Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 08/06/05 for Abbotsleigh Mews Nursing Home

Also see our care home review for Abbotsleigh Mews Nursing Home for more information

This inspection was carried out on 8th June 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents and relatives praised the staff and said that they treated residents with kindness and respect. Staff were able and committed and gave good care to residents. The home was well managed and residents, relatives and staff were pleased with the improvements the manager had made. Residents liked the food and had received good health care. Activities and entertainment were provided and relatives were made welcome by staff when they visited. Complaints had been dealt with properly. The home was clean, well decorated and comfortable and was safe and well maintained. The gardens were very neat and attractive.

What has improved since the last inspection?

Additional staff had been recruited, including bank staff and staff were not working such long hours. Staff morale had therefore improved. There was now a manager in post in every house. Staff had worked hard to write care plans for all residents using the new format. There were more tables and chairs in Calvin House, so that most residents could sit at table for meals. Also, the unit was being redecorated in a way which would help residents to find their way around. There were no unpleasant smells anywhere in the home.

What the care home could do better:

Assessments of need should be available for all residents, including residents who had moved from another unit or a different home. Resident suffering from dementia should not be admitted to the nursing units, as they are not registered to care for this group of people. Care plans need to include what staff should do to prevent pressure sores and falls and residents should be more involved in producing their care plans. Medication should all have proper labels and accurate records should be kept of when it is given out. Someresidents would like to be more involved in decision making in the home and all staff should have formal supervision from a more senior member of staff.

CARE HOMES FOR OLDER PEOPLE Abbotsleigh Mews Nursing Home Old Farm Rd East Sidcup Kent DA15 8AY Lead Inspector Elizabeth Brunton Announced 08 June 2005 09:30 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 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. Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Abbotsleigh Mews Nursing Home Address Old Farm Rd EastSidcupKentDA15 8AY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8308 9590 020 8308 9540 BUPA Care Homes Limited Ms Janet Lawrence Care Home 120 Category(ies) of Dementia (30), Old age, not falling within any registration, with number other category (90) of places Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Abbotsleigh Mews has 48 beds which are registered for nursing care of frail, elderly people aged 60 years and over and 12 beds registered for nursing care of people aged 50 - 59 years. 30 beds are registered for residential care of frail, elderley people aged 65 years and over. 30 beds are registered for residential care of people suffering from a mental disorder, other than mental handicap. Date of last inspection 23 November 2004 Brief Description of the Service: Abbotsleigh Mews is situated in a residential area of Sidcup, within walking distance of bus routes and a railway station. The home is purpose built and consists of four separate units, each of which is registered to provide care for up to 30 residents. The ground floor units are Calvin House, which provides personal care to residents with dementia and Macmillan House, which provides nursing care. The first floor units are Berens House, which provides nursing care, and Smythe House, which provides personal care. Administration, catering and laundry facilities are centrally located within the home. All bedrooms in the home are for single occupancy and have en-suite facilities. Residents have access to the home’s grounds and there is a separate secure patio/garden area for people living in Calvin House. There is a car park for staff and visitors. Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and started at 9.30am. Two inspectors were in the home from 9.30am until 6pm. Most time was spent in Smythe and Berens Houses. Calvin and Macmillan Houses were visited briefly. A number of residents, visiting relatives and staff on duty were spoken to separately. The manager and maintenance officer were also seen. Pre-inspection questionnaires were completed by five residents, four relatives and two health care professionals. Most communal rooms, the garden and some residents’ bedrooms were seen. Records were looked at, together with some service users’ individual case files. What the service does well: What has improved since the last inspection? What they could do better: Assessments of need should be available for all residents, including residents who had moved from another unit or a different home. Resident suffering from dementia should not be admitted to the nursing units, as they are not registered to care for this group of people. Care plans need to include what staff should do to prevent pressure sores and falls and residents should be more involved in producing their care plans. Medication should all have proper labels and accurate records should be kept of when it is given out. Some Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 6 residents would like to be more involved in decision making in the home and all staff should have formal supervision from a more senior member of staff. 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. Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 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 standard(s) 3 & 4 Residents were well cared for. Assessments of need were seen for some residents. The nursing units should not admit residents with a diagnosis of dementia, as this is not in line with the home’s registration. EVIDENCE: Pre-admission assessments of residents’ needs and abilities were seen on files in Smythe House. One relative said that the manager of Calvin House had gone to assess her mother in her previous residential home, before she was offered a place at Abbotsleigh Mews. However, pre-admission assessments were not seen on file for two residents who had moved into Macmillan House from Calvin House and another BUPA home, respectively. Also, both residents had a diagnosis of dementia and the nursing units are not registered to provide care to this group of people. All residents spoken to and those who completed pre-inspection questionnaires said that they were well cared for in the home. This was confirmed by relatives who were visiting the home or who completed pre-inspection questionnaires. Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 9 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 standard(s) 7, 8, 9 & 10 Care plans were in place but some additional care planning was needed and residents and relatives needed to be more involved in the process. Healthcare and personal needs were well met. Medication was safely stored but some omissions/errors in the labelling of medicines and the administration records were found. EVIDENCE: Care plans were seen on all residents’ files inspected and staff had worked hard to complete these, using the recently introduced new format. Individual care plans related to each of a resident’s identified needs. Staff spoken to seemed aware of residents’ needs and of the plans for meeting these. However, care assistants working on the nursing units were not involved in care planning or in the reviewing of care plans and it is suggested that they should be. Residents and relatives spoken to did not seem to be aware of their care plans and did not remember being involved in drawing them up. The manager said that a scheme was being piloted in Macmillan house for keeping care plans in residents’ rooms and for involving residents and relatives in a discussion of residents’ care three times a day at a ‘walk around’ staff handover. Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 10 Risk assessments had been completed for the development of pressure sores, moving and handling, falls and nutrition, where indicated. However, where a risk had been assessed as high, the necessary action had not always been incorporated into a care plan. This is important for the prevention of pressure sores, falls and poor nutrition. It is also suggested that care plans for meeting residents’ social and emotional needs are provided. The manager said that all residents had activity care plans, which were held by the activities organisers. Information about residents’ health care needs was seen on their files and details of healthcare appointments had been recorded. Records showed that all residents were registered with a GP and had access to other routine health care, such as dental, optical, chiropody and hospital treatment, when required. Residents said that their health care needs were well met and this was confirmed by relatives. Two health care professionals, who completed preinspection questionnaires, said that the home worked in partnership with them and cared for residents in line with their advice. A care plan for the treatment of a pressure sore was seen for one resident and he had been provided with a pressure-relieving mattress. Although a pressure-relieving chair cushion was not seen in this resident’s room, after checking, the manager said that all residents who had pressure sores and were able to sit in chairs, had been provided with pressure-relieving cushions. Residents’ weights had been monitored. Medication was inspected in Berens and Smythe Houses. It was properly stored in both houses. The temperature of the clinical room in Smythe House had still exceeded 25 degC on occasions but the manager said that air conditioning equipment was to be provided on the following day. Systems were in place to record medicines brought into the home and returned to the chemist. However, the medicines brought into the home from hospital by one resident in Berens House had not been recorded. The nomad system was used, with some medicines supplied in bottles. Some nomad packs in Smythe House needed to be more securely labelled with the resident’s name. Medication and administration records were inspected for three residents in each house. No anomalies were found in Smythe House, except that some ointments needed to be marked with the date of opening. In Berens House, one resident’s inhaler had no label and, for another resident, there was a discrepancy between the number of tablets recorded as given and those remaining. Also, not all hand written entries on the administration charts had been signed. The homely remedies to be used in the home had been agreed by the GP. Records had been maintained of the administration and remaining stock of theses medicines. However, in Berens House, there were less soluble paracetamol than the record indicated. Both the health care professionals who completed pre-inspection questionnaires said that medication was appropriately managed in the home. Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 11 The CSCI was informed of an error in the administration of medication at the beginning of the year. The appropriate action had been taken, as a result. Residents were well dressed and said that their clothes were well cared for. This was confirmed by visiting relatives. Residents were also pleased with the hairdressing service provided in the home. Residents said that they were treated with respect by staff and that their dignity and privacy were maintained. Visiting relatives confirmed this. Staff were heard to speak to residents in a friendly and polite manner. Mobile pay-phones were available for residents to use. Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 & 15 Activities were provided for residents and visitors were made welcome. Residents had choice and control over some aspects of their lives but some residents wanted more involvement in decision-making. Varied and nutritious meals were served and residents liked the food. EVIDENCE: Activities organisers were employed and those spoken to were enthusiastic and had creative ideas about developing the activities provided in the home. The programme of activities and entertainment for the week was displayed in each house. This showed and residents confirmed that a range of activities were provided. Residents were encouraged to join in activities but could refuse if they wished. Several residents from Berens House were taken down to the garden, as it was such a nice day. However, some residents said this did not happen very often and some said they never went out. Some residents spoken to had been able to pursue individual interests, such as watching the tennis on television and visiting a bowls club. Residents confirmed that their families and friends could visit at any time. This was confirmed by visiting relatives and those who completed pre-inspection questionnaires. Relatives said that they were made welcome by staff and were kept informed about their resident. Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 13 Residents confirmed that they could choose when to get up and go to bed and how to spend the day. The need to involve residents in setting up and reviewing their care plans has already been mentioned. Meetings for relatives had been held periodically and minutes of a recent one were seen. Similar meetings were not held for residents and it is suggested that this should be introduced. Three of the five residents who completed pre-inspection questionnaires said that they would like to be more involved in decision making in the home. Lunch was seen being served in Berens and Calvin Houses. Tables were properly laid, plate guards provided and assistance was given by staff in a sensitive manner. There was a choice of main course and pudding and the meal looked and smelled appetising. Several residents said they enjoyed their lunch and that they were pleased with the food provided in the home. Menus seen showed that varied and nutritious meals were served. Additional tables and chairs had been provided in Calvin House and fewer residents were sitting in armchairs to eat their lunch. Staff said that those residents who were sitting in arm chairs for lunch, would not wish to sit at table. Some residents in Berens house had lunch in their rooms and it is suggested that plate covers are used when taking meals to bedrooms. Service users said that there were always plenty of drinks available. Fresh fruit and a covered jug of fruit juice were available in the lounge in Smythe House. Food was labelled and stored correctly in the unit kitchens. The main kitchen was not inspected on this occasion. Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 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 standard(s) 16 & 18 Service users and relatives knew how to complain and service users were protected from harm and abuse. Complaints and adult protection concerns had been properly dealt with. EVIDENCE: The manager said there had been thirteen complaints during the past year and a number of cards and letters of appreciation. Records showed that complaints had been satisfactorily dealt with. Residents and relatives said that they would would know how to make a complaint, if they wished to do so. There had been one adult protection investigation during the past year. This followed an allegation made against a member of staff by a resident’s friend. It had been properly dealt with. Prompt action had recently been taken when a resident of Calvin House was inadvertently allowed to leave the house by a visiting relative. This had not happened again. The manager said that a member of staff who was dismissed during the previous year for gross misconduct had been referred for inclusion in POVA. All residents spoken to and who completed pre-inspection questionnaires said they felt safe in the home. Staff showed an awareness of adult protection issues and said that they had received training. Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 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 standard(s) 19 & 26 The home was clean, sufficiently spacious, well decorated and maintained. EVIDENCE: The home was bright and well decorated, clean and tidy and there were no unpleasant odours. The garden was very well maintained. Rooms were maintained at a comfortable temperature. Bathrooms, toilets and sluices were tidy and uncluttered and all equipment was said to be in working order. Hot water temperatures checked were within safe limits and windows had restricted openings. Residents and relatives said there was enough communal and private space and that the home was bright and attractive. Some of the doors and corridors in Calvin House were being redecorated so as to provide additional assistance to residents with orientation. Bedrooms seen were well decorated and furnished. Residents said they were satisfied with the layout of their bedrooms and that their rooms were kept clean. Residents confirmed that they could bring their own furniture and other belongings into the home. The grounds were attractive and well maintained and there was a separate, secure garden for the use of residents of Calvin House. The home employed a full time Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 16 maintenance officer, who was hard-working and efficient and who undertook checks on equipment and the repair of essential items. Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 29 A competent and committed staff team provided good care to residents. Apart from occasional nights in Smythe House, sufficient numbers of staff were on duty and staff had been properly recruited. EVIDENCE: Residents and relatives spoke highly of the commitment of the staff teams and of the managers of the units. They said that staff worked hard, were kind and understanding and treated residents well. The units were well managed by able senior sisters/care managers and deputy managers were being appointed in each unit. Recent staff rotas showed that sufficient staff had been rostered on duty during the day. However, there had been occasions when only two staff had been on duty at night in Smythe, with back-up from one of the staff on duty in Berens House. Relatives had voiced concern about this at a recent relatives’ meeting. The manager said that an additional night staff had now been appointed. A number of staff had recently been recruited to work at the home and staff were no longer working very long hours. Bank staff had been recruited and agency staff were said to be rarely used. Staff morale had improved. The recruitment records for a number of staff were inspected. All the necessary information had been obtained and the necessary checks made and references obtained before new staff started work. Staff training was not inspected on this occasion. Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 36 & 38 The home was well managed. Formal staff supervision needed to extend to all staff, as planned. The necessary safety checks had been made on the building and equipment used. EVIDENCE: Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 19 The manager had been in post since October 2004 and was studying for the NVQ level four qualification in management. The manager was competent and experienced and was committed to meeting the needs of residents and to developing the service. The manager was well supported by able unit managers, administrators and a training manager. Staff, service users and relatives spoken to were very positive about the management of the home. Staff described the management style in the home as supportive and effective in getting things done. Senior staff said that they now met as a group for monthly clinical days, which were very informative. Co-operation and mutual support between the four houses was said to have improved. Though staff had been supervised in their work by senior staff, regular formal staff supervision had recently been introduced for senior staff in Smythe House and was shortly to extend to all staff. Supervision was ‘on the job’ and focused on different aspects of practice. It is suggested that supervision could also be used for developing keyworking practice. On the nursing units, care staff were supervised in their work by the nurses. Formal supervision did not take place but it was planned to start this in the near future. Information provided in the pre-inspection questionnaire and records inspected showed that gas/electrical installations and equipment, fire safety equipment, hoists and other moving equipment had been checked and serviced, as required. Systems were in place for the routine checking of hoist slings, hot water temps, wheelchairs, bedrails, fire safety equipment, emergency lighting, call bells and to act on medical alerts. All parts of the building had recently been risk assessed for fire and care plans were seen in Smythe House for those residents who chose to have their bedroom doors open at night. Recent fire drills had been held. No risks to residents’ safety were seen in those parts of the building inspected. Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 2 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x 3 3 x x x 2 x 3 Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 21 Are there any outstanding requirements from the last inspection? 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 3 Regulation 14 Requirement An assessment of need must be completed before any service user is admitted to the home or moved from one unit to another. The nursing units should not admit residents with a diagnosis of dementia, as this is not in line with the home’s registration. Residents must be involved in the preparation of their care plans, unless it is impractical to do so. When completed, care plans should be made available to residents. (Previous timescale of 31.01.05 not met) Medications such as eye ointments must be marked with the date of opening, where indicated. All medication must be securely marked with the owners name. Medication brought into the home and the administration of medication must be accurately recorded. Agreed staffing levels must be maintained. (Previous timescale of 31.12.04 not met) Staff must receive regular formal supervision. (Previous timescale of 31.01.05 not met) Timescale for action 01 August 2005 01 August 2005 01 September 2005 2. 3 14 3. 7 15(2) 4. 9 13(2) 01 July 2005 01 July 2005 01 July 2005 01 August 2005 01 September 2005 Page 22 5. 6. 9 9 13(2) 13(2) 7. 8. 27 36 18(1) 18(2) Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 9. 7 15(2) Where there is a significant risk 01 August of a resident developing pressure 2005 sores, falling or being poorly nourished, the necessary action must be incorporated into a care plan. 10. 11. 12. 13. 14. 15. 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. 4. 5. 6. 7. Refer to Standard 7 7 12 14 15 36 Good Practice Recommendations Care assistants should be involved in care planning for residents on all units. Residents should have care plans for their social and emotional wellbeing. Residents should be given regular opportunities to go out, into the garden or elsewhere. Residents meetings should be held and every opportunity taken to involve residents in decision making in the home. Plated meals should be covered when taken to a residents bedroom. Consideration should be given to using formal staff supervision for developing keyworking practice. Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection River House 1 Maidstone Road Sidcup Kent, DA14 5RH 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 Abbotsleigh Mews Nursing Home G51 G01 S6751 Abbotsleigh Mews V220069 080605 Stage 4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!