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Inspection on 28/09/05 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 28th September 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

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 even to the extent of volunteering their own time to do so. 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. One service user commented that they were, "The best of friends," 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?

A number of rooms on the first floor have recently been redecorated and refurnished. Improvements have been made to assist residents` orientation around the first floor using signs incorporating pictures on main rooms. Photographs of "Old" Tyneside line corridor walls, on the first floor, to assist service users with orientation and memory recall. Photo boards with residents` names have placed on bedroom doors, on the first floor, to reinforce the fact that service users are real people with their own history. There was good evidence of strategies being used to manage challenging behaviour at lunchtime. In accordance with residents` assessed capacity, a number of call bell pulls have now been replaced by push button call bells. Several doors are now held open with electromechanical devices linked to fire alarms. Medication administration recording is improved. Care plans have shown signs of improvement and some service user`s "life histories" are comprehensive.

What the care home could do better:

Although some improvements have been made the home still must have a higher level of specialist equipment and better communal space for service users with disabilities. This has been outstanding for some time and the company are well aware of the deficiencies outlined in earlier reports and the manager states that this issue is being addressed. The home must ensue the quality of meals and care is good throughout the home and that service users in some areas do not receive any lesser service than others. Some fire check doors do not close effectively, particularly the door to the room where smoking is permitted.On the day of the inspection, it had not been possible to find a replacement for one member of staff absent through illness. Consequently, care staff on the first floor seemed to be hard pressed at times. Further improvements could be made to care plans to ensure the care is based on a well-documented plan.

CARE HOMES FOR OLDER PEOPLE Barnes Court Nursing Home Wycliffe Road High Barnes Sunderland SR4 7QG Lead Inspector Mr Tom Moody Unannounced Inspection 28th September 2005 10:00 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 Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 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. Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Barnes Court Nursing Home Address Wycliffe Road High Barnes Sunderland SR4 7QG Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0191 520 2000 0191 520 2622 Ashbourne Homes Limited Care Home 89 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places 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.V250628.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10 May 2005 Brief Description of the Service: Barnes Court Nursing Home is an 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.V250628.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out by two inspectors on the 28 September 2005. Care practice was observed and service users and relatives were spoken to. 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 inspectors took a meal with service users on the first and second floors. Inspectors 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 even to the extent of volunteering their own time to do so. 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. One service user commented that they were, “The best of friends,” 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.V250628.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Although some improvements have been made the home still must have a higher level of specialist equipment and better communal space for service users with disabilities. This has been outstanding for some time and the company are well aware of the deficiencies outlined in earlier reports and the manager states that this issue is being addressed. The home must ensue the quality of meals and care is good throughout the home and that service users in some areas do not receive any lesser service than others. Some fire check doors do not close effectively, particularly the door to the room where smoking is permitted. Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 7 On the day of the inspection, it had not been possible to find a replacement for one member of staff absent through illness. Consequently, care staff on the first floor seemed to be hard pressed at times. Further improvements could be made to care plans to ensure the care is based on a well-documented plan. 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.V250628.R01.S.doc Version 5.0 Page 8 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 Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 Although some assessments matched the needs of service users, not all of the assessments would ensure their needs were met. Relatives and some service users confirmed they were able to visit the home and look at the accommodation and exercise some choice over their placement. EVIDENCE: The lower floor is registered to provide places for people with a physical disability. Relatives of service users with physical disability, who live on the lower floor, confirmed that they had been able to visit the home before their relative was placed there. Some service users have also confirmed that they had been able to do this. Some care plans contained good assessments and details of clinical information. Care plans contained many perceptive comments about service users needs. There were some exceptions to this. The assessments in some care plans did not match some of the entries in the daily reports and did not matched to the care provided to them. Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Some aspects of service users care plans still do not record or reflect the level of care that will meet the service user’s needs. Much of the care practice in the home was good and service users have access to health services and health professionals. This ensures that their health care needs are met. Drug storage and administrations systems are satisfactory although some of clinical areas are cramped. The care practice seen in the home ensures that the service user’s dignity is preserved. EVIDENCE: The care plans seen comprehensive with evidence of 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. Some recording remained rather vague. In one example a service user’s care plan Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 11 did not assess any problems in expressing sexuality but the daily record sheet indicated there were issues that needed to be addressed. Staff were observed to respect service user’s privacy and they knocked at bedroom doors before entering. Staff used the appropriate terms of address for service users, avoiding over familiarity. Service users were appropriately dressed in normal day attire. Staff confirmed that dignity was taught as a core value as part of the homes training. The relative of one resident told inspectors that she was unhappy that windows in the bedroom doors had been boarded up in response to earlier inspections. They felt their relative’s safety is compromised by his lack of visibility. Inspectors explained that staff could check on bedfast service users without them being visible to everyone who passed their room. It did seem as though the reasons for this had not been given to the relative, but the manager has discussed this with the relatives concerned. Services users have access to their own GP and they receive appropriate healthcare services. They have access to specialist healthcare services at the home and outside of the home as well. Records showed that service users have seen Continence Nurses, Tissue Viability Nurses, Speech and Language Therapists, and Infection Control Nurses. Medication systems were appropriate and self-medication can be accommodated if service users are able and willing to do this. Medication storage was generally adequate although the clinical room on the ground floor is very cramped. Records are well kept and stock balances of controlled drugs are recorded accurately, however the index of the Controlled Drugs book was not up to date and this caused some difficulty for staff when stock balances were being checked. Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Most service users are able to engage in organised activities and there are opportunities for them to pursue individual interests and leisure activities. This may be vary depending on the client groups and not all areas of the home may be meeting service users needs in this area. Visiting is unrestricted and service users go on excursions that enable them to keep contacts with the family and the wider community. Although the homes policy is to allow service users choice and control over their lives there remain some restrictions on service users, due to environmental or design problems. The quality of the meal and its presentation differed on the separate floors. The quality of the food may not be uniform and some service users may still not receive as good a meal as others in the home. EVIDENCE: Service users were generally well supported when taking meals and some pleasant interaction was observed in many areas. It was observed that, on the 1st floor, one resident ate virtually nothing during lunchtime, and that no assistance was offered to her. Staff maintained that this Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 13 resident has stipulated her dislike of being assisted in this way and that she is given nutritional beverages to supplement her dietary intake, thus ensuring that she receives the support she requires. Inspectors sampled the meals. On the first floor it was felt that the soup was bland and the pear, supplied for desert was rather hard for service users to chew. In contrast with the last inspection report, there was good evidence of strategies being used to manage challenging behaviour at lunchtime, such as attention being given to whom residents sat with for lunch and the minimum cutlery necessary being set on tables. Additionally, residents were seated for the meal just prior to it being served. On the ground floor the meal was appetising and well presented. Service users commented favourably on the quality of food and were able to ask for and receive second helpings. Choices were offered, on such things as size of portions and types of desert or drinks, throughout the meal on the ground floor. On the 2nd floor service users were equally well supported. The inspector was impressed when one member of staff offered, not only the choice of condiments, but also checked if it was salt or pepper, and the flow rate, before applying this to service users food. Several service users on the ground floor told inspectors they were going to see a production of “Beauty and The Beast” at a local theatre. Some staff were supporting them in this even though they were not officially “on duty”. This level of commitment from the staff is commendable. Service users on the ground floor confirmed that they often attended outside events and entertainments and that they enjoyed, “Trips out” to places such as Beamish open air museum. Some service users were engaged in individual activities, such as computer games, others had evidence of individual interests, such as music, in their rooms. The home does not currently have an activities organiser. Because of time constraints there seemed to be few staff to engage those residents sitting in the 1st floor lounge in any form of purposeful activity, although the manager felt this was due to staffs’ concerns to appear busy whilst the inspection was taking place. The Activities Co-ordinator post is vacant, and this also detracts from the homes capacity to satisfy residents’ needs. It is of note that some effort has been made to assist residents’ orientation around the first floor using signs incorporating pictures on main rooms. Additionally, old photographs of Tyneside line corridor walls, not only assisting with orientation, but also memory recall. Photograph boards with residents’ names have been compiled, for bedroom doors, to reinforce the fact that residents, as well as being “patients” are first and foremost people with history. Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 14 The potential still exists however to further enhance the environment to ensure sensory stimulation. There is a need to ensure that the resident group on the first floor take part in interaction and social stimulation. There is a garden area but this is accessible from only one floor and it is not clear that all service users have equal access to this. As noted in earlier inspections, some aspects of the homes design restricts service users with mobility problems and limit their control over their movements. Residents’ relatives have absolute freedom of access to visit and care plans clearly identify the need for residents and their relatives to have private time. Residents have control over when they go to bed and when they rise in the morning and can choose to have breakfast in bed if they so wish. Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 The training staff receive, and care practice observed, would protect service users from abuse. EVIDENCE: The service users and their relatives confirm that the manger and staff are approachable and that they would be happy to raise concerns with them. There is evidence from current and past practice that the home uses the Multi Agency Protection Panel for Vulnerable Adults Procedures (MAPPVA) developed by Sunderland Social Services Department. The home’s staff have received training on the role of the “alerter” and “lead officer” within MAPPVA procedures. Sunderland Social Services training department provided this training. Staff confirmed that good level of induction took place and that their practice is supervised until they achieve a good level of competency. One staff member commented that, ”The company is really good at training.” Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 Most communal areas are well decorated, maintained and suitable for service users but all fire precautions need to be observed to ensure service users are safe. Access to the garden is limited and some communal space does not meet service users needs. There are sufficient and suitable toilet and washing facilities to meet service user’s needs. Although the home is well equipped for caring for the elderly service users, specialist equipment and environmental modifications for physically disabled service users is limited and therefore may not meet every service user’s needs. A minority of bedrooms do not promote independence because of their size or bad design and some rooms are unsuitable for those with a physical disability. The home is largely maintained in a safe condition and most of the accommodation is comfortable and suited to service users needs. The home is clean, tidy and free from odours so that service users live in suitably clean and hygienic conditions. EVIDENCE: Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 17 The home is a relatively modern design and is light airy and pleasantly decorated in almost all areas. Most of the bedrooms are of an adequate size and design although, as noted in the last report, there are some exceptions. Service users have chosen soft furnishings and decoration to match their own taste. Whilst this is appropriate in most cases on fabric covered headboard was rather soiled and could not be easily cleaned. Rooms are pleasantly furnished and there are personal possessions, such as sound systems, in rooms. Some aspects of the homes design meant that it could not meet the assessed needs of service users. The lower floor is registered to provide places for people with a physical disability. Although most of the ground floor was of a suitable design, some rooms were too small, some corridors were too narrow and some doors were inappropriate in an environment housing disabled service users. The home should consider fitting automatic opening devices on key doors. Most communal areas are pleasant and roomy but some sections are not. Access to the “games room” and some bedroom space is via a narrow corridor with right angled bends. The games room itself is gloomy because of the high level windows. The door this room is now held open with a door-guard, however, it still does not close effectively and still and contravenes fire regulations. This is particularly important because this is one of the areas where smoking is permitted. The ventilation in this room, is reliant on a large extractor fan that produces high noise levels. Some aspects of the ground floor of this home still do not meet the needs of service users and do meet the needs of the Disability Discrimination Act, as well as the Care Standards Act. There is a portable loop system on the second floor but there should be facilities on each floor to aid any service users who have hearing problems. It was noted that some service users were listening to televisions that were turned to a high volume of sound. The home does have a secure garden at the back of the home. This is well laid out and it is a pleasant and useful facility. Unfortunately it is only accessible from the 1st floor, although staff state that all service users can be taken out to this facility. The top floor of the home housing elderly frail service users was spacious and reasonably well equipped. Hoists and other moving and handling equipment, were available and were used properly. Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 30 Although sufficient numbers of staff are deployed, not all of them hold appropriate qualifications to meet the needs of the service users they were caring for. These staff are undertaking training at this time. EVIDENCE: A registered mental health nurse is now employed on the first floor, and two members of the care staff hold dementia training N11 qualification. Notwithstanding, as only one nurse working on the first floor is a qualified mental health nurse, in the absence of a unit manager, the majority of day shifts are supervised by nurses who do not yet hold a qualification in this area. Two qualified staff members are working towards such a qualification and all the care staff have received training in person centred dementia care. On the day of the inspection, it had not been possible to find a replacement for one member of staff absent from the 1st floor through illness (although a staff member started their shift earlier to help provide additional cover). Whilst there was no evidence of residents not being supported in taking meals, if relatives, who came in to feed residents, had not been present it is questionable as to whether or not the mealtime would have been manageable with this staffing level. The staffing levels on the 1st floor may also explain why there appeared to be little interaction between staff and service users and few activities taking place. Elsewhere in the home service users needs were being met adequately. Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 38 The home is in the control of an experience nurse who has managed a number of homes in the past and is able to run the home satisfactorily. The home is managed in a way that endeavours to put the service users interest at the heart of all that takes place. Although most aspects of the homes operations are safe, some health and safety issues are not being addressed, therefore service user’s safety may be compromised. EVIDENCE: It was reported that staff receive formal supervision on a 2 / 3 monthly basis. In a unit of this size and complexity, it is recommended that monthly supervision becomes the norm. Similarly, staff meetings take place once every month. Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 20 Staff confirm that the manager is approachable and recently recruited staff commented favourably on the support they had received from the manager and the company. The manager is aware of outstanding requirements in relation to the environment and is exploring possible solutions with the company’s building and estates specialists. Inspectors noted that, on entry, they were the first to sign the Visitors’ Book in a period of approximately one week, and that on leaving the building, no visitors had signed in, despite the fact that a number of visitors had entered the building during the course of the inspection. Given the complexity of the building and the fact that some relatives visit on a daily basis, it is to be hoped that their entry and exit is recorded elsewhere in order to ensure evacuation in the event of fire. Similarly, all other fire precautions should be observed and equipment should be checked regularly. Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 2 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 2 3 2 2 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x x x 2 Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP8OP7OP 3 OP12 Regulation Requirement Timescale for action 30/11/05 2 3 OP15 4 OP38OP19 5 YA28YA25Y A29 13, 14, 15 Service users should have an appropriate plan of care and staff should put this into practice. 16 All service users must be provided with, and be able to participate in, social and recreational activities. 16 All service users should be adequately supported and provided with appetising food ensure they enjoy their meals 23 Fire precautions must be observed and breaches of these and defective equipment must be rectified promptly. 16, 23 The building design and equipment must allow service users control over their environment and meet their assessed needs. 30/11/05 30/11/05 30/11/05 31/01/06 Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 Page 23 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 OP27 OP36 Good Practice Recommendations Staff should hold an appropriate qualification to look after service users in their care. Supervision should be carried out on a monthly basis to ensure staff are adequately supported. Barnes Court Nursing Home DS0000018188.V250628.R01.S.doc Version 5.0 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.V250628.R01.S.doc Version 5.0 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. 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