Inspection on 12/12/06 for Birtley House Nursing Home
Also see our care home review for Birtley House Nursing Home for more information
This inspection was carried out on 12th December 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.
Other inspections for this house
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 needs of residents are assessed prior to their admission to the home. A wide range of seasonal entertainment and activities are made available to residents and residents are supported to be part of the local community. Residents` preferences are respected and accommodated. A varied, wellbalanced selection of meals is offered and the meals served appeared appetising. The home provides adequate communal and individual living space making it a safe and comfortable place to live. Improvements to the facilities of the home continue to be made to enhance the bedrooms and living areas for residents. Over 50% of the care staff working at the home holds the minimum of an NVQ level 2 or above.
What has improved since the last inspection?
All new staff have a POVA first checks carried out as required. An action plan to address issues identified in the last residents survey was produced and a copy of this report was sent to the Commission For Social Care Inspection Surrey Local Office.
What the care home could do better:
The registered person must make resident`s plans of care available to residents, must keep the care plans under review and must revise the care plans when appropriate, to reflect changing needs and how these are to be met. Unnecessary risks to the health or safety of residents must be identified and so far as possible eliminated. The registered person must make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. The registered person must make a referral to the Protection Of Vulnerable Adults (POVA) list for the identified employee who was dismissed from their duties in line with POVA procedures. All staff must receive training in the Protection of Vulnerable Adults. All recruitment files must have reasons for gaps in employment recorded, and two written references. Staff must receive a minimum of six formal one to one supervision sessions per year. A record of all training undertaken by staff, including induction training must be included in individual staff files. All staff must receive training on Infection Control. The registered person must ensure fire doors are not propped open. All products hazardous to health must be appropriately stored in locked facilities.