Latest Inspection
This is the latest available inspection report for this service, carried out on 23rd November 2007. CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Newlyn Court.
What the care home does well Newlyn Court has a committed staff group who communicate effectively with people and show kindness in their approaches. Staff have a good understanding of the individual needs of people living at the home. People visiting the home provided very positive comments about how people are looked after at the home. Comments included `..the home is excellent", "Staff pay attention to family views", "the staff are very good at communicating with the family".The `AQAA` self-assessment completed by the management team and sent to CSCI was detailed and acknowledged the strengths, weaknesses and plans for improvement. The AQAA also provides evidence that the management team have a well-developed awareness and understanding of equality and diversity and aim to provide a service that responds to individual needs. Newlyn Court has a well-constructed leisure and entertainment programme, which is enthusiastically co-ordinated to provide activities specifically aimed at meeting the needs of individuals with dementia related difficulties. The home was found very clean and tidy throughout this unannounced inspection. The service has recently been awarded a 4 star rating for very high standards of compliance with food safety legislation following a visit from Environmental Health Department. What has improved since the last inspection? The home is in the process of achieving a target of having at least 50% of staff with NVQ level 2 in care or equivalent. An ongoing programme of re-decoration and refurbishment of the home has resulted in significant improvements with the environment, such as replacement of carpets, furniture and redecoration of many bedrooms. Since the last inspection the home has greatly improved the outside spaces and now provides an excellent rear garden, which has raised flower beds thus enabling people to touch and smell flowers. A Gazebo has also been built and the garden made secure through additional fencing. What the care home could do better: CARE HOMES FOR OLDER PEOPLE
Newlyn Court Merstone Close Bilston Wolverhampton West Midlands WV14 0LR Lead Inspector
Rosalind Dennis Key Unannounced Inspection 23rd November 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Newlyn Court DS0000017189.V351200.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. Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Newlyn Court Address Merstone Close Bilston Wolverhampton West Midlands WV14 0LR 01902 408111 01902 408333 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) Newlyn Court Limited Miss Angela Bentley Care Home 72 Category(ies) of Dementia (72), Mental disorder, excluding registration, with number learning disability or dementia (72) of places Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. From age 55 years No number division between categories Date of last inspection 15th February 2007 Brief Description of the Service: Newlyn Court is a privately owned, purpose built Care Home registered to provide personal and nursing care for a maximum of 72 persons experiencing dementia or mental health problems. The Registered Manager is Angela Bentley. Accommodation is provided over two floors, accessed by a passenger lift, and comprises mostly single bedrooms, with en-suite facilities, plus a number of shared bedrooms. Communal facilities comprise six lounge areas, three dining rooms, a hairdressing salon, and a sensory therapy room. There are two secure garden areas one at the front of the home and one at the rear, which is well-designed and includes raised flower beds, seating and a large ‘gazebo’. Newlyn Court is situated near to Bilston town centre, on a public transport route and shops and local services are nearby. People can obtain information about this service from the home’s Statement of Purpose and Service User Guide. Inspection reports produced by CSCI can be obtained direct from the provider or are available on CSCI’s website at www.csci.org.uk. Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and was conducted by two inspectors over a period of around six hours. During the inspection, time was spent speaking with visitors to the home, speaking with staff as well as looking at written records. Not all the people living at Newlyn Court are able to communicate their views so the inspection focussed on observing staff in their work, their interactions with people living at the home and obtaining feedback from people visiting at the time of the inspection. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was sent to the home for completion. The AQAA is a selfassessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for providers to share with us areas that they believe they are doing well. It is a legal requirement that the AQAA is completed-Newlyn Court returned their completed AQAA to CSCI within the given timescale. Information within this document demonstrates that the management team are very much focussed on achieving good outcomes for people living at the home but they also recognise where the home could improve and the steps needed to achieve those improvements to benefit people living at the home. The AQAA provided information to supplement the inspection process. All ‘key’ standards were assessed during the day- that is those areas of service delivery that are considered essential to the running of a care home. The inspection found the home functioning well and people living at the home appeared content. What the service does well:
Newlyn Court has a committed staff group who communicate effectively with people and show kindness in their approaches. Staff have a good understanding of the individual needs of people living at the home. People visiting the home provided very positive comments about how people are looked after at the home. Comments included ‘..the home is excellent”, “Staff pay attention to family views”, “the staff are very good at communicating with the family”. Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 6 The ‘AQAA’ self-assessment completed by the management team and sent to CSCI was detailed and acknowledged the strengths, weaknesses and plans for improvement. The AQAA also provides evidence that the management team have a well-developed awareness and understanding of equality and diversity and aim to provide a service that responds to individual needs. Newlyn Court has a well-constructed leisure and entertainment programme, which is enthusiastically co-ordinated to provide activities specifically aimed at meeting the needs of individuals with dementia related difficulties. The home was found very clean and tidy throughout this unannounced inspection. The service has recently been awarded a 4 star rating for very high standards of compliance with food safety legislation following a visit from Environmental Health Department. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Newlyn Court DS0000017189.V351200.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 Newlyn Court DS0000017189.V351200.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): 3, 5. Standard 6 is not applicable to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good assessment and admission procedure, which ensures that the home is able to meet people’s needs. EVIDENCE: Relatives of people living at the home spoke about how they were able to visit the home prior to the admission of their relative-all commented about how they were given opportunity to look around the home and made to feel very welcome. At the time of this inspection people living at Newlyn Court were unable to give their views of the admission process but observing information contained within care files shows that the manager ensures that all people have their needs fully assessed prior to admission to the home. These assessments show that the manager seeks detailed information about the individual’s care needs from a range of sources such as the person’s significant other, social and
Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 9 health care professionals- observation of care plans shows that this information is then used to plan the person’s care. Newlyn Court DS0000017189.V351200.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 good. This judgement has been made using available evidence including a visit to this service. There is clear and consistent care planning in place, which focuses on the individual needs of people living at the home and provides staff with the information they require to meet people’s needs. EVIDENCE: Throughout the inspection people living at the home appeared content, well cared for and the staff group skilled in their approaches and interactions with people. People visiting during the inspection were keen to provide comment on how the home cares for their relative-all visitors spoke of how the staff are kind, caring and ‘do a good job’. Comments included:- “Good to know xxx has a good quality of life-the home is excellent”, “Staff pay attention to family views”, “the staff are very good at communicating with the family”. Five people’s care files were looked at and these showed that care is planned according to the person’s ability to carry out activities of daily living and what needs to be put in place to meet their needs. A range of risk assessments
Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 11 were present on the files seen which show that the home also looks at ways to reduce any risks to the health, safety and welfare of people living at the home. Care plans and risk assessments had been reviewed by staff on a regular basis and information was available to show that ‘formal reviews’ of care are also undertaken involving the person living at the home, their significant other, home staff and the person’s social worker. An area which the manager recognises may enhance the care planning process is greater focus on the potential impact of medical and psychological problems on a person’s well-being. Staff maintain good records to describe how the person has been during each day and night, describing the care and any interventions given. Care records also show that people are seen on a regular basis by GP’s and demonstrate that the home seeks prompt advice from other health/medical professionals when needed. One person’s care record described how the person had experienced a change in symptoms, the home contacted a doctor for advice and the doctor visited the person the next day. The ‘self-assessment’ provided by the home includes reference to how the staff are aware of the importance of promoting as much independence and choicethis was seen throughout the inspection, as staff were seen providing discreet and sensitive assistance when necessary and enabling people to make choices, such as where they wanted to eat or sit. Information provided within the selfassessment and care records shows that the home recognises people’s individual needs in relation to religion, culture and ethnicity. Observation of a selection of medication administration record (MAR) sheets showed that the home has good recording processes in place, all medication was recorded accurately and if medication was not given, the reasons were recorded clearly. The home monitors and keeps records of the temperature of the medication room and fridge and observation of these records show that medication is stored at the right temperature. Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living at Newlyn Court are able to enjoy a range of activities, which are based on their capabilities and preference. Meals at the home are good, offering variety and catering for different nutritional needs. EVIDENCE: The ‘self-assessment’ provided by the home describes how staff ‘adopt a cheerful and friendly approach, service users participate in general banter and are encouraged to laugh and smile’-this was seen throughout the inspection, with people looking content, cheerful and staff using humour appropriately. It is usual practice for people to spend their day based on the ground floor, enjoying access to the large lounges and corridors. The home continues to offer a full and varied programme of activities, planned and organised, with enthusiasm and imagination, by a full-time Activities Coordinator. During the afternoon of the inspection a visit by singing entertainers in one of the lounges
Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 13 provided opportunity for people to dance, sing and listen and observations showed that people appeared to enjoy this entertainment. Notices in the reception area show activities which are planned for the forthcoming month-activities planned for November include visits by guitarist/singer, keyboard entertainer, pub lunch, arts and crafts, hand and nail massage. The reception also has a display of photographs of activities and events which have taken place such as visits to a local farm, safari park and an event to celebrate the opening of the homes’ new ‘garden room’. The home has a ‘visual therapy’ room and has recently purchased a portable ‘visual therapy’ unit, which the home intends to use for people who, because of their illness are unable to mobilise. People were seen during the inspection resting in the therapy room listening to music. Since the last inspection the home has greatly improved the outside spaces and now provides an excellent garden, which has raised flower beds thus enabling people to touch and smell flowers-staff spoke of how one person was assisted to plant bulbs. A Gazebo has also been built and the garden made secure through additional fencing. The home’s cook was not on duty at the time of inspection but an ‘agency cook’ gave a good overview of how the kitchen is very organised with good systems in place. Newlyn Court was recently awarded a 4 star rating for very high standards of compliance with food safety legislation following a visit from Environmental Health Department. Kitchen assistants have completed relevant training and were found to be knowledgeable about peoples’ specific dietary needs. Menus are prepared in advance and choices are offered at each meal. The home ensures that special diets and people’s cultural dietary needs are met. People visiting the home spoke of how the food always looks good and one person described the quality of the food as ‘excellent’. Staff were observed offering regular snacks and drinks to people throughout the day and providing assistance as necessary. Newlyn Court DS0000017189.V351200.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. The home ensures that people have access to a clear complaints procedure, which enables concerns or complaints to be dealt with promptly and professionally. Staff are provided with training to equip them with the knowledge and skills to safeguard adults from the risk of abuse or neglect. EVIDENCE: The manager provided confirmation that each person is provided with the service users guide, which contains a summary of the complaints procedure. People visiting the home on the day of inspection confirmed their awareness of the procedure and stated that they would feel comfortable with raising concerns with staff and management. Observation of the process used to record and respond to complaints shows that the home has a robust process in place to respond to complaints promptly and sensitively. Records show that the home has not received any complaints for sometime. The manager has attended training to equip her with the skills to deliver training in adult protection/abuse awareness, discussion with staff and observation of staff training records confirm that staff have been provided with this training.
Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 15 The self-assessment shows that the home recognises the importance of newly introduced mental health legislation, the Mental Capacity Act 2005, which the home intends to add to the in-house training programme for next year. Newlyn Court DS0000017189.V351200.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, 20 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a well maintained, safe, comfortable and attractive environment, which has specialist equipment and adaptations to meet the needs of people living at the home. EVIDENCE: The home offers spacious individual bedrooms, all of which have an en-suite facility and six communal lounges provide people with a range of places to relax. Observation of a selection of individual bedrooms found them decorated to a good standard, carpets clean and furniture of good quality. Some bedrooms have been personalised, with photographs and pictures providing personal and ‘homely’ touches. The home has a range of equipment such as hoists, to assist with moving and handling people safely. Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 17 An extension to one of the lounges has now been completed-this room is known as the ‘garden room’ and is bright, spacious and provides people with a good view of the well-designed rear garden. Throughout the inspection the home’s domestic staff were seen working in different parts of the home and the cleanliness of the home was a credit to all staff. Training records show that staff receive training in infection control and observations show that this is put into practice as staff were seen using protective clothing appropriately during care activities and at mealtimes. Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 18 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Training opportunities within the home are good which ensures that staff are appropriately skilled and competent to carry out the duties for which they are employed. EVIDENCE: Time spent observing staff working and feedback received from relatives, identifies a staff group committed to ensuring people receive a good standard of care. Observation of a range of information including staff training records and discussion with staff shows that the home provides training to equip staff with the skills necessary for their role. For staff who have not yet received training or updates in some areas, such as food hygiene, there are clear plans to provide this in the near future. The self-assessment describes how some staff have recently undertaken a ‘Positive Dementia’ course with further training planned for other staff. Staff who have been involved in this training spoke positively about the benefits of this course and how it has enhanced their work practice and therefore benefited people living at the home. Observation of an induction programme completed recently by a new member of staff shows that staff are provided with a comprehensive induction programme. Information provided by the home shows that staff are supported
Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 19 to study for National Vocational Qualifications (NVQ), and care staff have either achieved or in the process of achieving NVQ level 2 in care. The home is intending to perform NVQ assessments ‘in-house’, thus providing a ‘rolling’ programme of NVQ training, which will assist the home to achieve and maintain the ratio of staff with this nationally recognised qualification. Discussions with visitors, staff and observations made at the time of inspection confirm that the current staffing levels seem appropriate for the number and dependency of the people living at the home. Two staff files selected at random contained all the required pre-employment checks confirming that the home operates a robust recruitment procedure, and evidence was available to show that staff have regular access to formal supervision. Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 20 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager, Angela Bentley is focused on positive outcomes for people living at the home, leading and supporting a staff team who share the same values. The home is well maintained and the staff group appropriately skilled to ensure that the health, safety and welfare of residents is promoted. EVIDENCE: The Registered Manager, Angela Bentley, is a qualified Registered Mental Nurse who has worked at Newlyn Court for sometime and has the supportive qualifications and skills to manage the home. During the inspection visitors to the home spoke of how the home appears well-run and the management and the staff approachable.
Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 21 Discussions with the manager throughout the day confirms that she has an excellent awareness of the needs of all the people living at the home. Staff spoke positively about the management and leadership of the home and minutes of staff meetings and supervision documents show that staff are provided with opportunity to reflect on different aspects of their roles. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was sent to the home for completion. The AQAA is a selfassessment and a ‘dataset’ that needs to be filled in once a year by all providers. Newlyn Court completed the AQAA and returned it the commission within the timescale given. Comprehensive information within this document demonstrates that the manager and provider are focussed on achieving good outcomes for people living at the home but they also recognise where the home could improve and the steps needed to achieve those improvements to further benefit people living at the home. Copies of recently completed ‘satisfaction surveys’ show that people and/or their significant other are given opportunity to comment on the services provided –the responses seen show a high amount of satisfaction with the care and services provided. It was discussed that when all the results are collated then it is good practice to publish them, so that people are regularly kept informed of the results. Copies of a selection of ‘formal reviews’ by social workers, involving the person and their significant other, also showed that people are satisfied with the home. The management of people’s finances was assessed at the inspection in February 2007, which found that people’s personal financial interests are safeguarded. Information contained within the ‘self-assessment’ describes the process and provides confirmation that the home does not ‘handle’ any person’s monies. The home has provided detailed information within the AQAA submitted to CSCI that servicing and maintenance of equipment is consistently undertaken and policies and procedures are regularly reviewed. Observations of documents at the time of inspection show that fire safety checks are routinely carried out and all equipment seen appeared well-maintained. The home has two people employed specifically for maintenance duties and observation of completed ‘checklists’ confirms that regular inspections are made of the environment to ensure it is safe, such as checks on window-restrictors, bed rails and water temperatures. Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 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 3 X 3 Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Newlyn Court DS0000017189.V351200.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!