Inspection on 12/04/07 for Arden Lea Nursing Home

This inspection was carried out on 12th April 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.

Other inspections for this house

Arden Lea Nursing Home 21/04/09

Arden Lea Nursing Home 08/04/08

Arden Lea Nursing Home 22/06/06

Arden Lea Nursing Home 19/12/05

Arden Lea Nursing Home 24/02/05

Arden Lea Nursing Home 03/08/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Arden Lea Nursing Home 25 Mayo Road Sherwood Rise Nottingham NG5 1BL Lead Inspector Mary O’Loughlin Key Unannounced Inspection 12th April 2007 11:00 X10029.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 Arden Lea Nursing Home DS0000059465.V334635.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 and Care Homes for Adults 18 – 65*. 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. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arden Lea Nursing Home Address 25 Mayo Road Sherwood Rise Nottingham NG5 1BL 0115 962 1100 0115 911 3292 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) Mr Nimalendra Atheray Mrs Lesley Ann Wright Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27), Physical disability (4), Terminally ill (2) of places Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th October 2006 Brief Description of the Service: Arden Lea is a 27-bed home situated close to the city centre with many local amenities and well served by local transport. All areas of the home are accessible to service users. The home provides 24-hour care with nursing for older people but 4 places may be used by people with a physical disability between the ages of 18 and 65 years. The manager provided information on weekly fees on 26/04/07, these are as follows: £305 - £504 this is dependent upon needs and the nursing determination. A service users guide is available at the home in large print and a large print and audio version of the statement of purpose is also on display in the home to inform prospective service users of the services and facilities available. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection took place over four daytime hours and was conducted unannounced. The main method of inspection used is called ‘case tracking.’ This involves selecting three service users and looking at the quality of the care they receive by talking to them, examining their care files and discussing how support is offered to them by staff members. Three service users, three members of staff, the registered provider and registered manager were spoken with as part of this inspection, documents were read and medication inspected to form an opinion about the quality of the care provided to service users. Prior to completing this visit the inspector assessed the homes previous inspection reports, the service history including complaints and safeguarding adult referrals. A random inspection was undertaken on 11th October 2006. The inspection report on that visit can be provided by request. What the service does well: Service users live in a comfortable, clean, safe and well-maintained environment; they are supported and protected by trained staff and the robust recruitment practices. Service users are confident that their complaints are taken seriously and acted upon. Their needs are fully assessed and their needs are met by the home. Service users or their representatives are consulted in the development of care plans and they felt that they are well supported by staff with their health care and personal care needs. Service users spoken with stated that staff, were respectful and their privacy was maintained. They also stated that staff listen to them and accommodate their requests and these people’s choices are well documented in care plans. The lifestyle experienced in the home by service users, matches their expectations and preferences and recreational interests. Service users spoken with stated they were happy with the amount of activities on offer. Some service users attend day centres and everyone living there is enabled to visit Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 6 local churches if they wish. Religious observance is also supported within the home. Service users are helped to exercise control over their lives, for example, service users may choose when they get up and retire and how they spend the day and routines in the home are flexible. Service users spoken with also stated that they are offered choices with regards to the care and services received and people are encouraged to bring personal possessions with them when moving in to the home. All service users spoken with stated that food offered was at a good standard and choices were offered. What has improved since the last inspection? What they could do better: The provider visits the home on a regular basis, however does not send monthly regulation 26 notices to substantiate this to the Commission to Social Care Inspection. A requirement is therefore set in respect of this. One person’s financial records were not available in the home for inspection, which is a breach of the law. Therefore a requirement is set in respect of this also. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 7 Three good practice recommendations have been made one regarding the need to evidence notification to prospective service users that placement at the home is appropriate basis on an assessment of their needs. There is a recommendation to monitor the temperatures for storage of medication to ensure that service users needs are met through adequate medication management. The third in respect of one member of staff who has changed roles within the home and the manager agreed to update a standard criminal records disclosure to an enhanced disclosure. 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. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 [Older People] 2 Younger Adults. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are fully assessed and their needs are met by the home. The home does not provide an intermediate care service. EVIDENCE: The manager visits prospective service users in the community and carries out preadmission assessments. The assessment in use covers the requirements of the national minimum standards. These assessments are also adapted Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 10 according to changes in Service users needs change. Care plans are devised from the assessment. Service users were unable to confirm they had been issued with information on the home but a service users guide is available at the home in large print and a large print and audio version of the statement of purpose is also on display in the home. Service users are reported by the manager to be informed in writing that the home can meet their needs, but no evidence was available to substantiate this. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 [Older People] 6, 9,16,18 and 20 Younger Adults. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal needs of service users are met and their privacy and dignity respected. EVIDENCE: Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 12 Service users have a wide range of needs assessments completed and examples include manual handling, daily activities of living, nutrition, pressure area care and social needs. These inform the development of care plans, which are personalise and reflect how to support individuals with their needs and preferences. Assessments to reduce risk of falls and appropriate care plans are also available and one person using bedrails had a risk assessment, which addresses the reduction of entrapment and unnecessary restraint. Service users or their representatives are consulted in the development of care plans, which is good practice. Specialist health professionals and multidisciplinary workers are accessed as required and equipment made available to support people achieve their chosen lifestyle goals. One resident spoken with stated that they are able to see the doctor if required and staff would facilitate this. Other people spoken with felt that they are well supported by staff with their health care and personal care needs. Medication management system is well maintained with one exception. The room that medication is stored was noted to be very warm and the extractor fan not working. Staff were observed to treat with respect and maintain dignity at all times. Service users spoken with stated that staff, were respectful and their privacy was maintained. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 [Older People] 12, 13, 15 and 17 Younger adults Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The lifestyle experienced by service users matches their expectations and preferences and recreational interests. Service users are helped to exercise control over their lives. EVIDENCE: Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 14 The routine of the home is stated by staff to be flexible and service users may choose when they get up and retire and how they spend the day. Service users spoken with confirmed this. The manager is currently devising a new calendar of events and activities. Service users spoken with stated they were happy with the amount of activities on offer. Some service users attend day centres and everyone living there is enabled to visit local churches if they wish. Religious observance is also supported within the home. There are no restrictions imposed upon visiting and visitors may be received in private. Family pets and children are welcomed at the home and a selection of toys is available. Representatives from support groups such as Age Concern, the Motor Neurone Society, the Alzheimer’s disease Society and diabetes care visit specific service users. Service users spoken with stated that they are offered choices with regards to the care and services received and people are encouraged to bring personal possessions with them when moving in to the home. All stated that staff listen to them and accommodate their requests and these people’s choices are well documented in care plans. With regards to equality and diversity staff were able to discuss how this is embedded into the ethos of the home. All service users spoken with stated that food offered was at a good standard and choices were offered. The menu observed was wholesome and appealing. The manager stated that specialist diets are catered for and the dietician is contacted if needed. There was evidence of nutritional assessments and dietician input in service users plans of care. On observation the kitchen was clean and tidy, records with regards to temperature control and food service users had eaten was available. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 [Older People] 22 and 23 Younger Adults Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their relatives are assured complaints are listened to, taken seriously and acted upon and that they are protected from abuse. EVIDENCE: A complaints policy is in place and is available in large print or audio version. There has been one allegation received since the last inspection, which was made to us at the Commission for Social Care Inspection, this has been referred to social services under the Safeguarding Adults protocol to establish best outcomes for service users. The outcome has not yet been reported to the Commission For Social Care Inspection. Service users spoken with expressed no concerns. Appropriate policies are in place with regards to advocacy, dealing with service users who challenge the service and for the safeguarding adult. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 16 Records show that all staff have completed training in the safeguarding adults and those spoken with were able to discuss their roles and responsibilities should they witness or become aware of any abuse of service users. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 [Older People] and 24 and 30 Younger Adults Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable, clean and safe environment. EVIDENCE: The environment is comfortable, clean and safe. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 18 Service users rooms examined were well equipped, clean and they reported them as comfortable. Infection control policies were in place and staff have received training in the topic and a variety of practices to reduce risk of infection are being appropriately observed such as clinical waste disposal and provision of personal protective equipment. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 [Older People] and 32, 34 and 35 Younger Adults Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported and protected by trained staff and robust recruitment practices. EVIDENCE: The duty rotas were examined and demonstrated sufficient staff are employed to meet service users needs. The manager stated that skill mix is taken into consideration when preparing the duty rota. Service users and staff spoken with express no concerns in regards to the availability of staff. The manager and provider regularly review the night staff arrangements and the dependency of service users. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 20 A sample of three staff personal files was examined and found to be satisfactory in relation to recruitment practices. One member of staff has changed roles within the home and the manager agreed to update a standard criminal records disclosure to an enhanced disclosure. The personal files of staff were well organised, training and development information is being progressed and developed. Records viewed and staff spoke with confirmed that they have undertaken training in fire safety, infection control, health and safety, first aid, manual handling and food hygiene. Three staff have undertaken NVQ 3 training and five staff have achieved NVQ 2. The manager reported that they have now accessed a new NVQ provider and hope to complete 50 of staff by the end of 2007. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 [Older People] and 37, 39 and 42 Younger Adults Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interest of service users and their health, safety and welfare is promoted and protected. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager has been in post since September 2005. She remains up to date by attending study days and in house training. Staff spoken with spoke highly of the manager and stated that the home is well run. Quality assurance questionnaires have been reintroduced. The provider visits the home on a regular basis, however does not send monthly regulation 26 notices to substantiate this to the Commission to Social Care Inspection. Staff meetings are held and minutes of these seen. Three service users personal allowances were checked and were found to be satisfactory. One persons financial records were not however available in the home for inspection, which is breach of the law. Therefore a requirement is set in respect of this. A fire risk assessment is in place but this needs to be dated. There were now records of water temperatures kept in the home. All relevant servicing and maintenance certificates such as the clinical waste, hoist and lift certificates were seen. There were no issues relating to Health and Safety identified at this inspection. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 23 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 X 2 X 3 3 4 X 5 X 6 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 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 2 36 X 37 X 38 X Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 24 NO 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 OP33 YA39 Regulation 26 [4][c] 26[5] Requirement The Registered Provider must supply a copy of the report of their monthly visits of the home to the Commission for Social Care Inspection. This will ensure the provider meets his/her obligations under Regulation 26 and ensure that the home is appropriately monitored. Records must be available in the care home for inspection at all times. This will ensure that they can be accessed for regulatory purposes to ensure service users are protected. Timescale for action 26/08/07 2 OP35 YA23 17 26/08/07 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 OP3 Good Practice Recommendations Keep a copy of the letter confirming the home can meet DS0000059465.V334635.R01.S.doc Version 5.2 Page 25 Arden Lea Nursing Home 2 OP9 YA20 OP29 YA34 the needs of the service user on their individual file The storage temperatures of medication should be monitored. One member of staff has changed roles within the home and the manager agreed to update a standard criminal records disclosure to an enhanced disclosure. 3 Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. Arden Lea Nursing Home DS0000059465.V334635.R01.S.doc Version 5.2 Page 27 - 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!