2007 Date of last inspection Brief Description of the Service: Clayton Manor is a purpose built 78 bed care home, providing nursing and personal care, situated in Congleton town centre. Accommodation consists of three double and seventy-five single rooms on two levels, and access to the first floor is by a passenger lift. A choice of lounges, and dining rooms are provided in each of the three units. The Springfield Unit on the first floor provides nursing care for 16 adults aged 18 years and above with a physical disability. The Parklands View on the first floor is registered for 26 service users over the age of 65 with dementia who require personal care only. Woodlands View is on the ground floor of the home and is registered for 36 elderly service users who require nursing care. The home is staffed with registered nurses, carers and domestic staff. The current fees for the home are £367:54 to £636. This information was provided by the home manager. Clayton Manor Nursing Home DS0000018844.V373948.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 3 star. This means the people who use this service experience excellent quality outcomes This unannounced inspection took place on January 2009 over a period of eight hours. This was to assess if people’s needs were being met at the home. A tour of the premises took place and included a majority of the bedrooms on the three units and shared areas such as the lounges and dining rooms, shared bathrooms and toilets. The manager, several staff, relatives and people cared for were spoken with and their views contributed to the inspection of the home. This visit was just one part of the inspection. Before the visit the home was also asked to complete an annual quality assurance assessment (AQAA) to provide up to date information about services at the home. Other information since the last key inspection was also reviewed. Feedback was given to the manager at the end of the visit. What the service does well: A senior staff member visits people wherever possible to carry out an assessment of their care needs before they move into the home to make sure their needs can be met there. Individualised care and attention is provided and there is a welcoming, cheerful environment so that people who are cared for feel comfortable and at home. Residents’ plans of care were well documented and reflected each resident’s individual needs. The home had an established staff team who were keen for standards to be maintained. We found that people receive care and support which matches their expectations. Staff are quick to respond to changes in peoples health care needs and have an excellent understanding of the importance of treating people as individuals and promoting their dignity and privacy. Meals were varied and reflected each person’s preference. They offered choice and variety. The home provides a varied range of activities so that the people who live in the home have enough to do. Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 6 A good standard of hygiene was seen throughout the home and the standard of décor was good. Residents spoken with said that “this is a really great place to live”, “ the staff cant do enough for you “and “the food is very tasty .” Other comments included “the staff are really nice” and “ I wouldn’t live anywhere else” “ we have a good laugh” “ I look on the staff as my friends” Relatives spoken with said “ the staff look after me as well as my relative” “ the staff are marvellous and can’t do enough for you” Staff were seen to treat residents with respect and had an easy and friendly manner. Staff were also seen providing support to residents in a caring and sensitive manner. We found that the management team are involved in the day to day running of the home and that a number of systems have been developed to check that peoples expectations are being met. 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. Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 7 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. Clayton Manor Nursing Home DS0000018844.V373948.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 Clayton Manor Nursing Home DS0000018844.V373948.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): 1,3 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service were given sufficient information to help them make an informed choice about living at the home and had their needs assessed before they lived there so that they knew the home could meet their needs. EVIDENCE: The statement of purpose has been up dated to include the details of the manager who has been in post since June 2008. Copies of these were seen in the entrance hall. People who come to live at Clayton Manor are given copies of a newsletter, a statement of purpose and service user guide and a list of useful information Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 10 such as what day the hairdresser is due in the home, what time to expect meals and what activities are on offer. People who were spoken with felt this was a good idea as it made them feel welcome. Care files for two new people who recently came to live at the home were looked at. Assessments of their needs had been completed by the manager before they were admitted so that they knew their needs could be met at the home. This information was used to write a care plan for the person to let staff know what their needs were and how they could meet them. All risk assessments for areas such as nutrition, moving and handling, dependency, physical and social needs were completed within six hours of admission. Clayton Manor Nursing Home DS0000018844.V373948.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): 7,8,9,10 People who use this service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. The health care needs of people who live in the home are well managed so that their care needs are fully met and their privacy and dignity is respected. EVIDENCE: We looked at the homes AQAA. This showed us that people could expect to receive the care that they need in a way that they would choose. We saw that each person who lives in the home has a plan of care, which gives staff clear instructions on how to provide care in a manner, which people preferred. We saw that staff had the skills to care for people properly by providing them with specialised equipment to reduce the risk of their health deteriorating and by consulting with doctors and other health care professionals when their needs changed. Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 12 Care plans were looked at for six people who lived at the home. A selection was taken from each unit. All care plans looked at contained good information so that staff would know what the persons needs were and how to meet them. Individual plans clearly record peoples’ personal and healthcare needs and detail how they will be delivered. Choices were recorded such as when people liked to get up, how they like to spend their day and spiritual needs and how these were met. Risk assessments were in place for areas such as bedrails, moving and handling, nutrition, dependency and pressure area risk. Care plans had been reviewed each month and these reviews were detailed so that staff would know what changes had taken place and gave a good indication of what had happened to the person during the month. Daily records were also detailed and painted a picture of how the person spent their day. Visits from other health care professionals such as G.P’s, chiropodists and dentists were recorded so that staff would know when these had taken place. Care plans are audited each month by trained staff and the manager so that areas of concern can be acted up on immediately. The atmosphere at the home was warm and staff were observed to have good relationships with the people in their care. There was good-humoured banter between staff and people living and visiting the home. When spoken with staff were aware of the needs of people and knew their individual likes and dislikes. Staff respect peoples’ preferences and have knowledge about individual personal needs when providing support, including intimate care. A hospitality table was present in the main entrance with tea and coffee making facilities and homemade baking and biscuits on offer. Relatives felt that this was a good idea as they could help themselves without having to ask staff. One said, “ It is just another way of making you feel welcome” Relatives spoken with said” the staff are always friendly” “ nothing is too much trouble” “ the manager and staff look after us as well as our relatives” People who live at the home were spoken with and they said” The staff are wonderful” “ staff are like a big family” “ I wouldn’t want to live anywhere else” “ we have a lot of laughter in this place and I feel that is important” “ I have made friends here with staff” Medication management was looked at on all three units and this was found to be satisfactory. All medicine administration sheets had been completed, any medications that stated” one to two tablets, had the number of tablets given recorded so that staff knew how many tablets the person had received during a twenty four hour period. Controlled drugs were looked at and these had been recorded correctly. A check of these drugs was completed at every shift change by the trained nurses. Audits of medications were completed by the manager on a monthly basis so that any errors were identified and dealt with quickly. Clayton Manor Nursing Home DS0000018844.V373948.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): 12,13,14,15 People who use this service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who live at Clayton Manor are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. EVIDENCE: We looked at the homes AQAA which told us that the provision of activities on offer is varied and takes in to account the needs and wishes of the people who live at the home. The activities co-ordinators are constantly updating and reviewing the activities provided and have started to involve our residents in activities with residents of other homes, either by taking residents out or inviting other residents in, this has proved to be a popular initiative. When we visited we found this to be true. The home employs two activity co-ordinators and we saw that a variety of activities are available on a daily basis for people to join in if they choose. When we asked people who live at the home they said they could choose to join in or not. The home has sought the views of people who live at the home and considered their varied interests when planning the routines of daily living. Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 14 An X factor competition has recently taken place between the home and another home in the area. Staff members and their families acted as judges taking on the character of the celebrity judges from the TV series. People who live at Clayton Manor were taken by mini-bus and said they really enjoyed it. Staff members and their families acted as judges taking on the character of the celebrity judges from the TV series. A Christmas ball was arranged in Congleton town hall inviting people from other local care homes. The students from a local high school dressed in black and white to act as waitresses and waiters to serve food and drinks to people who live at the home and their relatives. Photographs have been taken of these events and people were keen to show them to us and to talk about them. “ The staff really worked hard “ “ it was lovely to get dressed up and go out” “ we had a lovely time and it was good to see the young people “ Several people are taken to a local church to attend a service of their choice and members of the clergy from different nominations attend the home to give communion for those that are not able to go out. Other activities on offer are pub lunches and evening meals, visits to local coffee shops and cafes, cinema afternoons with ice cream and popcorn. One to one sessions are provided for people who cannot or do not wish to join in group activities. People spoken with said “ there is always something going on “ “ I like the karaoke best” “ I don’t like to join in but I am always asked.” One person who lives at the home to stay in Spain with a family member on a regular basis. The family keep in touch with the home manager via e-mail. The home had varied menus on offer, which had been specially prepared so that the people living in the home get a balanced diet. The manager had recently had training in the system, which is called NUTMEG. A cooked breakfast is on offer each day and the main meal is in the evening with a choice of hot and cold snacks fro lunch such as baked potatoes with various fillings, cheese on toast sandwiches or salads. The evening meal was fish and chips. Separate menu choices are available for the Springfield unit, which is for younger people, and extra snacks can be given between meals for the Woodlands View, which has people with dementia. Food is served in the dining rooms on each unit, which were set with table cloths and cruet sets. Staff were seen to assist people who needed help in a sensitive way. People who live at the home said the “ food is really good” “ you get plenty to eat” One person said “ I have trouble finding food I like but I am a fussy eater” The manager and chef have had meetings with this person to try to find the types of food they would prefer. Clayton Manor Nursing Home DS0000018844.V373948.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): 16,18 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People know how to complain and believe staff will take action to address any concerns that they may have. EVIDENCE: We looked at the homes AQAA. This told us that all staff have had training in how to protect peoples rights and that training had also been given about the homes complaints policy. Staff confirmed this to be true on the surveys that they sent us before we visited and we saw certificates, which showed us when the training had taken place. Clayton Manor has a complaints procedure, which is contained in information given to people when they move into the home. People who live and visit the home said they knew how to make a complaint. People commented “I never have reason to complain about anything, however I’m sure they would address it right away if I did”. There have been no complaints made to the home or CSCI since the last inspection. The home had policies on the prevention of adult abuse, whistle blowing, challenging behaviour and harassment. The safeguarding procedure is how the local council and other agencies involved respond to and manage allegtaions of abuse against vulnerable people. Safeguarding is a part of the induction and NVQ training and staff had undertaken training on Adult Protection. Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 People who use this service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. People that use services that use services live in a safe, comfortable and wellmaintained environment, which is equipped to meet their needs. EVIDENCE: We looked at the homes AQAA that told us that the environment continues to be maintained to a high standard for example some bedrooms have their own décor schemes. Pictures and ornaments are displayed in key areas. A variety of lighting has been used effectively to provide well lit areas including standing lamps etc in corners of rooms which helps to promote a comfortable and relaxed atmosphere. We walked round the home and looked at all the communal areas including bathrooms and some bedrooms. Bathrooms have been painted in bright colours with pictures on the walls. Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 17 New furniture has been purchased for the lounge on Woodlands unit with some reclining chairs for added comfort. Tracking has been installed in the bathrooms on Springfield unit so that staff can move people safely and with minimum discomfort. This unit has been decorated throughout in soft colours with voile type curtains to give a clean modern look. The snoozlem room has been redecorated with added equipment to aid relaxation for people with communication problems. A computer with a web cam has been provided so that people can communicate with family and friends. On Parklands unit the corridor is full of sensory boards so that people can experience touch and feel. The corridor has been developed following research from Stirling University. One of the lounges has been decorated in the style of the 1930’s and is used for reminiscence. A bathroom has been brightly decorated with murals depicting the seaside and a fairground with characters recognisable as residents and staff members in the fairground scene. All areas of the home had been cleaned to a high standard and there were no unpleasant odours. Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People receive care and support from skilled staff that they like EVIDENCE: We looked at the homes AQAA which told us that a variety of staff are employed to provide care and support to the people who live at the home and that these staff are recruited correctly. We found this to be true. We had visited the home previously to check all staff files and found two files with poor references. The home had immediately acted to rectify this. We had also visited to check staff training in relation to fire safety and found that this was up to date. We found that staff are provided in sufficient numbers to meet people needs and people who live in the home told us that they believed this was true. People told us that if they ask for help this is provided ”quickly depending on the time of day, if they are getting people up or putting them to bed you may have to wait a little longer but not very long ” and that they believed that the “ staff are excellent, you can’t fault them” and that “ they are very kind and caring”. Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 19 Staff told us “Yes there are enough staff. Staffing levels are sufficient to ensure that a high level of nursing care is maintained” and “ We have a large number of staff working well together as a team.” We saw that almost all the care staff working in the home have achieved a national vocational qualification in care. This shows that staff have had formal training to carry out their role and is above the expectations of the national minimum standards. We saw that staff training is ongoing and that all staff have completed mandatory training in key subjects. This means that all staff have been given the skills to promote peoples health and welfare. Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 People who use this service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. People live in a well managed, safe home where their opinion matters. EVIDENCE: The manager at Clayton Manor has been in post since June 2008. She is an experienced nurse who has worked at the home as Deputy manager for quite some time. She has also had experience in managing a home for the same company in this area. She has a Diploma of Higher Education in Gerontological Nursing and a BSc. (Hons) in Nursing Studies and is undertaking the Registered Managers Award. She has applied to be registered with CSCI. Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 21 We looked at the AQAA which told us that” there is effective communication throughout the home with regular staff and management meetings. However staff both nights and days, have regular access to the Manager during their normal working hours to discuss any matters professional or personal. The management team feel that this encourages the staff to feel that they are listened to and their opinions are valuable to the care of the residents.Thus enabling them to feel more involved in the care they provide and to accept ownership of the care resulting in a higher standard of care for the service users.” When we visited we found this to be true and staff said “ the manager is very supportive” “ she is always there for anything you want to talk to her about” People who live at the home meet formally every three months but have access to the manager at any time. Minutes of meetings were seen by us when we visitied and people who live at the home said “ we can see the manager any time, she talks to us every day” “ the door to her office is never shut and we can go in any time” Relatives said” the manager is always available with a friendly smile” “ the staff look after us as well as our relatives.” We viewed records which showed that monthly checks are carried out on all systems used in the home which support people with their needs and care. This incudes care plans, medications, risk assesmnets , processes etc. so that any shorfalls can be highlighted and actedon quickly. This is good practise and shows a commitment from the home to provide a good service. We looked at how people are supported to manage their weekly personal allowance. The home actively encourages people to manage their own financial affairs however in some instances some staff support is required. We found that in these cases senior management and administration staff over see the management of such affairs. We found that clear records and receipts are kept showing what transactions had taken place and how money had been spent. We looked at how people who live in the home are consulted about the service. Regular residents meetings are being held and topics, which affect people’s lives such as provision of food and meals, are discussed. Questionnaires are sent out every six months and the results of these are put in the service user guide so the information is shared with everyone. We looked at how the home manages the health and safety of the people who live there and the staff who work there. We found that regular checks are taking place on all equipment (including fire fighting) and that outside contractors also visit the service regularly to make sure that equipment is functioning correctly. We also saw that regular necessary checks are carried out on the services to the building. Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 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 3 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 Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 23 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 Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Clayton Manor Nursing Home DS0000018844.V373948.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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