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Inspection on 13/07/06 for Barnes Court Nursing Home

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

This inspection was carried out on 13th July 2006.

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

The home has a social programme that is enjoyed by the service users who partake in it. Most of the service users can make excursions outside the home and staff support this. The majority of care staff are strongly committed to providing good care and relatives and service users spoke well of staff`s attitude and enthusiasm. Examples of good and thoughtful care practice were seen in the home. Service users commented on the good relationship they had with staff The kitchen staff are equally enthusiastic and "home cooking" features strongly on the menu. The cook is well informed about nutritional needs of the elderly. The quality and timing of meals is good for the majority of service users. The majority of rooms are spacious and well decorated. The furnishings in bedrooms reflect the service users own tastes and interests, particularly on the ground floor. New staff receive a good induction and are well supported by the company during their first months in the home

What has improved since the last inspection?

The first floor has been refurbished with themed areas to encourage recollection and reminiscence. Decorations have been installed that stimulate service users sense of touch, as well as sight.

What the care home could do better:

Although some improvements have been made the home still must have a higher level of specialist equipment (such as a loop induction system) and better communal space for service users with disabilities. The company has plans to start this work very soon. Some drug cabinets need to be larger to accommodate the amount of medication stored in them. Staff need to give more thought to the type of music played to service users, to ensure it is to their taste.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Barnes Court Nursing Home Wycliffe Road High Barnes Sunderland SR4 7QG Lead Inspector Mr Tom Moody Key Unannounced Inspection 13th July 2006 10:00 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 Barnes Court Nursing Home DS0000018188.V302903.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. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Barnes Court Nursing Home Address Wycliffe Road High Barnes Sunderland SR4 7QG 0191 520 2000 0191 520 2622 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) Ashbourne Homes Limited Pauline Waite Care Home 89 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (20), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (20), Old age, not falling within any other category (41), Physical disability (15), Physical disability over 65 years of age (1) Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The DE category of registration refers to 3 current service users only The service may from time-to-time admit persons under the age of 65 within the OP category 28th September 2005 Date of last inspection Brief Description of the Service: Barnes Court Nursing Home is a 89 place facility, which consists of three floors. The top floor provides nursing care for older people. The middle floor provides nursing care for people with mental health needs. The ground floor has a 15 place nursing unit for people with a physical disability. Barnes Court opened in 1991 however the function of the home has changed over time resulting in a different client group being cared for in some of the units than when the home first opened. The owners are aware that work still need to be completed to make some areas fully accessible to those people who have a physical disability. The home is near Barnes park and five minutes from Sunderland Royal Hospital. The home has been built in a residential area and is opposite to a local school. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out by one inspector on the 13 July 2006. Care practice was observed and service users and relatives were spoken to. The inspector spoke to visiting professionals. Discussion with staff members also took place. The home has three floors with three different client groups housed on each. The philosophy and care practice differs on each floor. All of the floors were inspected and inspector observed the meal served to service users. Inspector saw examples of good care practiced on all floors. Feedback was given to the manager at the end of the inspection, including any matters that inspectors felt required urgent attention. What the service does well: The home has a social programme that is enjoyed by the service users who partake in it. Most of the service users can make excursions outside the home and staff support this. The majority of care staff are strongly committed to providing good care and relatives and service users spoke well of staff’s attitude and enthusiasm. Examples of good and thoughtful care practice were seen in the home. Service users commented on the good relationship they had with staff The kitchen staff are equally enthusiastic and “home cooking” features strongly on the menu. The cook is well informed about nutritional needs of the elderly. The quality and timing of meals is good for the majority of service users. The majority of rooms are spacious and well decorated. The furnishings in bedrooms reflect the service users own tastes and interests, particularly on the ground floor. New staff receive a good induction and are well supported by the company during their first months in the home. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 7 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) Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 8 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 to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4,5 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. All service users entering the home have their needs accurately assessed by social care and health service staff. The home makes it’s own assessment in addition to this. Most service users and their family have the opportunity to visit the home before they come to stay, unless there are exceptional circumstances. This allows them to make an informed choice about staying in the home. EVIDENCE: Manager and deputy have good policy towards giving information to service users and reltives. Both state that relatives and service users can visit as often Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 9 as they wish before deciding if they want to be placed in the home. Both are aware of service user not understanding information at stressfull times. Service users guide being changed to new company although this hasnt been issued yet. Copy seen, This is comprehensive and contains all relevant information The care plans seen were completed well and the assessment of service users needs was good. Service users did comment that their relatives were able to visit the home and make the decision for them to be placed there. Comment cards indicate satisfaction with this although there are few returns from service uses Relatives have indicated that they are happy with information and the chance to visit the home before placing relatives. This home is only one of two in sunderland providing places for young Physically disabled service users.. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 10 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 to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Service users health care needs met. Service users have access to all healthcare services that they need. The home has appropriate policies and procedures to ensure service users receive their medication in a safe way EVIDENCE: Deputy manager has good awareness of service users clinical needs. Visiting professionals were present in the home and the inspector spoke to a mental health nurse and a social worker. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 11 They were satisfied that care programmes were carried out by the home and had a good working relationship with the staff. Medication is stored safely. A monitored dosage system is in use and recording is good. Controlled drugs are safely stored and stock balances are correctly kept. The CD cupboard on the ground floor needs to be bigger. Care plans are comprehensive and well written. the format is reasonably well laid out and the examples seen were completed to a good standard. pressure risk was approriately assessed in the examplse seen and all risk assessments being reviewed monthly. Service user’s care plans contain much useful clinical information. Some of the life histories were well recorded and detailed. The format of these is due to change in line with Southern Cross policy. Staff are sensitive to service users needs and addressed them in an appropriate way. Carers were observed to ask service users preferences and choice. The care practice seen on the day would enhance service users dignity and self-esteme. Care staff knocked before entering service user’s rooms. One carer was dancing with a gentleman in a way that projected him as an equal partner in the activity. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home endeavours to provide a lifestyle that matches service users needs and preferences. Meals are of good quality and the timing and choice can be varied to meet service users needs. EVIDENCE: The providers self assessment indicates a wide range of activities are availalble to service users, including activities and social events outside the home. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 13 The floor caring for dementia has been refurbished to provide corridors the have sensory input based on differing themes. The care workers now have responsibilities for social programmes and activities. Staff interacting with service users. One staff member having slow dance with gentleman to age appropriate music. Staff deal with relatives, in person, and in telephone enquiries, appropriately. The cook makes regular contact with Service users to monitor satisfaction with the meals. Menus are satisfactory. Home uses a chalk board to illustrate menu and to try to generate a Bisto type ambience. Service users are aware of alternative choices, one said she sometimes had a salad as an alternative. The kitchen is clean and and well organised. it is well equiped. Environmental health visited last November and their report was satisfactory, containing no requirements. The food was serrved on ground floor at same time as medication were given. inspector felt that this detracted from the dining experience and the staff group had to engage in two activities at the same time. The quality and presentation of food was good. Most service users were having sausage, mash or chips and peas. Staff have list of service users choices. Service users spoke favourably about the quality of food particularly about the quality of the deserts. Service users were supported in a suitable manner by staff. Visiting is unrestricted and visitors were seen coming and going throughout the day. Service users spoke of going on excursions that enabled them to keep contacts with the family and the wider community. One service user on top floor confirmed she was able to go down to the garden if the weather was suitable. A number of service users and visitors were using this facility Staff adressed service users appropriately. all service users expressed positive views on the way they were looked after. one said, Ive never been so happy in my life Theres loads of people to talk to I cant say anything bad about this place. One service user remarked that they seem to go on fewer outing in the minibus since a particular staff member left. The manager did not confirm this and stated that the home provides the same level of service. She also pointed out that the home has access to a new minibus and has a number of designated drivers. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The homes policy on adult protection reflects the multi agency approach to adult protection, and local procedures and staff know how to use it. This should ensure the protection of service users. Service users and the majority of relatives are confident in the process and how staff will operate it. EVIDENCE: CSCI inspectors have been involved in several adult protection issues and experience shows the homes managemnt deal with the issues appropriately. The home’s self assessment lists 13 complaints in last 12 months, 3 were substantiated, and 10 partially substantiated. all were responded to withing 28 days. 3 complaints involved adult protection procedures and this resulted in 1 referal to POVA list. The providers self assessment indicates there are 3 service users who are subject to power of attourney and 4 who handle their own financial affairs. It also indicates service users who do not handle their own affairs have individual bank accounts. Although surplus balances go into a pooled account the recods kept for this are accurate and the system of recording is robust. The manager Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 15 is also aware of service user’s legal rights and ensures they are preserved and that service users are not disadvantaged. The manager states that there are relative support groups meetings monthly so that relative can provide mutual support especially for dementia care. There are quarterly meetings, with relatives and service users, about the running of the home. The manager said that she has an open door policy. The majority of elatives confirmed that they found the staff helpful and felt that the manager was approachable. The relatives of one service user did express concerns that it took some time for their complaint to be addressed, although this would have been within the 28 day deadline given in the company policy. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service.The environment is well maintained and safe. The home has most of the equipment it needs to meet service users needs. Rooms are comfortable, furnished to service users tastes, and the home is kept clean. EVIDENCE: The manager states that proposed work to change the ground floor layout will take place at the end of this month. This is in line with the homes response to Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 17 the requirements of the previous report. One service user has already moved from a, somewhat inacessible, room to another that was formerly the administratiors office. The home shows some signs of wear. There was some impact damage around door frames especially on the top floor. This area is due for refurbishment. The garden is secure and was being used throughout the day by service users and relatives from all areas of the home. The first floor has been redecorated and the lounge has been supplied with movie theme pictures. Staff spoke of the intention to have a screen and projector to have movie shows. A lot of work has been done, in this area, to provide tactile surfaces for service users to explore. Some areas have been decorated to represent outside streets and shop facades. Bedroom doors have pictures of service users on them including images of themselves when they were younger. Staff confirm that this helps service users relate to their own room and it reminds staff that service users have unique histories. Rooms are peronalised and contain items such as videos, tapes televisions etc. rooms decorated with Sunderland FC wallpaper. The home is well lit, warm and well ventilated. Bathrooms have suitable aids and adaptations to enable them to be used by all service users. Not all areas have loop induction system to aid service users with hearing problems. Staff anticipated that this will be part of the homes refurbishment.. There was no unpleasant odour in any area of the home. All areas of the home are clean and tidy. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The manager ensures that the home operates safely and sufficient numbers of staff, who are appropriately trained, are available to meet service users needs. EVIDENCE: Duty rotas and stafing lists have been provided by the home in advance of the inspection. The duty rotas indicated an appropriate level of staff. The call system was answered promptly. Some concerns were expressed about the level of supervision in the home and in the garden area. The manager had addressed some these issues and felt that shortages were due to staff attending the office to information from the nurse in charge of the floor. Other service users made comments such as, Ive never been so well looked after as I am in here, and “If I need anything I can go to anybody. Past inspections, and comments from staff, indicate there is a good level of induction and training provided by the company. Some regulation 37 reports have revealed a poor level of written language skills in some staff. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 19 Staff confirmed that good level of induction take place and that their practice is supervised until they achieve a good level of competency.Training records indicated this was the case. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32, 33, 36, 38. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The manager is professional and diligent in her approach and is supported by a competant deputy manager. Service users benefit from the way she carries out her duties. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 21 EVIDENCE: The home manager was present at this inspection. She is an registered nurse with a number of years of experience in managing care homes. Discussion with the manage reveal she hold appropriate views and values and this should safeguard service users. The manager is aware of her statutory responsibilities, including health and safety, and record keeping is good. The manager spoke of the home having appropriate quality assurance systems and stated that she carried out regular audits of clinical and other systems. Quality assurance system, common to Ashbourne Homes, has just been carried out on the date of inspection. The results of this audit are good. Discussions with staff indicate the moral in the home is good and staff feel motivated and enthusiastic. Service users and relatives say that the manager is approachable. Senior management were at the home for a considerable part of the day because of a scheduled meeting. Discussions indicated they were aware of the homes performance. The manager confirmed she felt well supported in her role by the senior management team and a competent deputy manager. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 x 3 3 4 3 5 3 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 3 18 3 ENVIRONMENT Standard No Score 19 3 20 3 21 3 22 2 23 3 24 3 25 3 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 3 33 3 34 3 35 x 36 x 37 x 38 3 Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action 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 OP9 OP22 Good Practice Recommendations The home should provide a larger CD cabinet in line with the stock of drugs supplied. The home should have a loop system installed as part of the proposed refurbishment. Barnes Court Nursing Home DS0000018188.V302903.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. Barnes Court Nursing Home DS0000018188.V302903.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. 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