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Inspection on 13/10/06 for Daisy Bank Nursing Home

Also see our care home review for Daisy Bank Nursing Home for more information

This inspection was carried out on 13th October 2006.

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

The management and staff make the residents` visitors and relatives welcome, and there are frequent visitors to the home. Health care awareness was evident, with the importance of any changes in health status and mental health, being continually monitored by appropriately trained, caring and diligent staff. Staff demonstrated great respect for residents, and residents were addressed in an appropriate manner. Discussions with staff were positive, and showed a clear determination that they belong to a committed team. Residents and visitors spoken with were very positive about the care that they and their relatives were receiving. There were also residents who were unable to communicate, the inspector noted that they appeared well cared for, and were happy in their surroundings. The home provides an ongoing programme of activities, The home was clean, warm and comfortable.

What has improved since the last inspection?

The dining room has recently been redecorated.

What the care home could do better:

The main lounge is in need of redecoration. The laundry needs better organisation in regard to storage and shelving. The Statement of Purpose and Service User Guide were not available for the inspector to view. It is a requirement of this report that the Statement of Purpose and Service User guide are made available to the Commission for Social Care Inspection and to residents. There were shortfalls in relation to Care Plans, which were not signed, and did not reflect arrangements made in the event of terminal illness. Health and safety issues were inspected, and requirements were made in relation to safe wheelchair use, and the safe use of bumpers with bedrails.There must also be at least one qualified first aider on duty at any one time. This must be the full first aid certificate holder, and not the one day appointed person certificate.

CARE HOMES FOR OLDER PEOPLE Daisy Bank Nursing Home c/o Jackson, Dyson & Blundell 17 - 19 Leek Road Cheadle Staffordshire ST10 1JE Lead Inspector Pam Grace Key Unannounced Inspection 13 October 2006 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 Daisy Bank Nursing Home DS0000026944.V312911.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. Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Daisy Bank Nursing Home Address c/o Jackson, Dyson & Blundell 17 - 19 Leek Road Cheadle Staffordshire ST10 1JE 01538 750439 F/P 01538 750439 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) Classic Care Homes Limited Mrs Ruth Addison Care Home 32 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (32), of places Physical disability over 65 years of age (6) Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th December 2005 Brief Description of the Service: Daisy Bank is a care home providing personal care including nursing care for up to 32 elderly service users. This includes care for up to six service users over the age of 65 years with physical disabilities, and dementia care for up to four service users over the age of 65 years. A private company - Classic Care Homes Limited, owns the home. The home is located on the outskirts of the town of Cheadle, in the East Staffordshire district. There are no amenities within the immediate vicinity, but Cheadle town centre is approximately a tenminute walk away, where there are a choice of shops, public houses, banks and churches. The home was converted to a care home several years ago, from two large houses, and consists of two floors served by a passenger lift. There is ample car parking, and the gardens are accessible around the home to service users including wheelchair users. The accommodation provides for mainly single bedrooms, with six double bedrooms. There is ample provision of toilet and bathing facilities, and communal seating areas. Current fees range from £367.00 minimum to £450.00 maximum weekly. Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was undertaken by one inspector, over a period of approximately 8 hours. The Registered Care Manager Mrs Ruth Addison RGN assisted the inspector throughout the inspection. The inspection had been planned with information gathered from the CSCI database, the Pre-Inspection Questionnaire that had been completed by the provider, and comment cards received from residents, relatives, and the GP. The key National Minimum Standards for Older People were identified for this inspection and the methods in which the information was gained for this report included case tracking, general observations, document reading, speaking with staff, residents and visiting relatives. A tour of the environment was also undertaken. At the end of the inspection, feedback was given to the care manager, outlining the overall findings of the inspection, and the requirements and recommendations made. Residents spoken with were very positive about the care they were receiving. There were also residents who were unable to communicate, the inspector noted that they appeared well cared for, and were happy in their surroundings. There had been one complaint made to the home, since the last inspection, this had been dealt with in a timely way under the home’s complaints procedure by the care manager, and had not been upheld. Feedback and comment cards returned to the inspector totalled 9`Have Your Say’ documents, 9 comment cards from relatives, and 1 comment card from the General Practitioner (GP). Feedback and comments received were generally positive, and included, that `a minor complaint had been dealt with immediately’. ` My mother is well cared for and is content. `The staff are always kind and caring and friendly’. There were 5 requirements, and 4 recommendations made as a result of this unannounced inspection, including an Immediate Requirement in relation to the safe use of wheelchairs that do not have foot- plates. This was discussed with the care manager at the time. Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The main lounge is in need of redecoration. The laundry needs better organisation in regard to storage and shelving. The Statement of Purpose and Service User Guide were not available for the inspector to view. It is a requirement of this report that the Statement of Purpose and Service User guide are made available to the Commission for Social Care Inspection and to residents. There were shortfalls in relation to Care Plans, which were not signed, and did not reflect arrangements made in the event of terminal illness. Health and safety issues were inspected, and requirements were made in relation to safe wheelchair use, and the safe use of bumpers with bedrails. Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 7 There must also be at least one qualified first aider on duty at any one time. This must be the full first aid certificate holder, and not the one day appointed person certificate. 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. Daisy Bank Nursing Home DS0000026944.V312911.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 Daisy Bank Nursing Home DS0000026944.V312911.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): 1,3 and 6 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose, and Service User Guide must be made available to CSCI, residents and their relatives. The latest inspection report should be more accessible to residents and their relatives. EVIDENCE: A random sample of four individual pre-admission assessments and 4 care plans was examined. These formed part of the case tracking and identified that pre admission assessments are carried out on all individual residents before they are offered a placement at the home. Discussions with the care manager confirmed that she usually carried out these assessments prior to admission. In her absence, the deputy manager will do this. The Statement of Purpose and Service User Guide were not available for the inspector to view. These would provide information about the home, and must Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 10 be available to the Commission for Social Care Inspection (CSCI), social workers, prospective residents and their families. The previous inspection report is also available to read at the home. However, this was discussed in the light of feedback from the comment cards received by CSCI. The inspection report should be made more accessible to residents and their relatives/representatives. The inspector suggested displaying the latest inspection report in the main entrance of the home. The care manager and visiting relatives spoken with stated that prospective residents and their families are welcome to come and visit the home and have a look around before admission. The care manager confirmed that Intermediate Care is not provided at this home. Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are comprehensive, however they should include arrangements made in relation to terminal illness, and should be signed. Residents and their relatives are very satisfied with the services they and their relatives receive from the home. EVIDENCE: A random sampling of 4 care plans was undertaken. In line with case tracking, residents and staff were spoken with. Appropriate risk assessments were evident in care plans seen. Wound treatment records were clear and up to date, and were cross-referenced with daily records, and the daily diary. Visits by health professionals were well documented. Care plans seen were not signed, and did not contain arrangements in the event of terminal illness. It is a requirement of this report that care plans are signed by the resident of their relative/representative, and that arrangements in the event of terminal illness are included and documented. Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 12 The GP visits the home on request. Requests for the GP would be documented in the diary, highlighting which residents need a medical review. Service users are protected by the home’s policies and procedures for dealing with medicines. Medication is appropriately stored, administered and recorded. Staff demonstrated a personal empathy with residents through a respectful, yet friendly discourse. Following the case tracking of four individual residents, examination of individual care plans identified that their personal and nursing care needs were being planned and subsequently met on a continuous basis. Discussions with these residents and/or their relatives, confirmed the above. All of the residents spoken with felt very happy with the care they were receiving in the home. Feedback and comment cards returned to the inspector totalled 9`Have Your Say’ documents, 9 comment cards from relatives, and 1 comment card from the General Practitioner (GP). Feedback and comments received were generally positive, and included, that `a minor complaint had been dealt with immediately’. `My mother is well cared for and is content. The staff are always kind and caring and friendly’. When asked whether dignity and privacy were upheld at the home all of the residents and relatives spoken to confirmed this and commented that the staff treated them with `respect’. Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14, and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The quality and choice of meals for residents continue to be satisfactory, however changes should be considered in relation to the kitchen environment. Residents exercise choice and control, and maintain contact with family, friends, their representatives and the local community as they wish. EVIDENCE: Activities within the home were recorded in a daily diary. The home does provide social activities for residents. There was evidence from talking to residents and visiting relatives that contact is maintained with family and friends on a regular basis. There were no restrictions placed on visiting times, and the home provides a relaxed and friendly environment. Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 14 The care manager confirmed that wherever possible individual requests in regard to spiritual needs would be supported by the home. There are regular visits to the home by the local church Minister. At the time of this inspection visitors were seen freely entering and leaving the home. Visiting relatives spoken with were not aware of any restrictions placed upon them, apart from the avoidance of visiting during mealtimes. Visitors were able to see a relative in private if they needed to. Residents were able to bring in small items of furniture and bedrooms were personalised with residents’ possessions. Residents said they had the opportunity and choice to have their hair done, the care manager confirmed that most residents at the home were using this service. Staff and residents spoken with said that the routines within the home were quite flexible although meals needed to be taken within a time framework. Residents were able to get up when they wanted. Residents were able to spend time in their rooms or in the communal areas. The kitchen environment was clean and tidy, with up to date daily records kept in regard to cleaning. Recording of Fridge and freezer temperatures had been appropriately documented and recorded. The inspector noted during a tour of the building that care staff were seen walking in and out of the kitchen area. This was discussed with the care manager, and the inspector suggested that the installation of a serving hatch between the dining room and the kitchen would be more convenient for staff and residents at meal times, and would prevent food contamination/cross infection by care staff walking in and out. This will be monitored at the next inspection. The quality and variety of food served at the home is of a good standard, and the 4 weekly rotational menus reflected the wishes of service users, as well as the changes in season. Residents spoken with confirmed that they enjoyed the meals at the home, and that they are consulted regarding their preferences. Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are being appropriately documented and recorded. Residents are protected from abuse. EVIDENCE: There was a clear and accessible complaints and protection of vulnerable adults procedure in place at the home. The care manager stated that she takes all concerns and complaints seriously and addresses them according to the procedure. Complaints are documented and recorded. The inspector discussed one complaint that had been received by the home, since the previous inspection, and had been dealt with under the home’s complaints procedure. The complaint had not been upheld. Residents and relatives spoken with, confirmed that they would know who to approach should they have any concerns or complaints. Staff spoken with confirmed that they were aware of the need to monitor the safety of residents and to protect them from any form of abuse. Daisy Bank Nursing Home DS0000026944.V312911.R01.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, 20, 21, 22, 23, 24, 25, and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for its stated purpose. Service users live in a safe, clean and comfortable environment, which has been adapted to suit their lifestyle, and individual needs. There was a shortfall in relation to the safe use of bed bumpers for all residents who have bedrails fitted, and also for wheelchairs, in regard to foot- plates being used when transferring residents. EVIDENCE: The inspector toured the building, spoke with residents, and with visiting relatives. The home was found to be clean and well presented, apart from the toilet in one of the bathrooms, which was dirty and needed cleaning, and a bag of rubbish which had been left. It was thought that one of the staff had overlooked to complete this task. This was discussed at the time with the care manager and rectified immediately. Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 17 Bedrooms seen were personalised, and had been adapted to suit the needs of the service users. The inspector and the care manager confirmed during a tour of the building, that all wardrobes were either fitted, or fixed to the wall for safety. Bedrails were used following a risk assessment. However, some bumpers were missing. It is a requirement of this report that all residents needing bedrails must have appropriate bumpers fitted. Various aids and adaptations were in place including assisted baths, mobile hoists and other equipment used for moving and handling of service users. There was a nurse call bell in operation, which was seen and heard to be working at the time of the inspection. It is a requirement of this report that wheelchairs used by staff for the safe transfer of residents must have appropriate foot - plates fitted. The laundry area was untidy but clean. There was inadequate shelving for the amount of storage needed. The inspector recommended that further shelving and tidying of the laundry is needed. Daisy Bank Nursing Home DS0000026944.V312911.R01.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): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff recruitment files did not contain all the information needed. There was a shortfall in the training of staff in first aid. EVIDENCE: Staff rotas and recruitment records were examined, and 4 members of staff were interviewed. Staffing levels were discussed with the care manager in relation to the dependency levels of the residents, and the number of residents living at the home. Rotas showed that existing staffing levels had been maintained, however, following discussion with care staff, the inspector recommended that consideration should be given in regard to employing a fifth care assistant to ensure that adequate staffing is maintained in relation to the numbers and increasing needs of residents. Discussions with staff were positive, and showed a clear determination that they belong to a committed team. Staff spoken with confirmed that they had undertaken dementia training. The care manager confirmed that all qualified staff had now undertaken the one day appointed persons certificate in First Aid. However, it is required that Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 19 there must be at least one First Aider holding a full first aid certificate on duty at any one time at the home. Staff spoken with and records seen confirmed that care staff are receiving regular supervision as per the National Minimum Standard. The inspector made suggestions to improve upon the existing system used. A sample of recruitment files were made available for inspection purposes, from those seen there was evidence that some areas of recruitment practice were satisfactory, but other areas needed more work to ensure the requirements of regulation were being met. This was discussed with the care manager at the time, and will be monitored at the next inspection. The inspector requested further information in relation to staff that had or were about to undertake NVQ training. The inspector also requested that a training schedule is forwarded to CSCI. Daisy Bank Nursing Home DS0000026944.V312911.R01.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 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There were shortfalls in regard to Care Plans, Health and Safety, Staff Training, and information provided to residents and their relatives. A quality assurance system is in place. EVIDENCE: The inspector had received 9 ‘Have your say’ documents, and 9 comment cards which the CSCI issue to relatives, social workers and health professionals. The general theme of these was that residents and relatives were happy and satisfied with the service that they and their relatives receive in the home. There was an issue in regard to residents’ and relatives’ accessibility to the previous inspection report, this was discussed during the inspection and resolved. Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 21 The home’s Statement of Purpose and Service User Guide was not available for the inspector to view. There were shortfalls in relation to Care Plans, which were not signed, and did not reflect arrangements made in the event of terminal illness. Health and safety issues were inspected, and requirements were made in relation to safe wheelchair use, and the safe use of bumpers with bedrails. There must also be at least one qualified first aider on duty at any one time. This must be the full first aid certificate holder, and not the one day appointed person certificate. The care manager and staff spoken with confirmed that most care staff had attended dementia care training. The care manager was asked to forward an up to date staff training schedule to CSCI, highlighting those staff members who have undertaken or are undertaking their NVQ awards. The score of 2 for this standard is due to the above requirements. The care manager is very well qualified and experienced to oversee the running of the home. Staff, residents and visiting relatives spoken to were complimentary about the care manager and confirmed that she was approachable and supportive. The care manager is supported by a deputy manager. The care manager confirmed in the Pre Inspection Questionnaire that records relating to the testing of fire alarms and emergency lighting were up to date and well documented. Financial issues were spot checked and found to be in good order due to the robust recording systems in place and positive management. The CSCI receives a monthly report from the home’s operations manager as per Regulation 26 requirements. Staff spoken to stated that they were receiving formal supervision. Existing staffing levels have been maintained, however, the inspector recommended that consideration should be given to the employment of an additional Care Assistant, in view of the increasing needs and numbers of residents. Staff and service users spoken with during the inspection confirmed that the care manager has an open management style, which is transparent, and includes the views of staff and service users. Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 22 Accidents had been recorded as required. However, there needs to be a system in place for the auditing of Accidents, this was discussed with the care manager, and will be monitored at the next inspection. There had been one complaint received by the home since the previous inspection, this had been appropriately documented, and not upheld. Complaints are being dealt with appropriately, and in a timely way, using the home’s internal complaints procedure. Residents and their relatives are aware of how to make a complaint if they wish to. The care manager, staff, and residents spoken with confirmed that resident and staff meetings are being held. There is a quality assurance system in place at the home. This is co-ordinated and managed by the Provider. Residents, relatives and/or their representatives are invited to express their views at least twice yearly in a written format. This information is then collated and acted upon. Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A 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 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 3 3 2 3 2 2 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 24 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 OP1 Regulation 5(2) 16, Sch 3 (1)(b) 15,Sch 3(1)(b) 23(2)(c) 23(2)(c) 18 Requirement A copy of the Statement of Purpose and Service User Guide must be supplied to the Commission and each service user. Care Plans must include arrangements to be made in relation to terminal illness and should be signed. Wheelchairs must have appropriate foot – plates fitted. Bed bumpers must be fitted to beds needing bedrails. The home must have a qualified first aider on duty at all times. Timescale for action 13/10/06 2. OP7 30/12/06 3. 4. 5. OP22 OP22 OP30 13/10/06 13/10/06 13/10/06 Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 25 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 2 Refer to Standard OP1 OP12 Good Practice Recommendations The home’s inspection report should be more accessible for residents and their family to read. The Provider should consider installing a serving hatch between the dining room and the kitchen. This would prevent cross infection/contamination of food by care staff walking in and out of the kitchen. The laundry should be tidy and have adequate shelving and storage for linen, towels etc… The Provider to review the current staffing levels in relation to the increase in residents’ needs and numbers of residents at the home, with a view to an additional Care Assistant being employed. 3 4 OP19 OP27 Daisy Bank Nursing Home DS0000026944.V312911.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Daisy Bank Nursing Home DS0000026944.V312911.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. 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!