Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 17/08/06 for Benedict House Nursing Home

Also see our care home review for Benedict House Nursing Home for more information

This inspection was carried out on 17th August 2006.

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

The inspector 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 retained a consistent staff team for a number of years. This provides a consistency of care and greater team working. Relatives expressed this during the inspection and within comment cards returned. Staff consistency was not only in relation to the care team but the administrator and provider. It was evident that money is invested in the home not only on furniture and fittings but staffing as well. Bedrooms had been refurbished to a good standard.

What has improved since the last inspection?

There has been a new standard of care plan documentation introduced. The content of this provides a comprehensive framework to address all of the residents` needs and includes cross-referencing information from the supporting risk assessments . There is new Manager starting 4 September 2006 which, it is hoped, will bring a strong sense of leadership to the home.

What the care home could do better:

Within some of the records it was noted that residents had included in information on their diagnosis reference to dementia. The inspector is aware that some of these residents had been in the home for some time, however, staff are reminded that the home is registered for Older People only and must not admit outside of this category. Staff training needs to be improved upon including the statutory training. Staff need to have regular updates on statutory topics. In addition training relevant to the conditions of the residents nursed within Benedict should be addressed including Dementia, as this was evident within the resident group.

CARE HOMES FOR OLDER PEOPLE Benedict House Nursing Home 63 Copers Cope Road Beckenham Kent BR3 1NJ Lead Inspector Miss Rosemary Blenkinsopp Unannounced Inspection 17th August 2006 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 Benedict House Nursing Home DS0000010127.V303102.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. Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Benedict House Nursing Home Address 63 Copers Cope Road Beckenham Kent BR3 1NJ 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) 020 8663 3954 020 8658 1337 Sunglade Care Ltd Vacant Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Staffing Notice issued 17 January 2000 Date of last inspection 21st February 2006 Brief Description of the Service: Benedict House is a large detached building situated in a residential area of Beckenham. It is near to local town facilities, and is easily reached by public transport. The home is an older building, and is suitable for the nursing care of older people. The home’s owner lives in the vicinity, but he does not oversee day-to-day control of the home. Management is carried out by “andmedia care”, who have done so for approximately two years . Accommodation is on four floors (lower ground, ground, first and second floors), and there are bedrooms situated on each floor. Access to all floors is facilitated by a passenger lift. There is a mixture of single and shared rooms, and some have en-suite toilet facilities. There are communal areas on the ground floor and lower ground floor, as well as smaller quiet areas on the first and second floors. The activities room on the lower ground floor leads out through patio doors to a small garden, which is enhanced by a patio area and tubs of flowers. Parking is provided to the front of the building. Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted unannounced by one inspector. At the time of the inspection there were 35 residents on site with one in hospital. There were two qualified staff on duty who assisted the inspector. Mrs Barden, who is part of the management company, arrived mid morning and assisted the inspector, whilst the administrator provided all items requested. All staff were friendly and helpful throughout the day. Currently there are 45 bedrooms in use as some of the double rooms have been converted to single with ensuite facilities. The home has significantly improved since the inspector last visited some time ago. The environment was to a good standard with items of equipment, specialized beds hoists and lifting equipment all available. Redecoration, new carpets furniture and fittings have made a significant impact on the living accommodation for residents and staff working in the home. Those residents and relatives with whom the inspector met were positive about the home, staff and treatment that they received. Comment cards, which were received after the site visit, related mainly favourable comments. Within one comment card there was information relating to delayed attention to residents’ needs, which was related to the acting manager. Records, which were inspected, were generally satisfactory. What the service does well: The home has retained a consistent staff team for a number of years. This provides a consistency of care and greater team working. Relatives expressed this during the inspection and within comment cards returned. Staff consistency was not only in relation to the care team but the administrator and provider. It was evident that money is invested in the home not only on furniture and fittings but staffing as well. Bedrooms had been refurbished to a good standard. Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. The quality rating in this section is adequate. This is based on all information including the site visit. The Statement of Purpose and Service Users Guide were available within the home. Assessments of prospective residents are conducted by senior staff within Benedict House, however comprehensive information from all multi-disciplinary team members should be obtained prior to admission. EVIDENCE: The home is registered for up to 48 residents in the category Old Age – not falling within any other category. The inspector viewed pre-assessment information for two residents with whom the inspector had met during her tour. Both residents had a level of confusion, which led the inspector to look at their admission information. Both residents had in place an assessment conducted by a senior nurse in the home. One lady had been admitted June 2005 with a history of falls and a fracture; in addition her diagnosis included Dementia. The assessment conducted by the home identifies her activities of daily living including the assistance that she required. There was no comprehensive assessment of her Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 9 level of Dementia and the presenting problems arising from this. Included in the admission information was a hospital discharge letter which also stated the resident had “ Moderate Dementia “. The resident’s individual contracts both with the home and the funding Authorities, were in place located separately from the main documentation. The Statement of Purpose and Service Uses Guide were both available. Other information such as the care manager’s assessment, multidisciplinary reports, evidence of trial visits and information provided prior to admission was not available. In the second assessment and care plan records, it detailed that this resident had had a left-sided stroke, was blind and again Dementia was stated. This resident had been admitted 2003 however the assessment sheet did not include the signature or the date of completion. As with the first assessment information evidence of other information was not in the file. Whilst the inspector accepts that both of these residents had physical health needs, which led to their admission, the diagnoses of Dementia should have led staff to further explore the extent of the condition and its presenting problems. In general, if the physical health issues outweigh the mental health issues then consideration can be given as to whether to admit or not. This would be in discussion with the CSCI. It would be expected that comprehensive information is obtained prior to any admission and where possible, trial visits organised in order to obtain more information. Please see requirement 1. Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 The quality rating in this section is adequate. This is based on all information including the site visit. Health and personal care are provided by the staff team and with input from the local multi-disciplinary team. Progress has been made on care plan documentation, however, this needs further input into its application by staff. EVIDENCE: The home has purchased a lot of equipment to meet residents’ needs. Each floor has lifting equipment and a new hoist had recently been purchased. Staff routinely used the hoist and residents seemed not to object to this. It was noted that several residents, whilst in their rooms, were sat in wheelchairs, even though easy chairs were available. This should be monitored as not only can this be uncomfortable, but it can cause damage to skin and bony prominences. This needs to be reviewed. Mrs Barden, together with staff in the home, has worked hard to develop a new care plan format. These have been introduced for all residents; the transferring of information is proving very time consuming. The new care plan format is laid out in an easy to use document, which includes all necessary information pertaining to the resident. The inspector was able to access Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 11 information quickly and easily even though it was the first time she had used it. The inspector followed through the two residents whose admission information had been viewed. Care plans included photographs of residents. The elements of the care plan covered all activities of daily living in a standard format. The care plans would then be tailored to address the individual’s needs. In addition, supporting risk assessments were in place including a general risk assessment and those relating to manual handling, nutrition, skin integrity and falls. The items outlined in care plans had review dates in place. The content of the interventions required to address the problems were reasonably well completed. The care staff and the RGNs complete daily events separately. These must have full staff signatures in place not just first names. Appointments through the multidisciplinary team i.e. optician, dental etc, are recorded although retained separate to the care plans. Within the daily events reference to multidisciplinary visits are recorded. Favourable comments were received from the GP in respect of staff communication and the level of knowledge regarding residents needs. Some of the standard problems had been completed with a detailed care plan even though there was no perceived issue in this area. One example of this was under the heading “communication”, on which one care plan had stated “speaks fluent English”, with a number of stated interventions to address this. This resident did have a problem with communication because of her level of confusion but it was not the fact that she spoke fluent English. Staff seem to be using the forms literally and further training is required in order that the care plans are used correctly to address residents needs. The supporting risk assessments for this resident identified high risk in several areas, and were reviewed routinely on a monthly basis. More monitoring is required when areas are identified as “at risk”. Three fluid charts inspected were incomplete without totals and some without any entries for long periods. It was evident from one care plan, within the daily events records, that the resident was abusive both physically and verbally. A care plan was in place to deal with her confusion, however specific information is required for staff to enable then to deal consistently and effectively with physical and verbal abuse. The staff in the home must be able to address al of the needs of the residents. In the event residents are unmanageable a review of the placement must be undertaken. Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 12 The second care plan was in similar vain although ,in this case where issues had been identified through the nutrition risk assessment, these had not then been addressed through the care plan. This lady had a high risk of being nutritionally compromised, however there was no documentation in respect of the action taken. The medication systems were inspected with the assistance of the RGN on duty. Generally the records were to a reasonable standard with resident photographs and a list of their individual allergies attached to the front the file, as well as in most cases, on the Medication Administration Chart (MAR). There was no overstocking noted and the medication trolley was tidy. Those medications checked were in date. Two residents are receiving Temezepam which the home records and stores as a Controlled Drug. The records were accurate and the amount correct. One resident was noted to be refusing her medication for the last eighteen days. This lady was also refusing food and fluids. In the event that medications are not administered as prescribed by the GP then this should prompt a review. The inspector was advised that the GP was fully aware of the situation. The inspector recommended that all medications prescribed “ PRN” need to have full instructions, including maximum dose, reason for medications, and where applicable duration. Hand transcriptions of medications should have two staff signatures in place to confirm the accuracy of the information recorded. Please see requirements 2 and 3. Please see recommendation 1. Benedict House Nursing Home DS0000010127.V303102.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15, The quality rating in this section is good. This is based on all information including the site visit. Routines do exist within this home because of the level of dependency of the residents, however, there is flexibility within the day. Residents were seen to have choices provided; visitors were in the home at various times throughout the day and visiting residents in private. EVIDENCE: During the course of the morning the inspector observed many residents spent time in their bedrooms some in the first floor lounge. They either had their TVs on or radios. Newspapers were available and visitors were in. The inspector met with several visitors who were in the home throughout the day from early morning until late afternoon. All related favourable comments regarding the home the staff team, and the care that their loved ones received. One female resident was waiting for her daughter to take her out for lunch. She was orientated and well able to talk to the inspector. On asking what her treatment was like in the home her response was “I can assure you that I am well looked after “. She advised the inspector that her daughter visits frequently as she lives local to the home. The inspector met with her daughter who confirmed she visits frequently and is always made welcome. Staff she felt were caring. More importantly she was impressed by the consistency of the staff team which had not been her experience previously. She was satisfied her mother was well looked after and always appeared happy. Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 14 Two other visitors advised the inspector that they too visit very regularly and had found everything to be satisfactory. They commented upon the recent garden party, which was well attended. They particularly liked the singer “who sang 75 old tyme songs “. This was well attended by relatives. During lunch it was noted that two hot choices of food were served. Staff assisted residents to eat. Plate guards and adapted cutlery were in use. Juice, napkins and table decorations were all available. After lunch a music to movement session was organised with an external facilitator. Residents participated from their chairs in gentle exercise to music. In the kitchen all areas were clean and tidy. There was evidence of fresh fruit and vegetables and a good supply of frozen and tinned foods. The two staff in the kitchen were both undertaking the intermediate certificate in food handling through Croydon College. They confirmed that they had completed Basic Food Hygiene. The overhead cooker hood looked greasy and was said to be in need of repair. This needs to be addressed. Benedict House Nursing Home DS0000010127.V303102.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The quality rating in this section is adequate. This is based on all information including the site visit. Information is provided on how to make a complaint. Procedures relating to abuse are available although amendments are needed. Staff had some knowledge of the adult protection procedures. EVIDENCE: The compliant information was available in the hall and contained details of the CSCI. The CSCI have received no complains regarding this service since the last inspection. There has been one adult protection investigation, which was concluded satisfactorily. Within the homes own complaints log the last one recorded were dated 5/01/05.The complaints record provides information on the compliant the action taken and the outcome. There should be a statement added to detail whether the compliant was satisfied with the outcome. The home has an adult protection procedure, within which the information was clearly laid out, although this needs local external contacts to be added. The inspector met with three staff and discussed adult protection matters. They had an understanding of the topic although demonstrated a limited knowledge in respect of external bodies for reporting such matters. All staff should have their knowledge of such matters refreshed including reporting mechanisms. The home is in the process of developing a local whistle blowing procedure. Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 16 Two residents’ monies were checked and found to be correct. Balance sheets were in place and receipts available for expenditures. Please see requirement 4. Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 The quality rating in this section is good. This is based on all information including the site visit The home is well maintained in a comfortable homely manner. Significant improvements have been made to residents’ communal and individual accommodation. EVIDENCE: The home has significantly improved in the two years since the current management company took over. All areas of the home were clean, tidy and odour free. Communal areas were homely and domesticated with comfortable seating and surrounds. Areas were nicely decorated with curtains and soft furnishings in place. Some of the double bedrooms have been refurbished to provide single accommodation with ensuite toilets and wash hand basins. Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 18 Bedrooms were personalised. One newly admitted resident had a large collage of family photographs as well as many other personal items. Call bells were in reach and fluids available. Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 The quality rating in this section is adequate. This is based on all information including the site visit. Staff are provided in sufficient numbers however with the increasing dependency staffing levels must be kept under review. Recruitment procedures are satisfactory. Training in mandatory and specific residents related topics, needs to be improved upon. EVIDENCE: The staffing in the home includes two qualified nurses during the day time period and one during the night. Carers and ancillary staff support the nurses in providing care. One comment card related that staff have been reduced recently. Staff themselves felt that there was sufficient numbers, and qualified staff only undertake duties within their role. This allows time for qualified staff to oversee the care supervise staff whilst updating and reviewing documentation. The inspector met with four staff two qualified and two care staff. Generally they felt that they were provided with enough staff and equipment to undertake the work. Two recently appointed staff confirmed a supernumerary induction period of four days. One staff did comment that because of dependency, more staff were needed as some residents need a lot of attention. Discussion with staff supported that some training is provided although more training was said to be needed. Within the pre-inspection questionnaire it was noted that manual handling, COSHH and first aid had taken place within the last twelve months for some staff. Proposed training included wound care , diabetes and stroke management. The inspector noted that to date there had Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 20 been little training on specific care of the elderly topics, whilst some mandatory training needs to be updated at regular intervals. Supervision was said to be every six months by the Acting Manager. Supervision covered working in the home, residents and identified training needs. Six staff have completed NVQ 2 and one of these staff members has completed NVQ 3. In addition two other staff are in the process of undertaking NVQ 2. Four staff files were inspected of those staff with whom the inspector had met. The personnel files were generally to a good standard with CRB’s, references term and conditions and identification checks in place. Confirmation of NMC pin numbers are undertaken using the on line service. One file had one verbal reference only noted in the file. Please see requirement 5. Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 The quality rating in this section is adequate. This is based on all information including the site visit. Records confirming regular servicing of equipment were in place. Auditing in relation to quality assurance measures are undertaken although these could be expanded upon. EVIDENCE: Currently the home is without a permanent Manager, this has been the case for several months. There has been a new Manager appointed who is due to start work 4 September 2006. As an interim measures the Acting Manager has, with the support of Mrs Barden, managed the home. The records in respect of fire procedures and servicing of the equipment were inspected. The fire risk assessment was dated January 2006.The fire certificate indicated quarterly servicing of the system and was dated 13/7/06. Extuinguishers were serviced 22/8/06. Weekly alarm tests and monthly escape route checks are conducted. Fire drills were recorded as having taken place Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 22 November 2005 and July 2006, where eleven staff attended. All staff must have regular updates in fire procedures. It is recommended that night staff have training four times a year, and day staff twice a year. Training should include all staff in the home, including ancillary, temporary and bank workers. The gas certificate was dated 22 August 2006 and forwarded after the inspection. Stickers confirming PAT testing were in place for portable electrical items. The five-year electrical certificate was valid up until October 2006 .the lift had been services May 06. Stickers confirming the LOLER inspection were dated 31/07/06. Two staff have completed the four-day first aid course and eight the one-day course. Regulation 26 visits are conducted and reports forwarded to the CSCI. Audits in respect of the pharmacy were conducted by the supplying pharmacist. The last audit was dated September 2005. Minutes of staff meeting were seen for June 06 and January 06. A further staff meeting is planned once the new Manager has taken up post. The last residents meeting were dated January 06. Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 2 3 x x X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 24 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 OP3 Regulation 14 Requirement The Manager must ensure that only residents within the registration category are admitted. The Manager must ensure that all care plans are fully reflective of residents’ individual physical, physiological and social needs. Supporting documentation must be relevant and updated. This is now outstanding Previous time frame for action 31/05/06,this is now outstanding. The Manager must ensure that all instructions relating to medications, including “as required” medications are fully documented. The Manager must ensure that all staff are conversant with adult protection and whistle blowing procedures including referral to external bodies. Timescale for action 30/09/06 2 OP7 15 31/12/06 3 OP9 13 30/09/06 4 OP18 13 30/09/06 Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 25 5 OP30 18 The Manager must ensure that staff are trained both in mandatory topics which need to be updated regularly and those topics specific to residents’ needs. 31/12/06 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 OP9 Good Practice Recommendations The Manager should ensure that all medications which are hand transcribed have two signatures in place to confirm the accuracy of the information recorded . Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Benedict House Nursing Home DS0000010127.V303102.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!