Care Home: Cliff Court

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What the care home does well The service provides personal care within a comfortable home for older people with mental health needs. Staff receive training in the care of people with dementia and related health issues during their induction, and further training is provided by means of recognised courses in this field. Care plans examined were person centred and regularly reviewed. They showed the current and changing needs of the individual and identified the actions to be taken to meet these needs. Staff responsible for administering medication have received appropriate training and medications were observed to be administered in a manner that safeguarded the residents. A varied programme of activities is available, which include crafts, music and entertainers, gardening and one to one conversations, and an activities coordinator is employed. Fetes and parties have taken place. Good interaction between staff and residents was apparent, and all staff were aware of the needs of each individual living at the home. The home is clean and comfortable, and residents have freedom to walk around all areas of the home and small garden. What has improved since the last inspection? The provider has now taken over as manager and some new staff have been recruited, the work force is now stable. Further recruitment is taking place. Five out of the twelve members of care staff have gained their National Vocational Qualification level 2 or 3 in care, and more staff are now in the process of completing this course. The manager and one of the deputy managers are National Vocational Qualification assessors. Continual redecoration of various parts of the home has taken place and some of the double rooms are now used as single rooms. Extra measures to ensure residents security have been put in place, due to the home overlooking and having access to the sea and cliff top. The Statement of Purpose, Service User Guide and some policies and procedures are in the process of being reviewed. Care plans have now been put into a different format and are person centred and include good personal risk assessments. CARE HOMES FOR OLDER PEOPLE Cliff Court 70 The Promenade Peacehaven East Sussex BN10 8ND Lead Inspector Elizabeth Dudley Unannounced Inspection 24th July 2008 10:15 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 Cliff Court DS0000064914.V369277.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. Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cliff Court Address 70 The Promenade Peacehaven East Sussex BN10 8ND 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 583764 01273 585562 woodstock.brighton@ntlworld.com Mrs S Awotar Mr R Awotar Mrs S Awotar Care Home 18 Category(ies) of Dementia (0) registration, with number of places Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is eighteen(18). The registered person may provide the following category/ies of service only: Care home only – (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Date of last inspection 8th November 2006 Brief Description of the Service: Cliff Court is a care home registered for eighteen (18) places and is for people over sixty-five (65) years of age with a dementia type illness. No nursing care is provided at this home. District nurses will provide nursing input for those residents requiring this. Cliff Court is located on the cliffs at Peacehaven, offering sea views from many of the rooms. Residents’ bedrooms are located over two floors. There is a stair lift available for residents requiring assistance to access the first floor. Once on this floor, there are three to four steps in either direction that residents need to be physically able to climb stairs to access individual rooms. The location of the room and an individuals mobility is taken into account when assessing prospective residents. There are twelve (12) rooms for single occupancy, of which one has en suite facilities. There are three (3) double rooms that are not provided with en suite facilities. There are three assisted baths and five toilets located throughout the home. There is a good-sized dining room and lounge room. There is a garden area off the dining room that is accessible for residents. The home is located within an easy walking distance to local amenities. Bus services are available at the end of the road. There is limited parking at the home, but free parking is available in adjacent streets. Weekly fees range from £500 to £625 per week these do not include extra services such as hairdressing and chiropody, and details of these charges are available from the manager. Cliff Court DS0000064914.V369277.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 unannounced inspection took place on the 24th July 2008 over a period of 9 hours, it was facilitated by Mrs S Awotar, provider and registered manager. The appointed manager has applied for registration with the CSCI and will be referred to as ‘ the manager’ throughout this report. Methods used to collect information about the home included examination of documentation in the home, observation of staff working with residents, the serving of lunches and suppers, and conversations with residents and staff in the home. All residents were spoken with during the inspection, and three residents were spoken with in depth and gave their views on life in the home. Documentation examined included care plans, personnel files, staff training and supervision records, catering records and health and safety files. The Annual Quality Assurance Assessment, required by the CSCI, which gives an overview of what has been achieved in the home and issues to be addressed, was received by the CSCI prior to the inspection. This reflected on what has been achieved in the home over the past year and the plans for the home over the next twelve months. This was used as part of the inspection process. What the service does well: The service provides personal care within a comfortable home for older people with mental health needs. Staff receive training in the care of people with dementia and related health issues during their induction, and further training is provided by means of recognised courses in this field. Care plans examined were person centred and regularly reviewed. They showed the current and changing needs of the individual and identified the actions to be taken to meet these needs. Staff responsible for administering medication have received appropriate training and medications were observed to be administered in a manner that safeguarded the residents. Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 6 A varied programme of activities is available, which include crafts, music and entertainers, gardening and one to one conversations, and an activities coordinator is employed. Fetes and parties have taken place. Good interaction between staff and residents was apparent, and all staff were aware of the needs of each individual living at the home. The home is clean and comfortable, and residents have freedom to walk around all areas of the home and small garden. What has improved since the last inspection? What they could do better: The manager should ensure that mandatory health and safety training which includes moving and handling, fire and food hygiene training is updated within the required time scales. A requirement has been made relating to this Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 7 Records of water temperature to resident’s outlets must be kept up to date to ensure that the manager is aware of when temperatures fluctuate and therefore prevent residents from injury. The manager should be vigilant in ensuring that window restrictors are in working order. Formal supervision of staff is taking place but not at the intervals directed by the National Minimum Standards. This is essential to ensure that staff practice meets the standards set down by the home. Risk assessments around the home require reviewing and the policy on Adult Safeguarding requires amending to ensure it meets the ‘Multi- agency Guidelines’, the manager and senior staff would benefit from training with the local lead agency on Adult Safeguarding. Requirements have been made relating to training and some health and safety issues. Requirements have not been made around some issues raised at this inspection that do not relate to health and safety due to the manager giving assurances that these will be addressed. These will be checked at the next inspection. 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. Cliff Court DS0000064914.V369277.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 Cliff Court DS0000064914.V369277.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): 1,2,3,4,5,6 People who use the service experience good quality outcomes in this area Prospective residents and their representatives receive sufficient information to decide whether the home can meet their needs and whether they wish to live there. Once a person has expressed interest in coming to live at the home, the manager carries out a thorough preadmission assessment to ensure that the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of purpose has been reviewed, meets the regulations and a copy made available to all residents and their representatives. The Service User Guide is currently being reviewed and being put into a format suitable for Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 10 the use of the residents in the home. This was not seen at the inspection but the manager has agreed to send a copy to the CSCI. A copy of this should be given to each resident. The manager assesses prospective residents prior to their admission to ensure that the home can meet their needs. Three preadmission assessments were examined and these contained sufficient detail to inform the care plan. The provider does not currently inform prospective residents or their representatives in writing that the home can meet their needs but gave assurances to the inspector that this would be commenced. Prospective residents and their representatives are encouraged to visit the home before deciding they wish to live there and all residents are admitted for a trial period of one month. Residents are admitted for respite care but not for intermediate care. Cliff Court DS0000064914.V369277.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 the service experience good quality outcomes in this area. Care plans address current and changing needs of the resident and show evidence of being regularly reviewed. The administration of medication safeguards the resident. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were examined. These are person centred and reflected the current and changing needs of the resident, but in some instances could be more detailed. Discussion regarding this was held with the manager and deputy manager. Although there was evidence of regular review across all care plans there was no evidence of consultation with the resident or their representative in the care planning process, although the manager said this Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 12 has taken place. Assurances were given that evidence of this would be put in place. Nutritional care plans need to be more detailed where concerns have been identified and continence care plans should include the continence aids used. There were clear instructions for staff to enable them to give the care required across all care plans examined. Good personal risk assessments were in place and instructions for minimising risk were identified. Waterlow risk assessments should be reviewed monthly and nutritional risk assessments require monthly review where a risk has been identified. Much work has taken place on the care plans over the past 12 months. It is recommended that wound care instructions, weights and other information, presently kept separately, be kept in the care plans for ease of use. Care plans to address anxiety and other mental health needs were seen and there was evidence of visits by other health care professionals such as Community Psychiatric Nurses and General Practitioners. Residents appeared well cared for. Information seen from relatives and representatives on the day of the inspection showed their appreciation of the care given and commended the home on the health and wellbeing of the residents. Those residents who were able to make their views known, were pleased with the care they received and said that their relationship with the staff was good, ‘They are very kind’ and ‘I like the staff’. Staff were very attentive to residents, and residents were observed being cared for in an understanding and dignified manner. There was good interaction between staff and residents. The standard of medication administration was good and staff administering medication have received the appropriate training. All medication had been signed on receipt and disposal and there were few omissions in the administration records, the manager is addressing the omissions. No controlled drugs are currently used at the home although there is a controlled drug cupboard and record ledger. There was no evidence of over use of sedation or other psychotropic medication. Medications used on an ‘as required’ basis, must have examples of when they would be required for specific individuals put into the individual medication records. Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 13 Two medication rounds were observed, these were carried out in a manner that safeguarded the residents. Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 14 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 the service experience good quality outcomes in this area. The quality of daily life offered by the home meets resident’s expectations. The residents benefit from fresh, well presented and well cooked food, and staff were seen assisting with meals in a manner that supports residents dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was evidence that the residents are afforded a varied programme of activities, which include music, garden activities, outings and events in the home such as parties and fetes. Residents are taken out for walks and some outings are planned. An activities person works five days a week during the afternoons and records are kept of what type of activities the individual resident prefers, and their participation in these. Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 15 The programme of activities displayed, was not in a suitable format for ease of use by residents, and the manager said that this would be addressed. Residents have a choice of their times of rising and retiring and these are identified in the preadmission assessment. Residents were allowed freedom to wander around the home and into the small secure garden. Visitors are welcomed and encouraged and members of the local church visit residents. The menu was varied and the majority of food is home cooked, and fresh fruit and vegetables are used. The menu on the day was lamb hot pot with carrots and sprouts and jelly and ice cream. Supper menu was macaroni cheese followed by cake. Pureed meals are served with their ingredients served separately. The manager says that snacks are available at any time and residents could have beverages when they wish. Discussions were held with the manager regarding the breakfast menu, which requires modification to enable residents to have sufficient choice and encourage independence. Presentation of meals was good. All meals, including breakfast, were taken in a pleasant dining room and tables were set out in a manner to promote residents dignity with paper napkins and condiments. Staff assisted residents with their meals in an appropriate and empathetic manner. Residents spoken with said that they enjoyed the food, and if there was something that they did not wish for alternatives will be provided. Staff confirmed this. The day’s menu is set out on a white board in large script, which enabled residents to see what was on offer. It would benefit residents if choices and alternatives to the set meal were set out on the white board so that residents could be made aware of what was on offer. Medical or religious dietary needs can be catered for. It was noted from the residents weight charts that most residents had put on weight since admission to the home. Catering staff require to undertake updating of the food handling course. Cliff Court DS0000064914.V369277.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): 16,18. People who use the service experience good quality outcomes in this area. Complaints made to the home are addressed in an open and transparent manner. Staff are aware of their responsibilities towards those in their care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has had one complaint in the past twelve months and the CSCI received one complaint. The provider addressed these and records identifying the way in which these were processed showed that they had been addressed in a thorough and open and transparent manner and actions taken to prevent reoccurrence. Records of small concerns regarding the daily life in the home were in placed and there was evidence of how these had been managed. There have been no safeguarding issues. Staff who have been at the home for some time have participated in adult safeguarding training, and it was agreed with the manager that this be updated. Training is being arranged for new staff, the majority of whom have received this training in other care settings. The manager is arranging training with the local Adult Safeguarding team for Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 17 senior staff and gave assurances that this would be arranged as soon as possible. The adult safeguarding policy is in the process of being reviewed and the manager must ensure to ensure that it corresponds with the latest multi agency guidelines. Cliff Court DS0000064914.V369277.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): 19.20.21.22.24.25.26. People who use the service experience good quality outcomes in this area. Residents live in a clean and comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well maintained, clean and comfortable. Communal accommodation consists of a large lounge dining room with access to a small secure garden overlooking the sea. Individual resident’s rooms are pleasantly decorated and residents are encouraged to bring in their own possessions to make them more homely. Resident’s accommodation is spaced over two floors and served by a chair lift. Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 19 The temperature of the hot water used by residents had been monitored regularly until May 2008, and these were within recommended parameters. The manager gave assurances that this would recommence. One window restrictor was broken, arrangements were made on the day of inspection for this to be mended, and the manager must ensure that these are checked on a regular basis. The home provides assisted bathing facilities, one of the bath hoists is not currently in use due to requiring a seat belt, although this has been ordered. Subsequent to the inspection the CSCI were informed that this has been completed. There are disposable towels and soap dispensers in all rooms and bathrooms and staff said that there were adequate supplies of disposable aprons and gloves. All areas of the home were clean. Some staff have attended an infection control course and further participation in these courses are being arranged. Catering staff and some care staff require updating in food hygiene. Cliff Court DS0000064914.V369277.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): 27,28,29,30. People who use the service experience adequate quality outcomes in this area. There are sufficient staff to meet the assessed needs of the residents currently living in the home. Whilst staff receive suitable training to enable them to care for the psychological and personal care needs of the residents and to give them an insight into dementia, staff have not received updated training in some areas of health and safety, which may put residents and staff at risk. Recruitment processes are robust and safeguard the residents in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of the duty rotas and staff spoken with identified that there were sufficient staff on duty to meet the needs of the residents in the home. Although concerns were raised by the inspector that some residents were not dressed by 11am, staff said that this was due to the routine of the home and not due to lack of staff. Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 21 The duty rota appeared to lack one member of staff at weekends, but staff said that this was not generally the case and that extra staff were brought in. Care staff are supported by a cook, maintenance person and activities coordinator. New staff undertake an induction training, which is comparable with the recognised ‘skills for care training’ and following this are encouraged to undertaken training for the National Vocational Qualification level 2 in care. At the present time five (42 ) of the care staff have completed this. A further two members of staff are expecting to complete this qualification in the next two months. Staff that administer medications have medication training, and staff receive some dementia training in their induction, which is followed up by a twelve weeks distance-learning course to ensure that they have the skills necessary to work with this client group. Fire training requires updating and some staff require updating in moving and handling. The manager said that this is being arranged but a requirement has been made. Three personnel files were examined, these contained all the documentation and relevant checks as required by regulation. Cliff Court DS0000064914.V369277.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): 31,32,33,34,35,36,37,38. People who use the service experience good quality outcomes in this area Management systems within the home generally safeguard residents, staff and visitors. Revised frequency of staff supervision and staff meetings would benefit residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is a registered general nurse and co-owns the home with her husband. She commenced managing the home last year and is registered as Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 23 manager with the CSCI. The manager is planning to commence a management course in the next few months. Staff spoken with said that the ethos in the home was good and residents said that they liked the staff and enjoyed living at the home. There has been a fair turnover of staff in the past year, but new permanent staff have been recruited. The Annual Quality Assurance Assessment was received by the due date and gave information reflecting the current status in the home. Some issues required clarification with the manager during the inspection. Quality monitoring of the service takes place by surveys being sent out to residents and their representatives. This last took place in March/ April 2008 but results have not yet been collated. Surveys examined showed mainly positive remarks and some suggestions for changes or improvement. The home does not act as appointee for any residents although some money is kept for individual residents for personal spending. Records relating to expenditure and receipts were seen. Some staff meetings take place but the home would benefit from increasing the frequency of these, especially since there has been a turnover of staff in the past year. Staff supervision has been taking place but not at intervals directed by the National Minimum Standards. The manager gave assurances that this would be addressed. It was noted that two residents doors were wedged open, one by resident and one by staff for a sick resident, this practice may put residents at risk. The manager stated that the home operates a ‘closed door policy’ but was in the process of arranging the installation of door closures, which would react to the fire alarm for these specific residents. Subsequent to the inspection it was confirmed that these were in place. Two window restrictors were broken and the manager gave assurances that these would be replaced, a risk assessment was put in place, therefore no requirement has been made. Information was received following the inspection that these have been replaced and other windows checked. Certificates relating to the servicing of utilities and equipment were in place and in date, however records relating to weekly fire alarm testing and emergency light testing were not up to date although the manager gave assurances that these had been tested. Records relating to monitoring of equipment within the home must be kept up to date and the manager should make this a priority. General risk assessments around the home need reviewing. Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 24 Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 25 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 2 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 2 3 x 3 2 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 2 3 2 Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 26 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 OP38 OP30 Regulation Reg 18(1)(c) Requirement Timescale for action 01/11/08 2 OP38 Reg 13(4) That staff receive mandatory training including moving and handling and fire training and food hygiene training at the required intervals. That staff receive other training as identified in the main body of the report. That the manager continually 30/08/08 monitors health and safety issues including water temperatures, window restrictors and fire control methods as identified in the main body of the report. 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 OP33 Good Practice Recommendations That the policies and procedures be updated and relevant to the current practices within the home. That the quality monitoring system includes the views of DS0000064914.V369277.R01.S.doc Version 5.2 Page 27 Cliff Court 2 OP36 health and social care professionals and other stakeholders. That staff receive supervision at the times recommended in the National Minimum Standards. Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Cliff Court DS0000064914.V369277.R01.S.doc Version 5.2 Page 29 - 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!