Inspection on 22/08/07 for Belle Vue Nursing Home

This inspection was carried out on 22nd August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Belle Vue Nursing Home 03/10/06

Belle Vue Nursing Home 03/11/05

Belle Vue Nursing Home 07/06/05

Belle Vue Nursing Home 21/09/04

Belle Vue Nursing Home 15/04/04

Belle Vue Nursing Home 26/01/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Belle Vue Nursing Home 26a Belle Vue Grove Middlesbrough TS4 2PX Lead Inspector Katherine Acheson Key Unannounced Inspection 10:00 22nd August and 12 September 2007 th 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 Belle Vue Nursing Home DS0000000146.V348737.R02.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. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Belle Vue Nursing Home Address 26a Belle Vue Grove Middlesbrough TS4 2PX 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) 01642 852324 Belle Vue Healthcare Limited Dr Dilip Basant Acquilla, Mrs Sushma Acquilla Mrs Dorothy Matthews Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability (0) of places Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The Manager (Mrs Dorothy Matthews) should attain a relevant Management qualification by 2005. To allow a maximum of 6 named service users, who are under the age category to reside in the home. To allow a maximum of 10 service users, with a physical disability who are 50 to reside in the home. 3rd October 2006 Date of last inspection Brief Description of the Service: Belle Vue Nursing Home is registered to provide personal and nursing care to sixty residents. The home is situated on Belle Vue Grove in Middlesbrough, and is close to all Local amenities and shops. The home is a two storey, modern, purpose built facility providing accommodation in the form of fifty-six single bedrooms and two double bedrooms. All bedrooms have ensuite facilities, which comprise of a toilet and hand washbasin. All bedrooms meet the required amount of space. The home offers a large dining area and a number of lounges. Belle vue is set in grounds, which are accessible to residents, and provides car-parking facilities for visitors. The cost of care at the time of the inspection visit (depending on the category of care) ranged from £368 to £468 per week. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection of the home was carried out over two days, the 22nd August and 12th September 2007. On the first day of the inspection the Inspector arrived unannounced. The Manager of the home was aware of the second day of the inspection. On the 22nd August 007 the Inspector arrived at 10am and left at 4:05pm. On the 12th September 2007 the Inspector arrived at 10:15am and left at 1:40pm. The reason for the inspection was to see how good a job the home does in meeting the National Minimum Standards set by the government for Care Homes. Six residents, three relatives, two Care Assistants and a nurse were spoken to during the visit. Lengthy discussions also took place with the Manager. Numerous records including care plans, menus, complaints and staff recruitment and training records were examined. The Inspector walked around the home with the Manager. The details of any issues identified at this inspection requiring action are to be found at the back of this report. Before the inspection fifteen comment cards for residents and fifteen comment cards for relatives were sent to the home for the Manager to distribute accordingly. Comment cards requested feedback on the service and staff provided. Four resident and ten relative comment card were returned to the Commission for Social Care Inspection. Comments received can be read within the report. The findings from the inspection were that the home provides a good service with most of the National Minimum Standards being met. What the service does well: The home provides a pleasant, comfortable and well maintained environment for residents. A good standard of care is provided and residents are happy. Residents, relatives and comment cards received stated, “The care staff are brilliant” “The facilities are excellent and the staff are great” Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 6 “All the staff are very caring and compassionate” “The nursing care is excellent” Care plans are detailed and contain information about the help needed by the resident. A Physiotherapist visits the home on a weekly basis. The Physiotherapist sees and assesses the mobility of all new residents routinely and also provides treatment to others. Mealtimes are enjoyable with care staff providing good support and encouragement to those residents who need help. Residents were protected by the homes complaint’s, safeguarding and recruitment procedures. What has improved since the last inspection? What they could do better: All requirements identified at the last inspection with the exception of one have been addressed that being the teatime menu is very repetitive with most evening’s soup and sandwiches being on the menu. The Manager acknowledges the need for review of the menu, however said that it had been difficult due to staff shortages in the kitchen. Daily social activities and outings have not been happening as much as they have in the past. The home has been without an Activity Co-ordinator for some time and as such relied on care staff when time allows to arrange and take part in activities. The Manager acknowledges the need for activities to ensure that residents are stimulated and enjoy life within the limitations of their disability. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Belle Vue Nursing Home DS0000000146.V348737.R02.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 Belle Vue Nursing Home DS0000000146.V348737.R02.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): Standards assessed 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments of prospective residents are carried out to ensure that the home can meet their needs. EVIDENCE: Before going into Belle Vue Nursing Home, residents are assessed by a Social Worker or health care professional. A copy of this assessment is forwarded to the management of the home so that a judgement can be made to see if needs can be met. Staff at the home then carry out their own pre-admission assessment either visiting the person in their own home or at hospital to ensure that the needs of the resident can be met at Belle Vue Nursing Home. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 10 The Manager said that prospective residents and their relatives can visit the home at any time to have a look round, no appointment is necessary. One resident spoken to during the visit said, “As soon as we came to see this home we knew it was right because they were so friendly”. Two residents files were looked at during the visit, both of which contained a detailed assessment of needs and evidence of personal choice. Belle Vue Nursing Home does not provide intermediate care so standard 6 is not applicable to this home. Belle Vue Nursing Home DS0000000146.V348737.R02.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): Standards assessed 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that residents receive is based on their individual needs. Care plans are detailed, which will help to ensure that resident’s needs are met. EVIDENCE: Two plans of care were looked at during this visit both of which contained detailed information about the resident and the help they needed. One plan of care was that of a resident who had complex care needs and spent most of the day being cared for in bed. Staff had carefully recorded how the resident should and liked to be positioned which is particularly important for comfort, wellbeing and to prevent pressure damage. Assessments were informative. Likes, dislikes and personal preferences were recorded and care plans showed clear evidence of choice. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 12 Care plans showed evidence of regular visits from G.P’s, District Nurses, Dentists, Opticians and the Chiropodist. The Manager said that the home has a Physiotherapist that visits every Wednesday. The Physiotherapist sees and assesses the mobility of all new residents routinely and also provides treatment to others. An example being at the time of the inspection the Physiotherapist was providing treatment to a resident who had a chest infection. Care plans were reviewed on a monthly basis and commented on any deteriorations or improvements made by the resident. Residents are treated with respect and their privacy and dignity is maintained. Care staff spoken to during the visit were able to give examples of how they treated residents with respect whilst ensuring privacy and dignity. Care staff demonstrated an in depth knowledge of the people they were caring for. Care plans are kept in resident’s bedrooms so that they can read them at any time. One residents and their relative were keen to show the plan of care to the Inspector. Six residents, three at length and three briefly, were spoken to during the visit, comments made included, “I love it. It is a very good home” “The Care staff are brilliant” “It’s smashing anything you want on the end of my buzzer” “The staff are great we have some good laughs” “I feel safe here I have the light on all night and they come in and check on me”. Comment cards received from residents and relatives stated, “Overall care is very good” “Nursing staff are spot on” “The response to the bell for assistance could be better” “We couldn’t ask for a better care home” “This home has restored her dignity and treats her with respect” Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 13 During the inspection arrangements for receiving, storing, administering, recording and disposing of resident’s medication were observed and examined. Nurses working at the home are responsible for giving residents their medication. During the visit a medication audit of one of the residents files sampled during the inspection was carried out. Medication administration charts had been completed correctly and the stock balance of medication belonging to the residents was correct, matching up with medication ordered, received, administered and remaining in the home. Medicines were stored appropriately. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 14 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): Standards assessed 12, 13, 14 and 15 Quality in this outcome area adequate. This judgement has been made using available evidence including a visit to this service. Residents are able to make choices about their lifestyle and contact with family and friends is encouraged. Recreational activities do not currently meet all residents’ expectations to ensure residents are fulfilled. EVIDENCE: On the first day of the inspection discussion with the Manager, residents and staff identified that social and recreational needs have not been catered for as well as they have been in the past. The Manager said that the home has been without an Activity Co-ordinator for some time and as such relied on care staff when time allows to arrange and take part in activities. Activities mentioned included bingo and arts and crafts. Residents have had a bus trip out to Peter Barratts garden centre for a look around and a coffee and also enjoyed a trip to Redcar. Some residents also enjoyed a visit to Billingham Forum to see the Minstrel Show. On the second inspection visit to the home the Manager advised that a new Activity Co-ordinator had been appointed and started working at the home. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 15 The Activity Co-ordinator is in the process of getting to know residents and finding out what activities and outings they would like to take place. On walking into the home it was noted that there were a big display of homemade cards for all occasions. The Manager advised that one resident living at the home had made all of the cards and that all profits made go into the resident’s funds. Another resident who used to give accordion lessons before coming into the home is still doing so for three of her longstanding pupils. Residents interviewed spoke of flexibility in routine and freedom of choice The home encourages and supports those residents who are able to go out independently. Three residents residing at the home regularly go out alone to the local shops and town centre. Residents, relatives and comment cards received stated, “I went to see the Minstrels it was lovely” “They entertain you we play bingo” “I reminisce a lot I don’t get bored” “Residents would benefit from getting out more” “I would like to see more outings planned. I would like to see residents encouraged to do more” “She usually sits in her room with a TV running that she does not watch, where’s the quality in that?” Contact with family and friends is encouraged and that visitors are made to feel welcome at any time. The Manager said that the home supports residents to practice their religion. She advised that representatives from the local Church of England Church visit on a regular basis. The home does not have any one from the Roman Catholic Church visiting the home. One resident spoken to during the inspection said that before coming into the home they would visit the local Roman Catholic church on a regular basis and receive communion, however since coming into the home has not been able to do so. This was pointed out to the Manager at the time of the inspection that said that she would take action to address the situation. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 16 The lunchtime of residents was observed. Mealtime was relaxing with residents enjoying the food provided. Food served was well presented. Staff were sitting and helping those residents that required support or feeding at mealtime. One carer was observed to be giving encouraging prompts to a resident who required support to eat independently whilst another carer asked one of the residents to sing her a song. The lunchtime menu on the day was roast chicken, stuffing, potato and vegetables or omelette. It was highlighted at the last inspection that lunchtime menus were wholesome and showed variety, however teatime menus were repetitive with many teatimes being soup and sandwiches. It was disappointing to see that little or no improvement had been made to reviewing the teatime menu. The Manager advised that this had been difficult to review menu as the cook had left. The Assistant Chef has been promoted to Head Chef, which left a vacancy, which the home had been unable to fill until recently. A brief discussion took place with the Head Chef during the inspection that advised that he has plans to review the teatime menu in the very near future. Menus are to be changed to include options like panaculty and bacon buns. Residents spoken to said, and comment cards received stated, “The food is lovely, we get a lovely dinner” “Nearly every teatime we get soup and sandwiches, I like jacket potato” “The food is usually good” “More variation of food at teatime most nights we get sandwiches or soup” “They work hard in the canteen” Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 17 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): Standards assessed 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives are able to express their concerns. Staff are aware of procedures to follow if abuse is suspected which helps to protect residents. EVIDENCE: The home has a complaint procedure, which has been updated to inform residents/relatives of their right to complain to any commissioning authorities such as the Primary Care Trust or Social Services. Residents spoken to during the inspection and comment cards received stated that they would feel comfortable in raising and concern or making a complaint to the staff or management of the home. One resident spoken to during the visit said, “If I have any problems I can speak to the Matron straight away”. The home keeps a record of complaints. There have been two complaints in the last twelve months. The home has an adult protection policy and a copy of the Teeswide Guidance regarding the protection of vulnerable adults. Adult protection training is provided to staff working at the home. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 18 Staff spoken to during the inspection were aware of procedures to follow if abuse is suspected. There have been no referrals to adult protection within the last twelve months. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 19 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): Standards assessed 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is good providing the people who live there with and attractive, homely and comfortable place to live. EVIDENCE: Belle Vue Nursing Home is a two storey, modern, purpose built facility that can provide accommodation to a maximum number of sixty residents. There are fifty-six single bedrooms and two double bedrooms, however double bedrooms are currently being used for single occupancy. All bedrooms have a toilet and hand washbasin. There are a number of lounge areas and one large dining area. The home is well maintained with furniture provided in both communal areas and bedrooms being of a good standard. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 20 The Inspector walked around the home with the Manager. Residents are encouraged to personalize their bedrooms. Although furniture is provided many of the bedrooms contained residents own furniture that they had brought from home to make their room more homely. The Manager said that re-decoration and replacing carpets is an ongoing process. Some rooms were observed to be in the process of re-decoration during the visit. The home has a policy in respect of control of infection. Staff spoken to during the inspection said that there was always a plentiful supply of protective clothing. On the day of the inspection the home was clean and odour free Appropriate laundry facilities are in place. In a survey one relative commented, “Laundry facilities are excellent”. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 21 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): Standards assessed 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff at the home are trained and skilled to meet the needs of people living at the home. EVIDENCE: At the time of the inspection there were fifty-one residents living at the home. The homes duty rota showed that there were eight to nine Care Assistants on duty between the hours of 8:00am and 2:30pm, seven to eight Care Assistants on duty 2:30pm to 9:15 pm and four Care Assistants on duty during the night. In addition there are two trained nurses on duty during the day and night. The Manager of the home, who is also nurse, is supernumerary and as such works in addition to the staff numbers above. 54 of Care Assistants working at the home have now achieved an NVQ level 2 in care. The homes recruitment procedure is robust. The files of two newly appointed staff were looked at during the visit. Evidence was available to confirm that Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 22 appropriate Criminal Record Bureau checks are carried out before staff start working at the home. Files examined contained all of the required information including, proof of identity and two references. The gap in employment for one staff member had been verbally explored and with the reason being documented on file. It was observed that the homes reference request does not ask the referee to confirm dates of employment, which would also enable gaps in employment to be confirmed and explored. Records were evidenced to confirm that all newly appointed staff receive induction training; the Manager said that this has recently been updated to meet with current induction standards as set by Skills for Care. Records were available to confirm that regular training is provided to staff working at the home, this included, Moving and handling, fire, abuse training, and food hygiene. Residents, relatives and surveys received in general spoke highly of the Manager and staff team comments made included, “Most carers are dedicated” “Qualified staff are always on duty to deal with medical issues” “All the staff are very caring and compassionate. They are sensitive to my mum’s needs”. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 23 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): Standards assessed 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the residents. Resident’s personal monies are safeguarded by the home’s procedures. The health, safety and welfare of residents and staff is promoted and protected. EVIDENCE: The Manager is a Registered Nurse who has worked in the nursing and social care environment for many years. The Manager advised that she completed her NVQ level 4 in Management over a year ago, however as yet has still not received her certificate. She advised that action is being taken to obtain the certificate and that she will forward it as soon as it is received to the Commission for Social Care Inspection. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 24 The Manager has attended a number of training courses during the last twelve months, training courses attended have included fire awareness, Reducing falls in care homes, anaphylactic shock and moving and handling. Residents, relatives and comment cards received in general spoke highly of the Manager and staff team. Comments made included, “The nursing care is excellent” “The Matron is very approachable” “This care home is the most caring” The Manager said that quality assurance and quality monitoring practices are in place. Surveys are sent out to residents on a yearly basis to see if they are happy with the home and care that is provided. The Manager advised that if residents are unable to complete questionnaires then relatives are asked to complete on their behalf. The results are published and made available to residents and relatives on request. The home looks after small amounts of money belonging to some residents. Appropriate records of transactions are kept. A sample of health and safety records were examined and were found to be in order. Records were examined to confirm that the Gas boilers and fire extinguishers had been serviced within the last year. The Manager said that a rolling programme of servicing of appliances and equipment is in place. Water temperatures in resident areas are taken and recorded on a weekly basis. One average weekly tests of the fire alarm system are carried out to check that the system is in good working order. The Fire Officer visited the home in May 2007 and advised of some fire precautions that must be carried out. The Manager said that all work required had been carried out. Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 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 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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 OP15 Regulation 16 Requirement The Registered Person must consult with residents and review the teatime menu to ensure a varied menu is available. Previous timescale for action of 30th October 2006 not achieved Timescale for action 30/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP31 Good Practice Recommendations The Manager should provide evidence of completion of her NVQ Level 4 in Management The homes reference request should be updated to ask the referee to confirm dates of employment. This would enable gaps in employment to be confirmed and explored to ensure better protection for residents receiving care. 2 OP29 Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Belle Vue Nursing Home DS0000000146.V348737.R02.S.doc Version 5.2 Page 28 - 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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