Care Home: St Bridgets

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well The staff are warm, kind and thoughtful when they help the residents. Staff try hard to meet residents needs and support them well.Residents and visitors made a range of comments including, ` It couldn`t be better `, ` they look after me very well `, and ` I like it here the staff are very friendly `. Care plans set out clearly how residents` needs are going to be met. Residents` meals are of a good variety and quality. Meals are nutritionally well balanced and well presented. Residents take part in different low-key social and therapeutic activities. This helps residents to enjoy a good quality of life at the Home. There is an emphasis placed on improving staff training, and making sure staff do a range of training to better understand residents` needs. What has improved since the last inspection? Written risk assessments of the risk of harm through contact with radiators and pipe work to residents have been put in place. The assessments have been acted upon, and reviewed regularly. To prevent risks from scalding the temperature of water has now been controlled, in hand basins used by residents, to about 43 degrees centigrade. The radiators identified as posing a risk to residents they have now been covered. Residents care plans now include moving and handling assessments that are regularly reviewed. An annual survey of residents` views is being carried out. Other people who visit the home are asked what they think about it in order to improve services for the residents. Where bed rails are in use an assessment is in place that has involved appropriate people. The reasons for their use must be clear. The assessments must be regularly reviewed. What the care home could do better: Staff should check the temperature of all high risks cooked foods before serving them to residents. A record of these temperatures should be kept. A record of complaints must be held in the Home, and available for inspection. To protect the residents and make sure that the overall quality of care and service can be inspected in a timely way, records should be stored in a way that makes them easy to find in the Home. This recommendation relates to certain records not being found by the staff and owners on the day of the inspection, (in the absence of the registered manager). CARE HOMES FOR OLDER PEOPLE St Bridgets 14 East Avenue Talbot Woods Bournemouth Dorset BH3 7BY Lead Inspector Melanie Edwards Unannounced Inspection 28th July 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 St Bridgets DS0000020497.V365929.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. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Bridgets Address 14 East Avenue Talbot Woods Bournemouth Dorset BH3 7BY 01202 291347 01202 291347 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) Mr A L Howell Mrs Joanna Ethne Hills Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate a maximum of 2 persons in Room 23. Date of last inspection 18th April 2007 Brief Description of the Service: St Bridget’s home accommodates 12 older people in need of nursing care in a large converted house. It is on a corner plot set back from the main road, in mature gardens with a small car park to the rear of the premises. The home is in the residential area of Talbot Woods within easy reach of shops, bus routes and community facilities. The residents accommodation is arranged over the ground and first floor. A passenger lift is available between floors. Four of the bedrooms are single and 4 are double. None of the bedrooms have ensuite facilities but there are communal bathroom and toilet facilities on the ground and first floor. At this visit the manager said that current fees for this home range between £550 and £675 a week. St Bridgets DS0000020497.V365929.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 inspection was carried out over one day and was unannounced. We met eight of the eleven residents living at the home. We also met a number of visitors. We met Mr Howell who is the owner and we met a registered nurse .We spoke to two care assistants and one of the cooks. We talked with them about roles, responsibilities, training needs, and how they assist residents. Mrs Hill was on a day off on the day of the inspection. We saw staff helping residents with their needs. We saw the lunchtime meals being served. We looked at a selection of records relating to the running and management of the home. These included one care plan, one assessment record, three staff training records, staff duty records, supervision records, accident records, fire records, and menus. We saw all areas of the home. The home was operating within the required conditions of registration set down by the Commission. The conditions of registration detail the type of care and the needs of residents, and the numbers of residents who may stay at the home. Please note some of the evidence that was asked for could not be located on the day of the site visit to the home. However Mrs Hills was able to provided us with the further evidence and the information we needed after the site visit. What the service does well: The staff are warm, kind and thoughtful when they help the residents. Staff try hard to meet residents needs and support them well. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 6 Residents and visitors made a range of comments including, ‘ It couldn’t be better ’, ` they look after me very well ’, and ‘ I like it here the staff are very friendly ’. Care plans set out clearly how residents’ needs are going to be met. Residents’ meals are of a good variety and quality. Meals are nutritionally well balanced and well presented. Residents take part in different low-key social and therapeutic activities. This helps residents to enjoy a good quality of life at the Home. There is an emphasis placed on improving staff training, and making sure staff do a range of training to better understand residents’ needs. What has improved since the last inspection? What they could do better: Staff should check the temperature of all high risks cooked foods before serving them to residents. A record of these temperatures should be kept. A record of complaints must be held in the Home, and available for inspection. To protect the residents and make sure that the overall quality of care and service can be inspected in a timely way, records should be stored in a way that makes them easy to find in the Home. This recommendation relates to certain records not being found by the staff and owners on the day of the inspection, (in the absence of the registered manager). St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 7 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. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 8 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 St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 9 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): 1,3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are given the information that they need to help them make informed choices about the Home. Residents have their needs met and their needs assessed. Residents are not provided with intermediate care at the Home EVIDENCE: We looked at a copy a copy of the homes brochure and the statement of purpose to see what sort of information is available about the home for residents and their representatives. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 10 Mr Howell told us that residents are given their own copy of the brochure so they have information about life in the home. We advised Mr Howell that the brochure should be expanded and updated to include more specific information about daily life in the home, fees that are charged, the philosophy of care and more information about the service residents can expect .Mr Howell told us he was in the process of doing this, and setting up a website about the home. This will offer more up to date information to people about the home. We looked at the copy of the statement of purpose that is kept in the entrance hall of the home so that anyone can read it .The statement of purpose includes information about the service residents can expect, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is also included. We read one assessment record to see how well residents’ needs are assessed. We found the information in the assessment record was sufficiently detailed, and it set out what the persons range of needs are. The assessment record showed the residents range of physical, mental and social personal care needs had been assessed. What needs to be done to help the resident had been written in the assessment. The assessment record we read had been regularly reviewed and updated. This benefits residents as this information forms the basis for deciding what sort of care and support residents will need. The Home does not provide intermediate care for residents. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents care plans and assessment records demonstrate how needs are assessed and met. Residents’ health needs are met. Medicines are looked after safely in the home. Residents are treated with respect and generally their right to privacy upheld. EVIDENCE: We looked in depth at one residents care plan to see how well they are helped with their needs by the staff. We found the information in the care plan was satisfactorily informative. The care plan set out what actions staff must follow to assist the resident to meet their needs. We also saw written information from other professionals involved in helping the resident, specifically a speech therapist and a dietician. There was a good range of information from them include with the care plan to help the resident to have all of their needs well St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 12 met. The care plan had been formally reviewed and updated to show that their needs can still be met. We saw a written health record with the residents care plan. This record shows when the person sees a doctor, optician, dentist and chiropodist and what treatment may be required. We also saw information in the daily records that demonstrated staff monitor and observe residents and call a doctor if concerned. We checked residents care plans to see if when bed rails are used, there is an assessment in place setting out the reason for their use. This had been a requirement at the last inspection. Mr Howell and the registered nurse on duty tried to locate bedrails assessments, they could not be located. However we were contacted after the site visit by Mrs. Hills who has sent us an up to date copy of a current bedrails assessment record. Mrs. Hills told us the bedrails assessment records are kept with residents care plans. We looked at systems on place for the handling of medicines in the home to see if they are safe. We saw the registered nurse giving the lunchtime medicines to residents. The registered nurse took their time giving out the medication and explained to residents what they were doing, and administered their medication safely. The medication administration charts of two residents were checked. There was a photograph of the resident maintained with each record. This should ensure medication is administered correctly to the resident named on the chart. The administration charts were up to date and in good order. The staff had signed for medication administrated, or recorded the reasons for any omissions. Ample storage is available for keeping medicines securely, a medicine fridge is also used. Records showed that medicines needing extra security are looked after safely. A medicine trolley is used to store the current medicines. This means that they can be moved around the home safely and staff can give the medicines more safely. All of the residents that we met told us staff are helpful, kind and caring, when they help them with their needs. The residents also spoke positively about the attitude of the staff. We observed that the staff were warm, kind and thoughtful in their manner when they were helping the residents. We saw most of the staff knocking on bedroom doors before entering them and assisting residents in a polite and respectful manner. This helps demonstrates that staff respect privacy. However we did see one member of staff who did not knock on residents’ doors before they went into rooms. We passed this information on to Mr Howell to address. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 13 Where residents share rooms their privacy is maintained by fitted curtains across rooms provide screening when needed. All bedrooms have suitable coverings at their windows to protect for residents privacy. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 14 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): 12,13,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a range of low-key social activities put on in the home for their enjoyment. Residents can make choices in their daily lives. Residents can enjoy meals that are tasty and varied and are served in a pleasant environment. EVIDENCE: We have quoted this section of the report from the last inspection report, as it is still applicable: ‘the home organises some activities for the residents. There is a regular exercise class and occasionally entertainers come to the home. Residents can choose whether to join in or not. The home arranges for daily newspapers to be delivered to any residents who want to buy them. A hairdresser visits about every 10 days. Residents have radios and televisions as they wish in their rooms ’. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 15 We saw a singer who performed songs with the residents during the inspection the singer comes to the home regularly, and residents looked as if they were enjoying this entertainment. We saw a resident have visits with their family and friends during the inspection. Visitors said that the staff are welcoming and friendly. Residents were also observed having lunch with their visitors. We tasted a portion of the lunchtime meals. The meals were a choice of made shepherds pie, or homemade fish pie, with three fresh cooked vegetables. There was a freshly made crème Brule for desert. The meals were tasty, well cooked and well presented. All of the residents that we spoke to commented very positively about the food served at the Home. We talked to the cook about how they make sure residents dietary likes and dislikes are catered for. The cook demonstrated a really good understanding of residents’ needs and preferences. They explained that they used to work as a care assistant and know very well what residents like to eat. This information has also been written down for reference if needed. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents should be confident that complaints about the service are listened to and acted upon wherever possible. Staff training and in house procedures help to ‘safeguard’ residents from abuse. EVIDENCE: In the last inspection report we wrote ‘ No complaints have been received by the home since the last inspection or by the Commission ’. However on the day of this inspection the complaints record could not be located. We advised that information about any complaints made needs to be kept available in the Home. Mrs. Hills was able to provide us with some good information about how complaints will be dealt with in the home .She said there had been no complaints made since before the last inspection. When we asked two of the residents we met about how they would make a make a complaint they said they would speak to the person in charge .We spoke to one of the staff about how they help residents to complain. They said that residents concerns and complaints are welcomed in the Home. Some of the staff team have now done training to ensure they are up to date in their understanding of the principles of safeguarding residents from abuse. Mr Howell also told us that he was making sure that all of the team would have St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 17 done ‘ safeguarding ’ training. Two of the staff on duty told us they had done in house training recently to help them understand the principles of ‘safeguarding ’ residents from abuse. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,24,25,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in an environment that is adequately suitable for their needs. The environment looks homely and satisfactorily maintained. EVIDENCE: St Bridget’s care home is an older, large house. The Home is near to private houses and a short distance from the town of Bournemouth. This helps ensure residents can be a part of the community. The Home is set in its own grounds. The garden looked well maintained. There are patio seats and a secure garden where residents can sit and walk safely. We were told by the staff that the garden is used to hold social events for residents and their significant others in warmer weather. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 19 There is a lift giving access for residents to each floor of the home. There is a lounge that is also used as dining room .The residents that we saw sitting in this room looked very comfortable and relaxed in the surroundings. We saw that bedrooms were personalised to reflect residents’ tastes with photographs, mementos and small items of furniture. The standard of furniture and fittings is satisfactory. We saw a domestic worker working hard cleaning the Home. We found the environment to be clean and tidy. There is a bathroom on the ground and one on the first. Toilets are situated in readily accessible parts of the Home near to communal areas and bedrooms. The bathrooms and toilets were clean, and were well stocked with towels and soap to help minimize risk from cross infection. Since the last inspection the temperature of the water in hand basins in residents’ bedrooms is better controlled. We tested the temperature of water coming from the tap in a hand basin in a communal bathroom and a bedroom. We found that the temperature was not excessively hot. Since the last inspection radiators in the home have been assessed for risks to residents. We saw that radiators identified as putting residents at risk have now been covered. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 20 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): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well protected by good staffing levels, and by staff who do a range of training. Residents are protected by the homes recruitment practises and procedures. EVIDENCE: We had a detailed look at the staff duty record for two weeks of July 2008 to find out if residents benefit enough staff to meet their needs. A registered nurse is on duty at all times, and two care staff are on duty in the morning, and two care staff on duty in the afternoon. There are two waking staff on duty each night. There are also cooks, and a kitchen assistant and a cleaner employed by the Home. However we did not check the numbers of these staff. The registered manager of the home gets allocated hours each week of dedicated management time. We saw three staff files that contained a completed Criminal Records Bureau check carried out one each person before commencing employment. These checks are a safeguard for vulnerable residents. We could not find references for the staff concerned. This was discussed with Mr Howell, as we were told that references are taken up on all new staff. However as we already referred to we were contacted by Mrs. Hills after the site visit. Mrs. Hills was able to provide us with evidence that there were two written references in each St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 21 member of staff employment file. This information needs to be easily available for inspection. We saw good evidence in the training files that there is a varied range of inhouse training taking place on a range of subjects relevant to residents and their needs. The staff also told us that they could do a variety of training run by external trainers or in-house courses. We were also told by the senior carer on duty that they have completed National Vocational Qualification in care award to a level 3, to help them to fulfil their role as a senior care worker We did not check on what training the registered nurses have been doing recently. However we have quoted from the last inspection report where this was inspected: ‘ Qualified staff have continued to keep their practice up to date by attending locally organised workshops. In house informal discussions are held in respect of the conditions of the residents e.g. all staff have had instruction about peg feeding ’. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35, 36, 37, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in residents’ best interests. Residents’ benefit from the homes quality assurance system. This is used to monitor the quality of care and the service. Residents are cared for by staff who are appropriately supervised in their work. Residents’ health and safety is generally protected. EVIDENCE: The home is managed by Mrs. Jo Hills who is an experienced nurse and manager. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 23 Residents we met knew who Mrs. Hills was and they said they see her regularly. One resident told us that Mrs. Hills was, ‘ very nice ’. Mr Howell is the owner of the Home. He has run a care home for over thirtyone years. A requirement has been made at the last inspection for a system for evaluating the quality of the services provided at the home to be established and maintained as outlined in the care home regulations and national minimum standards. The Home has written a policy that sets out how they will monitor the quality of the overall service that residents receive. On the day of the site visit, despite the help of the registered nurse and Mr Howell we could not find written evidence of a system of quality monitoring in the Home. However as has already been referred to Mrs. Hills contacted us after the site visit. She has been able to provide us with evidence that the home does have a way of monitoring the quality of the service, based on seeking the views of the residents and their representatives. Mr Howell told us that the home does not take responsibility for residents’ finances, and this is made known to them when they first come to the home. Care staff told us that the manager and registered nurses are supportive and helpful. We saw some evidence in supervision records to show staff supervision sessions have been taking place regularly over the last three to six months. The manager has been doing health and safety audits of the whole environment regularly. We saw a copy of the document that is used to carry out the audit. These were informative and aimed to address health and safety problems and risks in the Home. We looked at the residents accident book to find out what action is taken after residents have an accident. The accident record showed the staff review in the accident and what may have caused it. The kitchen was tidy and organised when viewed. There were up to date daily records being kept of the fridges and freezer temperatures. This information is necessary to demonstrate the fridges and freezer is working properly and foods are being kept at a safe temperature. There were dairy products, cooked meats, and cooked food stored in the fridge that had been covered and dated. This is done so that foods are used within a safe timescale. We advised the cook to check the temperatures of all high-risk foods before serving the food to residents. This is necessary to ensure the food has been cooked to a safe temperature for residents to eat. St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 24 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 25 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 2 Refer to Standard OP38 OP37 Good Practice Recommendations Staff should check the temperature of all high risks cooked foods before serving them to residents. A record of these temperatures should be kept. Records needed for the effective running of the home should be stored in a way that makes them easy to find in the Home. This recommendation relates to certain records not being found by the staff and owners on the day of the inspection St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 26 St Bridgets DS0000020497.V365929.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 St Bridgets DS0000020497.V365929.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!