CARE HOMES FOR OLDER PEOPLE
AINSWORTH NURSING HOME Knowsley Road Ainsworth Nr Bolton BL2 5PT Lead Inspector
Julie Bodell Announced 28 June and 15 July 2005
th th 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. AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Ainsworth Nursing Home Address Knowsley Road Ainsworth Nr Bolton BL2 5PT 0161 797 4175 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) Mrs Pooganthai Subbiah Tina Harrison CRH N - Care Home with Nursing 41 Category(ies) of MD Mental Disorder under 65 years of age - 20 registration, with number OP Old age under 65 years of age - 20 of places PD Physical disability under 65 years of age - 2 AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: Within the maximum registered number Service users to include up to 41, there can be up to 20 MD (Mental Disorder), up to 20 OP (Older People) and up to 2 PD (Physical Disability) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Date of last inspection 6th September 2005 Brief Description of the Service: Ainsworth Nursing Home is a care home providing nursing and residential care for older people including older people with mental health and dementia needs. The building is a large, converted former hospital. It is detached and set within its own extensive grounds, with lawned areas and mature trees and shrubs. It is situated at the end of a private access road, in a semi-rural location within the Ainsworth area of Bury. AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The first day of the inspection took place on 28th June 2005 over a twelve-hour day from 9am to 9pm. The inspector spent time interviewing the newly appointed registered manager, three staff members including night staff, three service users, looking around the building and at key information. A brief visit was also made to the Home on the morning of July 15th 2005 to speak with the owner and responsible individual about an immediate requirement and to give feedback on the inspection. Neither was available to attend. What the service does well: What has improved since the last inspection?
Ainsworth has in recent years been subject to a significant number of requirements with very slow progress being made. The Home has recently appointed a new registered manager and the inspector is pleased to report that given the short period of time that the manager has been in post significant progress has been made in addressing issues, many of which have been outstanding for sometime. There is however much more to do. The registered manager must have the full co-operation and support of the owners of Ainsworth if the present pace of progress is to continue. Service users spoken with were highly complimentary about the new manager who they said was very approachable and understanding of their needs and they now felt more comfortable raising issues of concern with her, such as the quality of the food, and that she always had a smile for them. Service users had noticed many improvements at the Home. Conversations with members of the staff team gave a similar response and care staff felt that they were being valued more and were pleased that they had been trusted to be involved in the new key worker system. Night staff members too have been involved in this process and are included more. The inspector was particularly impressed with the changes in respect of one service user whose behaviour has at times been particularly challenging, by the introduction of the key worker system. Staff meetings have been introduced and take place in either the afternoon or evening so that more staff members have the opportunity to attend including the night staff. Most of the staff team
AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 Page 6 have now attended adult protection training, fire training as well as a wide range of other relevant training. It is the intention of the registered manager to do more internal training. Qualified nurses have been booked to attend a leadership and accountability course. A new, smart and consistent uniform is being considered to ensure that staff members are instantly recognisable by service users and visitors. Improvements were noted in respect of the Home. The front garden and entrance looked very welcoming with hanging baskets that had been donated by staff members. New furniture is being purchased for bedrooms, initially as they become available and once they have been completed, one bedroom every two months. The handyman now has a budget and is going on the portable electric appliance course in the coming months. Some service users had been out on individual shopping trips with key workers. An entertainer had been into the Home and there are plans to celebrate VE day at the Albert Hall Bolton, go to a brass band concert, as well as hold a garden party and BBQ in place for over the summer. Getting up and going to bed is now later. Work has been done to update policies and procedures in place and look in more detail at health and safety matters. 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.
AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 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 AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 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) 1 3 4 5 The registered manager is clear about her responsibility that appropriate assessments must be undertaken before service users’ moved into Ainsworth to ensure that their needs can be fully met by the staff team. EVIDENCE: The present certificate does not accurately reflect the situation at the time of the inspection. It has been previously agreed that the Home will work towards accommodating 6 service users with a mental disorder (conservatory area), 11 service users with dementia (EMI Unit - Manon) and 20 older people with nursing or social care needs (Cyrano and annex). This will identify three discreet specialist areas within the Home. It was clear from discussion with the registered manager prior to her appointment admissions outside these categories continued. The new registered manager has inherited this situation and is aware of her responsibilities and is adhering to the agreed arrangement. This is difficult to achieve at this time because people are mixed throughout the building and a number of service users are reluctant to move. The inspector is now confident this will be achieved, albeit slowly. The statement of purpose and service user
AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 Page 9 guide needs to be reviewed and revised to reflect the conditions. certificate will be issued. A new The need to create three specialist areas has been raised at previous inspections because of concerns about the lack of experience, skills and knowledge of the staff team at Ainsworth to care for the group of people with mental health needs. There appears to be confusion in respect of mental disorder or enduring mental health needs and dementia as a condition of old age. This was confirmed by a recently admitted service user who said that although the staff team were very caring and that the service user had no complaints they did feel that the staff team in the main had little understanding of their mental health needs or how best to respond. The registered manager is aware of this situation and is considering an appointment of an RMN to the bank staff with a view to a parttime permanent appointment to address this shortfall and this situation will be looked at again at the next inspection. It was also discussed at the renaming of the three areas to clearly define them. A sample of care records for the above service users confirmed that an assessment by either a social worker or a nurse prior to being admitted to Ainsworth. Prospective service users and or there families are encouraged to visit the Home. AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 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 standard(s) 9 10 Care plans and risk assessments examined were seen to be in good order, these provide staff members with information to enable them to meet service users needs. Improvements have also been made in respect of the medication system, which helps to protect the service users by ensuring safer practices. More improvements are planned in this area. EVIDENCE: The registered manager said that individual care plans and risk assessments are in place for service users. The new manager has not as yet made any changes to the care plan or assessment formats that she inherited and these will be looked at again at the next inspection. It was noted that one service user had an occupational therapist involved in rehabilitation process who actively visited the Home. The inspector also noted that a service user whose behaviour has been known to be challenging has improved greatly since the key worker system was introduced and this was said might have had an impact in the reduction in the seizures that the service user had experienced recently.
AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 Page 11 Following the last inspection a CSCI pharmacist visited Ainsworth and a number of requirements were made and have been met in respect of the medication system. However the registered manager is considering updating the present system to a monitoring dosage system, which she considers would be safer and more efficient for nurses to use. The inspector observed service users being treated in a courteous manner throughout this inspection. Care was taken to ensure that service users privacy and dignity was maintained whilst involved in personal care tasks. Staff members and service users refer to each other on first name terms. It was noted that all staff members knocked on service users doors before entering. At previous inspections concern had been raised about the poor storage arrangements medical equipment in terms of infection control and privacy and dignity. This matter has now been addressed. AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 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 Significant improvements have been made in the provision of activities available to service users. Service users would like the menu to be looked at in respect of the quality and choice of food. EVIDENCE: Social activities for service users have improved markedly since the last inspection. Some service users had been out on individual shopping trips with key workers. An entertainer had been into the Home with plans to celebrate VE day at the Albert Hall Bolton, go to a brass band concert, hold a garden party and BBQ in place for over the summer. The inspector received six comment cards from or on behalf of service users one of which states “ as regards to activities some changes are being made now we have a new matron.” There were many visitors to the Home during the course of the inspection. Visitors were made welcome. The inspector received four relative and visitors comment cards. All stated that they were satisfied with the overall care provided with comments “ that my mum has received the best of care by Ainsworth’s very friendly and dedicated staff.”
AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 Page 13 The inspector was particularly impressed with the introduction of key workers and the obvious impact this had had on the quality of some service users lives already, in terms of involvement in purchasing equipment for their rooms, choosing furnishing and décor of their bedrooms either through shopping or picking out items from a catalogue. One service user was now spending more time with other service users in the lounge area where previously they spent all their time alone. This person is planning on going out for a pub lunch in the near future. It was noted that rising and retiring times are now stretching and the inspector notes that their were at least 10 service users still up beyond 9pm. Although the cook was held in high regard, some service users said that they were not always happy with the food they received and that they would like better quality food including the tea and would like brown bread to be offered with meals. This matter has already been brought to the attention of the registered manager who has started to review the menu to ensure that a varied, wholesome and a balanced diet is provided and that choice is available to service users. AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 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) EVIDENCE: None of the standards in this section were fully assessed at this visit and will be looked at in more detail at the next inspection. AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 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 21 The physical standards at Ainsworth are steadily improving for the service users there. However, there are serious concerns about the delay in the registered provider addressing health and safety matters, which could have an impact on the health, safety and comfort of service users. EVIDENCE: An immediate requirement was served in respect of the electrical fittings and fitments throughout the Home. The NEICIC certificate had expired in February 2005. Although the owner was aware of the situation and a number of contractors had been on site and assessed the work required no further action had been taken. An improvement notice that was served by an HSE inspector in respect of window restrictors being placed in first floor bedrooms at the last inspection has been addressed. AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 Page 16 The garden area to the entrance of Ainsworth looked very welcoming and was further enhanced by hanging baskets that had been donated by members of staff. The appearance to the outside of the building has started to improve but there is still further work to be done and the replacement of old windows needs to continue throughout the building where appropriate. Most of the standards relating to the internal physical environment from previous inspections have now been addressed. At previous inspections it was noted that bedrooms would be visually improved by a more co-ordinated approach in relation to refurbishment. The inspector acknowledges some further improvement in this area, which needs to continue. Old and damaged furniture continues to be replaced and this situation will be monitored for further progress at forthcoming inspections. Ainsworth currently provides the service users who live there with single bedrooms. There were four double rooms identified M8, C10, C12 and C16. It must be noted that none of these rooms were being used as double rooms at the time of this agreement and they had been contracted with the current service users as single rooms. It was the expectation of the NCSC at the time that these arrangements would be honoured and that they would only revert to double rooms once they became free. The bedrooms are in most cases comfortable and in many cases highly personalised with service users own possessions. However more work is needed in respect of service users with mental health needs and the upstairs landing is in need of painting. It was very pleasing to see the improvements to one service users bedroom, who has few possessions, being decorated and furnished in the service users football teams colours and he has been supported to buy a television and music system with more plans to upgrade and personalise the room in place. On the EMI unit there is one assisted bath and two communal toilets. Both toilets are very small and make it difficult for staff to provide practical assistance to a service user discreetly, particularly the toilet on the ramp. The commode chair currently being used as a shower seat in the walk in shower to the nursing/residential area of the Home is too small and is a hazard to service users and needs to be replaced with a chair that is robust with arms to prevent service users from falling and leave them feeling less vulnerable. The shower room needs upgrading and storage for incontinence aids, gloves, towels etc is also needed. Service users have the specialist equipment they need. However, the inspector requested that the situation in respect of the appropriateness of a chair being used for a service user in terms of safety, comfort and potential pressure be looked at again by an appropriate professional as soon as possible to see whether a better alternative is available.
AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 Page 17 The Home and the standard of hygiene and cleanliness within Ainsworth continue to improve. However the domestic staff members still need to undertake control and infection training. The quality and effectiveness of the household products made available for use by the staff team need to be assessed to ensure that they meet control of infection standards and guidelines. Advice should be taken from the control and infection nurse were necessary. Ainsworth has two laundries. At the last inspection a HSE inspector looked at the conditions of the laundry area particularly the one that is outside and situated some distance away from the Home. The requirements and recommendations made by the HSE inspector have been met. However the laundry remains outside and staff members still have concerns about their personal safety. This matter needs to be risk assessed. The laundry also needs to be included within the review of quality and effectiveness of control of infection procedures throughout the Home. AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 Page 18 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) 30 Training opportunities for staff members has improved and this will help to ensure the health and safety of service users is protected. However the registered manager must be given a training budget to help her provide and plan training. EVIDENCE: The standards for staffing were not looked at in great detail at this inspection. The registered manager is still bringing the recruitment files of staff up to date and ensuring that all the required information in respect of employees is in place. Staffing will be looked at in more detail at the next inspection. Training was discussed with members of the staff team who said there had been an improvement in training opportunities available to them. Staff have attended moving and handling, fire safety training, dementia, health and safety, wound care, adult protection, PEG feeds Parkinson’s Disease awareness course, optical awareness and nurses are to attended a leadership and assertion skills course. The registered manager must be given a training budget to ensure that she can plan and provide the necessary training for the staff team. AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 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 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 The registered manager is fully aware of her role to promote and safeguard the health, safety and welfare of the service users. However the registered provider has been slow to respond to both the registered manager’s requests and this is to the detriment of service users and the running of the home. The registered manager and the registered providers must work together if the present progress achieved is to continue. EVIDENCE: The newly appointed registered manager is a qualified nurse with many years experience of both working and managing residential homes for older people. It has been clear through discussion with both service users and members of the staff team that the registered manager has made an immediate impact in improving the service offered at Ainsworth, in terms of decision making, communication, increasing the responsibility of the staff team, improving relationships with outside agencies, increasing the opportunities for activities for service users and training opportunities for the staff team. The registered
AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 Page 20 manager was said to be approachable and always had a ready smile. The registered manager is however under no illusion that there is much more to do in terms of modernising the Home. The inspector is very pleased to see the progress that has been made by the newly registered manager, as the standards that have been presented at previous inspections were unacceptable and that situation would not have been allowed to continue without further action being taken by the CSCI for much longer. The relationship between the registered manager and the owners of Ainsworth is key to ensure continued improvements and progress towards a better future for all concerned. The registered manager therefore must operate in a management capacity at all times to maintain the improvements made and continue to make progress, which will take time. The registered manager and the owners must work in harmony with one another, with a clear ethos and objectives as to how Ainsworth is run, in the interests of the service users whilst adhering to the Regulations and implement best practice as outlined in the National Minimum Standards for this service. As required at previous inspections the registered provider in line with Regulation 24 must conduct a review of the quality of care. This process has already started to be addressed by the registered manager. The inspector also requires the registered provider to, in line with Regulation 26, conduct unannounced monthly visits. A written report of the visits shall be provided to the Commission. The registered provider was given a copy of the CSCI format by the inspector to assist in the report writing for this task. Only one has been received. There have been ongoing concerns about the efficiency of the present administrative arrangements. The inspector is aware that the registered provider has advertised for an administrator, however as yet no one has taken up the post. An improvement has been noted in administration process but more support could be available to the manager in terms of support and equipment. Confidential information is now securely held. The registered manager has introduced a new set of policies and procedures and there has been a significant improvement in day-to-day record keeping. The registered manager is aware of her responsibilities in respect of health and safety and responses promptly in terms of maintenance and servicing equipment throughout the Home. The same sense of urgency is needed by the providers. AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 3 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2
COMPLAINTS AND PROTECTION 1 x 2 2 3 3 x 2 STAFFING Standard No Score 27 x 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 2 4 2 2 x x 3 2 AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 Page 22 YES 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 1 Regulation 6 Requirement That the statement of purpose and function and service user guide is reviewed and revised to reflect the new agreed categories of registration as outlined in this report.(Outstanding) That the currently agreed registered numbers and categories are adhered to within each defined area of the Home.(Outstanding) That the registered manager reviews the present medication system in terms of a safer and more efficient system. That the provision of food is reviewed to ensure that it is of good quality, wholesome and nutritious and offers choice. That a NICEIC certificate is produced in respect of the Homes electrical fitment and fittings. That the shower chair in the shower room on the nursing and residential side is replaced with a shower chair that is fit for the purpose That the above shower room is upgraded and this includes
F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Timescale for action 31.10.05 2. 4 4 31.10.05 3. 9 13 31.10.05 4. 15 16 31.10.05 5. 19 13 Immediate. 6. 21 16 31.07.05 7. 21 23 31.10.05
Page 23 AINSWORTH NURSING HOME Version 1.30 8. 22 13 9. 24 23 10. 26 13 11. 12. 13. 14. 30 31 33 33 25 8 24 26 15. 38 13 appropriate storage for incontinence aids, gloves etc. That the appropriateness of a chair being used by a service user in terms of safety, comfort and potential pressure is assessed by a suitably qualified professional person as soon as possible That the replacement of windows needs to be extended to bedrooms on Cyrano, particularly those to the rear of the Home that are in poor condition, ill fitting and a security problem in some cases.(Outstanding) That control of infection procedures are reviewed throughout the Home including training for staff members, cleaning products and the laundry. (Outstanding in part.) That the registered manager is given a budget to enable the planning of training That the registered manager is available to ensure the day to day management of the Home. That a review of the quality of care is undertaken. That the registered person visits the Home unannounced on a monthly basis in accordance with the Regulation. That the registered provider responds swiftly to address health and safety issues raised by the manager. 31.07.05 31.12.05 30.09.05 30.09.05 31.07.05 31.10.05 30.09.05 31.07.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations
F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 Page 24 AINSWORTH NURSING HOME 1. 1 That the three areas of service provided within Ainsworth are renamed to help more clearly define the different services provided. AINSWORTH NURSING HOME F56 F06 S17312 Ainsworth V220133 280605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton, BL6 6HG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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