CARE HOMES FOR OLDER PEOPLE
Cathedral View Nursing Home Kenwyn Church Road Truro Cornwall TR1 3DR Lead Inspector
Diana Penrose Key Unannounced Inspection 1st May 2007 09:30 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 Cathedral View Nursing Home DS0000046307.V336504.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. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Cathedral View Nursing Home Address Kenwyn Church Road Truro Cornwall TR1 3DR 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) 01872 222132 01872 240974 Cathedral View Limited Mrs Lynde Gilbert Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26), Physical disability (26), Terminally ill (26) of places Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 4. Residents to include up to 26 adults of old age (OP) Residents to include up to 26 adults aged over 65 with a physical disability (PD) Residents to include up to 26 adults with a terminal illness (TI) Total number of residents not to exceed a maximum of 26 Date of last inspection 23rd January 2006 Brief Description of the Service: Cathedral View Limited owns two registered care homes, Cathedral View Residential Home and Cathedral View Nursing Home. Both homes are located on the same site, close to the centre of Truro with good transport links into the town and surrounding areas. Mrs Lynde Gilbert is the Registered Manager for both homes and has a Registered Mental Nurse qualification and the Registered Managers Award. Mrs Victoria Parsons is the Matron and has a Registered General Nurse qualification and the Registered Managers Award. She manages the nursing home on a dayto-day basis. Cathedral View Nursing Home is registered to accommodate 26 elderly residents in need of personal and nursing care, some may have a physical disability. The home provides single bedrooms for the majority of residents although six rooms are registered for shared accommodation. Bedrooms are situated on two floors and there is a shaft lift. There are two lounges and a large dining room for residents use. All facilities are accessible for those who may have limited mobility or in need of specialist equipment such as wheelchairs. There are extensive accessible gardens and there is sufficient parking outside the home for staff and visitors. Suitably qualified and experienced staff provide care in a relaxed and friendly atmosphere. Suitable activities take place each day organised by an activities co-ordinator. Information about the home is available in the form of a statement of purpose, residents’ guide, and colour brochure, which can be supplied to enquirers on request. A copy of the most recent inspection report is available in the home.
Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 5 Fees range from £550 to £750 per week; this information was supplied to the Commission on the day of inspection. Additional charges are made in respect of private healthcare provision, hairdressing and personal items such as newspapers, confectionary and toiletries. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 6 SUMMARY
This is an overview of what the inspector found during the inspection. An inspector visited Cathedral View Nursing Home on the 01 May 2007 and spent seven and three quarter hours at the home. This was a key inspection and an unannounced visit. The purpose of the inspection was to ensure that residents’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus was on ensuring that residents’ placements in the home result in good outcomes for them. On the day of inspection 26 residents were living in the home. The methods used to undertake the inspection were to meet with a number of residents, relatives, staff and the registered manager to gain their views on the services offered by the Home. Records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of this inspection. There were two requirements set following the last inspection, which have now been met. Residents and relatives expressed satisfaction with the care and services provided at the home. Overall the home is providing a very good service and a high standard of care to the residents placed there. What the service does well:
The service provides a well maintained home set in large tidy grounds. It is clean, warm and comfortable with good measures in place for the prevention of infection. Residents are only admitted following an assessment to ensure the home can meet their needs. Prospective residents and their family are invited to visit the home prior to any decisions being made to live there. One resident said that the registered manager and the matron visited her prior to admission and told her all about the home. Relatives also said that visits were made by the registered manager before admission. Resident’s said their healthcare needs are met and specialist healthcare professionals visit the home when required. Appropriate equipment is provided for pressure relief and moving and handling purposes. There is a suitable system for medications. There are several risk assessments undertaken to enhance the resident’s care. All residents spoken with said the care is to a high standard and they are very happy living in the home. They said they are treated with respect and dignity and their privacy is upheld at all times. They also said their individual preferences are respected and they can choose what they do each day. There is an open visiting policy and visitors said they are always made welcome and can visit when they like. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 7 Social activities take place each day and are organised by a co-ordinator. There are posters to inform residents of what’s on and when; records of attendance are kept. Time is spent on one to one sessions when staff and residents get to know each other. Life histories are on file to help staff interact with residents. Resident s talked about activities such as dominos, trips out, keep fit and the art class. There is a nutritious menu and residents said the food is good. Fresh fruit and vegetables are included. All residents spoken with said they enjoy the food and it is of a very good standard. A glass of wine is on offer with meals and the menu is on the tables. There have been no complaints but there is a system in place that ensures complaints are dealt with promptly and records are kept. There is a suitable policy for the prevention of abuse and staff receive appropriate training. Residents said they feel safe in the home. There is a robust recruitment policy and procedure. There are suitable staffing levels with a skill mix that meets resident’s needs. Residents said the staff are very kind and caring. One said, “The staff are wonderful, I am very well looked after”. The management team are committed to training their staff. 69 of care staff are qualified to at least NVQ level 2 in care and 3 care staff are studying for the qualification. Care staff tend to commence work at the residential home and progress to the nursing home, hence the higher level of qualified care staff in this home. The Registered Manager is a Registered Mental Nurse and a competent manager. The matron is a Registered General Nurse and has managed the home for 4 years. Both have achieved the Registered Managers Award. Staff and residents spoke highly of them both and said the home is very well run. They said they are approachable and work as a team. Staff said the matron is up to date in her field and runs the home well, they said she does hands on care as well which was appreciated. The management endeavour to ensure that working practices are safe. Relevant service checks take place as required and are up to date. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 8 What has improved since the last inspection? What they could do better:
The care documentation is being upgraded and will be a vast improvement when completed for all residents. The matron is hoping to get the plans signed as agreed by the resident or their representative. The matron said she is going to improve the risk assessment for theb use of cotsides in line with guidance from the Department of Health. The registered manager agreed to fit fly screens to kitchen windows and the external door if they are opened. If the registered providers replace the en-suite baths with showers this will greatly improve the facilities. It is recognised that this will be very costly and will take some time to complete. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 9 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. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 10 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 Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 11 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): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Suitable information is given to prospective residents enabling them to make an informed choice as to where to live. Residents are only admitted to the home following an assessment of their needs to ensure the home can provide suitable care. EVIDENCE: Evidence was provided in the form of documentation, talking with residents and management personnel. The home has a suitable statement of purpose and resident’s guide. There is also a colour brochure with photographs of the home and grounds. The documents form a welcome pack for new residents. A copy of the home’s contract is issued with this to prospective residents. The registered manager said that prospective residents and their relatives are encouraged to visit the home before deciding it is the right one. The registered
Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 12 manager and / or the matron visit prospective residents to undertake an assessment of needs. This is recorded on specific forms, which were seen and completed appropriately. There has been a new form produced that will enable a more detailed assessment. Information from social workers or hospital nurses is included where appropriate. One resident said that both the manager and matron visited her before she came into the home and they asked a lot of questions. She said they also told her all about the home. This home does not provide intermediate care. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 13 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): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual care plans are generated for each resident, they are all being reviewed and updated to fully inform and direct staff in the care provision. Residents have access to health care services as necessary to ensure their assessed needs are met. There are systems and policies in place for dealing with resident’s medicines that assure residents safety; the policy has recently been updated. The homes policies and culture ensures that residents are respected and their privacy is upheld at all times. EVIDENCE: Evidence was provided in the form of documentation, records, observation, talking with residents and management personnel. Each resident has a written care plan. The matron said she tries to go through the plans with the resident or their representative and is hoping to get them signed in future. A new style care plan is being introduced that is in line with standard 3.3 and contains more detail to inform and direct the care staff. The
Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 14 matron is going to update all of the plans this will take some time but will be very beneficial. There is a lot of useful information in the resident’s files including life histories, records of health professional’s visits and relevant risk assessments. The care plans and risk assessments are reviewed monthly. There is a risk assessment for residents requiring cotsides and consent is sought from the resident, relatives, community nurse, GP and so on, as appropriate. The matron said she is going to improve the risk assessment in line with guidance from the Department of Health. Residents spoken with said their health needs are met very well and they have access to a doctor or other health professionals when required. The management said that links with specialist healthcare professionals is very good and was confirmed by the nurses on duty. Matron is responsible for moving and handling training and there is appropriate equipment provided. There are appropriate mattresses and cushions provided for pressure relief. Care practice was observed to be appropriate during the inspection and carried out in a calm, efficient manner. Residents said their personal care is carried out as they wish it to be. There is a suitable medicines policy in place. The home has a monitored dosage system in place for the administration of medication. No residents are self-administering at the moment. Records are kept of all medicines entering and leaving the home. The medicine charts are clear and completed appropriately. Medicines were administered in a professional manner at lunchtime. There is a homely remedies policy and a list approved and signed by a doctor from each surgery. There are relevant reference books and patient information leaflets are available for staff or residents to refer to. Basic medicines training has been formally included in the induction programme. Staff were observed to uphold resident’s privacy during the inspection and knocked on doors before entering. Residents said they are treated with respect and their privacy is respected. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 15 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): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides activities daily and staff spend time with residents, aiming to offer a lifestyle that meets their needs. Links with family and friends are excellent and allow residents the opportunity to socialise. Residents are helped to maintain control over their lives and staff respect their individual preferences and choice. Dietary needs of residents are well catered for with a varied selection of food that aims to meet their taste and preference. EVIDENCE: Evidence was provided in the form of documentation, records, observation, talking with residents and management personnel. There are activities provided on a daily basis, these are organised by an activities co-ordinator. She holds committee meetings with some of the residents every 2-3 months and posters are displayed to advertise what is happening and when. Activities include Holy Communion, music recitals, entertainment, art and craft; keep fit, sewing and reminiscence workshops are being organised. Residents talked about the activities on offer, the art class seemed popular.
Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 16 There is a record of visitors to the home and there were several visitors in the home during the inspection. Residents said they could receive visitors in private and at any time. Visitors spoken with said they are always made welcome in the home and they are always offered a cup of tea. Residents said they could receive their visitors in private and whenever they like. Residents have access to telephone facilities; one resident was having a private telephone installed in her room during the inspection. Residents said they choose when they get up and go to bed within reason. A member of staff said that residents were staying up later at weekends to watch certain television programmes that were on recently. Residents said they choose what clothes to wear and how they spend their day. They said they choose whether to stay in their room or go to the lounge. All residents were suitably dressed in clean clothes. Residents’ rooms were personalised with their own belongings and furniture. One resident said she deals with her own money. Staff said residents choose what they do each day and there is no time limit for breakfast, other meals are more structured to time. There is a six week set menu but everyone spoken with said there are alternatives for those who do not wish to have the set meal. This was evidenced in the records in the kitchen. Nutritional needs are assessed and the matron said that special diets are catered for. Everyone spoken with said the food is very good. Fresh vegetables and fruit are included. Snacks and drinks are available between meals; water or juice is provided for all residents. Meals are cooked in the kitchen on the ground floor. Meals are served in the dining room but residents can eat in a lounge or their bedroom if they prefer. The lunchtime meal was observed to be unhurried and appropriate assistance was given. The cook said she has achieved the Intermediate Food Hygiene certificate and her assistant was undertaking food hygiene training. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 17 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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure that ensures complaints are listened to and acted upon. Arrangements are in place for the protection of residents safeguarding them from harm or abuse. EVIDENCE: Evidence was provided in the form of documentation, records, observation, talking with residents and management personnel. There is a suitable complaints policy available in the home that is issued to residents. Residents and visitors said they could approach the staff, the Matron or the manager if there was a problem. Thank you letters and cards are kept in a file and matron has sorted out those received this year into a file. The registered manager, matron and several staff have attended the local ‘No Secrets’ course provided by the department for adult social care. In house training also takes place regularly. Staff said the training is very useful. There is a copy of the local inter-agency procedures in the home and the home has a suitable policy. There are also new leaflets provided by the department of adult social care. There have been no issues at the home. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 18 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): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home and grounds are well maintained providing a safe environment for residents, staff and visitors. The home is comfortable, clean and offensive odours are being controlled making it a pleasant place for residents to live in. EVIDENCE: Evidence was provided in the form of documentation, observation and a tour of the building. The property is well maintained and appears to be safe. It is comfortable, warm, homely and clean with efforts made to combat offensive odours. Furnishings and decorations are to a good standard, the registered manager said that some furniture and carpets have been replaced and the whole home has been decorated since the last inspection. The matron stated that the owner is looking to change all of the en-suite baths to showers, as the baths do not
Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 19 get used. There is an on going maintenance programme is in place. The property has extensive gardens that are well maintained and residents can access these. Some residents spoke about going out into the grounds. The laundry facilities are suitable with four washers and one large drier. There is a sluice on each floor with washer disinfectors. Protective clothing is supplied for staff and they were seen wearing aprons and gloves. Hand washing facilities for staff are suitable and alcohol hand cleansing gel is provided. There are relevant policies in place for infection control. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels meet the needs of residents and staff morale is good. Resident’s benefit from the 69 of care staff that are trained or in the process of training to at least NVQ level 2 in care. Recruitment procedures are robust and offer protection to the residents. The home provides training for staff to help them be more competent in their roles. EVIDENCE: Evidence was provided in the form of documentation, records, observation, talking with residents and management personnel. The matron said that staffing levels are adjusted according to the resident’s dependency. There is a qualified nurse on duty at all times there are sometimes two nurses in the mornings. There are on average six carers in the mornings, three in the afternoons and evenings and one overnight. Both night staff are awake there is no sleep in. The registered manager and matron are on duty during the week and on call at all times. Staff said they feel there are enough staff and the team works well. Some residents said there could be more staff at times but generally it was felt there are enough. Residents said the staff are very kind and care for them well. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 21 There is a recruitment policy and the home operates an equal opportunities policy. There are three overseas staff employed. One said she is very happy working in the home and all staff are treated equally. Staff files inspected contained the documents required by legislation, but they lacked interview records. Staff are issued with terms and conditions of employment and an appropriate job description. Relevant employment checks are made. 69 of care staff are qualified to at least NVQ level 2 in care and 3 care staff are studying for the qualification. Care staff tend to commence work at the residential home and progress to the nursing home, hence the higher level of qualified care staff. Staff receive statutory training as required. There is an induction programme for new staff that complies with the skills for care standards. The induction pack includes the in-house induction checklist and the GSCC code of practice. Care staff are enrolled onto NVQ training following induction if not sooner. Training needs are identified during the interview process, at annual appraisals and during supervision. There is a training matrix to record training attended, a generous amount of training takes place in the home with packs supplied by a training company. The matron provides moving and handling training. External agencies, specialist nurses and medical representatives come to the home to provide training. Training attended includes diabetes, first aid, resuscitation and staff work through a pack on dementia. There were posters on a notice board advertising external training sessions and staff said they could go to these if they wished. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager and the matron are people of good character and fit to run the home. The home is run in the best interest of the residents and they benefit from the Quality Assurance systems in place. The home handles resident’s money in an appropriate manner and ensures their financial interests are safeguarded. Appropriate training and safety checks are undertaken to ensure the health, safety and welfare of residents, visitors and staff. EVIDENCE: Evidence was provided in the form of documentation, records, observation, talking with residents and management personnel. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 23 The registered manager is a Registered Mental Nurse with 22 years experience in social care; she is very competent in running the home. The matron is a Registered General Nurse and has managed the home for 4 years. Both have achieved the Registered Managers Award. They both said they attend all statutory training updates and read the nursing press to keep up to date on current issues relevant to the client group. The owners of the home visit on a daily basis. Staff and residents spoke highly of the owners, registered manager and matron. All staff spoken with said that if something needs doing it gets done. An annual quality assurance survey takes place with residents, relatives and external stakeholders. Results are compared year on year with an aim to improving the services provided. Residents meetings and staff meetings take place regularly and minutes are kept. There are notices advertising the next meetings. The owners of the home and the registered manager visit daily and meet with staff and residents. There is a policy for the safekeeping of resident’s money in the welcome pack. There is one resident who deals with her own money and a lockable facility is provided. Money is held for residents for toiletries and hairdressing and so on, it is held in a non-interest account and records are kept for all transactions. Receipts are kept for all purchases. There is petty cash for day-to-day requirements. Power of attorney details are recorded. The registered providers endeavour to ensure that working practices are safe. Health and safety and fire risk assessments have been undertaken. Relevant service checks take place as required. COSHH data sheets are available to staff. All staff receive statutory training regularly and records are kept. The kitchen staff all receive basic food hygiene training and the cook is trained to intermediate level. A window was open during the inspection and the cook said she would like to have the door open when it is hot. Fly screens must be fitted to kitchen windows and suitable screening or chain curtain to the doorway if opened. This was discussed with the registered manager who said she would sort this straight away. Accident reporting complies with data protection and there are few accidents. Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 24 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 X 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 Cathedral View Nursing Home DS0000046307.V336504.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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
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