Care Home: Scarborough Hall and Lodge

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What the care home does well People who are looking to move in to Scarborough Hall and Lodge receive information about the service provided and how much it costs. Someone from the home also visits them to see what level of help they require. This means that people can be reassured that staff will be able to provide the help they require. People can follow their own routines and staff will support them to do this. People have a varied diet and can request what they would like to eat if they do not like what is available. There are things to do in the home such as quizzes, dominoes, jigsaw, and bingo. People organise their own musical evenings and recently a pub quiz was held. Visitors are made welcome and where families are involved in supporting someone they are kept informed about what is going on. The staff are checked before they start working and they receive training to make sure they can provide the help people require. People in the home said `the staff are wonderful` and `they are very helpful` `they always knock before coming in to my room` `they are polite and considerate` The manager is available during the week and people said they would go and see her if they had a problem. She makes sure that the home is run in a safe way that does not restrict the people who live there. What has improved since the last inspection? This section does not apply as this is the first inspection for this service. CARE HOMES FOR OLDER PEOPLE Scarborough Hall and Lodge Mount View Avenue Off Seamer Road Scarborough YO12 4EQ Lead Inspector Pauline O`Rourke Key Unannounced Inspection 28th August 2008 09:00 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 Scarborough Hall and Lodge DS0000071568.V370344.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. Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Scarborough Hall and Lodge Address Mount View Avenue Off Seamer Road Scarborough YO12 4EQ 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) 0845 271 0794 01723 363326 www.orchardcarehomes.com Orchard Care Homes.Com Limited Charlotte Esme Thompson Care Home 85 Category(ies) of Dementia (42), Old age, not falling within any registration, with number other category (43) of places Scarborough Hall and Lodge DS0000071568.V370344.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 - Code PC , to service users 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. Dementia - Code DE. The maximum number of services who may be accommodated is 85 2. Date of last inspection N/a this is a new service. Brief Description of the Service: Scarborough Hall and Lodge is a newly registered service. It is registered to provide accommodation for 43 people who are over 65 years of age and up to 42 people who may have a dementia. It is owned by Orchard Care Homes and is managed by Charlotte Thompson. The home is split in to two units Scarborough Hall and Scarborough Lodge. There are 85 single ensuite rooms. Each room has fitted furniture including a fridge, and internet access. There are 6 lounges and dinning rooms and 8 quiet lounges. There is level access to the building and all areas can be accessed by people living there. There is a landscaped garden, split in to two areas. One is secure and does not allow people access to the wider community the other is open and allows full access. It is situated on the edge of Scarborough town and it is close to a bus route allowing people to access the wider community. It is close to a general store and a takeaway shop. Information about the home is supplied in a Statement of Purpose and Service User Guide. These documents are available on request as is the inspection report. On the 28th August 2008 the weekly cost was £500 to £565 depending on the type of room and level of care required. This cost does not include toiletries, newspapers, chiropody, and any items bought for personal use. Scarborough Hall and Lodge DS0000071568.V370344.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 the people who use this service experience good quality outcomes The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • Information provided by the registered person on an Annual Quality Assurance Assessment Comment cards returned from people living at Scarborough Hall and Lodge A visit to the home by one inspector that lasted for eight and a half hours. During the visit to the home twelve people who live there, four staff and two visitors were spoken with. Care records relating to six people, six staff members and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at Scarborough Hall and Lodge for the people living there. The Registered Manager was available to assist throughout the visit and was available for feedback at the close. What the service does well: People who are looking to move in to Scarborough Hall and Lodge receive information about the service provided and how much it costs. Someone from the home also visits them to see what level of help they require. This means that people can be reassured that staff will be able to provide the help they require. People can follow their own routines and staff will support them to do this. People have a varied diet and can request what they would like to eat if they Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 6 do not like what is available. There are things to do in the home such as quizzes, dominoes, jigsaw, and bingo. People organise their own musical evenings and recently a pub quiz was held. Visitors are made welcome and where families are involved in supporting someone they are kept informed about what is going on. The staff are checked before they start working and they receive training to make sure they can provide the help people require. People in the home said ‘the staff are wonderful’ and ‘they are very helpful’ ‘they always knock before coming in to my room’ ‘they are polite and considerate’ The manager is available during the week and people said they would go and see her if they had a problem. She makes sure that the home is run in a safe way that does not restrict the people who live there. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Scarborough Hall and Lodge DS0000071568.V370344.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 Scarborough Hall and Lodge DS0000071568.V370344.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, Standard 6 does not apply. People who use the service experience good quality outcomes in this area. People who decide to use this service can be assured their needs will be met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Scarborough Hall and Lodge provides information about the service they provide in a Statement of Purpose and Service User Guide. People spoken with said they had seen the Service User Guide and had a copy of it in their rooms. The case files of three people from the Lodge and three people from the Hall were seen and they contained a comprehensive assessment of needs. Some of the files contained both an assessment provided by the placing authority and an assessment carried out by someone from the home. The case files contained a letter from the service to confirm they could meet their needs and were happy to offer them a place. Several people spoken with said that Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 9 someone from the home had visited them before they moved in to the home. The manager said that she prefers to visit people before they are admitted to ensure that the balance of needs within the home was appropriate to the availability of the staff. Scarborough Hall and Lodge DS0000071568.V370344.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 People who use the service experience good quality outcomes in this area. People receive the care and support they need. Staff provide support in a sensitive way that promotes the independence and dignity of the people who live at Scarborough hall and Lodge. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The six case files seen contained a care plan and there was evidence to show they are reviewed each month. The care plans are used throughout the Orchard Care Homes Group and whilst they provide a comprehensive view of the individual they are not used as a working document by staff. Not all of the files contained a personal profile and this detracted from the care plans, because of the corporate style they appeared to be impersonal. Those files with the personal profile allowed the reader to see the individual and not just the support they require. Care staff spoken with said that they kept daily records for each person and this information was used to inform the monthly review of the care plan. Senior staff review the care plans. The care plans Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 11 included risk assessments pertinent to the individual. The night staff records for the Hall were seen and these formed composite records. Information about all the people to be checked is kept on one sheet any records about an individual should be kept in their case file so that information about them is kept confidential from others. The case files examined showed that the health care needs of people are met. Everyone is registered with a general practitioner (GP) and, access to specialist services when necessary are obtained through the GPs surgery. District nurses visit on a regular basis to provide treatment. A health visitor spoken with during the visit said that the staff ask for advice and help as required. They also follow instructions left by the district nursing team. There is a monitored dosage system for those people who require medication. A medication round was observed and the procedure was properly followed. The administration records were found to be accurate and up to date. Medication is logged in and out of Scarborough Hall and Lodge so the quantity of medicines in the home at anyone time can be checked. All staff that handle the medication have received training by LLYODS Medication Course. This is a recognised by the Commission as accredited training. It is also planned for staff to undertake a Distance Learning Course in The safe handling of medicines. This training is further supplemented through supervision. Throughout the visit the interactions observed between people who lived in the home and staff was seen to be relaxed and friendly. Staff called people by their chosen names and always knocked on a closed door before entering. People spoken to said ‘the staff are polite and helpful’ and ‘staff are wonderful’ Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience good quality outcomes in this area. People are able to make choices on a daily basis and are supported to do this by the staff. They enjoy a good and varied diet and a social and recreational programme helps them to maintain their interests and hobbies. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People spoken with said that they were able to follow their own routines during the day. They can choose where they take their meals and staff were observed taking meals to people’s bedrooms. They said there was no routine they had to follow and could rise and retire as they wished. There is a monthly plan for activities but staff currently ask people on a daily basis what they want to do rather than stick with prescribed activities. This flexibility may change when the home is full. People in the home said that they enjoyed playing dominoes, listening to music, quizzes and bingo. They also said that unless they go out with family or friends they don’t tend to get out if they need assistance. Several said they would enjoy a trip out for coffee but transport was not available. The Registered Manager should look in to ways that trips outside of the home can be provided. Some of the case files seen contained Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 13 detailed personal information including likes and dislikes but not all files were up to date. There was no evidence seen advertising what activities might be available to them. The Registered Manager should look to provide information to people in the home about what activities are available. There is a visitor’s policy in place and people said that their relatives and friends were always made welcome. One visitor said that staff were always courteous and offered her a drink when she visited. Information about visiting is available in the Statement of Purpose and Service User Guide. People are able to choose who they do and don’t want to see. During the day people were seen to make their own decisions about what they wanted to do and where possible people are encouraged to be independent. Whilst the bedrooms were standard in style and furniture supplied people had personalised them with their own pictures and easy chair. People can bring in their own beds and supply their own bedding if they wish. People are encouraged to manage their own financial affairs and if support is required it is provided by families or legal representatives. A standard four-week menu is used. It is seasonally adjusted and allows for changes to be made on a day-to-day basis. The menus seen offered a choice at all meal times. Breakfast is generally continental in style, although cooked breakfasts are available on request. Staff prepare breakfasts in the small dinning rooms. This allows for people to have breakfast in their own time and the tea and toast can be made to order. Cooked breakfasts are provided to order. At midday a three-course meal is provided. A choice of starters is available, a selection of fruit, fruit juice and salads are available. The main course offers a choice of two hot meals if people do not want a hot meal a salad or something else would be requested and provided. A choice of sweets is also available. The meal at teatime is a choice of several items both hot and cold. Snacks and drinks are available throughout the day and night. Fresh fruit is provided with the morning drink as an alternative to biscuits. There are four small dinning rooms and staff are provided with hot trolleys at meal times. When staff are serving the hot food they should check the temperature of the food throughout the serving. People said ‘the food is very good’ and ‘the foods ok if we have any grumbles we tell the staff’. Two meal times were observed in different dinning rooms and the staff were patient and provided assistance in a discreet and sensitive manner. The kitchen was visited and the storerooms were found to contain opened dry foods that were not being stored in a sealed container and food uncovered in the fridge. The kitchen although busy was in need of being cleaned, as it was generally unkempt. Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. People who live at Scarborough Hall and Lodge and their representatives are able to express their concerns through the complaints procedure and are protected from abuse, so their rights are protected We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There is a complaints policy in place. It is available in the Service User Guide and Statement of Purpose it is also displayed in the front entrance of the home. There have been no complaints received since the home opened. People said that they would raise any concerns they had with a member of staff or the manager. The manager was advised to check the information in the complaints policy, as it should advise people to contact the funding authority or the local social services office if they have any concerns that cannot be dealt with through the manager. They should also ensure that the correct contact details for the Commission are included. Advocacy Alliance visits the home regularly and make themselves available to people in the home if they need any further support. There is a Safeguarding policy in place and this meets the local adult protection policy that is in place. Staff were aware of their responsibilities in relation to this policy and would report any suspicions they may have of Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 15 neglect or abuse occurring in the home. They were also aware of the whistle blowing policy. The manager has reported one person to the POVA list following disciplinary actions when they were discovered to have been sleeping on a night shift. Staff are subject to Criminal Disclosure Bureau checks prior to the commencement of their employment to ensure they are suitable to work in care homes. Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use the service experience good quality outcomes in this area. People live in a warm, comfortable and safe environment. They can access all areas of the home, which encourages independence. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Scarborough Hall and Lodge is a newly built home. It is situated in the suburbs of Scarborough and has been designed to meet the needs of older people who may or may not have mobility problems. Scarborough Lodge has been designed for people who have dementia or memory problems. It has a secure garden and some of the doorways do restrict access to other areas of the home. The communal areas are comfortable and provide people with a place to watch TV and quiet space for those who don’t want to be part of the larger group. Scarborough Hall has been designed for older people who need some support and assistance with their daily lives. There is a garden area that Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 17 is not secure and people can easily access it. The building complies with the requirements of the Local Fire Service and environmental health department. The premises were clean and free from offensive odours. The laundry facilities are sited away from the kitchen. It is suitable for its intended purpose. The laundry is washed at appropriate temperatures to thoroughly clean linen and control risk of infection. Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. Staff have been thoroughly vetted prior to the commencement of their employment. They receive regular training and are in sufficient numbers to ensure they can provide the support required by the people in the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The staffing levels recorded were appropriate to the needs of the people living in the home. There are two units in the home one specifically for people with dementia and the other for older people who need more support and assistance with daily living tasks. Each unit is split over two floors and staff are organised over both floors. In the Lodge there were two care staff and one senior on each floor with the staffing levels mirrored in the Hall. A record of hours worked is maintained and a rota is available for inspection. There are two waking night staff on each unit and they are supported by an on-call manager or senior member of staff. Ancillary staff are employed in sufficient numbers to ensure the home is kept clean and free from unpleasant odours. 50 of the staff group have an National Vocational Qualification level 2 in care and the rest of the care staff group are in the process of completing this qualification. Several staff have their National Vocational Qualification level 3 and are planning to do their level 4 in care. Staff also have a period of two Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 19 weeks training to ensure they have their statutory training in place before they commence working in the home. People said ‘ the people who look after us are lovely, staff check us through the night – they creep round and check us’ another said ‘the staff are alright, they are polite and helpful’ ‘the staff are wonderful’ relatives said ‘the staff are very efficient and keep me informed’ and ‘they have looked after mother very well especially when she was discharged from hospital, very happy with the attention she gets’ The staff records for six people were examined. They contained a fully completed application form, two references, and a Criminal Disclosure Bureau check and/or POVAFIRST check. All the records contained a contract of employment and notes on any disciplinary matters. A discussion with the manager of the Hall took place and she was advised that in future she should follow up any reluctance from former employers to provide a reference. A new member of staff said that she had two weeks training followed by working as an extra person on duty so that she could shadow other more experienced members of staff. She has had some supervision during her first five weeks, and would speak to the manager if she had any issues with the work she was doing. Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use the service experience good quality outcomes in this area. People live in a home that is well managed and systems are in place to protect their health and safety We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The Registered Manager is qualified and has relevant experience to ensure the home is run in such a way that it meets its stated purpose, aims and objectives. A manager on one of the units and two deputies and four senior staff support her. People spoken to during the visit said that the manager was approachable and operated an open door policy. They commented that all the senior staff were approachable and they were able to access someone at all times if they needed to. Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 21 The home has only been open since April 2008 and the company has started to implement the quality assurance system. There are weekly and monthly auditing tools for catering, medication care plan along with annual questionnaires which are sent to people using the service, their families, and professionals involved with the service. There will be regular family meetings, meetings for people using the service and staff meeting minutes which will all feed in to the quality assurance of the service. When it is necessary people can leave their personal monies in the office safe. The records and cash held were checked and all tallied. The health and safety records were checked and all were found to be up to date. Risk assessments for fire, the environment, COSHH and people who live in the home. All accidents and incidents are recorded and when necessary they are reported to the Commission of Social Care Inspection. A monthly audit is carried out of accidents so that any risk assessment can be updated or to identify any training that is necessary for staff. Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 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 Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/a 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 Refer to Standard OP7 OP15 OP29 Good Practice Recommendations Any written records kept that are not pertinent to only one individual should not be maintained. The kitchen should be kept clean at all times and any foodstuffs opened and not fully used should be stored properly in accordance with Food Hygiene guidance. The Registered Manager should follow up any references that have been declined or handed to another member of staff to complete. This means that people will be properly checked before they commence their employment. Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Scarborough Hall and Lodge DS0000071568.V370344.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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