Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 14/11/07 for Conifers Nursing Home

Also see our care home review for Conifers Nursing Home for more information

This inspection was carried out on 14th November 2007.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

The requirement made at the last inspection to risk assess the use of bed rails had been addressed along with a recommendation relating to the recording of thickened fluids administered to people living in the home.

What the care home could do better:

Two requirements and four recommendations were made during this inspection. The Commission has not been notified of incidents, such as falls that have affected the welfare and safety of people living in the home. This is required under Regulation 37 of The Care Homes Regulations 2001. Portable electrical appliances had not been tested since 2004. The registered person must take advice from the Health and Safety Executive to determine the recommended frequency of testing to ensure that people living and working in the home are safe from harm. Risk assessments and risk management plans lacked detail. It was recommended that these be reviewed and updated to ensure that consistent care and support is provided to keep people safe from harm. Three relatives commented that they would like to see more activities provided for people living in the home. A recommendation was made to undertake surveys with people living in the home and their relatives to determine how this can be improved. Although a Roman Catholic priest attended the home to administer Holy Communion and Mass there was little evidence that people of other religions had opportunities to fulfil their spiritual needs. Minor improvements were needed in the way personal finances were recorded to minimise the risk of errors in personal spending accounts managed in the home.

CARE HOMES FOR OLDER PEOPLE Conifers Nursing Home 158 Manchester Road Chorlton Manchester M16 0DS Lead Inspector Val Bell Unannounced Inspection 10:00 14 and 29th November 2007 th 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 Conifers Nursing Home DS0000021639.V340018.R02.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. Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Conifers Nursing Home Address 158 Manchester Road Chorlton Manchester M16 0DS 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) 0161 881 2514 0161 862 9635 Dr VK Trehan Mrs S Trehan Sarojanamma Adala Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing: Code N, to service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP The maximum number of service users who can be accommodated is: 23. A maximum of 2 persons per day are provided with nursing day care in the home. Registration is subject to compliance with the minimum nursing staffing levels indicated in the Notice which was previously served in accordance with Section 25 (3) of the Registered Homes Act 1984 dated 4 April 2001. 27th February 2007 2. 3. Date of last inspection Brief Description of the Service: Conifers Nursing Home is registered to provide accommodation and nursing care for up to 23 older persons. It is part of a family run business, which includes one other nursing home and a residential home. The registered provider is Dr. V Trehan. The home is situated on a busy main road in the Chorlton area of Manchester. It is close to local facilities, bus routes and the city centre. Accommodation is provided on two floors, served by a passenger lift and the home is accessible to residents who use a wheelchair. Bedroom accommodation is on the ground and first floor. There are 7 single bedrooms, 2 of which offer en-suite facilities and 8 double bedrooms. All rooms offer the facility of a wash hand basin. There are 2 lounges and one lounge/ dining area. The paved patio to the side and the rear of the home, is accessible to residents via patio doors and a ramp. The proprietor has purchased further land to the rear of the property and has plans to landscape the area. Until the area has been landscaped residents are not using the rear Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 5 patio. The charges for fees range from £350.51 to £399.10 per week. Information about the home can be gained through contacting the registered provider, Dr V Trehan or the registered manager Mrs Sarojanamma Adala. The CSCI inspection report is available at the home and through the CSCI web site. Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on information gathered by the Commission for Social Care Inspection (CSCI) since the home’s random inspection on 27 February 2007 and supporting information in the form of a self-assessment provided by the manager prior to visits to the home. Site visits to the home form part of the overall inspection process and the lead inspector conducted a visit on 14 November and was accompanied by a second inspector on 29 November 2007. The opportunity was taken to look at the core standards of the National Minimum Standards (NMS). This inspection will also be used to decide how often the home needs to be visited to make sure that the required standards are being met. During the visits time was spent in conversation with people living in the home and discussions were held with care assistants and domestic staff, nursing staff, the registered manager, the home’s care management consultant and five relatives visiting at the time. Four members of staff and two people living in the home returned completed satisfaction surveys to the Commission. Relevant documents, systems and procedures were assessed and a tour of the home was undertaken. What the service does well: The process for assessing the needs of people prior to admission is robust. This ensures that only people whose needs can be met will be admitted. Care plans inform staff what they need to do to provide the right level of care and support and this information is kept accurate and up to date. Five relatives were complimentary about the quality of care provided and praised the helpfulness of staff working in the home. Visiting is flexible and this encourages people to maintain relationships with their family and friends. People living in the home and their relatives said that staff treated them with respect and that their dignity and privacy was respected. The home is clean and hygienic and no unpleasant odours were detected during two visits to the home. Some parts of the homes décor, furniture and fittings had been identified for renewal and were being replaced systematically. These improvements will maintain a pleasant and comfortable environment for people living in the home. One relative said that she chose the home for her husband because, “It is clean and the staff are very good at looking after the patients.” Robust procedures are in place for resolving complaints and keeping people safe from harm. Similarly, careful attention is paid to ensure that staff have Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 7 the relevant skills, knowledge, experience and personal qualities to work with older people. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Conifers Nursing Home DS0000021639.V340018.R02.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 Conifers Nursing Home DS0000021639.V340018.R02.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, 4 and 6 Quality in this outcome area is good. People can be confident that they will receive robust assessments to ensure that their needs will be identified prior to admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five care records were examined for evidence that people have their needs thoroughly assessed prior to admission. Care manager assessments of need had been obtained and in-house assessments had been undertaken. Comprehensive information had been recorded and this ensured that the service was suitable to meet the needs of people being admitted to the home. It was pleasing to note that people had been afforded choice by being asked their preferences for routines of daily living, such as what time they would like to go to bed. Five relatives spoken to confirmed that they had been involved in the assessment process. Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 10 It was pleasing to note that research had been undertaken into the diverse needs of people from minority ethnic groups and differing cultural backgrounds. This information had been placed in a file as a source of reference for staff. The home did not offer an intermediate care service. Conifers Nursing Home DS0000021639.V340018.R02.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 Quality in this outcome area is good. People living in the home receive care and support according to their assessed needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Nineteen people were living in the home at the time of the first day’s visit. Care records were examined for five people living in the home. Each person had a care plan that had been developed from information recorded during the assessment process. Care plans had been reviewed regularly and updated as individuals’ needs changed. Nutritional needs had been carefully monitored and monthly weight records were up to date. It was pleasing to note that although one person had been assessed as at risk of weight loss he had steadily gained weight since his admission. Care plans provided evidence of good practice in health monitoring. Where health concerns had been identified, prompt referrals had been made through general practitioners to the relevant health professional. Visiting relatives said that they were happy with the care and support provided. Relatives also Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 12 confirmed that staff always kept them informed of any concerns with individuals’ health and welfare. The outstanding requirement made at the last inspection to assess the use of bed rails had been addressed. Identified risks associated with impaired mobility had been assessed. However, some improvements were necessary in the way that staff recorded the management of these risks. For example, one person’s risk assessment stated that she needed support to stand, walk and use the toilet. Her risk management plan did not clearly inform staff of the action needed to keep this person safe. Another risk assessment identified that the person was at high risk of developing pressure ulcers. The risk management plan stated that pressure relief should be provided ‘regularly.’ The care plan should clearly state the time scales for effective pressure relief, such as ‘every 2 hours.’ Furthermore, one person had been assessed for their moving and handling needs but no risk management plan had been recorded. There was no evidence to suggest that people living in the home had been placed at risk due to these shortfalls in recording. However, it was recommended that risk assessments and risk management plans be reviewed and updated to ensure that consistent care and support is provided to keep people safe from harm. The administration of medication to people living the home was observed during lunchtime on the first visit to the home. This was conducted in line with current good practice. Similarly, medication was stored securely and records of medication were to be accurate and up to date. Throughout the two visits to the home staff were observed to treat people with respect. Staff were seen to knock on bedroom and bathroom doors before entering to preserve the privacy and dignity of people living in the home. A visitor said, “The staff are most helpful. My aunt tells me that staff treat her with respect and I am completely satisfied with the way she is looked after.” Conifers Nursing Home DS0000021639.V340018.R02.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 Quality in this outcome area is good. People living in the home are provided with a healthy diet and are encouraged to maintain relationships with their family and friends. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said that organised activities were provided for one hour each morning and afternoon, although this was not observed during the inspection. At the time of the inspection visits, preparations were underway for celebrating Christmas in the home. A relative commented, “My aunt enjoys her painting sessions.” Another relative said, “ It would be useful to have more staff available to increase the activity programme for residents.” This was reiterated by a third relative in a satisfaction survey that she completed, “There should be a little more activity for the patients.” It is recommended that surveys are carried out with people living in the home and their relatives to determine what they would like to see provided in relation to activities. Two care plans provided evidence that a priest visits the home to administer communion to people of Roman Catholic faith. However, it was not clear if people from Hindu and Church of England faiths living in the home had their Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 14 spiritual needs met. Care plans should detail a person’s wishes in relation to practicing their religion. Throughout the two days inspection visits visitors were made welcome to the home. All visitors spoken to were complimentary about the standard of care provided in the home. The lead inspector joined people living in the home for their lunchtime meal. There was a choice of two hot main courses followed by a dessert. The meals served were attractively presented and staff provided assistance in an unobtrusive manner as necessary. Four people living in the home said that they enjoyed the food and one person said that the chef provided his favourite foods on request. The kitchen and food stores were clean and hygienic and records required under health and safety legislation had been kept up to date. Conifers Nursing Home DS0000021639.V340018.R02.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 Quality in this outcome area is good. Policies and procedures in place and a skilled staff team ensure that people living in the home are safeguarded from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaints procedure was on display in the hallway and each person had been provided with details of how to make complaints and express their concerns. This was confirmed in conversation with visitors and people living in the home. Two completed satisfaction surveys stated that both individuals knew who to talk to if they had concerns or complaints. Staff were attending a training session on abuse awareness during the second visit to the home. Staff on duty, were asked what action they would take if they suspected a person was being abused. Their answers demonstrated a good understanding of the procedures that they must follow in keeping people safe from harm. Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. A rolling programme of maintenance, renewal and redecoration ensures that improvements will be made to provide a pleasant and comfortable environment for people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the building took place, and all areas were found to be clean and tidy. However, some furniture and decor were not well maintained and some areas of the home were showing signs of wear and tear with furnishings in some rooms in need of repair or replacement. It was, however, evident that a rolling programme of redecoration, refurbishment and renewal was in place. The manager said that new carpets for six bedrooms had been scheduled for fitting the following day and other furniture, fittings and redecoration would be attended to according to the planned maintenance programme. Progress on this will be assessed at the next inspection. Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 17 Suitable laundry facilities had been provided and procedures for the control of infection were in place. Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. Robust recruitment procedures, staff deployment and the training provided ensured that people were receiving care and support from a knowledgeable and skilled staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection visits, there appeared to be sufficient staff on duty to meet the needs of people living in the home. There were two nurses and three care staff on duty, with additional support from the manager, the cook and domestic. The organisation employs a consultant who has responsibility for supporting the manager with the development of policies and procedures and providing in-house training for staff. Three personnel files were examined during this visit. These were in good order and each of them contained a training development programme for 2007-2008. This was used to identify training needs and set objectives for the training to be provided. There was evidence on these records that training had been provided both in-house and by external providers. Training sessions were followed up by questionnaires, which enabled the manager to assess and evaluate the knowledge and competency level of staff following training events. Training programmes included a wide range of care practice topics, including specific training in dementia awareness. This ensured that staff had the opportunity to develop specialist knowledge and awareness of the needs of Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 19 people in the home who suffer from dementia. Several staff were attending a training session at the time of the second visit. Training in safeguarding adults had been prioritised, and there was evidence of a detailed and informative course, which was delivered to staff in-house. This provided staff with the knowledge and awareness of what action to take in the event of any allegation or suspicion of abuse. Staff who were spoken to demonstrated a good understanding of issues surrounding abuse and were confident of the procedures to follow in the event of an allegation of abuse. Information in the self-assessment document completed by the home’s consultant stated that 60 of care staff had achieved the equivalent of a level 2 National Vocational Qualification in care. Staff spoken to confirmed that they were provided with training and development opportunities. Staff also said that they had received a full induction in line with the specifications of Skills for Care, which is a recognised induction programme. The induction programme includes a detailed orientation to the home, with training on key policies and procedures. This is followed by approximately six-weeks of detailed training. One member of staff said that there was always training available, and that lists of training dates were made available to all staff. It was noted that there was a regular newsletter sent to staff, which provided updates on the training opportunities available. This alerts staff to in-house refresher courses, provided in DVD format. Staff use these opportunities to reinforce knowledge and skills gained in their formal training. Three personnel files examined contained appropriate documentation as required by Schedule 2 of the Care Homes Regulations 2001. The files examined belonged to the most recent recruits and included Criminal Record Bureau Checks (CRB), written references, full application forms, nurses’ registration numbers and medical declarations for fitness. Through observations made during this visit, there were a number of examples where staff were seen engaging in positive and meaningful one to one exchanges with residents. Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 Quality in this outcome area is good. Procedures are in place to listen to the views of people living in the home and this information is used to ensure the home is run in their best interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager was a qualified nurse and she had recently achieved the Registered Managers Award. Two anonymous letters were received by the Commission prior to this inspection visit. These expressed concern about the way the home was being managed. These concerns have been referred to the provider for investigation. Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 21 Procedures were in place to monitor the quality of the service provided. This included regular satisfaction surveys. Eight of these surveys completed in March 2007 and two surveys issued and returned to the Commission contained positive comments about the quality of the service provided. People living in the home are able to contribute to decisions on how the home is run through discussion at regular residents’ meetings. The most recent meeting took place on 21st November 2007. The manager had failed to notify the Commission of incidents, such as falls and other issues affecting the welfare of people living in the home. This is in breach of Regulation 37 of The Care Homes Regulations. Two balances of personal spending money held on behalf of people living in the home were checked and found to be accurate. However, not all transactions had been dated and it was recommended that record sheets be noted with balances brought forward from completed sheets. This will minimise the potential for errors in these records. No risks to health and safety were identified during a tour of the home. Information provided by the manager in the home’s self-assessment maintained that policies, procedures and systems were in place to ensure that the safety and welfare of residents was promoted. Health and safety records were generally accurate and up to date. However, several shortfalls were found. The testing of portable electrical appliances had last been carried out in 2004. Advice must be taken from the Health and Safety Executive to determine the recommended frequency of testing. This will afford protection to the safety of people living and working in the home. A fire alarm test had not been undertaken since 6th November 2007 and the emergency lighting was last checked on 16th October 2007. The fire alarm must be tested weekly and the emergency lighting tests must be carried out monthly. Similarly, fire escapes were not being checked at the prescribed intervals. The Commission was notified in writing on 30th November 2007 that, ‘fire drill written records have been brought up to date.’ Staff spoken to confirmed that they were in receipt of regular supervision. Written evidence of this was held in their personnel records. One member of staff said that supervision was given formally and informally, stating that she could approach the manager with issues of concern at any time. Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 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 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? 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 OP38 Regulation 37 Requirement The registered person must notify the Commission of any incident that affects the welfare and safety of people living in the home. The registered person must take advice from the Health and Safety Executive to determine the recommended frequency of portable appliance testing. This will afford protection to the welfare of people living and working in the home. Timescale for action 29/12/07 2. OP38 23 (2) (c) 29/12/07 Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 24 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 OP8 Good Practice Recommendations Risk assessments and risk management plans should be reviewed and updated to ensure that consistent care and support is provided to keep people safe from harm. Surveys should be carried out with people living in the home and their relatives to determine what they would like to see provided in relation to activities. Care plans should detail a person’s wishes in relation to practicing their religion. Accounts of personal finances should be dated and balances from completed sheets brought forward to minimise the potential risk of errors in the records. 2. OP12 3. 4. OP12 OP35 Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Conifers Nursing Home DS0000021639.V340018.R02.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!