Care Home: St George`s Nursing Home

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What the care home does well The home continues to provide a good service that is geared to the individual wishes, needs and tastes of people who live there. Twenty-one people who express an opinion have very few adverse comments about the home and everyone says they enjoy living there. They also feel well looked after and enabled to get on with their lives the way they wish. They feel staff are helpful, courteous, friendly, and attentive. They also enjoy the meals provided and activities. People who use the service feel the home is particularly good at treating everyone as an individual, equally and with respect. What has improved since the last inspection? The requirements from the last inspection were met at this inspection. These included areas such as care planning, medication administration recording, fire evacuation plan and updating staff contracts. This means people who use the service are living in a safer, better planned environment. CARE HOMES FOR OLDER PEOPLE St George`s Nursing Home 61 St George`s Square London SW1V 3QR Lead Inspector Wynne Price-Rees Key Unannounced Inspection 23rd June 2008 10:30 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 George`s Nursing Home DS0000026018.V364542.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 George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St George`s Nursing Home Address 61 St George`s Square London SW1V 3QR 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) 020 7821 9001 020 7821 0707 stgeorgesnh@aol.com Mrs Elizabeth Kerins-McManus Mrs Elizabeth Kerins-McManus Care Home 44 Category(ies) of Physical disability (44) registration, with number of places St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Physical disability - Code PD The maximum number of service users who can be accommodated is: 44 15th August 2007 Date of last inspection Brief Description of the Service: This is a care home that provides nursing care for up to thirty-nine people who use the service and is located in the Pimlico area. The home is situated in a square and is a series of inter-connected Georgian mansion blocks that has access to all areas by lift and stairs. It is within easy access of transport links, local shops and other facilities. St Georges has been established for over forty years and many of the senior staff and management team have been in post for a number of years. The Care Manager is also the Proprietor and this is a stand-alone home rather than part of an organisation. Therefore the care provided is very friendly and personalised to the style of the Care Manager. The fees charged vary depending on if people who use the service require one room or a suite of rooms and can be obtained from the home. St George`s Nursing Home DS0000026018.V364542.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 stars. This means the people who use this service experience good quality outcomes. The inspection was unannounced and took thirteen hours to complete over three days, starting on 23/06/08 and ending on 30/06/08. During the course of the inspection twenty-one people who use the service were spoken with to get their views of the service they receive. The Care Manager was on holiday during the inspection and therefore the Deputy and staff were spoken with, care practices observed, records and procedures checked and a premises tour undertaken. All key standards were inspected and this information was triangulated with that gathered since the previous key inspection including Regulation 26 provider visit reports and Regulation 37 notifications forwarded to give the new quality rating. Regulation 26 visits are those carried out unannounced monthly to measure quality of service provided and Regulation 37 notifications inform the Commission of any accident or incidents that affect people who use the service. An AQAA had not been completed when the inspection took place, as the Commission had not requested one. An AQAA is an annual quality assurance assessment carried out by the home. The files of five people who use the service were case tracked from different floors. What the service does well: The home continues to provide a good service that is geared to the individual wishes, needs and tastes of people who live there. Twenty-one people who express an opinion have very few adverse comments about the home and everyone says they enjoy living there. They also feel well looked after and enabled to get on with their lives the way they wish. They feel staff are helpful, courteous, friendly, and attentive. They also enjoy the meals provided and activities. People who use the service feel the home is particularly good at treating everyone as an individual, equally and with respect. St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 6 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. St George`s Nursing Home DS0000026018.V364542.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 St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The needs of people who use the service are fully assessed prior to moving in and they and their relations are able to visit to see if the service is what they need and want as part of the assessment procedure. Intermediate care is also provided. EVIDENCE: Whilst meeting with people who use the service during the inspection, the following comments were made about the assessment procedure and opportunity to visit the service before deciding if they wished to move in. Other comments are included in the evidence text. St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 9 “I came here voluntarily and would not stay if I did not want to”. “This is one of a number of homes I visited and is by far the nicest”. “I discussed my requirements before deciding to move in”. The home has a written assessment policy and procedure that the files case tracked and some people that use the service confirmed is followed. “My relation was fully assessed prior to moving in”. If a referral is made by the social services or a hospital information regarding needs to be met are forwarded to the home and included as part of the overall assessment. A staff member qualified to carry out an assessment visits the person using the service either at home or in hospital and their needs are discussed and agreed. This is generally the Deputy Manager. “Someone came to visit me at home and discuss what I needed”. Wherever possible the person using the service and their family are invited to visit the home and meet other people living there to help decide if they want to move in. “My family and I were able to visit the home prior to deciding if I wished to move in”. The assessment format meets the requirements of the standard and is used as a basis for an initial care plan. The home caters for short term stays and the same procedure takes place. In some instances people who use the service said they have stayed a number of times before deciding to move in permanently when their needs changed. St George`s Nursing Home DS0000026018.V364542.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 this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There are comprehensive care plans with information that shows how staff are supporting the people who use the service with their social, health, cultural, emotional, communication and independent living needs. Health care needs in particular are very well met and people who use the service are protected by safe medication administration practices. People using the service said they are treated with respect and their dignity observed. EVIDENCE: St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 11 Whilst meeting with people who use the service during the inspection, the following comments were made about their involvement in the planning of the care and support they receive. They also commented on if they felt their dignity and privacy were observed. Other comments are included in the evidence text. “I conduct my life as I wish and decide what I want to do”. “If I need support, I ask for it and it is forth-coming when I need it”. “Staff are very kind and always treat me with respect”. A sample of five files all had care plans containing information required on how to meet stated needs and records that demonstrated how these needs were met and when. Goals were set to meet needs and outcomes recorded during reviews. The care plans were underpinned by risk assessments and both were regularly updated and reviewed. The care plans were case tracked by picking a particular goal, referencing it with daily entries made over a period of time and in some instances asking the person using the service if a particular activity was taking place. One person had a goal of using the square opposite to get a little fresh air and exercise. The records showed this was happening a number of times per week and the person using the service confirmed this. “I can discuss my care plan if I wish”. Health care is part of the overall care plan and file information was very comprehensive and up to date regarding health care needs. “My health needs are well looked after”. People using the service confirmed they have the option of being registered with the home’s GP or keeping their own and have full access to community based health care services. One GP was visiting during the inspection. The medication administration and controlled drugs records were checked for everyone using the service and found to be up to date and accurately maintained. “I don’t feel it necessary to be involved in a care plan as I am very well looked after”. People using the service stated they felt their health care needs were well met. “My splint requires changing every two hours although this does not always take place”. When we explained that someone felt their splint was not changed as regularly as it should be, this was investigated and staff reminded to check in future. The home has a policy and procedure for privacy and dignity that is contained in the charter for people using the service, staff induction pack and induction training. “If I did not think my privacy and dignity was observed I would soon let people know”. St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 12 People using the service said their privacy and dignity were upheld, they were treated with respect and this was confirmed by care practices observed. It also showed people were treated equally and their diversity acknowledged. St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. 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. People who use the service have their preferences observed and their social, cultural, religious and recreational needs and interests met, meaning they have fulfilling lifestyles. They also have access to a variety of choice of meals geared to their individual tastes. People who use the service are encouraged to maintain contact with friends and relatives as they wish to enhance their social lives. EVIDENCE: Whilst meeting with people who use the service during the inspection, the following comments were made about their daily lives and activities available to them. Other comments are included in the evidence text. St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 14 “Generally I prefer my own company but activities are there if I want them”. “Indeed very happy, couldn’t be better”. “Staff very helpful but I need more exercise”. “A family run home”. “Couldn’t improve on anything”. “Everything is wonderful”. “Wonderful food”. “I come and go as I please”. “I pop to the shops”. “I enjoy the garden square”. “I enjoy afternoon tea with biscuits and cake”. Interests and hobbies were included in the care plans case tracked and people who use the service said they are encouraged and supported to pursue them as they wished. “I have friends around for drinks and go out to them”. Whilst activities were available there was no pressure to attend, as it was a matter of individual choice. Daily activities are provided in-house and people who use the service are asked what they would like to do. During the inspection some people enjoyed playing cards, scrabble and discussed current affairs. Others were happy reading or watching TV in their rooms. “I choose what I want to do”. People using the service said they use local facilities as they please visiting shops, pubs and the Tate Modern. “Handy for the Civil Service Club”. “I’m living at home”. One person said they particularly enjoyed having drinks in the square gardens when the weather was nice and the Care Manager also takes people to the Sloane Club if they like. A number of friends and family visited throughout the inspection and some people went out on trips or to the gardens with them. Arrangements are in place for people who use the service to visit appropriate places’ of worship or worship at home if they wish. “The food is excellent”. The general opinion was that the meals provided were very good, what people wanted and a variety of options were available. One person who uses the service is Vietnamese and his cultural cuisine preferences St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 15 were catered for. The last environmental health report in February 2008 awarded the kitchen 4 stars. St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service can feel confident they are listened to and their complaints and concerns investigated with outcomes. They are generally well protected by the home’s adult protection procedures. EVIDENCE: Whilst meeting with people who use the service during the inspection, the following comments were made about how they feel about how they feel their concerns are dealt with by the home. Other comments are included in the evidence text. “I have no Complaints”. “It is wonderful here”. St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 17 “Couldn’t be better”. The home has a written complaints policy and procedure that people who use the service and staff confirmed they understood. “If I had a complaint I would speak to staff or the Manager”. A copy of the complaints procedure was located in the front lobby. A complaints book is kept that records the nature of the complaint, who it was made by, investigated by and outcome. “I feel very safe here”. There are no current recorded complaints, although two people said that some items of laundry had gone missing. One person was concerned they could not always reach their alarm cord. These concerns were investigated when we mentioned them. “I am safe here”. There is policy and procedure regarding abuse and action to take if encountered that staff said they understood and would follow if necessary. There are no current POVA issues recorded. POVA is the protection of vulnerable adults. The home keeps an accident and incident book. One incident was recorded in February 2008 that we felt may be an adult protection alert. The home said at the time they did not feel it was as the incident was reported by a staff member who said the concern voiced by a person using the service was about them and they no longer wished to be responsible for their care unless working with someone else. The incident had been discussed with a close relative who was happy for the person to continue living at the home. The home had therefore not reported it to the Commission or the Safeguarding Team at Westminster City Council. The person who uses the service is still living at the home and seems quite happy to do so. There were no other entries of a similar nature recorded and people spoken with said they felt very safe at the home and found staff excellent. St George`s Nursing Home DS0000026018.V364542.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 and 26. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. A safe, homely and safe environment is provided for people who use the service to live in. EVIDENCE: Whilst meeting with people who use the service during the inspection, the following comments were made about where they live and if they felt safe, comfortable and happy there. Other comments are included in the evidence text. St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 19 “My suite of rooms are suitable for my needs and I get plenty of light”. “I enjoy the view from my room”. “This is a nice environment to live in”. “I was able to bring some of my possessions with me to make my room more homely”. “This will never be like home but it’s as close as I will get”. “I like having my own en-suite”. “There is a nice relaxed atmosphere”. “I think the layout is unique”. A tour of the premises showed that although the layout of the home is unusual due to the age of the building and it being three Georgian houses converted into one, people who use the service said they enjoyed living there. “This is my home”. It is also suitable for its stated purpose. Generally the building was kept clean although one person felt their room was dirty which we agreed. “My room is a little dirty”. This was mentioned to the management team and the room cleaned. “The home is very clean”. Other people spoken with were happy with the level of cleanliness and the rooms seen were clean. Where practicable people are encouraged to bring possessions with them to make their accommodation as homely as possible. One person has a pet budgie. The building was also secure, pleasant and generally odour free. There was suitable communal space available. St George`s Nursing Home DS0000026018.V364542.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 and 30. People who use this service experience good quality outcomes in this area. There are suitably trained, competent and diverse staff employed to meet the needs and wishes of people who use the service that have been properly vetted. People can be confident they are protected by the home’s robust recruitment policies and procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Whilst meeting with people who use the service and staff during the inspection, the following comments were made about the staff and staffing at the home. Other comments are included in the evidence text. “Staff at St George’s are encouraged to be individuals that means people who use the service are recognised as individuals and this is reflected in the light, friendly atmosphere”. “Nice staff”. St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 21 “I’m living at home”. “Staff are very helpful”. “Very kind”. The home has a thorough recruitment policy and procedure that a sample of five records showed is generally followed and meets the requirements of the standard. This includes checking qualifications, work history and a competence test. The exception was one cleaner who was working without CRB clearance although this had been applied for. An immediate requirement was made that the person could not work until a POVA first/CRB clearance was obtained. POVA is the protection of vulnerable adults and CRB is the Criminal Records Bureau. This was on the second inspection day and when we returned to check the requirement had been met the person had received their clearance and could recommence work. The home has a system that flags up when CRB clearance is three years old and the home then applies for a new check. The staff rota demonstrated that there were adequate numbers of staff to meet the needs of people who use the service at all times, although they did seem stretched at busy periods such as meal times and at night. “Staff are excellent but sometimes stretched”. “Sometimes not enough nurses at bed time”. The people who use the service said they thought the staff were very good as a team, tried their utmost to be helpful and supportive and were kind and courteous. “Very nice people”. This matched the care practices we observed. Five staff files were looked at from different areas of work and showed that the staff are qualified and experienced to competently carry out their roles. They receive induction and orientation training when starting work and have access to refresher courses. These include mandatory training in basic food hygiene, health and safety, manual handling and first aid. Training is also provided focused on specific job related tasks. It is a requirement of their job description that all care staff employed at the home have an NVQ level 2 qualification or above. NVQ is a national vocational qualification. St George`s Nursing Home DS0000026018.V364542.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 and 38. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well managed in the interests of those who use the service and the quality assurance system is effective. Health and safety is well managed meaning that people who use the service live in a safe environment. EVIDENCE: St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 23 Whilst meeting with people who use the service and staff during the inspection, the following comments were made about the home’s management. Other comments are included in the evidence text. “If I ask for something it gets done”. “The Manager is approachable”. “Nothing is too much trouble”. The Care Manager is a qualified SRN, RGN, has a Diploma in Gerontology and forty years Care Management experience. They have also obtained an NVQ level 4-verifier certificate. There is a highly experienced and competent management team in place. The calibre of the home’s management is reflected in the high level of support and caring, professional manner in which staff observed went about their duties during the inspection despite the Care Manager being on holiday. There is an annual business plan that contains measurable objectives with performance indicators that are regularly reviewed. “The management team listen”. There are also six monthly questionnaires sent to residents, relatives and staff that are used to identify areas in which performance and service and support can be improved. Notifications are forwarded to the CSCI under the required criteria. Staff receive annual appraisals as well as structured supervision sessions. The people using the service have their rights protected by their contracts, legal representatives and placing officers. Any money or valuables deposited with the home, for safe keeping are kept in a safe and a record and an inventory kept. A sample showed transactions are correctly recorded with receipts. The Maintenance Officer carries out regular health and safety checks that are recorded and include weekly fire alarm system checks and this is also checked monthly by the company with the service contract. The fire fighting equipment was tested in October 2007. The lift is serviced three monthly, boiler annually and PATT tests yearly. PATT tests are to make sure electrical appliances are safe. PATT is the testing of all electrical goods brought into the home. Fridge and freezer temperatures are tested and recorded daily. Fire drills take place quarterly and one took place last week. “I am unsure of the procedure in the case of fire”. One person who uses the service said he was unclear of the fire evacuation procedure. A staff member explained it to me and reminded the person using the service of it. Health and safety risk assessments, including the premises, are carried out by staff appropriately trained in their respective areas of responsibility to do so. Quarterly equipment assessments and others relating to maintenance including COSHH were recorded. St George`s Nursing Home DS0000026018.V364542.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 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP18 Regulation 12 (1) (a) Requirement Any adult protection issue must be referred to the local authority safeguarding team for consideration and CSCI must be informed. The staff rota must be reviewed to make sure there are adequate numbers of staff on duty at all times to meet the needs of people who use the service. Timescale for action 01/08/08 2. OP27 18 (1) (a) 16/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 George`s Nursing Home DS0000026018.V364542.R01.S.doc Version 5.2 Page 27 - 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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