Care Home: Gorselands

What the care home does well Relatives had completed the surveys we received from people living in the home, as they were unable to express an opinion in writing. The comments were all very complimentary about the care provided at Gorselands. People were very happy with the way staff were kind and considerate, one relative stated `when we visit it is always calm, I don`t think we could have found a better place. I feel very lucky that mum is in such a nice place she is very well cared for. All the staff are very approachable and always willing to listen and act.` Whilst another survey stated `there is a wonderful team of carers at Gorselands. The change in mum since going to Gorselands is remarkable the care and attention plus companionship have made a world of difference to her.`Staff also indicated by their surveys that they understood the diverse needs of the people living at Gorselands and the importance of providing an individualised programme of care based on a persons personal preferences and life experiences. Whilst we were at the home we observed staff providing activities that kept people occupied all day. People could chose whether to take part or walk in the garden or retire to their own room. Surveys also stated that there were plenty of activities for people to take part in. The manager also confirmed that they encourage people to continue with hobbies when they move into the home. One resident continues to go swimming and dancing on a weekly basis, whilst others can go for regular walks or wander freely in the garden. Gorselands is well maintained and designed to meet the specific needs of the people living there. The garden was designed and laid out to enable all the people living in the home free access to outside areas. What has improved since the last inspection? Care plans have been revised to include a Mental Capacity statement if necessary, and also show goals for staff to work towards and expected outcomes for the person living in the home. Major renovation and refurbishment has meant that all rooms are now ensuite. Due to two people being employed solely to provide activities residents take part in an activity programme that is suitable to their personal needs. CARE HOMES FOR OLDER PEOPLE Gorselands Gorselands 45 The Avenue Clevedon North Somerset BS21 7DZ Lead Inspector Juanita Glass Key Unannounced Inspection 8th September 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 Gorselands DS0000008097.V369367.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. Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gorselands Address Gorselands 45 The Avenue Clevedon North Somerset BS21 7DZ 01275 872315 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) laspiller@aol.com Mr Lawson Anthony Spiller Mrs Lesley Karen Spiller To be agreed Care Home 30 Category(ies) of Dementia (30), Dementia - over 65 years of age registration, with number (30) of places Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 30 persons aged 60 years and over suffering with Dementia. 27th September 2006 Date of last inspection Brief Description of the Service: Gorselands is registered to provide accommodation and personal care only for up to 30 older people who are suffering from Alzheimer’s and other types of dementia. As well as long-term care they can provide respite and day care. Gorselands does not provide nursing intervention but they do have input and advise from the local community nursing team. The property is set in a residential area of Clevedon near to the coast. The home provides accommodation over three floors with access to all floors for people with a mobility problem by a passenger lift. There are three large lounge/dining areas on the ground floor and all rooms are single en-suite. Gorselands is set in attractively maintained and sheltered gardens, which are accessible for all residents and provides a secure setting where they can relax or wander in warmer weather. Current fees start from £595 per week and are dependent on assessed needs. Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use the service experience excellent quality outcomes. This inspection took place over one day and a total of six hours were spent in the home. To gather enough evidence to support our judgments for this inspection, we The Commission asked the service provider to complete an Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gives us some numerical information about the service, and how they intend to maintain or improve outcomes for people using their service. We also looked at surveys returned to us by people living in the home and people with an interest such as relatives, social workers and GPs. We received 9 surveys, 5 from people living in the home and 4 from staff working there. Once we had received this information we carried out a visit to the home and spoke to people living there, staff and relatives. Whilst in the home we also looked at documents maintained for the day-to-day running of the service. These included care plans, staff recruitment, training and supervision. Also records relevant to the administration of medication, service records and health and safety. What the service does well: Relatives had completed the surveys we received from people living in the home, as they were unable to express an opinion in writing. The comments were all very complimentary about the care provided at Gorselands. People were very happy with the way staff were kind and considerate, one relative stated ‘when we visit it is always calm, I don’t think we could have found a better place. I feel very lucky that mum is in such a nice place she is very well cared for. All the staff are very approachable and always willing to listen and act.’ Whilst another survey stated ‘there is a wonderful team of carers at Gorselands. The change in mum since going to Gorselands is remarkable the care and attention plus companionship have made a world of difference to her.’ Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 6 Staff also indicated by their surveys that they understood the diverse needs of the people living at Gorselands and the importance of providing an individualised programme of care based on a persons personal preferences and life experiences. Whilst we were at the home we observed staff providing activities that kept people occupied all day. People could chose whether to take part or walk in the garden or retire to their own room. Surveys also stated that there were plenty of activities for people to take part in. The manager also confirmed that they encourage people to continue with hobbies when they move into the home. One resident continues to go swimming and dancing on a weekly basis, whilst others can go for regular walks or wander freely in the garden. Gorselands is well maintained and designed to meet the specific needs of the people living there. The garden was designed and laid out to enable all the people living in the home free access to outside areas. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. 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. Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 7 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 Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, and 5. 6 Does not apply Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents benefit from adequate written information, a chance to visit the home and a full assessment of their needs. This means they can make an informed decision before moving in and their needs are fully met. EVIDENCE: We the Commission looked at a copy of the homes Statement of Purpose and Service user guide. This was readily available in the home and provided immediately. We saw that it was well written and contained all the information a person would need to tell them about what care the home can and cannot provide. It also states clearly the fees and what they pay for with a list of extra charges clearly mentioned. The service user guide states that the home can assist people to attend their church or arrange for a minister to visit. It also states they can meet the religious or cultural needs of people with other beliefs or cultural backgrounds. Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 9 We spoke to the manager about how they would assess a person who wished to move into the home. When an enquiry is made a suitably experienced member of staff would visit the person either at their home or in hospital. They would talk to them, a relative or advocate and staff at the hospital or a social worker. They would also look at existing care plans for the person. We then looked at the records held in the home for people who had not lived there very long. They all had completed assessments and community or hospital care plans. We spoke to the people living in the home, but they did not mention how the experience of moving into Gorselands had been for them. People wanting to move into Gorselands can visit and spend some time there to meet other residents and the staff who will be looking after them. This is often done by a relative or advocate on their behalf. Often a prospective resident visits regularly for day care or spends a respite visit before moving in for long term care. If the manager and staff feel they can meet the needs of the person they will offer a trial period when both the person moving in and staff can decide whether the home is really the best placement for them. One survey stated that when they visited the home on their mothers’ behalf it was a pleasant calm environment. Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from personal and specialist healthcare support that is provided in a person centred way respecting their privacy and dignity. They benefit from and are protected by the homes policies and procedures for the administration of medication supported by regular audits and training. EVIDENCE: Since the last inspection the person centred approach to recording the care provided has been reviewed. Care records looked at contained more detail about peoples personal wishes, likes and dislikes. The records had been designed so that a clear statement on a person’s capacity to make decisions could be added if thought necessary. Staff said that the care plans were full of helpful information and that the new Key worker system appeared to be working well with staff taking responsibility for personal hygiene issues such as regular oral hygiene after meals. Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 11 We looked at the care plans for four people they all showed that the staff at Goreslands understand the way to record the personal way a resident likes to be cared for. All the care plans seen reflected this approach with clear guidelines for staff. They had been had written in a way that reflected the person’s personal preferences and the way they wished to be cared for. Staff spoken to said they knew each individual, their preferences and when they preferred to be helped or left alone. We observed staff chatting and laughing with residents in an easy and relaxed way. People we spoke to said they felt staff knew what they wanted and looked after them well. One person said they were very happy living in Gorselands, another person said ‘It’s hard for a place like this not to become institutional but they have succeeded and made it our home.’ Two ladies commented on the fact that the staff were always cheerful and that they never had to ask twice for anything to be done. All the care plans included appropriate risk assessments and showed signs of regular review, which reflected the changes people experienced in their lives. People living in the home have access to health care specialists and care plans showed that the district nurse could be consulted when the home felt they needed some expert advise. Residents were helped to attend out patient appointments, the dentist and the chiropodist. Regular reviews are carried out with the GP looking at specific health needs and medication. The home has very clear policies and procedures for the receipt storage and administration of medication and staff receive training before they can give medication to people. We looked at the records kept by the home for medication. We found that they were up to date and showed clearly when staff had given medication to people. We watched the staff giving out medication and they followed all the correct procedures. We also carried out an audit and there were no errors, medication was stored appropriately and the manager was carrying out regular checks. Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from the development of meaningful activities which recognises their diverse needs, likes and dislikes enabling them to maintain some control over their lifestyle. They benefit from continued contact with family, friends and the community. A well-balanced menu means people benefit from a healthy and nutritional diet. EVIDENCE: Since the last inspection the owners have employed two people to provide a full activities programme. During our visit to the home we were impressed with the general ‘buzz’ of activity. People were singing songs dancing and generally ‘having a good time’ as one resident said. We also observed people doing jigsaw puzzles reading books and drawing. We spoke to one person who was alone in their room. They said they preferred to read their newspaper in the morning then join in the activities in the afternoon, or go for a walk with one of the ‘girls.’ Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 13 We spoke to the activities organiser and they had lots of ideas, which they had managed to get from residents. The activities organiser said she spoke to all the residents once a week about their likes and dislikes, what things they would like to do and whether they were happy in the home. She records the comments they make then ensures their suggestions are followed up. When one person expressed the wish to continue with their interests when moving into the home the manager made sure that there was enough staff so they could continue to follow their hobbies, the person goes to the local swimming pool and a tea dance every week. Their relative was very happy that the home could help them to continue doing something they had enjoyed for most of their life. Other residents have now started swimming as well. One resident had always walked a dog every morning so a member of staff would bring their dog in so that they could continue doing something they enjoyed. Staff are available to take people for walks and regular trips out are arranged. The open door policy of the home enables people to choose what they do through the day. The gardens are secure well laid out and level so people can walk in them at leisure. One person said they loved being out doors, ‘as soon as the sun shines I sit out here as long as I can it’s lovely to be able to just come and go and not have to ask.’ People spoken to confirmed that their relatives and friends are made welcome in the home. During the inspection relatives were seen to come and go throughout the day. The manager actively encourages relatives to continue to be involved in care issues and activities. The manager said that relatives had said how nice it was to receive cards made by their relative in a craft session. We looked at the record of food provided in the home. They showed that a three-week rotating menu is followed with a variety of meals, which included fresh fruit and vegetables daily. The cook said that they were really conscious of providing the 5 a day portions of fruit and vegetables to promote healthy eating. People spoken to said they always had excellent meals well prepared and well presented, with home made cakes at tea time being commented on by more than one person. One survey said ‘plentiful supply of good quality food.’ Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from and are protected by the complaints and safeguarding procedures in the home. Staff are fully aware of the procedures to follow to protect people from abuse. EVIDENCE: Gorselands has a very clear complaints policy and procedure, which is easy to read. It shows a clear timeline and action to be taken if some one wishes to raise a concern or complaint. A copy is clearly displayed in the hall. The Service user Guide clearly directs people to the CSCI. People we spoke to said they knew who to approach and felt they could talk about anything with the manager if they wished. The activities organiser also records any concerns that people may want to raise in her weekly meetings with residents. The manager keeps a full record of all concerns, complaints and compliments they receive. We saw a copy of the North Somerset policy and procedure for Safeguarding Adults under No Secrets, which is available for all staff to read. Staff spoken to said they knew who to inform if they suspected abuse and they all knew about the homes whistle-blowing policy. Staff records showed that they had all received appropriate training in Safeguarding Adults. Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 15 The owners have dealt with one safeguarding issue in the home since the last inspection. They followed the correct procedures which ensured people living in the home where protected from possible harm. Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from a comfortable, well-equipped and homely environment, which is well maintained and decorated with access to well maintained, secure and level gardens. People are protected by staff awareness of appropriate infection control guidelines. EVIDENCE: We carried out a tour of the home; we looked in people’s rooms with their consent. The home is well furnished in such a way that people living there can sit in one of three lounges as well as their own rooms. The furnishings and lighting are domestic in style whilst providing adequate light to read by. The furniture and fittings are of good standard and communal areas are pleasantly Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 17 decorated. There is access to all areas of the home for people with a mobility problem through the provision of a passenger lift. People spoken to said that they liked their rooms and had bought in their own furniture and possessions which made them feel more at home. We sat talking to a resident in their room, it was comfortably furnished and brightly lit, they said they really liked the room and the best thing about it was the view across the channel to Wales. They also said that the member of staff that did the cleaning was very thorough and everything was dust free and clean. People living in the home also have access to outside areas. As previously stated the home has an open door policy where residents can come and go as they wish within a secure level and well maintained garden, which has areas to sit and raised flower beds. The home shows a good standard of housekeeping and no offensive odours were apparent. The manager and staff showed a clear awareness of infection control policy and guidelines. Protective clothing was being used when appropriate and the manager can obtain guidance from outside agencies if required. Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from and are protected by the staffing levels and skill mix of staff in the home. The homes recruitment procedures and staff training further protect them from the possibility of abuse. EVIDENCE: We looked at the personnel files held by the home for some of their staff. We looked at the employment records for two recently employed members of staff. We also looked at the staffing rota and the training records for people working in the home. The staffing rota showed that there is always enough staff in the home with the right skill mix to support the diverse needs of the people living there. They also showed that staffing is flexible so extra staff could be bought in to cover extra busy times such as activities or trips out. People spoken to said there were always enough staff in the home one survey said ‘there is always plenty of staff available’ whilst another commented on how calm the home was when they visited. The manager confirmed that staff are encouraged to attend the NVQ In Health and Social Care training. This has resulted in the home having 70 plus of Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 19 their staff qualified in an NVQ 2 or 3 with other staff working towards the qualification. Staff surveys indicated that they were well supported with training. Staff personnel records showed that all mandatory training had been attended and dates for further updates were advertised in the office. Staff had also attended training that was considered relevant to their role in the home and the diverse needs of people living there. Staff said they felt well supported by the manager in attending any training they were interested in. Gorselands has strict policies and procedures for the recruitment of new staff. The personnel files for two people who had recently been employed showed that the manager follows these guidelines as all the relevant checks such as references and a CRB (Criminal Bureau Records) check had been completed before the person started work. This protects people living in the home from possible harm or abuse. Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from living in a well run home with an appropriately qualified manager and supervised staff. They are protected from financial abuse through safe and stringent policies for managing resident’s money. Both people working and living in the home are protected by robust health and safety procedures. EVIDENCE: Since the last inspection the registered manager has left. The acting manager has long-term experience of caring for the elderly in a residential setting she is in the process of applying for registration with the Commission and has enrolled on the Registered Managers Award. The acting manager is also Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 21 supported by the owners who have a lifetimes experience in providing residential care and previously managed Gorselands themselves. Staff said they could talk to both the manager and the owners openly and freely. Residents were observed to have a very relaxed and friendly rapport often going into the office for a chat. As previously stated the activities organiser has a residents meeting once a week when their opinions are sort. An annual survey of residents and relatives’ views is also carried out. The Annual Quality Assurance Assessment (AQAA) returned to the CSCI was clear about the homes continued commitment to maintaining improvement and providing an environment that recognises the diverse needs of the people in their care. The manager confirmed that the home currently does not directly handle residents’ financial affairs. Staff personnel files showed that regular supervision is planned and carried out. Staff discuss with the manager their progress with training and their working practices. Any training and development needs are identified and plans put in place. Staff surveys indicated that they felt well supported and received adequate supervision. We looked at records relating to the servicing of equipment used in the home. All the records were up to date and available for inspection, these included the COSHH records, which are the guidelines for staff to follow if they spill, drink or are splashed by chemicals used in the home. The implementation of health and safety within the home was satisfactory. All residents have personal risk assessments. Generic risk assessments are in place and reviewed regularly including hot water checks. A review of the firelog showed all tests, training and drills were being carried out to the Avon and Somerset Fire Brigade guidelines. Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X 4 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 X 3 X 3 Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Gorselands DS0000008097.V369367.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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. 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