Care Home: Talbot Manor

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What the care home does well The service is good at assessing a person`s needs before they decide if they want to live there or not. This means that everyone is clear on whether or not the home is right for the individual. Each person living in the home has their own plan of how their needs will be provided. This means they will know if the service is not doing things the way they want and need them to be done. People living in the service tell us that they are able to make decisions each day about what they want to do. People tell us they are able to live the life they want to and participate in activities which they are interested in with their friends. People receive health and personal care, which is based on their individual needs, and they tell us they are treated with dignity and respect. The home has a complaints procedure which people tell us enables them to raise concerns and feel listened to. They also believe their concerns are acted upon and they have a voice within the home. Staff receive the training they need to protect people living in the home from abuse. The home is well maintained and people who live there say they have the space they need. The staff have the training and skills to support the people living in the service. The manager is qualified and competent and understands good practice in supporting people to live the lives they want to. What has improved since the last inspection? At the end of the last key inspection in 2006 there were no requirements and 4 recommendations. The home has changed provider since the last inspection however the manager has been constant throughout the provider changes and was keen to demonstrate that the 4 recommendations from the previous inspection had been followed up. People living in the home are encouraged to use the small kitchen on the first floor to develop their skills in preparing food. People said that they use the small kitchen to make drinks and have quiet time with friends. The safeguarding adults policy, which ensures that staff know what to do if someone living in the home is abused, has been updated and staff have received training. There are always 2 members of staff in the building on each shift and a third person who may be out with people doing activities or attending appointments. All visits to the home by the provider are recorded and stored in the home CARE HOME ADULTS 18-65 Talbot Manor 57 Talbot Avenue Bournemouth Dorset BH3 7HT Lead Inspector Tracey Cockburn Unannounced Inspection 18th April 2008 10:00 Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 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 Talbot Manor DS0000070247.V361838.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 Adults 18-65. 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. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Talbot Manor Address 57 Talbot Avenue Bournemouth Dorset BH3 7HT 01202 512918 01202 549999 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) www.grooms-shaftesbury.org.uk Grooms-Shaftesbury Mrs Deanna Kay Parsons Care Home 12 Category(ies) of Physical disability (12) registration, with number of places Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th April 2006 Brief Description of the Service: Talbot Manor is part of the newly merged provider Grooms Shaftesbury. The provider has changed its name as of 2/04/08 to Livability. The home is registered to provide personal care for a maximum of 12 people. The building is spacious and part of a small complex, which includes supported housing for more independent people. There is ramped access at both the front and rear of the building. All bedrooms are single occupancy; there are 3 on the ground floor and 9 on the 1st floor. There is a passenger lift. There are 3 bathrooms, 4 toilets and 1 shower in the home. There is a large lounge, conservatory, kitchen and separate dining room. There is a patio area at the front of the building and gardens at the rear. People who live in the home have access to an adapted vehicle. The home is within easy reach of the local amenities in Winton. The weekly fees range from £552 - £744. Further details on fair fees and contract information can be found on the Office of Fair Trading website: www.oft.org.uk Talbot Manor DS0000070247.V361838.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 a key inspection undertaken over 5 hours. This was the first key inspection since 2006. In 2007 an annual service review was completed which told us how well the service was doing. Since the last key inspection The Shaftesbury Society merged with John Grooms and was first known as Grooms – Shaftesbury. Since 2nd April 2008 the provider has changed the name to Livability. During the course of the site visit six people who live in the service were able to talk about what it is like to live in the home. 2 staff were also seen during the inspection and the registered manager was also able to contribute to the overall picture of daily life. The registered manager submitted an Annual Quality Assurance Assessment, which provided information about what, the service does well and what the service could do better. 11 survey forms were returned by people living in the service; comments included: “ I am happy to live in this home” “we got nice staff here” “the food is nice we get good choices on the menu” “ this is a friendly home” “ I love living here” Staff returned 6 survey forms; comments included: “we have supervision monthly” “ I think we are good at promoting independence” “ we have a good team and the staff work well” Relatives, carers or advocates returned 5 survey forms: Comments included: “All staff are very welcoming and friendly and encourage visits from friends and family” “ Generally we are very pleased with the overall care” “It feels like ‘home’” “ they understand the capabilities of the residents” Before visiting the service, survey forms, information about any incidents which occurred in the home and the annual quality assurance assessment were looked at to provide information on how the service has been running. During the visit care plans for people living in the service were looked as were staff files, training files, staff rosters, fire records, risk assessments and medication. A tour of the home also took place. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? At the end of the last key inspection in 2006 there were no requirements and 4 recommendations. The home has changed provider since the last inspection however the manager has been constant throughout the provider changes and was keen to demonstrate that the 4 recommendations from the previous inspection had been followed up. People living in the home are encouraged to use the small kitchen on the first floor to develop their skills in preparing food. People said that they use the small kitchen to make drinks and have quiet time with friends. The safeguarding adults policy, which ensures that staff know what to do if someone living in the home is abused, has been updated and staff have received training. There are always 2 members of staff in the building on each shift and a third person who may be out with people doing activities or attending appointments. All visits to the home by the provider are recorded and stored in the home Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 7 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. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who are considering using this service have their individual needs assessed before making a decision. This means individuals will know if the service has the ability to provide the support and care they need. EVIDENCE: 1 person has moved to the home since the last inspection. The file contained detailed pre-assessment information and had been undertaken with the individual. There was also evidence in the file that the person had the opportunity to meet other people living in the service and staff as part of the assessment process. The file presented a very clear picture of the individual outlining specific needs, likes and dislikes and how all identified health and social needs could be supported. There was evidence of good liaison with care managers and family. Survey forms returned confirmed that people had come to see the home and meet other people living there before making a choice. 1 person said that they were able to stay for a few days and then could choose which home they preferred. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service know their assessed and changing needs are recorded in individual plans of care People who use the service tell us they are able to make decision about their daily lives, which makes them feel independent. Systems are in place to assess risk and support people to make the choices they want to. EVIDENCE: The care plans of two people were looked at. Lifestyle plans contain information on preferred methods of communication, self care, eating, drinking, likes and dislikes health, social and therapeutic activities alongside goals and aspirations. Each lifestyle plan presented an individual account of the person and there was evidence of liaison with the person, family friends advocates and health care providers. Daily care reports are cross- referenced with the care plan. Key-workers are allocated in consultation with individuals. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 11 There was evidence of the lifestyle plans being reviewed and updated monthly. In conversation with 5 people who use the service they said that they discuss their lifestyle plans with their key workers. The manager said that the lifestyle plans were evolving and becoming more individualised. 1 person said that they are able to make decisions about the clothes they wear and are supported to go shopping to buy the clothes they like. There is information about advocacy services on the notice board. People also said that they are able to decide when they want to get up and go to bed. 1 person felt this was very important, as a previous manager had dictated when they had to be in bed at night and that it wasn’t right. During the visit it was observed that people living in the home were very supportive of each other and tolerant of each persons needs and behaviours. 1 person’s speech was difficult to understand but this person was given the time and support by their peers to explain their point of view. The home has monthly meetings where residents are encouraged to provide feedback on the home and areas, which may require improvement. Risk assessments are in place for a range of activities both in and out of the home. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 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 service are supported to participate in activities, which interest them in the community. People tell us that they are able to maintain contact with the people who are important to them. People using the service also tell us that they are able to eat healthily and decide what they want to eat. EVIDENCE: People who live in the home attend a variety of different day activities such as Fourways and Barnabus. People also said that they are able to the same things as anyone else such as shopping, going to the cinema, swimming. People’s interests are recorded in their lifestyle plans and goals are set. The notice board contained information about activities taking place in the community. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 13 People said that they are able to visit their friends. During the visit relatives were observed coming to take people out or away for the weekend. Relatives returned 5 survey forms, and 1 person thought that there should be more activities on at the weekend. The people who live at Talbot Manor have access to a minibus. Some people who live in the service that responded to the survey said that they could do what they liked at the weekend by did not say what that was. 1 relative thought that the home should encourage communication with family and friends more. People have a key for their bedroom if they want and staff were observed knocking before entering. During the visit staff were observed talking to people using the service and listening to them. People who use the service said that staff are very caring and understand them. A training kitchen is available at the home to enable people to prepare their own meals. The manager said that they are encouraging people to develop their skills and use of the kitchen has been identified in goal setting with some of the people living in the home. There is no cook in the home; staff take turns to prepare the meals. Some comments have been received by relatives who feel it would be better to employ a cook. People who live in the service said that the meals are nice and they are involved in deciding what they eat. On the day of the visit there was a choice of 3 dishes. There is equipment available for those people who need assistance. There were 5 people at home for lunch on the day of the visit and after lunch they sat around and talked about life in the home. A tour of the kitchen evidenced a good choice of quality food -stuffs with fresh food and vegetables and a choice of healthy well-balanced menus. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care planning details how people using the service need and like to be supported, this gives staff the information they need to provide the care and support. Systems and training are in place for staff to safely administer medication this ensures that people using the service are protected. EVIDENCE: Care plans clearly outline individual preferences, where guidance and support is needed for care and how this must be provided in line with wishes. People are supported in deciding what they wish to wear, personal hygiene and there was evidence on files examined of appropriate referrals to occupational therapists, psychiatry, psychological services, dentists and chiropodists. A dedicated key worker system is in place and where a need may be identified additional support is sought through independent advocacy. People who use the service say they are able to change their key worker if they want to and there are regular changes every year. People living in the home said this gave them some control. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 15 Each resident has his or her own medication file with clearly recorded MAR sheets. During the site visit a member of staff explained the medication process. When medication is being dispensed this is the only task the member of staff does, they wear a jacket which everyone knows means they cannot be asked to do anything else, a member of staff said they felt silly wearing it at first but it has really helped to reduce medication errors. The commission had received a number of regulation 37 forms regarding medication errors before this practice had been put in place. There have been no further incidents regarding these errors. The home uses a monitored dosage system. The signatures on the MAR chart are checked by another member of staff. Only staff who have received the appropriate training are able to dispense medication. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People using the service say they are listened to and feels their views contribute to the home. Staff receive the training they need to understand how to ensure that the people using the service are protected from abuse. EVIDENCE: The home has a clear complaints procedure in place. Monthly meetings for the people living in the service enable them to express their concerns. The key worker system and collaboration between staff and service users means that staff are aware of how individuals express themselves. Staff, were observed to be sensitive to individuals and to understand ways in which needs were being communicated. Adult protection procedures are in place and up to date and there is evidence that staff has received up to date training in the protection of vulnerable adults. There have been no safeguarding investigations since the last key inspection. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 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 service say it feels homely. Systems are in place to ensure that the home is clean and hygienic. EVIDENCE: Talbot Manor provides spacious accommodation for up to 12 people. There is a ramp leading to the front door. The entrance is welcoming and the soft furnishings brighten an older style building. The communal rooms provide good space for wheelchair users. There is a lounge leading to a large dining room. A conservatory provides space for relaxing as well as activities. Individual bedrooms are very personalised and people who live there said that they were involved in choosing the décor. Seating in the lounge and conservatory is comfortable and well maintained. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 18 The bathrooms are in the process of being re furbished, the manager has chosen the tiles and flooring with the residents. 2 bathrooms have been completely finished and have new equipment in place. The visit took place on a wet cold day and the home was warm. The home has a maintenance programme and a record is kept of all work. The home was clean and free from offensive odours throughout. The 11 people who live in the home and responded to the survey all said that the home is always clean. There is a large laundry room, which is sited well away from the kitchen and where food is stored. There are hand-washing facilities with paper towels throughout the home. There is an infection control policy in place and staff are up to date with this training. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 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 service are supported by staff that have been recruited using robust procedures and receive the training they need to do the job well. EVIDENCE: 7 staff surveys were returned. 1 person commented, “courses are constantly being looked at and booked for us as well as suggestions listened to” Staff at the home continue to benefit from a range of up-to-date training. 1 member of staff said “ the manager sends me on courses which are appropriate for my job role” All of the 7 survey forms were very positive about training all stated that the training helped them understand the needs of the people using the service. 9 staff have or are starting National Vocational Qualifications (NVQ) at level 2 and 4 staff either have or are working towards the qualification at level 3. 2 staff are NVQ assessors. In April 2008 2 staff completed ‘managing teams’ training, 2 staff completed ‘safeguarding adults’ training. 1 person did a 5-session course on ‘team leader’ training. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 20 The manager is responsible for ensuring that staff are up to date with their training. Training courses coming up include; team building, communication, challenging behaviour. During the visit staff were observed supporting people to make decisions about their daily life such as what to wear were to go for the day or what to eat for lunch. During the after lunch discussion with people using the service they were very complimentary about staff and how they are supported. 1 person who returned a survey form said, “ we got nice staff here” The Annual Quality Assurance Assessment ( AQAA) returned by the manager indicated her desire to use less agency staff. During discussion with the manager it became clear that the same agency and where possible the same staff are used so there is some continuity for the people living in the service. Good recruitment procedures are in place two staff files were examined and were all found to be in good order with the relevant documentation. 1 person living in the service said that they had been involved in the recruitment process and asked questions during the interview. People agreed that they liked being involved in interviewing staff. The manager also said that it is very important to speak to people living in the home to find out what they thought of a potential member of staff. The home demonstrates a commitment to providing a well-qualified staff team each staff member has an individual learning plan. A record is kept of all courses completed and training planned for the future demonstrates that staff undertakes courses linked to the specialist needs of residents. On the files looked at there was evidence of induction standards being used and the workbook from ‘skills for care’. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is run by an experienced manager who ensures that the people living in the service have a voice and are able to contribute to the development of the home. Systems are in place, which promote and protect the health, safety and welfare of the people living at Talbot Manor EVIDENCE: The manager has the qualifications and experience required to run the home. She has the Registered Managers Award (RMA), NVQ 4 in care, NVQ Assessors and diploma in welfare studies. The manager is very enthusiastic and encourages the development of staff through delegation of tasks and Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 22 responsibilities. The deputy manager plays a role in training and supervision. Key workers are responsible all aspects of care and support of individuals. Comments received in survey forms suggest that staff feel supported by their manager and residents feel able to speak to the manager about concerns that they have. The manager submitted and AQAA and this provided good information about the development of the service as well as its shortfalls. The manager is able to identify areas for improvement such as the upgrading of bathrooms as well as acknowledging the need to continue to develop the person centred approach to care. The home has a system of quality assurance. During the inspection people who live in the home said that they are asked their opinion on what they think about the home and what they could do to change things. The manager said that they send out questionnaires to everyone who has an interest in the service. This information was also in the AQAA. Training records contained information on moving and handling training and when staff needed refresher training. Fire safety records were up to date; all weekly checks were maintained at the intervals required. The manager explained that they have fire drills monthly, the last fire drill everyone was out in less than 2 minutes. All mandatory training is up to date for all staff. Hazardous substances are stored safely. All wheelchairs, which require charging, are stored together and charged together in a large storage area, which is lockable. All accidents and incidents are recorded and sent to the commission. Talbot Manor DS0000070247.V361838.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 Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Talbot Manor DS0000070247.V361838.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. 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 2 Refer to Standard YA6 YA39 Good Practice Recommendations Information in care plans should be consistently recorded such as the outcome of appointments with healthcare professionals. The manager should use the homes quality assurance process to find out peoples views on not having a dedicated cook. Talbot Manor DS0000070247.V361838.R01.S.doc Version 5.2 Page 25 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 Talbot Manor DS0000070247.V361838.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. 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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