Inspection on 31/01/08 for Church View Nursing Home

This inspection was carried out on 31st January 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Church View Nursing Home 18/10/06

Church View Nursing Home 04/01/06

Church View Nursing Home 15/09/05

Church View Nursing Home 01/11/04

Church View Nursing Home 04/08/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Church View Nursing Home Thompson Street Norton Stockton-on-Tees TS18 2NY Lead Inspector Katherine Acheson Key Unannounced Inspection 31 January 2008 10:15 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 Church View Nursing Home DS0000000160.V352941.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. Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Church View Nursing Home Address Thompson Street Norton Stockton-on-Tees TS18 2NY 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) 01642 802490 01642 802491 Teesside Health Care Limited Mrs Denise Mary McPhee Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability over 65 years of age (0) of places Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 23 service users who require nursing care can be admitted to the home from age 55 . This variation to age is for one named individual, until such a time as the placement is no longer required. 18th October 2006 Date of last inspection Brief Description of the Service: Church View Nursing Home is registered to provide personal and nursing care to forty-seven older people. The home is situated on Thompson Street in Stockton, and is close to the town centre and other local amenities. The home is a modern, two storey, purpose built facility, which is divided into two units. The ground floor of the home accommodates a maximum number of twenty-three people who require nursing care, and the first floor of the home accommodates a maximum number of twenty-four people who require personal care. Each unit has a lounge, dining area and lounge designated for those people who wish to smoke. All bedrooms are single in nature and provide ensuite facilities, which comprises of a toilet and hand washbasin. All bedrooms meet space requirements of National Minimum Standards. There is a car park to the front of the home and a pleasant enclosed garden/patio area to the rear, for people to use. The cost of care at the time of the inspection visit (depending on the category of care) ranged from £370 to £477 per week. Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means that people who use this service experience good quality outcomes. This unannounced key inspection was carried out on 31st January 2008 and 7th February 2008 and lasted for nine and a half hours in total. On the first day of the inspection the Inspector arrived unannounced. The manager of the home was aware of the second day of the inspection. The reason for the inspection was to see how good a job the home does in meeting the National Minimum Standards set by the government for Care Homes. Five people that use the service and one relative were spoken to during the inspection. General discussions also took place with care staff, the handyman, the office administrator and a director of the home. A lengthy discussion also took place with the manager and deputy manager. Numerous records including care plans, menus, quality assurance, complaints and staff recruitment and training records were examined. The Inspector walked around the home with the manager. Before the inspection twenty surveys for people who use the service and twenty surveys for relatives were sent to the home for the manager to distribute accordingly. Surveys requested feedback on the service and staff provided. Seven people who use the service and four relative surveys were returned to the Commission for Social Care Inspection. Comments received can be read within the report. The manager completed and returned an Annual Quality Assurance Assessment, (AQAA). The AQAA is the services self-assessment of how they think they are meeting national minimum standards. This information was received before the inspection and was used as part of the inspection process. The details of any issues identified at this inspection requiring action are to be found at the back of this report. Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? All requirements identified at the last inspection have been addressed. Since last inspection the manager has developed an audit in which she looks at accidents/falls of people who use the service. This audit looks to see if there are any common factors to accidents and falls. The manager said that this audit has helped to highlight potential and actual areas of risk. As such measures have been put into place which have resulted in the number of accidents and falls reducing Staff have improved in the way they record some medication practices. Staff now write on medication administration charts for people who use the service the exact amount of medication they have had. Records are also kept of any medication that is returned to the licensing company so that an audit trail can be carried out. Numerous improvements to the environment have taken place. Communal areas have or are in the process of being decorated and carpets replaced. New dining room furniture is to be provided. It was highlighted at the last inspection that not all staff received regular adult protection training. The Manager has taken action to address this. An external training provider delivers training to staff on a yearly basis. Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 7 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. Church View Nursing Home DS0000000160.V352941.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 Church View Nursing Home DS0000000160.V352941.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): Standards assessed 3 and 6 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Assessments of people who are to use the service are carried out to ensure that the home can meet their needs. EVIDENCE: The manager said that before going into the home people who are to use the service are assessed by a social worker or health care professional to determine if they need nursing or personal care. Staff at the home then carry out their own pre-admission assessment either visiting the person in their own home or at hospital to ensure that the needs can be met at Church View. If people are self-funding then an assessment is usually only carried out by experienced staff working at the home. The manager advised of a recent assessment she had carried out on a person who was to be admitted to the home. She said that she had visited the person Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 10 at home. A long discussion had taken place about care needed and the need for the bedroom at Church View to be tailored to meet the need of the individual. Equipment was to be brought into the home that helped to manage the person’s medical condition. The Manager said that prior to admission the bedroom was prepared to the liking and needs of the person. The manager said that people who are to use the service and relatives are encouraged to visit and spend some time to ensure that it is the right place for them. The home does not provide intermediate care and as such standard 6 does not apply. Church View Nursing Home DS0000000160.V352941.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): Standards assessed 7, 8, 9 and 10 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a good standard of care, people using the service are happy and care received is based on their individual needs. Procedures are in place to ensure good management of medication to ensure safety of people using the service. EVIDENCE: Three plans of care were looked at during this visit all of which contained detailed information about the person using the service and the help they needed. Likes, dislikes and personal preferences were recorded. Care plans showed clear evidence of choice. Care plans were evaluated on a monthly basis. Files of people who use the service included healthcare visits and appointments. The records showed the regularity of visits for treatment from: doctors and district nurses, opticians, dentists and other healthcare specialists. Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 12 The manager spoke of a process that the home follows once a person is admitted to the home. She said that before admission the home receive a full assessment of the person from Social Services or the Primary Care Trust and they also have an assessment that an experienced member of staff who works at Church View has carried out. Within seventy-two hours of admission a further assessment of the person takes place looking at activities of daily living an example being eating and drinking and attending to hygiene needs and medical problems, amongst many other things. A plan of care is then developed with the help of the person using the service or relative. One file sampled during the inspection was that of a person that required bed rails attaching to their bed to help to maintain safety. Although a risk assessment was in place in respect of this, it was insufficiently detailed and did not contain evidence to confirm that a multidisciplinary team had been involved in deciding if bed rails were the most appropriate safety measure. A discussion took place with the Manager in respect of this. People who use the service confirmed that their dignity and privacy was respected. One person said, “Staff always give a little knock on my door before they come in” People who use the service and the one relative spoken to during the inspection and surveys received stated, “All staff are pleasant, courteous, caring and easy to talk to” “Most things are of a high standard at Church View” “I don’t think that you could find better, I am quite happy” “I notice how well they look after everyone” “I think that the home is very good. The staff are very helpful, if you need anything then the staff are there” “Church view has put a lot effort into settling mum in and has made her very content” Staff at the home record when any person who uses the service has fallen. The manager said that on a three monthly basis she carries out an audit of accident records to see if there is a pattern or common factor to the falls. Since last inspection the manager has worked very hard to develop this audit. The audit involves looking at all of the falls, time, place, frequency, if the person was on the nursing unit or personal care unit. The manager said that this accident audit has proved to be very useful and has highlighted areas of Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 13 risk. She said that actions have been taken as the result of the audit, which has resulted in less falls. During the inspection arrangements for receiving, storing, administering, recording and disposing of medication on the personal care unit were observed and examined. The ordering and returning of unused medication was good and records were well written. A medication audit of one person who uses the service was carried out. Medication administration charts had been completed correctly and the stock balance of medication belonging to the person was correct, matching up with medication ordered, received, administered and remaining in the home. Medicines were stored appropriately. Since last inspection the home has bought a new fridge in which to store medication that requires cool storage. Fridge temperatures are taken and recorded on a regular basis. A discussion took place during the visit with a senior care staff member who was responsible for giving out medication. The senior care staff member demonstrated knowledge and competency and was able to answer questions quickly and correctly on how to ensure safe practice. The manager said that it is the responsibility of nurses on the nursing unit to give out the medication and the responsibility of senior care assistants to give out medication on the personal care unit. The Manager said that those staff that administer medication have received appropriate training and also have their competency checked on a regular basis. Certificates were available within the home to confirm that this was the case. Requirements identified in respect of medication at the last inspection were revisited. Records examined confirmed that staff now keep a record of medication being returned to the licensing company for destruction and staff record the dosage of medication given to people who use the service. Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 14 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 assessed 12, 13, 14 and 15 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Appropriate and enjoyable activities do take place at the home and people are able to exercise choice and control. Visitors are encouraged and made to feel welcome at anytime. Food provided is enjoyed by people who use the service and provides them with a wholesome balanced diet. EVIDENCE: The home employs an activity co-ordinator to plan, arrange and take part in activities for people who use the service. The activity co-ordinator works twenty-five hours a week over five days (Monday to Friday). The Manager said that hours worked are flexible and can change depending on activities planned. Activities taking place include bingo, dominoes, quizzes, cards, and arts and crafts. Four people who use the service were observed to be enjoying a game of dominoes on the second inspection day visit to the home. The Manager spoke of recent entertainment provided at the home. A group called “Pack up your troubles” sang wartime songs that were enjoyed by all. The Salvation Army Brass Band visited over Christmas and provided Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 15 entertainment. A married couple living at the home have recently celebrated their 60th wedding anniversary. A party was arranged by the home for family, friends and other people who use the service. The Manager said that a group of staff, relatives and people who use the service has recently formed and that they are to meet once a month with one of the items on the agenda being activities and outings. The group has had its first meeting. Some people who use the service have said that they would like a curry night once a month, this has been arranged. A pie and pea supper has also been arranged for 29th February. The activity co-ordinator takes people who use the service out on an individual basis. Those who are able are supported and encouraged to go out independently. One person spoken to during the inspection said, ““I book a taxi and go out to my friends. In the summer months I intend to go into town”, another said, “I like to play dominoes, another said, “I went shopping with the activity co-ordinator the other day I thoroughly enjoyed it”. Visits from relatives and friends are welcome at any time. Relatives are able to spend time and enjoy a meal at the home. The manager said that two relatives of people who use the service have tea at the home on a regular basis. The one relative spoken to during the visit said, “I am always made to feel welcome. As soon as I walk in I get asked if I want a cup of tea. Either me or someone else from the family visit four times a day. You can visit when you like and for as long as you like”. People who use the service are encouraged and supported to practice their religion. The Salvation Army visit the home on a regular basis and two people who use the service attend the local Roman Catholic Church on a regular basis. The Manager said that staff working at the home take them to church and that a representative of the local Roman Catholic Church brings them back. Representatives from the local Roman Catholic Church also visit to give communion to those people who are unable or don’t want to attend church. The manager said that currently, there are not any people who’s religion is Church of England expressing a wish to practice their religion. On the first day of the inspection the lunchtime of people residing on the personal care until was observed. Mealtime was relaxing with people who use the service enjoying the food provided. Tables were nicely set with tablecloths, a table centre/decoration and condiments. Food served was well presented. The lunchtime menu on the day was chicken, chips and sweet corn, pudding was fruit and cream. The Manager said that she regularly discusses food and menus with people who use the service. She said that at a recent meeting, people who use the service had asked for tongue and yellow fish to come back on the menu and that some people had requested egg and chips. People who use the service and surveys received in general spoke positively about the food provided. Comments made included, Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 16 “The meals are plentiful and in good variety” “The food is excellent I clear my plate most days” “The meat and fish is excellent” “There are a lack of interesting puddings for diabetics” Church View Nursing Home DS0000000160.V352941.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): Standards assessed 16 and 18 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were confident their complaints would be listened to, taken seriously and acted upon. Adult protection procedures are in place, which helps to protect residents from abuse. EVIDENCE: The home has a complaint procedure, which informs people who use the service and relatives of their right to complain to any commissioning authorities such as Social Services. The home keeps a record of complaints. There have been two complaints made in the last twelve months. The home has an adult protection policy that details action that staff should take if abuse is suspected. The Manager said that staff receive adult protection training on induction and attend training from an external training company on a yearly basis there after. Records were available to confirm that this is the case. The Manager has also attended recent protection of vulnerable adults training that was delivered by North Tees Primary Care Trust. Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 18 There has been one adult protection referral within the last twelve months. This was dealt with appropriately by the home. People who use the service said that they felt safe and said that they are able to raise any concerns they may have with care staff or the manager of the home. One person said, “The manager is really nice, we have a lot of banter. I could approach her if I had any problems. I could speak to any one of the staff they are all considerate and caring” Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 19 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 assessed 19 and 26 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of the environment within this home is good providing the people who live there with and attractive, homely and comfortable place to live. EVIDENCE: The home is a modern, two storey, purpose built facility, which is divided into two units. The ground floor of the home accommodates a maximum number of twentythree people who require nursing care, and the first floor of the home accommodates a maximum number of twenty-four people who require personal care. All bedrooms are single in nature and provide ensuite facilities, which comprises of a toilet and hand washbasin. Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 20 There are lounge and dining room facilities on both units. There is also a designated smoking room for those people who use the service and wish to smoke. There is a pleasant hairdressing salon on the first floor of the home. The Inspector walked around the home with the Manager. The home is well maintained and furniture provided is of a good standard. The lounge and dining room on the first floor of the home was in the process of being decorated at the time of the visit. A new carpet is to be fitted to the area and new dining room chairs purchased. The ground floor lounge has recently been decorated and a new carpet fitted. People who use the service have individualised their bedrooms, many having brought items of furniture from home. The Manager said that there is a rolling programme in place for re-decoration of bedrooms. The home has a policy in respect of control of infection. Staff spoken to during the inspection said that there was always a plentiful supply of protective clothing. On both inspection days the home was clean and odour free. Positive comments were received from people who use the service and on surveys received in respect of the cleanliness of the home. Comments made included, “The home is always clean” and “The cleanliness and hygiene of the home is exceptional” Appropriate laundry facilities are in place. Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 21 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 assessed 27, 28, 29 and 30 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff at the home are experienced to meet the needs of people using the service. The homes recruitment procedure is robust which helps to ensure that people are protected. EVIDENCE: At the time of the inspection there were forty-six people living at the home, twenty-three on the nursing unit and twenty-three on the personal care unit. The homes duty rota for the nursing unit showed that there are four care assistants on duty between the hours of 8:00am and 9:00pm and two care assistants on night duty. In addition there are two trained nurses on duty during the day and one at night. The homes duty rota for the personal care unit showed that there are three care assistants on duty between the hours of 8:00am and 9:00pm, one of which is a senior care staff member and two care assistants on night duty, one of which is a senior care staff member. Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 22 The Manager of the home, who is also nurse, is supernumerary and as such works in addition to the staff numbers above. People who use the service who were spoken to during the visits and surveys received felt that there was sufficient staff on duty. The Manager said that 90 of care staff working at the home has achieved a minimum qualification of NVQ level 2 in Care. The Manager said that domestics working at the home have just completed and appropriate NVQ level 2 qualification. Two staff files were looked at during the inspection both of which contained a certificate confirming that they had undertaken an induction programme. The Manager said that this induction meets with the required standards as set by Skills for Care. The homes recruitment procedure is robust. The files of two newly appointed staff contained evidence to confirm that an appropriate Criminal Record Bureau checks are carried out before staff start working at the home. Files examined contained all of the required information including, proof of identity and two references. Certificates were available on staff files looked at to confirm that they had received recent training in fire, moving and handling, emergency aid and safe handling of medication. People who use the service and surveys received in general felt that staff working at the home had the right skills and experience to meet in needs, however one comment made stated, “Church View has recently lost some of its more experienced carers for a variety of reasons. Replacements are not up to scratch in some respects. This is just bad luck, I expect things will get back eventually to its previous high standards” One staff member spoken to during the inspection said, “Staff are trained to meet the needs of people living at the home. I have had some good training and I feel well supported” Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 23 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 assessed 31, 33, 35 and 38 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run, health and safety is promoted. Quality assurance systems are in place to ensure that the home is run in the best interest of people who use the service. EVIDENCE: The Manager is a Registered Nurse who has worked in the nursing and social care environment for many years. The Manager is appropriately qualified and experienced to run the home. The Manager has attended a number of training courses during the last twelve months, training courses attended have included fire awareness, tissue Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 24 viability, infection control, protection of vulnerable adults, anaphylactic shock and moving and handling. Surveys are sent out to people who use the service and relatives on a yearly basis to see if they are happy with the home and care that is provided. The results are published and made available. The Manager said that surveys are due to be sent out again in March 2008. The home looks after small amounts of money belonging to some people who use the service. Appropriate records of transactions are kept. A sample of health and safety records were examined and were found to be in order. Records were examined to confirm that fire alarms, gas boilers, emergency lighting and fire extinguishers had been serviced within the last year. On average there are weekly tests of the fire alarm system some of which involve staff to help to ensure that they would know what to do if there was a fire at the home. The Fire Officer visited the home in July 2007 and said that satisfactory measures were in place in respect of fire precautions. Records were available to confirm that water temperatures are taken on average every two weeks. A discussion took place with the manager in respect of the Health and Safety Guidance to monitor water temperatures weekly. People who use the service, the one relative spoken to during the visits and surveys received commented positively about the manager and all staff working at the home. Comments made included, “The home is well run by the matron. All her staff are very kind and helpful” “I like this home it is well run” “The home is very good and staff are very helpful. The Manager is great and all of the nurses are good” One staff member spoken to during the inspection said, “The home is well run and it is a nice place to work” Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 25 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 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 2 Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP8 Regulation 13 Requirement The Registered Person must consult with a multidisciplinary team and develop a detailed risk assessment for those people who it is felt that bed rails should be in place to promote safety. Timescale for action 30/03/08 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 OP38 Good Practice Recommendations The Registered Person should give consideration to the Health and Safety Executive Guidelines to monitor bath and shower water temperatures weekly. Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection St Nicholas Building St Nicholas Street Newcastle upon Tyne 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 Church View Nursing Home DS0000000160.V352941.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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