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Inspection on 26/02/07 for Blenheim Court Nursing Home

Also see our care home review for Blenheim Court Nursing Home for more information

This inspection was carried out on 26th February 2007.

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

The inspector 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 service users interviewed said that they generally felt well cared for by the staff and they were treated with respect and kindness. There was a relaxed atmosphere in the home; the staff had taken care to ensure that service users were helped with all aspects of their personal care; service users were clean and well dressed. All of the service users thought that the food was `good` and there was plenty of choice available. Routines appeared to be relaxed and service users said that they could get up when they wished and go to bed at a time that suited them. Service user confirmed that they were able to talk to the manager and staff whenever they wished if they had any ideas or concerns. The relatives spoken to said the care provided at the home was good. Assessments had been made of the service users prior to them coming into the home to ensure that their needs could be met. Healthcare records and contacts with outside professionals were documented in the care plans.

What has improved since the last inspection?

Each service user had a contract of care and the care plans gave a full description of the service users total care needs. The care plans detailed the service users choice in relation to cultural and religious needs. There was evidence in the care plans that showed the service users and their families had been involved with the care planning process. Medication and hazardous substances were securely stored and medication charts signed to show whether medication had been given or not. The requirements made by the pharmacist and health and safety officer had been actioned. The procedures for responding to allegations of abuse had improved and the complaint made by a relative at the last inspection had been fully investigated. Arrangements have been made for staff to attend training on diversity issues. Several area of the building has been redecorated and some new carpets purchased. All the refuse bins were fitted with lids and the string light cords have been replaced. All fire doors were fully closing on their rebates and the fixed wiring has been checked. The staff and manager have worked hard to improve the quality of care provided at this home. Their efforts are commended.

What the care home could do better:

Some entries in the care plan did not have a signature against them. The instructions on some medication bottles simply said take as directed this is not good practice. One service user said the staff had taken away her independence because they did not allow her to walk. They put her in a wheelchair instead. It was also noticed that several service users were being nursed in bed for long periods. The breakfast needs to improve as service users waited in the dining rooms for almost one hour before their breakfast was served, the breakfast of porridge, cereals, toast and ready made marmalade sandwiches were left in the dining room for over one hour before it was served to the service users. Some parts of the home still had damaged decoration and carpets, some bedrooms did not have a lockable facility and the lift door was not fully closing. Gaps were noted in one staff member`s employment history. The manager is still not registered with the Commission for Social Care Inspection, however it is acknowledged that he has started the registration process. The manager still needs to complete his NVQ level 4 training; he is currently undertaking this training.

CARE HOMES FOR OLDER PEOPLE Blenheim Court Nursing Home Elm Lane Sheffield South Yorkshire S5 7TW Lead Inspector Janice Griffin Key Unannounced Inspection 26th February 2007 08:15 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 Blenheim Court Nursing Home DS0000021770.V331239.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. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blenheim Court Nursing Home Address Elm Lane Sheffield South Yorkshire S5 7TW 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) 0114 245 6026 0114 257 7016 blenheimcourt@highfield-care.com Southern Cross Care Homes Limited Post Vacant Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To allow 3 beds for service users aged 55 years and over Date of last inspection 21st November 2006 Brief Description of the Service: Blenheim Court is a nursing home providing care and accommodation for 44 older people, including care for up to three people between the ages of 55 and 65. The home is a short distance to local amenities such as shops, pubs and churches. The home is a two-storey building with lift access to the upper level. The home is accessible for wheelchair users. The home has both single and double accommodation. The home is split into two wings consisting of the original building and an extension. The homes gardens are accessible to wheelchair users and there is a patio with seating area. Copies of the last Commission For Social Care Inspection report were kept in the entrance for service users and their families to read. The weekly fees range from: £404 to £476. This information was provided on the 26th October 2006. The home charges extra for chiropody, toiletries, clothing, telephone, holidays and hairdressing. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out from 8.15 am to 2.00 p.m. The purpose of the visit was to check the progress made implementing the requirements made in the previous report of the 21/11/06 and issues of concern raised by a complainant. The issues raised by the complainant were staff roughly handling service users and their relative being kept in bed for long periods. Details of the inspector’s findings are included in the main body of this report. Eight service users, five relatives and four staff, including two managers, were spoken to as part of the inspection process. A number of records were examined and several areas of the building were inspected. The inspector was pleased to note that throughout the inspection staff interacted positively and sensitively with each service user who were obviously comfortable and at ease in the company of staff. The inspector did not witness any staff rough handling service users. The inspector would like to thank service users, the professional visitors, the managers and staff for their commitment to the inspection process. Copies of the last Commission For Social care inspection report were kept in the entrance for service users and their families to read. What the service does well: The service users interviewed said that they generally felt well cared for by the staff and they were treated with respect and kindness. There was a relaxed atmosphere in the home; the staff had taken care to ensure that service users were helped with all aspects of their personal care; service users were clean and well dressed. All of the service users thought that the food was ‘good’ and there was plenty of choice available. Routines appeared to be relaxed and service users said that they could get up when they wished and go to bed at a time that suited them. Service user confirmed that they were able to talk to the manager and staff whenever they wished if they had any ideas or concerns. The relatives spoken to said the care provided at the home was good. Assessments had been made of the service users prior to them coming into the home to ensure that their needs could be met. Healthcare records and contacts with outside professionals were documented in the care plans. Blenheim Court Nursing Home DS0000021770.V331239.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. The summary of this inspection report can be made available in other formats on request. Blenheim Court Nursing Home DS0000021770.V331239.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 Blenheim Court Nursing Home DS0000021770.V331239.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2, 3 and 6 were checked. Quality in this outcome area is: good. This judgement has been made using available written evidence, discussion with eights service users, five relatives, four staff, two managers and a visit to the home. No service users have moved into the home without having his or her needs assessed, this ensures that care needs can be met. Service users were able to have informal introductory visits to the home at the time of their admission. Service users confirmed that this helped them to get to get to know everyone at the home, which made them feel less anxious. Intermediate care is not provided at this home. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 9 EVIDENCE: Detailed full needs assessments had been completed by the referring social worker for all service users admitted to the home. Families had been involved in the assessment process as appropriate. Service users spoken to said at the time of their admission they were able to have informal introductory visits to the home and they had been provided with a enough information prior to their admission. Records checked and discussion with eight service users and five relatives confirmed that service users families had been involved in decisions regarding the arrangements. An up to date contract/statement of terms and conditions had been provided to service users and signed copies were retained on individual files. These clearly detailed the fees, including any extra charges, and the services and facilities provided by the home. Blenheim Court Nursing Home DS0000021770.V331239.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 were checked. Quality in this outcome area is: good. This judgement has been made using available written evidence, discussion with eight service users, five relatives, four staff, the managers and a visit to the home. Service users were encouraged and supported by staff to make decisions. This protects the rights and well being of service users. Information in care plans was good; it gave the staff full knowledge of the service users physical, social, health care, religious and cultural needs. Risk assessments had been reviewed on a regular basis. This protects the service users from harm. There was evidence in the care plans to show that the service users families are involved with the care planning production and the review. This allows the families to have a say in how their relatives care needs will be met. The medication recording systems were up to date; and no gaps in were noted in recording sheets. This is safe practice. The instructions on some medication bottles were not adequate. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 11 EVIDENCE: The inspector observed staff interacting in a friendly and positive way towards service users. Five relatives spoken with said that staff were always welcoming whenever they visited the home and the care provided was in the main was good. Bathroom, toilet and bedroom doors were noted to be closed if people were receiving personal care and staff knocked on doors before entering service users’ bedrooms or the bathrooms. Three service users plans of care were checked. Each set out individual service users needs and the action required and taken by staff to ensure those needs were met. Discussion with four staff identified that a range of health professionals visited the home to assist in maintaining health care needs. Service users weight was being checked on a regular basis. A range of aids to assist service users with mobility problems was provided; these included lifting hoists, assisted baths, walking frames and wheelchairs. The risk assessments in care plans had been reviewed on a regular basis. Each care plan detailed the gender of staff that the service users wished to support them with their personal care; they also contained details of the service users religious and cultural needs. Service users and their relatives have been involved with production of the care plans and the reviews. One service user said the staff had taken away her independence has they did not allow her to walk it was quicker for them to wheel her in a wheelchair. The inspector did note a large number of service users in wheelchairs and a large number kept on bed rest, this concern had been raised by a relative to the Commission for Social Care Inspection. One of the managers said that some service users had chosen to be nursed in bed. Medication was securely stored and there were systems in place for receiving the medication into the home. The containers were all clearly labelled, with prescription information fully legible, but several bottles did not have full details of the amount of medication to be given the instructions said ‘ take as directed’. All items were for named individuals. There were medication administration (MAR) sheets for each service user; these recorded the type of medication, the dosage and how it was to be administered. There were reasonable stock levels of medication kept in the home. The manager said that the pharmacist had checked the homes medication in December last year and requirements were made following the visit had been actioned. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 were checked. Quality in this outcome area is: good. This judgement has been made using available written evidence, discussion with eight service users, five relatives, four staff and a visit to the home. Service users had access to a range of leisure activities based on their individual choices and preferences. Service users confirmed that the routines of daily living were flexible and suited their individual preferences. Service users were supported with maintaining and developing contact with their family and friends, and relatives said that they were always welcome at the home. Which creates a home that people want to visit. A good choice of food was offered to service users at lunchtime. Six service users were being offered special diets on a regular basis. This promotes the rights of service users. The meal provided at breakfast time was not adequate and could affect the wellbeing of service users. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 13 EVIDENCE: The aims and objectives of this home reinforced the importance of treating service users with respect. Service users confirmed that staff were extremely supportive and always encouraged them to become integrated into the local community, when they felt able to do this and with the appropriate staff support provided. Staff confirmed that they were encouraged to support service users with discovering how to enjoy social situations and activities. All the service users spoken with said that they could have visitors whenever they wished and five relatives spoken with said they could come to the home at any time, although they were asked to avoid mealtimes if possible. There are a number of lounges and small quiet sitting areas if service users want to see their visitors outside of their rooms. Service users’ files contained information about any special dietary needs and service users had been weighed on a regular basis if this was felt to be necessary. The service users said that the food was good. The cook was familiar with the dietary needs of service users. The inspector observed breakfast and lunch offered to service users the food provided at breakfast was of poor quality. Some service users were taken into the dining room at 8:45am and the food trolley taken in at the same time, the breakfast was not served until 9:45am. The breakfast consisted of porridge, cereals, toast and made up marmalade sandwiches it did not look appetising. The meal provided at lunchtime was well presented and a good choice of food was offered. Six service users were receiving special diets. Special cutlery and crockery was provided for those service users who had difficulty using knives and forks. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were checked. Quality in this outcome area is good. This judgement has been made using available written evidence, discussion with eight service users, five relatives, four staff and a visit to the home. The homes complaints procedure was clear, accessible and contained the necessary information. This protects the rights of service users. There was staff training on recognising and reporting abuse and checks were made on the staff prior to them starting work to reduce the risk of harm to vulnerable service users. One complaint have made about this home since the last inspection. EVIDENCE: The complaints procedure was available for service users, visitor, relatives and staff. The manager on duty confirmed that this would be available in alternative formats and languages should this be requested. Service users and spoken to said that they knew that they could complain if they were not happy about anything and that they felt able to discuss any issues or concerns that they may have with the manager and staff. They also said that staff were always available and that they were encouraged to talk about anything that troubled them or caused them anxiety. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 15 One complaint has been made about this home since the last inspection. The complainant raised concern about staff roughly handling service users, the inspector did not witness and rough handling of service users on this visit. All the staff had received training on safe moving and handling. The other issue raised by the complainant was that their relative was kept in bed for long periods this issue was upheld by the inspector. The staff had received training on recognising and dealing with abuse. Staff had been made aware of the action to take in dealing with third party information. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 were checked. Quality in this outcome area is good. This judgement has been made after discussion with eight service users, five relatives and using available evidence including a visit to the home. The home was clean, tidy and smelt fresh ensuring that the service users live in pleasant and comfortable surroundings. Some areas had damaged decoration and carpets. Some bedrooms did not have a lockable facility. This does not respect the service users privacy. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 17 EVIDENCE: All the service users interviewed said that the rooms were homely and pleasant. At least four bedrooms were checked, all were very homely, highly personalised and contained a range of furniture, including chairs, bedside tables and suitable storage. Most had photos and ornaments. Some bedrooms did not have a lockable facility. The lounge areas were spacious and furniture was arranged in small groups. There was a quiet lounge for service users who preferred not to sit in the area with the TV on. There were other areas around the home where service users could sit or take visitors if they did not wish to use their rooms. Some areas had damaged decoration and carpets. Each floor had a number of toilets and bathrooms and assisted baths were provided for those service users with mobility problems. Toilets were easily accessible as they were close to lounge and dining areas. All the toilets had been adapted for service users with physical disabilities and a good supply of equipment was also available for those service users. The appropriate seating had been provided in the garden for those service users wishing to sit outdoors whenever the weather permitted. The home had a proactive infection control policy and they work closely with external specialists, e.g. the Health Authority, Environmental Health and their own staff to ensure infections are minimised. Clinical waste is properly managed and stored. Staff confirmed that they were provided with protective clothing if they needed it and that all the equipment was in good working order and that it had been serviced as required. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 were checked. Quality in this outcome area is: good. This judgement has been made after discussion with eight service users, five relatives, four staff and using available evidence including a visit to the home. Care staff had a range of skills and experience, which effectively supported the service users. 57 of the staff were trained to NVQ level 2. This will ultimately benefit the health and welfare of the service users. The homes recruitment policies and procedures need to be improved in order to protect the service users from harm. The home had a training and development plan. EVIDENCE: The service users and five relatives said that there was always enough staff on duty. They added that staff worked very hard. The staff interviewed said the staffing levels were not adequate. The inspector checked three weeks rotas and it was noted that the home was maintaining the staffing levels agreed with the Commission for Social Care Inspection. Three staff files were checked; they did not demonstrate that a thorough recruitment processes had been followed as required by the Regulations. Criminal Record checks had been done and two references obtained, but gaps were noted in one staff’s employment history. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 19 Staff spoken to had had received training on moving and handling, food safety and infection control. The home had training and development plan and training on diversity issues were now taking place. Staff files checked and discussions with four staff and the manager on duty confirmed that all staff had completed detailed induction training Staff were approachable and sensitive to the needs of service users and were able to communicate effectively with each person. Staff had completed training on NVQ in care and this had ensured that more than 57 of the staff team were qualified to level 2. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38. Quality in this outcome area is: good. This judgement has been made after discussion with the manager on duty, four staff and using available written evidence including a visit to the home. The manager was not registered with the Commission for Social Care Inspection. This does not meet the Care Homes Regulations. All service users and staff spoken to said the manager was approachable and very professional. He had not yet completed his NVQ level 4 training. This could affect the way the home is managed. Records were in the main up to date and well ordered to ensure the best interests of service users. The homes policies and procedures met the required standards. A safe environment was not provided in all parts of the home. This could affect the health and welfare of the service users. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager had a job description that clearly defined his roles and responsibilities and staff were aware of his role. They said he was committed to ensuring that the home provides a good standard of care. The manager was not registered with the Commission for Social Care Inspection, but the process to register him as commenced. The manager is not trained to NVQ level 4 in management; he is currently undertaking this training. Staff spoken to had an understanding of the home’s procedures; they had received training on fire, moving and handling, food safety and infection control. The responsible individual visits the home on a regular basis and a report is written following the visits. A copy of the responsible individuals monthly report was available at the home. No fire exits were blocked and hazardous substances were securely. The manager on duty said that the fixed electric wiring had been checked recently. The Health and Safety Officer had inspected the home in May this year, seven requirements were made following the visit the manager on duty said the requirements had been actioned. The lift door was not fully closing. The administrator handles money on behalf of some service users, account sheets were kept, receipts were available for all transactions. The area manager audited the accounts regularly. Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 22 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X X X X 2 Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 23 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. 2. Standard OP7 OP8 Regulation 14 12 Requirement The writer must sign care plans. The manager must consult with other professionals (physiotherapist) about the practice of nursing service users in bed for long periods. Staff must encourage service users to walk and not use wheelchairs for their own convenience. Medication bottles must give full instructions on the amount of medication that is to be given to the service user. The food provided at breakfast time must be improved; the hot food must be served hot. Service users should not be left for long period waiting for breakfast and the food should be served fresh not sandwiched up. All bedrooms must have a lockable facility. The damaged decoration and must be replaced. Gaps in staff’s employment history must be explored. Timescale for action 01/04/07 01/04/07 3. OP9 13 01/04/07 4. OP15 16 01/04/07 5. 6. 7. OP19 OP19 OP29 23 23 19 01/07/07 01/06/07 01/04/07 Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 24 8. OP30 13 9. 10. 11. OP31 OP31 OP38 9 8 23 The staff need training on diversity with regard to caring for service users from different cultural backgrounds. The manager must be trained to NVQ level 4. The manager must be registered with the Commission for Social Care Inspection. The lift door must fully close. 01/05/07 12/12/07 01/05/07 01/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Blenheim Court Nursing Home DS0000021770.V331239.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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