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Please note that the information on this website is now out of date.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 15/08/07 for Altham Court Nursing Home

Also see our care home review for Altham Court Nursing Home for more information

This inspection was carried out on 15th August 2007.

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 are cared for in a safe, well-maintained, homely environment by staff, who are responsive to their needs. Assessments and care plans identify residents` personal care needs in detail; this helps staff to provide a good standard of consistent care. People who use the service say that they are happy with the care they receive. Comments included, `the care is very good`, and `the staff are very kind and helpful`.

What has improved since the last inspection?

The environment of the home has been improved which included the redecoration of some bedrooms and the corridors, new carpets and alterations to the access to the courtyard. Records demonstrated that the recommendation made at the last inspection regarding staff supervision being provided on a regular basis had been addressed.

What the care home could do better:

All residents need to have a detailed social care plan, which tells staff what they would like to do and how this will be facilitated. The activities coordinator and staff can then use this information to make sure that suitable stimulation is provided on an individual basis. Staff need to receive training in specialist areas such as physical disabilities, dementia awareness and illnesses affecting older people. This will help them to understand and meet the residents needs better.Other areas that would benefit from some attention included, the content of the monthly care plan evaluations, so that they clearly reflect any changes in residents conditions and the monitoring of staffing levels to ensure that there are enough staff on duty to meet peoples needs. .

CARE HOMES FOR OLDER PEOPLE Altham Court Nursing Home Altham Terrace Lincoln Lincs LN6 7SP Lead Inspector Dawn Podmore Unannounced Inspection 15th August 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Altham Court Nursing Home DS0000002528.V340712.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. Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Altham Court Nursing Home Address Altham Terrace Lincoln Lincs LN6 7SP 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) 01522 511373 01522 511471 burrowsl@bupa.com www.bupa.co.uk BUPA Care Homes (CFC Homes) Limited Mrs Linda Carol Burrows Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48), Physical disability (10) of places Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd June 2006 Brief Description of the Service: Altham Court is situated in a quiet lane within walking distance of the City Centre. It is purpose built with all services situated on ground floor level. Accommodation is provided in two shared and forty-four single bedrooms, which benefit from having en-suite facilities. Altham Court is registered for forty-eight service users, 10 of which have a physical disability, and provides both personal care and nursing care for older people. There are extensive, well-maintained gardens, which have garden furniture for the comfort of the residents and their visitors. Car parking is available at the front of the building and there is a bus service close by. Information contained in the Statement of Purpose said that the weekly fees ranged from £336 - £620 depending on the residents assessed needs. Additional charges are made for services such as chiropody, hairdressing and newspapers. Information about these costs as well as the day-to-day operation of the home, including a copy of the last inspection report, can be found in the Statement of Purpose which is available in the reception area. Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took any previous information held by C.S.C.I. about the home into account. The inspection included a site visit, which took place over five and a half hours. The main method of inspection used was called case tracking. This involved selecting a proportion of residents and tracking the care they receive through the checking of their records, discussion with them or/and their relatives and observation of care practices. A partial tour of the premises was also conducted which included looking at some bedrooms, communal areas and kitchen facilities. Documentation was sampled and the care records of four residents were examined. Twelve residents, 2 visitors and five staff members were interviewed. Survey forms were also used to gain peoples view on the service they were receiving. On the day of the visit 37 people were living at the home. What the service does well: What has improved since the last inspection? What they could do better: All residents need to have a detailed social care plan, which tells staff what they would like to do and how this will be facilitated. The activities coordinator and staff can then use this information to make sure that suitable stimulation is provided on an individual basis. Staff need to receive training in specialist areas such as physical disabilities, dementia awareness and illnesses affecting older people. This will help them to understand and meet the residents needs better. Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 6 Other areas that would benefit from some attention included, the content of the monthly care plan evaluations, so that they clearly reflect any changes in residents conditions and the monitoring of staffing levels to ensure that there are enough staff on duty to meet peoples needs. . Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Altham Court Nursing Home DS0000002528.V340712.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 Altham Court Nursing Home DS0000002528.V340712.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a system in place to assess people’s needs. This helps to make sure that they can meet the needs of anyone admitted to the home. EVIDENCE: The home has an admission policy, which includes assessing resident’s needs prior to admission. Records and peoples comments confirmed that this procedure had been followed. People said, ‘my wife looked round and someone came to see me’, ‘we were allowed free access to look round before making a decision’ and ‘my nephew looked round for me’. The manager confirmed that the home is not currently providing intermediate care. Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s personal care and health needs are being met by knowledgeable staff who understand their needs. Staff respect the wishes and preferences of people living at the home while maintaining their privacy and dignity. EVIDENCE: Each resident had an individual plan, which contained information relating to his or her care needs. New care planning documentation was being introduced by the company, which provided an easily accessible record of peoples needs and preferences, as well as any potential risks. We looked at 4 files which contained detailed information about each persons needs, as well as providing clear guidance to staff about their role in supporting them. A ‘map of life’ had been completed which outlined the things that were important to the resident, as well as their dreams and expectations. It was however noted that details regarding people’s social needs could be improved. The planned care had been reviewed regularly and any changes had been recorded, but the content of the reviews were discussed with the manager. They contained statements such as ‘personal plan reviewed and updated’ Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 10 rather than a meaningful evaluation of any deterioration or improvement in the resident’s condition over the previous month. It was therefore suggested that this was an area that could be improved. Assessments had been completed to identify potential risks to residents and staff in subjects such as manual handling, nutrition and pressure risk. Care plans contained clear guidance for staff so that any potential risks could be minimised. Records and peoples comments showed that outside agencies such as doctors, specialist nurses and chiropodists visited the home regularly to meet people’s health care needs. Most people said that they were happy with the level of support they received, but one resident who returned a survey said that they would like more support with for their pain. This information was shared with the manager, but as the survey was unsigned it was not possible for us to follow up the concern directly. Wound care was well documented and a variety of equipment was available to assist people including hoists, mobility aids and specialist beds. The home has satisfactory policies and procedures concerning the receipt, storage, administration and disposal of medications. Qualified nurses administer medications using computer generated medication sheets provided by the pharmacist. Records, observations and a discussion with the nurse in charge showed that medications were being handled safely. Residents and relatives said that they were happy with the way care was being delivered and most confirmed that they had been involved in the care planning process. People said, ‘my key worker is very good, if he can’t do something he gets someone else to do it’, ‘the GP visits when I need him, I have my own chiropodist who visits me’ and ‘the care is very good, the doctor was called in recently and my medication was altered after I commented about not feeling well’. Staff demonstrated a good knowledge of peoples needs and preferences and we saw staff looking after residents in a caring and responsive manner. Discussions with residents, relatives and staff demonstrated that staff respected people’s privacy and dignity; they were seen knocking on resident’s bedroom doors, consulting them about their preferences and closing doors when providing personal care. Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s social and recreational needs are not being fully met by the home. People maintain contact with their friends and relations and make choices about their day-to-day lives. EVIDENCE: In the past the home has employed an activities coordinator to provide social stimulation. However over the past eight months there has been no one providing a regular structured activities programme. Care staff said that they tried to fit something’s in, but that this was difficult due to the high dependency of people living at the home. Although care plans contained a little detail about peoples past hobbies and interests some people did not have a care plan that told staff what stimulation they were able to participate in. This means that they may not be receiving social activities that meet their individual needs. The manager said that a singer visited the home approximately every 6 months and residents said that they enjoyed these evenings. One resident said that he enjoyed gardening and helping staff, but his care plan and daily notes did not evidence that these had taken place recently. Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 12 People we spoke with and those who returned surveys commented: ‘sometimes I go on outings to the coast’, ‘I have been on no outings, but Christmas is always lovely’, ‘activities are not always suitable’ and ‘most activities are for old people, I do not feel old all the time’. A relative said that she wished that staff had time to talk to her mother more and some staff said that they would like to spend more one to one time with people. The manager had identified in the Annual Quality Assurance Assessment that this was an area that needed improving. A new activities person started work on the day of the visit to the home so it is important that the manager ensures that they produce a programme of stimulation that meets the needs of individual people living at the home as soon as possible. Staff said that a Holy Communion service took place every third Monday each month so that people who wished to take Communion could join in. . The home encourages visitors, and entries in the visitors’ book showed that people had visited regularly. Comments from a visitor present on the day of the visit indicated that the manager and staff were welcoming, approachable and friendly. Residents and staff comments demonstrated that people are given choices at the home. Bedrooms had been personalised and residents confirmed that they had been encouraged to bring small items of furniture, photographs and mementoes into the home. The dining room looked welcoming with tablecloths, flowers and menus on each table. The chef served the lunchtime meal in a relaxed manner in the dining room areas and staff took meals to residents in their bedrooms if they preferred. The chef said that menus had recently been reviewed following consultation with the residents and although two main course choices were available everyday other preferences could be facilitated, residents confirmed this. People said that they enjoyed the variety and quality of the food available, comments included: ‘brilliant meals and we can have alternatives to the main menu’, ‘I prefer to eat in my room, the foods okay’, ‘very good food, the chef always says he can get you something else if you prefer’. It was suggested that one way mealtimes could be improved for residents who were able to help themselves to food would be to use serving dishes so that they could help themselves rather than having to wait for staff to bring their meals. At a recent visit by the Environmental Health Officer the home was awarded a 5 star rating with regarding to it’s catering arrangements. Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has satisfactory procedures for handling complaints and people felt confident that any concerns would be addressed appropriately. Residents are protected by the home’s procedures for handling allegations of adult abuse. EVIDENCE: The home has a complaints procedure, which tells residents and relatives how to make a complaint and how it will be handled. A copy is given to all new residents as part of the Service User Guide and displayed in the home. We had received no complaints about the home over the past year, but information provided by the manager showed that they had received three complaints. Records demonstrated that these had been correctly addressed and documented. People we spoke with, or returned surveys to us, said that in the main they were happy at the home and had no complaints. They said ‘I have no complaints, but I would speak to Linda (the manager) if I did’ and ‘I would like her to go in the dining room for her meals more, but it’s her choice to stay in bed and they respect that’. Surveys identified some areas for improvement, these included: the answering of call bells, especially in relation to being able to use the toilet promptly, and the provision of activities. The home’s adult protection policy is in line with current local guidelines. Three adult protection concerns had been reported by the manager over the Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 14 past year. She had taken appropriate action to safeguard people at the home and reported the incident to social services who carried out investigations and found that the allegations were unfounded. Records and staff comments showed that staff had received training in this subject so that they were able to recognise possible incidents and knew how to correctly report any concerns. Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home live in a clean, comfortable and homely environment, which offered a good standard of décor and furnishings. EVIDENCE: A partial tour of the home was undertaken which included viewing the bedrooms of the residents being case tracked. The general environment was clean, tidy and homely, with no unpleasant odours. Information provided prior to the visit highlighted that in the last year 19 bedrooms had been refurbished, corridors had been redecorated and new carpets fitted and access to the courtyard had been improved for people using wheelchairs. We noted that the décor was in good repair and bedrooms had been personalised by the residents and/or their relatives. Garden areas were well maintained and seating was available in the courtyard so that residents could sit out in fine weather. Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 16 People we spoke with and those who returned surveys said that on the whole they were very happy with the home’s facilities and their own accommodation. Comments included: ‘I’m pleased with my bedroom’ and it’s all very nice, staff helped me to put up my football memorabilia and I have everything I want’. Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s systems ensure that residents are cared for by staff who are robustly recruited. Staff receive good support to carry out their job, but shortfalls in specialist training could lead to some peoples needs not being fully met. EVIDENCE: Information contained in the provider’s annual quality assurance assessment and records we saw demonstrated that the home was aiming to meet adequate staffing levels. However on the day of the visit 2 staff had called in sick and although the nurse attempted to arrange for additional cover this was not possible. Although some people were late getting up no one was heard to complain. Staff went about their work efficiently, but in an unhurried manner, and residents spoken with said that they did not feel rushed. Residents and relatives said that they felt that there were usually sufficient staff on duty to meet their needs, but sometimes they had to wait for buzzers to be answered. Comments included: ‘sometimes it’s a bit hectic, but it’s not bad today’, ‘generally there are enough staff on duty’ and ‘I wish staff could spend more time with her on a one to one basis, but they are very good’. One member of staff said that they would like more time to be able to take people out of the home and provide activities and another said that they would like more quality time to be able to do more than just provide personal care. Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 18 It was recommended that the staffing levels be reviewed and monitored to ensure that there is enough staff on duty to meet the needs of the people living at the home. The home has a recruitment procedure, which included obtaining written references and a C.R.B. (Criminal Record Bureau check to make sure that they do not have a criminal record). This helps to make sure that potential staff are suitable to care for the people living at the home. The files for two recently employed members of staff contained all the necessary documentation to show that the procedure had been followed. One recently employed carer confirmed that she had been recruited following this procedure and that she had received a good induction to the home. This included shadowing an experienced member of staff, completing the company’s induction booklet and being provided with essential information concerning the running of the home. Information submitted by the manager showed that out of 42 care staff 12 have attained an N.V.Q. (National Vocational Qualification) in care, with another 4 currently undertaking the course. The manager said that other staff were to be registered on the course shortly. Records and staff comments showed that the Company had provided a variety of essential training including: manual handling, fire awareness, adult protection and first aid. However limited specialist training had been provided, such as physical disabilities, dementia awareness and illnesses affecting older people. As the home provides 10 places for people with a physical disability and accommodates older people with memory loss and other illnesses associated with old age it is important that staff receive appropriate training in these subjects. Staff said that they thought that they had received satisfactory training and support. The manager said that some staff were involved in being link people with outside agencies. These included tissue viability (the management of wound care), palliative care (care of the dying) and continence management. Residents and relatives said, ‘staff are very obliging and answer requests promptly’, ‘mum can be difficult, but the staff are very good, she reacts to how staff treat her so I can always tell if they have done things properly’, ‘the girls are very good’ and ‘the staff are very kind and helpful, they come to see you as soon as they can’. The home has achieved the Investors In People award, which assesses how they support their staff. Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good leadership, guidance and direction are provided to staff to ensure that residents receive a good standard of care. Residents are happy with the service they receive. EVIDENCE: The Registered Manager, Mrs Linda Burrows has managed the home for several years. Residents, visitors, and staff, said that she was supportive and approachable and felt confident to take any concerns to her. One staff member said that there was a good team spirit at the home and another said ‘management do well’ The home has a quality assurance system to gain the views of people living and working at the home. This includes questionnaires, care reviews, meetings and company audits. These ensure that people have the opportunity Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 20 to discuss how the home is run and what improvements can be made. The results from a recent survey were available and the manager had produced an action plan to address the areas people had identified as needing improving. The main areas highlighted were activities, housekeeping and staffing. On the day of the visit, and in surveys returned to us, people said, ‘it’s a lovely home, there is nothing I would like doing differently’ and ‘I’m happy and feel safe here’. The home has a robust system in place to record and monitor any monies held by the home in safekeeping. This includes a computerised monitoring sheet, receipts, signatures and regular audits. There are a range of policies and procedures regarding health and safety available to guide and instruct staff. There is also a programme in place to service and maintain the equipment in the home on a regular basis. Information provided by the manager prior to the visit demonstrated that checks on equipment such as bath hoists, electrical installation and portable electrical appliances had taken place. The Environmental Health Officer had visited the home since the last inspection and awarded the home a five star rating. This is the highest rating achievable and shows that the kitchen and its facilities are operating at a high level. The Fire officer had last visited the home in July but the home had not received the report yet, however the manager said that verbal feedback had been positive with a few minor recommendations that were already being addressed. Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 4 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 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP12 Regulation 16 (m) & (n) Requirement Resident’s must have access to a varied social and recreational programme that meets their individual needs. Records must include how these are to be met, so that people receive appropriate support and stimulation. Training must be provided in subjects such as physical disabilities, dementia awareness and illnesses affecting older people so that staff have the skills and knowledge to understand these conditions and fully meet peoples needs. Timescale for action 01/10/07 2 OP30 18 (1) 01/02/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations The content of the monthly review of care plans should be more meaningful so that they reflect any improvement or DS0000002528.V340712.R01.S.doc Version 5.2 Page 23 Altham Court Nursing Home 2. OP27 deterioration in the resident’s condition. This will help to demonstrate whether or not the planned care if effective. The management team should review and monitor the staffing arrangements to ensure that there is sufficient staff on duty to meet the needs of people living at the home. Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Altham Court Nursing Home DS0000002528.V340712.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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!