Care Home: Manor House

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What the care home does well The service achieves good or excellent outcomes for its service users in all key areas covered by the National Minimum Standards. In particular, health and personal care, staffing, plus management and administration are all rated as being excellent. Typical comments received from service users, relatives and visitors to Manor House included: "I received enough information about this home before I moved in so I could decide it was the right place for me...Assessment for admission to the intermediate care unit is done `in-house` by the intermediate care team; it is a superb unit with intensive input from a multidisciplinary team including care staff, nurses, physiotherapists and doctors...I always receive the care and support I need and staff listen and act on what I say...the staff always make time for me and are very approachable...I have been impressed with the staff`s dedication and concern for people in their care...everybody`s been very good with me since I came in just over three months ago...the staff couldn`t be better...I`ve been able to talk to the manager about my problems and she has been very helpful; staff and management are very approachable and it helps to be able to share a burden...My sincere thanks to every member of staff. Your care and kindness has been wonderful. I have appreciated every day I have spent with you all. Thank you...I enjoy playing my CDs, videos, DVDs, LPs and television in my own room...I am happy with everything, the staff couldn`t be better and the food is always good...I go to the Day Centre here two days a week and really enjoy the things we do, like making cards, games and bingo." What has improved since the last inspection? New window frames and widows have been fitted in many parts of the building and there has been extensive internal redecoration, especially on the first floor. Further improvements in staff qualifications and multidisciplinary working in intermediate care have been made, and both are very good. What the care home could do better: There are no requirements made following this inspection, although there is one recommendation about a desirable change to the home`s system for the administration of medicines. The home is considering restarting regular meetings with service users and deploying an activities coordinator. It will also update its service user`s guide as necessary. CARE HOMES FOR OLDER PEOPLE Manor House Station Road Annfield Plain Co Durham DH9 7UZ Lead Inspector Mr Stephen Ellis Key Unannounced Inspection 31st August 2007 11:00 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 Manor House DS0000031192.V349059.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. Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor House Address Station Road Annfield Plain Co Durham DH9 7UZ 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) 01207 232 313 01207 282510 Jackie.hunter@durham.gov.uk www.durham.gov.uk Durham County Council Mrs Jacqueline Thompson Care Home 28 Category(ies) of Dementia - over 65 years of age (9), Learning registration, with number disability over 65 years of age (6), Old age, not of places falling within any other category (28), Physical disability (8) Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Physical Disability People with a physical disability over the age of 55 years may be accommodated, commensurate with the home’s Statement of Purpose. 2nd October 2006 Date of last inspection Brief Description of the Service: Manor House is registered to provide care (but not continuous nursing care) for up to 28 people. The home is divided into three units on two floors. One unit on the first floor (Morrison, 8 bedrooms) is an intermediate care facility, providing a service for people who need care for a short period, with the aim that with intensive support and physiotherapy they can return to their own homes. The other first floor unit (Eden, 9 bedrooms) provides care for older people with dementia and/or learning disability. The ground floor unit (Louisa, 7 bedrooms) provides for older people and/or older adults with learning or physical disabilities. It is possible for a couple to share a bedroom on each unit, because these rooms are particularly spacious. Each unit has lounge and dining facilities, plus kitchenette, toilets and bathrooms. The home was purpose-built and is part of a complex, which includes sheltered flats and a day centre. Manor House used to provide limited support and meals to people in the flats but earlier in 2007 the flats became a separate entity, although physically still part of the complex. Manor House is in the centre of the village of Annfield Plain, with shops, pubs, club and surgeries within easy reach. There are good bus services to the towns of Consett and Stanley nearby. The weekly residential charge is £432.32, although the actual amount people pay depends on their individual circumstances. This covers accommodation, personal care and all meals and beverages. The only additional costs are voluntary purchases such as newspapers, toiletries and hairdressing. People using the intermediate care service do not pay any charges. Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced fieldwork visit to Manor House took place over 5.5 hours as part of the statutory inspection of the service. Information received prior to the fieldwork visit was used in preparation and during the visit. The visit to the home included a tour of the building, a meal with service users, examination of some of the records that the home is required to keep, and interviews with service users, staff and visitors to the home. Comments were received during the visit and from a service user survey carried out before the visit. In total there were comments received from 9 service users, 2 relatives, one volunteer, 8 staff and 2 visiting health care professionals. The overall quality rating for this service following the fieldwork visit is judged to be ‘excellent’. What the service does well: What has improved since the last inspection? Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 6 New window frames and widows have been fitted in many parts of the building and there has been extensive internal redecoration, especially on the first floor. Further improvements in staff qualifications and multidisciplinary working in intermediate care have been made, and both are very good. 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. Manor House DS0000031192.V349059.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 Manor House DS0000031192.V349059.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 and 6. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. They have their needs assessed and a contract which tells them about the service they will receive. The intermediate care unit is helping to rehabilitate people very well. EVIDENCE: Comments received from residents, relatives and staff, plus visiting health care professionals, confirmed that full assessments of needs were carried out prior to admission to the home. They said there was enough information from which to make a choice about being admitted. Typical comments included: “I received enough information about this home before I moved in so I could decide it was the right place for me…Assessment for admission to the intermediate care unit is done ‘in-house’ by the intermediate care team; it is a superb unit with intensive input from a multi-disciplinary team including care staff, nurses, physiotherapists and doctors.” Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 9 Comprehensive service user guides and clear statements of terms and conditions of residence are supplied routinely. The home’s reception area is close to the manager’s office on the ground floor and a variety of useful information is displayed, including Policies and Procedures, details about the Representational Advocacy Service, Staff Survey Report 2005/06 and previous inspection reports. Service user plans of care revealed comprehensive, detailed assessments of need being carried out prior to admission, with regular evaluations and reviews of care needs and care plans at appropriate intervals following admission (for example, weekly reviews on the intermediate care unit). These assessments showed that the home only admitted people whose assessed needs it could meet. Since 2004, the home has developed an 8-bedded intermediate care unit (“Morrison”). This unit only admits people for short-term, intensive rehabilitation from hospital or the community, with the vast majority returning home. The people it admits undergo assessment prior to admission to ensure that the unit is appropriate for their needs. It is proving to be very successful, with for example, 92 admissions in the year ending April 2007, and an average length of stay of less than 6 weeks. Health and social care agencies work very closely with the home in the rehabilitation of the Morrison unit’s service users. Elsewhere within the home, there are 2 other units (“Louisa”, 7 bedrooms and “Eden”, 9 bedrooms) with a small number of those beds provided for respite care. The majority of beds are for long-term care. Manor House DS0000031192.V349059.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. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Residents and visiting health care professionals said that they believed the health and social care needs of service users were well known by staff and were being fully met. Advanced health care screening and holistic assessments are being carried out, with input from a variety of health and social care professionals including community matrons, speech therapists, community nurses and physiotherapists. Residents said that the community nurse or doctor would see them whenever required. Residents’ personal and social care needs were well known, understood and respected by the staff team. Residents and relatives said that they felt service users were treated with respect and sensitivity. Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 11 Typical comments included: “I always receive the care and support I need and staff listen and act on what I say…the staff always make time for me and are very approachable…I have been impressed with the staff’s dedication and concern for people in their care…everybody’s been very good with me since I came in just over three months ago…the staff couldn’t be better…I’ve been able to talk to the manager about my problems and she has been very helpful; staff and management are very approachable and it helps to be able to share a burden.” Care plans were detailed and comprehensive about service users’ health and social care needs, providing clear guidance to staff. They were subject to regular review, in keeping with National Minimum Standards. Staff training, such as National Vocational Qualifications (NVQ) level 2 or above, has included the important issues of privacy and dignity and a high percentage of permanent care staff (70 ) have achieved NVQ in care. There are good arrangements for the safe administration of medicines. Most care staff members, including residential supervisors and manager, have completed Safe Handling of Medicines courses. There is good support from a local Pharmacist who supplies most of the medication in Monitored Dosage form (in blister packs with the medication clearly identified for the individual resident). There are good storage systems and care staff check all medication when it is received into the home. The home requires medication to be administered only from the container(s) into which the pharmacist dispensed it originally. Medication is kept securely in lockable cabinets and trolleys. Residents may attend to their own medication (there are, for example, lockable drawers in bedrooms) but in practice most prefer to delegate this responsibility to staff. Unwanted medicines are returned promptly to the Pharmacist and the home is careful not to stockpile large quantities. Care staff carry out medicine audits routinely. Although current arrangements are safe, it is desirable to have a photograph of the service user next to their Medicine Administration Record, along with their name, date of birth and room number, to aid identification (photographs of service users are present in their case files). Manor House DS0000031192.V349059.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 good. This judgement has been made using available evidence including a visit to this service. Residents are able to choose their lifestyle, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet residents’ expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: Many residents said they enjoyed living at Manor House and described the staff as being caring and helpful. They liked the atmosphere in the home, describing it as being friendly, supportive and caring. They liked the small groups in the various units. They were free to sit in any lounge, in their own bedroom, or in the reception area. All were satisfied with the arrangements for daily life in the home. A volunteer provides a well-stocked tuck-shop 3 days per week in the reception area, with the proceeds going towards the residents’ amenities fund. Residents confirmed they could exercise choice in their daily lives. For example, they could decide what clothes they wore and how they spent their time, including when they got up and went to bed. Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 13 They said there were different events and activities that they could take part in if they wished, including visiting entertainers (about once every 2 months) board games, crafts, videos and DVDs, reminiscence and outings. There is also a visiting hairdresser plus hairdressing salon and Day Centre on site that some residents attend, as well as people from the wider community who do not live at Manor House. Typical comments from service users included: ”My sincere thanks to every member of staff. Your care and kindness has been wonderful. I have appreciated every day I have spent with you all. Thank you…I enjoy playing my CDs, videos, DVDs, LPs and television in my own room…I am happy with everything, the staff couldn’t be better and the food is always good…I go to the Day Centre here two days a week and really enjoy the things we do, like making cards, games and bingo.” Residents used to have meetings with staff every 2 months, at which matters of interest and suggestions were discussed. These stopped recently due a decline in popularity, but the manager would like them to resume and will be consulting with residents about this soon. Residents confirmed that they can pursue individual interests such as reading books, television, gardening or knitting and their religious needs were being addressed (for example, small services are held, including holy communion). Residents said that visitors were always made welcome and there were no set visiting times. Some residents went out with relatives or friends for part of the day. All the residents spoken to said the catering was very good. They felt there was a good choice and the Cook understood their preferences. Residents mainly dined together on each unit. They could, however, eat their meals elsewhere (such as their bedrooms) and at different times if required. Décor and furnishing in dining areas was attractive, creating a relaxed and welcoming environment. Staff members were observed to assist residents with their meals wherever necessary. Records are kept of meals served. A choice of menu is provided. Birthdays were celebrated with a cake and sometimes a special tea if it was a ‘special’ birthday. Manor House DS0000031192.V349059.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. Residents have access to a robust, effective complaints procedure and are protected from abuse. EVIDENCE: All residents said that they were confident about approaching staff and management about any concerns or complaints they might have. They described the staff and management as being very approachable, helpful and friendly. A written complaints procedure is provided in the statement of purpose and service user’s guide. Staff and management are aware of the need to safeguard adults from abuse or neglect and have undergone training in these issues. Staff confirmed they are aware of the home’s ‘whistle blowing’ policy and confident to speak out about any suspected abuse or neglect. All staff members have had enhanced Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks carried out as required by law. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to ensure that unsuitable people are not employed to care for vulnerable adults. Staff confirmed that new staff members go through induction and foundation training so that they have the right knowledge and skills to do their jobs competently. Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 15 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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: There were no unpleasant odours and the home was found to be clean in all the areas inspected. Most staff members have completed training in health and safety, fire safety, food hygiene and infection control. Bathrooms and toilets were supplied with liquid soap and paper towels in wall mounted containers, to help prevent cross infection. All residents have their own personal towels and flannels, which they keep in their rooms. Residents said they were pleased with the premises, finding them comfortable and homely as well as practical. They also described the home as being clean. Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 16 The home is well maintained with repairs and servicing being carried out promptly and according to schedule. Of special note is the extensive replacement of windows and window frames, plus redecoration of first floor accommodation, that has been carried out within the past 12 months. Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 17 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 excellent. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. EVIDENCE: On the day of the fieldwork visit, there were 18 residents being accommodated, including 5 on the intermediate care unit (8 bedrooms), 6 on the Louisa unit (7 bedrooms) and 7 on the Eden unit (9 bedrooms), one of whom was in hospital. During the day (7 am to 10 pm), there are 6 care staff members on duty (2 on each unit), plus one residential supervisor. At night, there are 2 members of care staff on duty. Catering and domestic hours are sufficient for the needs of the service and there is a dedicated administrator (25 hours). The full time registered manager works weekdays. Her hours are not included in the care hours available. There are good staff handover periods between shifts, to allow briefings to be given to staff coming on duty. A full staff training and development programme is in operation, including moving and handling, first aid, safe handling of medicines, safeguarding adults, fire awareness, health and safety, infection control, food safety, plus National Vocational Qualifications. Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 18 Staff confirmed that they had undergone extensive induction and foundation training. 70 of permanent care staff had achieved National Vocational Qualifications (NVQ) at level 2 or above, which is commendable. Two residential supervisors have enrolled for NVQ 3 in supervisory management. Thorough pre-employment checks are carried out on all staff, including enhanced checks with the Criminal Record Bureau (CRB) and Protection of Vulnerable Adult (POVA) register, as evidenced in personnel files. Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 19 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, 32, 33, 35, 36 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: The registered manager is well experienced and competent in her role. Residents, relatives and staff spoke well of her leadership skills and commitment to good outcomes for residents. She was described as being approachable and caring. She has completed her Registered Manager’s Award at National Vocational Qualification (NVQ) level 4. Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 20 Staff confirmed that they are regularly supervised (bimonthly) and have an annual appraisal. Two visiting health care professionals spoke very highly of the quality of Manor House, especially the good management and joint working with the Intermediate Care project. Good accounting procedures are followed, with receipts and signatures being obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives look after the personal monies of some residents. In those situations where the home helps look after residents’ monies, such as pocket monies, clear individual accounts and records are maintained. These are subject to regular, independent audit. An independent adult protection team is involved in overseeing the financial affairs of a small number of residents. Comments received from staff and management confirmed that there are good health and safety policies and practices that promote the health, safety and welfare of residents and staff. The manager takes a lead role in Health and Safety Risk Assessments. All staff members do refresher training in Health and Safety, such as moving and handling, fire safety and food hygiene. This helps reinforce the registered provider’s written policies on Health and Safety. Health and Safety issues are also discussed at bi-monthly staff meetings. Residents and staff expressed satisfaction with the way the home was run and the good standards that were evident in many instances. They enjoyed living and working at Manor House and believed the home was safe and run in the best interests of residents. For example, there are regular surveys of residents’ satisfaction carried out, plus consultation meetings, and the findings are reported within the home. Books are kept on each unit inviting comments, compliments and complaints, and service users and relatives have commented on a variety of issues in this way. The home has the Investor in People (IIP) award plus Charter Mark award, which are both important indicators of quality assurance within the service. Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 21 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 4 X x 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 4 3 X 4 Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations Although current arrangements are safe, it is desirable to have a photograph of the service user next to their Medicine Administration Record, along with their name, date of birth and room number, to aid identification (photographs of service users are present in their case files). Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Manor House DS0000031192.V349059.R01.S.doc Version 5.2 Page 24 - 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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