Care Home: Rowan Garth

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What the care home does well The home provides accommodation for service users in single bedrooms to promote a high level of privacy and dignity. Staff are well trained and competencies are assessed on a regular basis to ensure that service users are given the appropriate level of care. A high number of activities are provided for service users to provide them with entertainment and social stimulation. Service users spoken to said that they were very fond of the staff and each service user said they had a favourite member of staff who they could relate to. What has improved since the last inspection? Record keeping has greatly improved since the last inspection. Care plans are now more informative and a greater, more accurate, record of the actual care given to service users is held. A number of maintenance and minor redecoration works have improved the environment despite the plan for a full redecoration and refurbishment programme which is to commence within the next eight weeks. The number and range of activities has increased and this has been reflected in the pictures and craft works that are displayed in the home. Staff were aware of the improvements that had recently taken place within the home and most said that they saw these as a positive improvement. CARE HOMES FOR OLDER PEOPLE Rowan Garth 219 Lower Breck Road Liverpool Merseyside L6 0AE Lead Inspector Jeanette Fielding Unannounced Inspection 27th August 2008 10:00 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 Rowan Garth DS0000025187.V371233.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. Rowan Garth DS0000025187.V371233.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rowan Garth Address 219 Lower Breck Road Liverpool Merseyside L6 0AE 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) 0151 263 9111 0151 260 4511 brennans@bupa.com www.bupa.com BUPA Care Homes (CFHCare) Ltd Sharon Brennan Care Home 150 Category(ies) of Dementia (60), Old age, not falling within any registration, with number other category (90) of places Rowan Garth DS0000025187.V371233.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home with Nursing - code N 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, (maximum number of places: 90) Dementia - Code DE (maximum number of places: 60) The maximum number of people who can be accommodated is: 150 Date of last inspection 28th May 2008 Brief Description of the Service: Rowan Garth is a purpose built home and is registered to provide nursing and personal care for up to 150 older people. The home is divided into five separate houses, each providing specific care. The houses are generally laid out in a similar manner but each provides the facilities to meet the needs of the service users accommodated. The home has a registered manager and each house has a care manager. The home is located in well maintained grounds, in a residential area, close to shops and local amenities. The registration of the home has recently changed and now the home is registered to provide care for 60 older people who have dementia and for 90 older people. Rowan Garth DS0000025187.V371233.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 star. This means that people who use the service experience good quality outcomes. This unannounced key inspection was undertaken over three days and a total of twenty one and a half hours were spent in the home. As part of the inspection process, all areas of the home were viewed including many of the service users bedrooms. Assessments and care plans were inspected together with staff records and certification to ensure that health and safety legislation was complied with. Observation of the interaction between staff and people who live at the home provided evidence of the actual care given. Discussion took place with the acting manager, unit heads, nurses, care staff, service users and visitors to the home. What the service does well: What has improved since the last inspection? Record keeping has greatly improved since the last inspection. Care plans are now more informative and a greater, more accurate, record of the actual care given to service users is held. A number of maintenance and minor redecoration works have improved the environment despite the plan for a full redecoration and refurbishment programme which is to commence within the next eight weeks. The number and range of activities has increased and this has been reflected in the pictures and craft works that are displayed in the home. Staff were aware of the improvements that had recently taken place within the home and most said that they saw these as a positive improvement. Rowan Garth DS0000025187.V371233.R01.S.doc Version 5.2 Page 6 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. Rowan Garth DS0000025187.V371233.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 Rowan Garth DS0000025187.V371233.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 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive assessments are now undertaken on service users for long term care and intermediate care to ensure that the home can meet their individual needs prior to their admission. EVIDENCE: All service users accommodated for long term care are given a comprehensive assessment of their care needs prior to admission to the home. This is to ensure that all their needs are clearly identified and to enable the home to provide any necessary equipment or facilities prior to that admission. The files for all recent admissions to the home, on all units, were inspected and were found to contain full information regarding the service users health, care and social needs. Rowan Garth DS0000025187.V371233.R01.S.doc Version 5.2 Page 9 Service users accommodated for intermediate care have their needs assessed by social workers. The information gathered by the social workers is now forwarded to the home in advance of the admission and the senior staff at the home use this information to assess whether they can meet the service users needs. Service users for intermediate care are accommodated at the home for a short period for rehabilitation and the expected outcomes for the service users are now identified on the assessment documentation. The staff at the home re-assess the service users needs and abilities following their admission to enable the care plans to be prepared. The admission procedure for intermediate care has been reviewed to ensure that the service users are suited to a rehabilitation programme. Discussion with the Primary Care Trust (PCT) is currently taking place to identify systems that will further improve the service offered by the home. Rowan Garth DS0000025187.V371233.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. Care files in all areas of the home now provide full information regarding service users needs and preferences and also provide evidence of the actual care given to service users to meet those needs and ensure their protection. EVIDENCE: Considerable improvements have been made in the care planning documentation in all units within the home. Regular audits of care files are now undertaken by the Quality and Compliance Team, Acting manager, Care Services Manager and Unit Managers to ensure that full information on the needs, preferences and care provision is to a high standard. Moss House. This house accommodates elderly people for personal care due to their dementia. The care files are clear and are up to date. They are reviewed regularly and care plans are changed whenever the service users care needs Rowan Garth DS0000025187.V371233.R01.S.doc Version 5.2 Page 11 change. The records show that when a problem is identified, specialist advice is sought from the Community Matron, the District Nurses or the GP as appropriate. The records also provide evidence of a high level of communication with relatives to ensure that they are kept fully aware of the care given to the service user. Risk assessments are undertaken and risk management plans put in place to protect the service users. These are individual to the service users as their risk issues are specific due to their cognitive impairment. Clover House. This house accommodates service users for long term care and service users who require intermediate care for rehabilitation. The care files in this house are greatly improved since the last inspection. Care plans are now detailed and include full information regarding the care needs of the service users. Risk assessments are undertaken and risk management plans put in place to protect the service users. Documentation is in place for staff to record the actual care given to service users to provide evidence that their identified needs are met. Turning charts, fluid balance charts and dietary intake charts are in place where necessary and these are now completed accurately. Bed rails are only used following a detailed risk assessment and all staff have been given training in the use of these. Regular checks are made on bed rails to ensure that they are secure and safe. Oak House. This house accommodates service users who require long term nursing care. Care files are extremely detailed and a high number of care plans are in place to meet the needs of the service users. Wounds are mapped, photographed and recorded in detail to provide evidence of improvement or deterioration. Detailed information is recorded of the wound care given by staff on a daily basis. The records also provide evidence that Speech and Language Therapists, Tissue Viability Nurse Specialists and other healthcare professionals are contacted whenever necessary. Beech House. This house provides accommodation for elderly people who require long term personal care. Again, records are well maintained and include detailed care plans, risk assessments and risk management plans. All care files inspected were informative and up to date. Heather House. This house now accommodates elderly people who require nursing care due to their dementia and has been registered for this since the last key inspection. Care plans are informative and provide staff with sufficient information to enable them to meet the service users individual care needs and preferences. All care files are individualised as the needs of each service user differ. Daily records completed by the staff are informative and provide evidence of the actual care given. Medications were inspected in all houses. Regular audits are undertaken of medications to ensure that staff follow the home’s policy and procedure and Rowan Garth DS0000025187.V371233.R01.S.doc Version 5.2 Page 12 that service users are protected. The Medication Administration Records in all houses were found to be well maintained and were accurate. Checks on the medications stored in the home provided evidence that no unnecessary or unwanted medications are stored. Arrangements are in place with the pharmacist for prescriptions to be dispensed and delivered to the home in a timely manner to ensure that there are no shortfalls in supplies. All storage areas were secure, clean and organised. Arrangements are in place for the disposal of medications that are refused or no longer required and detailed records of these are held. Information regarding medications has now been obtained from the dispensing pharmacist to ensure that staff have full information regarding the medications used in the home. All staff involved with the administration of medications have been given appropriate training and the staff records show that competencies are also assessed. All service users are accommodated in single bedrooms. Personal and nursing care is given in service users own bedrooms or in bathrooms as appropriate to protect their privacy and dignity. Rowan Garth DS0000025187.V371233.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. 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. A high number and range of activities is provided for service users to entertain, stimulate and provide social interaction to promote a quality lifestyle for the service users. EVIDENCE: Rowan Garth employs three activity co-ordinators to provide recreation and stimulation for the service users. A varied programme is planned for each house and is based on the individual abilities and choices of the service users within that house. Information is gathered on the activities that service users have previously enjoyed and of those that they would like to participate in. Individual and group activities are provided to ensure that all service users are offered stimulation from the range available. On the site visit to one house, service users were enjoying a quiz and there was a lot of laughter and discussion during this session. In another house, one activities co-ordinator was giving a service user a manicure and another co-ordinator was assisting a service user with art and craft. It is evident that the number and range of Rowan Garth DS0000025187.V371233.R01.S.doc Version 5.2 Page 14 activities available has increased since the last inspection. Service users spoken to said that there was something arranged most days but that they did not have to participate if they did not want to. The activities co-ordinators keep detailed records of which service users participates and of how much they enjoyed the session and of those who did not participate. Details of the planned programme of activities is displayed in each individual house to provide service users with information. Two service users spoken to said that they did not wish to participate in any of the activities but enjoyed watching others who did. The lounges provide televisions and music centres for those who preferred this. Service users who are able are offered the opportunity to join with service users in other houses for activities. Some service users have been on trips which include The Safari Park, Southport and to see the Tall Ships in Liverpool. Clergy visit the home on a regular basis and will provide services for all service users who request this to meet their spiritual needs. Service users who are able are encouraged to continue to attend church services as they wish. Visitors are welcome in the home although the houses which accommodate service users who suffer dementia have requested that visitors avoid mealtimes. In these houses, mealtimes are quiet and uninterrupted by other activities to encourage service users to take their meals without distraction. Meals are prepared in the main kitchen and are transported to the individual houses in heated trolleys from which they are served. Each house has a small kitchen area where drinks and snacks can be made. Each house kitchen was found to be clean and organised. Service users are encouraged to take their meals in the dining rooms to promote social interaction but are free to take them in their own bedroom if they wish. Dining tables were observed to be attractively laid, with each house providing cutlery and condiments appropriate to the meal being served and the needs and abilities of the service users. The meals observed looked and smelled appetising. A choice of meals is available at all mealtimes and the menus provide evidence that a varied and balanced diet is offered. Special diets can be provided on the advice of the dietician, GP or according to the service users cultural or individual preferences. The menus have recently been reviewed and amended in accordance with service users preferences and dietary guidelines. The chef visits each house as often as possible and speaks with service users to obtain their views of the meals to provide an additional quality assurance means. Service users spoken to during the inspection spoke positively about the food provided. One service user said that she liked ‘basic meat and two veg’ and confirmed that this was provided for her. Rowan Garth DS0000025187.V371233.R01.S.doc Version 5.2 Page 15 The main kitchen is clean and extremely organised. The home’s regular chef was not on duty at the time of the inspection and a senior chef was in charge. The main kitchen holds information regarding special diets to ensure that the individual service users are appropriately catered for. The meals are prepared using fresh goods as much as possible and the catering staff prepare home made cakes for desserts and afternoon teas. Rowan Garth DS0000025187.V371233.R01.S.doc Version 5.2 Page 16 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. All staff have been given training on the Protection of Vulnerable Adults to ensure that service users are protected from harm or abuse. EVIDENCE: The home has a robust complaints policy and procedure. Information on how to make a complaint are detailed in the Service User Guide and are also displayed on notice boards throughout the home. Information is given on who to make a complaint to and of the actions and timescales that will be implemented by the home. The number of complaints received by the home continues to reduce with only a small number of issues being raised. The records show that the home’s policy and procedure is followed at all times. All staff at the home have been given training on the Protection of Vulnerable Adults and of the different types of abuse. Staff spoken to during the inspection were able to demonstrate that they were aware of the different types of abuse and of the action they would take in the event of abuse being suspected. The staff were also aware of the home’s whistle blowing policy and were confident that action would be taken if they were to report incidents. They said that they would be comfortable in expressing concerns to the manager and that they would be supported. Rowan Garth DS0000025187.V371233.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Efforts have been made to provide service users with a pleasant and homely environment in advance of the planned programme of improvements for the home. EVIDENCE: The quality of the décor and furnishings within the individual houses varies. Oak and Heather house have had some improvement work done within the last few years and are generally good. The remaining houses are now due to be redecorated, recarpetted, refurbished and improved as part of the improvement programme. Work to improve all areas of the home is due to commence in October 2008. Rowan Garth DS0000025187.V371233.R01.S.doc Version 5.2 Page 18 A high number of maintenance issues have been addressed since the last inspection in all houses. Damaged paintwork has been repainted and efforts have been made to provide service users with an improved level of environment. Damaged windows have been replaced to remove the risk of injury to service users. Plans are in place to improve the bathing facilities within the home through the provision of wet rooms to replace baths that are not suited to service users needs. These have been provided in two houses and have proved extremely successful. Three service users spoken to said that they preferred to take a shower than a bath because it was so quick and efficient. They had some mobility difficulties and said that they did not like the bath hoists but were happy with the shower chairs. Each house was extremely clean, tidy and fresh and there were no unpleasant odours. Some of the carpets are worn and stained although it is evident that the housekeeping staff work hard to maintain the high standard of cleanliness. The houses are each on a single level to provide full access for service users and visitors. Ramps provide wheelchair access to all buildings at the home including the main reception area. All bedrooms are for single occupancy to promote privacy and dignity. Service users, relatives and staff had made every effort to personalise bedrooms to reflect the lifestyles of the service users. Pictures, photographs, small items of furniture and items of memorabilia had enhanced the environment and provided a homely atmosphere within bedrooms. It is planned that the reception area will be redecorated and refurbished during the forthcoming programme and work will take place to improve the main kitchen. Each house has a garden area for use by service users. Work has taken place to improve these areas which are accessible by service users. Seating is provided and each garden has its own individual style. CSCI will be kept informed of the progress of the improvement programme as work takes place. Rowan Garth DS0000025187.V371233.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. 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. The home has a robust recruitment policy to ensure that service users are provided with care by appropriately trained and competent staff. EVIDENCE: The home employs Registered General Nurses, Registered Mental Nurses, Senior Care assistants, care assistants, housekeepers, laundry, catering, administration and maintenance staff. A bank of staff are employed to cover sickness and annual leave. Agency staff have not been employed at the home for some time. Sufficient staff are employed and deployed to meet the needs of the service users. Staff rotas provide evidence of the actual numbers of staff on duty and provide evidence that the home is meeting its required staffing levels. The home has a robust recruitment procedure in line with BUPA policy. Applicants are required to complete an application form prior to being called for interview. Two references are taken on all staff and checks are made with the Criminal Records Bureau and Protection of Vulnerable Adults register to ensure that service users are protected. Qualifications and training are Rowan Garth DS0000025187.V371233.R01.S.doc Version 5.2 Page 20 required to be evidenced and gaps in employment are discussed. All new staff undertake a comprehensive induction training programme, appropriate to the role for which they are employed. The induction training involves the completion of a workbook to provide evidence of training and competency, followed by foundation training. NVQ training is then offered as appropriate. A high number of training opportunities are available for all staff and the staff records provide evidence of the training undertaken. A training matrix has been prepared to clearly identify the training undertaken by the staff and to identify when updates in training are required. All staff have been given training in the Protection of Vulnerable Adults to ensure that service users are protected from harm or abuse. Staff meetings take place on a regular basis and provide a forum for open discussion and for the dissemination of information. All staff are given regular supervision and annual appraisals are undertaken. Records of supervision are held on staff’s individual files. Rowan Garth DS0000025187.V371233.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a high level of management support within the home at present to oversee and improve the running of the home and the care of the service users. EVIDENCE: At the time of the visits, the Registered Manager was absent from the home. The position of Acting Manager was being undertaken by an Assistant Regional Manager who is qualified and experienced and is supported by the homes Care Services Manager and Unit Heads. Rowan Garth DS0000025187.V371233.R01.S.doc Version 5.2 Page 22 All management staff within the home hold relevant qualifications and have the skills and experience to undertake the role for which they are employed. The home is owned by BUPA Care Homes Ltd which provides a structured management support system. The home’s management is working to improve services for service users and increase their quality of life. The home employs a strong staff team who have been recruited and trained to a high standard are competent to provide the appropriate level of care. Improvements to the documentation and the facilities provide for service users indicate that the home is being run in the best interests of the service users. The home has sound policies and procedures which are regularly reviewed and amended in line with changes to legislation and identified good practice. Most service users have their finances dealt with by family members or advocates. Other service users have an individual bank account in a building society and are invoiced for any costs incurred i.e. hairdressing, chiropody and newspapers. Monthly visits are made to the home by the Responsible Individual, or their representative, as required, and a report completed. Tests are made on the fire detection equipment as required and records held of the findings. Safety certificates were inspected and all found to be well maintained and up to date. At the end of the site visit, feedback was given to the Regional Manager, the Assistant Regional Manager and the Quality and Compliance Manager. It was evident that improvements have been made in the home and discussion took place regarding the proposed physical improvements, the proposed staff training programme and the on-going quality assurance programme. Rowan Garth DS0000025187.V371233.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 3 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 3 X X X X 3 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 Rowan Garth DS0000025187.V371233.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. 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 Rowan Garth DS0000025187.V371233.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Waterloo, Liverpool L22 OLG 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 Rowan Garth DS0000025187.V371233.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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