Care Home: Stanbeck

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What the care home does well Each prospective resident is assessed before moving in to the home and from this assessment a plan of care is generated. The home is moving towards person centred care planning and each plan will how the individual wants to spend their time and how they wish their care to be delivered.All prospective residents are invited to visit the home to look around before deciding whether or not they want to move in. This also gives opportunity to meet the staff and other people living in the home. We spoke to residents who were in their rooms during our visit and they all confirmed that the care staff treated them with dignity and respect. They were always polite and one lady told us `the girls are lovely and nothing is too much trouble`. One lady was visiting her mother-in-law and said she was delighted with the care provided by the home. We spoke to two friends of a resident and they remarked on `how much better` their friend was since she was admitted. What has improved since the last inspection? Some internal decoration has taken place. New dining chairs have been purchased and some bedrooms have had new carpet laid. The refurbishment of the ground floor shower room has been completed giving improved bathing facilities for those living in Stanbeck. Care planning has improved with the move towards a more person-centred approach. What the care home could do better: Staff rotas must be improved to ensure all those who work in the home are included on the duty rota. This means that everyone is aware that the recorded staffing levels are correct and will provide the appropriate level of care to those living in the home. All care plans should be in line with the new `person centred` format and contain all the information necessary to ensure the correct level of care is provided. All risk assessments should be up to date and nutritional screening for all should be introduced. CARE HOMES FOR OLDER PEOPLE Stanbeck Stainburn Road Workington Cumbria CA14 4EA Lead Inspector Mrs Margaret Drury Unannounced Inspection 5th November 2008 10:00 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 Stanbeck DS0000022615.V372923.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. Stanbeck DS0000022615.V372923.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanbeck Address Stainburn Road Workington Cumbria CA14 4EA 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) 01900 603611 Mrs Audrey Robinson Mrs Audrey Robinson Care Home 13 Category(ies) of Learning disability (2), Old age, not falling registration, with number within any other category (13) of places Stanbeck DS0000022615.V372923.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Learning disability - Code LD (maximum places - 2) The maximum number of service users who can be accommodated is: 13 Date of last inspection 29th May 2008 Brief Description of the Service: Stanbeck is a modern purpose built home in a residential area of Workington. It is situated approximately half a mile from the centre of town and is on a bus route. Parking is at the front of the property. The home has a large garden and a patio area. Accommodation is on two floors with a passenger lift. Bedrooms are single occupancy with en-suite toilet facilities. There is a dining room on the first floor that leads out to the patio. The lounge is on the ground floor with access to the garden. The home is primarily for older people but also cares for specific people in other categories as detailed above. The home is owned and managed by Mrs Audrey Robinson and her two daughters help her in this. Together they make up the management team. Mrs Robinson also runs a bed and breakfast business on the same site. Information about the home can be obtained from the provider. The home does not have a website or an e-mail address. This home does not provide intermediate care. Stanbeck DS0000022615.V372923.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. This site visit that forms part of the key inspection took place over one day in November and we (The Commission for Social Care Inspection - CSCI) were in the home for a total of 6 hours. Information about the service was gathered in different ways: • Annual Quality Assurance Assessment document completed by the care manager • Survey questionnaires returned by staff and residents. • Interviews with residents, visitors and staff on the day of the visit. • Looking at any information received from other professional agencies • Observations of the care and support given to those living in the home. • Any regulation 37 notifications sent in by the manager. We looked at care planning documentation to ensure the level of care provided met the needs of those living in the home and a tour of the building to inspect the environmental standards was undertaken. Medication records were examined and staff training records and personnel files were also inspected. Discussions with the management team took place on the day of the visit about the running of the home, staffing and the dependency of those living in Stanbeck. What the service does well: Each prospective resident is assessed before moving in to the home and from this assessment a plan of care is generated. The home is moving towards person centred care planning and each plan will how the individual wants to spend their time and how they wish their care to be delivered. Stanbeck DS0000022615.V372923.R01.S.doc Version 5.2 Page 6 All prospective residents are invited to visit the home to look around before deciding whether or not they want to move in. This also gives opportunity to meet the staff and other people living in the home. We spoke to residents who were in their rooms during our visit and they all confirmed that the care staff treated them with dignity and respect. They were always polite and one lady told us ‘the girls are lovely and nothing is too much trouble’. One lady was visiting her mother-in-law and said she was delighted with the care provided by the home. We spoke to two friends of a resident and they remarked on ‘how much better’ their friend was since she was admitted. What has improved since the last inspection? What they could do better: Staff rotas must be improved to ensure all those who work in the home are included on the duty rota. This means that everyone is aware that the recorded staffing levels are correct and will provide the appropriate level of care to those living in the home. All care plans should be in line with the new ‘person centred’ format and contain all the information necessary to ensure the correct level of care is provided. All risk assessments should be up to date and nutritional screening for all should be introduced. Stanbeck DS0000022615.V372923.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. Stanbeck DS0000022615.V372923.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 Stanbeck DS0000022615.V372923.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): Standards 2, 3 & 5 were assessed. (Standard 6 is not applicable.) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All those wishing to live in Stanbeck are fully assessed prior to moving in. This ensures all concerned know that all the assessed needs can be met. EVIDENCE: Each of the people living in Stanbeck has a contract with Cumbria Council Social Services, which outlines the level of care to be provided. All prospective residents are now fully assessed before they are offered a place in the home. This has not always been the case and in the past assessments were not sufficient to give care staff information about the level of care required. The assessment now covers all aspects of daily living and a life plan. The deputy manager who is also the head of care completes the assessments, which take place either in the person’s own home or the hospital if this is Stanbeck DS0000022615.V372923.R01.S.doc Version 5.2 Page 10 appropriate. This completed assessment then forms the basis of the plan of care that is prepared for each resident. All those who wish to live in Stanbeck are invited and encouraged to visit the home prior to moving in. This gives opportunity to meet the staff and other people already living there. Very often family members visit the home on behalf of those wishing to move in if they are unable to do so. Stanbeck DS0000022615.V372923.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): Standards 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. The standard of health and personal care people receive is based on their individual needs, with the principles of respect, dignity and privacy maintained. However care must be taken to ensure all records are reviewed and up to date to ensure an appropriate level of care is provided. EVIDENCE: We looked at a sample of 5 care plans during our visit and saw that they had all been changed to the new ‘person centred’ format. This means that all care/support plans are written in the ‘first person’ ensuring that the information shows how the resident wishes their care to be provided by the support workers. We discussed this with the care manager and the staff on duty and they all agreed that the care plans were now easier to follow and any changes in the level of dependency were noted and acted upon right away. Stanbeck DS0000022615.V372923.R01.S.doc Version 5.2 Page 12 Risk assessments form part of the care plans and whilst there was a risk assessment on each plan there were some that had not been updated to reflect changes in the level of care required to meet changing needs. This could mean that the care given may not always be appropriate. The care manager agreed that the system is very new and she was in the process of ‘tweaking’ the plans to make sure they were relevant to each individual. She agreed to make sure that, in future, all the care plans and risk assessments would be reviewed and updated at least once a month. Not all of the plans had a diet/nutritional assessment and this should be addressed as soon as possible using the Malnutrition Universal Screening Tool (MUST) The manager should also ensure that the resident’s date of admission is clearly shown on the care plans. Healthcare needs are met by the various healthcare professionals that visit the home. We spoke to some residents and they all confirmed that they all see their doctor when necessary as well as the district nurse should this be needed. We were able to speak to one of the district nurses who was attending to one of the residents on the day of our visit. She confirmed that she and her colleagues had a good working relationship with the manager and staff at the home. They always found the staff pleasant and professional during their visits and they were never called out unnecessarily. Chiropody, dental and optical services are all accessed for those using this service. One of the residents attends a local day centre every day and has done for a number of years. We checked the medication records and found them to be up to date and in order. There has been an improvement in the recording system since the visit of the pharmacy inspector last year. There is now a record kept of all medication received, which is in a monitored dosage system. The care manager confirmed that they received a good service from the pharmacist who also conducts an annual audit of the records and medication held. There are currently no controlled drugs prescribed but there is an appropriate recording system in place when such medication is in use. We spoke to residents who were in their rooms during our visit and they all confirmed that the care staff treated them with dignity and respect. They were always polite and one lady told us ‘the girls are lovely and nothing is too much trouble’. We were also able to speak to a visiting social worker that was conducting a review with one of the residents. She told us that she felt the home had improved greatly since the last inspection and that the lady she was visiting was very pleased with the care she received. Other visitors told us the same. One lady was visiting her mother-in-law and said she was delighted with the care provided by the home. We spoke to two friends of a resident and they remarked on ‘how much better’ their friend was since she was admitted. One Stanbeck DS0000022615.V372923.R01.S.doc Version 5.2 Page 13 of them said, ‘she has her hair and her nails done every week. I can’t believe the difference in her’. Stanbeck DS0000022615.V372923.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): Standards 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines in this home are flexible enough to allow those living there to choose the lifestyle they wish. Residents benefit from a varied and nutritious menu EVIDENCE: The routines in this home are flexible allowing those living there to live their lives as they wish. There is no set time for going to bed or getting up and residents told us they ‘could have a lie in if they wanted’. Residents do spend most of their days in their own rooms, which is their choice, but have their lunch in the dining room. All the residents we spoke to during our visit told us they preferred their own rooms but went to the lounge or dining room if there were activities organised. Residents said their friends and family were made very welcome in the home. We were able to speak to a number of visitors during our visit and they were all pleased with the support and care given to their friends and relatives. One Stanbeck DS0000022615.V372923.R01.S.doc Version 5.2 Page 15 of the visitors told us that she had ‘never seen her friend looking so well and she has her hair and nails done regularly’. One of the residents told us that her minister came to the home to give her communion and spiritual support. She greatly appreciated this as she had regularly attended church when she was able. We discussed leisure activities with the care manager and she said it was difficult to get residents to join in as most of them liked to spend their time in their own room. Singing groups provide musical entertainment and the home organises visits from the staff at the local museum who bring memorabilia with them for the residents to look at. A record is kept of the activities and those residents taking part. The home currently has 2 trainee staff from the local college who help with organising activities. They are currently working towards their National Vocational Qualification in social care. Formal residents’ meetings are not held but the manager and staff find that the best time to meet with the residents is over a cup of coffee after lunch when everyone is together in the dining room. We were able to observe lunch being prepared and served and found this to be, on the whole, a relaxed time. Most of the residents were chatting and all said they enjoyed their food very much. The home does not employ a designated cook and we discussed this with the manager. She said they had tried this but it ‘never worked out’. This does need to be looked at in more detail as, currently, the care staff on duty prepare the meals and this could detract from the provision of care. The kitchen area was clean, light and airy with plenty of equipment and storage space. Stanbeck DS0000022615.V372923.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): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service know any complaints they make will be listened to and acted on as soon as possible. Policies and procedures are in place to ensure people are kept safe. EVIDENCE: The home has a complaints procedure in place and the residents we spoke to tell us they had no need to complain, as they were happy with the care they received. When speaking to the care manager she did say that there had been a minor complaint about laundry but that had been dealt with immediately. We also asked visitors to the home if they had any issues to raise but they assured us that they had never had reason to complain about anything in the home. They did, however say that they would speak to the manager if they had reason to. We discussed adult protection with staff and management. The care manager has completed the trainer’s course run by Cumbria Social Services and is able to pass on the information to the staff. She arranges training each year to ensure the staff are kept up to date with anything relating to adult protection. All the staff were familiar with the process to follow should there be anything Stanbeck DS0000022615.V372923.R01.S.doc Version 5.2 Page 17 to report. There is an issue currently being looked at by Social Services who will advise CSCI of the outcome in due course. Stanbeck DS0000022615.V372923.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): Standards 19, 20, 23, 24 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environmental standards have improved and now provide a homely and clean place to live. EVIDENCE: The home is a modern 2- storey building with gardens to the rear and car parking at the front. There are two bedrooms, an assisted bathroom and a large lounge downstairs. The other bedrooms are upstairs. The home’s kitchen and dining area are also on the first floor. The lounge leads out to the large garden and upstairs there is a patio leading from the dining room. All the bedrooms are for single occupation and have en-suite toilet and washing facilities. Stanbeck DS0000022615.V372923.R01.S.doc Version 5.2 Page 19 Since the last inspection new dining chairs have been purchased and the lounge on the ground floor has been decorated, together with the porch and hall. The assisted bathroom on the ground floor has been completely refurbished and now contains a large shower area as well as a toilet and washbasin. This has improved the bathing facilities for those living in the home. Some bedrooms have been decorated and new furniture is being purchased. New flooring has been laid to some areas. The manager confirmed that there is now an annual plan for maintenance and upkeep of the home. The bedrooms we inspected were all personal to the residents with pictures, photographs and small item of furniture all brought from their own homes. All were pleased with their rooms and residents do spend most of their time in their rooms, this being their own choice. Plans for the next year include the redecoration of the laundry room and new flooring in the porch area. There are large well-kept gardens to the rear of the building that the residents are able to sit in during the warm weather. The home was clean, tidy and odour free on the day of our visit although the home does not employ any designated ancillary staff. This was discussed with the manager during the inspection and it was required that both domestic and catering staff be employed. Stanbeck DS0000022615.V372923.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): Standards 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although there is generally sufficient staff to meet the assessed needs this is not always reflected on the staff rotas. This could result in the assessed needs not being met in the most appropriate manner. EVIDENCE: We looked at the staff rotas and discussed the staffing ratio with the manager. The rota clearly showed 2 support workers on duty during the day and one awake at night with the registered manager on call. It did not show any domestic and/or catering staff. When we questioned the staff that were cooking the lunch they confirmed that the home does not employ a cook but ‘we all work together’. When we queried this with the manager she advised us that ‘to employ a cook has never worked’ and that her 2 daughters also worked in the home although this is not evidenced through the staff rota. It is extremely important that all staff working in the home are recorded on the off duty rotas to ensure there are the sufficient staff to meet the assessed needs in the most appropriate manner. We made a requirement regarding this although such a requirement has been made in the past. Stanbeck DS0000022615.V372923.R01.S.doc Version 5.2 Page 21 When we spoke to those living in the home they all confirmed that they thought there was enough staff and that they ‘were all lovely and very helpful’. Visitors to the home and visiting healthcare professionals also confirmed how helpful and friendly the staff are when they visit. There are over 50 of the staff qualified to NVQ level 2 or above, which meets the requirements set down the National Minimum Standards. We discussed the staff training programme and noted that most of the training is delivered in house by the care manager. Consideration should be given to accessing more external training for staff to ensure there is a varied training programme. Staff have recently completed training in palliative care, infection control, epilepsy and all moving and handling training is up to date. End of life training has been delivered via an external trainer. Plans are in place for training to be delivered in learning disabilities and medication, which will be provided by Kendal College. Staff recruitment is through a full recruitment and selection policy and there is a low staff turner with many of the staff having worked at the home for a number of years. Staff files were inspected and found to be up to date with application forms, references and enhanced Criminal Bureau Checks completed. Stanbeck DS0000022615.V372923.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): Standards 31, 33, 35, 36 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is qualified, experienced and competent to run the home and residents benefit from her open style of management. EVIDENCE: The registered manager and her two daughters who also work in the home have all completed the Registered Manager Award and have a great deal of experience in the care of older people. Although Mrs Robinson is the registered manager her daughter who is the deputy/care manager undertakes much of the management of the home. Care should be taken to ensure the delegation of duties is clear and that all who live there are aware of who the manager is Stanbeck DS0000022615.V372923.R01.S.doc Version 5.2 Page 23 and what are the duties of other members of the management team. The home is run very much as a family business and the residents like this aspect. Although residents rarely use the large lounge there was still quite a warm atmosphere in the home particularly during the lunch period when there was interaction between the residents and staff. We asked about residents’ monies and were advised that none is held on behalf of anyone living in the home. Any expenditure is reclaimed from family members through a monthly account. There are no programmed residents’ meetings but the care manager told us that she usually met with the residents in the dining room for coffee after lunch to discuss activities and other aspects about the running of the home. One of the residents confirmed this but said they didn’t have to join in if they didn’t want to. Quality survey forms had recently been given to residents, families and friends and the care manager was just receiving completed ones back. She said the replies so far were ‘very mediocre with not a lot of information to act on’. More work on an in depth quality assurance system needs to be undertake. Staff supervision is now in place and completed by the manager and her two daughters and there were records on the staff files confirming this. Fire training is completed by day staff every 6 months and every three months for staff who work on nights. All equipment is maintained under annual contracts with records on file. Stanbeck DS0000022615.V372923.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 3 3 X 3 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 3 X X 3 3 X 3 STAFFING Standard No Score 27 2 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 X 3 Stanbeck DS0000022615.V372923.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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. 2. Standard OP30 Regulation 18 (1) (c) Requirement It is required that all staff continue to have training from an accredited trainer in the following areas: i.Understanding and working with mental health needs. ii.Understanding and working with people with learning disabilities. iii. Managing challenging behaviour. (This did not meet the timescale of 01/10/08) The registered person must provide sufficient ancillary hours on a daily basis to allow carers to deliver good levels of social, personal and recreational care to residents. (This is still outstanding and did not meet the timescale of 01/03/08) Timescale for action 01/03/09 3. OP27 18 (1) (a) 01/03/09 Stanbeck DS0000022615.V372923.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP8 Good Practice Recommendations The registered person should make sure they can monitor peoples weight and have more detailed nutritional plans in place. Stanbeck DS0000022615.V372923.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Stanbeck DS0000022615.V372923.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!