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Inspection on 20/07/06 for Albany House Nursing Home

Also see our care home review for Albany House Nursing Home for more information

This inspection was carried out on 20th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

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

One relative said `The staff are always friendly and helpful, they treat everyone equally and nothing is a bother.` Staff were observed chatting to residents and giving the residents individual attention and care in a homely atmosphere. The staff work hard to give a high quality of service and to meet the residents needs. One staff member said `We make sure that individuals are recognised and treated as individuals.` The home is well decorated, clean and bright. Visitors commented `We are always made feel welcome and we like visiting the home`

What has improved since the last inspection?

The staff room was being redecorated during the inspection so staff will have a pleasant, clean area in which to take their breaks. New carpets have been fitted to some resident bedrooms and communal lounges. Soft furnishings in some areas have been upgraded. The dining room tables now have coordinated table linen and condiments so that residents can have their meals in a pleasing, homely environment. Good practice is now followed through the use of plastic aprons that are readily available from a dispenser outside the kitchen door. Staff use them when entering the kitchen to reduce the risk of spreading infection. Staffing levels during the night have been increased in the upstairs unit. Now there are two carers on duty, so that the needs of the residents` can be met more effectively and the residents` are safeguarded.

What the care home could do better:

Mealtime menu choices should be promoted so that residents know they have a choice of meal other than the two available from the hot trolley at lunchtime. On the day of inspection the two meals offered were very similar. Table linen would enhance the dining experience for those residents who live in the upstairs unit. Attention must be paid to keeping areas such as the treatment room and laundry, which are a potential hazard to residents, locked so that residents are protected.

CARE HOMES FOR OLDER PEOPLE Albany House Nursing Home Albany Washington Tyne & Wear NE37 1BJ Lead Inspector Sheila Head Key Unannounced Inspection 09.45a 20 July 2006 and 25th July 2006 th 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 Albany House Nursing Home DS0000018186.V299101.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. Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Albany House Nursing Home Address Albany Washington Tyne & Wear NE37 1BJ 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) 0191 415 3481 0191 417 3433 Cotswold Spa Retirement Hotels Limited (wholly owned subsidiary of Four Seasons Healthcare Ltd) Mrs. Enid Hansford Care Home 38 Category(ies) of Dementia - over 65 years of age (17), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (20) Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The MD(E) service user category relates to the current service user only. 6th January 2006 Date of last inspection Brief Description of the Service: Albany House offers permanent accommodation with nursing and personal care for up to thirty-eight older people. The home accommodates persons with general nursing care needs on the ground floor and persons with dementia care needs on the first floor of the building. The home does not provide nursing care for people with dementia. The property is situated in a residential area of Washington and is within walking distance of a range of local amenities, including a large shopping complex with a post office, banks and a pub. Churches of three denominations are also nearby. The area is well served by public transport. Accommodation is provided over two floors, each with self-contained facilities including lounges, dining areas and bathrooms. Externally generous car parking is available, along with a pleasant, secure courtyard area, which service users can enjoy in good weather. Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and carried out by one inspector. The Manager was unavailable as she was on holiday so a first level nurse, who was responsible for the home that day, participated in her place. The inspector visited the home and talked with the manager to clarify some information the following week when she had returned to work from holiday. The inspection was carried out over six and a half hours in total during which time the inspector spoke to six staff, seven residents and three visitors. Before the inspection the manager had completed a questionnaire that gave the inspector up to date information about the home. Relatives and residents had been given an opportunity to complete surveys about the service given by the home and the inspector received six replies. The comments received are included in this report. The inspector toured the home and looked at bedrooms, communal facilities and service areas. Lunch was shared with the residents that live in the residential unit on the first floor. A number of records were examined including four resident care plans and related financial documentation, plus some staff files, training and maintenance files. Fees are between £359 and £492 per week and depend on the level of assessed care needs of each resident. What the service does well: What has improved since the last inspection? The staff room was being redecorated during the inspection so staff will have a pleasant, clean area in which to take their breaks. New carpets have been fitted to some resident bedrooms and communal lounges. Soft furnishings in some areas have been upgraded. The dining room tables now have coordinated table linen and condiments so that residents can have their meals in a pleasing, homely environment. Good practice is now followed through the use of plastic aprons that are readily available from a dispenser outside the Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 6 kitchen door. Staff use them when entering the kitchen to reduce the risk of spreading infection. Staffing levels during the night have been increased in the upstairs unit. Now there are two carers on duty, so that the needs of the residents’ can be met more effectively and the residents’ are safeguarded. 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. Albany House Nursing Home DS0000018186.V299101.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 Albany House Nursing Home DS0000018186.V299101.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, and 3 The statement of purpose and service user guide provides prospective residents with a good range of information about the home. Each resident has a written contract and statement of terms and conditions with the home. Residents are assessed before they come to live in the home, however this is not identified in the care files. The home does not provide intermediate care so this standard was not assessed. Quality in this outcome area is adequate. The judgements have been made using the available evidence including a visit to this service. Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 9 EVIDENCE: The home offers detailed information for prospective residents through the homes brochure and specific information via the statement of purpose. Information is readily available to residents and visitors from the entrance hall to the home. Current residents are all given a service user guide that tells them all about the home and the care they can expect to receive. The manager explained that each resident is visited before they are admitted to the home. This is so that the home is sure that it can provide the care needed by the resident and to avoid inappropriate admissions. This pre admission assessment then forms an integral part of the needs assessment that each resident undergoes when they come to live in the home. However the pre admission assessment is not clearly identified as a separate document and does not indicate where or when the assessment took place. It also does not record who took part in the assessment. The home must ensure that a clearly documented pre- admission assessment is in place. This is to confirm that the home can provide the resident with the care they need. Albany House Nursing Home DS0000018186.V299101.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 and 10 There is an individual care planning system in place that provides staff with the information they need to effectively meet their needs. The home operates a safe medicines policy that is safe for residents. Residents are treated with respect and staff ensure their privacy is protected. Quality in this outcome area is good. The judgements have been made using the available evidence including a visit to the service. EVIDENCE: Care files of two residents from each unit were examined in detail. Each resident has a care plan that has been developed from his or her individual assessments of need. All care files examined had been reviewed monthly and were up to date. The care plans were detailed and gave staff the necessary information they need to care for people in the correct way and meet their needs. One care plan however had identified that the resident was at a high risk from falls in the risk assessment and this was not reflected in the care plan itself. Care must be taken to update residents’ photographs as one dated back Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 11 to 2003 and it does not reflect the image of the resident at the present moment. The documentation being used is not consistent throughout the plans, which make it harder for staff to maintain and the manager to audit. Newly developed documentation was expected to arrive three months ago. The manager understands the home will now receive it shortly, so all care plans will be re-written after re-assessment of residents’. Care plan format will then be identical for each resident so that planning and audit will be simpler and consistent. The home has a safe and effective policy in place for administration and storage of medicines so that residents can be confident they are receiving their correct medication. The recording and audit trails showed everything to be correct. The storage areas on both floors were clean and tidy, as were medicine trolleys. The home has recently changed provider for their monthly supply of medicines. Staff have received training from the provider so that they know how to use the system safely. The home does not carry excess stock. In the nursing unit the Commission for Social Care Inspection made a requirement during the last inspection that the drug fridge be kept locked and clean. Although the fridge was clean and temperature recording was up to date, it was found to be unlocked, as was the door into the treatment room in which it is housed. This presents a potential risk to the safety of residents’ as the medicines are not securely stored. Care is given in a discreet manner with staff knowledgeable about residents’ preferences and needs. Staff were observed being kind and polite and talked to the residents with respect. Cheerful banter was heard throughout the day and residents appeared at ease with staff. ‘The staff are grand’ said one resident, another ‘They are all lovely.’ Albany House Nursing Home DS0000018186.V299101.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 and 15 Residents are supported and encouraged to take part in a range of social activities and to choose how they spend their days. Visitors are made to feel welcome and links are encouraged and maintained. Residents are offered and receive wholesome, nutritious meals. Quality in this outcome area is good. The judgements have been made using the available evidence including a visit to this service. EVIDENCE: There were no planned activities in the home due to the Activities Co-ordinator being away for the day on a training course. Upstairs the residents were listening to a pleasant, appropriate CD and a couple of residents were singing along and joining in. Downstairs the atmosphere was quiet and calm with residents choosing to stay in their own rooms due to the hot weather. Records are kept in each residents individual care file giving information about the activities or social interaction that each resident has taken part in. These were all up to date. There is also a social profile with individual information so that each resident has some sort of activity tailored to him or her. Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 13 The home encourages visitors and several relatives spoken to confirmed this. ‘I enjoy coming, the staff are always polite and smiling’ and ‘I can come in whenever I want and they never rush me away’. Lunch was shared with the residents who live in the Rainbow Unit on the first floor. Residents were seated at tables waiting for their lunch and were offered a selection of fruit juices. The chef arrived with the hot trolley however this was later than the carers had expected so that some residents were becoming agitated and restless. The carers appeared knowledgeable about the residents’ likes and dislikes and guided residents to their seats in a gentle manner. There was a great deal of happy banter and reassurance shared between residents and staff. The inspector shared a meal with the residents that live in the first floor unit. The meal offered was a choice of minced beef pie or steak and kidney casserole with potatoes and seasonal vegetables, followed by cherry crumble with custard, yoghurt or ice cream. The meal was hot, tasty and well presented however the two available choices of main meal were very similar, both being beef. Chef served the main course, encouraging residents to try the meal or to eat. One resident who repeatedly said he only wanted a small portion was given the normal portion and told to ‘leave what you don’t want.’ Perhaps if a smaller portion had been offered as requested the resident would not have been over-faced and if still hungry could have had more. When the resident did not eat any of the main meal he was not offered an alternative during the meal, however the chef offered to cook him a curry the following week as a result of having asked the resident what he would like to eat and if they had any favourite dishes. Residents from both units commented ‘the food is fine but I would like a salad now that the summer is here’ and ‘I always had fruit at home but I don’t get it here.’ Fruit is available from the kitchen but due to warm weather is not left out on display. Staff need to ensure that residents are aware they can have fruit, perhaps using table prompts or verbally each day offer fruit as an alternative. Residents spoken to were unaware they could request different meals and one resident said ‘ I don’t want to be a nuisance.’ As good practice, menus should be available on tables that describe the food on offer and also alternatives so that residents know they have a choice The dessert was again well presented and tasty. Although the dessert had been served by the chef and had lost their heat, the carers heated them up using the microwave so everyone received a hot pudding. There was a choice of yoghurt or ice cream. The staff encouraged residents to drink water and juice throughout and after the meal. Tea and coffee were also available. Residents had access to condiments, napkins and could choose if they wanted a bib to keep their clothes clean. The dining room was clean and bright and lunch was a happy, chatty experience. Albany House Nursing Home DS0000018186.V299101.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 and 18 Residents and families can be confident that their complaints are dealt with efficiently and resolved quickly Mechanisms are in place through staff training and information resources to ensure residents are protected from harm Quality in this outcome is good. The judgements have been made using available evidence including a visit to the service EVIDENCE: The complaints procedure is available to all residents and their visitors explaining to them how to make a complaint and who to. Residents are given a service user guide on admission that also contains information about what to do if they have any concerns about the service they receive. Information about the complaints policy is available around the home. There has been one complaint since the last inspection and that was dealt with and resolved in an appropriate manner. One visitor said ‘I would go to one of the girls or the manager if there was anything I was unhappy about although I have had no reason to’. Visitors and residents all knew whom the manager is and what to do if they had a concern and she is not on duty. In discussion with staff it is apparent that any concerns are dealt with immediately and talking to residents confirms this. One resident said ‘If I ever have anything I am worried about the girls sort it out straight away’. However the home should record concerns and their outcomes so that any trends can be Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 15 recognised and dealt with in a way to improve the quality of service offered. The service user questionnaires received by the Commission before the inspection indicated that there were no concerns and that they had not had a need to complain about the service. The home ensures that staff receive training in Protection of Vulnerable Adults so that they are able to identify any potential abuse or suspected abusive situations. There is training organised for six staff to attend in August as a refresher course. Talking with staff demonstrated they had an awareness of how to recognise abuse and the procedures they would follow if they had any concerns. Residents can be confident that a knowledgeable staff group protects them. Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 16 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 and 26 The home is a clean and pleasant place to live and offers residents a homely environment in which to live. Quality in this outcome is adequate. The judgements have been made using the available evidence including a visit to this service. EVIDENCE: A tour of the premises was carried out and selections of bedrooms were viewed. All bedrooms seen were personalised with items of individuals’ own possessions and furniture. The communal areas in both units are bright, welcoming and clean. There were no odours throughout the home. All areas are well decorated and furniture in communal areas is domestic in character. In the residential dementia unit residents have personal photograph boards on their doors so that they can find their rooms more easily. The unit is decorated with the colours and sensory trigger areas to help residents find their way around the unit. Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 17 The laundry was clean and tidy although the door was found to be unlocked when the area was unattended so that residents, staff and visitors could be at risk from moving machinery and substances. The kitchen was clean and all necessary safety temperature checks and cleaning schedules were complete and up to date so that residents are protected from infection. The treatment room on the ground floor was found to be unlocked so that The record keeping system has been comprehensively developed and all aspects of the environment and its safety is checked and recorded. All checks were up to date so that residents’ safety is ensured. One visitor said ‘The home is always clean, I have never had a worry.’ The external aspect of the building is well maintained and the centre courtyard offers a peaceful garden area so that residents and visitors can sit outside. It is accessed easily from the home. All necessary maintenance and safety checks were recorded clearly and correctly, and were up to date. Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 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 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 and 30 The staff recruitment procedure is operated in a robust manner safeguarding the residents’ from potential harm. The home is staffed to a level that ensures resident’s needs are met and staff are well trained to care for them. Quality in this outcome is good. The judgements have been made using the available evidence including a visit to this service. EVIDENCE: The rota reflected the numbers of staff on duty on the day of inspection and those numbers are adequate to meet the needs of residents within the home. Staffing has been increased in the upstairs unit during the night so that two carers instead of one can meet resident’s needs more effectively and safely. Personnel files for three members of staff were examined. Two files were organised and very easy to follow. All contained evidence such as application form, interview notes, references and Criminal Record Bureau clearance. Also the files contained evidence of training and induction. The third file was that of a staff member who had been transferred from another home within the group. The Criminal Record Bureau clearance was recent and had been received before beginning to work in Albany House, however all other information related to her previous employment which was timeworn. The manager had interviewed the staff member but had not filed any interview notes to show an interview before starting work had taken place. There was also no record of any induction process. Checks had been made to ensure that Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 19 the nurses’ registration was still in date and a verbal reference had been taken but not recorded. The company supports a varied training programme for staff that includes moving and assisting, food safety, safe handling of medicines, challenging behaviour, fire safety and Protection of Vulnerable Adults. The home also facilitates NVQ training and does have more that 50 of carers qualified to level 2. Residents can be confident that the staff group receives training to enable them to meet the needs of residents by giving appropriate, skilled care. Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 20 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 and 38 The manager is appropriately qualified and has lengthy experience in care and related management to competently run the home and the service. Systems are in place to determine the quality of the service provided by the home and ensures it is run in the best interests of service users. Appropriate systems are in place and function well to safeguard residents’ personal finances. Safe working practices need to be implemented to promote and protect residents’ safety and welfare. Quality in this outcome is good. The judgements have been made using the available evidence including a visit to the service. Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 21 EVIDENCE: The Registered manager has the appropriate nurse qualifications and experience to manage the home. She is currently studying for the Registered Managers Award. The company’s’ quality assurance systems are in place using both paper and IT systems. This system includes the monitoring of complaints, maintenance, catering and domestic services within the home. The timescales and areas to be monitored are generated by Head Office then carried out by the Manager The manager is also responsible for monthly audits of care files, medication and financial records. Residents and families are asked to complete quality questionnaires every year, however these replies are sent directly to Head Office with little or no feedback to the Home. There are no resident meetings held, as in the past these have not been well attended, however the activities organiser and manager are going to attempt a new approach and by developing a newsletter so that residents are kept informed about what is going on in the home. It is anticipated that residents will participate in compiling the newsletter. Each resident has an individual balance sheet that records information about their personal monies so that they can check or see their information at any time. Residents have access to money through a float held by the home and accessed through the administrator or manager. If residents need money out of office hours, when the receipt is produced the manager or administrator then refunds the money the next working day. Balances are reconciled weekly and all transactions require two signatures. There are copies of the accounts in paper form and on the computer so that the head office of the company are able to make checks to ensure that residents financial affairs are in order and residents are protected. The manager also checks and audits the system. Records examined during the inspection were found to be accurate. In conversation with staff they confirmed that they receive training in all areas of health and safety. Throughout the day staff were observed using good safe practice when attending to or moving residents. Equipment, such as a hoist, was used safely and appropriately. Fire safety training was up to date and records are well kept. Water temperatures are monitored regularly to ensure they remain at a safe level for residents and all records of this activity are up to date. Staff are not receiving supervision on a regular basis. The last supervision given by the manager was in April. Staff should be given the opportunity to participate in supervision at least six times a year so that views are shared and any training needs can be identified. Staff must adhere to signs on doors that require them to be locked at all times. During the inspection the doors to the treatment room and laundry were found to be unlocked which poses a potential risk to residents. Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 22 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 3 X X X X X 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 2 X 2 Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 23 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 OP9 Regulation 13 Requirement The treatment room door must be kept locked when the room is unattended and the fridge used for storage of drugs must also be kept locked at all times. All staff must receive supervision at least six times a year and a programme must be developed and recorded The door to the laundry must be kept locked at all times when unattended. Timescale for action 31/08/06 2. OP36 18(2) 31/08/06 3. OP38 12(1)a 31/08/06 Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 24 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 OP15 OP29 Good Practice Recommendations Mealtime arrangements should include menus on each table so that residents are clear about alternative choices and availability of fresh fruit. Staff records for staff transferred from other homes within the group need to reflect the transfer process and contain up to date information. Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Albany House Nursing Home DS0000018186.V299101.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!