Inspection on 14/02/08 for Barty House Nursing Home

This inspection was carried out on 14th February 2008.

CSCI found this care home to be providing an Good service.

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

Barty House Nursing Home 29/03/07

Barty House Nursing Home 10/10/06

Barty House Nursing Home 13/02/06

Barty House Nursing Home 28/11/05

Barty House Nursing Home 07/03/05

Barty House Nursing Home 16/08/04

Similar services:

Springfield House

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Barty House Nursing Home Roundwell Bearsted Maidstone Kent ME14 4NH Lead Inspector Ruth Burnham Unannounced Inspection 14th February 2008 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 Barty House Nursing Home DS0000026146.V357904.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. Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Barty House Nursing Home Address Roundwell Bearsted Maidstone Kent ME14 4NH 01622 737025 01622 737725 bartyhouse@canfordhealthcare.co.uk www.bartyhouse.co.uk Barty House Nursing Home Limited 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) Alan Risk Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 32. Date of last inspection 29th March 2007 Brief Description of the Service: Barty House is a large detached property owned by Barty House Nursing Home Ltd. It provides 24 hour nursing and personal care for up to 32 residents aged 65 years or older. The home is located approximately 4 miles from Maidstone town centre and stands in extensive grounds and there are areas where service users may sit. The accommodation is situated on ground and first floor and comprises 20 single bedrooms and 6 double bedrooms. There is a nurse call alarm in each room and some of the rooms have been provided with telephone points. The Owner has recently received planning permission to build a large extension, providing a further 26 bedrooms, a new kitchen, and additional day space and hopes to commence work in the Spring of 2008. Current fees range from £565 to £890 per week. Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the Service was an unannounced “Key Inspection”. The Inspector arrived at the Service at 9:45 and was in the Service for six hours. It was a thorough look at how well the Service is doing. It took into account detailed information provided by the Service’s owner or manager and any information that CSCI has received about the Service since the last inspection. This information included responses to surveys sent out to relatives, residents and health and social care professionals; the Annual Quality Assurance Audit. During the site visit the inspector spoke to staff, residents, visitors, the manager and deputy manager. A tour of the premises was undertaken and a number of documents were examined. There had been much effort in the last year to improve services. A new manager has been in post since May 2007 who has worked hard to continue improving the quality outcomes for people who live in the home. This is generally recognised and appreciated by all concerned. Individual statements are quoted throughout the report. There is one Required Development at the end of this Report. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. What the service does well: People who are considering moving into the home are provided with helpful information in the revised statement of purpose and service user guide to enable them to make a decision. They can be confident the home will be able to meet their needs due to good pre-admission assessments, they benefit from being able to visit the home prior to admission. People can be confident their physical and health care needs are understood and will be met. People benefit from the support of staff who treat them with respect and maintain their privacy and dignity. Peoples’ quality of life is enhanced by the opportunity to take part in a variety of activities, they can enjoy a fulfilling lifestyle with good outside links maintained and as much choice and control over all aspects of their lives as their individual abilities allow. People enjoy a balanced and varied selection of food to meet their tastes and choices. They are listened to and are free to offer comment or complaint. They are protected from abuse. Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 6 People who live in the home are protected through robust recruitment processes. They can be confident the home is being managed effectively. The health and welfare of people who live in the home is promoted through safe working practices. What has improved since the last inspection? What they could do better: Staffing levels must be kept under regular review taking account of changing dependency levels and the difficult layout of the building to ensure consistent and timely care for people who live in the home. The review and upgrading of care plans should continue to introduce a more holistic approach which recognises people’s individuality and identifies social, emotional and spiritual needs, ensuring care is provided in line with people’s individual wishes and aspirations. Residents or their representative should, wherever practical, sign their care plans as evidence of their involvement in the writing of the plan and their agreement to its contents. The provider must proceed with the planned implementation of refurbishment of the premises to build on the improvements already achieved. Adequate storage space should be included in future plans. The provider must proceed with the planned implementation of the refurbishment of the premises to ensure bathrooms are attractive, well maintained and meet the needs of people who use them. Please contact the provider for advice of actions taken in response to this Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 7 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. Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 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 Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6 People who use the service experience good outcomes in this area. People who are considering moving into the home are provided with helpful information, they can be confident the home will be able to meet their needs due to good pre-admission assessments, they benefit from being able to visit the home prior to admission. The home does not provide intermediate care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who are considering moving into the home are provided with helpful information in the revised statement of purpose and service user guide to enable them to make a decision. Before they move in the manager visits them to complete a detailed assessment of their needs. An example of such an assessment was seen. Records show that prospective residents, their families, advocates, and relevant health care professionals are involved in the Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 10 assessment process. Specialist advice is sought from external sources where required. People who were spoken to during the visit said they or their families had been able to visit Barty House before moving in. They also said staff had been very helpful in assisting them to settle in. Intermediate care is not offered at Barty House. Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 11 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 – 10 People who use the service experience good outcomes in this area. People can be confident their physical and health care needs are understood and will be met. Improvements are being made in care planning to ensure their emotional, social and spiritual needs are also identified and met. People benefit from the support of staff who treat them with respect and maintain their privacy and dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home have a plan of care; three of these were inspected in detail during the visit. There have been clear improvements to care planning in the past year. A new member of nursing staff has been recently appointed to develop care plans further. The Manager is aware that further development is needed to more comprehensively reflect people’s emotional and social needs. The new owning company is reviewing care planning documentation to promote a more holistic and individualised approach. Care plans are reviewed regularly and comprehensively address people’s physical Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 12 and nursing needs. Risk assessments are in place for each resident. The standard of daily record keeping is generally good however the focus of these records is on people’s physical care with limited information about emotional well being. People benefit from having a named key worker on the staff team, this ensures good communication of information about their health and welfare. Visitors who were spoken to said staff are very good at keeping them informed. People who live in the home are protected from harm by safe handling of medication. The medicines room is clean and well maintained. Records show that all staff administering medications have been trained and signed off as being competent to do so. The Medication Record Administration Record (MAR) sheets for the morning had been signed to show that the residents had taken their medicines. People can be confident their healthcare needs will be met. The home has developed good working relationships with the specialist and local health care professionals. Residents feel that staff are kind and gentle, this was confirmed by observation during the visit. Staff are considerate of the age and dignity of residents and treat them with courtesy and respect. Barty House Nursing Home DS0000026146.V357904.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 – 15 People who use the service experience good outcomes in this area. Peoples’ quality of life is enhanced by the opportunity to take part in a variety of activities, they can enjoy a fulfilling lifestyle with good outside links maintained and as much choice and control over all aspects of their lives as their individual abilities allow. People enjoy a balanced and varied selection of food to meet their tastes and choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home are able to choose from a number of activities. Two activities coordinators are employed providing group and one to one activities during the week. During the afternoon of the visit those who wished to were enjoying potting up plants and baking cakes. One of the activities coordinators was spoken to, it was good to see her enthusiasm and commitment to promoting the welfare of residents. Records show every resident is offered the opportunity to be involved in some form of activity during the week. Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 14 It was unfortunate that individual biographical information had been removed from care plans in the recent reorganisation of files, the manager reinstated this information following the visit to ensure staff have better knowledge and understanding of people’s social histories, interests and aspirations, particularly where people are experiencing dementia. People who were spoken with are happy with the flexibility the Home offers in regard to meeting personal preferences. For example, what time they got up, go to bed etc. It was of some concern however that staff had not finished assisting people who need more help to get up until 12.30 on the day of the visit. This was discussed with the manager who agreed to review staffing levels and deployment arrangements to ensure no-one has to wait this long in future. It was his view that this was unusual and he will be investigating the reasons why this situation occurred. People are happy with the manner in which their links with the local community are maintained according to their wishes and take account of their capabilities. During the visit a number of visitors were seen in the home, they are clearly welcomed and are able to stay as long as they and the person they are visiting wishes. The visitors book shows regular visits by families, friends and others. People can meet with their visitors in various communal rooms or in their bedrooms. Visitors described how they can visit at any reasonable time and are always made welcome by staff. They also said they enjoyed the social events that take place throughout the year such as strawberry teas and cheese and wine evenings when they have an opportunity to meet staff and management. The manager said he finds these events more useful than formal residents’ meetings. People are supported to manage their own affairs for as long as they wish and are able. People can be confident meals are nutritious and freshly prepared. A new cook has been employed recently and people who were spoken to are very happy with the quality of meals being provided. The cook favours home cooking and baking. Menus are displayed in the dining room. Mealtimes are relaxed; staff are patient and helpful and allow residents the time they need to finish their meal comfortably. There are drinks in the lounges for residents and visitors to have whenever they wish. Hot drinks and snacks are served throughout the day. Barty House Nursing Home DS0000026146.V357904.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 & 18 People who use the service experience good outcomes in this area. People are listened to and are free to offer comment or complaint. They are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People are listened to and are free to offer comment or complaint. One relative who was spoken to following the visit said the manager had been approachable and had taken action immediately when she had raised a concern with him. Residents who were spoken to said they knew who to speak to if they were unhappy. The complaints procedure is available to residents and their relatives. The Home keeps a record is of written complaints received. The Commission has received no complaints about the service since the last inspection. People are protected from abuse through good staff training in the procedures for responding to suspicion or evidence of abuse or neglect. They are further protected through robust recruitment procedures, these include carrying out checks on all staff through the criminal records bureau. The Manager and other staff spoken with have a sound understanding of adult protection procedures. Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 – 26 People who use the service experience adequate outcomes in this area. People are benefiting from the recent improvements in the environment. The ongoing plans for improvement, once completed, will enhance the quality of life for people who live in the home. They are protected from harm by good standards of hygiene and safe hot water systems. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People are benefiting from the continued improvement in the environment. Repairs have been made, new furniture has been purchased and new carpets have been laid in a number of areas. The manager pointed out areas where further improvements will be made in the next few weeks such as new stair carpet and curtains. The planned extension will further improve the quality of life for people when it is intended that the existing building will be completely refurbished. Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 17 Bedrooms seen are attractively decorated and furnished. A number of new beds have been purchased and there are plans to renew others in the near future. The manager confirmed the intention to phase out the use of shared rooms in the future; currently four people share rooms. Storage space for equipment continues to be a problem, with many such items such as lifting hoists still having to be kept in corridors. The potential danger to people of this has been lessened by the simple but effective arrangement of placing hazard signs near them. It is hoped that plans for the new extension and refurbishment and redesign of the existing building will include adequate storage facilities. People are benefiting from the addition of a new shower room, which offers them increased choice. A number of bathrooms are in need of refurbishment, there are plans to address this once the planned extension has been completed. People are protected from risk of infection through good standards of hygiene. Improvements have been made to one of the sluices since the last inspection to bring this area up to reasonable standard to maintain infection control. Hot water systems have been improved and the handyman now tests water temperatures regularly to ensure people are safe and comfortable when using hot water. People benefit from the use of well-furnished and homely communal rooms on the ground floor. The lounge and dining room are spacious and comfortable. The Home is clean and free from unpleasant odours. Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 – 30 People who use the service experience adequate outcomes in this area. People who live in the home are protected through robust recruitment processes. Current staffing levels are being reviewed to ensure people receive consistent, timely care in line with their wishes and preferences. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home and their visitors speak highly of the staff, saying they are friendly and helpful. In the last year there have been substantial changes to the staffing group. A significant number of staff have left or been required to leave. New staff have been recruited and reliance on agency staff is reducing. A number of staff have been recruited from abroad, they are encouraged to enrol on courses at the local college to improve their English and 2 out of the 3 overseas staff have already done so. There were 5 care staff and one qualified nurse on duty during the morning of the visit to care for 24 residents, many of whom require 2 staff to assist them. There was some concern that it took until 12.30 to get everyone up. This was discussed with the manager who is investigating why this situation arose. The manager was advised to conduct a review of staffing levels to ensure levels reflect the degree of dependency of current residents and the difficult layout of the building. Following the visit the manager confirmed this review is Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 19 underway, using a recognised assessment tool, to ensure there are sufficient staff on duty at all times to meet peoples’ needs and ensure everyone is able to get up at a reasonable time of their choice. People are protected through robust recruitment procedures and new staff are required to undertake an induction programme in line with the new induction requirements highlighted on the Skills for Care website. Staff spoken to are clearly committed to providing good care and promoting the well being of residents. They are seeking to improve their knowledge and skills through using opportunities to access additional training. The Manager has updated the staff training matrix used to give a ready overview of staff training needs. Recent staff training includes adult protection, moving and handling, dementia, challenging behaviour, death, dying and bereavement, communication and tissue viability to enable staff to better understand and meet residents’ needs. Three staff files were examined; these were well maintained and up to date. Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 – 33 & 35 – 38 People who use the service experience good outcomes in this area. People can be confident the home is being managed effectively. Quality assurance systems are being implemented to ensure sustainable improvement. The health and welfare of people who live in the home is promoted through safe working practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live in the home can be confident that the way in which the home is now run will generate continued improvement. The new manager has worked hard to address requirements and recommendations from the last report and further work is in progress to sustain and build on the improvements already made. The new manager has the necessary skills, qualifications and experience to run the service. The effective management of Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 21 the home is clearly improving standards of care and has created a relaxed and homely environment for the people who live there. The running of the home is greatly assisted by a very able administrative staff member. People who live in the home and their supporters are involved in decision making processes through informal meetings. Quality assurance questionnaires have been introduced which are sent to head office for analysis the results of which are used to inform future planning. The manager’s office has been relocated to a more readily accessible area of the home. One relative who was spoken to found the manager helpful and approachable, when she had had a concern action had been taken immediately to address this. The manager operates an open door policy and a deputy manager has recently been recruited who is available on the floor. Staff who were spoken to confirmed their confidence in the management of the home. People can be confident that staff are well supervised. The deputy manager is involved in the day to day supervision of staff, regular formal supervision is in place. Staff records seen comply with the Regulations; each file now contains a photograph of the member of staff. People who live in the home are encouraged to manage their own financial affairs or to have assistance from their families or representatives; the home does not hold any cash on behalf of residents. People can be confident their personal information is handled discreetly and promotes confidentiality. People are protected from harm through safe working practices. Staff are diligent in ensuring the environment is safe and clear of harmful substances, they have a sound understanding of emergency procedures. Staff attendance at fire training or participation in fire drills is recorded. The kitchen has been refurbished and the required improvements have been made. Staff undertake food hygiene training or updates within the required timescales. The environment has improved considerably and risk to residents has been reduced due to the ongoing programme of maintenance and renewal and better risk management processes. The Manager provided information within the Annual Quality Assurance Audit to show all maintenance and safety checks are up to date and in order. Barty House Nursing Home DS0000026146.V357904.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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 3 2 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 3 3 Barty House Nursing Home DS0000026146.V357904.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. 1. Standard OP30 Regulation 18(1)(a) Requirement The registered person shall, having regard to the size of the care home, the statement of purpose and numbers and needs of service users ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users;’ In that staffing levels must be kept under regular review taking account of dependency levels and the difficult layout of the building to ensure consistent and timely care. Timescale for action 30/04/08 Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations It is recommended the Manager proceeds with the planned implementation of person centred care planning to ensure the emotional, social and spiritual needs of residents are recognised and care is provided in line with their wishes and aspirations. It is recommended that, wherever practical, residents or their representative sign their care plans as evidence of their involvement in the writing of the plan and their agreement to its contents. is recommended the provider proceeds with the planned implementation of refurbishment of the premises and builds on the improvements already achieved. Adequate storage space should be included in future plans. 2 OP19 Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Barty House Nursing Home DS0000026146.V357904.R01.S.doc Version 5.2 Page 26 - 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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