Care Home: Kimberley Court

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What the care home does well Accurate information is supplied to prospective residents to enable them to make choices about living at this home. Service users commented that they enjoy the food provided within the home and that there is a good choice of food available. Activities and interests of residents is promoted. The activities coordinator is working hard to provide a range of activities and interests for residents. Complaints procedures are widely publicised. The staff team were observed to be working well together in a relaxed atmosphere. What has improved since the last inspection? The Statement of Purpose and Service User guide has been reviewed and developed to ensure that residents are provided with detailed information regarding the care home. Pre-admission assessments are carried out with residents to determine their suitability and the homes capability to care for them. Improved documentation is in evidence.Residents care plans are now more informative and includes detailed information regarding care/health needs, social interests as well as other life long interests. Records of food provided are now evidenced and intake/fluid charts maintained where deemed necessary. Complaint logs are maintained concerning the operation of the care home to include the action taken by the registered person in respect of any such complaint. Staff training has improved particularly in areas of induction training and the protection of vulnerable adults. Staff vacancy levels has been cut from 80 hours per week to 28. The system for handling and safekeeping residents money has been changed to comply with requirements made. Supervision of staff is now undertaken in a more regular and professional manner. There has been a small improvement in the numbers of staff attaining an NVQ qualification. A phased redecoration and refurbishment of the home is under way. What the care home could do better: More staff need to attain NVQ level 2 in order to achieve the standard of at least 50%. The existing staff vacancy level of 28 hours needs to be rectified as soon as possible. CARE HOMES FOR OLDER PEOPLE Kimberley Court Kimberley Close Crantock Street Newquay Cornwall TR7 1JG Lead Inspector Mike Dennis Key Unannounced Inspection 3rd December 2007 10:00 03/12/07 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 Kimberley Court DS0000028266.V355262.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. Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kimberley Court Address Kimberley Close Crantock Street Newquay Cornwall TR7 1JG 01637 850316 01637 877297 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) sharon.blackwell@anchor.org Anchor Trust Rebecca Atkey Care Home 36 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (36) Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 6 adults aged under 65 with dementia (DE) Service users to include one named person under the age of 65 Total number of service users not to exceed a maximum of 36 Date of last inspection 16th July 2007 Brief Description of the Service: Kimberley Court is a thirty-six bedded home on two floors which is registered in the categories of Dementia over sixty five (DE (E)) 20 beds, Mental Disorder over sixty five (MD (E)) 20 beds and Old Age (OP). This care home is part of the Anchor Trust organisation, which is a not for profit organisation. The home is situated in a cul de sac in Newquay, within walking distance of the main street and harbour. It is a purpose built building offering individual flatlet style accommodation and level access throughout the building. There are well cared for gardens at the front and rear of the building. There are 2 passenger lifts. There is a car park at the front of the building. Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken on the 3rd. December 2007 by one inspector who arrived at 09.15 hours and left at 17.00 hours. We were assisted, during the inspection, by the manager, deputy manager and other staff from the home. Residents and care staff were spoken with during the inspection. Records and the premises were inspected. Observation and case tracking were used as part of the inspection process. The last inspection report cited 11 statutory requirements and 5 recommendations. All of these have been complied with, mostly to satisfaction. This indicates a desire from the new management team to attain higher standards of care at this home. Good progress has been achieved. What the service does well: What has improved since the last inspection? The Statement of Purpose and Service User guide has been reviewed and developed to ensure that residents are provided with detailed information regarding the care home. Pre-admission assessments are carried out with residents to determine their suitability and the homes capability to care for them. Improved documentation is in evidence. Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 6 Residents care plans are now more informative and includes detailed information regarding care/health needs, social interests as well as other life long interests. Records of food provided are now evidenced and intake/fluid charts maintained where deemed necessary. Complaint logs are maintained concerning the operation of the care home to include the action taken by the registered person in respect of any such complaint. Staff training has improved particularly in areas of induction training and the protection of vulnerable adults. Staff vacancy levels has been cut from 80 hours per week to 28. The system for handling and safekeeping residents money has been changed to comply with requirements made. Supervision of staff is now undertaken in a more regular and professional manner. There has been a small improvement in the numbers of staff attaining an NVQ qualification. A phased redecoration and refurbishment of the home is under way. 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. Kimberley Court DS0000028266.V355262.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 Kimberley Court DS0000028266.V355262.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, 2, 3, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are now provided with sufficient information to enable them to make an informed decision about the home prior to moving in. Care needs assessments have been completed in sufficient detail to demonstrate that the care home can meet the needs of the resident. EVIDENCE: The home provides information to prospective residents and their representatives within several documents; an Anchor organisational statement of purpose, a statement of purpose reflective of Kimberley Court and a service users guide. Copies of these documents are also held at the care home and were provided to us during the inspection. Copies are now permanently located in each bedroom. Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 9 The statement of purpose provided to us on the day of inspection has been reviewed and improved. It now contains detailed information for service users e.g. the address of the care home, the organisational structure of the home, the arrangements made for consultation with residents about the operation of the care home, the fire precautions and associate emergency procedures in the care home, the arrangements made for contact between residents and their relatives, friends and representatives, the complaints procedure, the size of the rooms in the home, details of any specific therapeutic techniques used in the care home and arrangements made for their supervision and the arrangements made for respecting the privacy and dignity of residents. All residents have a contract or Statement of Terms and Conditions. The service users guide provided to us on the day of inspection, now demonstrates that prospective residents have access to the most recent inspection report, a copy of the complaints procedure or service users’ views of the home. The recent inspection reports are displayed in the reception area of the home. Care needs assessments are undertaken for residents prior to them moving into the home to ensure that their care needs can be met. The organisation has introduced a new system for recording care planning and this incorporates the care needs assessment for individual residents. The transfer from the old system is now complete. Prospective residents and their representatives are given the opportunity to visit the home prior to admission. Kimberley Court does not provide intermediate care. Short periods of respite care can be arranged if there is an empty room available and following a care needs assessment. Kimberley Court DS0000028266.V355262.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, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans provide detailed guidance and information for staff to ensure that individual care needs of residents will be met. Evidence is available to demonstrate that service users have sufficient access to health care services. Medication procedures within the home protect service users. EVIDENCE: We case tracked the records of four service users. As previously mentioned the home has recently completed the transfer of all information to a new system of recording. Care plans inspected demonstrated that they now provide detailed information about the residents. There is evidence that theses plans of care are being reviewed at monthly intervals. Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 11 Recording regarding social, leisure, spiritual or psychological needs has improved. Daily records were not previously maintained, but are now and again improvement is noted in this area. Risk assessments have been completed. Continence assessments are undertaken by the Community Nurses. Service users are provided with access to their general practitioner and records maintained of these visits and the reason for and outcome of each visit. The new format for care planning is of a good standard. It is now important to maintain and progress the initial standards that have been set. Medication was observed to be administered safely from a medicines trolley. Photos of each person accompany their medication sheet. We were informed that original prescriptions are held for all medicines that are prescribed. A record is kept of all staff signatures. There are Policies and Procedures relating to the administration and storage of medicines. The Senior Carers have completed a two-day training course provided by the Pharmacist. Medication is dispensed from a monitored dosage system. Staff reported that this works well. Medication administration records were observed to be correctly completed. One service user self administers their medication and is provided with a suitable lockable facility Kimberley Court DS0000028266.V355262.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, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities in the home are provided by an activities coordinator and are much improved. Residents are being consulted with regard to menu choices and the food provided is to a good standard. EVIDENCE: The home has appointed an activities co-ordinator. During the inspection it was observed that activities were taking place within the communal areas. At 10am some residents were still partaking of breakfast. A group of about 10 residents were sitting with the activities coordinator who was reading aloud from the morning newspapers. Residents were involved in discussing the news items. The care plans have been improved and now demonstrate greater detail the individual residents preferences and choices in the leisure activities they may like to partake in. Various activities planned for the week ahead were displayed on notice boards. Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 13 The activities coordinator told us that she was achieving success by networking with organisations and venues in the area to broaden opportunities for the residents. During the inspection visitors were observed to visit the home and this was also reflected in the visitors book that is placed at the main entrance to the home. Residents are able to choose where they eat their meals, with some eating in their own rooms and some at small tables in the lounge area. The majority of residents were observed to take their main meal of the day in the dining area of the home. The dining room was observed to be spacious and pleasantly decorated with the tables attractively laid. Residents who sit at the tables are provided with visual examples of the meals to choose from or enabled to make their choice earlier in the day if they so choose. Pureed and liquidised meals are served in an attractive manner and the cook showed us how vegetables are served in moulded shapes to be pleasing to the eye. Staff were observed assisting residents individually with their meals in a discreet and sensitive manner, sitting alongside them and offering choices as necessary. A choice of cold drinks is available throughout the day in the dining area through juice dispensers. The menus are regularly changed and have recently been amended following one of the catering assistants completing a BTEC qualification entitled cater craft. The catering manager stated that residents are included in the development of menus through individual discussions and at residents meetings. A comments book is placed in the dining room where residents and / or their representatives or the staff include any comments made about the food provided. All residents spoken with during the inspection commented that they enjoyed the food provided. Kimberley Court DS0000028266.V355262.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, 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Much improved complaints and protection from abuse procedures have been introduced. EVIDENCE: The home has a complaints procedure within the policies and procedures file for staff to refer to. The statement of purpose and service users guide that was provided to us on the day of inspection identified the complaints procedure relating to Kimberley Court. Within the welcome pack provided to residents regarding Anchor Homes a complaints procedure with the organisations contact details is included. The manager was able to provide us with a complaints log. There has been one complaint since the last inspection. Information contained in the complaints log indicates that the matter was quickly resolved. The home has a policy and procedure regarding the protection of vulnerable adults. A further policy and procedure is included in the Induction training file. Further information is included within guidance from Anchor on their rights and responsibilities. Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 15 These policies have been updated to incorporate the Cornwall Adult Protection Procedures. Staff have been provided with training regarding the protection of vulnerable adults from an Anchor trainer. A further training session is planned for the 17th. January 2008. Six staff have attended the Department of Adult Social Care (DASC) external training. Managers are attending training this month (December). All staff will be required to complete BTEC POVA training. Residents spoken with confirmed that they are now aware of how and to whom they may complain. Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Considerable improvement is being made to the appearance and facilities of this home. Once completed the home should offer a good environment for residents. EVIDENCE: The home is located close to Newquay town centre and is situated in its own grounds, providing secure access for residents to the garden and car parking for twelve cars. A gardener / maintenance person is employed by the home and the gardens observed during the inspection were well maintained and attractive places to sit. Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 17 There are closed in areas of storage at the rear of the home for clinical and household waste. The entrance to the home and the communal areas are of a warm and welcoming appearance. All communal areas have undergone complete refurbishment as stated in the last report. The last report was critical in respect of the general appearance of some of the residents’ flatlets. The manager informed us that all flatlets will be redecorated and refurbished over a phased period of time. Work has already commenced and we observed during the tour of the premises that currently eight flatlets are being modernised by external contractors. Future plans involve the provision of a coffee lounge and sensory room. Various other areas have been repainted and new carpets laid. A guest flat is available on the ground floor for either relatives / friends visiting residents or Anchor employees from other parts of the country who wish to stay in the area. Residents bedrooms were observed to be clean and tidy and those people who spoke with us were satisfied with the level of domestic assistance they receive. All doors to individual accommodation are lockable and residents were observed using the keys to their rooms. The communal areas were odour free and domestic staff observed to be cleaning throughout the day. Bathrooms in the home provide assisted bathing facilities and some have showers in place as well as baths. The bathrooms in the main are large and clinical in appearance. A requirement at the last inspection was to box in hot water pipes in certain areas to prevent risk of burns. This work has been completed. The laundry of the home is on the lower ground floor with direct access outside and provision to dry clothes outside. There are two washing machines which are of industrial appearance, and have a sluicing facility. Two tumble driers are also available. Care staff send the soiled linen to the laundry in large shopping type bags. IF the linen is particularly soiled it is sealed and washed in disposable plastic bags. The clean linen is returned to residents in plastic baskets, the shopping style bags are also included in these baskets. Provision is made for hand washing and gloves and aprons are available in this area. Kimberley Court DS0000028266.V355262.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The number of staff who have completed their NVQ is insufficient, but progress is being made. Thorough recruitment programs are in place and being adhered to. EVIDENCE: The staff rota for the home was available for the day of inspection and three further weeks were provided for inspection. Currently the home has a number of care staff vacancies (28 hours per week). This represents an improvement from the last inspection when there was a shortfall of 80 hours per week. A number of new staff have been recruited some of whom are still awaiting clearance from their CRB checks prior to starting work. The manager has now formally been registered by the Commission for Social Care Inspection. An experienced Deputy Manager has also been appointed. In discussion with the manager and confirmed by various staff records we determined that there are now two qualified NVQ assessors in post and NVQ workshops have been commenced to assist the care staff with completion of their NVQ qualifications. There are 26 permanent care staff in post supported by five bank staff. Of these 9 members of staff have NVQ level 2 or equivalent, with eight members Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 19 of staff currently working towards obtaining this qualification. This represents approximately 34.6 of the staff holding NVQ qualifications which is still below the required 50 . The figure noted at the last inspection in July 2007 was 25.9 so an improvement of 8.7 has been achieved. Domestic and catering staff are employed in sufficient numbers to ensure that standards relating to food, meals and nutrition are fully met and that generally the home is clean and tidy. Staff files inspected demonstrated that a thorough recruitment process is undertaken prior to the appointment of staff including checks with the criminal records bureau and two references obtained. Interview records were observed. We looked at a number of staff files to include newly appointed staff. The induction training is a BTEC foundation award incorporating Skills for Care. Newly appointed staff have been involved in this training. Kimberley Court DS0000028266.V355262.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by a person who is fit and qualified to do so. Good progress has been made in a short time. It now remains to build and consolidate on this progress. EVIDENCE: The manager has now been in post for 7 months. She is now formally registered with the CSCI. The manager has many years experience in the management of care homes and as detailed in the service users guide and statement of purpose has completed the registered managers award and the NVQ level 4. The manager has attended training courses to ensure that she is up to date in her own practice and skills. Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 21 A deputy manager has also just been appointed and she also has many years experience at a senior level working in care homes. Service users and staff spoken with during the inspection, commented upon the changes in management within the home and all felt things had improved with the arrival of the new management team. The senior care staff have also undergone a period of change and further care staff are in the process of being inducted to the role of senior carers and care assistants. The home is being refurbished and the manager stated that the residents have been involved in the choice of furniture and decorating. The manager stated that a six weekly newsletter has been introduced to provide information to service users and encourage feedback to the staff. There is a policy and procedure relating to the safe handling of service user’s monies. Families can deposit personal monies for the use of the service users. The last report stated that these are paid into a pooled account in the bank, which was not interest bearing. Monies held in the home were held together. In line with the recommendations and requirements made, financial systems have changed. The pooled account is no longer in use. Monies held for individual residents are kept separate in wallets and locked in the safe. The overall amount was reconciled and seen to be within the limits specified by the homes’ insurance cover. Where ever possible residents should be encouraged to maintain their own private bank/savings accounts. Supervision records were inspected for a number of the care staff. Improvement is noted by way of the frequency and content of the recorded supervision sessions. Twelve staff attended a First Aid course on the 20th of August, and we were informed that there is always a first aider on duty. Accidents are appropriately recorded in an Accident book, following which the reports are filed in the residents file. Food hygiene training had been provided internally. We were informed that Anchor Trust provides training via their own training department. The manager stated that maintenance of the portable hoists and lifts have been undertaken. Evidence was presented to indicate that portable electrical equipment, and checks on the premises electrical circuits, fire fighting equipment, emergency call equipment, heating system and gas appliances have been undertaken this year. Since the last inspection management have worked hard to improve the service provided by this home and standards have risen. We discussed with Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 22 the manager, her perception of progress made and goals for the future. We are confident that further progress can be made to the benefit of all concerned. Kimberley Court DS0000028266.V355262.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 X 3 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 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 3 2 3 3 3 Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? None 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 2. Refer to Standard OP27 OP28 Good Practice Recommendations Continue the recruitment drive in order to fill current staff vacancies. It is recommended that staff at the home continue to achieve obtaining NVQ level 2 or equivalent. Kimberley Court DS0000028266.V355262.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Kimberley Court DS0000028266.V355262.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. 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