Inspection on 06/09/06 for Newton Hall Care Home

This inspection was carried out on 6th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Newton Hall Care Home 08/05/08

Newton Hall Care Home 11/07/07

Newton Hall Care Home 25/11/05

Newton Hall Care Home 11/07/05

Newton Hall Care Home 15/12/04

Newton Hall Care Home 18/08/04

Newton Hall Care Home 26/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Newton Hall Care Home Kingsley Road Frodsham Cheshire WA6 6YA Lead Inspector Judith Morton Key Unannounced Inspection 6th September 2006 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 Newton Hall Care Home DS0000018745.V308342.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. Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newton Hall Care Home Address Kingsley Road Frodsham Cheshire WA6 6YA 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) 01928 739270 Kingsview Homes Limited Care Home 34 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (19) of places Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 34 service users to include: • Up to 19 service users in the category of OP (Old age not falling within any other category) • Up to 15 service users in the category of DE(E) (Dementia over the age of 65) The registered provider must, at all times, employ a suitably qualfiied and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any gudinace which may be isued through the Commission for Social Care Inspection. 25th November 2005 2. 3. Date of last inspection Brief Description of the Service: Newton Hall is a care home for up to 34 older people who do not require nursing care. Up to 10 of the residents may have a diagnosis of dementia. The home is a detached property in its own grounds, on the outskirts of Frodsham on the edge of open countryside. The home is accessible by local transport as Frodsham has its own railway station on the main Chester to Manchester line. Residents’ bedrooms are located on the ground and first floor. The rooms on the first floor are reserved for residents who have been diagnosed with dementia. There is a passenger lift and staircase to the first floor. The doors from the first floor corridor to the stairs are opened through use of a keypad and there is a buzzer that sounds to alert staff that the door has been opened or has not closed properly. There is a large dining room and two lounges on the ground floor, with further seating in the large entrance hall. On the first floor there is a smaller lounge and separate dining room, primarily for use of the residents who have dementia. Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit, part of the key inspection for Newton Hall, took place over seven and a half hours on 6 September 2006. The previous registered manager has left since the last inspection. The new manager for the home was on duty and assisted the inspector with the visit and had provided information about the home that had been requested by CSCI approximatelyl six weeks before the inspection. Four residents’ care files were checked and two staff files. Two visitors to the home, four staff members and four residents were spoken with. A tour of the premises, including the kitchen took place during the visit. What the service does well: What has improved since the last inspection? What they could do better: A member of staff should be allocated each day to remain working on the first floor so that the care needs of those residents who are unable to go downstairs can still be monitored and met. A new programme of activities should be produced to ensure that all residents, including those who have dementia, are simulated, physically, emotionally and socially. Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 6 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. Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The information available to prospective residents, together with the information received through assessment and a pre-accommodation visit, would enable both the residents and the manager to know that the residents’ needs could be met at the home. EVIDENCE: The home’s statement of purpose and service user guide are sufficiently detailed to inform any current or prospective residents of the services offered at Newton Hall. However, as the previous registered manager had left the home since the last inspection, the documents will need to be updated once the new manager has been registered with the Commission for Social Care Inspection. There was a contract/statement of terms and conditions of living in the home in each of the four residents’ care files checked. These have been updated to reflect any change in room allocation or charges. The resident or their representative had signed the contracts. Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 9 There were assessments on the three files checked. These were detailed and would give staff information to meet the needs of the residents but could have been improved to include more information about the residents’ communication needs and methods. One care file showed that it was not always the case that the manager reassessed residents’ needs after they had been in hospital. As the care plan indicated a significant change in this resident’s needs once she returned from hospital, it is recommended that reassessments are undertaken for residents who have been in hospital for some time, to ensure that their needs can still be met at the home. Risk assessments on residents were also completed and held on file. These had been reviewed and updated as necessary. During the site visit the manager took a prospective resident and two members of their family around the building and introduced them to the staff and residents living at Newton Hall. The manager said that prospective residents and their relatives are welcome to visit Newton Hall several times if they wish before making a decision about whether to move in. Newton Hall Care Home DS0000018745.V308342.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 Quality in this outcome area is adequate. This judgement has been made using available evidence and a visit to the service. Although the care plans are detailed enough to ensure all staff would know how to meet residents’ needs, improvements are needed to ensure that all care given to the residents is recorded. EVIDENCE: Specific needs are recorded in the individual person’s care plan. The care plans were being reviewed and changes were being made, if required. An evaluation sheet was being completed to indicate to staff where on the plan a change had been necessary. The relatives had signed their agreement to the content of the care plan on the residents’ files checked. Continence plans were being reviewed monthly and a daily hygiene sheet showed when and how frequently the resident’s hygiene needs were met. This included, bath, hair, nails, oral care and bed linen changed. Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 11 There was a detailed medical history on each of the files checked. It was noticed that medical abbreviations had been used on occasion and suggested that this should be avoided in case staff were not able to fully understand residents’ medical conditions. It was clearly recorded when a health care professional, such as GP, chiropodist, district nurse, physiotherapist, dentist, optician etc had visited the residents, demonstrating that all of their medical needs were being met. On one file, the consent for the use of bed rails had not been signed or dated and there was no mention of the resident requiring these in the care plan. The manager said that the night staff check on the residents each hour during the night. There was no assessment or record on the care plan to show whether this frequency was necessary and had been agreed by the resident and/or their relative. Although the night staff make an entry in the residents’ notes each morning, there was nothing recorded to show that these checks were being carried out or what the outcome was; for example if any care had been needed. Consideration should be given to ensuring that night staff record their checks and the outcome of those checks, including any care or help they have had to give residents each night. The previous manager had started a process whereby staff spend time with individual residents to get their views on their care and the home; their comments were then included in the daily record. As this is good practice, it is hoped that the process would be continued with the new manager. Medication continued to be stored securely and administered safely according to good practice. The residents and relatives spoken with said that the staff were very helpful, that they were always cheerful and spoke politely and patiently to the residents. One relative said that the staff always welcomed them into the home and seemed knowledgeable about how their relative has been. Each resident’s file checked contained a transfer to hospital form that contained all the information a hospital would need in order to treat the resident effectively. The resident’s wishes about hospital interventions were recorded as were their wishes following death. This document had been signed by the resident to show their agreement with its content. This is good practice as it shows that the residents are involved in developing their own records. Newton Hall Care Home DS0000018745.V308342.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, & 15 The quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. Residents have a choice about their daily lives and although there needed to be more activities available for them, steps are being taken to provide these so that residents can remain active and involved socially. EVIDENCE: The activities co-ordinator has left Newton Hall since the last inspection. This means that ‘in house’ activities have to be organised and run by the care staff on duty and are, therefore, dependent on how much time the staff have to organise and run them. One resident said, ‘there’s nothing really to do is there?” One of the visitors spoken with, who visits weekly, said that the residents always seemed to be sitting around doing nothing when they call, even though they visit at different times each week. Two or three residents visit a local club each Tuesday afternoon and outside entertainment is brought in occasionally. A group of residents have visited a local ice cream factory and another group visited Walton Hall gardens during the summer. Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 13 However, after the site visit had been completed, the manager confirmed that a new activities co-ordinator had been appointed to work at Newton Hall. The new co-ordinator was in the process of getting to know the residents so that a regular guaranteed programme of activities could be devised to ensure that the residents are kept active and stimulated. The manager has asked the coordinator to collect information about hobbies and interests from resident’s families to help the co-ordinator devise a suitable activities programme. The manager has also asked for time to be set aside to undertake suitable one to one activities with some of the more dependent residents, particularly those who have dementia. Relatives came to the home throughout the day of the visit. Those spoken with said that they were always welcomed into the building and could meet with their relative in the privacy of their room if they wished or stay in one of the lounges. The visitors’ book was being completed and confirmed that visitors called to the home each day. Residents were seen to walk freely around the home and choose where they wished to spend their time. They were able to choose, depending on their ability, what clothes they wished to wear each day and what food they would like from the menu. Some residents chose to remain in their room all day, taking their meals there, while others would return to their room for the afternoon. The residents’ preferences for getting up and going to bed were also recorded on their file. There is a well-balanced menu. The daily menu is displayed on the front entrance hall table on bright coloured laminated card, with large print. Lunch consists of three courses with two choices for each course. There is also a choice offered at the evening meal and, in addition, sandwiches are available. Drinks and snacks are offered during the morning and the afternoon.In addition, there is a morning and afternoon break. The cook prepares good, home cooked meals and pastries. All of the residents spoken with said that they really enjoyed the food. One relative said that the food always looks good and the resident never complains about it. Newton Hall Care Home DS0000018745.V308342.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. There is a complaints procedure available for residents and their relatives to follow to ensure their complaints are listened to, although recording complaints needs to be improved, and staff have received training so they are aware of how to protect residents from possible abuse or harm. EVIDENCE: The home has a complaints policy and procedure, which the manager said is due to be reviewed. The current procedure was displayed in the reception area and was also included in the statement of purpose and service user guide. The manager was unable to locate the complaints book at the time of the visit. All staff, including night staff and domestic staff, have now attended awareness training on protection from abuse so that the residents can be protected from abuse, harm and poor practice. One of the house keeping staff confirmed she had attended two courses on adult abuse awareness. Newton Hall Care Home DS0000018745.V308342.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence and a visit to the service. Newton Hall is a homely, comfortable and well-maintained home for the residents but improvement to one area outside the home would ensure the health and safety of their visitors. EVIDENCE: The home is decorated and furnished to a very high standard with regular maintenance checks being carried out. The residents’ rooms are also furnished to a high standard and have been decorated with personal items, including pictures, ornaments and small items of furniture, that residents had brought with them when they moved in. Since the last inspection the low wall lights in the upstairs dining room and lounge (previously bedrooms) had been removed for the safety of the residents. The lower panes of glass had been made safe for residents by safety glass being installed as secondary glazing. The cracked pane of glass in the dining room had been replaced. Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 16 The taps on the sinks, which did not have any indication on them of hot and cold, had been painted with red and blue to resolve this. Every area of the home was very clean and there were no offensive odours or signs of sprays being used to mask them. The driveway up to the house remains a hazard for motorists but is a greater risk for anybody walking up it. The driveway is not well lit so this will be come a greater risk as the darkness starts to fall earlier with the approach of winter. Action must be taken urgently to repair the driveway; previous requirements made to repair the driveway have not been met. During the tour of the premises, the kitchen was checked and the freezer door was not closing properly. A requirement will be made regarding this and the driveway. Newton Hall Care Home DS0000018745.V308342.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. The staffing numbers mean that the current residents’ needs are met and constant review of the changing needs of residents would ensure that this is always the case. EVIDENCE: There were sufficient numbers of staff on duty, including kitchen staff, housekeeping staff, care staff and management, to meet the needs of the residents. Two new staff had started work at Newton Hall since the last inspection and six staff had left. The rota showed that there were sufficient staff to cover the duties. There were generally 5 staff on each morning, 4 during the afternoon/evening and three staff on at night. In addition to this, there were housekeeping staff, laundry staff, kitchen staff and a cook. The manager was regularly reviewing the residents’ needs, particularly of those who had a deteriorating condition such as dementia, and said she would ensure that the staffing levels were based on residents’ needs, not numbers. The information sent to CSCI by the manager before the visit took place showed that the manager had calculated the number of staff needed against the dependency needs of the residents. Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 18 However, there were two residents who remained on the first floor throughout the day of the visit. One of them said she was cold. She was sitting in front of an open window but was unable to close it. Her chair had a winged back that prevented her from seeing her television, which was to her right side and had been left on. The other residents from the first floor went downstairs to the main lounges but returned to the first floor for their meals and remained there after their evening meal. There were frequent occasions when there were no staff working on this floor to attend to the needs of the two residents. However, after the site visit had been completed, the manager confirmed that an identified member of staff now worked on the first floor each day so that the needs of the residents who remained upstairs during the day were being met promptly. The staff spoken with had a good awareness of the needs of the residents and the longer-term staff were seen supporting the newer staff. One of the new members of staff spoken with said that she enjoyed working at Newton Hall. She had received induction training and felt that all of the staff were very helpful. A visitor to the home said that the staff were skilled in knowing how to deal with situations. “There can be friction occasionally between residents and the staff deal with it calmly and sensitively. If it wasn’t handled right it could have got nasty. The staff are very, very caring.” The files of the two newest members of staff were checked. CRB disclosures for these staff were not available although they had been applied for; the manager arranged for POVAfirst checks so that staff could work under supervision in the home prior to their CRB disclosures being received. The manager should ensure that evidence of CRB disclosures being received for new staff is recorded on their files. The staff spoken with confirmed that they had received induction training and those who had worked at Newton hall for some time had had ongoing training. One member of staff spoken with said that the training offered to them at Newton Hall was very good. Newton Hall Care Home DS0000018745.V308342.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. Regular, recorded supervision sessions ensure that all staff are practicing to a high standard and the regular health and safety checks promote the welfare of the residents. EVIDENCE: The previous registered manager has left Newton Hall since the last inspection visit. The new manager had been the deputy manager at Newton Hall for some time before being promoted to manager in August 2006 and will be registering to undertake her NVQ Level 4 Registered Manager’s Award. The staff spoken with all spoke well of the new manager and said they would support her in her new role. She was observed undertaking managerial responsibilities effectively during the site visit. Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 20 Questionnaires have been sent from the home to residents, relatives and professionals who visit, as part of the quality assurance for the home. The new manager said that she intends to repeat the process. Some of the residents spoken with at the last inspection visit were unhappy that their newspaper bill was often only given to them when the amount was £70.00 and over. Negotiations had taken place with head office and the manager said the invoices for the paper bill were now to be sent to each resident monthly so the amount owed did not build up. The manager had been in post for 5 weeks up to the time of the site visit and had not yet conducted any staff supervision sessions. Staff had been receiving supervision with the former manager and the new manager was aware that she needed to continue with this. Routine safety checks and maintenance were being made in respect of gas, electricity, the lift, hoists, fire alarm system and self-closing devices on doors. Staff were recording the results of safety checks that they had carried out, including the hot water temperature of all sinks/baths in the home. The record showed that the hot water temperatures in a number of the residents’ bedrooms and the basins in a number of bathrooms exceeded 43°C. This had not been reported to the manager and posed a significant risk of scalding to the residents. Staff completing checks must report any areas of concern to the manager immediately so that corrective action can be taken. The manager was informed that urgent action was needed to resolve the matter and the registered provider took immediate action to resolve the problem and remove the risk for residents. Since the last inspection the fire safety officer had found that the ceilings of the upper floor were not the required thickness to protect the residents in the event of a fire starting in the roof space. The registered provider had taken immediate action, with the agreement of the fire safety officer, to reduce possible risk to residents and had then taken steps to rectify the problem with as little disruption to the residents and the running of the home as possible. These actions and the speed in which the registered provider resolved the problems are commendable. Newton Hall Care Home DS0000018745.V308342.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 3 3 3 X 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 X 18 3 2 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 4 Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP19 Regulation 23(2)(b) & (c) Requirement Timescale for action The driveway up to the home must be repaired so that it no 01/02/07 longer presents a risk to residents and visitors. The previous timescale of 31/03/06 was not met. The freezer must be repaired so that door closes properly. All the required checks must be 01/12/06 obtained for new members of staff . 2 OP29 19(1)(b) and Schedule 2 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 OP1 OP3 Good Practice Recommendations The statement of purpose and service user guide will need to be updated to reflect the change in management. In respect of assessment and care planning: 1. information about residents’ communication should be recorded DS0000018745.V308342.R01.S.doc Version 5.2 Page 23 Newton Hall Care Home 3 4 5 OP7 OP7 OP16 7 OP38 2. the frequency of night checks required for each resident should be assessed, recorded and agreement signed by the resident or relative. 3. the manager should carry out a re-assessment of the resident’s needs before discharge from hospital. Night staff should record the night checks made and the intervention/care given to the residents at each check. Consent for the use of bed rails should be sought once a risk assessment has been carried out and relatives should sign to show their agreement. Consideration should be given to keeping a complaints log book that shows how complaints and concerns are dealt with, including the outcome of any investigation and any action taken as a result. Staff should report any changes in equipment, safety factors etc to the manager immediately. Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 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 Newton Hall Care Home DS0000018745.V308342.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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