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Inspection on 19/04/06 for Benton House Nursing Home

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

This inspection was carried out on 19th April 2006.

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 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

Staff clearly knew the individual residents well. Their interactions were both skilful and professional as they worked to occupy and meet each individuals needs. Staff were both heard and observed to offer individual residents choices of meals, drinks and activities. The manager and staff had completed a number of training courses and were committed to developing their level of skill and knowledge. Records were maintained professionally and overall to a high standard.

What has improved since the last inspection?

The system of care management continues to develop and evolve. The home`s manager and deputy manager continue to demonstrate their commitment to training and development of their care team. This is reflected in the quality of service and care provided. Staff personal development plans and supervision are proving beneficial for both the staff members and the service users in their care. There has been some redecoration and provision of carpets and furniture.

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Benton House Nursing Home Gattison Lane Rossington Doncaster South Yorkshire DN11 0NQ Lead Inspector Ian Hall Key Unannounced Inspection 08:20 19th April 2006 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 Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 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. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Benton House Nursing Home Address Gattison Lane Rossington Doncaster South Yorkshire DN11 0NQ 01302 864979 01302 863435 bentonhouseNH@aol.com 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) Union Healthcare (North) Limited Susan Carol Bennett Care Home 36 Category(ies) of Dementia - over 65 years of age (36), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (36) Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That Mrs Bennett acquires the relevant management qualification in line with the National Minimum Standards (Older People) That Mrs Bennett acquires training on mental health nursing. A maximum of three persons between the age of 60 years and 65 years may be accommodated to receive Nursing Care or Residential Care, be accommodated in the categories DE(E) and MD(E) within the total of 36 registered beds. 12th October 2005 Date of last inspection Brief Description of the Service: Benton House Care Home is situated in the village of Rossington near Doncaster. It is within reach of local shops, a post office, church and other local amenities. The home is registered to provide both nursing and personal care for up to 36 service users in the category of older people with dementia and mental disorder. Fees range from £410.00 to £450.00 plus the free nursing care component as of 1st April 2006. Additional charges are levied for hairdressing, chiropody, toiletries and newspapers etc. Benton House is an extended detached house. It provides its accommodation on two floors. There is a passenger lift to facilitate access between floors. The communal areas are located on the ground floor and comprise two lounges, a smoker’s room and a dining room. The kitchen and laundry facilities and office are also found on the ground floor. There is a garden at the rear of the building with limited parking available at the front of the building. Information about the home and services available is detailed within the homes Statement of Purpose and Service User Guide. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a 2day period with a total of 14 hours being spent at the home. As part of the inspection the inspector spoke to 10 service users, three relatives, 8 staff, the homes manager and area manager. Three residents care files were “case tracked” and the associated records checked. The inspector toured the home. Mrs J Wilkinson CSCI joined the lead inspector for 2 hours during the second day of inspection to familiarise herself with Benton House and lack of progress of the company towards providing service users with minimum environmental standards in accordance with the Care Standards Act 2000. All people spoken with were open and happy to provide comment to assist with the inspection process. Comments received were very positive describing the motivation, care and commitment of the staff team. The service provided was described as good overall. Feedback of the findings was given to both the manager and area manager before the inspector left the home. What the service does well: Staff clearly knew the individual residents well. Their interactions were both skilful and professional as they worked to occupy and meet each individuals needs. Staff were both heard and observed to offer individual residents choices of meals, drinks and activities. The manager and staff had completed a number of training courses and were committed to developing their level of skill and knowledge. Records were maintained professionally and overall to a high standard. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: There had been little work undertaken to remedy the extensive list of requirements made following the inspection in October 2005. The building remains in a poor state of repair and décor with persistent odours emanating from armchairs and other identified areas within the home. The internal facilities require decorating, there is a general lack of improvements which give a poor impression of the service. All areas are in need of improvement or upgrading. The area manager was given feedback at the time of this inspection to the extent of what was required to bring the home back up the required standard The building was described by relatives as needing repair and decoration. Relatives were unhappy that armchairs without seating cushions that had odours had not been replaced or repaired. Bedrooms need to be brought up to the national minimum standards. They lack items of furniture, electrical sockets. Many have worn carpets, broken furniture, worn beds and mattresses and exposed hot water pipes. Lockable personal storage was not available for all service users. One bathroom had a broken side panel that was a risk to service users. The deputy manager locked the door and removed the facility from use immediately. Bathrooms over all require up dating The laundry area is cramped, poorly ventilated, unheated with a steep unguarded ramp and unsuitable floor covering that requires risk assessment. The maintenance, refurbishment and redecoration need to be prioritised and demonstrated within an annual action plan. An external staircase fire exit has had an additional wooden gateway provided that is not on the fire Service site plan, this needs to be removed or a suitable alternative approved by the fire officer. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 7 Health and Safety risk assessments and practice for Benton House require urgent review. Staff were perceived as having little time to spend with individual service users with opportunities for activities and trips into the local community was very limited. 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. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 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 Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5, 6 Quality in this outcome area is good. This judgement has been made using available written evidence, discussion with service users, their relatives and staff. Relatives and residents are actively involved in choosing to live at Benton House. During the officers discussion with management it was evident that the needs of existing service users are considered throughout the assessment process before a decision to admit another service user is taken. EVIDENCE: Residents and their advocates confirmed that they had discussed the care and service provision before admission to Benton House. Relatives confirmed they had been involved in compiling care plans for their loved ones. Service users are encouraged and able to visit the home and spend time there before they make their decision. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 10 The case files examined contained individual copies of care assessments, care plans and written contracts that stated both terms and conditions of residence. Staff confirmed that any specialised equipment that may be required is obtained before any service user is admitted. Intermediate care is not provided at the home, however respite care is provided by negotiation. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area for standards 7, 8, 9, and 10 is good. Standard 11 was not assessed at this time. The judgement was made using available written evidence, discussion with service users, their relatives and observations made by the inspector during the visit to the home. Relatives were observed to visit freely and continue to assist with care of their loved ones. Family members spoken to confirmed their involvement in the planning and provision of social, physical and psychological care and provision. The home facilitates access to the whole range of health care professionals and health care facilities. Staff was observed to interact with residents skilfully, professionally and with obvious empathy for each individual. EVIDENCE: The officer inspected care records of 3 residents; they contained individual “needs” assessments with plans of “care” for staff to follow and meet each individuals needs. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 12 These records were correctly maintained; they described how each resident responded to the care package and any necessary changes that were made. These were monitored at regular intervals; some plans had been amended within the timescale in response to changing needs. Service users weights were checked on a regular basis. A range of aids to assist service users with mobility problems was provided. Relatives and a service user were aware of their care plans and that they could have access to it whenever they wanted to. All service users and relatives spoken with confirmed that staff did provide privacy and dignity. The inspector observed staff knocking on bedroom doors and waiting to be invited before entering. A number of service users were observed to be walking around the home without proper footwear. One relative confirmed that their loved one was on occasion resistive to wearing anything on their feet. None of the residents was responsible for their own medication although this facility is available. Staff were observed to administer medications and providing appropriate support to residents. Records and storage of medicines was checked and maintained correctly. Records of medications received and their disposal were maintained. Service users and visitors stressed that staff were always keen and willing to help them. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 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 Quality in this outcome area for standards 12, 13, 14 is adequate, but good for standard 15. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. 1:1 activities are very limited with access to community facilities being prevented by the 50 reduction of the activities team and to the increasing dependency of the service users. Service users are encouraged to eat healthily. Plentiful supplies of food and fresh fruit were available. Records demonstrate the provision of both choice and a balanced diet. EVIDENCE: Visitors to the home confirmed that they were able to visit at any reasonable time, with shift workers visit at any other time by appointment. Well-behaved pets were able to visit be arrangement. The home employs an activities co-ordinator. There is a specific activities room where work with service users was being conducted during the inspection. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 14 Activities were organised on either a one to one or small group basis. None of the residents currently leave the home unless accompanied by members of their family or staff. This ensures residents safety These activities and opportunities have been restricted and reduced following the loss of 50 of the activities team. This is reduced further due to the remaining activities organiser being used to bolster the care staff numbers on occasion. Residents have little opportunity of accessing social stimulation Staff freely gives up their free time to supplement and support activities and celebrations provided at the home. The religious and cultural needs of service users from ethnic minorities are well documented and records show how these can inform basic lifestyle issues such as diet and dress, and how staff, sometimes in conjunction with families act to meet these. Relatives and staff confirmed that nourishing fluids and snacks were readily available throughout the day. Ensuring that residents nutritional needs are met. There was a choice of midday meal. Staff was observed to encourage and assist with meals as needed. Eleven service users require assistance with eating and drinking. Mealtimes were unhurried with extra portions available as required for those residents with greater appetites. Specialist diets are available for those requiring this service. The dietician has assisted with compiling the menu. Records demonstrated the provision of choice and variety of a balance diet. The meals provided during the days of inspection both smelled and appeared appetising. Portions were adjusted to the service users likes and calorific needs. Many of the service users were very active and staff were sympathetic and creative in ways used to ensure everyone received the food they needed and liked. The home accommodates service users who smoke. There is no safe dedicated area for this to take place. One service user either sat outside in his coat of used the staff room to smoke in. This is a no smoking area for staff. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 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 Quality in this outcome area for standards 16 and18 is good, standard 17 was not inspected This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Service users and relatives had received information that would enable them to make a complaint. They confirmed that they were able to easily access the manager or her deputy and felt they would be listened to. Staff spoken to was confident and competent to respond to concerns or complaints effectively. EVIDENCE: Residents and staff stated that they had no concerns or complaints about care or services provided. One relative discussed concerns that had been raised with the homes manager. These had been dealt with promptly and effectively. They confirmed that they had regular and easy access to the home’s manager and her deputy and felt confident that they would be listened to. Staff confirmed their confidence in their ability to respond to and deal with any issues raised. The home has policies and to provide guidance for staff responding to any complaints received. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 Quality in this outcome area is poor. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Little improvement has been made to the decoration and furnishings throughout the home since the requirements made following the last inspection in October 2005. The company has failed to ensure that the environment meets minimum environmental standards for maintenance, decoration and safety. EVIDENCE: The Inspector toured the building with the home’s manager. There has been some painting of walls and woodwork within corridor areas of the home. The home continues to fail to meet minimum environmental standard as set out in the Care Standards Act 2000 and accompanying regulations. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 17 Relatives expressed their concern that their loved ones had to sit on chairs that were in a poor state of cleanliness and repair. They commented upon odour that came from the chairs. Relatives stated that the staff worked hard to keep the place clean and that new armchairs, carpet had been promised for such a long time, it seemed hopeless. The premises, decoration, furnishings and soft furnishings appear very tired and worn. There is a general lack of maintenance. An additional maintenance man has been employed to try and resolve some of these areas. Deficiencies and defects were identified and discussed at the time of inspection. The main lounge area is equipped with tired looking armchairs a number of which emanate an unpleasant odour. The area requires redecoration and cleaning/ renewal of carpet. One service user was seated in a chair that lacked a cushion. He was seated on the base of the chair. The manager confirmed that there were additional chairs that lacked cushions this in not acceptable as it impacts on the dignity for the resident. Bathing and toilet facilities lack aids and adaptations to ensure service user safety. One bathroom was locked and closed immediately to prevent injury to service users. The wooden boards that comprised the bath side had a number missing panels. Sharp areas were clearly visible. Floor coverings throughout the building are in need of reviewing and in many areas require replacement due to wear and tear. Bathrooms are mainly dated and basic facilities only that lack homely features and touches. Hallway and corridor areas require redecoration, re carpeting and provision of handrails. Lighting in these areas is by fluorescent light fitments. This presents a stark appearance. This must be reviewed with domestic fitments provided. There is a lack of homely features such as pictures or photographs Bedrooms do not meet the Care Standards Act 2000 minimum standards. They lack adequate numbers of electrical sockets, have exposed water pipes, lack adequate furniture, mirrors and shelves above sinks. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 18 Many bedrooms require redecoration, re-carpeting, new soft furnishings, new beds and bedroom furniture. Some curtains provided did not close fully and did not provide privacy. The total amount of bedding, pillows and bed linen provided must be reviewed. Adequate stocks must be provided. Few beds had more than 1 pillow provided. Many bedroom door handles were failing to function correctly there by impacting on the privacy for residents. Identified bedroom doors had large gaps and did not seal effectively. Doors had holes where locks had been removed or handles changed. The doors were faded and required painting/varnishing. A number of beds continue to lack headboards. Beds are worn and need replacement. The home’s owner must urgently implement a programme to replace worn and tired mattresses. The manager has provided a range of colours and homely features to improve the appearance of the bedrooms. A number of families have assisted with personalisation of bedrooms with favourite items and memorabilia. Access to the laundry is via a steep ramp. The laundry worker has to push the trolley up and down this ramp. The ramp sides are unguarded. The laundry floor covering has a slippery carpet surface that is unsuitable for an area handling soiled and foul linen. It presents a high risk of cross infection. The laundry is small and lacks effective ventilation for the summer or heating for the wintertime. A health and safety assessment must be urgently undertaken. The outside light fitment was broken and the external paintwork was in need of cleaning and maintenance. Gutters are broken and water was pouring to the ground on the first morning of the inspection. Gutters contained weeds and grass clearly visible from ground level. External woodwork and barge boards and a number of windows are in need of urgent replacement. One UPVC window was unable to be opened or closed safely. Access to the home via patio doors is a potential trip hazard and requires risk assessment to ensure service user safety. A number of paving stones are uneven and present a trip hazard. The garden path is uneven. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 19 An external staircase has the exit potentially blocked by a wooden gate that is bolted. This is not on the fire service plans for the home. The bolt is to be removed. The Fire Safety Officer must be urgently consulted for his view of the safety/suitability of this barrier. The home’s staff group works hard to maintain a clean and homely environment for service users. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 20 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, 30 Quality in this outcome area is adequate. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Service users and staff were supportive of staff stating that they were always busy and worked hard and that there never seemed to be enough of them. The staff team are keen to learn, develop their skills and knowledge base, this reflects within the personal care provision. Over 50 of the care staff had achieved NVQ 2 or/and NVQ 3 assessment and awards in care. EVIDENCE: Service users and relatives were supportive of staff stating that they were always busy and worked hard and that there never seemed to be enough of them. The staff group without exception were well motivated and enthusiastic about their work. They confirmed that not only were they well supported in their work but actively encouraged and supported to develop personally. Staff has undertaken statutory training and updates i.e. moving and handling, fire prevention etc, and are involved in national vocational qualification training and medication administration training. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 21 The home’s manager follows the home’s policy for recruitment and induction of staff. Satisfactory references are obtained and statutory checks POVA and CRB were completed. The numbers of trained nurses care workers and ancillary staff on duty was able to meet the basic needs of the service users. There was little time to provide 1:1 or divers ional activities. The single activities organiser is used to bolster care staff numbers when staff numbers are low. The dependency level of the service user group was high with 50 of service users displaying episodes of challenging behaviours. Vacancies for both care and trained nurses had been advertised, agency staff are used to supplement staff numbers. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 22 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 Quality in this outcome area is adequate. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Mrs Bennett ensures that areas within her direct responsibility are generally well organised and managed. Mrs Bennett is not a budget holder and is dependent upon senior managers and the homes owner to progress improvements to meet the statutory requirements made in accordance with the Care Standards Act 2000. EVIDENCE: Visitors to the home stated that they had ready and easy access to the homes management and that they felt confident in them. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 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 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 2 2 1 2 1 1 2 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 X X X 3 X X 2 Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 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 OP19 Regulation Requirement Timescale for action 24/06/06 2. OP20 13, 16, 23 The registered person shall ensure that: ensure that the premises are kept in a good state of repair both internally and externally. External grounds are appropriately maintained. The grounds of the home have uneven paved surfaces and entrances are not ramped. Previous requirements not met 30/06/05 and 01/02/06 13, 16, 23 The registered person shall ensure that : a) all parts of the home to which the service users have access are so far as reasonably practicable free from hazards to their safety c) unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. Lighting at the home must be domestic in character, there is a lack of bedside lighting, poorly positioned bedroom lights, corridor lighting is fluorescent. Previous requirement not met 01/08/05 and 01/02/06 DS0000015851.V287867.R01.S.doc 30/06/06 Benton House Nursing Home Version 5.1 Page 25 3. OP21 4. 5. OP22 OP24 6. OP25 12, 13, 23 The registered person shall ensure that the Bathing and toilet facilities identified must be up dated, refurbished and redecoration.. Previous requirement not met 01/08/05 and 01/02/06 12, 13, 23 Aids and adaptations must be provided to bathing facilities 13, 16, 23 The registered person shall provide in rooms occupied by service users adequate furniture, bedding and other furnishings, including curtains and floor coverings, and equipment suitable to the needs of service users. (see standard 24 for complete list of basic requirements). Replace worn and damaged items of furniture and carpets. Remove/replace armchairs that have an unpleasant odour. Ensure adequate stores of pillows and bedding is available. Implement a programme for replacement of beds and mattresses. Previous requirement not met 01/10/05 and 01/02/06 13, 16, 23 The registered person shall provide lighting suitable for service users in all parts of the home used by service users. : Lighting in service user accommodation to meet recognised standards (lux 150), is domestic in character and includes table-level lamp lighting. Previous timescale not met 01/02/06 13, 16, 23 The premises are kept clean, hygienic and free from offensive odours throughout and systems are in place to control the spread of infection, in accordance with DS0000015851.V287867.R01.S.doc 30/06/06 30/06/06 30/09/06 31/05/06 7. OP26 31/05/06 Benton House Nursing Home Version 5.1 Page 26 8. OP38 8. OP33 relevant legislation and published professional guidance 13, 16, 23 The registered manager ensures 31/05/06 so far as is reasonably practicable the health, safety and welfare of service users and staff. 24 The Registered person must 03/07/06 establish and maintain a system for reviewing and improving the quality of the care and provision at the home. An copy of an action plan to meet the requirements 1 to 9 set out above improve the fabric of the building to the minimum standards of The Care Standards Act 2000 and the associated Regulations must be submitted to the Commission. This must include schedules of works to be undertaken with completion dates. Copies of estimates and delivery dates must be available for inspection. 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 Ensure the home’s manager is employed in addition to nursing and care staff, is off the duty rota; to provide adequate managerial time to continue the development of care and services and staff for Benton House Care Home. Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Benton House Nursing Home DS0000015851.V287867.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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