Care Home: Elton Hall Care Home

Similar services:

• Turret Villa Retirement Home
• Mendip House
• Beaconsfield Court Care Home
• Little Sisters Of The Poor
• Manor House
• Middleton Hall Ltd
• Middlesbrough Intermediate Care Centre

What the care home does well Staff were kind and considerate when helping residents. Residents and relatives explained the admission process; this usually includes a visit from the manager. This helps new residents identify their own needs and enables staff to meet their needs during their stay. The service gives good support to enable individuals to make decisions and participate in the running of the home. Residents said, and it was seen, that staff were kind, considerate and supportive "I think the care service is really very good" "I am extremely grateful to the current staff, my mum has been very difficult over the last year and they have gone out of their way to help" Staff were friendly and relaxed with the inspector and were keen to discuss their work and the residents care needs. The home and staff create a positive atmosphere, which residents commented upon and which is welcoming to families and visitors. "The staff are very helpful at all times" "Being looked after by the staff and helped in every manner I find this care home is exceptional" "Having been here 11 years. I have been very happy staff and service very good" There is a complaints procedure and in addition resident views are actively sought. Residents felt their views were listened to and acted upon. Residents live in a home, which is well run and managed, relatives comments "the willingness of senior staff to talk to us, support us, and respond to our concerns" What has improved since the last inspection? The Manager has addressed all of the previous requirements and recommendations. The statement of purpose, service user guide has been updated this gives residents and their families the information they need to make an informed choice on where they live. The views, likes and dislikes of residents are taken and this helps the staff to provide more individual choice for residents. Social activities have improved reducing boredom and enabling residents to participate in a range of in-house and community events. The home is furnished and decorated to a good standard and provides comfortable and pleasant surroundings for residents. Individual bedrooms are well furnished. Bathrooms and showers are of a good standard with a number of assisted facilities to enable residents to feel more comfortable and supported to enjoy this time. The communal areas are well decorated and used for a range of social events. Staffing levels have improved giving residents more reassurance by having access to a consistent staff team. Staff training is progressing enabling them to develop their skills, which should improve care for residents. There had been a number of issues from relative surveys the majority of which had already been addressed. What the care home could do better: The care plans must include an updated moving and assistance plan for all residents to ensure that they receive the necessary support from staff. The choices of foods, presentation of soft diet and staff support at mealtimes should be reviewed to ensure that all residents are given choice and dignity. The provision of dining room chairs with arms and slides will enable residents to more easily access the dining table and support independence. CARE HOMES FOR OLDER PEOPLE Elton Hall Care Home Elton Hall Elton Village Stockton on Tees TS21 1AG Lead Inspector Mary Blake Key Unannounced Inspection 09:40 19 & 20th March 2008 th 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 Elton Hall Care Home DS0000059240.V357042.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. Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elton Hall Care Home Address Elton Hall Elton Village Stockton on Tees TS21 1AG 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) 01642 570200 01642 583218 eltonhall@bondcare.co.uk www.Bondcare.co.uk Bondcare Homes Limited Mrs Jean Kemp Care Home 70 Category(ies) of Dementia (70), Old age, not falling within any registration, with number other category (70) of places Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 70 2. Dementia - Code DE, maximum number of places: 70 The maximum number of service users who can be accommodated is: 70 29th January 2007 Date of last inspection Brief Description of the Service: Elton Hall Care Home is a 70 bedded home for older people and older people with dementia. Elton Hall Care Home is a modernised stately home, set in its own extensive grounds, bordered by woodland and open countryside. The home is less than two miles from Stockton-on-Tees. The home retains many of its original features. There are large lounges and an oak panelled dining room. The building is centrally heated throughout. Access to the first floor is either by a five-person lift or one of the staircases. The home has a south facing sun terrace that overlooks the rose gardens. Elton Hall Care Home has both single and shared bedrooms, all of which have an en-suite with a toilet and washbasin. All bedrooms, bathrooms and toilets are equipped with a call alarm system. The weekly ranges from £370 to £389. The service user guide, statement of purpose and last inspection report are available at the main entrance. Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Before the visit: We looked at: • Information we have received since the last visit on 2nd February 2007. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals, including surveys. The Visit: An unannounced visit was made on 19th March 2008 and a further visit was made on 20th March 2008. During the visit we: • Talked with people who use the service, relatives, staff, the manager & visitors. • Looked at information about the people who use the service & how well their needs are met, • Looked at other records which must be kept, • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, • Looked around the building/parts of the building to make sure it was clean, safe & comfortable. We told the manager what we found. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. What the service does well: Staff were kind and considerate when helping residents. Residents and relatives explained the admission process; this usually includes a visit from the manager. This helps new residents identify their own needs and enables staff to meet their needs during their stay. The service gives good support to enable individuals to make decisions and participate in the running of the home. Residents said, and it was seen, that staff were kind, considerate and supportive “I think the care service is really very good” “I am extremely grateful to the current staff, my mum has been very difficult over the last year and they have gone out of their way to help” Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 6 Staff were friendly and relaxed with the inspector and were keen to discuss their work and the residents care needs. The home and staff create a positive atmosphere, which residents commented upon and which is welcoming to families and visitors. “The staff are very helpful at all times” “Being looked after by the staff and helped in every manner I find this care home is exceptional” “Having been here 11 years. I have been very happy staff and service very good” There is a complaints procedure and in addition resident views are actively sought. Residents felt their views were listened to and acted upon. Residents live in a home, which is well run and managed, relatives comments “the willingness of senior staff to talk to us, support us, and respond to our concerns” What has improved since the last inspection? The Manager has addressed all of the previous requirements and recommendations. The statement of purpose, service user guide has been updated this gives residents and their families the information they need to make an informed choice on where they live. The views, likes and dislikes of residents are taken and this helps the staff to provide more individual choice for residents. Social activities have improved reducing boredom and enabling residents to participate in a range of in-house and community events. The home is furnished and decorated to a good standard and provides comfortable and pleasant surroundings for residents. Individual bedrooms are well furnished. Bathrooms and showers are of a good standard with a number of assisted facilities to enable residents to feel more comfortable and supported to enjoy this time. The communal areas are well decorated and used for a range of social events. Staffing levels have improved giving residents more reassurance by having access to a consistent staff team. Staff training is progressing enabling them to develop their skills, which should improve care for residents. There had been a number of issues from relative surveys the majority of which had already been addressed. Elton Hall Care Home DS0000059240.V357042.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. Elton Hall Care Home DS0000059240.V357042.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 Elton Hall Care Home DS0000059240.V357042.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have their needs fully assessed by care staff and have opportunities to visit before admission to the home. EVIDENCE: The statement of purpose and service user guide has been updated and are available to residents and their families, these gave all relevant information and are in an easy to read format. Pre-admission assessments are undertaken and reflect the needs of the residents. Care plans had good information to ensure that the home can meet the needs of the prospective resident. The Manager is involved in the decisions Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 10 and in the majority of instances visits the residents herself prior to their admission. Residents and relatives spoke of visiting the home prior to admission and that this was useful to reduce anxiety and make the settling in process easier. Elton Hall Care Home DS0000059240.V357042.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are having their health and personal needs met by the staff in the home and the staff are skilled in providing the care in a sensitive and dignified manner. This is shown in the documentation and care plans in place. The residents receive their prescribed medication in line with safe working practices. These systems ensure that residents receive their medication in a safe and appropriate way. EVIDENCE: Four care plans were examined; they were of a good standard, with relevant risk assessments for the prevention of falls, nutrition, moving and assisting, continence promotion. The plans had been consistently reviewed and updated on a regular basis, except for moving and transferring plan. Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 12 The care plans showed that the residents have access to all NHS services and facilities if required. A number of assessment tools are in use. Daily reporting of residents care was satisfactory with any changing health care of residents being reviewed and updated in the care plan. Relatives and residents comments, “Yes they do give the care but it’s very basic. E.g. nails are never done, exercise or stimulation is none existent” “I can have a relaxing bath when I want” “they get me a doctor when I need one” “So far as I am aware. I try to maintain liaison with the care staff, and take mother to most of her appointments” “The carer was concerned about my chest cough - arranged for the doctor to visit me”. The medicines in the home are well managed and safely disposed. The medicines were stored safely. The controlled drugs procedures were satisfactory. Comments, “They have good medication services. Always are on the ball with the tablets and prescriptions” “Again, so far as I am aware, Mothers medication requirements are managed, correctly, by staff”. Staff were treating residents with respect and dignity. Personal care was given in privacy. Staff used residents preferred name at all times. Relatives and residents were very complimentary about the staff in the home and felt that they were able to have privacy in their own rooms. Comments, “The care home has a very friendly staff. From the manager to the gardener inclusive. They are very caring and treat the residents with respect also the visitors. They are approachable and will listen” “Provides a warm friendly atmosphere, maintains dignity and staff are always pleasant to patient, even when mother is being difficult” “She seems comfortable and more than adequately cared for. Staff do try to ensure she is dressed not only appropriately, but in clothes that match or complement each other”. Elton Hall Care Home DS0000059240.V357042.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 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents are satisfied with the flexibility of their routines for daily living and activities. Arrangements for residents to maintain contact with their family and friends and the local community are suited to each individual’s needs and vary accordingly. A limited range of social activities is in place, which is thoroughly enjoyed by residents and their families. The food served has improved and the residents are happy with the quality and the quantity but individual choice was not always given. EVIDENCE: Residents were generally happy and enjoyed being able to move freely around the home. Relatives and residents felt that there was insufficient social activities programme both within and outside of the home but were pleased that this was currently being developed to add more. Comments “Forthcoming events are posted on the notice board but they are few and far between. There are no news leaflets or letters home” “They never do any stimulating things, never go out on trips or play games. They only seem to have the odd surges to Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 14 entertain. Most sit in a chair and never see the outside world” “If there was staff capacity to take her for a short walk outside, this would be wonderful and would fit with the lifestyle she would choose” The daily activities now being provided was varied and thoroughly enjoyed by residents. The residents are encouraged to go to places in the local area and families are encouraged and supported to take residents out and about. The appointment of a social activities coordinator had improved the range and choice of ways residents can fill their days. Residents take control of their daily routines in simple but important ways including the time they get up, what and when they eat and how they spend their time. All residents said that they are able to make choices about how they spend their day. Relatives comments “I am aware that around the home if residents want to live in their rooms meals are taken to them. I have heard them ask for baths at certain times and that is fine. My sister often sleeps late sometimes all day and her meals are taken to her. She often wanders at night and this has been acceptable” “Now that her piano is in the home, care staff do try to encourage her to play it from time to time, so this has always been her way of coping with life!”. The residents’ bedrooms were personalised and residents said they were very happy with the decoration and furnishings. Residents have visitors at any time and are able to use their own rooms, the small lounges or the larger, busier lounges to receive them. Comments “They hold regular meeting with relatives and seek input on how care needs may be improved”. The meals served were good and all of the residents enjoyed the food, which was well cooked. Staff support was on hand but not all residents were given choice or given individual support. Residents comments “Staff do their best. However sometimes choices are limited”. The tables were nicely set and breakfast and lunch were seen as social occasions. Hot and cold drinks were readily available throughout the day with residents enjoying the drinks. Previous comments had been received about the food “The food in this home has been shocking. The service of food a disgrace” “The presentation of food abysmal and the food they get is poor”. Residents commented upon the improvement to the food “I find the meals are well prepared and very enjoyable”. The appointment of a new chef and the review of the menus had seen an improvement to the quality and choices available Elton Hall Care Home DS0000059240.V357042.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures residents and relatives aware of the complaints policy by making it available in a variety of places. Complaints are managed satisfactorily and the necessary action taken and recorded. The Manager and staff had completed training in the Protection of Vulnerable adults, further training is planned and this is necessary to ensure that residents are protected. EVIDENCE: The complaints procedure is displayed in the home and available to each resident. The records of the complaints made to the home was examined and was satisfactory and showed that complaints were dealt with quickly. Residents and relatives spoken to knew how and who to complain to and were confident that their concerns would be dealt with although some relatives expressed their concerns commenting “When I have raised concerns promises have been made but last for a short time. This I put down to a lack of communication, and constant changes of staff” “The complaints I have made have been slow in getting resolved and they fall back when the issue has been made” “Yes I am always informed of problems when they arise” “I have always found that if we raise concerns they are dealt with” “Whenever I have raised a Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 16 concern it has been acted on promptly and appropriately. I am not aware of any deficits in this area”. The Manager stated that staff were aware of the whistle blowing policy and informing the Manager of any incidents or issues of which there are concern. Staff confirmed this. The Manager and the majority of staff had completed Protection of Vulnerable Adults training and dealt appropriately with any concerns. Further staff training is planned. Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents stay in a safe environment, which is well maintained. The home is decorated and furnished to a good standard. The home is very clean, pleasant and hygienic. EVIDENCE: The home is a converted building over two floors to provide care for a range of need. The residents’ accommodation is divided across both floors. The ground floor is used for support services like the office, staff room, kitchen and laundry. The location and layout is suitable for the residents who come to stay here. There are lounges and dining rooms. These are pleasantly decorated and Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 18 furnished. Residents were able to move freely around the communal areas and there was a range of television and audio equipment available for their use. The home was clean and has good hygiene practices. Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures there are adequate numbers of staff on duty that have appropriate skills and experience to care for the residents. The recruitment processes in place protects residents. External and internal training takes place and provides residents with a skilled, consistent staff team. EVIDENCE: Staffing rotas showed that there are enough staff are on duty to meet the necessary staffing levels for current number of residents. When sickness and staff holidays occur home staff provide cover. Previous staff shortages have been addressed and the appointment of new staff has resulted in more consistent staff available. The current staffing levels are Upstairs separate unit; three carers during the day/evening, two at night. Rest of the home; four carers during the day/evening, two at night. Additional senior and management staff are in place. Good ancillary support is in place. Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 20 Three staff recruitment files across all grades were examined and were satisfactory Staff undertake induction, mandatory training, National Vocational Qualifications in Care (NVQ) and other training. Eighteen of the twenty nine staff had obtained NVQ 2 or above. Dementia training and protection of vulnerable adults was being undertaken. All of the training was under review by the Manager with evidence of planned training in all areas. Residents and relatives commented, “They staff are usually good but I think the long hours they work does give concern. Also many times there are a lot of staff shortages which means staffing levels are low” “The only problems are caused when there is a shortage of staff” “Ive been visiting this centre for four years now. Having seen how the old folk behave and seeing the demands they put upon the staff, I think they do a remarkable job” “Care staff have always appeared fully competent and caring” “I have no complaints about the current level of service. My only observation would be that the fast turnover of staff often leads to shortages and this is when the problems arise” Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home, which is well run and managed by an experienced and qualified person. The Manager has good systems in place to organise the home taking into account the needs and wishes of the residents. Good quality systems have been established and are being developed. Resident’s financial interests are safeguarded. The health, safety and welfare of residents and staff are promoted and protected. Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 22 EVIDENCE: The Manager has completed the fit person process with the Commission for Social Care Inspection. The Manager is only responsible for Elton Hall The Manager has an open and inclusive style that was commented upon by staff, residents and relatives. Regular meetings had been held for residents, relatives and staff to discuss practices and running of the home. Quality assurance and audit systems are comprehensive. Monthly proprietor visits are undertaken. Accidents are recorded effectively with accident analyses being completed and risk preventions being undertaken to safeguard residents. A sample of resident monies showed that the system for checking resident’s monies was satisfactory. Fire and other system testing had been undertaken at the recommended timescales and good systems established for maintenance to be undertaken as necessary. Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 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 3 X 3 X 3 X X 3 Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? 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 OP7 Regulation 13(5) Requirement The manager must complete moving and transferring plans for all residents and these must be reviewed and updated on a regular basis. The Manager must undertake a review of the dining arrangements to ensure that all residents are given choice and appropriate support. Timescale for action 01/06/08 2 OP15 16 (2)(i) 01/06/08 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 OP22 Good Practice Recommendations To provide dining chairs with arms and slides to enable resident to more easily access the dining table and support independence. Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Fourth Floor St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB 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 Elton Hall Care Home DS0000059240.V357042.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!