Care Home: Swallownest Care Home

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What the care home does well People who use the service`s needs were known to the service prior to admission because care management teams and the manager`s assessments were in place. These two assessments ensured that the service have sufficient information. People who use the service benefit from the provision of accurate care plans and were satisfied with the care they received. People who use the service and relatives expressed their views, during the inspection; `It`s good care here`. `We are looked after very well`. `The care is very good` `I visit mum often and she is always clean and well cared for`. Activities were organised which provide stimulation to people who use the service and enhanced their quality of life. On discussing the activities with the people who use the service, and relatives their opinions were that; `We enjoy playing our weekly bingo`. `We do all sorts of things`. `I`m not bothered about activities I prefer to stay in my room and see my family`. `The activities are very good`. There was evidence that people who use the service were given the opportunity to exercise their right of a choice regarding meals. The general comments regarding the food were that; `The food is very good`. `We can chose what we want and if we don`t like what`s on the menu they will do us something else`. `We get lots of extras snacks cakes etc`. People who use the service live in an environment that had been maintained to a good standard to provide a safe, well-maintained environment. The general comments were that; `It`s nice here, spotlessly clean`. `It`s well maintained and any minor problems are sorted almost immediately` `Nicely decorated`. The manager provided evidence that staff had received training, which did reflect on the quality of care being delivered to the people who use the service. The comments from people who use the service and relatives were; `The staff are excellent, kind and caring`. `Staff are always busy, I have to wait a little time if they are busy with someone else, but this does not cause me a problem, they always come as soon as possible` Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 7`I`m happy with the care` A relative pointed to a particular member of staff and stated `she is very good`. Extensive quality assurance systems were in place that should assist the managers and company to measure the service against expected outcomes. What has improved since the last inspection? There has been a change of manager who has acted promptly on addressing the previous requirements and recommendations from the last inspection and taken forward other initiatives to improve the service. What the care home could do better: The staff recruitment process should improve to ensure all staff have the necessary checks prior to appointment so as to provide protection for the people who use the service. CARE HOMES FOR OLDER PEOPLE Swallownest Care Home Chesterfield Road Swallownest Sheffield South Yorkshire S26 4TL Lead Inspector Ivan Barker Key Unannounced Inspection 10th December 2007 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 Swallownest Care Home DS0000003089.V355786.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. Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Swallownest Care Home Address Chesterfield Road Swallownest Sheffield South Yorkshire S26 4TL 0114 2540608 0114 2889357 swallownest@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross Care Homes No 2 Limited 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) Post Vacant Care Home 65 Category(ies) of Old age, not falling within any other category registration, with number (65) of places Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specific service user under the age of 65, named on variation dated 17th November 2006, may reside at the home. 12th March 2007 Date of last inspection Brief Description of the Service: Swallownest is a care home providing nursing care and residential care for 65 older people. It is located in the village of Swallownest, which is on the Sheffield/Rotherham border and near the M1 motorway. The home is within easy reach of local shops and other community services. The home is purpose built and was developed in three phases. The design of the unit is in three wings, each with its own lounge and dining area. All bedrooms are single occupancy and seventeen of the bedrooms have en-suite facilities. The garden area is fitted with seating and raised flowerbeds; they also have a rear patio with access to the garden from the sun lounge and dining areas. Information about the home and its service can be found in the statement of purpose and service user guide, both these documents, along with the latest inspection report for the home are on display in the reception area of Swallownest Care Home. Copies of these can be obtained from the manager of the home. The range of fees at the time of the inspection on the 10th December were £343 to £475 Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on the ‘key standards’), and the previous requirements. The persons present at the inspection were: Linda Knowles, acting manager. Helen Emery, operations manager. Within this site visit, which occurred over a six hour five minute period, the inspector toured the building, examined requirements relating to the previous inspection, case tracked 3 service users (Case tracked means looking at the care and service provided to specific people who use the service living at the home; checking records relating to their health and welfare, care plans and other records; by talking to the specific people who use the service; viewing their personal accommodation as well as communal living areas), and spoke with other people who use the service , and relatives and also 3 staff and examined assessments, care plans, risk assessments, menus, complaint files, staff files and quality monitoring documents. The history of the service was examined prior to the site visit. This included the Self-assessment document, telephone contacts, letters, and notifications. What the service does well: People who use the service’s needs were known to the service prior to admission because care management teams and the manager’s assessments were in place. These two assessments ensured that the service have sufficient information. People who use the service benefit from the provision of accurate care plans and were satisfied with the care they received. People who use the service and relatives expressed their views, during the inspection; ‘It’s good care here’. ‘We are looked after very well’. ‘The care is very good’ ‘I visit mum often and she is always clean and well cared for’. Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 6 Activities were organised which provide stimulation to people who use the service and enhanced their quality of life. On discussing the activities with the people who use the service, and relatives their opinions were that; ‘We enjoy playing our weekly bingo’. ‘We do all sorts of things’. ‘I’m not bothered about activities I prefer to stay in my room and see my family’. ‘The activities are very good’. There was evidence that people who use the service were given the opportunity to exercise their right of a choice regarding meals. The general comments regarding the food were that; ‘The food is very good’. ‘We can chose what we want and if we don’t like what’s on the menu they will do us something else’. ‘We get lots of extras snacks cakes etc’. People who use the service live in an environment that had been maintained to a good standard to provide a safe, well-maintained environment. The general comments were that; ‘It’s nice here, spotlessly clean’. ‘It’s well maintained and any minor problems are sorted almost immediately’ ‘Nicely decorated’. The manager provided evidence that staff had received training, which did reflect on the quality of care being delivered to the people who use the service. The comments from people who use the service and relatives were; ‘The staff are excellent, kind and caring’. ‘Staff are always busy, I have to wait a little time if they are busy with someone else, but this does not cause me a problem, they always come as soon as possible’ Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 7 ‘I’m happy with the care’ A relative pointed to a particular member of staff and stated ‘she is very good’. Extensive quality assurance systems were in place that should assist the managers and company to measure the service against expected outcomes. 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. Swallownest Care Home DS0000003089.V355786.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 Swallownest Care Home DS0000003089.V355786.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 3 and 6. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service’s needs were known to the service prior to admission because care management teams and the manager’s assessments were in place. These two assessments ensured that the service have sufficient information. EVIDENCE: On examination of the care management assessments within three care plans, it was established that there were assessments from care management. The manager advised that the care management assessments arrived by fax, rather than by post. The manager or senior staff undertook assessments prior to the admission of any persons who wished to use the service. Both assessments where comprehensive and detailed the people who use the service’s needs which would assist in providing sufficient information for the Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 10 staff to decide if the service could met the persons needs and provided sufficient information for care plans to be drawn up. The manager advised that intermediate care was not provided within the service. Swallownest Care Home DS0000003089.V355786.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 and 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from the provision of accurate care plans and were satisfied with the care. EVIDENCE: On examination of the care plans, from six people who use the service, it was established that all three care plans were up to date. There were daily entries within the care plans. These entries recorded the care delivered on a daily basis, and the plans had been evaluated on a monthly basis. It was noted that the care plans from the Ellis Unit were of a high standard of recording, and this was commended to the manager. Comprehensive risk assessments were included within the documentation and included moving and handling, nutritional, skin integrity, and other risk factors. These risk assessments had also been reviewed. Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 12 There was evidence in the care plans that 6 monthly care reviews of the care did take place. This care review consisted of the person who used the service, the relatives and a representative from the service. Within the review the person who used the service, and their relative could express their views on the care over the last 6 months and their expectations for the future care and service provision. These reviews were in addition to the reviews by Social Services. The individual needs of three of the people who use the service were discussed with three members of staff who were responsible for the provision of their care. All members of staff were fully aware of the care needs as written in the care plans. People who use the service and relatives expressed their views, during the inspection; ‘It’s good care here’. ‘We are looked after very well’. ‘The care is very good’ ‘I visit mum often and she is always clean and well cared for’. The storage, ordering, administration and disposal of medication procedures were discussed with the manager. The procedures explained by the manager were satisfactory. There was a signature-checking document, which contained the initials as written on the medication administration document and the member of staff’s signature. On examination of the medication administration records it was found that there were no omissions of signatures. All medication records had been signed when being checked in from the pharmacy. Swallownest Care Home DS0000003089.V355786.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): Standards 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities were organised which provide stimulation to people who use the service and enhanced their quality of life. There was evidence that people who use the service were given the opportunity to exercise their right of a choice regarding meals. EVIDENCE: The manager advised that an activities co-ordinator was in post and employed for 25 hours per week. There was a programme of generalised planned social events displayed. The manager provided evidence, relating to activities from the documentation within the care plans, These records showed when a person who use the service had participated in a activity or went out into the community. It was agreed that the information within the recording sheet was often very sparse. An example of this was that one of the persons who used the service, who was case tracked, was a very active gentleman. The information within the care Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 14 plan and being given by the member of staff during the discussing on his care support this conclusion. However the recorded information relating to his activities and outing recorded on the activities sheet was sparse. It was discussed and agreed that the activities sheet was not just the responsibility of the activities co-ordinator to complete, but for all care staff. The manager accepted this point and agreed to raise this point at the next staff meeting. On discussing the activities with the people who use the service, and relatives their opinions were that; ‘We enjoy playing our weekly bingo’. ‘We do all sorts of things’. ‘I’m not bothered about activities I prefer to stay in my room and see my family’. ‘The activities are very good’. One relative raised the issue that some people who use the service, who had nursing needs, were not able to go out in the mini bus, unless a nurse could be ‘spared’ for the outing. This information was shared with the manager, who was of the opinion that the provision of a nurse was a requirement. It was discussed that individuals should be assessed and a risk assessment be in place then implemented. Regarding the meals, the manager advised that either a light or a cooked breakfast was available. The main meals for the day were displayed on a board. The manager advised that the meal order was taken the previous day. Copies of these were observed in the kitchen. The general comments regarding the food were that; ‘The food is very good’. ‘We can chose what we want and if we don’t like what’s on the menu they will do us something else’. ‘We get lots of extras snacks cakes etc’. Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 15 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 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service had a complaints procedure and it was operating according to the company policy, this provided confidence that complaints were taken seriously and acted upon to address any shortfalls in care or service provision. Safeguarding adults training made aware of their responsibility regarding the protection of vulnerable adults. EVIDENCE: The service had a complaints procedure displayed at the entrance. People who use the service and relatives were aware of its location. Copies were also available in the Service User Guide. The complaints file kept by the manager for her investigations were examined. There were seven complaints relating to care, which had been investigated and responded to within the 28 day period. The manager identified that some complaints were prior to her being in post but she actively encouraged people to express their views of the service, as it was a positive way of maintaining standards within the service. The Commission for Social Care were aware of two complaints, which had been returned to the service for their investigation. These complaints were recorded within the file and were part of the seven stated above. Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 16 People who use the service expressed their views that they were confident that they could express any concerns to the manager and that she would act upon them. Regarding safeguarding adults, the safeguarding policies and procedures were available to the staff. Staff had undertaken Safeguarding Adults training, and the manager was able to evidence this by producing the training records. Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 17 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 and 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service live in an environment that had been maintained to a good standard to provide a safe, well-maintained environment. EVIDENCE: On touring the building, the home was found to be clean, tidy, well maintained and decorated and furbished to a good standard. The service operated as three separate units and it was difficult to distinguish the end of one unit and the commencement of the second unit, particularly on the first floor. On discussing this with the manager she identified that the staff were aware of the different areas, but appreciated it may be difficult to some one new to the building. Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 18 Also it was discussed that, in time she may wish to reorganise the units. Positive comments were received from the people who use the service and relatives regarding the service. The general comments were that; ‘It’s nice here, spotlessly clean’. ‘It’s well maintained and any minor problems are sorted almost immediately’ ‘Nicely decorated’. The rooms of the people who use the service, had been personalised and many contained photographs, personal belongings and items of furniture, which the individual or the family had provided. Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 19 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 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager provided evidence that all staff had received training, which did reflect on the quality of care being delivered to the service users. EVIDENCE: On examination of the staff rotas and examination of staff on duty, the following was established: Am shift Pm shift Night shift Plus A manager, an administrator, and an activities co-ordinator Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 20 1 qualified nurse and 9 care staff. 1 qualified nurse and 9 care staff. 1 qualified nurse and 5 care staff. Ancillary staff included; domestics, catering staff, and a maintenance man. The units had dedicated senior staff who led each unit, these staff have been included in the above numbers of staff. Caring for a present occupancy of 60 people who use the service. A full assessment of the dependency levels of the people who use the service was not undertaken and compared with the indicated staffing levels. On examination of the four staff files, three files contained the required documentation, including Criminal Records Bureau and POVA (Protection of Vulnerable Adults) checks. One file did not contain any evidence of a Criminal Records Bureau check. The manager contacted the Head Office to try and establish if they had any record of the Criminal Records Bureau check. Despite every effort being made by the Head Office administrator evidence of the Criminal Records Bureau check could not be located. Therefore it was agreed that as no evidence could be provided the member of staff should not work unsupervised until a Criminal Records Bureau check had been obtained. The manager agreed to implement this action and follow the practice for staff working without a Criminal Records Bureau check as detailed in Schedule 2 of the Care Homes Regulation and Schedules. On examination of the staff training records there were records that indicated the staff had received moving and handling, fire training and other relevant clinical training. The comments from people who use the service and relatives were; ‘The staff are excellent, kind and caring’. ‘Staff are always busy, I have to wait a little time if they are busy with someone else, but this does not cause me a problem, they always come as soon as possible’ ‘I’m happy with the care’ A relative pointed to a particular member of staff and stated ‘she is very good’. Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 21 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 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An experienced manager is in post. This will contributed to the effective organisation and operation of the service. Extensive quality assurance systems were in place that should assist the managers and company to measure the service against expected outcomes. EVIDENCE: There was an experienced manager in post. She advised that she had 17 years experience in care and 5 years in management. She advised that she had obtained the Registered Managers Award in January 2007. She had a ‘fit person’ interview booked with the CSCI for Monday 17th December. Since that date the inspector has been informed that the interview Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 22 was a success and the manager will become the registered manager for the service following completion of the final stages of the registration process. The manager had implemented several changes since being in post. These changes had had a positive effect on the service and the manger discussed several other proposals that she had in mind to continue these improvements the service. She had also ensured that the requirements and recommendations from the last inspection had been acted upon and fully resolved. The attaining of a score of 4 (excellent) was raised and the manager was advised that the standards be exceeded rather than met. The manager requested an example. A simple example explained was that a choice of meal was needed to meet a standard. However some services had exceeded the option of two choices and offered four or fives main meal choices on a menu, had system in place to ensure that these choices were in operation and had evidenced this at the inspection, as well as exceeding some of the other standards. A similar scenario could be applied to activities and outings etc. The manger expressed confidence in her team of staff and identified that she would want to examine ways of improving the service to the people who use the service. It was indicated that the service should refer to the Klora (Key Lines of Regulatory Assessment) document, and exceed the standards. Regarding service users monies there was a credit and debit system in operation. The records of the people who use the service were maintained on computerised system. Regarding Quality Assurance, the manager and operations manager undertook the quality monitoring of the service. The system was robust and included analysis of the care and service provision. The information from these documents was forwarded to the Head Office for analysis. Regulation 26 documentations, which are a record of the registered person’s monthly visits, was complied on a monthly basis, evidence of this was seen at the visit. Regulation 37 notices, which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; have been received by CSCI (Commission for Social Care Inspection). Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 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 Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 24 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 OP29 Regulation 19 Requirement The staff employed within the service should have a Criminal Records Bureau check prior to starting work or receive the supervision as described in Schedule 2 must occur. Timescale for action 10/01/08 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 Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Swallownest Care Home DS0000003089.V355786.R01.S.doc Version 5.2 Page 26 - 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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