Care Home: Rushcliffe Care T A The Old School House (Thringstone)

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What the care home does well The thorough person centred care plans and health action plans mean that the residents have care that is designed just for them. The staff call the residents by the name that they prefer, support them in making decisions about their lives and treat them with dignity and respect whilst giving them privacy. The residents live in a comfortable and safe environment and have bedrooms that are personal to them and their needs. The staff receive excellent training to make sure that they can support the residents with their specific needs and disabilities. Survey forms sent to us from the relatives of the residents told us that their relative was always well supported, received excellent care and had really good food. The staff always recognised peoples` different needs including cultural and spiritual and enabled them to continue with them. The home maintains good communication with the relatives of the residents. `We are always kept up to date with any information about ___`. What has improved since the last inspection? This was the first inspection of a service with new owners. There were no requirements or recommendations made at the previous inspection with the former owners. What the care home could do better: The Statement of Purpose should be updated to reflect the new owners aims and objectives and to put their name on the document. Consideration could be made to produce the Statement of Purpose in other formats and to include the results of the quality audit in it. Some of the carpets in the public areas of the home that are worn and badly stained should be replaced.The water temperatures in the home should be at the required level. CARE HOME ADULTS 18-65 Rushcliffe Care T/A The Old School House (Thringstone) 31 Main Street Thringstone Coalville Leicestershire LE67 8ND Lead Inspector Thea Richards Unannounced Inspection 27th May 2008 09:00 Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 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 Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.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 Adults 18-65. 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. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rushcliffe Care T/A The Old School House (Thringstone) 31 Main Street Thringstone Coalville Leicestershire LE67 8ND 01530 224426 01530 223958 Address 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) Rushcliffe Care Limited Mrs Lesley Mansfield Care Home. 18 Category(ies) of Learning disability (18), Physical disability (6) registration, with number of places Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD Physical Disability - Code PD The maximum number of service users who can be accommodated is 18 2. Date of last inspection Brief Description of the Service: The Old School House is a converted and extended care home providing care for 18 people with a learning disability six of whom may additionally have a physical disability. The Old School House is situated in the village of Thringstone, close to local amenities and can be reached by both public and private transport. There is parking available at the front of the house. The home is divided into three separate units each with its own facilities such as a kitchen, bathrooms and lounge and dining areas. There are 14 single bedrooms and two shared bedrooms and all of them have en-suite facilities. There is extensive land with the house, part of which is a pleasant, well maintained garden with a patio area that has tables and chairs and a barbecue area. This is accessible for the residents to enjoy. The home has its own transport to take the residents to the day centre and to other activities. The Rushcliffe Care Group has recently purchased the home. They are experienced care home- owners and have many homes in the area. Mrs Lesley Mansfield has worked in the home for over 15 years and has managed it for several years. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 5 The home can be contacted by telephone or fax. The weekly fees are negotiated on an individual basis according to the residents’ needs. There are additional costs for holidays, hairdressing, dry cleaning, chiropody and toiletries. The registration certificate from the Commission for Social Care Inspection, an up to date certificate of insurance and the latest inspection report are available in the managers’ office. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. There is an ‘easy read’ summary included with this report. The Quality rating for this service is 3 Star. This means that the people who use this service experience excellent quality outcomes. This was a key inspection of a care home for people with a learning disability, which ended with an unannounced visit to the service. Before the visit we (throughout the report the use of ‘we’ indicates the Commission for Social Care Inspection), spent five hours reviewing information received by the Commission for Social Care Inspection (CSCI) since the new registration of the home on 10th January 2008. The visit took place on the 27th May 2008 and lasted five hours. During the visit we checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that we looked at the care provided to three of the residents. To achieve this we spoke with the staff supporting their care and looked at the records relating to their health and welfare. We spoke with the residents although the communication was difficult; we managed to get some feedback from them. With their permission the residents’ bedrooms were looked at. We also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them were looked at. We looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. We looked at the Annual Quality Assurance Audit (AQQA) that the home had sent to us. This describes the services provided at the home for the residents, how the home are hoping to improve services and statistics about the residents and the staff. During the visit we spoke with the registered manager, the staff and the residents. There were no visitors in the home on the day of the visit, but we did receive quality surveys from relatives of the residents. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? What they could do better: The Statement of Purpose should be updated to reflect the new owners aims and objectives and to put their name on the document. Consideration could be made to produce the Statement of Purpose in other formats and to include the results of the quality audit in it. Some of the carpets in the public areas of the home that are worn and badly stained should be replaced. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 8 The water temperatures in the home should be at the required level. 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. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective residents have a thorough admission process and complete information to make sure that the home is suitable for them. EVIDENCE: The home has not had any new residents for several years. The paperwork that was seen that included the Statement of Purpose and service user guide was comprehensive and contained all the information that was needed to make a choice of home. The Statement of Purpose has not been updated by the new owners and still shows details of the former owners and is not available in other formats. The Statement of Purpose and Service Users’ Guide provide all of the required information about the services offered and the Terms and Conditions that apply, making sure that residents can get the most suitable care. Consideration should be given to including the results of the annual quality questionaire into the statement of purpose, so that prospective residents can read the comments from the residents and their families. This will help them in making a decision about the home. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 11 There is a pre admission assessment in place and the manager described the process for admission, which included visits to the prospective resident, visits to the home for gradually longer times and introduction to the existing residents. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7,8, 9,10. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The residents are well supported in maintaining their independence and in making decisions in all areas of daily living, giving them a good quality of life. EVIDENCE: The care plans and records looked at had thorough information about how the residents’ needs were identified and their choices made. All of the residents in the home have considerable communication difficulties and the staff have developed different individual methods of communicating through words, noises and gestures as well as using recognised methods such as Makaton. The staff, with the residents have developed an excellent person centred care plan that has been produced in an ‘easy read’ format that describes the needs, choices and wishes of the individual. This helps them to understand what they have planned with their key worker. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 13 Key workers are members of staff who have particular responsibility and interest in an individual resident. They make sure that they have all that they need and that they have the activities and work or education needs met. Whilst it is difficult to communicate with the residents those that we spoke with on the day of the visit were able to communicate with facial expression and gestures. There are risk assessments in place where there may be a risk to the resident either in an activity or in the environment. This allows the staff and the resident to be aware of the possible risk and protects them whilst allowing the resident to continue with the activity. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff support the residents in maintaining their interest in their different activities and occupations and make sure that their nutritional and spiritual needs are met. EVIDENCE: There was evidence of daily occupation and leisure activity being provided for the residents and they all went out on a daily basis to day care activity. On the day of the visit most of the residents were at a day care activity, two were in the home as they had been unwell. There was an individual programme of activities in each care plan including activities in the evenings. The residents are part of the local community, visiting local pubs, restaurants, shops and parks. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 15 Holidays are arranged on an individual basis and have been arranged for Blackpool and Skegness. People with different cultural needs are catered for with language and religious needs. Provision has been made for someone who is Hindu to communicate with someone who speaks Gujarati. Visits have been made to the Melton Road area of Leicester city to mix with other people of that faith. These areas were confirmed by the staff, the well documented care plans that were seen and by the surveys received. The care plans are regularly reviewed and updated as the needs change. Comments from the surveys said: ‘they have made an effort to make his room more Indian with Indian music and statues of Gods’. The choice of food is excellent and the residents have choices. Each of the three areas in the home has its own kitchen and meals are prepared separately for each and the home is very flexible in giving the residents what they want to eat. Meals are provided that cater for the different cultural needs. The information from the surveys received confirmed that the food was very good and that they could have choices. Meal times are flexible to suit the needs and the activities of the residents. The residents are encouraged to all eat together in the dining room, but may choose to have their meals where they wish to. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff meet the care needs of the residents safely, with a complete knowledge of their needs and how they wish to receive them. EVIDENCE: The ‘case tracked care plans were found to have excellent descriptions of the care needs of the residents. They had a ‘Health action booklet’ that describes all the care needs and how to deal with them, how each individual was able to give their consent for treatment and details about their medicines. There was information about each individuals type of disability and how it affected them. This includes a regular assessment of the residents’ weight and their nutritional needs. There are records of the involvement of G.P.s, chiropodist, optician and dentist present, giving evidence of thorough health care being provided for the residents. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 17 The person centred care plans had details of how each individual wanted to be treated and included a sheet with information that was easily available if a resident needed to go to hospital. The staff, records and the surveys confirmed that the residents received excellent care when they needed it. The daily record of care is up to date which makes sure that the residents receive the right care and the staff know what has happened to them during the day or night. Medication records for the case tracked residents were found to be in order. Medicines are provided by the chemist in a monitored dose system that comes in ‘blister’ packs, which means that the staff can give individual medicines and are aware of different medicines if one needed to be altered. The staff spoken to were knowledgeable about the medicines and where to find information. They were aware of the requirements for the receipt, storage and disposal of medicines. Medicines are stored in a locked cupboard in the home. The above makes sure that the residents are protected with the correct medicine administration. There are no residents responsible for their own medicines. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy in place which gives the details of how to complain and who to complain to if the residents or their families needed to. This can be produced in other formats such as large print, consideration would be given to producing in other languages and in an ‘easy read’ style. There have been no complaints received by the home or by the Commission for Social Care Inspection since the home was re-registered with the new owners on 10th January 2008. The surveys received by us confirmed that the families were aware of how and to whom to complain if the need arose. The staff spoken with were aware of how to handle a complaint if they received one. The residents spoken with were not able to communicate their understanding of the complaints process. The staff receive training in safeguarding adults from abuse and are given a copy of the General Social Care Council (GSCC) codes of practice, which tells Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 19 them what their responsibilities are in making sure that the residents are kept safe. Training in safeguarding and whistle-blowing is given to the staff during their induction period The manager, the records seen and the staff spoken with confirmed that they had had training. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are protected by the policies and procedures in the home to provide a safe, clean and homely environment to live in. EVIDENCE: The Old School House is a converted house in Thringstone a village close to Coalville in Leicestershire. The home was clean, warm and welcoming. All the areas seen were well decorated but some of the carpets were worn and stained. They are not a hazard at this time but could become one if not replaced. The communal bathrooms are well planned and were found to be clean and free from inappropriate items, which could present a hazard for the residents. With their permission we looked at the case tracked resident’s bedrooms. They provided good accommodation, which had been decorated to the residents’ choice. They were personalised with the resident’s belongings and Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 21 the resident spoken with indicated by facial expression and gestures that he could have his bedroom how he wanted it. Evidence was seen of equipment being provided for the residents’ needs such as mobile and overhead hoists, wheelchairs, special seating and mattresses. The staff spoken with had received health and safety training and were aware of how to handle chemicals. These were all stored in a locked cupboard. The fire records for testing and drills was up to date. This was not accessible to a resident as none of the residents are able to use the wash hand basins, as they receive all their personal care from the staff. There were no outstanding safety or maintenance issues noted on the tour of the premises. Those residents who use a wheelchair or who have some physical disabilities are unable to use the first floor. There are plans to install a passenger lift to the first floor which will give them access to this area. There was a pleasant, well maintained garden with a patio area with tables and chairs and a barbecue for the residents to enjoy. The registration certificate from the Commission for Social Care Inspection (CSCI) and a current insurance certificate were displayed in the managers’ office. The inspection reports from the CSCI are available in the office. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The recruitment and training of staff make sure that the residents are protected from harm and that their needs are met. EVIDENCE: We looked at three staff files and the required information was complete in all of them. This included evidence of identification, adequately completed application forms, two written references, Criminal Records Bureau checks and protection of vulnerable adult checks. The home has a thorough induction programme in place for new members of staff that includes the specialist needs of this client group. This gives new staff excellent knowledge for caring for the residents and will run alongside the induction programme provided by Rushcliffe Care for all staff. Information given to us before the visit through the Annual Quality Assurance Audit told us that more than fifty per cent of staff have completed National Vocational Qualification level 2 or above. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 23 The National Vocational Qualification is a qualification for care staff to make sure that they receive appropriate training in the needs of the resident group whom they are caring for. Records show that the staff have had training on many subjects relevant to their work. Staff members spoken with were happy with the amount of training that they were given by the home. The home has obtained the Investors in People award, which recognises the training and support that the staff are given. There are regular staff meetings held, which was confirmed by the staff and by the minutes that we saw. There was evidence in the records that was confirmed by the manager and the staff that regular staff supervision was taking place. This process gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live their lives as they would wish to, with individual care being given in a safe environment. EVIDENCE: The manager of the home has managed the home for several years and has completed the registered managers award. She has completed several courses for the specific needs of her residents. The home has recently been taken over by Rushcliffe Care and we were told of some anxieties about the change from a family owned home through the surveys received by us. The residents and relatives have regular meetings with the manager when their views are discussed and areas such as meals and activities are decided. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 25 The manager sees everyone individually every day. The manager gives the residents and their families a quality questionnaire every year, which looks at all the areas of care and the general opinion of the home. We looked at the results of the audit of the questionnaires, which were positive. The surveys received by us told us that the communication was good and that ‘ The management was excellent’ The hot water temperature in one of the bedrooms was found to be very high and the manager told us that the maintenance staff were aware and would be adjusting it. None of the residents come in contact with it. The staff have supervision at the required frequency, the staff spoken with, the manager and the records seen confirmed this. Formal supervision of the staff gives them and their ‘line manager’ the opportunity to discuss work and training issues and needs. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 2 X 3 4 4 X 5 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000071644.V365934.R01.S.doc 4 4 4 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 4 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 4 X X 2 X Version 5.2 Page 27 Rushcliffe Care T/A The Old School House (Thringstone) Are there any outstanding requirements from the last inspection? None STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard YA1 YA1 YA24 YA42 Good Practice Recommendations That the Statement of Purpose is updated to reflect the changes in ownership of the home. That the Statement of Purpose can be produced in alternative formats and that the results of the quality audit is included in it. That consideration is given to renewing the stained and worn carpets. That the high water temperature that was identified is adjusted to the correct level. Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Rushcliffe Care T/A The Old School House (Thringstone) DS0000071644.V365934.R01.S.doc Version 5.2 Page 29 - 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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