CARE HOMES FOR OLDER PEOPLE
Caton House Nursing Home Epsom Grove Bletchley Buckinghamshire MK3 5NR Lead Inspector
Chris Sidwell Unannounced Inspection 10th September 2007 11:00 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 Caton House Nursing Home DS0000069875.V344374.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. Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Caton House Nursing Home Address Epsom Grove Bletchley Buckinghamshire MK3 5NR 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) 01908 630670 01908 630680 Donna.stewart@sanctuary-housing.co.uk www.sanctuary-care.co.uk Sanctuary Care Ltd Donna Lesley Stewart Care Home 68 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing only - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 68. Date of last inspection Newly re-registered service Brief Description of the Service: Caton House is a purpose built home providing care for up to sixty-eight older people, some of who may require nursing care. It is managed by Sanctuary Care. The home is situated in a quiet residential area a short distance from the towns of Bletchley and Milton Keynes. There is a small shop near the home and further amenities can be found in Milton Keynes and Bletchley. The home is close to bus routes. . There are single and shared rooms although the current policy is that rooms are shared only at the express wish of the resident. All rooms have ensuite facilities. There are communal lounges and dining rooms and an attractive garden with good access for those with disabilities. There are care staff on duty at all times and qualified nurses on duty on the nursing floor. Residents are registered with their own general practitioner or the local general practitioner who visits regularly. Fees range from £569.25 to £776.25 per week. Additional costs are incurred for hairdressing, chiropody and personal items. Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was conducted over the course of three days and included a one day unannounced visit to the home. The key standards for older people’s services were covered. Information received about the home since the last inspection was taken into account in the planning of the visit. Prior to the visit the manager completed an annual quality assurance self-assessment. Information from this was taken into account in the planning of the inspection. Questionnaires were sent to residents, their families and healthcare professionals. Four residents, seven family members and five healthcare or social care professionals returned the questionnaires. Residents and families were also spoken to on the day of the unannounced visit. Discussions took place with the manager, nursing, care and ancillary staff. Care practice was observed. A tour of the premises and examination of some of the required records was also undertaken. The homes approach to equality and diversity was considered throughout. What the service does well:
Residents needs are assessed prior to their moving to the home, to give confidence to both residents and their families that their needs can be met. The assessment documentation in use has prompts to guide staff to consider potential resident’s social and cultural wishes as well as care needs. Respite care can be offered to families and carers on a planned basis to give them the opportunity of a planned break. Residents personal, healthcare and medication needs are met in a timely way. Their self-esteem is promoted by the staff, who protect their privacy and dignity. The residents and families who returned the questionnaires said that the staff always or usually met their needs. One said that they are ‘very caring’ and another that ‘they are always kind, respectful and caring’ and ‘handle my relative with gentleness and skill’. The routines of the home are flexible and residents are supported to take part in activities, if they wish, to provide stimulation and diversion to their day, although there has been a reduction in entertainments at the home and outings at the home due to cost constraints recently which residents were disappointed about. The meals are of a high standard and residents nutritional needs are met. Mealtimes were observed to be a sociable occasion and the residents spoken to said that they enjoyed the meals. One said ‘I am never hungry’. There are complaints and safeguarding procedures in place to protect residents from harm arising from their care. Staff have had training in safeguarding vulnerable people and said that they would have no hesitation in reporting any
Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 6 concerns. The Commission for Social Care Inspection received one anonymous concern about staffing changes during the recent reorganisation. It has it been notified of any safeguarding allegations made to the local authority under their procedures. The home is well maintained, residents rooms are homely and the standards of hygiene and infection control are good, giving residents a comfortable and safe place in which to live. There is an ongoing redecoration programme. The gardens are attractive and there is good access for people with disabilities. There are sufficient staff to meet resident’s needs although the impact of recent changes must be monitored to ensure that this continues. Staff training has been good and staff have the knowledge and skills to care for vulnerable residents. Recruitment procedures are thorough and the appropriate checks had been made as to applicant’s suitability and skills before they commenced work. The residents spoke highly of the carers and said that they were kind and helpful. The home is well managed and provides a safe and comfortable place to live for older people. There is an experienced manager who has provided continuity during the recent changes. There are quality assurance systems in place and residents’ and their families’ views are sought, although some changes have been made recently, for financial reasons, to the entertainments and outings programmes that residents and relatives have not been happy with. What has improved since the last inspection? What they could do better:
Thermostatically controlled valves must be fitted to all water outlets to which residents have access and in particular to showers and baths to minimise the risk of residents being scalded. The provider must notify The Commission for Social Care Inspection when this has been completed. The provider should ensure that all residents have contracts or terms and conditions relating to their stay. Consideration should be given to ways in which the entertainments and outings programme could still be run as residents valued this. A second chair should be provided in resident’s rooms for families and friends to use if they wish to spend time with residents in their rooms.
Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 7 The impact of the new management structure and changes to staffing levels and skill mix should be monitored carefully to ensure that residents needs continue to met in a timely way and that they remain happy with the care and service offered. 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. Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Residents needs are assessed prior to their moving to the home, to give confidence to both residents and their families that their needs can be met. EVIDENCE: The care of four residents was followed through from their initial contact with the home to the care that they were receiving at the time of the unannounced visit. All had been visited prior to their move and a comprehensive assessment of their needs made. One confirmed that she had been able to visit prior to moving to the home and confirmed that she had stayed on a trial basis initially. There was evidence in the care files seen that care managers had undertaken an assessment and that the needs identified by the care managers had been included in the care plan. Residents nursing needs had been identified and they had been assessed as to the level of contribution to their fees, to be paid by the local Primary Care trust, to which they were entitled. Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 10 A room is kept to provide respite care which residents or families can book in advance enabling them to have planned breaks. The home does not offer intermediate care. Not all residents had copies of contracts or terms or conditions in their files. The manager stated that all residents, who had moved to the home since Sanctuary Care has managed it, have copies of their terms and conditions or contract. Some copies of documentation had been sent from the previous provider’s head office. Sanctuary Care should ensure that all residents have a copy of their terms and conditions or a contract if they are self funding to ensure that they are aware of the terms and conditions of their stay. Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Residents personal, healthcare and medication needs are met in a timely way. Their self-esteem is promoted by the staff, which protects their privacy and dignity. EVIDENCE: The care plans seen contained detail of the care needs of the residents. Residents said that they had been involved in planning their care. The care plans had been reviewed monthly and were up to date. They contained evidence that the relevant healthcare professionals visit residents regularly. Residents had risk assessments covering the their risk of developing pressure damage and falls. Continence and nutritional assessments had also been undertaken. The general practitioners who returned the questionnaires said that staff understood the needs of residents and that their advice was incorporated into the care plan. Medication was managed satisfactorily. There are policies and procedures in place. The staff said that resident’s wishes are respected and that no medication is administered covertly. If a resident refuses medication that is
Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 12 considered essential the doctor and family would be informed and a way forward agreed as a multidisciplinary team and with the resident and their family where possible. There was evidence in the training records that staff who administer medication have had training to do so. Records were kept of medication entering and leaving the home. The medication administration charts were mostly completed correctly, although there were some gaps where medication had been given but had not been signed for. The manager is aware of this and has put in place audit and monitoring checks to improve this area of practice. Staff were observed to treat residents with courtesy and to protect their dignity. All the residents who returned the questionnaire said that staff listened to and acted upon what they say. The mail was observed to be delivered unopened. Residents were wearing their own clothing, which was in good condition. Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The routines of the home are flexible and residents are supported to take part in activities if they wish, to provide stimulation and diversion to their day. The meals are of a high standard and residents nutritional needs are met. EVIDENCE: There has been an active activities programme led by part time activities coordinators, although the hours available to them has been reduced and they have now left. The manager said that she has advertised for another activities coordinator. The residents and families who returned the comments cards were aware of this and said that they hoped the activities programme would be restarted shortly. Three volunteer helpers were organising a Bingo session on the day of the unannounced visit. The residents spoken to were disappointed that some entertainments and outings had been curtailed due to financial reasons. The manager said that visitors were welcome at any time and the residents who returned the questionnaires said that the home usually or always helped their family member to stay in contact with them. Residents said that the routines were flexible and that they had a choice as to how they spent their
Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 14 day. Residents are encouraged to bring personal possessions and many had chosen to do so. The meals are of a high standard. There is a varied menu and the residents spoken to all said that they enjoyed the food. The chef knew the residents and took the time to visit them and ask them if they had any favourites. The mealtimes were observed to be a pleasant and sociable occasion. Staff were assisting those residents who could not eat unaided discretely. Pureed foods were presented attractively. Residents were weighed regularly and for most their weight was stable. The residents spoken to said that they enjoyed their meals and that they were never hungry. Special diets are available to meet resident’s health and cultural needs if necessary. Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. There are complaints and safeguarding procedures in place to protect residents from harm arising from their care. EVIDENCE: There are complaints, protection of vulnerable people and whistle blowing policies and procedures in place. A complaints record is kept and concerns are responded to promptly. Relatives and families who returned the comment cards said that the staff were always kind and that they knew who to complain to if they were unhappy. The manager is aware of the local authorities protection of vulnerable adult policies and has undertaken a ‘train the trainer course’ in this topic. Training was being set up in the home and forty percent of staff had undertaken training in safeguarding in this area. Over ninety percent of staff have also undertaken the National Vocational Qualifications in Care at level 2, which contains a module on safeguarding adults. The manager should continue to ensure that all staff have this training and that it is updated annually. The staff spoken to said that they had had protection of vulnerable adults training and that they would have no hesitation in reporting any concerns. The residents spoken to said that the staff were kind and that they had never been treated badly and felt safe in the home. The Commission for Social Care Inspection received one anonymous complaint about staffing changes during the recent reorganisation. It has it been
Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 16 notified of any safeguarding allegations made to the local authority under their procedures. Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 17 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, 24, 25 and 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The home is well maintained, residents rooms are homely and the standards of hygiene and infection control are good, giving residents a comfortable and safe place in which to live. Thermostically controlled valves must be fitted to the bath water outlets to reduce the potential risk to residents of scalding. EVIDENCE: The home is modern and has been painted and redecorated regularly. The corridors on the upper floor were being repainted on the day of the unannounced visit. New carpets are planned when the redecoration is complete. There are ample communal facilities on the ground floor although only one lounge on the nursing floor. Residents had a choice as to whether they stayed in their rooms or joined others in the communal areas. Residents are encouraged to personalise their rooms and many had chosen to do so. Rooms were homely and welcoming and reflected the wishes and lives of the people who lived in them. Not all rooms had second chairs for families, which
Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 18 should be addressed. There are attractive, well maintained gardens with easy access for people with disabilities. There are two bathrooms one on each floor. Neither has thermostatically controlled mixer valves to control the bath temperature. There was evidence that staff check and record bath temperatures, which is essential to protect residents from scalds. However thermostically controlled valves must be fitted to all water outlets used by residents and in particular showers and baths. This is a requirement of this report. There are control of infection policies in place, which were last updated in May 2006. They should be reviewed to ensure that they are in line with guidance issue, in June 2006. The standard of cleanliness is high. There are no offensive odours. There are soap and hand towels in individual rooms for the use of staff and alcohol hand rub is available to help reduce the risk of to residents of acquired infection. All residents have individual hoist slings. Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 19 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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. There are sufficient staff to meet residents needs although the impact of recent changes must be monitored to ensure that this continues. Staff training has been good and staff have the knowledge and skills to care for vulnerable residents. Recruitment procedures are thorough and should protect residents from unsuitable carers. EVIDENCE: Since acquiring the home sanctuary care have restructured the staffing levels and skill mix. The manager states that she is now aiming to have two qualified nurse on duty on the nursing floor throughout the twenty-four hour period, supported by five carers during the day and two carers during the night. She aims to have four carers including a senior carer on the residential floor, throughout the day and three at night. The restructuring process to meet these aims did result in some redundancies, which has caused some uncertainty for staff. This was also reflected in the comments made by residents and families in the questionnaires. Of the seventeen people who responded to the relevant questions in the questionnaires, all said that the home ‘usually’ or ‘always’ met their own, or their relative’s needs, although comments were made such as ‘this may change as staff cuts are on the way’ and ‘it is noticeable that since the care home has changed management there do not appear to be as many staff available to support residents’. The manager has held regular meetings to listen to residents and families views and to reassure families that residents’ needs would continue to be met by the
Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 20 new staffing levels. The organisation and manager should continue to monitor the new staffing structures to ensure that they continue to meet residents’ needs in a timely way. Ninety-two percent of care staff hold the National Vocational Qualifications in Care at level 2 or above which is to be commended. All new staff are undertaking the Sanctuary Care induction programme, which is ‘Skills for Care’ accredited. The recruitment files of three recently recruited staff members were checked. All had the required documentation. All had completed an application form and had evidence to show that their work history had been checked. Two references and a Criminal Records Bureau disclosure had been sought before the staff member commenced work. The staff spoken to said that they had undertaken an induction programme Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 21 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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence, including a visit to this service. The home is well managed and provides a safe and comfortable place to live for older people. There are quality assurance systems in place and residents’ and their families’ views are sought. EVIDENCE: This is the first inspection since Sanctuary Care took over the management of the home. The manager and deputy manager are both experienced in the care of older people and have worked at the home for a number of years. The manager is a registered nurse and holds the National Vocational Qualifications in Management at level 4 and has provided continuity during the recent changes. The staff spoken to said that they felt that the manager and deputy were approachable. The new management and senior team structure in the home has resulted in a reduction of posts but has established clear lines of accountability.
Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 22 Sanctuary Care has a quality assurance programme which is being implemented in the home. The deputy manager has undertaken a number of audits of basic care functions such as medication administration and has improvement plans in place to address any deficiencies. A residents and families questionnaire has been undertaken and there was evidence that action has been taken to address any issues raised. There are monthly residents meetings and six weekly families meetings where residents and families views can be heard. Their main concerns recently had been the changes in staffing levels and reduction in entertainment and outings that has taken place, in the last three months. The manager stated that this was due to financial constraints and that consideration was being given to some fund raising activities to compensate for this. The home does not manage resident’s finances on their behalf. Up to £100 personal allowance may be kept for individual residents. Sanctuary Care has replaced the previous computerised system and implemented a paper based system to manage this. The administrator has implemented the new system thoroughly and there was evidence that receipts are given for money deposited and taken out by residents or spent on their behalf. It is suggested that the organisation consider the guidance published by the Commission for Social Care Inspection, which gives guidance on the way in which computerised systems might be used to ensure that residents have access to their personal allowance. There are health and safety policies and procedures in place. The annual quality assessment showed that regular servicing and maintenance of equipment takes place and records were seen to verify this. The training matrix is being updated and shows that training is available in safe working practices, including food hygiene and infection control. There is no moving and handling trainer at present and staff go to another home to undertake this training. There is a need to ensure that all staff have this training with annual updates. Fire safety records are kept and a fire risk assessment has been undertaken. Fire equipment is tested regularly, as are alarms. The staff spoken to understood the fire evacuation procedures and regular fire drills are undertaken. Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 1 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 2 Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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 OP25 Regulation 13(4)a Requirement Thermostatically controlled valves must be fitted to all water outlets to which residents have access and in particular showers and baths to minimise the risk of residents being scalded. Timescale for action 31/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP2 Good Practice Recommendations Sanctuary Care should ensure all residents have a copy of their terms and condition, or contract if they are self funding, to ensure that they are aware of the terms and conditions of their stay. Consideration should be given to ways in which the entertainments and outings programme can be run as residents valued this. A second chair should be provided in resident’s rooms for families and friend to use if they wish. The impact of the new management structure and changes to staffing levels and skill mix should be monitored carefully to ensure that residents needs continue to met in
DS0000069875.V344374.R01.S.doc Version 5.2 Page 25 2 3 4 OP12 OP24 OP27 Caton House Nursing Home a timely way and hat they remain happy with the care offered. Caton House Nursing Home DS0000069875.V344374.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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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