Care Home: The Vineries

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What the care home does well What has improved since the last inspection? Since the change of ownership there have been a number of positive improvements achieved within the first six months including:- redecoration of bedrooms and the sitting room, pictures and attractive fittings have been purchased to compliment rooms and provide a more neutral but homely setting. A new mechanical hoist, medicine trolley and computer have also been purchased, and training sessions and refresher courses have been put in place for staff to attend. Five care staff have registered to undertake NVQ 2 since February 2008. Staff supervision and appraisals have also been established but not all have been completed as yet. A review of the office procedures is in place and some of the changes have been introduced, with better file management and audit systems for monitoring the record keeping and general administration of medication, care planning and day-to-day management. The Service Users Guide and the Statement of Purpose as well as general information about the service and the management and staff has been made available in the interim whilst the new brochure is being produced. Relatives and residents confirmed that the information about the service is clear and concise. From the discussions with staff and relatives and residents it was said that the choice of foodstuffs and meals has also improved with greater choices and additional fresh fruit available at every meal. One resident commented that they thought the quality of the food had improved too, and gave examples of their personal meal choices and added I like a certain kind of tea to drink and the home provides that for me. The manager said that the activities and entertainment programme had been reviewed and professional entertainers have been booked to visit the home once a fortnight to provide musical events. Residents said that they enjoyed the music sessions very much. One relative commented that she thought the activities programme offered the right level of social stimulation and interest. CARE HOMES FOR OLDER PEOPLE The Vineries The Vineries Winterton Road Hemsby Great Yarmouth Norfolk NR29 4HH Lead Inspector Mrs Susan Golphin Unannounced Inspection 24th July 2008 09:30 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 The Vineries DS0000071504.V368924.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. The Vineries DS0000071504.V368924.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Vineries Address The Vineries Winterton Road Hemsby Great Yarmouth Norfolk NR29 4HH 01493 732171 01493 732171 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) Mrs Shereen Arunthathi Jesudason Maureen McGlone ( not registered) Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places The Vineries DS0000071504.V368924.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is 19 New service 2. Date of last inspection Brief Description of the Service: The Vineries is a large converted house, situated in the centre of the village of Hemsby and provides residential care for nineteen older people. The home is close to local shops and amenities that can be easily accessed. The two- story building has fifteen single rooms and two double rooms; twelve of the rooms have en-suite facilities with a chair lift to the first floor. There is a dining room and two other sitting rooms available for residents’ use. Set in its own grounds the home has a well -maintained and attractive garden. A limited number of parking spaces are available to the side of the premises. Information about the service including inspection reports is available in the reception hall and on request from the manager. The care costs range from £330 to £415 per week. The Vineries DS0000071504.V368924.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*. This means the people who use this service experience good quality outcomes. This key unannounced inspection took place over one day, 7.5 hours in total, and all the standards were reviewed because the ownership of the home changed earlier this year. The home was purchased by a new provider in February 2008 and is now owned by Mrs Shereen Jesudason. Mrs Jesudason is a qualified accountant and has other business interests in the care sector as well as owning a nursing home in Great Yarmouth. Mrs Jesudason has developed a good professional relationship with the Commission and has demonstrated that she is committed to providing quality care services to older people. A short and longer-term plan for the premises and administration changes to The Vineries has been drawn up and includes redesigning the service areas and bedrooms. Some immediate and cosmetic changes have already been made including updating the general décor in some rooms and the reception area. Other changes have included a review of meals, menus, and staff supervision and training. Everyone seen on the day said that the initial changes had been positive and beneficial to all. The manager and the registered provider were present throughout the inspection. The report contains information from the Annual Quality Assurance Assessment document the previous inspection report and from notifications received from the service since the last inspection. During the course of the day we were able to tour the premises, talk to residents, visiting relatives, staff on duty and observe care staff in practice. A small sample of records and care plans were also seen. Prior to the inspection the inspector received seven out of ten comment cards from relatives with two comment cards from residents, these having been completed by a relative on their behalf. Overall the comments from residents and relatives about the service are very positive and complimentary. Seven out of ten staff comment cards were returned and all were positive and complimentary about the service and support and supervision from the management. What the service does well: From the information provided and from talking to people who use the service, the home provides a good quality of care which focuses on the needs of the residents at all times. Some of the comments received from residents and their relatives included -: The Vineries DS0000071504.V368924.R01.S.doc Version 5.2 Page 6 ‘I am very satisfied with the service’ there is a nice homely atmosphere here ,they treat people with respect and as individuals’ and ‘nowhere is perfect but I rate the Vineries very highly’. ‘All the staff are very helpful. This care home has exceeded my expectations in every way.’ Relatives also said -: I cannot think of any way [the home] could improve it seems to supply exactly what is needed –keep up the good work’. Another said that the ‘cleanliness and good food and happy atmosphere’ is what the home does well. One relative stated that ‘They [staff and management] are all so friendly and caring and attentive to residents’ needs. I truly feel fortunate that my relative lives there’. During the discussions with staff they said that the home provides good quality care in a relaxed family atmosphere, and since the change of ownership better training opportunities and supervision. They provided positive examples of their own skills and knowledge about supporting older people as well as care practice that indicated residents are treated well and with respect and their care needs met in a dignified way. What has improved since the last inspection? Since the change of ownership there have been a number of positive improvements achieved within the first six months including:- redecoration of bedrooms and the sitting room, pictures and attractive fittings have been purchased to compliment rooms and provide a more neutral but homely setting. A new mechanical hoist, medicine trolley and computer have also been purchased, and training sessions and refresher courses have been put in place for staff to attend. Five care staff have registered to undertake NVQ 2 since February 2008. Staff supervision and appraisals have also been established but not all have been completed as yet. A review of the office procedures is in place and some of the changes have been introduced, with better file management and audit systems for monitoring the record keeping and general administration of medication, care planning and day-to-day management. The Service Users Guide and the Statement of Purpose as well as general information about the service and the management and staff has been made available in the interim whilst the new brochure is being produced. Relatives and residents confirmed that the information about the service is clear and concise. From the discussions with staff and relatives and residents it was said that the choice of foodstuffs and meals has also improved with greater choices and additional fresh fruit available at every meal. One resident commented that they thought the quality of the food had improved too, and gave examples of their personal meal choices and added I like a certain kind of tea to drink and the home provides that for me. The manager said that the activities and entertainment programme had been reviewed and professional entertainers have been booked to visit the home once a fortnight to provide musical events. Residents said that they enjoyed The Vineries DS0000071504.V368924.R01.S.doc Version 5.2 Page 7 the music sessions very much. One relative commented that she thought the activities programme offered the right level of social stimulation and interest. 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. The Vineries DS0000071504.V368924.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 The Vineries DS0000071504.V368924.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 1- 6 Quality in this outcome area is good There is comprehensive information about the service provision and what people may expect should they choose to live there. There is a clear assessment process in place that includes consultation with residents and their relatives about their healthcare needs and lifestyle. There is no designated intermediate or rehabilitation service available in this home. However, prospective residents can access short term or respite care as part of the decision making process about long- term care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Vineries DS0000071504.V368924.R01.S.doc Version 5.2 Page 10 Resident’s files seen on the day showed that all prospective residents healthcare needs are assessed prior to admission. They are encouraged to visit the service with their relatives before making any final decisions about where they wish to live. One resident said that they were given ‘plenty of time’ to decide about the home and provided with good information about the service to help them decide. Checks are currently being made to ensure all residents have a signed copy of their contract on file. One relative through the comment cards said that the choice of home and the admission process was ‘quite straight forward and the home had more than met their expectations’. The information packs in resident’s rooms which covers details about the service as well as how to complain needs to be updated to include the change of address for the Commission. One of the relatives said that the choice of home was easy as the information was to hand and the staff helpful and informative during the pre admission visit. The Vineries DS0000071504.V368924.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 7-11 Quality in this outcome area is ( good). Resident’s receive good personal and healthcare support, based on a comprehensive plan of care. Resident’s personal care is delivered in a respectful and dignified way by staff who are focussed and attentive to individual needs. There is an efficient medication policy in place supported by clear procedures guidance and training for staff, including supporting residents who may wish to manage their own medication. Staff in the home have a good understanding and are sensitive when dealing death and bereavement. This judgement has been made using available evidence including a visit to this service. The Vineries DS0000071504.V368924.R01.S.doc Version 5.2 Page 12 EVIDENCE: Resident’s care plans seen on the day show that regular reviews of the planned care are in place with good support from GP’s and nurses and specialist health care professionals where needed and the use of specialist equipment where may be necessary to promote good healthcare practice. The care planning process is being updated as part of the administration review and it was agreed that the details relating to the social and emotional needs of residents needs to be more detailed and specific to reflect individuality. Sample plans have been shared with the management and some of the elements will be used to improve the current process. Residents said that they see their doctor or the surgery nurses when needed. Another said that have recently been to see a hospital specialist and everything had been arranged with the home and the family. A new medication trolley has been purchased recently and the storage and record keeping of medication seen on the day was well ordered and up to date. Evidence of auditing of the written records and storage were also seen. The manager confirmed that there is a risk assessment policy in place, but currently there are no residents managing their own medication. The care staff group have attended medication training this year (1/4/08) and this was confirmed during the discussions with carers and in the staffs’ own evidence of learning file The staff were observed throughout the day delivering care and support confidently and competently. Resident’s said that the staff are courteous and kind and always helpful. During the interviews the carers were able to demonstrate their understanding and knowledge about caring for older people, dealing with those who have short term memory loss as well as those who are needing end of life care. They were able to give good examples of care practice and how they ensure that resident’s dignity and privacy is respected and upheld. The Vineries DS0000071504.V368924.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 12-15 Quality in this outcome area is ( good). Residents can access a good range of social activities and interests on a regular basis and are encouraged and supported to be involved in their own decision- making and life choices. Residents and relatives have a positive and open opportunity to maintain social and family links with friends and the local community. There are positive processes in place to support and promote residents equality and diversity needs. This judgement has been made using available evidence including a visit to this service. Residents are offered a well -balanced and wholesome diet that caters for and meets individual needs and choices. EVIDENCE: The Vineries DS0000071504.V368924.R01.S.doc Version 5.2 Page 14 Since the change of ownership residents are now offered a three monthly newsletter about the service that tells them ‘what’s on’ and what is happening in and around the home. The home has a designated activities organiser who monitors the events and measures the popularity of all the activities. All the activities are advertised on the notice board, and from the comments received residents said that the staff are very good at keeping them up to date on the general ‘news and views’. Some of the recent activities have included beauty therapy sessions, musical bingo musical entertainers /singers and reminiscence sessions. The management and staff have a sound understanding of peoples’ cultural and religious needs as well as identifying some of the diverse needs of older people. Residents said that carers take an interest in their past history, their families and their beliefs and interests. Residents seen on the day said that the meals and menu have improved in the last few months with ‘nicer choices’ and much more fresh fruit available at each meal- time. One relative said that they thought the overall quality of the food had improved since the change of ownership and seem able to cater easily for everyone. The menus showed a varied appetising range of meals planned around fresh and seasonal ingredients. The operations manager for the service who is trained in monitoring older people’s dietary intake will be sharing that information and knowledge with staff so that they have good insight into the nutritional needs of older people and monitoring diet and eating patterns when people are ill or at the end of their lives. The Vineries DS0000071504.V368924.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 16-18 Quality in this outcome area is ( good). There are good complaints procedures in place. Resident’s and relatives have a clear understanding of how to complain. There are good procedures and practices in place that promote the safeguarding of adults and enable staff to report concerns and complaints. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no formal complaints made to the Commission about this service. A complaints and compliments file is maintained and a written record of any incidents. During the discussions it was agreed that every level of concern or any enquiry should be recorded and the details around any action or outcome documented in the file. It was agreed that when audited and reviewed regularly the information could help to identify any recurring incidents or communication problems. The address of the Commission needs to be updated in the resident’s information pack that is kept in each resident’s room. Staff seen on the day were able to confirm that they have received training and guidance in safeguarding adults and have a good understanding of how to respond to bad practice or concerns they might have about the service. The Vineries DS0000071504.V368924.R01.S.doc Version 5.2 Page 16 Training and the sharing of expertise in managing challenging behaviour will be included in the staff training programme this year. The Vineries DS0000071504.V368924.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 19-26 Quality in this outcome area is (good). The home provides a good environment that is clean, safe and well maintained. Resident’s rooms reflect their personal choices and are comfortably furnished. Appropriate aids and adaptations are in place to promote resident’s personal dignity and independence. This judgement has been made using available evidence including a visit to this service. The Vineries DS0000071504.V368924.R01.S.doc Version 5.2 Page 18 EVIDENCE: The home is set in mature and attractively maintained gardens. The garden area offers plenty of seating for residents and relatives and is well used during the summer months. Resident’s have a choice of communal rooms to use and all are appropriately and comfortably furnished and decorated to a good standard. A short tour of the premises was undertaken and all the areas were clean and pleasantly arranged and offered a homely and comfortable environment. Relatives and residents spoken to on the day said that there had been improvements made to one of the sitting rooms and the reception area and the hallway had been decorated recently. From the comments made, it is felt that the immediate changes have made a big difference to the home and ‘everything looks fresh and clean’ said one relative. A small number of resident’s rooms have also been decorated and the furniture replaced, including bedside tables that can be locked. One person said the interior of the house ‘is less cluttered’ since the change of ownership with a more ‘light and airy’ feel to the sitting rooms which residents commented positively on. Another said ‘My room is quite comfortable and I have everything I need’ including my own en-suite facilities’. An initial plan is in place to relocate the laundry and managers main office and create two single rooms on the ground floor. This will not change the overall numbers as the double rooms are being used for single occupancy. This first phase building proposal will also create improved and discrete access to the laundry. Other major investment and building changes are being planned for the site and will form part of a longer- term plan that will include the installation of a shaft lift. There is a clear infection policy in place for the home and staff were observed using protective clothing appropriately to promote good standards of cleanliness and hygiene. The Vineries DS0000071504.V368924.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 27-30 Quality in this outcome area is (good). There is a sound recruitment and selection process in place. Appropriate training is offered on a regular basis that focuses on good delivery of care and support to residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three staff files were seen on the day, and are up to date and in good order. Each contains appropriate details of recruitment selection including checks through the Criminal Records Bureau and relevant references. During the discussions with staff and from the comments received they confirmed that their recruitment and induction training provided a clear indication of what is expected of them and their responsibilities to each resident. It was agreed during the discussions that any notes made during the interview process should be maintained in each of the appointed staffs file. 85 of the care staff have achieved or are working towards the NVQ 2 or above this year. Other training undertaken has included food hygiene, administration of medication, Moving and Handling First Aid and Continence The Vineries DS0000071504.V368924.R01.S.doc Version 5.2 Page 20 Management. Observing the care staff at work it is evident that they are confident and caring and both liked and respected by each other, residents and relatives. Regular staff meeting are also being re-established with one being arranged since the change of ownership. The opportunity for staff to meet and to discuss or raise professional issues and work practice is essential to promoting good professional standards and levels of communication. From the staff rota and from the quality assurance information submitted prior to the inspection there are sufficient numbers of staff to meet resident’s needs in the main. From the comment cards some staff said that it would be good to have more social and emotional time with residents and that a designated person taking responsibility for laundry tasks would also allow more personal time with residents. The Vineries DS0000071504.V368924.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 31-38 Quality in this outcome area is ( good). There is a good administration and business planning procedure in place that safeguards the financial and health and safety and well being of the residents. The home is well managed and run in the best interests of the residents and staff. Structured supervision and appraisal sessions for staff have been re established. There is a good system in place for seeking the views of those who use the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Vineries DS0000071504.V368924.R01.S.doc Version 5.2 Page 22 The registered provider plays a key part in the management of the home and since its acquisition has been involved in drawing up a business and development plan for the service that shows continuing growth and improvements to the premises and the service generally. The recently appointed manager will submit an application to be registered in the autumn and will also be applying to complete the NVQ 4 as soon as possible. The home has an inclusive and homely atmosphere and this can be seen in the rapport and relationships with staff residents and visitors. From the comment cards residents said that the manager and staff are always accessible and available to them. Residents said that their views are sought about the way the home is managed, more recently they have been asked about menus and meals and social events. Until the change of ownership staff supervision had taken the form of observational supervision and a record of the session maintained and signed by the manager and the member of staff. Since February 2008 a small number of staff have received their annual appraisal to review their personal and professional development. Care staff seen on the day said ‘it was a positive experience and it felt as if ‘they had moved forward and it was reassuring to know that their practice and approach to care is meeting a good standard’. It is acknowledged that there is more work to be done with setting up the supervision process in a more formal way and this will be undertaken by the operations manager for the service and will also include at least one on site observation session. All the health and safety aspects for the service including monitoring of water temperature and maintenance of equipment and mechanical aids are in place with good systems for recording and supervising practice. The staff group have received training in Moving and Handling and First Aid. The Vineries DS0000071504.V368924.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 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 3 3 2 3 3 The Vineries DS0000071504.V368924.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 OP36 Regulation 18(2) Requirement The registered providers are required to ensure that all staff are appropriately supervised and a written record maintained Timescale for action 31/10/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP1 OP7 OP16 Good Practice Recommendations It is recommended that the registered providers ensure that the address of the Commission is updated in the information pack available to residents. It is recommended that the care planning process is reviewed to include more details and information relating to the social and emotional needs and lifestyle of residents It is recommended that all concerns and queries as well as formal complaints raised with the management are documented and audited as part of the complaints and compliments process. It is recommended that the registered provider continue to implement the upgrading and refurbishment programme for the home as part of the ongoing development of the DS0000071504.V368924.R01.S.doc Version 5.2 Page 25 4 OP19 The Vineries 5 6 OP29 OP31 service. It is recommended that the notes taken during staff interviews should be maintained as part of the recruitment and selection process. It is recommended that the manager of the service submit an application to be registered with the CSCI as soon as possible and undertakes to complete NVQ 4 training at the earliest opportunity. The Vineries DS0000071504.V368924.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection 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 The Vineries DS0000071504.V368924.R01.S.doc Version 5.2 Page 27 - 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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