Care Home: Stuart House

What the care home does well Stuart House continues to provide a homely environment in which people are encouraged to live as normal a life as possible through the provision of person centred care that recognises the diverse needs of people with a Dementia type illness. People are encouraged to retain their individuality with a circle of support that includes family friends and staff. The home is relaxed and daily routines are centred on the resident not task orientated to benefit staff. There is an activities program that takes into account the need to keep people occupied and orientated to time and place, this includes gardening, looking after pets and regular trips out. People spoken to and surveys received showed that they are happy with the care they provided. One person specifically asked that their comment be included in the report, `Please put in your report that all I have had in two and a half years from the staff here is kindness.` People commented on the support they get to lead the life they wish, one person said `it is not where I would like to be as I would like to be at home but they make it as good as it can be and I am very happy here.` Another resident said, `I have a very nice room, my laundry is done, the home is always clean and the staff are so very kind, what else could I ask for?` Staff surveys and comments made by staff indicated that they felt well supported by the provider and management. They said they had regular supervision and plenty of training offered. What has improved since the last inspection? The organisation has looked at the issues relating to equal opportunities and Dignity in Care. They have carried out the North Somerset Dignity in Care Audit and have reviewed policies to support Dignity in Care with the provision of a Dignity in Care Champion a section in the staff induction and a card for staff to carry. They are also looking at future training in Dignity in Care, Equal Opportunities and Mental Capacity. Staff have a very clear awareness of the safeguarding procedures in the home, with a commitment to ensuring residents are kept safe from harm and abuse. They all understood the importance of the Whistle Blowing procedure and all said they would be prepared to use it. What the care home could do better: There were no requirements following this inspection. One recommendation was made for the registered person to improve communications with their pharmacy provider so that people do not go without medication due to lack of stock. CARE HOMES FOR OLDER PEOPLE Stuart House 21 - 23 Clevedon Road Weston Super Mare North Somerset BS23 1DA Lead Inspector Juanita Glass Unannounced Inspection 11th November 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 Stuart House DS0000061793.V373378.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. Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stuart House Address 21 - 23 Clevedon Road Weston Super Mare North Somerset BS23 1DA 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) 01934 429086 01934 622670 www.notarohomes.co.uk N Notaro Homes Limited Deborah Louise Busby Care Home 21 Category(ies) of Dementia (21) registration, with number of places Stuart House DS0000061793.V373378.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 either gender whose primary care need on admission to the home are within the following category: 2. Dementia (Code DE) The maximum number of service users who can be accommodated is 21. 15th November 2006 Date of last inspection Brief Description of the Service: Stuart House is registered to accommodate 21 people with Dementia who need personal care only, from the age of 50. They do not provide nursing care but can arrange for specialist input from the Community Nursing Team if the need should arise. Stuart House has a large lounge, conservatory, large dining room and access to a patio garden, which has ample seating for people living in the home, and facilities to take part in gardening activities if they wish. The aim of staff at Stuart House is to enable people with Dementia to lead as normal a life as possible, encouraging them to continue their ordinary daily routines and activities. The service aims to maintain a person’s dignity encouraging decision making, expressing a preference and by taking the time to listen to the person’s understanding of the situation. The home is situated on the level a short distance from the beach. Within easy access of local shops, parks, churches and other amenities. Current fees are in line with the current North Somerset rate of £428.05 per week. Full details of the homes philosophy of care and aims can be obtained on request from the manager. Stuart House DS0000061793.V373378.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 the service experience good quality outcomes. This inspection took place over one day and a total of six and a quarter hours were spent in the home. To gather enough evidence to support our judgments for this inspection, we The Commission asked the service provider to complete an Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gives us some numerical information about the service, and how they intend to maintain or improve outcomes for people using their service. We also looked at surveys returned to us by people living in the home and people with an interest such as relatives, social workers and GPs. We received 6 surveys, 2 from people living in the home and 4 from staff who work there. Once we had received this information we carried out a visit to the home and spoke to people living there and staff. Whilst in the home we also looked at documents maintained for the day-to-day running of the service. These included care plans, staff recruitment, training and supervision. Also records relevant to the administration of medication, service records and health and safety. What the service does well: Stuart House continues to provide a homely environment in which people are encouraged to live as normal a life as possible through the provision of person centred care that recognises the diverse needs of people with a Dementia type illness. People are encouraged to retain their individuality with a circle of support that includes family friends and staff. The home is relaxed and daily routines are centred on the resident not task orientated to benefit staff. There is an activities program that takes into account the need to keep people occupied and orientated to time and place, this includes gardening, looking after pets and regular trips out. People spoken to and surveys received showed that they are happy with the care they provided. One person specifically asked that their comment be included in the report, ‘Please put in your report that all I have had in two and a half years from the staff here is kindness.’ People commented on the support they get to lead the life they Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 6 wish, one person said ‘it is not where I would like to be as I would like to be at home but they make it as good as it can be and I am very happy here.’ Another resident said, ‘I have a very nice room, my laundry is done, the home is always clean and the staff are so very kind, what else could I ask for?’ Staff surveys and comments made by staff indicated that they felt well supported by the provider and management. They said they had regular supervision and plenty of training offered. 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. Stuart House DS0000061793.V373378.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 Stuart House DS0000061793.V373378.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): 1, 3 and 5. Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents benefit from adequate written information, a chance to visit the home and a full assessment of their needs. This means they can make an informed decision before moving in and their needs are fully met. EVIDENCE: We the Commission looked at a copy of the homes Statement of Purpose and Service user guide. This was readily available in the home and provided immediately. We saw that it was well written and contained all the information a person would need to tell them about what care the home can and cannot provide. The manager confirmed that a copy could be supplied in large print or could be translated on request. The Statement of Purpose also states clearly the fees charged and what they pay for with a list of extra charges clearly mentioned. It also stated that the Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 9 home can accommodate the different cultural and religious needs of people who may wish to move into the home. We saw in a resident’s room a copy of the Service User Guide, in another room we saw a reminder for the person stating that the Service User Guide was in the bedside cabinet. People spoken to did not comment on the contents of the guide although one person said they had a book that told them about the home. We spoke to the manager about how they would assess a person who wished to move into the home. She said they would visit the person either at their home or in hospital. They would talk to them, a relative or advocate and staff at the hospital or a social worker. They would also look at existing care plans for the person. We then looked at the records held in the home for people who had not lived there very long. They all had completed assessments and community or hospital care plans. We spoke to the people living in the home, but they did not mention how the experience of moving into Stuart House had been for them. People wanting to move into Stuart House can visit and spend some time to meet other people living there and staff who will be looking after them. This is often done by a relative or advocate on their behalf. If the manager and staff feel they can meet the needs of the person they will offer a trial period when both the person moving in and staff can decide whether the home is really the best placement for them. Stuart House DS0000061793.V373378.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from personal and specialist healthcare support that is provided in a person centred way respecting their privacy and dignity. They are enabled to make decisions about the way care is provided. They benefit from and are protected by the homes policies and procedures for the administration of medication. EVIDENCE: We looked at the care plans for four people living in the home. They were written in a person centred way. This meant staff were aware of the diverse needs of people as an individual rather than a group. When we spoke to staff about peoples care needs they knew about individual likes and dislikes. They also understood that each person had a preferred way of being looked after, promoting their personal dignity and well-being. When we looked around the home we noticed that people had Personal Planning Books in their rooms. The resident with the help of staff or a relative if necessary completed these. The books were set out in large print with Easy Read Pictures to help people Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 11 understand the questions. People had entered key things about their lives like family, friends and their ‘circle of support.’ People were encouraged to write in detail about their dreams and plans for a desirable future. The books also gave people the chance to comment on their sexual orientation, religion, ethnic origin and their preferred first language. Only one person we spoke to commented on the books, they said they had only completed the essentials but had it readily at hand to show someone. People we spoke to said they felt that staff respected them and that they were treated with respect and dignity. One person said ‘the staff are wonderful my clothes are laundered and my room is my own what else could I ask for.’ One person said ‘Please put in your report that all I have had in two and a half years from the staff here is kindness.’ All the care plans included appropriate risk assessments and showed signs of regular review. Care plan reviews also reflect the changes in people’s lives, which are also agreed with the resident or their relative People living in the home have access to health care specialists and care plans showed that the district nurse could be consulted when the home felt they needed some expert advise. Residents were helped to attend out patient appointments, the dentist and the chiropodist. Regular reviews are carried out with the GP looking at specific health needs and medication. The home has very clear policies and procedures for the receipt storage and administration of medication and staff receive training before they can give medication to people. We looked at the records kept by the home for medication given to people we found that they were up to date and showed clearly when staff had given them to people. We did note that there were occasions when medication was out of stock and there were gaps in administration. We discussed this with the manager who confirmed that they had had communication and supply issues with their supplier, which had been dealt with recently. Therefore we did not make a requirement however progress in this area will be monitored at future visits. Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from the development of meaningful activities which recognises their diverse needs, likes and dislikes enabling them to maintain some control over their lifestyle. They benefit from continued contact with family, friends and the community. A well-balanced menu means people benefit from a healthy and nutritional diet. EVIDENCE: When we arrived at the home residents were watching the Remembrance Day Ceremony on TV. They were being encouraged to take an active part as far as was possible. People spoken to talked about wartime memories openly. When we discussed this with staff they said the emphasis for reminiscence therapy had been about the current time of year and people had been encouraged to share memories as long as they were happy to do so. This meant that most of the people we spoke to during this visit were well orientated to the time of year. A collage of seasonal pictures and written comments about the season from residents was displayed on the wall. Residents regularly go out for walks along the seafront, trips to pubs for a meal, the Sea life Centre and other local Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 13 attractions. Activities in the home include puzzles, board games and musical sessions. People’s personal planning books showed what their preferred hobbies and interests were and how they could be maintained in a care home setting. Examples of people keeping up hobbies or interests were of people helping with the gardening and continuing to draw or read. Residents also help to look after the home pets, Guinea Pigs and budgerigars; one lady said she liked the guinea pigs but not the birds. One person said their preferred way of living at the home was to remain in their own room, as they did not like to mix. They confirmed that they were helped by staff to have enough interesting books, magazines and newspapers to be content as well as staff taking the time to ‘pop in for a chat.’ People can maintain contact with their community and peer group if they wish, church services are arranged and people can be assisted to attend their place of worship if they want to. Staff confirmed that the culture in the home was predominantly white British Christian, reflecting the local community. However they also stated that they would enable people to maintain their own cultural and ethnic background through research and training if it was required. People are offered a choice of nutritional well-balanced meals which are cooked in the sister home Serenita. The meals are transferred across to Stuart House in a hot trolley. People spoken to said the meals where always good and they had enjoyed the lunch on the day of the visit. Stuart House is equipped to provide snacks on request with a well-equipped kitchenette. The cook is kept informed of people’s preferences, medical diets and cultural needs. Residents are asked for suggestions of meals they would like to see offered and a resident meals survey was carried out and suggestions noted. All care records reviewed contained individual nutritional assessments. Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from and are protected by the complaints and safeguarding procedures in the home. Staff are fully aware through training of the procedures to follow to protect people from abuse. EVIDENCE: Copies of the homes complaints policy and procedure are included with the Service User Guide and available in people rooms. People spoken to said they knew who to talk to, one person said they would get their daughter to handle anything like a complaint. The policy also directs people to the local authority and provides the address and contact details for CSCI and the provider. The manager maintains a record of all compliments and complaints received. Since the last inspection the manager has had to deal with one allegation that resulted in a referral to the Safeguarding Team. The manager dealt with the allegation appropriately and all residents were protected from harm and abuse. We saw a copy of the North Somerset policy and procedure for Safeguarding Adults under No Secrets, which is available for all staff to read. Staff spoken to said they knew who to inform if they suspected abuse and they all knew about the homes whistle-blowing policy. Staff records showed that they had Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 15 all received appropriate training in Safeguarding Adults, with in-house follow up training managed by the companies trainer. Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from a comfortable, well-equipped and homely environment, which is well maintained and decorated with access to well maintained garden areas and local parks. People are protected by staff awareness of appropriate infection control guidelines. EVIDENCE: Stuart House is a well decorated and well maintained home. The décor, lighting and furnishing is all to a good standard. People’s rooms were well decorated and personalised with personal furniture, pictures and family portraits. A white board is available in each room to act as a reminder for people such as where they keep something they regularly forget about or reminding them to wash their teeth before going to bed. Signage through out the home is large and appropriate for people with memory problems. The Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 17 signage on bedroom doors includes a picture representing an interest of the person so that they can identify with the room. For example one person who had been in the RAF had a picture of spitfires on the door and he identified that this was his room and showed us the picture. Staff maintain a high standard of cleanliness and the home was free of offensive odours throughout the day of the inspection. Staff spoken to were aware of infection control guidelines and were observed to use personal protective clothing when necessary. The manager has contact details to obtain any specialist advice should it be required. Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from and are protected by the staffing levels and skill mix of staff in the home. The homes recruitment procedures and staff training further protect them from the possibility of abuse. EVIDENCE: We looked at the personnel files held by the home for some of their staff. We looked at the employment records for two recently employed members of staff. We also looked at the staffing rota and the training records for people working in the home. The staffing rota showed that there is always enough staff in the home with the right skill mix to support the diverse needs of the people living there. They also showed that staffing is flexible so extra staff could be bought in to cover busy times such as activities or trips out. People spoken to said there were always enough staff in the home and they could always finds time to sit and chat with them. Staff were observed to be relaxed and not rushing to get work done. Stuart House has strict policies and procedures for the recruitment of new staff. The personnel files for two people who had recently been employed Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 19 showed that the manager follows these guidelines as all the relevant checks such as references and a CRB (Criminal Bureau Records) check had been completed before the person started work. This protects people living in the home from possible harm or abuse. The manager confirmed that staff are encouraged to attend the NVQ In Health and Social Care training. This has resulted in the home having a third of their care staff qualified in an NVQ 2 or 3 and other staff working towards the qualification. The company has a dedicated member of staff who oversees the training for all the homes in the group. She has arranged both external and inhouse training so that all staff have completed their induction, mandatory training and any training that was considered relative to their role in the home and the diverse needs of people living there. Staff said they felt well supported by the manager in attending any training they were interested in that would also benefit the people living in the home. Future training will also include equal opportunities and Mental Capacity. Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from living in a well run home with an appropriately qualified manager and supervised staff. They are protected from financial abuse through safe and stringent policies for managing resident’s money. Both people working and living in the home are protected by robust health and safety procedures. EVIDENCE: The registered manager is Ms Deborah Busby she has many years experience working in a care setting with people with Dementia, she is currently in the process of completing her NVQ 4 Management in Social Care. Staff and residents spoken to said that they felt that they could approach the manager, Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 21 owners and the area operations manager at any time. Staff also said that they felt well supported and confirmed that the manager works alongside them carrying out practical supervision with staff on a regular basis. This supports a regular programme of formal supervision. From this process the manager is able to identify areas in need of development or recognise areas of good practice. Systems are in place for residents, visitors and relatives to comment on the running of the home, copies of questionnaires seen showed that residents and relatives are happy with the running of the home. Following consultation and current guidelines for equal opportunities the provider is developing a Dignity in Care policy supported by the creation of a post for a Dignity in Care Champion. The manager has completed the North Somerset Dignity in Care Audit, resulting in the organisations staff induction being up dated to include a statement concerning Dignity in Care and cards issued to staff. The Notaro group maintains a secure system for safeguarding residents’ finances. We looked at records relating to the servicing of equipment used in the home. All the records were up to date and available for inspection, these included the COSHH records, which are the guidelines for staff to follow if they spill, drink or are splashed by chemicals used in the home. The implementation of health and safety within the home was satisfactory. All residents have personal risk assessments. Generic risk assessments are in place and reviewed regularly including hot water checks. A review of the firelog showed all tests, training and drills were being carried out to the Avon and Somerset Fire Brigade guidelines. Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations The registered person needs to review communication with their pharmacy supplier to ensure people do not run out of medication. Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 24 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 Stuart House DS0000061793.V373378.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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