Inspection on 05/05/07 for Country View Nursing Home

This inspection was carried out on 5th May 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.

Other inspections for this house

Country View Nursing Home 19/04/06

Country View Nursing Home 16/01/06

Country View Nursing Home 10/10/05

Country View Nursing Home 20/12/04

Country View Nursing Home 30/06/04

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

CARE HOMES FOR OLDER PEOPLE Country View Nursing Home Warkton Kettering Northants NN16 9XQ Lead Inspector Keith Charlton Key Unannounced Inspection 5th June 2007 10:00 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 Country View Nursing Home DS0000012609.V338000.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. Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Country View Nursing Home Address Warkton Kettering Northants NN16 9XQ 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) (01536) 484692 01536 518376 countryviewnh@aol.com Country View (Warkton) Limited Mrs Margaret Jean Webb Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29), Physical disability (4) of places Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No one falling within the category of OP may be admitted to the home where there are 29 persons of category OP already accommodated within the home. No one falling within category PD may be admitted into the home where there are 4 persons of category PD already accommodated within the home The total number of service users accommodated in the home must not exceed 29. 19th April 2006 Date of last inspection Brief Description of the Service: Country View Nursing Home is owned privately and managed by the owners. The nursing home is a large converted country house, with a large ground floor extension. It comprises double and single rooms with day spaces. The home has a large garden, which is maintained to a high standard, and is accessible to residents. The home also has views over open countryside. The following fees were provided by the registered manager as being current at the time of this inspection, which range between £344 and £580 per week. The fees include personal care, accommodation and meals. Other costs include chiropody, hairdressing, papers/magazines, toiletries, transport/taxis and staff costs for escorting residents to appointments. The Registered Manager stated that residents are provided with a service users guide to the services the home offers, when requested by them or their relatives. The home’s Statement of Purpose is displayed in the reception with a copy of the last Inspection Report so that they are accessible to residents and visitors. Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided… The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection. The Registered Manager was on duty. Planning for the Inspection included checking on the notifications of significant events sent to the Commission for Social Care Inspection and the last Inspection Report. There have been no complaints made to the Commission for Social Care Inspection since the last inspection. The Inspection took place between 10.00 and 16.00 and included a tour of the home, inspection of records and indirect observation of care practices. The Inspector spoke with six residents, two staff members, and three relatives. The Inspection was concluded that week with the Registered Manager and the Deputy Manager. What the service does well: Residents said that staff were friendly and helpful towards them, and reported that staff welcome visitors. Staff were observed to be friendly towards residents and assisted them at the pace of the residents. Residents said they would have the confidence to raise concerns if they needed to and were satisfied that the concerns would be listened to and acted on by staff and management. A record of daily living choices is part of residents Care Plans so that individual wishes are known and followed. Residents spoke positively about the activities arranged. They are asked on an individual basis as to what they would like to do. Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 6 Residents liked most of the home’s food. There were a great many visitors to the home, which helped to create a relaxed and friendly atmosphere. Staff thought they were generally valued in their performance of their jobs and staff training is encouraged by the managers in order to equip staff to meet residents needs. The Registered Provider publishes a monthly newsletter as to what has happened in the home, which assists in creating an atmosphere of valuing residents. What has improved since the last inspection? What they could do better: The Registered Provider needs to ensure that the welfare of residents is protected at all times regarding protecting residents from fire to the lounge/dining areas. Medication systems need to be reviewed so that medication is not left with residents thereby giving access to this medication to other residents. There needs to be a thorough review of safe working practices, including ensuring that fire doors to the lounge/dining area do not compromise fire safety, and that regular unannounced fire drills take place to ensure staff follow the proper procedure if fire were to break out. Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 7 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. Country View Nursing Home DS0000012609.V338000.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 Country View Nursing Home DS0000012609.V338000.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): 3,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process is well managed and meets the needs of residents. EVIDENCE: The Registered Manager stated that residents are provided with a service users guide to the services the home offers, when requested by them or their relatives. The home’s Statement of Purpose is displayed in the reception so that it is accessible to residents and visitors. A comprehensive brochure is also available and this includes copies of letters received from families whose relatives have been in the home, which contained thanks for the high standard of care their relatives had received. Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 10 Residents said that they could visit the home prior to their admission if they were physically able to do so, usually by way of a trial period, to give them a good idea of what services the home offers, and that staff had visited them before admission to ask them about their needs. There was evidence of assessments undertaken by the Registered Manager available on the residents files examined by the inspector, which covered their needs, current routines, preferences, allergies, medical conditions etc. The home does not provide intermediate care facilities. Country View Nursing Home DS0000012609.V338000.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): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans describe identified care needs to ensure proper care is supplied by staff with health and medication systems generally protecting the safety and welfare of residents. EVIDENCE: Residents and relatives said that there was a Care Plan and that they were involved in setting it up and reviewing it. Residents needs are detailed in their Care Plans and all residents case tracked had a plan of care in place. The registered manager stated that care plans are reviewed monthly and this was seen as recorded in the Plans. Further work needs to be carried out to ensure specific instruction is included in care plans, e.g. blood sugar levels to be maintained and what action to take if they are not Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 12 in the safe range. Also to establish specific information as to a residents continence needs as to how often staff need to assist them to the toilet. Residents personal histories are part of the plan so that they can be seen as individuals with a valued history. Risk assessments also form part of Plans to reduce the risk of harm from identified risks, e.g. there were falls risk assessments in place, with evidence that referral to medical services is made as needed. The inspector viewed accident records. There was a discussion between the managers and the inspector as to when the GP should be called if there had been a potentially serious injury, e.g. a head injury. The home has a procedure in place for frequent checks to be made and referral if this is assessed as necessary. Residents all said that staff were very friendly and that they respected their privacy, e.g. they always knocked on doors before entering. The inspector also observed that staff were friendly and respectful to residents. There was a discussion between the managers and the inspector as to whether the reception area was a confidential space when staff were speaking on the telephone regarding residents needs. The managers said that doors were closed and staff ensured there was no one listening in to such confidential discussions. The medication system was inspected. The Registered Manager and staff confirmed that only trained nursing staff issue medication. Medication recording was fully complete with no gaps observed on the record of medication issued to residents. Controlled drugs records were viewed and appeared to be satisfactory though there was an omission of one entry into care records when the issuing a controlled drug had been changed. The Deputy Manager said this would be followed up. Good systems are in place for the ordering administration and disposal of medication in the home with clear audit trails in evidence. The Deputy Manager agreed to ensure that medication returns were signed by staff so as to strengthen the audit system. The medication round was observed by the inspector and found to be efficiently carried out except for when one resident was left with medication without taking it because he liked it at the end of his meal. The Deputy Manager said the time of issuing medication would be changed to ensure that medication is not left out for any other residents to mistakenly take it. Medication is securely kept in locked spaces. Country View Nursing Home DS0000012609.V338000.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): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have the opportunity to lead full lifestyle and can exercise choice. The food is generally seen as tasty and varied. EVIDENCE: Residents said that there were a range of activities at a good level and frequency, and that there was a choice as to whether they wanted to attend them. An Activities Organiser is employed three afternoons a week to provide stimulation. There was one comment received that there should be activities seven days a week. The managers said this was already the case and would amend the notice in the dining room to indicate this. Managers said that the new Activities Organiser had asked residents on an individual basis as to the activities they wished to have and this would form part of the activities offered. This is seen as good practice. Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 14 The inspector observed a quiz taking place, which residents said that they enjoyed. There were some comments that some residents would like having outings. The Deputy Manager said this had been difficult to arrange before but would consult residents and set this up as necessary. The Registered Manager may like to consider the provision of ‘memory boxes’, containing valued items, to be set up for residents, particularly for residents with dementia, so as to provide valuable reminiscence material for staff to talk to residents about. Residents said that there were no rules that they knew of, e.g. no one reported that there were set going to bed and rising times, and all thought the atmosphere of the home was friendly and relaxed. Residents said that their religious needs are respected. Care notes had details of a resident refusing a bath and watching TV until late, which provided evidence of residents choice in these matters. Some residents spoken with were glad staff gave them medication so they didn’t need to worry about keeping it themselves. Inspection of residents accommodation demonstrated that they were able to bring in to the home their personal possessions. Residents confirmed this. Both residents and relatives stated that visitors are always welcomed to the home and no one reported any restrictions. The visitors spoken to thought that staff were very friendly and welcoming. The inspector observed that there were a great many visitors to the home, which helped to create a relaxed and friendly atmosphere. There were generally very positive views regarding the food and a number of comments received: ‘There is good food always. If we want something else they will get us it’. ‘I like the food. It is always tasty’. ‘The food is good sometimes and not so good other times.’ The managers said they would keep all the food served under review for taste etc. A resident said she was able to choose whether she wished to eat her meals in the dining room or in her rooms. The food was tasted by the inspector – this consisted of two choices of main meal and dessert and was found to be well cooked and had good flavour. Residents who needed help to eat were observed to be helped by staff. Records did not always show two set choices each day. The Deputy Manager said she would remind the cooks to always record this as choices were always on offer to residents. Country View Nursing Home DS0000012609.V338000.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): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are confident in the system of managing complaints and staff have a good level of understanding regarding the prevention of abuse. EVIDENCE: Residents and relatives said that they thought that if there was a problem then they had confidence that the Managers or other staff would sort it out. The Complaints Procedure is generally satisfactory but does not give the complainant the opportunity to go to a relevant Agency, e.g. the local Social Service Department, as per the National Minimum Standard. The Registered Manager said this would be altered to reflect this standard. Staff members spoken with were generally aware of the procedure regarding the in house arrangement of who to report to but were not aware of most of the Agencies to contact if the in house procedure failed. The managers said this issue would be followed up by drawing up a short procedural statement as to the contact details of all statutory Agencies that staff need to be aware of. Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 16 The homes records were inspected. There were no complaints recorded and managers confirmed that no complaints had been directly reported to them, although there were complaints in the 2006 Quality Assurance audit. The inspector recommended that they be included in the Complaints book, with the action taken to progress them. The Commission for Social Care Inspection has also received no complaints about the service since the last inspection. Country View Nursing Home DS0000012609.V338000.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): 19,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives generally see facilities as homely, clean and well maintained. Odour control is of a good standard. EVIDENCE: The residents spoken with were all content with their bedrooms and happy they could bring in their own personal possessions. The inspector spent time in the communal lounges and dining rooms and met with a number of residents in the lounge and one resident in her bedroom. All areas of the home seen were decorated, furnished and maintained to a good standard. Furnishings are comfortable and of a good quality. Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 18 Communal areas consist of a lounge, two dining rooms and a ‘garden room’, which is a small room with access to a patio area. Staff said that parasols are available to protect residents from sunburn if they sit outside. A number of residents are not independently mobile and require movement and handling aids, which were observed to be in place and used appropriately by staff. Specialist electric wheelchairs, specialist bathing provision and hoists are provided to assist in moving and handling residents safely. Sensory stimulation equipment is provided for those residents who have communication difficulties. The home was found to be very clean with no unpleasant odours. Residents said this was always generally the case though there were some comments that the home was not as clean at weekends as there is no domestic cover then. The managers doubted this was the case and said other staff carried out the cleaning. It was recommended that this issue be reviewed to ensure that standards are being maintained. The managers stated that there are plans to develop a little used bathroom into a hairdressing salon. The inspector asked that contact be made with the Commission for Social Care Inspection registration team to authorise this change of use. Country View Nursing Home DS0000012609.V338000.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): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels meet residents needs. Recruitment processes are thorough to ensure the full protection of residents from unsuitable staff. Staff training needs to be bolstered to meet the needs of all residents conditions. EVIDENCE: Positive comments were made regarding staffing numbers and the ability of staff to respond to residents needs. The rota and the Registered Manager confirmed that there were always a minimum of five care staff on duty during the morning and four in the afternoon plus a trained nurse, and at night there is two awake staff and one trained nurse. Residents’ were very happy with the staff team and said they are very helpful, with residents and relatives saying that they worked very well as a team. Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 20 Three staff files were inspected and all contained Protection of Vulnerable Adults checks prior to staff commencing employment, with other information, references etc. in place. This protects residents from unsuitable staff. Staff files contained evidence of training though not all staff had received training on essential care practices – e.g. food hygiene, challenging behaviour, health and safety, first aid, infection control, dementia, physically disability, palliative care, mental health, PEG management etc. The managers said that the programme of training would be complete within six months and therefore ensure that all staff were suitably trained. There is a Training Matrix to clearly identify what staff needed which training. The managers and staff stated that staff are encouraged to undertake National Vocational Qualification level 2 training. The managers said that the home was meeting the National Minimum Standard of 50 of staff with National Vocational Qualification level 2 or 3 training, as currently two thirds of staff had attained this, and six out of seven remaining staff were currently undertaking this training and other staff undertaking National Vocational Qualification level 3 training. This situation is commended. Discussion with the Registered Manager indicated that the induction programme used for new staff is based on the National Training Organisation (Skills for Care) Standards, as per the National Minimum Standard. Country View Nursing Home DS0000012609.V338000.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): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to protect the health and safety of residents. EVIDENCE: Residents, relatives and staff said that they thought the managers were very organised as to the running of the home. The Registered Manager has a National Vocational Qualification level 4 in Care Management and is also a Registered General Nurse. There was evidence on staff records that staff have one to one supervision and staff confirmed this occurred on a regular basis. Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 22 Staff Meetings have not been held. It was recommended to the Registered Manager that meetings are held to provide a forum for discussion as to all relevant issue regarding the running of the home and staff asked if they would like to add items to the agenda. It was also recommended that a representative of residents/relatives are asked if they wish to participate in relevant parts of this meeting to provide a residents perspective. Residents meetings are held, and minutes of the last meeting were available at the time of inspection. It was recommended to the managers that meetings be held more frequently so that residents and relatives have more opportunity to express their views. There is a Health and Safety folder with Risk Assessments for safe working practices. This needs to be extended, as there are some radiators without covers to protect residents from burning. The Registered Manager said that all radiators would have covers by October 2007. A Quality Assurance system was in place. This had been supplied to residents and their families, and other stakeholders, e.g. GPs, District Nurses etc. It was recommended that a summary of findings is included in the Statement of Purpose. The Registered Manager said that she did not keep any residents monies, as either residents or their families did this. There are monies records as the home bills for monies spent for with sundries such as hairdressing and chiropody being invoiced on a monthly basis. Records were in place though needed staff signatures to witness each transaction. Fire Precautions: The inspector noted that most fire doors were on approved closures so that they could be held open, as they would shut and preserve fire safety when fire bells sounded. However fire doors to the lounge/dining room did not have closures and had no Risk Assessment or written approval from the Fire Officer on file. The Registered Providers said that closures would be fitted shortly. Fire training is regularly carried out. System testing was generally on required schedules for fire bell testing though there had been some gaps of over a week for weekly testing and over a month for monthly emergency lighting testing. There was a fire risk assessment on file though this needed completion, e.g. emergency plan. Staff members were asked about the fire procedure and were generally aware of the procedure though one aspect was omitted. The managers said staff would be reminded of the procedure. The hot water temperature was checked in a bathroom and found to be 42c; this met the National Minimum Standard of 43c. Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 23 A newsletter is regularly published to keep residents informed of events in the home. This is a well presented and interesting piece of information. Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 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 X X 1 Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP38 Regulation 13 Requirement The Health and Safety systems in the home must protect the welfare of service users from harm. This includes protection from fire. Timescale for action 07/07/07 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 OP7 Good Practice Recommendations Further work should be done to ensure specific instruction is included in care plans. E.g. blood sugar levels to be maintained and what action to take if they are not in the safe range. Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Country View Nursing Home DS0000012609.V338000.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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