Inspection on 10/05/06 for Blackdown Nursing Home

This inspection was carried out on 10th May 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 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

Blackdown Nursing Home 16/12/08

Blackdown Nursing Home 05/06/07

Blackdown Nursing Home 26/01/06

Blackdown Nursing Home 14/09/05

Blackdown Nursing Home 19/10/04

Blackdown Nursing Home 28/04/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Blackdown Nursing Home Blackdown Mary Tavy Nr Tavistock Devon PL19 9QB Lead Inspector Doug Endean Key Unannounced Inspection 10th May 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 Blackdown Nursing Home DS0000029072.V294184.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. Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Blackdown Nursing Home Address Blackdown Mary Tavy Nr Tavistock Devon PL19 9QB 01822 810249 01822 810249 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) Whitchurch Care Ltd. Mrs Maureen Seabrook Care Home 33 Category(ies) of Dementia - over 65 years of age (19), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (19), Old age, not falling within any other category (3), Physical disability over 65 years of age (33) Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Registered for max 3 OP Registered for Max 33 PD(E) Service users 65 years and over Registered for max 19 DE(E) service users 65 years and over Registered for max 19 MD(E) service users 65 years and over Date of last inspection 26th January 2006 Brief Description of the Service: Blackdown Nursing Home is a care home that is registered to provide nursing care to a maximum of 33 Service Users male or female, over the age of 65. A maximum of 26 beds may be provided to Service Users who have been assessed as having general nursing needs and a maximum of 19 Service Users who have been assessed as having mental health nursing needs. It is also registered for up to 3 Service Users who have personal care needs only. The Registered Manager is a level one trained nurse who heads up the team of other registered nurses, Social Care staff and ancillary staff. Collectively they are able to deal with the various care needs of the current Service User group. Blackdown Nursing Home is arranged on two floors with access to the first floor via a stair lift. A shaft lift is in the process of being built. There are 3 communal areas within the home with an additional conservatory planned. The unit designed for the 19 elderly Service Users with mental health needs (Sunflower) is secured for the protection of the Service Users and benefits from a large day room and extensive views over mainly rural land to Dartmoor. There are large, accessible gardens surrounding the home with some paved areas provided with seating. The home is situated on the edge of Dartmoor in the village of Mary Tavy where there are a number of local amenities. Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over four hours on the 10th May 2006 and was unannounced. The Registered Manager was not on duty, however the Deputy Manager was on duty and he assisted the inspector in process. The inspector looked at four clients records and carried out case tracking to establish their validity by discussing with the same four service users the care they received matching that with the care plans and recordings. The same process was used after reading two staff members files, which revealed the recruitment process and training records, then interviewing the individuals themselves. There was a full tour of the home with particular interest taken in the areas commented upon in the last report that was unfortunately not received by the Registered Individual until recently. Questionnaires were sent out to health and social care professionals for their opinions of the service provided by Blackdown Nursing Home. The responses were of a positive nature. What the service does well: What has improved since the last inspection? What they could do better: The progress of the building work that is being undertaken at the home has been slow. The service users and their relatives welcome its completion when the conservatory will be finished and provide much improved communal space for the service users who will use the shaft lift to get to it from the first floor when it also is commissioned. Along with this the ground floor bathroom and a disabled toilet will also be completed. The Registered Individual has stated that all the work is now due to be finished and operational by the end of August 2006. Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 6 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. Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 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 Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 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): 2 & 3. Standard 6 is not applicable. Quality in this outcome area is good. There is a suitable amount of information gathered from a variety of sources for the manager or her deputy to make an informed decision about each prospective admission. The homes private contract is does not meet the requirement of Regulation 5A. EVIDENCE: A sample group of four service users files were looked at for their content. Each file did have a pre-assessment file that had been completed and provided the home with enough information to make an informed decision about the suitability of the proposed placement. The information included a diagnosis, information about how the care needs should be addressed by such things as nutrition and medication, general management needs for mobility/manual handling and also information about the service users mental state especially where the referral is for the dementia care unit. In addition to this information the home also has a document that is completed, at the initial assessment if possible, that informs the staff about Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 9 the service users personal likes and dislikes, a comforts guide. A social history is also taken at an early stage to assist the care planning process. The homes own contract should clearly show, where nursing provided, that this is paid for through the Funded Nursing Care contribution and this figure should be shown separately to the personal care contribution. The version of contract that was seen, a copy of which was provided to the inspector, did not have a facility for this to occur. This is in accordance to Regulation 5A of the Care Homes Regulations 2001. There is also occasional reference to the NCSC in the text. The Registered Individual has told the inspector that the contracts are due to be updated. Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 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. Quality in this outcome area is good. The staff team plan care well for each individual service user and provide it in a professional, dignified and respectful way. EVIDENCE: Four sets of service users files were read and the information verified through observations made during the course of the inspection, discussions with the Nurse in Charge, and also discussions with the service users themselves where they were able to provide information. The care plans were in a style that the home has adopted and they provide a suitable format for care to be planned and delivered from. The case tracking process carried out during this inspection provided enough evidence to show that the care planned for the individuals was equal to the care received and reported on. Care plans included nutritional assessments, Waterlow score and manual handling plans. The homes comfort guide and social history provides other information on individual clients that does have an effect on the planning of meals and social activities. The staff records and multitude of certificates on display were evidence of the ongoing training that the home involves all grades of staff in, whether Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 11 registered nurses or care staff. There were staff who have had training specific to such issues as dementia care as well as the mandatory fire and manual handling training. There are good arrangements for other health care professionals to attend the home and meet the needs of the residents and patients. During the inspection the home was visited by two District Nurse’s. There was a good response offering the views of the General Practitioner’s through standard Commission for Social Care Inspection questionnaires. They provided positive feedback about the care of the clients by the home. Care Management also provided positive remarks about the care and in particular that which is provided to the clients in the dementia care unit. No responses were received from the District Nurse’s. The homes medication management arrangements are good with suitable storage, administration and disposal facilities meeting current guidelines. Medication administration is only managed by registered nurses. The staff were observed in their tasks of caring or the clients which they did in a sensitive and respectful way. Personal care was provided in the privacy of the clients own room or in an appropriate area such as the bathroom or toilet. The staff were seen to assist clients during meal times in an unhurried way and clients were referred to in what was their desired term of address. The inspector obtained views of four clients was taken during the inspection regarding the care and attitude of staff among other things. Each client reported that they were more than happy with the standard of care and that the staff were very helpful and caring towards them. Three service users questionnaires were returned that upheld the information already obtained from the clients who were interviewed. Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 12 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 area is good. The home provides care, services and activities that satisfy the needs of the service users who can exercise their choice in how they are received. EVIDENCE: The four service users who were conversed with as part of the case tracking had differing views about the home although each were satisfied with the care and attention they received. This was also noted in the three service users questionnaires that were returned to the inspector. They each complimented the home on the standard of food that they have served through the day and also remarked on the continuing supply of fluids that are provided. The activities that are provided are acceptable to some but not to others who prefer to stay in their own room and watch television. There is a variety of entertainment provided by both entertainers who visit the home and also now by some of the staff who have entertained the service users with their singing. The notice board in the front entrance provides information about the type and timing of activities that are organised fortnightly. There is also music to movement fortnightly. The inspector was told by the service users that the homes routine does go around their individual needs and is not simply task orientated within time Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 13 constraints. They choose when they wish to go to the lounge and be in the company of others and when they wish to remain in their own rooms. Meals were taken in the privacy of the service users rooms and also in the lounge/dining rooms on the ground and first floor of the home. A new conservatory is under construction but not yet finished. This will have a duel role as it will also be used as a dining room that will be accessible when the shaft lift is installed. There is a hair dressing salon on the ground floor that is run by a qualified hair dresser and is operational on a regular basis. Some service users take a daily paper whilst others do not. Relatives can and do visit when they wish and the inspector spoke with two visitors during the course of the inspection and also received the views of three who returned the questionnaires left at the home during the inspection. Each was very complimentary about the care provided at the home and the pleasant staff they have met. The service users can maintain contact with the local community through whatever means they wish such as having private telephone lines in their room as is the choice of a few service users. A public telephone is also available within the privacy of a lobby at the bottom of a stair well. The home did have a bus but this is presently unavailable. The inspector was told that a new bus has been purchased. The service users were seen to be accompanied by staff walking in the grounds of the home during the inspection. The home does not manage the financial affairs of any of the service users. Service users have personalised their rooms with their own belongings and have also some have chosen the décor to personalise the room further. Some service users and visitors did comment that first floor lounge is small and not welcoming and they look forward to the completion of the conservatory on the ground floor. Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 14 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 area is good. The arrangements for handling complaints and providing protection of client’s from abuse, plus recording and reporting of abuse, are satisfactory. EVIDENCE: The complaints procedure was displayed on the notice board in the front entrance and is also in the homes Statement of Purpose. It had all the information clients or visitor to the home would need should they wish to raise an issue including the contact details of the Commission for Social Care Inspection. The service users that were spoken to did know how to make a complaint if they felt it necessary. The home does have a complaints book that was looked at by the inspector during this inspection. It held information about the complaint raised and the action taken by the home to resolve it. There are suitable policies and procedures that cover the issue of abuse including a whistle blowing policy. The inspector saw that the home had a copy of the No Secrets video and also a record of all the names of the staff who had seen this as part of the homes internal training arrangements. There has also been vulnerable adults’ training at the home carried out by an external trainer with evidence of this seen in staff files. Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 15 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 & 26. Quality in this area is adequate. The lack of communal space and a shaft lift along with the slow pace of the building work has a negative effect on what is otherwise a good home overall. The completion of this work will enhance the service given by the home to the service users. EVIDENCE: The home is located at the end of a village just off the main road to Plymouth and Tavistock and has a long driveway leading to parking at the front of the home. There are nice grounds and views over Dartmoor. The village shop has a small post office but most other facilities such as the pharmacy are found in Tavistock which is a few miles away. The work to provide a shaft lift and communal space to meet the National Minimum Standards requirements is ongoing and nearing completion. The Registered Individual has informed the inspector that the shaft lift has been ordered and is should be installed and in operation by the end of May 2006. The conservatory should be then operational by the end of August 2006. Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 16 The service users and visitors spoken to said that they look forward to the commissioning of the shaft lift and the conservatory as, in their opinion these are the only thing that the home is lacking in. The inspector did find that other areas had also not been attended to, the ground floor toilet and bathroom remain as seen at the last inspection and do need to have the re-decoration completed. The Registered Individual has told the inspector that this work is linked to the work on the conservatory and will include the installation of a new disinfecting sluice. The home was clean and odour free during the inspection. It has its own large modern laundry that has a large commercial dryer and two large capacity washing machines with sluicing cycles. The floors and walls are washable and not permeable to water. There are policies and procedures in place that deal with hand washing and other infection control issues. Staff are employed in this area which is located at the end of a corridor separate from the kitchen. The grounds of the home are extensive and laid to lawn with some trees and shrubs. It is level to the home, tidy and easily accessed from the home. Some of the driveway has been resurfaced making it level and safe to walk. The inspector saw evidence on items of equipment and in the administrative records to prove that equipment such as the hoist, stand aids, stair lift and fire equipment have been serviced at the correct intervals. The house wiring was also found to have been checked within the last two years. The radiators are of low surface temperature design and the windows above ground floor have restrictors fitted to prevent them being opened beyond a safe distance as required by Health & Safety legislation. Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 17 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 area is good. The recruitment process is satisfactory. The home is adequately staffed and has suitably trained and experienced individuals who have been properly prepared for the work that they undertake. EVIDENCE: The home had adequate numbers of staff on duty who were involved in care. There were two registered nurses on duty supported by care staff who have been prepared for their role by suitable training. The inspector spoke to two members of the care staff who were able to tell him about the training that they have received over the different period of time that they had been employed at the home. Both had completed induction training, fire and manual handling. Other training included food hygiene, dementia care, adult protection and National Vocational Qualification training. This was verified through their staff files that were now well constructed and included information on the identity of each individual, references and a photograph. A total of four staff files were looked at as a sample group and each met the requirements of the schedule 2 legislation. All staff have a current Criminal Records Bureau check and samples of the responses were also seen by the inspector. Four separate anonymous staff completed care workers surveys and returned them to the inspector. The general comment’s were that new building work is started before previous work is finished. The care staff do not have formal individual supervision but they are supervised during their working day. Meetings do not include the care staff who are given feed back by those who Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 18 do attend and also they read the minutes of the meetings. The general consensus was that the home does provide good care. The staff records also included staff appraisal records. There clear evidence that the registered nurses have been involved in training to meet the PREP requirements of the Nursing & Midwifery Council. Certificates were seen as evidence of their updating. Staff had received training in adult protection initially by seeing the No Secrets video and then through more formal training by an outside trainer who came to the home. The staff sign that they have seen the No secrets video and this record was seen by the inspector during the inspection. The home also employs, in addition to the care staff, staff to deal with specific tasks such as laundry, catering and the domestic work. More than 50 of the homes care staff have a National Vocational Qualification at level 2 or above and there are certificates displayed in the home as evidence of this. Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 19 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, 36 & 38. Quality in this area is adequate. The staff team are managed satisfactorily within the home by the Registered Manager and her deputy. The home is adequately maintained and these records are satisfactory. The Quality assurance procedures are not comprehensive. There is no regular recorded formal supervision of staff at the home. EVIDENCE: The home has a Registered Manager who is an experienced general nurse and she has a BTEC Diploma in Management. She has considerable experience in running this home both from a care and management prospective. She will however be retiring from this position in the near future. This was an unannounced inspection and the home was being run by the Deputy Manager who is an experience mental health nurse with several years experience in management in homes in the private health care sector. He was very organised and guided the inspector to any documentation required during Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 20 the course of this inspection. He helped provide the evidence that showed that the home is run well and both care and management records were satisfactory. There are clear lines of accountability both in the home and with the external management and meetings are held, and minute taken between the levels of management. The last recorded meeting was in March 2006. There was some evidence that the home seeks the views of client’s and their advocates regarding their levels of satisfaction with the services offered by the home. There was no evidence of other methods of quality assurance being undertaken at this inspection such as that which would show continuous self monitoring of the homes aims and objectives. The inspector was told that the home does not manage the financial affairs of any of the client’s. They do have safe storage for small amounts of pocket money that is held for a small number of the client’s. Clear records were seen that showed that the home account well for how that money is spent. The care workers questionnaires and staff files showed that although the home does carry out appraisals staff supervision as described in the National Minimum Standards is not implemented at the home. Supervision can be carried also in groups but there is no evidence that this is done as the meetings are for those at management level who cascade the information down to the care staff. The inspector did see evidence that the homes equipment is regularly serviced and the home has suitable arrangements for the Health & Safety of staff and service user such as thermostatic mixer valves fitted to the water supply of baths, window restrictors and low surface temperature radiators. Also the staff have been trained in manual handling, fire procedures, some have first aid training and there is always someone who is deemed to be competent, under Health & Safety legislation, in first aid on duty at all times. The homes procedures also direct staff towards safe practices in the course of their duties. The accident books were read and entries were satisfactory with information being carried over into service users files where any follow up information was seen to be held such as the outcome of a doctors assessment or the result of treatment. Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 21 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 2 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 2 X X X X 2 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 3 X 2 X 3 2 X 3 Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 22 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 OP2 Regulation 5A Timescale for action Where nursing is provided the 01/07/06 contract should show the Funded Nursing Care contribution separately from the personal care contribution. The ground floor disabled toilet 31/08/06 facility should be suitable decorated to avoid the risk infection from the permeable walls. The ground floor disabled toilet 31/08/06 facility should be suitably decorated to avoid the risk of injury that may occur from the unprotected rough wall surface. The Registered Person shall 31/08/06 make arrangements to prevent the spread of infection in the home by providing a disinfecting sluice on the ground floor of the nursing home. Requirement 2 OP21 13(3) 3 OP21 13(4)(a) 4 OP26 13(3) Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 23 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. 2 3 4 Refer to Standard OP20 OP33 OP36 OP19 Good Practice Recommendations Extra communal space is to be provided to ensure 4.1 sq m per Service User is achieved. The home should adopt a quality assurance system that tests the services they deliver against their aims and objectives. The home should provide staff with at least 6 formal supervision sessions pre year and provide evidence that this has been done. The two lounges are in need of some decorative attention as they are now looking rather tired and uninviting. Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Blackdown Nursing Home DS0000029072.V294184.R01.S.doc Version 5.1 Page 25 - 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. 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