Care Home: Swan Care Residential Home

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What the care home does well The home has good contact with the local community, some residents are supported to attend a weekly coffee morning at the local community centre, and there is contact with the local church. The home has a friendly atmosphere, with a core of dedicated staff who have been there a number of years and provide good consistency of care. Comments received from relatives included: "The staff are always ready to listen to any problems" and "As `The Swan` has recently had new owners they have plans to improve things but I find the staff are very caring and patient with the residents. I am pleased that the District Nurses call in every day and the local doctor visits regularly". What has improved since the last inspection? Although this report identifies that the service still needs to take action to provide a more activities and interaction for residents, it was noted that the dedicated activity person`s hours have doubled since the previous visit to the home. Some additional activities equipment had also been obtained (e.g. an indoor ball game and some board games). The home is encouraged to continue developing activities in the home. A recruitment drive has taken place in order that more staff may be rostered on duty on each shift. This will ensure that the staff team have more time available to meet the identified needs of the people living at the home. It was good to note that the increased management hours had resulted in an organised staff training programme that included scheduled refresher training courses for the whole staff team in areas necessary to promote and protect the health safety and well being of the people living at the home. The new providers have extensive plans to completely refurbish environment making the home a more pleasant place for people to live. theThe manager was able to confirm that any verbal complaint made about the service provided by the home is clearly documented with an action plan to prevent the same complaint being made twice. What the care home could do better: Medication administration records need to be accurately completed to ensure that the people living at the home receive the correct medication. Continuation of the programme of refurbishment of the home will improve the day-to-day experience of people living at the home. The people living at the home were not supported to fully explore activities and pastimes for recreation and efforts need to be continued to provide people with stimulation in their daily lives both inside and outside the home according to their personal wishes. The manager needs to continue working towards the Registered Manager`s Award and apply for registration with the Commission for Social Care Inspection. CARE HOMES FOR OLDER PEOPLE Swan Care Residential Home 29 North Street Tillingham Maldon Essex CM0 7TR Lead Inspector Jane Greaves Unannounced Inspection 28th January 2008 09:45 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 Swan Care Residential Home DS0000070526.V358638.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. Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Swan Care Residential Home Address 29 North Street Tillingham Maldon Essex CM0 7TR 01621 779171 01621 778357 swancarehome@btinternet.com 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) Rowntree Graham Co Ltd Post Vacant Care Home 20 Category(ies) of Dementia (20), Old age, not falling within any registration, with number other category (20) of places Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: The Swan Care Home is a detached three storey building, originally built as a village pub, and converted to a care home in 1995. The home is registered to provide residential care for 20 Older People (over the age of 65), and residents are accommodated in eighteen single bedrooms and one double bedroom. There are communal lounge and dining areas, and an open patio area at the rear of the building. Swan Care Home is situated in a village location in a rural area with limited public transport. The home provides 24-hour personal care and support, and has a through-floor lift and other equipment (e.g. mobile hoist, hand rails, etc.) to assist people with limited mobility. Copies of inspection reports prepared by the Commission for Social Care Inspection were available for residents, their relatives and staff to access in the office. The fees charged for the accommodation and care provided at the Swan range from £374.00 to £495.00 per week as at 28th January 2008 and is currently under review. Swan Care Residential Home DS0000070526.V358638.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 was an unannounced key inspection that took place on the 28th January 2008, lasting three and three quarter hours. This is the first inspection since the new provider took over in November 2007. The inspection process included discussion with Responsible Individual and manager, inspection of communal areas, inspection of a sample of records and documents, conversations with staff and residents together with feedback questionnaires from 7 relatives, 9 people living at the home, 5 staff working at the home and 1 healthcare professional. This report also draws on any other information relating to the home received by the CSCI since the last inspection. The outcomes related to 21 National Minimum Standards were assessed. There were 6 requirements resulting from this inspection, and some good practice recommendations have also been made. The home provides a good level of care and support, with positive feedback from residents and relatives and with no concerns raised since the last inspection. What the service does well: The home has good contact with the local community, some residents are supported to attend a weekly coffee morning at the local community centre, and there is contact with the local church. The home has a friendly atmosphere, with a core of dedicated staff who have been there a number of years and provide good consistency of care. Comments received from relatives included: “The staff are always ready to listen to any problems” and “As ‘The Swan’ has recently had new owners they have plans to improve things but I find the staff are very caring and patient with the residents. I am pleased that the District Nurses call in every day and the local doctor visits regularly”. Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? Although this report identifies that the service still needs to take action to provide a more activities and interaction for residents, it was noted that the dedicated activity person’s hours have doubled since the previous visit to the home. Some additional activities equipment had also been obtained (e.g. an indoor ball game and some board games). The home is encouraged to continue developing activities in the home. A recruitment drive has taken place in order that more staff may be rostered on duty on each shift. This will ensure that the staff team have more time available to meet the identified needs of the people living at the home. It was good to note that the increased management hours had resulted in an organised staff training programme that included scheduled refresher training courses for the whole staff team in areas necessary to promote and protect the health safety and well being of the people living at the home. The new providers have extensive plans to completely refurbish environment making the home a more pleasant place for people to live. the The manager was able to confirm that any verbal complaint made about the service provided by the home is clearly documented with an action plan to prevent the same complaint being made twice. What they could do better: Medication administration records need to be accurately completed to ensure that the people living at the home receive the correct medication. Continuation of the programme of refurbishment of the home will improve the day-to-day experience of people living at the home. The people living at the home were not supported to fully explore activities and pastimes for recreation and efforts need to be continued to provide people with stimulation in their daily lives both inside and outside the home according to their personal wishes. The manager needs to continue working towards the Registered Manager’s Award and apply for registration with the Commission for Social Care Inspection. Swan Care Residential Home DS0000070526.V358638.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. Swan Care Residential Home DS0000070526.V358638.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 Swan Care Residential Home DS0000070526.V358638.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): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who may use the service and their representatives have the information needed to choose a home that will meet their assessed needs. EVIDENCE: The home provides a Statement of Purpose that is specific to the individual home and the resident group they care for. It clearly sets out the objectives and philosophy of the service supported by a Service User’s Guide. The guide details what the prospective residents can expect and gives a clear account of the specialist services provided, quality of the accommodation, qualifications and experience of staff and how to make a complaint. The home does not provide intermediate care. Swan Care Residential Home DS0000070526.V358638.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. The Swan Care Home meets the physical and healthcare needs of the people living there, and their medication will generally be managed safely. EVIDENCE: The new providers are changing the format of care planning in the home to bring documentation in line with the sister home and to ensure that all areas of individuals’ needs are met. This was ‘work in progress’ at this visit, the Responsible Individual reported that the staff team are developing a good understanding of the new system and appreciate how it captures all areas of peoples’ need. Surveys relating to the quality of life experienced at The Swan were sent to residents, families, staff and healthcare professionals by the commission prior to this inspection site visit. 7 completed surveys were received from family members and all of these contained very positive feedback concerning the personal care and support provided for individuals living at The Swan. Comments included: “As ‘The Swan has recently had new owners they have Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 11 plans to improve things but I find the staff are very caring and patient with the residents. I am pleased that the DNs call in every day and the local GP visits regularly” and “X is clean, warm and comfortable. Any medical problems are immediately dealt with”. Staff surveys demonstrated that the staff team are confident of the care and support they provide, comments included: “The care standards are high, each person is treated with dignity and respect and their privacy and needs are met fully” and “We take great pride in the care we give to our residents: I consider that our home is a happy home and everyone is looked after”. Staffing levels have been reviewed resulting in an increase from three care staff on day shifts to four. A recruitment drive is currently underway to ensure this increase in staffing provision can be sustained. Staff spoken with confirmed that the outcome of this has been really positive for the people living at the home as staff are able to spend more time attending to individuals’ personal needs. The manager reported, and records confirmed, that all the care staff team have attended training and refresher training during January in the safer administration of medication. Certificates were not yet available to confirm this however staff members spoken with at this visit were able to confirm they had attended this training. Medications are dispensed via blister packs made up at the local Pharmacy that is attached to the GP surgery. Medication Administration Records (MARs) are not routinely provided by the pharmacy however they do supply printed labels for each medicine in the blister packs. The service uses these stickers on a MARs sheet they have developed themselves to provide a record of who administers which medication to individuals and when they are given. However, examination of these records at this visit indicated that they were not always completed with the initial of the person giving out the medication or a reason in instances where they had not been administered. A discussion was held with the manager around this issue, as this was a requirement from a previous visit. The Responsible Individual reported the intention to introduce a monthly audit of these records to ensure they are completed appropriately. There is a folder in the clinical room containing information about all the medications held within the home and any possible side effects. This was accessible to the whole staff team. Swan Care Residential Home DS0000070526.V358638.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 adequate. This judgement has been made using available evidence including a visit to this service. People will have some opportunities for occupation and stimulation, but this may not always be relevant to their individual needs and choices. People know that their visitors will be made welcome and that they will be offered food that they enjoy. EVIDENCE: Surveys received from relatives as part of this inspection process reported that “I feel it would be nice if in the good weather the residents were able to be taken out for a short walk in the village to be out in the fresh air and seeing the outside world” and “X feels that just sitting in the chair for the whole day is not enough and would like to see more activities, which the new owner of the home has promised” One person attends the ‘Wednesday Club’ in the village; the acting manager reported that other people are starting to show interest in joining them for this. This provides people with the opportunity for social interaction with the local community where they can join in playing dominoes, card games and other recreational activities. The increase of staffing levels in the afternoon will allow individuals to be accompanied on walks around the village when the weather improves. Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 13 Many new games have been purchased and there are now prizes provided for Bingo. The acting manager reported that activities are an area that is being focussed on. The service is currently looking at providing weekly exercise classes and a weekly art class has been introduced which has been greeted with warm enthusiasm by the residents. The dedicated activity person’s hours have been doubled to 6 hours per week and it was reported that this would be increased further. A discussion was held with the Responsible Individual and the acting manager about providing training for an activities co-ordinator regarding meaningful activities for people with Dementia. Discussions with residents at this visit produced ideas such as general knowledge quizzes and line dancing suggesting that individuals do have the ability to think of areas of recreation they would like to try. At 1100hrs there were 9 people sitting in the lounge, 2 were reading newspapers. The television was on but nobody was watching it. The providers reported the intention to replace the existing small television for a 48” plasma screen positioned on a wall so that it will be more visible to the residents. The visitors’ book and discussion with residents and staff provided evidence that people living at The Swan are supported and encouraged to maintain regular contact with family members and friends. The kitchen facilities were due to be completely refurbished in the week after this visit to the home. New cupboards, units, tiles and equipment had been ordered. A course in “Nutritional needs for the elderly” has been arranged for the cook. Residents had been consulted about the menu and were generally happy except for the teatime choices. It was felt there was not enough variety at this part of the day. This menu has been further developed to include anything on toast, soup, sandwiches etc. There is a large print menu that is taken around to all residents daily for them to choose what they wish to eat. It was reported that the grocery supplier had changed, those residents spoken with praised the improved quality of the food provided. One person said, “The food is excellent, very good quality, it has improved”. Swan Care Residential Home DS0000070526.V358638.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. The safety of the people living at the home is promoted and there is a good complaint system that makes sure that people can be confident to make complaints. EVIDENCE: Complaints records were viewed at this visit to confirm that any verbal concerns raised by residents, relatives or staff were documented and actioned in accordance with the homes policy and procedures. Evidence was available to confirm that an action plan is developed in response to a substantiated complaint to reduce the possibility of recurrence. The home learns from complaints, and it is rare that a complaint about the same issue is made twice. Because the acting manager’s management hours have been increased to fulltime she is able to make herself available to residents should they wish to discuss any concerns with her. One person said, “She is very much in command of what is happening, she gets things done” All staff members are booked to attend refresher training in Safeguarding Vulnerable Adults in February. The policies and procedures for safeguarding adults are available and give clear specific guidance to those using them. Staff working at the service know when incidents need external input and who to refer the incident to. Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People live in a safe and comfortable environment that will benefit from planned refurbishment. EVIDENCE: The new providers have instigated many improvements to the environment at The Swan that will make life more pleasurable for the people living there. All windows are being replaced, the entire building is to be repainted inside and out, the kitchen facilities are being refurbished in the week following this visit, carpets and curtains are being upgraded throughout and bedroom furniture is to be replaced with residents’ agreement. Where individuals do not wish their personal rooms to be refurbished this will be respected, the manager reported that relatives had been invited to a recent residents’ meeting where refurbishment plans had been discussed. The management have chosen to decorate all interior areas of the home in Magnolia and then, it was reported, introduce colour in accordance with residents’ individual tastes. Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 16 Some equipment such as hoists has already been replaced ensuring the safety of residents and staff members. There are plans to create a further seating area where chairs may be arranged in a more sociable manner than the existing space allows. This is to be achieved by installing a conservatory at the rear patio area of the building and will provide an alternative communal area. All areas of the home seen at this visit were clean and homely; residents spoken with were interested in the plans for the home and looking forward to the work starting. The cook reported that the whole kitchen is to be replaced with a new 6 ring cooker, tiling from floor to ceiling and improved food storage facilities. A new freezer has already been provided. Responses from family members surveyed as part of this inspection process included “I understand that a refurbishment programme is planned which I am sure will be for the good. Already new equipment is arriving and the home will benefit generally from an update”. Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 17 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. Staff members working in the home are trained, skilled and employed in sufficient numbers to support the people who use the service. EVIDENCE: The new providers’ intention is for staffing levels to be increased to four care staff morning and afternoon. The service is currently undertaking a recruitment drive and hopes to have two new staff members to start soon. Currently it is not possible to always meet the new staffing levels however when it has been possible the staff say it has really benefited the residents as they have more time to spend with individuals. There had been no new staff members recruited since the new owners have taken over this service, the manager was able to report that one applicant had been informed at interview that she would have to wait until at least March before starting to work at the home as a satisfactory Criminal Records Bureau enhanced disclosure and references must be received first. A discussion took place with the registered providers that confirmed robust recruitment procedures would be strictly adhered to in order to ensure the right people are employed to work at the home. Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 18 The manager reported that more staff members have enrolled on NVQ 2 training since the previous visit and once these people have completed the course there will be more than 50 of the staff team qualified to this level. There was evidence to confirm that refresher training in areas such as 1st aid, safer administration of medications, safeguarding vulnerable adults, safer moving and handling, fire awareness, food hygiene and health and safety had been booked for the whole staff team. Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 19 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, 15 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has competent and skilled management and has systems in place to ensure that the health and safety of the people living in the home and staff is promoted EVIDENCE: The manager of The Swan has commenced working towards the Registered Manager’s Award and intends to apply for registration with the Commission for Social Care Inspection once the course is completed this summer. The manager is currently supervised directly by the Responsible Individual, Adrienne Williams, and is receiving support from the registered manager of the sister home. The manager reports receiving excellent support from the new providers throughout the transition period and during the implementation of new ways of working at the home. The management hours have been Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 20 increased under the new regime to 5 days per week, 9am to 5pm, this was evident at this inspection when looking at documentation, staff training and the general running of the home. One resident spoken with at this visit said “The manager is very much in command of what is happening, she gets things done” and “The new owners are very good”. There are now regular monthly residents and staff meetings; minutes were available to confirm this takes place. The management of the home does not look after any residents’ personal allowances. Personal items such as newspapers, hairdressing, chiropody treatment and toiletries are invoiced to the families monthly. Quality assurance processes were discussed with the manager at this visit; the new providers have only been operating this service since November 2007 and therefore had not implemented an annual quality assurance system at this time. However the residents, family members and staff spoken with during this inspection process confirmed that their views relating to the service provided for the people living at The Swan are taken into consideration on a day to day basis. The manager was able to confirm that a structured quality assurance process involving all stakeholders would be implemented. The manager, as part of her general duties undertakes a physical tour of the home fortnightly specifically to identify any new environmental risks or hazards. A domestic staff member visits each resident’s private room weekly in addition to daily cleaning duties specifically to check for any breakages or damage that may cause risks or hazards. If anything is identified it is reported on a maintenance form and is attended to immediately obtaining outside expertise where required. It was reported that the new providers are very pro-active regarding Health and Safety maintenance issues. Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 21 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 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 OP9 Regulation 13(2) Requirement Timescale for action 28/01/08 2 OP12 16 (2) 3 OP19 23(2)(d) When medication is administered to people living at the home it must be clearly recorded to ensure that people receive the correct levels of medication. People living at the home must 30/04/08 be consulted about their interests and a programme of meaningful activities and facilities for recreation and stimulation must be provided. All parts of the home must be 30/04/08 reasonably decorated and kept in a good state of repair. 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 OP28 Good Practice Recommendations The home should continue to progress arrangements to ensure more staff are qualified to NVQ level 2 or above. Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eastern Region Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge CB21 5XE 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 Swan Care Residential Home DS0000070526.V358638.R01.S.doc Version 5.2 Page 24 - 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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