Inspection on 02/05/07 for Balmoral Court

This inspection was carried out on 2nd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Balmoral Court 17/07/07

Balmoral Court 23/05/06

Balmoral Court 04/10/05

Balmoral Court 07/06/05

Balmoral Court 13/03/05

Balmoral Court 10/09/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Balmoral Court Ayton Street Byker Newcastle Upon Tyne Tyne & Wear NE6 2DB Lead Inspector Aileen Beatty Unannounced Inspection 2nd May 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 Balmoral Court DS0000000493.V337009.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. Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Balmoral Court Address Ayton Street Byker Newcastle Upon Tyne Tyne & Wear NE6 2DB 0191 265 2666 0191 265 2777 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 Baldev Singh Ladhar Vacant Care Home 62 Category(ies) of Dementia (4), Dementia - over 65 years of age registration, with number (62) of places Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One resident category OP as per variation application 41598, received 24/12/02 may be accommodated. Should this resident leave the home, the Commission for Social Care Inspection must be notified. Three persons aged between 60 and 65 years of age maybe accommodated within the DE category 23rd May 2006 2. Date of last inspection Brief Description of the Service: Balmoral Court is a purpose built home providing nursing and social care to people suffering from Dementia. It is a large home providing 62 beds. The home is in Byker close to local shops and other public amenities. There are good transport links. The home is within easy reach of the busy Shields and Chillingham Roads. The home adjoins Kensington, a general nursing care home owned by the same proprietor. Both homes share joint laundering and catering facilities. The fees range from £376 - £496 per week depending on whether social or nursing care is provided. Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two days and involved reading records, looking around the home and observing staff caring for residents. The inspector spoke to staff residents and visitors during the inspection, and joined residents for lunch. What the service does well: What has improved since the last inspection? Medication records have improved since the last inspection as there are no unexplained gaps. A number of areas in the home have been redecorated so most areas of the home are clean and well maintained. Social care planning has improved as staff now have more detailed information about residents past lives including their interests and hobbies. The standard of care planning has improved and now gives a good level of information to staff to support meeting residents needs. Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Balmoral Court DS0000000493.V337009.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 Balmoral Court DS0000000493.V337009.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a comprehensive assessment undertaken by the staff prior to admission, which forms the basis for the development of the care plan. The home does not offer intermediate care. EVIDENCE: The care records of two residents were checked and contain a comprehensive assessment by their care manager and also a detailed assessment carried out by the home manager. A new pre admission assessment form has been developed which is very detailed. It contains information about medical history, dietary requirements and whether there is a history of weight loss, hearing and sight problems and how much help they may need with personal Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 9 hygiene. The assessment of communication skills is thorough and there is close attention to psychological needs including an assessment of self- esteem, self worth and general mood. Balmoral Court DS0000000493.V337009.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is some good individual care planning and the care is usually being delivered in line with these plans although there are some gaps when recording care that has been carried out . The practice of administering medication is generally safe but some improvements need to be made regarding storage. Staff generally treat residents with respect and maintain their privacy so far as possible both when delivering care and throughout their daily life. There are occasions when dignity is compromised through indsictreet communication. Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 11 EVIDENCE: People who use services have access to health care services both within the home and in the local community. Residents unable to access local services receive visits to the home by health care professionals. Health needs are monitored and appropriate action and interventions taken. Care plans of four residents were read. The overall format of care plans has been changed since the last inspection with most people having transferred onto the new system. Records are now more organised with information being much easier to locate. Staff say that they find the paperwork simpler to use. Care records are divided into clear sections. There are assessments of physical and mental health needs as well as assessments of risk to the safety of individual residents such as falls risk. Some sections have been left blank, including information required about the person’s preferences at the time of their death. It is recommended that where it has not been possible to gather some information, that this be recorded rather than leaving sections blank. There were some gaps in care records but less than at previous inspections. One in particular related to the recording of applying skin cream on a daily basis. This had not been recorded for several days despite clearly stating in the care plan that it must be written down. This is your life section is very good as it details the residents past history and likes and dislikes. GP’s visit the home regularly. Advice is also available from specialist nurses such as tissue viability (skin care) when necessary. There are currently no residents with pressure sores. More specialist equipment and beds have been provided since the last inspection. Staff were observed caring for residents in the lounge and during lunch. One resident complained of a headache and sore neck in the lounge. Staff responded kindly and swiftly and he was provided with pain relief and reassurance, which he responded well to. Residents were helped to move appropriately by staff using acceptable handling techniques and equipment such as hoists. One wheelchair only had one footrest on instead of two. One resident was turned quickly away from the table in a wheelchair with no explanation that this was about to happen or where they were going. Balmoral Court is a specialist home for people with dementia and staff therefore need special skills to communicate with residents. While some improvements could be made (such as improved explanations, discretion and avoiding rushing people), staff generally have good communication skills. They Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 12 were seen to demonstrate appropriate use of touch and affection, and dealt in a skilled way with one resident who was asking to see their grandmother. Residents and relatives spoken to say they feel well cared for. One resident was heard thanking staff for helping him to have a shave saying he was very lucky to have such lovely people to help him. The home has a medication policy which is accessible to staff, medication records are up to date for each resident and medicines received, administered and disposed of are recorded. Some medicines stored on the fridge such as artificial tears and eye drops had not been dated when opened. There was some medicine stored that had been brought in with a resident almost one year ago. The treatment room was clean and tidy. There are two suction machines although not all qualified staff are aware of how to operate the suction machine or where to find suction catheters needed to use the machines. It was recommended that these be made easily available for use in an emergency and that all qualified staff are trained in how to use the machines. Adrenalin is available in the medicine cupboard stored with syringes and needles for emergency use in case of anaphylaxis. A homely medicines policy is in place and this means that residents may be given symptom relieving medicines such as paracetamol and simple cough linctus without having to wait for a doctor to prescribe them. Most staff try to preserve the dignity of residents by being discreet. There were some occasions where this did not happen, and some potentially embarrassing information was shared too loudly. Staff must also remember not to talk about residents as though they are not there, and should either include them as part of the conversation or go somewhere private to discuss concerns. Many ladies were not wearing tights and had pop socks or socks on with dresses. While inspecting the laundry the laundry assistant confirmed that few tights are ever sent for washing. Any ladies who would prefer to wear tights must be given the opportunity to do so. Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 13 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 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Social care is good meaning that residents have more opportunities to join in a varied activity programme. Visitors are encouraged to visit at any time and are able to visit in private. EVIDENCE: A new activity coordinator has been employed and works 40 hours per week divided between Balmoral Court and the adjoining home. On the first day of the inspection, a VE day party had been arranged. Residents appeared to be enjoying this. Various other activities were observed including planting hanging baskets. The home subscribes to an activities website for ideas and resources. A new mobile shop has been developed selling drinks, toiletries, sweets etc. Any profits go towards resident’s funds. Fundraising for a minibus for the home is still ongoing. The manager also reported that in addition the activities planned inside the home, they intend to strengthen links in the local community. The sea cadets have offered use of their hall for events. An Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 14 individual social assessment in the form of “This is your life” document is available. This provides very useful information that can be used to plan activities. An activities booklet is available which lists the types of activities that are available. These include bingo (including musical version) and more dementia specific activities such as reminiscence, memory boxes and activities designed to trigger memories using senses such as touch and smell. The activity booklet also contains a list of useful local contacts such as Age Concern and Alzheimer’s society, salvation army and P.A.T (pets as therapy). Visitors may visit at any time, and can see their relative in private. Bedrooms are nicely personalised. On the first day of the inspection, the inspector ate lunch with residents. On the second day, care at lunch time was observed. On the first day of the inspection residents were brought to bare tables with no cutlery or tablecloths in place. Some were seated for quite a long time before the meal came and became distracted and wandered away. Items such as cutlery act as a visual clue to residents who may be unable to remember why they were brought through to the dining room. The meal was tasty and well presented and was the same as the menu held in the kitchen. On the second day there were cloths only. There were no menus available and it was confirmed that staff usually choose meals for residents using their knowledge of what each individual likes. There were no choices of drinks at meal times only tea offered. One member assisted a resident to drink a cup of tea while standing up beside her. Most times staff demonstrated a good knowledge of the needs of residents. The remote kitchen areas attached to dining rooms were clean and tidy. Food in fridges is labelled and dated. The kitchen was inspected and found to be clean and tidy. There were no large supplies of food but a delivery was due and there was sufficient in stock. Food stored in fridges is labelled and dated. Cleaning schedules were inspected. The home is currently using the Food Standards Agency “Safer food better business” system to manage catering. Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 15 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that the residents and relatives are made aware of the complaints policy and that it is available in a variety of places. There is a system for managing and dealing with complaints, which makes it possible for them to be investigated and action taken to address any issues identified. Training is provided to ensure residents are kept safe. EVIDENCE: There have been 3 complaints received by the home since the last inspection. Another complaint came through to the inspector soon after this inspection. Staffing has now been increased. A record is kept of complaints received and the action taken. A clear corporate complaints procedure is in place and is available in leaflet form for visitors to pick up. One complaint relates to insufficient staffing on nights. There have been two safeguarding adults referrals made by the home since the last inspection. This demonstrates that staff are aware of procedures in place to protect vulnerable adults and follow them when necessary. Following the first referral staff were reminded to follow care plan instructions relating to the close supervision of one resident, raising awareness in all staff of the importance of this. Training is provided on a regular basis by a local training Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 16 consultant about vulnerable adults, elder abuse and risk assessment. Staff spoken to have an understanding of the principles of adult protection training. Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 17 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 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Most areas of the home are clean and tidy and well maintained. The environment does not always meet the specific needs of people with dementia. EVIDENCE: Balmoral Court is a purpose built large care home built on three levels. The ground (basement) floor is not used at present to accommodate residents and contains a large lounge used for training and activities, a store area, small kitchen/staff room, laundry and main kitchen. This area of the home is satisfactorily clean but cluttered near store area. This is being tidied and reorganised. The first floor where the entrance is has been re carpeted and the old nurses station has been removed. This makes the area much less institutional and residents appear more relaxed sitting in this area. The carpet that has been fitted, however, is heavily patterned and this is not recommended for people with dementia who may have perceptual problems Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 18 (e.g. step over patterns believing them to be raised or trying to pick up smaller dots or patterns. The manager reported that there have been no problems so far. The environment could be more dementia friendly generally. There are virtually no names on bedroom doors and some toilets only have picture signage and no words, others have word only. The visual cues that it is a meal time were also lacking as the dining tables were not set which would prompt some people that it is a meal time. The home appears clean and tidy but on close inspection there were some areas that were not satisfactorily clean. On the first day of the inspection, a number of beds were un made by the inspector and found to be marked with faeces or very badly made, with a duvet having been pulled over crumpled and dirty sheets. The nurse in charge was shown these beds and arranged for them to be changed. There is an odour problem on the top floor that has not been evident during previous inspections. There is quite a strong urine smell. The manager is aware of this and has purchased new urine neutraliser and ultraviolet light to locate source. Most areas of the home are clean and well maintained. A number of areas have been redecorated and new beds have been provided. Window boxes add interest at dining room windows. Bathrooms and shower rooms are clean and tidy. There is limited outdoor space and one area that residents may use is a wooden veranda off one lounge. This is rotting and is therefore unsafe to use. this must be repaired or alternative space provided. The manager is keen to develop further outdoor space. Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are adequate numbers of staff on duty and staff are recruited safely. Training is arranged for staff and is being brought up to date. EVIDENCE: There are sufficient staff employed in the home. On the second day of the inspection there were 34 residents and 6 care staff, 2 nurses, 2 domestics, a laundry assistant, maintenance man, activities coordinator, kitchen staff and the manager. The records of two new staff were checked. They demonstrate that staff are recruited safely and all appropriate checks are carried out before employing them. Due to concerns about short staffing on nights, an additional member of staff is now on duty on most nights. Training is provided externally in moving and handling, dementia care, adult protection, fire and health and safety. Adult protection training is booked with Newcastle multi agency training. Some training is provided by the care alliance, external training and some will be provided in house. It is planned that dementia training will be delivered using Alzheimer’s Society resource “yesterday, today and tomorrow”. It is recommended that staff receive training in positive person work and person centred care to enhance their Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 20 practice and to promote residents self esteem and self worth. 9 staff have NVQ level 2 and a further 4 are registered to complete it with 3 being registered to complete 3. The manager is now an accredited moving and handling trainer and will be delivering training in house. A manager James Cranmer has been appointed but has yet to go through the fit person process with the commission. He has managed in a care home in the past. A deputy manager is also in post, and manages the home in the absence of the manager. Staff supervision takes place on a regular basis, with nurses divided between the manager and the deputy. Supervision involves discussing specific clinical issues in addition to providing support to staff. The supervision system links to annual performance reviews. The senior management system has been strengthened with the addition of a Managing Director. An Operations Manager also remains in post. The Operations Manager continues to carry out monthly visits to the service (Regulation 26) and provides detailed reports about the service. Quality assurance systems have been further developed, with a number of areas being audited internally. These systems are being introduced throughout the group. Residents money was checked. A written record of all transactions is maintained, and money is stored in the safe. The safe is a little cramped. A random check on the balance of two resident accounts found the correct amounts. Regular audits are carried out. Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 21 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management systems in the home are in place to make sure that the home is managed effectively taking into account the needs and wishes of the residents. Personal allowance management is good and the systems and records are in place to allow audit to be effective. Good systems are in place to ensure working practices protect the safety of staff and residents. Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 22 EVIDENCE: A manager, James Cranmer has been appointed but has yet to go through the fit person process with the Commission. He has managed in a care home in the past and has experience of working with older people with dementia. A deputy manager is also in post, and manages the home in the absence of the manager. Staff supervision takes place on a regular basis, with nurses divided between the manager and the deputy. Supervision involves discussing specific clinical issues in addition to providing support to staff. The supervision system links to annual performance reviews. The senior management system has been strengthened with the addition of a Managing Director. An Operations Manager also remains in post. The Operations Manager continues to carry out monthly visits to the service (Regulation 26) and provides detailed reports about the service. Quality assurance systems have been further developed, with a number of areas being audited internally. These systems are being introduced throughout the group. Residents money was checked. A written record of all transactions is maintained, and money is stored in the safe. The safe is a little cramped. A random check on the balance of two resident accounts found the correct amounts. Regular audits are carried out. Regular safety checks are carried out by maintenance staff and outside contractors. Hoists are checked twice a year and the lift is also serviced regularly. A new fire risk assessment has been carried out by external consultants. The home is waiting for the report. Maintenance staff carry out fire safety checks on equipment and lighting. There are regular fire drills to check the responses of staff although residents are not evacuated as this would be very disruptive. Legionella disinfection takes place as a precaution although there is no hot water stored in the home. COSHH data sheets are available for cleaning products. Products are not used until these are available. Staff were seen to follow safe working practices such as wearing aprons and following moving and handling guidelines. Only one footrest was used with one wheelchair, which may be hazardous. One wardrobe door was not secured to the wall although the room was not in use. The nurse in charge agreed to keep this door locked until the wardrobe is secured. Balmoral Court DS0000000493.V337009.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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 2 Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 24 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. 2. Standard OP7 OP8 Regulation 15 (2) 18 (1) (c) Requirement Daily care records must be kept up to date. Training must be given to improve staff skills in communicating and working with people with dementia. Medication should be stored appropriately in line with the homes policy and procedures. Residents must have access to a full range of equipment at mealtimes and be given choices of food and drinks. Adequate signage must be provided to enable residents to find their way around the home. The garden veranda must be made available for use by residents. All areas of the home must be kept clean and odour free. NVQ level 2 and above must be achieved by 50 of staff. Two foot rests must be used on wheelchairs. Timescale for action 02/07/07 02/09/07 3. 4. OP9 OP15 13 (2) 12 (3) 02/06/07 02/07/07 5. OP19 23 (1) (a) 02/07/07 6 7. OP26 OP30 16 (k) 18 (c) 02/07/07 02/07/07 8. OP38 13 (5) 02/07/07 Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 25 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 OP19 OP35 Good Practice Recommendations Consider painting toilet walls to make grab rails stand out. Consider an alternative way to store money. Balmoral Court DS0000000493.V337009.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Balmoral Court DS0000000493.V337009.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. 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