Care Home: Sandgate Manor

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What the care home does well The accommodation and grounds are spacious and allow for easy access and movement for all wheelchair users. The Home is well maintained and well decorated and provides an environment in which the residents are able to maximise their independence. Many residents have complex disabilities and require very specialised equipment. The Home is proactive in its approach to accessing the necessary specialist equipment, such as individually adapted wheelchairs and communication equipment. The home monitors and responds to matters relating to the health of the residents. All have complex needs and the home ensures are all met. The residents participate in a wide range of activities. These activities are tailored to meet individual needs. Staffing levels are good as is staff training and development. The company own other homes in the area and have provided a training room at a sister home. There is a rolling induction and training programme that aims to support staff to reach at least the equivalent of NVQ level II. `All staff were welcoming and very easy to engage with in every respect.``it is quite clear that Sandgate Manor provides a very high level of personal care and support in all respects to the individual who live there. There is good rapport between staff and all interact very well with the residents and their families.` What has improved since the last inspection? The three new lodges in the grounds of the home are now occupied and the service users resident expressed contentment and satisfaction with the support provided. The recruitment of a House Manager, supervising and working directly with support staff, and additional kitchen staff working in the afternoons has enabled carers to spend more time with individuals. The Company`s recruitment practice has been centralised and a Personnel Manager employed. Staffing levels are good and staff expressed enjoyment in their work with the residents. Staff training is linked to the needs of the residents and there is a good level of training and development taking place What the care home could do better: There was one requirement identified at this visit. The providers, although frequent visitors to the home, are reminded of the requirement to visit, unannounced, at least once a month and prepare a written report of the visit in accordance with Regulation 26. CARE HOME ADULTS 18-65 Sandgate Manor 46 Military Road Sandgate Folkestone Kent CT20 3BH Lead Inspector Geoff Senior Unannounced Inspection 14th August 2008 10:30 Sandgate Manor DS0000023523.V369309.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 Sandgate Manor DS0000023523.V369309.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. Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sandgate Manor Address 46 Military Road Sandgate Folkestone Kent CT20 3BH 01303 248313 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) leselle4@yahoo.com MNP Complete Care Group Mrs Lesley Ruth Rudd Care Home 25 Category(ies) of Physical disability (0) registration, with number of places Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. 3. Physical disability (PD). The maximum number of service users to be accommodated is 25. The home may accommodate one resident under the age of 18 years. Date of last inspection 3rd October 2006 Brief Description of the Service: Sandgate Manor is part of the MNP Complete Care Group. The registered manager is Mrs Lesley Rudd. She also acts as lead manager for the company’s other homes in the vicinity. Sandgate Manor is a residential home providing care and support for people with a range of learning and physical disabilities. It is a large and wellmaintained manor house that has been adapted to be wheelchair accessible. The home is situated in Sandgate, about half a mile from the local shops and seafront. The house has spacious accommodation and large grounds. Three lodges have been constructed within the grounds of the home and these provide accommodation for people with disabilities who want a more independent way of living or for a brief respite stay. The residents all lead busy lives and many attend colleges and adult education centres in nearby Folkestone. The fees for this home range between £778 and £1960 and depend on the assessed needs of the residents. Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit was undertaken on 14th August 2008 as part of the Key inspection of Sandgate Manor. It commenced at 10:30am and took about six hours. Ms. J. Whorwell, from the Centre for Independent Living, accompanied the Inspector in the role of ‘Expert by Experience’. She spent approximately 3.5 hours at the home and focused on the following: a) Home’s delivery of personal care and support (dignity, privacy and choice) b) Skills in providing specialised physical care c) Independence – supporting people’s aspirations, social life and relationships. Communication – Meeting needs of a diverse group. The observations and comments of Ms Whorwell are incorporated in the body of the report. During the visit we spoke with a number of service users, in communal areas and some in the privacy of their rooms. Members of staff were spoken to in private and a tour of the home was made. A range of records and documentation was viewed. Both direct and indirect observations were made throughout the visit. The residents spoken to said that they are well cared and like living in the home. They are able to put their views forward and participate in the running of the home if they wish to and are able to do so. The residents, their supporters, the manager and her staff are all thanked for their assistance during this inspection and for the warm welcome they gave. The quality rating for this service is 2 star. This means that people who use this service experience Good quality outcomes. Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 6 What the service does well: The accommodation and grounds are spacious and allow for easy access and movement for all wheelchair users. The Home is well maintained and well decorated and provides an environment in which the residents are able to maximise their independence. Many residents have complex disabilities and require very specialised equipment. The Home is proactive in its approach to accessing the necessary specialist equipment, such as individually adapted wheelchairs and communication equipment. The home monitors and responds to matters relating to the health of the residents. All have complex needs and the home ensures are all met. The residents participate in a wide range of activities. These activities are tailored to meet individual needs. Staffing levels are good as is staff training and development. The company own other homes in the area and have provided a training room at a sister home. There is a rolling induction and training programme that aims to support staff to reach at least the equivalent of NVQ level II. ‘All staff were welcoming and very easy to engage with in every respect.’ ‘it is quite clear that Sandgate Manor provides a very high level of personal care and support in all respects to the individual who live there. There is good rapport between staff and all interact very well with the residents and their families.’ What has improved since the last inspection? Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 7 The three new lodges in the grounds of the home are now occupied and the service users resident expressed contentment and satisfaction with the support provided. The recruitment of a House Manager, supervising and working directly with support staff, and additional kitchen staff working in the afternoons has enabled carers to spend more time with individuals. The Company’s recruitment practice has been centralised and a Personnel Manager employed. Staffing levels are good and staff expressed enjoyment in their work with the residents. Staff training is linked to the needs of the residents and there is a good level of training and development taking place 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. Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 8 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 Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 9 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): 2,3,4. People who use the service experience good quality outcomes in this area. The home provides the residents, their relatives and supporters, with the information they need in order to make a decision about moving into the home. The home makes appropriate pre-admission assessments prior to offering a place in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Written information and guidelines are available to people interested in living at Sandgate Manor. They are invited to visit and spend time with existing residents and staff. They may also view the accommodation and find out about the routine and lifestyle they could expect to experience at the home. Senior staff will visit prospective service users in their current homes to undertake an assessment which, together with information from other relevant parties, informs the decision making process. Places are offered only if they are felt top be mutually beneficial. Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 10 The home has shown that it can adapt and cater for differing needs as they change. Hence the new lodges, mechanical adaptations and changes to staff structure. The staff development programme aims to ensure that the staff team have the skills necessary to deliver the support. Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 11 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): 6,7,9. People who use the service experience good quality outcomes in this area. The residents are able to make informed decisions about their lives and are supported to be as independent as possible. Appropriate records are kept and confidentiality is maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has developed well-structured and informative service user files. The needs of the individual are clearly identified as well as the actions required by staff to support the residents. There is an effective key worker system in place. Care plans are reviewed on a regular basis and handovers and team meetings are used to pool ideas and develop support plans further. Service users are encouraged to participate in the planning process and it was clear that they are facilitated to make decisions affecting their daily lives. These include routines, Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 12 trips out, activities, and food choices as well as longer-term aspirations and goals. The home has a system of risk management and assessment in place, addressing issues and promoting independence of the service users. ‘The residents have various degrees of physical impairment and learning difficulties. Those who have hearing impairments and deafness are fully supported and able to communicate by the equipment provided. ‘ ‘One woman lives an independent life with adequate and excellent support from her carer. The woman was able to make choices about what she wanted for lunch, she articulated her wishes clearly and her needs were met in all respects. She receives full support from the staff and as it is her aim to move into the community, she receives full support to reach her aspirations.’ ‘The resident manages her own finances and goes out to the local shops with support from her personal carer’ Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 13 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. People who use the service experience good quality outcomes in this area. The home supports the residents to lead fulfilling lives and works to maximise their independence and minimise their disabilities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff in the home have worked positively with the service users to establish interests, likes and dislikes. They are supported by the organisation to provide a wide range of formal and informal activities for both recreational and therapeutic purposes. Goals and aspirations are recorded in the care plans. Residents said that they have busy lives and can choose what to do. One of the main topics of conversation seemed to be those who had been, those who were going and those who think they would enjoy a cruise ship holiday. The manager and staff have fostered a positive and active culture in the home. Several service users were seen test riding a custom built trike to see if it Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 14 suited their needs before purchase as rides on the seafront are a popular activity. The home is good at helping the residents to maintain family contact. A wide variety of communication methods are used from texting and e-mail to telephone contact. Transport is provided for home visits when necessary. Many of the residents have very complex needs and many have communication difficulties. Staff were observed patiently interacting with the residents and understanding their needs and wishes. The home keen to find out about all types of disability and working with the local health and social care professionals to encourage each resident to maximise their independence. The home employs a physiotherapy assistant. This member of staff works under the direction of the local NHS physiotherapist who draws up physiotherapy programmes. The assistant then carries these programmes out routinely with the residents. This helps to maintain their mobility, circulation and general well-being. The home employs dedicated catering staff. Meals are varied and plentiful. The wide age range of service users means that all tastes have to be catered for. Residents are consulted about the types of things they like to eat and there is always a choice. Meals have to be served according to individual need and in various forms. The home seeks advice from the hospital nutritionalist when necessary. The dining area is pleasant and airy. Staff were indirectly observed to give assistance with meals in a discreet and unobtrusive way. ‘There is a permanent cook who provides lovely tasty meals. From observations at lunch time, all the residents had individual attention and those who required assistance with feeding had a carer who took time to feed the individual, which they enjoyed.’ ‘Social life is good for residents. Many have been away this year on cruises, all accompanied by their personal assistant/carers. This is evidence of the choices, their relationships with their staff and a sign of living fulfilled and independent lives in spite of profound physical impairments.’ ‘Social activities are encouraged and as the home has its own suitably adapted transport, the residents are taken out on various social outings, which they enjoy and look forward to with pleasure.’‘ Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 15 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. People who use the service experience good quality outcomes in this area. Service users are supported in a respectful and dignified manner. Health needs are monitored and addressed. Staff have access to training and guidelines in the administration of medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents are treated with dignity and respect and levels of privacy are maintained. All of the service users require assistance with aspects of personal hygiene and care. The management seeks to ensure that staff are instructed and supervised to provide this thoughtfully and sensitively. The healthcare needs of the service users are monitored and addressed. The home has developed positive relationships with the local healthcare professionals who provide good levels of support. Additional equipment and facilities are assessed and provided where service users have had changing levels of need or to accommodate new arrivals. Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 16 Medication facilities are adequate for the needs of the home and records were clear and up to date. Medication policies and procedures are in place and staff involved in handling medication are provided with training. ‘Each person is registered with a local GP. Medication is administered by the staff and as medication is dispensed in the dosset/cassette boxes. Each person has their own medication as prescribed by their GP. I observed the administration of medication after lunch. The drug cupboard is locked. The residents have choices e.g. on the time they are given their personal care and dressed ready for bed ‘it is obvious that the delivery of personal care and support to each resident provides them with the dignity, privacy and choice’. ‘Staffing levels seemed adequate and each resident is allocated their personal carer. ‘The staff received specialised training on how to administer peg/gastro feed. There is a written protocol and the feeding regime and records were seen to support this.’ Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 17 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. People who use the service experience good quality outcomes in this area. Systems are in place to protect the service users from the risk of harm. Staff receive training in the protection of vulnerable people. There are systems in place for the expression and resolution of concerns or complaints This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff and service users spoken with were aware of their right to express concern or complaint about the service and the procedure and guidelines that are in place. Service user comments include feeling safe in the house and being able to talk to staff if they are worried or unhappy about anything. Any complaints or concerns expressed to the manager are noted and the response and any subsequent action recorded. Staff have attended training and understand issues relating to the protection of vulnerable people. Staff spoken to were clear about their responsibilities with regard to protecting people in their care. They are aware of their role in Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 18 ensuring people living in the home are protected from abuse in all its forms and that they are the service users main key to having their views heard. Staff files were viewed and indicate that appropriate checks are undertaken regarding staff suitability to support vulnerable people. Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 19 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): 24,30 People who use the service experience good quality outcomes in this area. Sandgate Manor offers a varied and comfortable environment in which to live and work. The layout and specialised equipment promotes the independence of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In the main house, all rooms have individual colour and décor styles, unoccupied rooms are redecorated prior to the admission of a new resident. Residents may choose to bring their own furnishings and ornament, decide how to arrange their furniture and select colour schemes. Some residents are unable to do this but when this is the case, family and friends help to choose Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 20 the décor and personalise the room. All rooms are reflect the personalities and interests of the residents and are well furnished. Due to the high dependency needs of the residents a significant amount of specialist, enabling equipment such as electric wheelchairs, specialist communication equipment and continence aids, is needed. All equipment is well maintained. Specialist engineers visit regularly to service equipment. Despite the considerable amount of specialist equipment, it is arranged well and storage is discrete. This means that the home maintains a comfortable and spacious feel. All areas of the home were clean, tidy and free from offensive odours. The three new lodges in the grounds of the home are now occupied and the service users resident expressed contentment and satisfaction with the support provided. The accommodation is of a high standard and provides opportunity for more independent living for people with severe disabilities who wish to take more control of their lives. The area surrounding the lodges has been landscaped. This has made it more accessible and attractive. The lodges are tastefully furnished and homely whilst still giving plenty of space in which to move around ‘The entrance to the main house is clean and uncluttered with ample space for each individual to move around freely in their own wheelchair. The doors are wide and very accessible for the users of wheelchairs.’ ‘The residents in the main house all occupy single, adapted rooms for their specific physical and emotional needs. Each room is individually decorated and they all have personal choices with their respective interest. The bathrooms are fully adapted.’ Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 21 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. People who use the service experience good quality outcomes in this area. There are sufficient numbers of staff on duty at all times and a good staff development programme. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are at least six support staff on duty throughout the day. Additionally the management team of: Registered manager, Deputy, house manager and personnel manager are available during office hours. They are supported by catering, domestic, maintenance and driving staff. Some of the staff on duty are ‘physio. aids’ who provide 1-1 support to the residents and follow programmes set by the OT. The home benefits from a blend of youth and experience with a senior staff member on duty at all times. The home offers staff a good development programme. There is an induction process that all staff are supported to work through. Mandatory training is provided in the early stages of employment with updates and refresher courses as required. Additional courses are also provided covering a wide range of Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 22 issues. We were told that at least 19 of the staff have, or are working towards attaining NVQ level 2 or above. ‘The home has its own training centre at another site and some of the staff I spoke to said they get adequate training in all the statutory areas in order to perform their duties safely, effectively and professionally.’ Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 23 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. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Manager has, with the support of the senior team, fostered an open and inclusive ethos in the home enabling service users, staff and visitors to feed back about the service. Visits are carried out by senior managers to the home ensuring that the standard of care and relevant documentation is maintained and that the premises are in good order. The providers, although frequent visitors to the home, are reminded of the requirement to visit, unannounced, at least once a month and prepare a written report of the visit in accordance with Regulation 26 and to have the report available for inspection. The health, welfare and safety of service users, staff and visitors is well maintained in all areas. Staff receive induction into the service. Issues Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 24 regarding health and safety such as training, maintenance and service checks are in place and up to date. Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 25 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 x 2 3 3 3 4 3 5 x 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 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 26 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA39 Good Practice Recommendations The providers are reminded to prepare a written report of their unannounced visit in accordance with Regulation 26 and to have the report available for inspection. Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Sandgate Manor DS0000023523.V369309.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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