Care Home: Littleborough Home for the Elderly

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What the care home does well What has improved since the last inspection? Record keeping has improved a lot. The manager can now demonstrate more clearly to us the care provided at the home. Care plans are well ordered and easy to read. This makes it a lot easier for staff to keep up to date with residents` changing needs. Particular attention is paid to risk assessments which are reviewed and updated and the action needed to address the risks, are transferred to each person`s care plan. Attention is given to pressure sores, weight loss and infections. This ensures that each resident has a plan in place, which makes sure the risks are lessened and the right care given. New records are being used to check that residents with poor appetites are checked regularly and the staff take any action needed.Littleborough Home for the ElderlyDS0000071634.V377155.R01.S.docVersion 5.2 What the care home could do better: There is still a large amount of work outstanding in respect of making the home a pleasant and well maintained environment. The work includes decoration and some remedial work, replacement furniture and carpeting. The owner has become the new manager and having made an application needs to complete the registration process with the Care Quality Commission so that we can assess his suitability to manage the home. Key inspection report CARE HOMES FOR OLDER PEOPLE Littleborough Home for the Elderly Regent Street Littleborough OL15 8BH Lead Inspector Bernard Tracey Key Unannounced Inspection 13th August 2009 09:00 DS0000071634.V377155.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Littleborough Home for the Elderly Address Regent Street Littleborough OL15 8BH 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) 01706 370801 Littleborough Care Home Ltd Vacant Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home: 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. The maximum number of people who can be accommodated is: 26 19th August 2008 Date of last inspection Brief Description of the Service: Littleborough Home for the Elderly is a well established care home on the outskirts of Littleborough Lancashire, the ownership having changed in May 2008. The home is situated near to the village of Littleborough and is a purpose built care home. Level access is provided to the home. Accommodation is on two floors and a passenger lift is provided. There is a small patio area that is used by residents in fine weather. Parking for approximately six cars is provided to the front of the home. The home makes charges over and above the weekly care and accommodation fees that are listed after this section, for: chiropody, hairdressing and newspapers and magazines. Fees charged by the home provided in August 2009 are: £400. 46p per week, for personal care. The home does not provide Nursing Care. Littleborough Home for the Elderly DS0000071634.V377155.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 stars. This means the people who use this service experience Good quality outcomes. The last key Inspection was undertaken on the 13th August 2008. We (the Care Quality Commission) undertook a key inspection, which included an unannounced visit to the home on the 13th August 2009. The staff at the home did not know the visit was going to take place. Several weeks before the inspection, questionnaires were sent out to the residents and the staff working in the home. The questionnaires asked what people thought of the care and services provided by the home. The owner was also asked to fill in a questionnaire, called an Annual Quality Assurance Assessment (AQAA), telling us what they thought they did well, what they need to do better and what they have improved upon. Where appropriate, these comments have been included in the report. We spent four and a half hours at the home over one day. During this time, we looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A tour of the building was undertaken and time was spent looking at records regarding safety in the home. We also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. We spent time speaking to five residents, as well as speaking to three staff, and the Owner. We have received two anonymous complaints about the service since our last Inspection. We asked the owner to investigate the complaints under the home’s complaints procedure. Following his investigation it was concluded that the complaints were not substantiated Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 6 What the service does well: It was evident through interviews, general observations and discussions that staff had a good knowledge of the residents individual care needs and the level of support required. During our visit staff were observed spending a great deal of time with residents, either on an individual basis or within a group. Care was seen to be given in a discrete, sensitive manner and staff were patient and gentle in their approach. Feedback from residents was very good; comments regarding the service included “Staff look after me well” “I can do most things for myself – everyone is very kind and treats me well” Prior to admission the manager assesses residents health and social needs. Information collected is then used to form the basis for the plan of care. Assessment documentation seen had been completed to good standard and included key areas regarding the residents health and general well being. There is an experienced and enthusiastic team of staff who work well together and enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive good standards of care. What has improved since the last inspection? Record keeping has improved a lot. The manager can now demonstrate more clearly to us the care provided at the home. Care plans are well ordered and easy to read. This makes it a lot easier for staff to keep up to date with residents’ changing needs. Particular attention is paid to risk assessments which are reviewed and updated and the action needed to address the risks, are transferred to each person’s care plan. Attention is given to pressure sores, weight loss and infections. This ensures that each resident has a plan in place, which makes sure the risks are lessened and the right care given. New records are being used to check that residents with poor appetites are checked regularly and the staff take any action needed. Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 7 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Littleborough Home for the Elderly DS0000071634.V377155.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 Littleborough Home for the Elderly DS0000071634.V377155.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 does not apply) People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are only admitted to the home following a full assessment of their needs, this ensures the residents’ safety and interests are promoted. EVIDENCE: Admissions are made to the home after a full needs assessment has been undertaken. Care files contain relevant paperwork, including social work assessments and reports from health care professionals prior to a person choosing to stay at the home. The manager also carries out an assessment, which includes a visit to see the person in his or her own home or while in hospital. Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 10 In addition to the assessment a social history, which is a brief outline of the person and their background, is provided by members of the resident’s family along with information on the resident’s social, cultural, and spiritual needs. Each resident is provided with a statement of terms and conditions prior to moving to the home. This sets out in detail what is included in the fee, the role and responsibility of the provider, and the rights and obligations of the resident. These measures ensure that admissions to the home only take place if the service is confident staff has the skills and ability and qualifications to meet the assessed needs of the prospective resident. This results in successful placements. Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents’ health and personal care needs are being met and are addressed in detailed care plans. EVIDENCE: Individual records are kept for each resident and contain comprehensive information relating to all aspects of health, personal and social care needs of the residents. From this information an individual plan of care is drawn up with the involvement of the resident or their relative to ensure that the care needs are met. Significant progress as been made in relation to the care plan documentation and the recording how the needs of the residents are to be met. Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 12 Risk assessments were in place and covered such areas as moving and handling, nutrition, pressure sores, the use of bed rails and falls. Risk assessments and the care plans were evaluated as and when required but at least on a monthly basis. The residents were weighed in accordance with their nutritional risk assessment but at least on a monthly basis and the weight recorded on a chart kept in their care plan. The home works to an efficient Medication Policy supported by procedures and practice guidelines. Staff follow robust systems to make sure that medication records are fully completed, contain required entries and are signed by appropriate staff. Staff were observed delivering care in a sensitive and respectful manner: addressing residents by their preferred name; knocking on doors and enabling residents to maintain as much independence as possible. Some residents living in the home were able to comment about the service they received whilst living in the home. All residents spoken with had positive comments to say about the home’s staff. One resident said “Staff look after me well” “I can do most things for myself – everyone is very kind and treats me well” Examination of the care files identified that the residents had access to health care professionals, such as dentists, opticians, chiropodists Tissue Viability Nurse and district nurses. Equipment necessary for the prevention and treatment of pressure sores was readily available within the home. Continence aids were in use and the staff were aware of how to contact the continence nurse advisor for advice, if deemed necessary. Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities provide daily variation and interest for people living in the home. The dietary needs of the residents were well catered for with a balanced and varied selection of food being served. EVIDENCE: The resident’s involvement in social activities varies greatly according to their abilities and needs. Some of the residents spoken to preferred to stay in their own bedrooms and enjoyed reading, listening to music and watching the television. The home has a very pleasant friendly atmosphere. The activities person has given thought to arranging social activities to suit individual needs and preferences. Social needs are assessed in detail when a resident is admitted Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 14 and residents spoken with were pleased with the home’s varied programme of social events. Staff work hard to ensure social interests are stimulating and it was evident through discussion with a number of residents that they enjoy a full lifestyle. A discussion with the residents and care staff confirmed that the residents were able to receive visitors in private and that they were able to choose whom they see and do not see. Visitors can be seen in the privacy of the residents’ bedroom although many choose to sit in one of the communal areas. Residents are encouraged to bring personal possessions into the home. Many of their bedrooms were highly personalised with small pieces of their own furniture, pictures, photographs and ornaments etc. We did not dine with the residents but observed breakfast and lunch being served in the dining rooms. The meals served were of ample portion and looked appetising. The tables were nicely set with napkins, cruets and cold drinks. Staff discreetly assisted some residents to eat. There was always a choice of meal at lunchtime and evening. The menus were inspected and they looked varied and nutritious. Mid-morning and midafternoon drinks were served and milky drinks were provided at suppertime. A discussion with the residents showed that they were very happy with the choice and quality of the food provided. Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16&18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a clear complaints procedure and residents and their families know action will be taken to resolve their concerns. Staff have a good knowledge and understanding of Adult Protection issues which safeguards residents from abuse. EVIDENCE: The home has a complaints procedure, which was displayed on the notice board in the entrance area and included in the Service User Guide... Staffs interviewed were familiar with the procedure. Residents knew who to speak to if they had a complaint but said that matters were usually dealt with straight away so there was no need to complain. The complaint log was seen and complaints recorded. All of these complaints appeared to have been dealt with satisfactorily The Care Quality Commission has received 2 anonymous complaints about the home and these matters have been investigated by the Provider under their complaints policy. We received an appropriate response within a prompt timescale Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 16 The policy and procedure used by the home for the Protection of Vulnerable Adults (POVA) was the Rochdale Inter-agency procedure. A whistle-blowing procedure was also in place and staff interviewed showed their understanding of it. The manager knew and understood the reporting procedure, which she had appropriately used in the past. Some staff had received POVA training and dates have been confirmed for the remainder. The owner and two senior staff have attended the training provided by the Local Authority in relation to the Mental Capacity Act and the Deprivation of Liberty. The owner is aware of his responsibilities and confirmed that there had been no applications made in respect of the deprivation of liberty of any individual living at the home Questionnaires had been distributed to relatives and residents, collected and evaluated to help improve the service. Littleborough Home for the Elderly DS0000071634.V377155.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19&26 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The lack of refurbishment in the home means that residents do not live in pleasant, safe, comfortable and well-maintained surroundings. EVIDENCE: At our last visit the owner informed us that he had further planned environmental improvements, which confirmed the information that had been provided in the Annual Quality Assurance Assessment that had been completed by the home as part of the inspection. Renewal and maintenance plans included new furniture and decoration of the lounge/dining areas, upgrade to bathroom and toilet areas, serving area from kitchen to dining area to be installed, to improve service at mealtimes. At the time of our visit we found Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 18 that only limited progress had been made in regard to the refurbishment of the home a redecoration programme for the communal accommodation is underway and we were informed that the owner was committed to decorating the lounges corridors and bathrooms within a reasonable timescale. Carpets in the lounge dining room and corridors on the ground floor were in need of cleaning or replacement. A partial tour of the building was undertaken, two bathrooms, the communal areas and five bedrooms were viewed. The bathrooms were generally clean and tidy but sluicing equipment had no cover and waste bins were seen to have no lids. One shower room on the ground floor was being used for storage and therefore out of commission so that a resident wanting a shower would be unable to do so. Hot water temperatures are recorded each month to ensure the hot water is delivered to a safe temperature. Bedrooms viewed had individual items and were homely. A resident said, “I have everything I need, including some of my own furniture”. Bedrooms have door locks and storage space for valuable items. They also have a call system with a hand held buzzer to call for assistance when needed. The home is suitable to meet the needs of residents. Specialist equipment is provided including grab rails, a call bell system and assisted bathing and toilet facilities. The home is well laid out and accommodation is clearly signed so that residents can identify their own rooms. The laundry was sited away from the food preparation area and was seen to be clean and orderly. Sufficient and suitable equipment was provided and laundry was attended to efficiently. Littleborough Home for the Elderly DS0000071634.V377155.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is appropriately trained and experienced care staff employed so that residents feel supported and that their needs are understood and met. The home’s recruitment policy is generally robust to protect the residents. EVIDENCE: The staffing rotas for the month of July were viewed along with the current rotas. Sufficient numbers of staff were on duty at the time of the site visit to care for the residents. The home has a stable workforce and a number of staff has worked at there for many years. Staff were complimentary regarding the support they receive from the owner. Residents interviewed described the staff as “Caring”, “Helpful” “and “Polite, and all the members of staff support us and each other in a very caring way”. The home has a rolling programme for staff training and a training plan viewed evidenced courses attained in safe working practices including, fire prevention, Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 20 manual handling, infection control, first aid and health and safety, Dementia care and the Protection of Vulnerable Adults The majority of the staff will have attended abuse awareness training and other courses relevant to the older person when the summer training programme has been completed. The selection procedure includes obtaining two written references, a formal interview. All staff had enhanced CRB disclosure checks. Upon appointment staff are issued with a handbook, which includes job descriptions and terms and conditions. Appointments are subject to a six-month probationary period. Samples of staff files were examined and these contained all the relevant documentation and were clearly sectioned and well-organised. These are all good practices and ensure that a carefully selected and vetted staff team supports residents. Littleborough Home for the Elderly DS0000071634.V377155.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The owner provides guidance and support to staff, ensuring that the residents receive a consistently high standard of care, and ensures the home is run in the best interests of the residents. EVIDENCE: The owner has the experience and is competent to run the home. He has made an application to be registered as the manager with the care Quality Commission, following the resignation of the previous manager. Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 22 Care staff reported that they received good support from senior staff and had regular supervision to discuss their role and personal development. This leads to a stable and consistent service for people living in the home, which is particularly important. The Home operates to a recognised Care Quality Assurance and standards that includes physical aspects of running the Home as well as monitoring the delivery of service. There are some good quality initiatives that ensure residents’ views are instrumental in the running of the home. Residents and relatives regularly attend meetings and are provided with survey forms to establish what they think of the home. Comments made by relatives include: “It is so reassuring to walk away after a visit knowing that my relative is being cared for in a caring and professional way” “You and the carers have always shown sensitivity and respect towards my relative and accommodated her needs” Residents interviewed were satisfied with the overall management of the home and were pleased with the support offered by the owner and staff. The administrative systems within the home were found to be up-to-date, and the owner ensures the home is run in an efficient and effective manner. Residents manage their own money when appropriate. Where a resident needs support then a record of all money they give in and take out is kept and receipts are kept for purchases whenever possible. The home has effective systems in place to ensure the safety and up keep of the physical environment, such as cleaning rotas and maintenance records. Fire Records, annual gas and electrical checks, and servicing of hoists were all checked and these were all up-to-date. Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 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 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 Littleborough Home for the Elderly DS0000071634.V377155.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. 1. Standard OP31 Regulation 9 (1) (2) (a) (b) Requirement The home’s manager must complete the application to the Care Quality Commission to become registered. Timescale for action 30/10/09 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 current programme of refurbishment should be completed as soon as possible to improve the environment for the residents. Littleborough Home for the Elderly DS0000071634.V377155.R01.S.doc Version 5.2 Page 25 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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