Care Home: Garswood House

What the care home does well Garswood House is a well run home and has a dedicated staff team, ensuring a good standard of care for the people living there. Residents have access to everything they might need to live a comfortable life. There have been few staff changes, so residents are looked after by people they know and can trust. Records are kept to a good standard, the office was well organised and everything is to hand. Relatives are made welcome and can be involved in what goes on within the home. The household caring for people with a dementia related illness is exceptionally well run. What has improved since the last inspection? The home has met all the requirements made at the last inspection. What the care home could do better: It was discussed at feedback that in one room there was a very strong odour of urine (staff are aware of the room number). This must be eradicated as it is unpleasant for the resident to live in and unpleasant for other residents who have rooms close by. The bathroom facing room 20 is out of action and requires attention. The link to the Belmont suite requires a new carpet as the existing one is stained and the paintwork requires attention. On Ascot the corridor carpet is stained and needs attention. The bathroom near room 10 has the seat on the hoist out of action and needs to be repaired or replaced. CARE HOMES FOR OLDER PEOPLE Garswood House Wentworth Road Ashton-in Makerfield Wigan Greater Manchester WN4 9TZ Lead Inspector Judith Stanley Unannounced Inspection 14th August 2008 09:30 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 Garswood House DS0000005734.V369994.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. Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Garswood House Address Wentworth Road Ashton-in Makerfield Wigan Greater Manchester WN4 9TZ 01942 728333 01942 276682 julie.washington@clsgroup.org.uk www.clsgroup.org.uk CLS Care Services Limited Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Anne Julie Washington Care Home 40 Category(ies) of Dementia (10), Old age, not falling within any registration, with number other category (30) of places Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only Code PC To people 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: 30. Dementia - Code DE Maximum number of places: 10. The maximum number of people who can be accommodated is: 40. Date of last inspection 7th September 2006 Brief Description of the Service: Garswood House is owned by CLS Care Services Ltd and offers care for 40 older people. Included within those numbers the home offers a separate household within the existing home for 10 people with a dementia related illness. Garswood House is a single storey building with well-maintained garden areas, situated in the middle of a housing estate, approximately a mile from AshtonIn-Makerfield town centre. It is close to shops and other local facilities and is well served by public transport. The home is spacious with several lounges. All bedrooms are single and some have en suite facilities. There are ample communal toilets and bathrooms situated throughout the home. Car parking is available and parking is permissible on the road outside the home. Fees range from £281:24 to £505:00 per week. Additional charges are made for hairdressing, toiletries magazines and private chiropody. Garswood House DS0000005734.V369994.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 that people who use the service experience good quality outcomes. This inspection included a site visit and was unannounced and was carried out over a period of 5 ½ hours. The homes registered manager is currently on secondment and the homes acting manager was on annual leave. The homes service manager and the senior care team leader were available and very competent in assisting the inspector throughout the day. Part of the time was spent in the office looking at information the home holds on residents (care plans) and other records the home needs to keep to ensure the home is being properly run. During the course of the day the inspector looked around the home and spoke with staff and residents. Prior to the inspection the manager was sent an Annual Quality Assurance Assessment form (AQAA) to complete. This tells us what the manager thinks the home does well at, how it meets the required standards and in what areas they need to improve and develop. To gain further information about the home comment cards were sent to residents, relatives and staff. We received no returned comment cards from service users, only one from a relative and three from staff. The relative who returned a comment card indicated overall satisfaction of the care and services provided and said, “If I needed to make a complaint I would always ask, I think that staff do their best and the home is always friendly and nice and clean”. Staff were positive about the home and comments included the following: “Good staff team but could always do with more staff” “Pleasant surroundings”. “ Staff have worked at the home for a long time, we hardly ever use bank staff”. “Communication is good and good training is offered”. Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 6 There had been five complaints made to the manager of the home since January 2008, these were suitably recorded and the outcomes documented. What the service does well: What has improved since the last inspection? What they could do better: It was discussed at feedback that in one room there was a very strong odour of urine (staff are aware of the room number). This must be eradicated as it is unpleasant for the resident to live in and unpleasant for other residents who have rooms close by. The bathroom facing room 20 is out of action and requires attention. The link to the Belmont suite requires a new carpet as the existing one is stained and the paintwork requires attention. On Ascot the corridor carpet is stained and needs attention. The bathroom near room 10 has the seat on the hoist out of action and needs to be repaired or replaced. Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 7 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. Garswood House DS0000005734.V369994.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 Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,and 4 were assessed. Standard 6 does not apply, as Garswood House does not provide an intermediate care service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are properly assessed prior to admission so ensuring the home is able to meet any identified needs. EVIDENCE: The home has a statement of purpose and a service users guide; this is available for all prospective residents and to residents already living at the home. There is also the a CLS information guide that informs people about the CLS group and the services and facilities one can expect on moving into the home. All the information is clear and concise and was seen to be available in the foyer and in residents own rooms. The last CSCI report is also available for anyone to read if they wish. Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 10 We selected four resident’s files to work with throughout the inspection. We asked to see the contracts /statements of terms and conditions that corresponded with the residents files we were working with. All four residents had been provided with a written contract regardless of how their care was funded. On examination all files contained a pre admission assessment to ensure that the resident’s health, personal and social care needs could be met. The pre admission assessment format is a pre printed company assessment and the person assessing highlights the areas of care needs and assistance required such as well being, mobility, continence, bathing, foot care, oral care, diet and nutrition etc. There is extra space for the manager to include any further comments for example on one assessment it was made clear to all staff that this person is a private person and likes to spend time alone. The assessment provides staff with immediate reference to what care is needed and provides the base line for the drawing up of the care plan. The home has recently registered a 10-bedded household within part of the existing home offering care to residents with a dementia related illness. Residents have their own kitchen and lounge/dining area, single rooms and communal bathrooms and toilet facilities. Although access to this part of the home is secure, residents are not isolated from what goes on in the main part of the home and they often join in the activities and visit their friends. All staff that work in the home have undertaken training in caring for people with dementia and staff that work mainly in the household had completed more in depth training. The atmosphere in the household was relaxed and friendly, staff had a good understanding of the residents they were working with. Good relationships were evident between staff and residents and between residents themselves. Staff encourages residents to assist them with daily living tasks such as cutting up vegetables, buttering bread, setting tables and dusting. All the meals (except meat) are cooked on the unit by staff with the help of the residents. Staff spoken with said how much they enjoyed working in the household, that they found the training really interesting and relevant to their role. One relative was visiting at the time of the inspection as her mother was having a lie in the relative was seen helping wash up and chatting with other residents. The relative confirmed she was more than happy with the unit, the staff and the care her mother received. The care plans for residents living in the household are kept in their own rooms and a diary is written in after each shift, this is also kept in residents rooms for residents and relatives to read and add any comments if they wish. Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 11 Residents living in the household each have a small locked metal cupboard in their rooms in which their medication is stored. Records of medication are recorded and were up to date. Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and care needs were well met and care plans provide clear guidance to staff when delivering care. Residents were treated with dignity and respect and their right to privacy was upheld. EVIDENCE: We continued to work with the same care plans. The information in the care plans gave staff detailed information about the care each resident required. The care plans are written in a person centred way for example I like to do, I don’t like, my next of kin for you to contact is, my doctor’s name is. The way in which the care plans are written promotes people’s individuality and involves the residents as much as possible in developing the care plan. A social profile is also available that informs staff of the life experiences of residents, such as where they were born, school days, family members, Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 13 interests and hobbies and places they liked to visit, this helps staff to get to know the residents better and generate topics of conversation. The care plans are divided in to separate sections and includes: maintaining a safe environment, communication, breathing, eating and drinking, personal care, mobility, medication, sexuality, sleep patterns etc. Other information included individual risk assessments, for example risk of falls, moving and handling and risk of pressures wounds. There was evidence to show that outside agencies such as doctors, district nurses, optician and the chiropodist visit the home as and when required. Observation throughout the inspection showed that the personal care needs of the residents were being met. Attention to all residents was given to personal grooming, residents were seen be clean and their clothes nicely laundered. Staff were heard speaking with residents in a friendly, respectful manner and it was evident that good relationships had been formed. The senior care team leader gave out the medication, the lunchtime medication round was observed. The majority of the residents had their medication at the dining tables some residents who were in their rooms had their medication taken to them. Medication was given swiftly and efficiently with a choice of drink to help resident to take their tablets. The medication was then recorded on the individual’s drug sheet. Staff was reminded to record as necessary any prescribed creams used on residents as soon as they had been applied and not to leave it until later as the recording of the creams could get forgotten. We checked the medication for the residents whose care plans we were working with and no discrepancies were noted. Garswood House DS0000005734.V369994.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 and 15 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are offered a wide and varied range of activities, to meet their needs and expectations. Residents are provided with well – cooked food, which they like in good portions and times that suits them. EVIDENCE: The home has an activity coordinator who with the help of residents plans a range of activities and entertainment. Some of the activities have included: themed events such as an Indian day of culture and food testing, barge trips, trips to Rivington Barn and Smithills Coaching House for a lunch followed by afternoon entertainment, trips to the local club where residents can enjoy singing, dancing and a buffet. In house activities are planned such as bingo, dominies, arts and crafts etc. It was nice to hear that appropriate music was being played during the day that covered a wide range of music from different decades that residents were familiar with. Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 15 Residents with religious beliefs are encouraged and enabled to maintain links. Care plans contain details of resident’s preferred religion. The home has an open visiting policy. There are no restrictions on when people can visit, however it is much appreciated by staff if meal times are avoided to allow all residents to dine in peace with their friends. Residents who are able to comment expressed satisfaction with the care provided and organisation of life in the home. One resident spoken with said she went out of the home everyday on her own shopping. The menus were available for inspection and residents are offered a wellbalanced and nutritious diet. Breakfast comprises of a choice of cereal, cooked breakfast, toast and preserves, tea or coffee. A light lunch is served with a choice of leek and potato soup, selection of sandwiches (all individual plated up and covered ) or beans on toast, followed by summer pudding and cream or ice cream, yoghurts or fresh fruit. Water and juice are served with meals and tea or coffee to follow. The main meal of the day is served early evening and the main choice was pork and apple casserole with potatoes and seasonal vegetables (alternatives available) followed by a choice of dessert. The dining area is nicely laid out and tables were set with appropriate cutlery and crockery and napkins. Where possible a member of staff sits down with the residents at mealtime whilst another member of staff bring meals to the table. It was noted that there are jugs of juice and water around the home so residents can help themselves. Tea and coffee and snacks were served throughout the day. A choice of supper and drinks is available before residents retire for the night. The inspector sat at a table with residents when they had finished their lunch and had coffee with them, the resident had no complaints about the food served, the size of the portions and the choices available. Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives, can have confidence that residents will be protected from abuse and have their rights, including the right to complain, protected by effective staff training and procedures. EVIDENCE: A complaints procedure exists and records of complaints are kept properly recorded along with the outcome. The complaints file was available and there had been five complaints logged since January 2008, these had been appropriately resolved. No formal complaints have been received by the CSCI. There had been two safeguarding adult referrals made within the last year. All staff had undertaken training in the protection of vulnerable adults, this is covered on induction, NVQ training and is included in staffs mandatory training. An Adult Protection and Prevention of Abuse policy is in place for staff to refer to. Garswood House DS0000005734.V369994.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): 19,21,24 and 26 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Garswood House is generally well maintained making it a clean, homely and pleasant place for residents to live in. EVIDENCE: From a tour of the home it was evident a rolling programme of maintenance is on going. The outside area of the home is well maintained with raised flowerbeds and appropriate seating for residents to sit outside. Within the last twelve months the home has opened a new household within the existing build for people with a dementia related illness. There has been all new decoration of rooms, flooring, fittings and furniture and a new kitchen fitted. This had been carefully selected for this client group. Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 18 The home has several communal areas where residents can sit, these were seen to be clean and comfortable and well equipped. In the main dining area, one corner had been made into a coffee lounge with comfortable seating and a music centre for people to sit and relax and enjoy a cup of tea or coffee with other residents and relatives. There are link corridors with seating and several residents were seen sitting and chatting together, this overlooks the garden and residents can see what is going on outside. The Belmont corridor requires attention with regard to the chipped paintwork and the carpet is stained and needs to be replaced. The completed AQAA states this will be attended to within the next twelve months. The carpet on Ascot is also stained and should be replaced. There are two bathrooms, one on Ascot and one on Belmont that were out of action, these require prompt attention so that residents have the choice to use the bathroom in closest proximity to their rooms. The inspector looked at several bedrooms, these were seen to be clean and tidy and residents had personalised their rooms with their own belongings brought with them from home. It was discussed with staff that one room had a very offensive odour. Staff are aware of this and try daily to rectify this problem. The odour must be eradicated, as this must be unpleasant for the resident and any relatives that visit and other people whose rooms are in close proximity. Systems were in place to control the risk of cross infection. Staff were seen wearing different protective clothing when carrying out different tasks. At lunch time sandwiches had been individually plated and food wrapped so staff serving meals were not handling food. The laundry is sited away from food preparation and food storage areas and does not intrude on the residents. Garswood House DS0000005734.V369994.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 and 30 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are satisfactory ensuring consistency of care for people living in the home. The residents were cared for by staff that was safely recruited, suitably experienced and trained to meet the needs of the residents. EVIDENCE: The staff rotas were available for inspection and showed which staff was on duty and covering which shift. On the day of the inspection there were sufficient numbers of staff on duty. There is three staff on duty throughout the night. Domestic and kitchen staff are employed in sufficient number to cater for the needs of the residents and to support care staff. Several of the staff had worked at the home for a number of years, which helps provide good, reliable and consistent care for people living at the home. From the inspector’s observations staff morale appeared good and the staff team worked well together. Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 20 Staff training is ongoing and the training plan was available for inspection. All staff completes a full induction programme on commencement of work and staff had undertaken mandatory training with regular updates as required. Most of the staff working the home had achieved NVQ level 2 in care or above. All catering staff had undertaken training in safe food handling as had 50 of care staff. All staff had a personnel file and a training file. We looked at two staff files and these were found to be complete with a written application form, two written references, Criminal Records Bureau check, interview notes and other forms of identification. Garswood House DS0000005734.V369994.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 and 38 were assessed Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be sure their best interests will be the central focus, with a positive and inclusive approach to making the service better. Residents and staff can be sure that their health, safety and welfare will be promoted and protected by safe working practices and effective procedures. EVIDENCE: The manager of the home is currently on secondment to another post within CLS. The acting manager on the day of the inspection was on annual leave. The home was being well managed in their absence by the Homes Service Manager and the Senior Care Team Leader. Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 22 The way the home is run is open and transparent and residents were seen approaching staff and the office doors were open for residents to go in for a chat at any time. The office was well organised and the information the inspector required to complete the inspection was readily available. There is a good system of continuous self-monitoring in the home, which includes satisfaction questionnaires, internal auditing, staff and residents meetings and monthly visits from head office that complete a report on their findings. The home has the Investors In People Award and a five star rating from RDB who are an independent company (no connection to CSCI) who inspect the home and award a star rating and a financial enhancement according the their findings. Some of the residents have handed over small amounts of money for safe keeping to the manager. We checked the money of the resident’s files we had been working with and all monies balanced with the balance sheets kept. Equipment and systems used in the home are serviced and maintained, and records are well documented. Health and safety policies and practices were in place. The staff team have completed health and safety training. Accidents, injuries and incidents had been recorded and the CSCI are notified as required. The pre inspection information (AQAA) provided a list of maintenance and associated records. A number of these were checked during the inspection and certificates were up to date and valid. Safety notices are posted to alert staff to possible hazards. Those aimed at residents take in to account their communication needs. Garswood House DS0000005734.V369994.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 3 3 3 4 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 24 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. 1 Refer to Standard OP19 Good Practice Recommendations The corridor carpets on Belmont and Ascot were stained and in need of replacing. The paintwork is also chipped and in need of attention. (The AQAA states that Belmont is due for redecoration with in the next twelve months). The manager should notify in writing to CSCI details and dates of her return to Garswood House from secondment duties. 2 OP31 Garswood House DS0000005734.V369994.R01.S.doc Version 5.2 Page 25 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 Garswood House DS0000005734.V369994.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. 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